Shift change handovers and subsequent interruptions: potential impacts on quality of care.

Objectives: Two statistical surveys in France revealed both widespread dissatisfaction about shift change handovers and the feeling of being frequently disturbed by interruptions. Shift change handovers (SCHs) are being reduced or eliminated in France to reduce staff costs. The objective of our study is to clarify the consequences of short SCHs on efficiency, team function, and quality of care.

[Sick leave during pregnancy: an analysis of French hospitals from 2005 until 2008 demonstrates the major importance for jobs with physical demands].

Introduction: sick-leave in the course of pregnancy play a role under estimated according to several studies.They bring to light the existence of risk factors concerning the physical load for contractions, sick-leave, hospitalizations and prematurity.The data obtained on the totality of the wage earners of the AP-HP allow to avoid all the possible bias and to determine the potential impact of a policy of reduction of the physical load

Method: The data of four years could be analyzed.

Effects of extended work shifts on employee fatigue, health, satisfaction, work/family balance, and patient safety.

12-hour shifts are quickly spreading in Europe. From our multivariate analysis concerning 25,924 European nurses, including twenty explanatory variables simultaneously, we found that work schedule itself is not a major determinant factor. Nurses aim to choose or accept night shifts or 12-hour shift in order to reduce their work/home conflicts, however, at the expense of the patient's safety, as well as their own health and safety.

Work week duration, work-family balance and difficulties encountered by female and male physicians: results from the French SESMAT study.

Objective: France encounters difficulties attracting physicians to work in hospitals. Organisation at work and at home may be at the heart of the problem for female as well as for male physicians.

Participants: A comprehensive questionnaire was filled out online by a representative sample of 1924 French hospital physicians.

[Burnout in French doctors: a comparative study among anaesthesiologists and other specialists in French hospitals (SESMAT study)].

Objective: Burnout is one of the main chronic health problems with negative consequences on health care givers but also on quality of care. The main goal of Physician Health Survey was to study the frequency of burnout among salaried physicians and pharmacists and to compare anesthesiologists and intensivists (AI) with other practitioners (OP). The secondary end points were to analyze risk factors of burnout in each group.

[Survey on the satisfaction regarding their studies and the health habits of nursing students in France].

The French Federation of Nursing Student (FNESI) conducted a study in nursing studies institutions from 6 administrative Regions in order to understand risk factors linked with stress or satisfaction of students. Conducted from september 2008 to june 2009, the response rate was 71.2%.

[Participative ergonomics for adapting the working space to meet the needs of nursing staff].

Presst-Next, the European study carried out between 2004 and 2006, highlighted the importance of teamwork in reducing the frequency of professional exhaustion and the early departure of care staff. On the basis of these results, the Armand-Trousseau Hospital in Paris (AP-HP 75) has committed to a participative ergonomics approach at its paediatric emergency service.

[Longitudinal analysis of personal and work-related factors associated with turnover among nurses].

Background: While many scholars have acknowledged the relationship between personal and work-related factors associated with job search and actual turnover, there is a lack of longitudinal designs that test this relationship empirically.

Objectives: This longitudinal study examines specific determinant factors that differentiate between so-called 'stayers' and 'leavers' within the nursing profession, and identifies risk factors for premature leaving by comparing nurses who have left their job, or the nursing profession, with nurses who stay.

Methods: This cross-national exploratory European survey included 34,587 nurses (baseline measurement) working in 623 hospitals, nursing homes, and home care institutions, and comprised two measurements with a one-year time interval.

Emergency physicians accumulate more stress factors than other physicians-results from the French SESMAT study.

Introduction: France is facing a shortage of available physicians due to a greying population and the lack of a proportional increase in the formation of doctors. Emergency physicians are the medical system's first line of defence.

Methods: The authors prepared a comprehensive questionnaire using established scales measuring various aspects of working conditions, satisfaction and health of salaried physicians and pharmacists.

Longitudinal analysis of personal and work-related factors associated with turnover among nurses.

Background: Although many scholars have acknowledged the relationship between personal and work-related factors associated with job search and actual turnover, there is a lack of longitudinal designs that test this relationship empirically.

Objectives: This longitudinal study examines specific determinant factors that differentiate between so-called "stayers" and "leavers" within the nursing profession and identifies risk factors for premature leaving by comparing nurses who have left their job or the nursing profession with nurses who stay.

Methods: This cross-national exploratory European survey included 34,587 nurses (baseline measurement) working in 623 hospitals, nursing homes, and home care institutions and was composed of two measurements with a 1-year time interval.

The impact of social support upon intention to leave among female nurses in Europe: secondary analysis of data from the NEXT survey.

Objectives: This study examined the importance of one's social work environment in the light of prevention of premature leave from the nursing profession. A research model with social support (from direct supervisor and close colleagues) as predictor and intention to leave as the dependent variable has been tested, while controlling for job satisfaction and age. Moreover, we have studied the impact of nurses' age upon the prevalence of social support from both parties.

Factors affecting work ability in day and shift-working nurses.

