Work ability index in Slovenian hospital nurses aged over fifty years

Žmauc, Tanja; Železnik, Danica; Težak, Oto

doi:10.2478/aiht-2019-70-3291

Abstract

Nurses with reduced work ability are highly susceptible to the deleterious effects of their working environments, and their rates of sick leave, disability, and early retirement are higher than average. The aim of this study was to evaluate work ability in 433 Slovenian hospital nurses aged over fifty years providing secondary care in thirteen hospitals across Slovenia. To do that we used a standardised instrument known as work ability index (WAI). Mean WAI was 36.98±6.46 and median 38. WAI was not associated with age (Spearman’s ρ=-0.034, p=0.475). Total WAI score strongly correlated with the 1^st item of the WAI questionnaire “current work ability” (ρ=0.726, p<0.001). Higher WAI scores were also associated with academic education, full-time employment, and working in a single (morning) or three shifts. Our WAI findings in nurses over fifty call for systemic changes in the nursing environment to maintain good work ability among nurses until the retirement age and beyond.

References

1. Prochnow A, Magnago TSBS, Urbanetto JS, Beck CLC, Lima SBS, Greco PBT. Work ability in nursing: relationship with psychological demands and control over the work. Rev Latino-Am Enfermagem 2013;21:1298–305. doi: 10.1590/0104-1169.3072.236710.1590/0104-1169.3072.236724402343
Open DOI Search in Google Scholar Back to article
2. Letvak S, Ruhm C, Gupta S. Differences in health, productivity and quality of care in younger and older nurses. J Nurs Manag 2013;21:914–21. doi: 10.1111/jonm.1218110.1111/jonm.1218124112420
Open DOI Search in Google Scholar Back to article
3. Tavakoli-Fard N, Mortazavi SA, Kuhpayehzadeh J, Nojomi M. Quality of life, work ability and other important indicators of women’s occupational health. Int J Occup Med Environ Health 2016;29:77–84. doi: 10.13075/ijomeh.1896.0032910.13075/ijomeh.1896.0032926489945
Open DOI Search in Google Scholar Back to article
4. van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A. The effects of work-related and individual factors on the work ability index: A systematic review. Occup Environ Med 2009;66:211–20. doi: 10.1136/oem.2008.03988310.1136/oem.2008.03988319017690
Open DOI Search in Google Scholar Back to article
5. Carel RS, Zusman M, Karakis I. Work ability index in Israeli hospital nurses: applicability of the adapted questionnaire. Exp Aging Res 2013 ; 39 : 579 – 90 . doi : 10.1080/0361073X.2013.83931610.1080/0361073X.2013.83931624151917
Open DOI Search in Google Scholar Back to article
6. Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Work Ability Index. 2^nd revised ed. Helsinki: Finnish Institute of Occupational Health; 1998.
Search in Google Scholar Back to article
7. Ilmarinen J. Promoting active ageing in the workplace. European Agency for Safety and Health at Work 2012 [displayed 3 Apr 2019]. Available at https://osha.europa.eu/en/publications/articles/promoting-active-ageing-in-theworkplace
Search in Google Scholar Back to article
8. Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Indeks delovne zmožnosti [Work ability index, in Slovene]. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo; 2005.
Search in Google Scholar Back to article
9. Dietner S. Indeks delovne zmožnosti invalidov zaposlenih v štirih invalidskih podjetjih Republike Slovenije: Specialistična naloga [Work ability index of disabled workers in four Slovenian companies for the disabled, in Slovene]. Ljubljana: Univerza v Ljubljani, Medicinska fakulteta, Katedra za javno zdravje; 2006.
Search in Google Scholar Back to article
10. Fatur-Videtič A, Dietner S. Indeks delovne zmožnosti: nove možnosti na področju ohranjanja in izboljševanja delovne zmožnosti [Work ability index: New opportunities for conserving and improving working capacity, in Slovene]. Delo in varnost 2005;50:25–6.
Search in Google Scholar Back to article
11. Fatur-Videtič A, Dietner S. Indeks delovne zmožnosti invalidov, zaposlenih v štirih invalidskih podjetjih v Republiki Sloveniji [Work capacity index of disabled persons employed in four enterprises in the Republic of Slovenia, in Slovene]. KIMDPŠ 2006;1(2):31–4.
