title: Are nursing home care workers' health and presenteeism associated with implicit rationing of care? A cross-sectional multi-site study.
abstract: To explore associations between care workers' health and implicit rationing of care. Diverse studies have linked impaired health to reduced work performance - a factor measured through omission of required tasks. This cross-sectional study gathered data from 3239 care workers in 162 Swiss nursing homes. Data were analyzed via a linear logistic regression model using general estimating equations. Overall, rationing of care occurred "never" to "seldom." Rationing of activities of daily living was positively associated with care workers' joint pain (β 0.04, CI 0.001-0.07), emotional exhaustion (β 0.11, CI 0.07-0.15), and presenteeism (β 0.05, CI 0.004-0.09). Rationing of caring, rehabilitation, and monitoring was positively associated with care workers' joint pain (β 0.05, CI 0.01-0.09) and emotional exhaustion (β 0.2, CI 1.16-0.24). Care workers health complaints are strongly associated with rationing of tasks directly related to resident care.
authors: Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland.
authors: Suzanne R
authors: SR
authors: Dhaini
authors: Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland. Electronic address: Franziska.zuniga@unibas.ch.
authors: Franziska
authors: F
authors: Zúñiga
authors: Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland; Claudiana, University of Applied Science, Lorenz-Böhler-Str. 13, I-39100 Bozen/Bolzano, Italy.
authors: Dietmar
authors: D
authors: Ausserhofer
authors: Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland; University Hospital Inselspital Bern, Nursing & Midwifery Research Unit, 3010 Bern, Switzerland.
authors: Michael
authors: M
authors: Simon
authors: Swiss Academy of Insurance Medicine, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.
authors: Regina
authors: R
authors: Kunz
authors: Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland; Academic Center of Nursing and Midwifery, KU-Leuvin, Belgium.
authors: Sabina
authors: S
authors: De Geest
authors: Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland.
authors: Rene
authors: R
authors: Schwendimann
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D018771:Arthralgia; D001416:Back Pain; D003430:Cross-Sectional Studies; D005260:Female; D015276:Health Care Rationing; D006282:Health Personnel / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D000069597:Presenteeism; D011795:Surveys and Questionnaires; D013557:Switzerland
keywords: Care worker; Health; Implicit rationing of nursing care; Nursing home; Presenteeism