Satisfactory work ability is sustained and promoted by good physical and mental health and by favorable working conditions. This study examined whether favorable and rewarding work-related factors increased the work ability among European nurses. The study sample was drawn from the Nurses' Early Exit Study and consisted of 7,516 nursing staff from seven European countries working in state-owned and private hospitals.

Age-dependent relationships between work ability, thinking of quitting the job, and actual leaving among Italian nurses: a longitudinal study.

Background: Qualified nurses commonly report several work-related problems, which may threat their health and work ability, and may have an impact upon retention.

Objective: The aim of the present study was to investigate whether perceived work ability is a predictor for different types of thinking of quitting and for actual exit from the workplace.

Design: A prospective study has been performed based on 3329 Italian registered nurses which responded to both measurements of the Nurses' Early Exit Study.

Violence risks in nursing--results from the European 'NEXT' Study.

Background: Recent research suggests that violence in health care is increasing and that it strongly influences the recruitment and retention of nurses as well as sick leave and burnout levels.

Aims: To identify the prevalence of violence in nursing and to provide a basis for appropriate interventions.

Methods: Nurses from 10 European countries answered to a questionnaire and to a follow-up assessment.

The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses.

Objectives: Europe's nursing shortage calls for more effective ways to recruit and retain nurses. This contribution aims to clarify whether and how social work environment, teamwork characteristics, burnout, and personal factors are associated with nurses' intent to leave (ITL).

Methods: Our sample comprises 28,561 hospital-based nurses from 10 European countries.

Work-related factors and violence among nursing staff in the European NEXT study: a longitudinal cohort study.

Background: The occurrence of workplace violence is rather frequent within the nursing profession, with well-known consequences on the psychological health of victims.

Objectives: This study is aimed at assessing the relationships between relevant individual, organizational, and psychosocial factors, and the frequency of several types of workplace violence; the direct as well as the interactive impact of violence and psychosocial factors on organizational commitment and perceived health.

Design: Questionnaire-based cross-sectional and longitudinal survey designs were employed for the two study objectives, respectively.

Nurses' perception of shift handovers in Europe: results from the European Nurses' Early Exit Study.

Aim: This paper reports a study exploring nurses' perceptions of the shift handover and the possible reasons for reported dissatisfaction in 10 European countries.

Background: The nursing handover fulfils a number of purposes and has important consequences for the continuity of patient care and nurses' satisfaction with the quality of care they are able to provide. However, the performance and function of shift handovers in health care is a widely neglected topic in practice and research.

[Factors associated with violence against healthcare workers: results of the European Presst-Next study].

Introduction: The respective roles of medical specialties and work organization on violent events against healthcare workers (HCW) in different countries was examined.

Methods: Using the results of the Presst-Next study, we analyzed data from 27134 HCW in 7 European countries. Multivariate logistic analyses were conducted with SPSS 12 software.

Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries--results from the European NEXT-Study.

Background: Musculoskeletal disorders are a widespread affliction in the nursing profession. Back or neck-pain-related disability of nursing staff is mainly attributed to physical and psychosocial risk factors.

Objectives: To investigate which-and to what extent-physical and psychosocial risk factors are associated with neck/back-pain-related disability in nursing, and to assess the role of the type of health care institution (hospitals, nursing homes and home care institutions) within different countries in this problem.

Low-perceived work ability, ageing and intention to leave nursing: a comparison among 10 European countries.

Aim: This paper reports a study exploring nurses' perceived work ability and its associations with age and intention to leave nursing in a representative sample of registered nurses in 10 european countries.

Background: Throughout Europe, there is now a substantial shortage of Registered Nurses and unless steps are taken to reverse this trend, numbers are likely to decline further. A study exploring nurses' perceived work ability will provide baseline evidence, which may lead to improved working conditions and increased nursing retention.

[Health behavior of healthcare personnel: The European Presst-Next Study].

Objectives: The objective of the NEXT (Nurses' Early Exit) study was to identify the organizational and health factors in the 10 participating countries associated with job satisfaction of nurses and nurses' aides or with their desire to change occupation or stop working prematurely.

Methods: Questions about health were somewhat more detailed in the French version of the questionnaire and allowed us to determine health behaviors of this representative sample of French caregivers (PRESST: Promotion of Health and Job Satisfaction of European Healthcare Workers [www.next-study.

Nurses' health, age and the wish to leave the profession--findings from the European NEXT-Study.

Background And Objectives: In many industrialised countries the number of workers with low health is expected to increase in the nursing profession. This will have implications for occupational health work in health care. The European NEXT-Study (www.

[Factors linked to premature leaving of the nursing profession. Confirmation of the impact one year later. Longitudinal analyses of nurses. PRESST/NEXT study].

Background: The organization of French medical institutions is changing, and the nursing personnel can encounter difficulties of adaption to these changes. The results of 2 questionnaires of the PRESST/NEXT study relative to working conditions (respectively, the questionnaires "Q0" and "Q12"), sent in a year interval to a sample of nurses were compared.

Methods: Three samples were made up: a sample of 5376 nurses having answered the initial questionnaire (Q0); a sample of 2627 nurses having answered the questionnaire sent one year after (Q12), and working in the same establishment; a group of 208 nurses having answered the questionnaire "Qex", specific to nurses who left their establishment.