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Pesquisa : N01.824.245.600 [Categoria DeCS]
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[PMID]:29389099
[Au] Autor:Burke RJ; Singh P
[Ti] Título:Correlates and Consequences of Nursing Staff Job Insecurity.
[So] Source:J Health Hum Serv Adm;39(3):383-406, 2016.
[Is] ISSN:1079-3739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The health care system, and hospitals, underwent considerable restructuring and downsizing in the early to mid-1900s in several countries as governments cut costs to reduce their budget deficits. Studies of the effects of these efforts on nursing staff and hospital functioning in various countries generally reported negative impacts with threats to job security emerging as an important outcome of these changes. Health care restructuring and hospital downsizing is again being implemented as governments struggle to reduce deficits at a time of worldwide economic recession in 2008/2010. This study examines correlates and consequences of job insecurity among Canadian nursing staff, with a focus on nurses' well-being. Data were collected from 290 nursing staff working in hospitals in Ontario, Canada. Feelings of job insecurity in the sample as a whole were relatively low. Personal demographics and work situation characteristics were generally uncorrelated with feelings of job insecurity. Consistent with previous findings, perceived job insecurity was once again associated with less favorable work and well-being outcomes. Some suggestions for more successful approaches to addressing levels of subjective job insecurity are offered.
[Mh] Termos MeSH primário: Emprego/psicologia
Reestruturação Hospitalar
Satisfação no Emprego
Recursos Humanos de Enfermagem no Hospital/psicologia
Downsizing Organizacional
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Feminino
Seres Humanos
Masculino
Meia-Idade
Ontário
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE


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[PMID]:28372340
[Au] Autor:Sigursteinsdóttir H; Rafnsdóttir GL; Jónsdóttir GA
[Ad] Endereço:School of Business and Science, University of Akureyri, Akureyri, Iceland.
[Ti] Título:Changes in occupational mental and physical health and health symptoms during the economic recession.
[So] Source:Work;56(4):603-615, 2017.
[Is] ISSN:1875-9270
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In 2008, many Western countries faced a great economic recession, the result of which was increased unemployment and reduced public expenditure. OBJECTIVE: This article focuses on changes in the self-reported mental and physical health and health symptoms of the remaining employees of Icelandic municipalities who worked within the educational system and the care service during the economic recession. We examine gender differences in health and differences between downsized workplaces and workplaces where no downsizing occurred and differences between workplaces with heavy workload and light workload. METHODS: The study is based on a balanced panel online survey and focus groups. RESULTS: The main finding is that both the mental and physical health of employees deteriorated year by year between 2010, 2011 and 2013 in all workplaces although the downsized workplaces and workplaces with heavy workloads fared worse. At the same time, public expenditure on the health care system was reduced. CONCLUSIONS: We hope that our results encourage further studies in the field and that they will be taken into account when dealing with prevention and rehabilitation initiatives.
[Mh] Termos MeSH primário: Recessão Econômica
Emprego/psicologia
Emprego/estatística & dados numéricos
Nível de Saúde
Saúde Mental/estatística & dados numéricos
[Mh] Termos MeSH secundário: Pessoal Técnico de Saúde/estatística & dados numéricos
Feminino
Seres Humanos
Islândia/epidemiologia
Masculino
Downsizing Organizacional/psicologia
Downsizing Organizacional/estatística & dados numéricos
Professores Escolares/estatística & dados numéricos
Caracteres Sexuais
Inquéritos e Questionários
Carga de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.3233/WOR-172523


