Work-A Journal of Prevention Assessment & Rehabilitation最新文献

BackgroundNurses working in palliative units are repeatedly exposed to death, complex symptom management and emotionally intense interactions with patients and families. These conditions may lead to emotional exhaustion and physical strain, which in turn can compromise care processes and outcomes.ObjectiveThis study aims to explore the challenges and lived experiences of palliative care nurses through a descriptive qualitative approach.MethodsA qualitative research design employing a descriptive qualitative method was utilized. Semi-structured in-depth interviews were conducted with 18 palliative care nurses working in state hospitals in a province in northern Turkey. The sample was selected using criterion sampling, a purposive method. Data collection continued until saturation was reached. All interviews were recorded, transcribed, and analyzed thematically following the COREQ checklist.ResultsThe thematic analysis revealed two major themes and five sub-themes, highlighting the burdens of palliative nursing and the reflections of this profession on both individuals and care quality. Emotional, physical, and psychosocial strains were frequently mentioned, along with issues of burnout and the overall impact on care quality.ConclusionThe results indicate that palliative care nurses experience emotional and physical burdens due to caring for palliative patients, and these situations cause burnout in individuals from time to time. In addition, it was determined that psychosocial difficulties can affect the quality of care in palliative units.

BackgroundQuiet quitting (QQ), characterized by reduced psychological engagement and minimal job effort, has become increasingly prevalent among healthcare workers. The quality of work life (QWL), compassion fatigue (CF), and psychological resilience (PR) are critical factors that may influence this phenomenon, especially within high-stress healthcare environments.ObjectiveThis study aimed to examine the interrelationships between quality of work life, quiet quitting, compassion fatigue, and psychological resilience among healthcare workers and to assess the mediating role of CF and the moderating role of PR in these associations.MethodsA quantitative research design was employed. Standardized scales were used to measure quality of work life, quiet quitting, compassion fatigue, and psychological resilience. Data were collected from healthcare workers and analyzed using SPSS version 25, AMOS 25, and the PROCESS macro plug-in to perform mediation and moderation analyses.ResultsFindings indicated that poor work environment and work conditions significantly increased levels of compassion resilience and quiet quitting. Compassion resilience was found to mediate the relationship between quality of work life and quiet quitting. Moreover, psychological resilience moderated the relationship between QWL and CF, with higher PR buffering the negative effects. The role type of healthcare workers also influenced the CF-QQ link, with direct care providers experiencing stronger effects.ConclusionsEnhancing QWL is crucial in reducing the risk of CF and preventing QQ. Promoting psychological resilience among healthcare workers may serve as a protective factor, particularly for those in direct care roles, to mitigate the adverse effects of challenging work environments.

BackgroundThe prevalence of low back pain among office-workers is associated with prolonged sedentary behavior and improper postures. In addition to poor ergonomics, often overlooked issues such as psychological factors, sleep, fatigue, and pain can further exacerbate low back pain.ObjectiveThis study purposes to show whether there are differences in low back pain disability, anxiety, depression, quality of sleep, fatigue, and pain based on years of work experience among office-workers and to investigate determinants of low back pain disability.MethodsThis cross-sectional study included 212 office-workers. Office workers were divided into <10 years, 10-19 years, and ≥20 years based on work experience. Low back pain, anxiety and depression, sleep quality, fatigue, and pain were assessed.ResultsThere were significant differences in low back pain complaints among office-workers based on the frequency of rest breaks (p = 0.001), the adequacy of rest areas (p < 0.001), and ergonomic education(p < 0.001). The low back pain disability score showed poor to moderate correlations with anxiety-depression (r = 0.492, p < 0.001), sleep (r = 0.427, p < 0.001), fatigue (r = 0.44, p < 0.001), and pain at various times (rest, activity, and night) (r = 0.532, r = 0.567, r = 0.567, respectively; all p < 0.001) among office workers. A multiple linear regression model found that fatigue and pain-night were determinants of low back pain disability, accounting for 42.2% of the variance (F = 18.104, p < 0.001).ConclusionFatigue and night pain were found to be key predictors of low back pain disability among office-workers. These findings highlight the role of ergonomic modifications, appropriate rest breaks, and targeted strategies to manage fatigue and nighttime pain to reduce low back pain disability in this population.

