Association between work–family conflict and musculoskeletal pain among hospital patient care workers

Kim, Seung-Sup; Okechukwu, Cassandra A.; Buxton, Orfeu M.; Dennerlein, Jack T.; Boden, Leslie I.; Hashimoto, Dean M.; Sorensen, Glorian

doi:10.1002/ajim.22120

Cited by 51 publications

(62 citation statements)

References 44 publications

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“…Higher levels of work-family conflict were also significantly associated with sleep deficiency in the short term and nearly two years later (HB Jacobsen et al, 2014), and with multiple types of musculoskeletal pain (Kim et al, 2013). …”

Section: Resultsmentioning

confidence: 99%

Integrating worksite health protection and health promotion: A conceptual model for intervention and research

Sorensen

McLellan

Sabbath

et al. 2016

Preventive Medicine

Self Cite

131

192

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There is increasing recognition of the value added by integrating traditionally separate efforts to protect and promote worker safety and health. This paper presents an innovative conceptual model to guide research on determinants of worker safety and health and to inform the design, implementation and evaluation of integrated approaches to promoting and protecting worker health. This model is rooted in multiple theories and the premise that the conditions of work are important determinants of individual safety and health outcomes and behaviors, and outcomes important to enterprises such as absence and turnover. Integrated policies, programs and practices simultaneously address multiple conditions of work, including the physical work environment and the organization of work (e.g., psychosocial factors, job tasks and demands). Findings from two recent studies conducted in Boston and Minnesota (2009–2015) illustrate the application of this model to guide social epidemiological research. This paper focuses particular attention on the relationships of the conditions of work to worker health-related behaviors, musculoskeletal symptoms, and occupational injury; and to the design of integrated interventions in response to specific settings and conditions of work of small and medium size manufacturing businesses, based on a systematic assessment of priorities, needs, and resources within an organization. This model provides an organizing framework for both research and practice by specifying the causal pathways through which work may influence health outcomes, and for designing and testing interventions to improve worker safety and health that are meaningful for workers and employers, and responsive to that setting’s conditions of work.

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Section: Resultsmentioning

confidence: 99%

Integrating worksite health protection and health promotion: A conceptual model for intervention and research

Sorensen

McLellan

Sabbath

et al. 2016

Preventive Medicine

Self Cite

131

192

View full text Add to dashboard Cite

show abstract

“…37 Our prior research highlighted common pathways through which conditions of work may be associated with MSDs, physical activity, sleep, and obesity risk. 4,5,29,33,34,38 In addition, we sought to link the intervention to other hospital priorities; for example, the hospital’s high priority initiative around safe patient movement provided a leverage point for promoting the use of mechanical transfer devices such as ceiling lifts, key to MSD prevention.…”

Section: Methodsmentioning

confidence: 99%

Implementing an Integrated Health Protection/Health Promotion Intervention in the Hospital Setting

Sorensen

Nagler

Hashimoto

et al. 2016

Journal of Occupational &Amp; Environmental Medicine

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Objective To report findings from a proof-of-concept trial designed to examine the feasibility and estimate the efficacy of the “Be Well, Work Well” workplace intervention. Methods The intervention included consultation for nurse managers to implement changes on patient care units and educational programming for patient care staff to facilitate improvements in safety and health behaviors. We used a mixed-methods approach to evaluate feasibility and efficacy. Results Using findings from process tracking and qualitative research, we observed challenges to implementing the intervention due to the physical demands, time constraints and psychological strains of patient care. Using survey data, we found no significant intervention effects. Conclusions Beyond educating individual workers, system-wide initiatives that respond to conditions of work may be needed to transform the workplace culture and broader milieu in support of worker health and safety.

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“…Response categories ranging from 5 = "Strongly Agree" to 1 = "Strongly Disagree" yielding a score between 5-25, where higher scores indicate greater work-family conflict. We trichotomized the score into low (5-12), intermediate (13)(14)(15)(16)(17), high (18)(19)(20)(21)(22)(23)(24)(25) conflict, as done in previous studies 8 , making the variable more intutive and easier to interpret.…”

Section: Methodsmentioning

confidence: 99%

Work-Family Conflict, Psychological Distress, and Sleep Deficiency among Patient Care Workers

Jacobsen¹,

Rème²,

Sembajwe³

et al. 2014

Workplace Health Saf

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Objectives-There is a well-established link between psychological distress, work-related stress and sleep. The aim of this study was to test the hypothesis that work-family conflict was associated with sleep deficiency both cross-sectionally and longitudinally while controlling for potential covariates.Methods-In this two-phase study, a workplace health survey was collected from a cohort of patient care workers (n=1,572) at two large hospitals. Follow-up was collected nearly two years later in a subsample (n=102). Self-reported measures included work-family conflict, sociodemographics, workplace factors, psychological distress, and outcomes of sleep duration, sleep insufficiency, and sleep maintenance. Bivariate associations (P<0.2) from the baseline sample were used to build multivariable logistic regression models. Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptResults-The participants were 90 % women with a mean age of 41 (±11.7) years. At baseline, after adjusting for covariates, higher levels of work-family conflict were significantly associated with sleep deficiency, short sleep duration and perceived sleep insufficiency, but not with sleep maintenance problems. Higher levels of work-family conflict also predicted sleep insufficiency at follow-up nearly two years later. None of the other variables were associated with sleep outcomes longitudinally.Conclusion-This is the first study to determine the predictive and cross-sectional associations of work-family conflict on sleep deficiency, also controlling for other measures of job stress and psychological distress. The results indicate that future interventions on sleep deficiency in patient care workers should include a specific focus on work-family conflict.

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Association between work–family conflict and musculoskeletal pain among hospital patient care workers

Cited by 51 publications

References 44 publications

Integrating worksite health protection and health promotion: A conceptual model for intervention and research

Integrating worksite health protection and health promotion: A conceptual model for intervention and research

Implementing an Integrated Health Protection/Health Promotion Intervention in the Hospital Setting

Work-Family Conflict, Psychological Distress, and Sleep Deficiency among Patient Care Workers

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