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[PMID]:28350411
[Au] Autor:Kaspersen SL; Pape K; Carlsen F; Ose SO; Bjorngaard JH
[Ad] Endereço:Department of Public Health and General Practice, Norwegian University of Science and Technology, PB 8905, 7491 Trondheim, Norway. SiljeLill.Kaspersen@sintef.no.
[Ti] Título:Employees' drug purchases before and after organizational downsizing: a natural experiment on the Norwegian working population (2004-2012).
[So] Source:Scand J Work Environ Health;43(4):307-315, 2017 Jul 01.
[Is] ISSN:1795-990X
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:Objectives This study investigated the association between organizational downsizing and purchases of prescribed drugs by private sector employees in Norway. Methods A natural experiment was constructed using individual-level employer and employee data linked to the national prescription database for the period 2004-2012. The study population comprised 144 089 employees who had been exposed to major downsizing in the same period. Random effects logistic regression models were used to investigate relative changes in drug purchases (antidepressants, hypnotics/sedatives, anxiolytics, and anti-psychotics, as well as anti-obesity, anti-diabetic, cardiovascular, and thyroid drugs, anti-inflammatory drugs, opioids, and analgesics/antipyretics) in the five-year-period before and after exposure to downsizing. Results Compared with the situation three years before exposure, the odds ratios (OR) of purchasing psychotropic drugs one year after exposure increased for antidepressants (OR 1.44, 95% CI 1.34-1.55), hypnotics/sedatives (OR 1.39, 95% CI 1.29-1.49), anxiolytics (OR 1.32, 95% CI 1.22-1.43), and antipsychotics (OR 1.34, 95% CI 1.19-1.52). Similar associations were found for cardiovascular, anti-diabetic, and thyroid drugs. Stratified analyses showed that the odds of purchasing psychotropic, anti-diabetic, and cardiovascular drugs in the years around downsizing was more pronounced in men compared with women. Elevated odds were also found for employees in the oldest age group and those with less than tertiary education. Conclusions Exposure to organizational downsizing increased the odds of purchasing prescribed psychotropic, cardiovascular, anti-diabetic, and thyroid drugs. The clinical implications of these results might be systematic involvement from medical personnel and occupational health services in workforce reduction processes.
[Mh] Termos MeSH primário: Uso de Medicamentos/estatística & dados numéricos
Saúde do Trabalhador
Downsizing Organizacional
Desemprego/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Antidepressivos/uso terapêutico
Antipsicóticos/uso terapêutico
Fármacos Cardiovasculares/uso terapêutico
Feminino
Seres Humanos
Hipnóticos e Sedativos/uso terapêutico
Hipoglicemiantes/uso terapêutico
Masculino
Meia-Idade
Noruega/epidemiologia
Fatores Sexuais
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antidepressive Agents); 0 (Antipsychotic Agents); 0 (Cardiovascular Agents); 0 (Hypnotics and Sedatives); 0 (Hypoglycemic Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170329
[St] Status:MEDLINE


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[PMID]:27901406
[Au] Autor:Weidner F; Brünett M; Müller M; Cissarz I
[Ad] Endereço:1 Pflegewissenschaftliche Fakultät, Philosophisch-Theologische Hochschule Vallendar.
[Ti] Título:Gründe und Einflussfaktoren für den Eintritt in die berufliche Rehabilitation von Pflegefachpersonen in Deutschland ­ Ergebnisse der Pilotstudie Reha-Biograf..
[So] Source:Pflege;30(3):139-149, 2017.
[Is] ISSN:1012-5302
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Traumatismos Ocupacionais/enfermagem
Traumatismos Ocupacionais/reabilitação
Reabilitação Vocacional
[Mh] Termos MeSH secundário: Adulto
Feminino
Alemanha
Seres Humanos
Entrevista Psicológica
Masculino
Meia-Idade
Recursos Humanos de Enfermagem no Hospital/provisão & distribuição
Traumatismos Ocupacionais/prevenção & controle
Downsizing Organizacional
Projetos Piloto
Fatores de Risco
Carga de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE
[do] DOI:10.1024/1012-5302/a000519


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[PMID]:27359256
[Au] Autor:Newman SJ; Ye J; Leep CJ; Hasbrouck L; Zometa C
[Ti] Título:Assessment of Staffing, Services, and Partnerships of Local Health Departments - United States, 2015.
[So] Source:MMWR Morb Mortal Wkly Rep;65(25):646-9, 2016 Jul 01.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Beginning in 2008, the National Association of County and City Health Officials (NACCHO) periodically surveyed local health departments (LHDs) to assess the impact of the economic recession on jobs and budgets (1). In 2014, the survey was expanded to assess a wider range of factors affecting programs, services, and infrastructure in LHDs and renamed the Forces of Change survey (2). The survey was administered in to January-February 2015 to 948 LHDs across the United States to assess budget changes, job losses, changes in services, and collaboration with health care partners; 690 (73%) LHDs responded. Findings indicated a change in LHD infrastructure: compared with the previous fiscal year.* Overall, LHDs reported 3,400 jobs lost; 25% of LHDs reported budget decreases; 36% reported a reduction in at least one service area; and 35% reported serving fewer patients in clinics. In addition, up to 24% of LHDs reported expanding population-based prevention services, and LHDs reported exploring new collaborations with nonprofit hospitals and primary care providers (PCPs).
[Mh] Termos MeSH primário: Recessão Econômica
Governo Local
Administração em Saúde Pública/economia
[Mh] Termos MeSH secundário: Orçamentos
Comportamento Cooperativo
Seres Humanos
Downsizing Organizacional
Prática de Saúde Pública
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170112
[Lr] Data última revisão:
170112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160701
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6525a2