BackgroundAlthough existing research has fully demonstrated that employe safety citizenship behavior is crucial for workplace safety, there is relatively little research on how psychosocial safety climate affects safety citizenship behavior.ObjectiveThis study aims to verify the impact of psychosocial safety climate on safety citizenship behavior among construction workers and examine the mediating role of job resources and harmonious safety passion.MethodsA hierarchical linear model analysis was used with data from 879 frontline workers from 50 construction companies in China.ResultsThe results showed that psychosocial safety climate significantly and positively predicted safety citizenship behavior. Job resources and harmonious safety passion play a multilevel mediating role between psychosocial safety climate and safety citizenship behavior. Moreover, the psychosocial safety climate influences safety citizenship behavior through the multilevel chain mediating effect of job resources and harmonious safety passion.ConclusionLeaders at all levels of construction companies should actively participate in safety management practices and conduct safety communication to create a robust psychosocial safety climate. In this way, employes feel that the organization provides them with sufficient work resources and stimulates their work enthusiasm and subjective initiative, thus improving safety citizenship behavior.

BackgroundWorkers' unsafe behaviors primarily cause accidents in workplaces. Despite extensive research on the antecedents of unsafe behaviors, understanding workers' dynamic decision-making under the influence of safety cognition, group interactions, management, site conditions, and behavioral outcomes as a holistic system remains limited.ObjectiveThis study aims to explore workers' safety performance across different site risk environments and various intervention measures, including the effects of intervention frequency, punishment strictness, and interaction intensity on dynamic safety performance in low, medium, and high-risk environments.MethodsAn agent-based simulation model considering multiple factors of individual safety cognition and behavioral decision-making was conducted. It examined the complex roles of workers' cognitive decision-making processes within workgroup interactions, management strategies, and environmental contexts.ResultsThe results reveal that: (a) management interventions effectively reduce unsafe behaviors across all risk environments; (b) punishment strictness significantly inhibits unsafe behaviors, with moderate punishment being most effective in low-risk environments; (c) the impact of worker interactions varies significantly by risk level-limiting interactions in low-risk environments, promoting interactions in medium-risk environments, and additional measures are needed in high-risk environments to reduce unsafe behaviors.ConclusionThis research lays a new foundation for the causes of workers' unsafe behaviors when corresponding with effective management strategies. It also provides valuable insights for project managers in cognitive management and policy analysis.

BackgroundMusculoskeletal problems are commonly observed among office workers.ObjectiveThis study aims to examine whether levels of physical activity are associated with differences in pain, depressive symptoms, quality of life, grip strength, and balance in office workers.Methods61 office workers (29 men and 32 women) who regularly used computers were included in the study. The Centers for Disease Control and Prevention Health-Related Quality of Life-4 for measuring the Quality of Life, the Visual Analog Scale for measuring pain, the Beck Depression Inventory for measuring mental health, the International Physical Activity Questionnaire-Short Form for measuring physical activity, the Biodex Balance System for measuring balance, and two distinct methods for measuring grip strength-the Jamar and Handgrip dynamometers-were all used in the assessments.ResultsA significant difference in pain during activity was found among the physical activity levels (inactive, minimally active, highly active) (p < 0.05). There was no difference in depression scores between the groups (p > 0.05). General quality of life scores were higher in the highly active group compared to both the inactive (p = 0.016) and minimally active (p = 0.020) groups. Right and left hand grip strength assessed with Jamar (p = 0.004, p = 0.044; respectively) and right hand grip strength assessed with handgrip (p = 0.04) were statistically significantly higher in the highly active group than in the inactive group. For balance with eyes open, anterior-posterior stabilization scores were significantly better in the highly active group compared to the inactive group (p = 0.004).ConclusionsPhysically active office workers exhibited superior outcomes in activity pain, quality of life, grip strength and balance compared to their less active counterparts.