Search in Google Scholar Back to article
12. Uršič C, Fatur-Videtič A. Razvijanje zaposljivosti in zaposlitvenih možnosti invalidov [Developing the employability and employment prospects for the disabled, in Slovene]. Delo in varnost 2006;51:57–9.
Search in Google Scholar Back to article
13. Škerjanc A, Dodič Fikfak M. Sickness presence among disabled workers at the University medical centre Ljubljana. Zdrav Var 2014;53:277–82. doi: 10.2478/sjph-2014–003010.2478/sjph-20140030
Open DOI Search in Google Scholar Back to article
14. Alavinia SM, van den Berg TIJ, van Duivenbooden C, Elders LAM, Burdorf A. Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health 2009;35:325–33. doi: 10.5271/sjweh.134010.5271/sjweh.134019554244
Open DOI Search in Google Scholar Back to article
15. Reeuwijk KG, Robroek SJW, Niessen MAJ, Kraaijenhagen RA, Vergouwe Y, Burdorf A. The prognostic value of the work ability index for sickness absence among office workers. PLoS One 2015;10(5):e0126969:1–13. doi: 10.1371/journal.pone.012696910.1371/journal.pone.0126969444620726017387
Search in Google Scholar Back to article
16. Schouten LS, Bültmann U, Heymans MW, Joling CI, Twisk JWR, Roelen CAM. Shortened version of the work ability index to identify workers at risk of long-term sickness absence. Eur J Public Health 2015;26:301–5. doi: 10.1093/eurpub/ckv19810.1093/eurpub/ckv19826498956
Open DOI Search in Google Scholar Back to article
17. Mohammadi S, Ghaffari M, Abdi A, Bahadori B, Mirzamohammadi E, Attarchi M. Interaction of lifestyle and work ability index in blue collar workers. Glob J Health Sci 2015;7:90–7. doi: 10.5539/gjhs.v7n3p9010.5539/gjhs.v7n3p90480206625948429
Open DOI Search in Google Scholar Back to article
18. Arvidson E, Börjesson M, Ahlborg G Jr, Lindegård A, Jonsdottir IH. The level of leisure time physical activity is associated with work ability-a cross sectional and prospective study of health care workers. BMC Public Health 2013;13:855. doi: 10.1186/1471-2458-13-85510.1186/1471-2458-13-855384800324044699
Open DOI Search in Google Scholar Back to article
19. Rutanen R, Luoto R, Raitanen J, Mansikkamäki K, Tomás E, Nygård CH. Short- and long-term effects of a physical exercise intervention on work ability and work strain in symptomatic menopausal women. Saf Health Work 2014;5:186–90. doi: 10.1016/j.shaw.2014.08.00310.1016/j.shaw.2014.08.003426677225516810
Open DOI Search in Google Scholar Back to article
20. Jakobsen MD, Sundstrup E, Brandt M, Jay K, Aagaard P, Andersen LL. Physical exercise at the workplace prevents deterioration of work ability among healthcare workers: cluster randomized controlled trial. BMC Public Health 2015;15:1174. doi: 10.1186/s12889-015-2448-010.1186/s12889-015-2448-0465880626607232
Open DOI Search in Google Scholar Back to article
21. Milosevic M, Golubic R, Knezevic B, Golubic K, Bubas M, Mustajbegovic J. Work ability as a major determinant of clinical nurses’ quality of life. J Clin Nurs 2011;20:2931–8. doi: 10.1111/j.1365-2702.2011.03703.x10.1111/j.1365-2702.2011.03703.x21323781
Search in Google Scholar Back to article
22. Sorić M, Golubić R, Milošević M, Juras K, Mustajbegović J. Shift work, quality of life and work ability among Croatian hospital nurses. Coll Antropol 2013;37:379–84. PMID: 23940978
Search in Google Scholar Back to article
23. Padula RS, Comper MLC, Moraes SA, Sabbagh C, Pagliato Junior, W, Perracini MR. The work ability index and functional capacity among older workers. Braz J Phys Ther 2013;17:382–91. doi: 10.1590/S1413-3555201200500010710.1590/S1413-35552012005000107
Open DOI Search in Google Scholar Back to article
