title: Work organization, well-being and health in geriatric care.
abstract: The objective of the present study was to explore the connection between the organization of work in geriatric care and factors which have been connected to job stress and burnout, i.e. exhaustion, mental workload, job satisfaction and communication. We also analyzed how these factors were related to employee visits to doctors during the previous 12 months due to various medical conditions. The study was a cross-sectional questionnaire distributed to all employees within nursing homes and geriatric hospital wards with 10 employees or more throughout Iceland. The total response rate was 80%. The majority of respondents, or 96%, were women (n = 1432), and the results are based on their answers. Our data show that there is a high correlation between mental exhaustion and the unsatisfactory organization of work. Mental exhaustion upon completing work shifts was more closely connected to the health outcomes studied than were the other work-related factors studied. This is especially true for chronic fatigue, depression and sleeping disorders. It is important that employers and managers notice the mismatches between work and workers that this study manifests. Employers and managers must also consider the organizational factors that are influential.
authors.affiliation: Department of Research and Occupational Health, Administration of Occupational Safety and Health, Reykjavik, Iceland. linda@ver.is
authors.forename: Gudbjorg Linda
authors.initials: GL
authors.lastname: Rafnsdottir
authors.forename: Holmfridur K
authors.initials: HK
authors.lastname: Gunnarsdottir
authors.forename: Kristinn
authors.initials: K
authors.lastname: Tomasson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005221:Fatigue / Q000209:etiology; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration*; D006757:Hospital Units / Q000458:organization & administration*; D006801:Humans; D007055:Iceland; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration*; D012647:Self-Assessment; D011795:Surveys and Questionnaires