BackgroundGreen exercise is emerging as a promising approach to improve employee well-being.ObjectiveThis scoping review aimed to map the existing literature on employees' green exercise behaviors.MethodsFollowing the methodological framework suggested by Arksey and O'Malley, relevant studies were identified in the Web of Science and Scopus databases on March 10, 2025. Various study types, including quantitative, qualitative, mixed-methods, and intervention studies published in peer-reviewed English journals, were screened. 13 studies were selected for detailed review, focusing on employed adults engaging in intentional physical activity within natural or semi-natural outdoor environments, such as parks and forests. Exclusions were applied to studies involving non-working populations, those that focused on non-exercise behaviors, as well as studies conducted in indoor or virtual environments. Editorials, opinion articles, theses/dissertations, conference papers, and non-English publications were also excluded.ResultsAmong the included studies, nature walking was the most prevalent form of green exercise. Psychological outcomes were the most frequently reported, while occupational outcomes were the least commonly addressed. The findings suggest that there is a growing body of research supporting the benefits of green exercise for employees. However, there remains a significant gap in understanding the facilitators and barriers that influence employees' participation in green exercise.ConclusionsFuture research should examine underlying mediating and moderating mechanisms. Integrating theoretical frameworks from occupational health psychology and behavioral sciences will be essential to develop a more comprehensive understanding of how and why green exercise is adopted or avoided by employees.

BackgroundHealthcare professionals are frequently exposed to intense emotional demands that may lead to compassion fatigue. Challenges in maintaining work-life balance also play a significant role in shaping life satisfaction. Yet, studies examining their combined effects on healthcare professionals' life satisfaction remain limited.ObjectiveThis study aims to examine the impact of compassion fatigue and work-life balance on the life satisfaction of healthcare professionals.MethodsThis cross-sectional quantitative study collected data from 301 healthcare workers at Kahramanmaraş Sütçü İmam University Hospital in Türkiye, using validated psychometric scales. Analyses included reliability testing, normality assessment, confirmatory factor analysis, and structural equation modeling.ResultsChanges in life satisfaction were 11% attributable to compassion fatigue (R² = 0.115). The occupational burnout subdimension negatively affected life satisfaction (ß = -0.363; t = -4.060; p < 0.001), with each unit increase resulting in a 0.175-point decrease in life satisfaction. Nine percent of the variation in life satisfaction (R² = 0.099) was explained by the positive impact of work on life (ß = 0.190; t = 2.739; p = 0.007) and the positive impact of life on work (ß = 0.155; t = 2.377; p = 0.018). However, the negative impact of work on life caused a 0.132-point reduction in life satisfaction (ß = -0.151; t = -2.385; p = 0.018). Overall, compassion fatigue and work-life balance together explained 12% of the variation in life satisfaction (R² = 0.125; F = 21.332; p < 0.001).ConclusionFindings underscore the importance of alleviating emotional burden and implementing institutional policies that support work-life balance to enhance healthcare professionals' life satisfaction. However, because this study was conducted in a single hospital and employed a convenience sampling method, generalizability of the results is limited.

BackgroundContemporary safety culture studies emphasize the interplay between formal and informal organizational practices, yet often overlook internal divergences and power dynamics, and competing interests in diagnosing maturity. Addressing this gap, this study integrates the analysis of controversies and divergences as central to diagnosing and fostering safety culture maturity, thereby acknowledging the inseparable link between culture and power.ObjectiveThis research aims to demonstrate how a divergence-sensitive, multi-thematic approach, grounded in mixed methods, can refine safety culture diagnostics and stimulate organizational learning.MethodsA mixed-methods intervention was conducted within an energy production company. The quantitative phase involved administering an 80-item customized questionnaire to homogeneous groups, assessing safety culture maturity levels based on five key themes: blame, rule relevance, safety prioritization, safety bureaucracy, and operational experience feedback. The qualitative phase comprised discussion groups that explored divergences identified in the quantitative results, allowing for adjustments to maturity level classifications.ResultsThe analysis of 43 cases revealed that recognizing divergences facilitated more precise maturity assessments. In several instances, maturity levels were adjusted based on qualitative insights, highlighting the limitations of purely quantitative evaluations. The study also provided a conceptual framework for interpreting maturity levels across the five themes, grounded in both literature and empirical findings.ConclusionsThe divergence-sensitive approach proved effective in enhancing safety culture diagnostics and promoting internal debate. Recognizing divergences not as dysfunctions but as opportunities for organizational learning fosters a mature safety culture capable of managing uncertainty through provisional consensus and collaborative experimentation.