[Job stress of nursing aides in Swiss nursing homes : Nonlinear canonical analysis].
BACKGROUND
Due to demographic changes, the demand for care in nursing homes for the elderly and infirmed is growing. At the same time nursing staff shortages are also increasing. Nursing aides are the primary care providers and comprise the largest staff group in Swiss nursing homes. They are exposed to various forms of job stress, which threaten job retention.


OBJECTIVE
The aim of this study was to discover which features of the work situation and which personal characteristics of the nursing aides were related to the workload.


METHODS
Data from nursing aides in Swiss nursing homes were investigated through a secondary analysis of a national quantitative cross-sectional study, using descriptive statistics and a nonlinear canonical correlation analysis.


RESULTS
A total of 1054 nursing aides were included in the secondary analysis, 94.6 % of whom were women between the ages of 42 and 61 years. The job stress most frequently mentioned in the descriptive analysis, almost 60 % of the participants referred to it, was staff shortage. The nonlinear canonical correlation analysis revealed that many job strains are caused by social and organizational issues. In particular, a lack of support from supervisors was associated with staff not feeling appreciated. These job strains correlated with a high level of responsibility, the feeling of being unable to work independently and a feeling of being exploited. These strains were predominant in the nursing aides between 32 and 51 years old who had part time jobs but workloads of 80-90 %.


CONCLUSIONS
Middle-aged nursing aides who worked to 80-90 % are particularly at risk to resign from the position prematurely. Measures need to be mainly implemented in the social and organizational areas. It can be assumed that a targeted individual support, recognition and promotion of nursing aides may decrease the level of job strain.
Fachbereich Gesundheit, Berner Fachhochschule BFH, Lentulusstr. 23, 3007, Bern, Schweiz. anna.ziegler@hirslanden.ch.
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Ziegler
Fachbereich Gesundheit, Berner Fachhochschule BFH, Lentulusstr. 23, 3007, Bern, Schweiz.
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Bernet
Fachbereich Gesundheit, Berner Fachhochschule BFH, Lentulusstr. 23, 3007, Bern, Schweiz.
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Metzenthin
Fachbereich Gesundheit, Berner Fachhochschule BFH, Lentulusstr. 23, 3007, Bern, Schweiz.
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Conca
Fachbereich Gesundheit, Berner Fachhochschule BFH, Lentulusstr. 23, 3007, Bern, Schweiz.
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Hahn
D000328:Adult; D017677:Age Distribution; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D017711:Nonlinear Dynamics; D009728:Nursing Assistants / Q000523:psychology* / Q000706:statistics & numerical data; D009735:Nursing Homes / Q000706:statistics & numerical data; D016016:Proportional Hazards Models; D012307:Risk Factors; D017678:Sex Distribution; D013557:Switzerland / Q000453:epidemiology; D000078329:Workforce; D016526:Workload / Q000523:psychology* / Q000706:statistics & numerical data*
Career choice; Questionnaire; Responsibility; Support; Work situation