Assessing Modifiable Environmental Work Factors Influencing Mood Symptoms in Long-Term Care Staff.
Kelly Doran1, Douglas Gyamfi1, Lauren Anderson1
1From University of Maryland Baltimore, School of Nursing.
Journal of Gerontological Nursing
|September 15, 2025
Summary
Organizational justice significantly reduces mood symptoms in long-term care (LTC) workers, explaining 15% of the variance. This finding is crucial for developing interventions to improve staff well-being and reduce turnover.
Area of Science:
- Occupational Health
- Psychology
- Sociology
Background:
- Long-term care (LTC) workers face significant workplace stressors.
- High turnover rates in LTC are linked to adverse mood symptoms.
- Identifying modifiable environmental factors is key to improving staff well-being.
Purpose of the Study:
- To investigate environmental work factors influencing mood symptoms in LTC staff.
- To lay the groundwork for interventions aimed at reducing mood symptoms and turnover.
- To explore the role of organizational justice in LTC worker mental health.
Main Methods:
- A descriptive study utilizing baseline data from 112 LTC workers across six worksites.
- Self-reported surveys assessed mood symptoms using the Depression Anxiety and Stress Scale (DASS-21).
- Environmental factors, including job demands, decision authority, job duties, social support, and organizational justice, were measured using the Job Strain Model.
Main Results:
- Organizational justice was found to be a significant predictor of mood symptoms.
- After controlling for age, organizational justice explained 15% of the variance in mood symptoms (β = 0.361, p ≤ 0.001).
- Other measured factors did not show significant influence after controlling for age and organizational justice.
Conclusions:
- Enhanced organizational justice may serve as a protective factor against mood symptoms for LTC staff.
- These findings provide valuable insights for managers and researchers seeking to develop targeted interventions.
- Improving workplace environments, specifically focusing on organizational justice, could mitigate mood disturbances and potentially reduce staff turnover in the long-term care sector.
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