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Related Experiment Videos

Certified sick leave and work load. A case referent study among nurses.

R Bourbonnais1, A Vinet, F Meyer

  • 1Groupe Interdisciplinaire de Recherche sur l'Organisation, la Santé et la Sécurité du Travail, Laval University, Québec, Canada.

Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
|January 1, 1992
PubMed
Summary

Medically certified sick leave in nurses is linked to specific hospital units and nurse-patient ratios. This finding highlights sick leave as a useful, general indicator of occupational health outcomes.

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Area of Science:

  • Occupational Health
  • Nursing Studies
  • Public Health

Background:

  • Medically certified sick leave is a common outcome in healthcare settings.
  • Understanding occupational factors influencing sick leave is crucial for workforce health.
  • Previous research has explored various workplace stressors, but specific links to nursing sick leave require further investigation.

Purpose of the Study:

  • To investigate the association between medically certified sick leave and occupational characteristics among nurses.
  • To identify specific hospital units and workload indices related to increased sick leave.
  • To determine if sick leave can serve as a nonspecific indicator of health outcomes in nursing.

Main Methods:

  • A case-referent study design was employed, involving 1165 nurses with medically certified sick leave (cases) and 1165 matched referents without sick leave.

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  • Participants were nurses from seven general hospitals in Quebec City with at least six months of employment.
  • Occupational data, including hospital, care unit, patient length-of-stay, and nurse-patient ratio, were collected from employment records and analyzed using multiple logistic regression.

    • Main Results:

    • Statistically significant associations were identified between sick leave and specific hospitals and care units.
    • A higher nurse-patient ratio was significantly associated with increased medically certified sick leave.
    • These associations remained significant regardless of nurses' length of service in the hospital or their specific job assignment.

    Conclusions:

    • The study confirms that certain occupational characteristics, including hospital environment and nurse-patient ratios, are associated with medically certified sick leave in nurses.
    • Medically certified sick leave can be considered a relevant, albeit nonspecific, indicator of health outcomes within the nursing profession.
    • Findings suggest a need for interventions targeting workload and unit-specific factors to improve nurse well-being and reduce sick leave.