24. Čeledová L, Babková K, Rogalewicz V, Čevela R. The Work Ability Index for persons aged 50+ as an instrument for implementing the concept of Age Management. Kontakt 2014;16:e242–8. doi: 10.1016/j.kontakt.2014.10.00310.1016/j.kontakt.2014.10.003
Search in Google Scholar Back to article
25. Converso D, Sottimano I, Guidetti G, Loera B, Cortini M, Viotti S. Aging and work ability: the moderating role of job and personal resources. Front Psychol 2018;8:2262. doi: 10.3389/fpsyg.2017.0226210.3389/fpsyg.2017.02262576784929367848
Search in Google Scholar Back to article
26. Müller A, Weigl M, Heiden B, Glaser J, Angerer P. Promoting work ability and well-being in hospital nursing: the interplay of age, job control, and successful ageing strategies. Work 2012;41(Suppl 1):5137–44. doi: 10.3233/WOR-2012-0083-513710.3233/WOR-2012-0083-513722317516
Open DOI Search in Google Scholar Back to article
27. Golubic R, Milosevic M, Knezevic B, Mustajbegovic J. Work-related stress, education and work ability among hospital nurses. J Adv Nurs 2009;65:2056–66. doi: 10.1111/j.1365-2648.2009.05057.x10.1111/j.1365-2648.2009.05057.x19627386
Open DOI Search in Google Scholar Back to article
28. Knezevic B, Milan M, Golubic R, Belosevic L, Russo A, Mustajbegovic J. Work-related stress and work ability among Croatian university hospital midwives. Midwifery 2011;27:146–53. doi: 10.1016/j.midw.2009.04.00210.1016/j.midw.2009.04.00219589631
Open DOI Search in Google Scholar Back to article
29. Li H, Liu Z, Liu R, Li L, Lin A. The relationship between work stress and work ability among power supply workers in Guangdong, China: a cross-sectional study. BMC Public Health 2016;16:123. doi: 10.1186/s12889-016-2800-z10.1186/s12889-016-2800-z474437826850629
Open DOI Search in Google Scholar Back to article
30. Bethge M, Radoschewski FM, Müller-Fahrnow W. Work stress and work ability: cross-sectional findings from the German sociomedical panel of employees. Disabil Rehabil 2009;31:692–9. doi: 10.1080/0963828090275194910.1080/0963828090275194919479539
Open DOI Search in Google Scholar Back to article
31. Kordi M, Mohamadirizi S, Shakeri MT, Modares Gharavi M, Salehi Fadardi J. Relationship between occupational stress and work ability of midwives in Mashhad, Iran. J Midwifery Reprod Health 2014;2:188–94.
Search in Google Scholar Back to article
32. Monteiro MS, Costa Alexandre NM, Ilmarinen J, Mendes Rodrigues C. Work ability and musculoskeletal disorders among workers from a public health institution. Int J Occup Saf Ergon 2009 ; 15 : 319 – 24 . doi : 10.1080/10803548.2009.1107681310.1080/10803548.2009.1107681319744373
Open DOI Search in Google Scholar Back to article
33. Bugajska J, Sagan A. Chronic musculoskeletal disorders as risk factors for reduced work ability in younger and ageing workers. Int J Occup Saf Ergon 2014;20:607–15. doi: 10.1080/10803548.2014.1107706910.1080/10803548.2014.1107706925513796
Open DOI Search in Google Scholar Back to article
34. Magnago TSBS, de Lima ACS, Prochnow A, Ceron MDS, Tavares JP, Urbanetto, JS. Intensity of musculoskeletal pain and (in) ability to work in nursing. Rev Latino-Am Enfermagem 2012;20:1125–33. doi: 10.1590/S0104-1169201200060001510.1590/S0104-11692012000600015
Open DOI Search in Google Scholar Back to article
35. Bethge M, Borngräber Y. Work-family conflicts and self-reported work ability: cross-sectional findings in women with chronic musculoskeletal disorders. BMC Musculoskelet Disord 2015;16:58. doi: 10.1186/s12891-015-0515-410.1186/s12891-015-0515-4437309725888117
Open DOI Search in Google Scholar Back to article
