title: Examining the impact of worker and workplace factors on prolonged work absences among Canadian nurses.
abstract: OBJECTIVE
  To evaluate the impact of worker and workplace factors and of their relationships on work absence duration.
  
  
  METHODS
  Structural equation modeling of 11,762 female, Canadian nurses from the 2005 National Survey of the Work and Health of Nurses.
  
  
  RESULTS
  Worker and workplace factors were associated with prolonged work absence. Key proximal predictors were pain-related work interference, depression, pain severity, and respect and support at work. More distal predictors were multimorbidity, abuse at work, and organizational culture.
  
  
  CONCLUSIONS
  Worker health and workplace factors are important in explaining work absence duration. Self-management for pain and mood, adapted to the work context, may be useful for nurses with chronic pain or depression. Policy makers and administrators should focus on creating respect and support at work, and improving organizational culture.
authors.affiliation: Solid Organ Transplant Unit, Vancouver General Hospital, Vancouver, British Columbia, Canada. rfranche@sfu.ca
authors.forename: Renée-Louise
authors.initials: RL
authors.lastname: Franche
authors.forename: Eleanor
authors.initials: E
authors.lastname: Murray
authors.forename: Selahadin
authors.initials: S
authors.lastname: Ibrahim
authors.forename: Peter
authors.initials: P
authors.lastname: Smith
authors.forename: Nancy
authors.initials: N
authors.lastname: Carnide
authors.forename: Pierre
authors.initials: P
authors.lastname: Côté
authors.forename: Jane
authors.initials: J
authors.lastname: Gibson
authors.forename: Mieke
authors.initials: M
authors.lastname: Koehoorn
mesh_terms: D000041:Absenteeism; D000328:Adult; D002170:Canada / Q000453:epidemiology; D059350:Chronic Pain / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009726:Nurses / Q000523:psychology / Q000706:statistics & numerical data*; D015279:Organizational Culture; D012648:Self Care; D012720:Severity of Illness Index; D017132:Workplace / Q000458:organization & administration / Q000523:psychology / Q000706:statistics & numerical data*