36. Derycke H, Clays E, Vlerick P, D’Hoore W, Hasselhorn HM, Braeckman L. Perceived work ability and turnover intentions: a prospective study among Belgian healthcare workers. J Adv Nurs 2012;68:1556–66. doi: 10.1111/j.1365-2648.2012.05961.x10.1111/j.1365-2648.2012.05961.x2234881022348810
Open DOI Search in Google Scholar Back to article
37. Camerino D, Conway PM, Van der Heijden BI, Estryn-Behar M, Consonni D, Gould D, Hasselhorn HM. Low-perceived work ability, ageing and intention to leave nursing: a comparison among 10 European countries. J Adv Nurs 2006;56:542–52. doi: 10.1111/j.1365-2648.2006.04046.x10.1111/j.1365-2648.2006.04046.x17078829
Search in Google Scholar Back to article
38. Rongen A, Robroek SJW, van der Heijden BIJM, Schouteten R, Hasselhorn HM, Burdorf A. Influence of work-related characteristics and work ability on changing employer or leaving the profession among nursing staff. J Nurs Manag 2014;22:1065–75. doi: 10.1111/jonm.1206610.1111/jonm.1206623941401
Open DOI Search in Google Scholar Back to article
39. Rotenberg L, Griep RH, Fischer FM, Fonseca Mde J, Landsbergis P. Working at night and work ability among nursing personnel: when precarious employment makes the difference. Int Arch Occup Environ Health 2009;82:877–85. doi: 10.1007/s00420-008-0383-410.1007/s00420-008-0383-419009305
Open DOI Search in Google Scholar Back to article
40. da Silva FJ, Felli VE, Martinez MC, Mininel VA, Ratier AP. Association between work ability and fatigue in Brazilian nursing workers. Work 2016;53:225–32. doi: 10.3233/WOR-15224110.3233/WOR-15224126890725
Open DOI Search in Google Scholar Back to article
41. Roelen CAM, van Rhenen W, Groothoff JW, van der Klink JJL, Twisk JWR, Heymans MW. Work ability as prognostic risk marker of disability pension: single-item work ability score versus multi-item work ability index. Scand J Work Environ Health 2014;40:428–31. doi: 10.5271/sjweh.342810.5271/sjweh.342824699727
Open DOI Search in Google Scholar Back to article
42. El Fassi M, Bocquet V, Majery N, Lair ML, Couffignal S, Mairiaux P. Work ability assessment in a worker population: comparison and determinants of Work Ability Index and Work Ability score. BMC Public Health 2013;13:305. doi: 10.1186/1471-2458-13-30510.1186/1471-2458-13-305363719823565883
Open DOI Search in Google Scholar Back to article
43. Mokarami H, Mortazavi SB, Asgari A, Choobineh A. Work Ability Score (WAS) as a suitable instrument to assess work ability among Iranian workers. Health Scope 2017;6:e42014. doi: 10.17795/jhealthscope-4201410.17795/jhealthscope-42014
Search in Google Scholar Back to article
44. Geukes M, van Aalst MP, Nauta MC, Oosterhof, H. The impact of menopausal symptoms on work ability. Menopause 2012;19:278–82. doi: 10.1097/gme.0b013e31822ddc972199749810.1097/gme.0b013e31822ddc9721997498
Open DOI Search in Google Scholar Back to article
45. Han L, Shi L, Lu L, Ling L. Work ability of Chinese migrant workers: the influence of migration characteristics. BMC Public Health 2014;14:353. doi: 10.1186/1471-2458-14-35310.1186/1471-2458-14-353402031724725332
Open DOI Search in Google Scholar Back to article
46. Lian Y, Xiao J, Zhang C, Guan S, Li F, Ge H, Liu J. A comparison of the relationships between psychosocial factors, occupational strain, and work ability among 4 ethnic teacher groups in China. Arch Environ Occup Health 2016;71:74–84. doi: org/10.1080/19338244.2014.95685910.1080/19338244.2014.95685925158226
Open DOI Search in Google Scholar Back to article
47. Habibi E, Dehghan H, Zeinodini M, Yousefi H, Hasanzadeh A. A study on work ability index and physical work capacity on the base of fax equation VO2 max in male nursing hospital staff in Isfahan, Iran. Int J Prev Med 2012;3:776–82. PMCID PMC3506089
Search in Google Scholar Back to article
48. Ghaddar A, Ronda E, Nolasco A. Work ability, psychosocial hazards and work experience in prison environments. Occup Med (Lond) 2011;61:503–8. doi: 10.1093/occmed/kqr12410.1093/occmed/kqr12421891780
Search in Google Scholar Back to article
49. Müller A, Weigl M, Heiden B, Herbig B, Glaser J, Angerer P. Selection, optimization, and compensation in nursing: exploration of job-specific strategies, scale development, and age-specific associations to work ability. J Adv Nurs 2013;69:1630–42. doi: 10.1111/jan.1202610.1111/jan.1202623057735
Open DOI Search in Google Scholar Back to article
50. Müller A, Heiden B, Herbig B, Poppe F, Angerer P. Improving well-being at work: a randomized controlled intervention based on selection, optimization, and compensation. J Occup Health Psychol 2016;21:169–81. doi: 10.1037/a003967610.1037/a003967626322438
Open DOI Search in Google Scholar Back to article
51. von Bonsdorff ME, von Bonsdorff MB, Zhou ZE, Kauppinen M, Miettinen M, Rantanen T, Vanhala S. Organizational justice, selection, optimization with compensation, and nurses’ work ability. J Occup Environ Med 2014;56:326–30. doi: 10.1097/JOM.000000000000010210.1097/JOM.000000000000010224468641
Open DOI Search in Google Scholar Back to article
52. Fischer FM, Martinez MC. Individual features, working conditions and work injuries are associated with work ability among nursing professionals. Work 2013;45:509–17. doi: 10.3233/WOR-13163710.3233/WOR-13163723676329
Open DOI Search in Google Scholar Back to article
53. Monteiro I, Chillida Mde S, Moreno LC. Work ability among nursing personnel in public hospitals and health centers in Campinas - Brazil. Work 2012;41(Suppl 1):316–9. doi: 10.3233/WOR-2012-0176-31610.3233/WOR-2012-0176-31622316742
Open DOI Search in Google Scholar Back to article
54. Rostamabadi A, Zamanian Z, Sedaghat Z. Factors associated with work ability index (WAI) among intensive care units’ (ICUs’) nurses. J Occup Health 2017;59:147–55. doi: 10.1539/joh.16-0060-OA10.1539/joh.16-0060-OA547852728077822
Open DOI Search in Google Scholar Back to article
55. WAI-Netzwerk Deutschland. WAI-Fragebogen & Auswertung (Kurzversion) [displayed 18 Feb 2018]. Available at http://www.arbeitsfaehig.com/uploads/z-neue%20Uploads/WAINetzwerk/WAI-Fragebogen-Kurzversion%20mit%20Auswertungsbogen.pdf
Search in Google Scholar Back to article
56. WAI-Netzwerk Deutschland. WAI-Fragebogen (Berechnungsmethode) [displayed 18 Feb 2018]. Available at http://wai-netzwerk.uni-wuppertal.de/picture/upload/file/WAIBerechnungsmethode_2015.pdf
Search in Google Scholar Back to article
57. Thinschmidt M, Seibt R. “Work Ability-Index” - Vergleich von Lang- und Kurzversion der Krankheitsdiagnosen anhand einer deutschen Stichprobe [“Work ability index” - Comparison of the long and short version of illness diagnoses by means of a German random sample, in German]. Zbl Arbeitsmed 2007;57:212–21. doi: 10.1007/BF0334912410.1007/BF03349124
Open DOI Search in Google Scholar Back to article
58. Nowrouzi B, Lightfoot N, Carter L, Larivère M, Rukholm E, Belanger-Gardner D. Workplace system factors of obstetric nurses in Northeastern Ontario, Canada: Using a work disability prevention approach. Saf Health Work 2015;6:305–11. doi: 10.1016/j.shaw.2015.07.00410.1016/j.shaw.2015.07.004468203026929842
Open DOI Search in Google Scholar Back to article
59. The collective agreement for employees in health care [displayed 24 Nov 2019]. Available at http://www.pisrs.si/Pis.web/pregledPredpisa?id=KOLP52
Search in Google Scholar Back to article

Work ability index in Slovenian hospital nurses aged over fifty years

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