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[PMID]:27319109
[Au] Autor:Perry F
[Ti] Título:CEO Ethical Considerations in Right-Sizing. CEOs must considerfour important elements in workforce reduction.
[So] Source:Healthc Exec;31(3):62, 64-5, 2016 May-Jun.
[Is] ISSN:0883-5381
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Diretores de Hospitais
Downsizing Organizacional/ética
[Mh] Termos MeSH secundário: Tomada de Decisões
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160620
[Lr] Data última revisão:
160620
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160621
[St] Status:MEDLINE


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[PMID]:27182578
[Ti] Título:[Baden-Württemberg curtails specialist quota. Requests for personnel will be revised].
[Ti] Título:Baden-Württemberg schnürt Fachkräftequote auf. Anforderungen für den Personaleinsatz werden neu geregelt..
[So] Source:Pflege Z;69(3):134, 2016 Mar.
[Is] ISSN:0945-1129
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Instituição de Longa Permanência para Idosos/legislação & jurisprudência
Instituição de Longa Permanência para Idosos/recursos humanos
Programas Nacionais de Saúde/legislação & jurisprudência
Casas de Saúde/legislação & jurisprudência
Casas de Saúde/recursos humanos
Recursos Humanos de Enfermagem/legislação & jurisprudência
Downsizing Organizacional/legislação & jurisprudência
Centros de Reabilitação/legislação & jurisprudência
Centros de Reabilitação/recursos humanos
[Mh] Termos MeSH secundário: Idoso
Alemanha
Necessidades e Demandas de Serviços de Saúde/legislação & jurisprudência
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160516
[Lr] Data última revisão:
160516
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160517
[St] Status:MEDLINE


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[PMID]:27058471
[Au] Autor:Rogerson S; Meir R; Crowley-McHattan Z; McEwen K; Pastoors R
[Ad] Endereço:Department of Human Resources, Energex, Newstead, Queensland (Dr Rogerson, Ms Pastoors); School of Health and Human Sciences, Southern Cross University, Lismore, New South Wales (Drs Meir, Crowley-McHattan); Working with Resilience, Adelaide, South Australia (Ms McEwen).
[Ti] Título:A Randomized Controlled Pilot Trial Investigating the Impact of a Workplace Resilience Program During a Time of Significant Organizational Change.
[So] Source:J Occup Environ Med;58(4):329-34, 2016 Apr.
[Is] ISSN:1536-5948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study was to investigate the effectiveness of a short-term resilience intervention as measured by the Resilience at Work (RAW) scale. METHODS: A 5-week resilience program was implemented with 28 volunteers and assessed by the 20-item RAW scale. The scale was administered electronically and participants were match paired into either a treatment or control group. Statistical analysis was conducted using a 2 × 2 group (Treatment, control) × time (pre, post) analysis of variance with repeated measures. RESULTS: Postintervention time point RAW total score was significantly greater in the treatment group (P < 0.01) and statistical significance was also achieved for four of the seven subscales. CONCLUSION: Employee resilience can be improved via specific educational and skills training requiring a total time commitment of just 5 hours, making this intervention feasible for most working environments.
[Mh] Termos MeSH primário: Promoção da Saúde
Inovação Organizacional
Resiliência Psicológica
Local de Trabalho/organização & administração
Local de Trabalho/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Promoção da Saúde/métodos
Seres Humanos
Saúde do Trabalhador
Downsizing Organizacional/psicologia
Projetos Piloto
Centrais Elétricas
Escalas de Graduação Psiquiátrica
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170118
[Lr] Data última revisão:
170118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160409
[St] Status:MEDLINE
[do] DOI:10.1097/JOM.0000000000000677


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[PMID]:26999186
[Au] Autor:Probst TM; Jiang L
[Ad] Endereço:Department of Psychology, Washington State University Vancouver, 14204 NE Salmon Creek Ave., Vancouver, WA 98686, USA. probst@wsu.edu.
[Ti] Título:Mitigating Physiological Responses to Layoff Threat: An Experimental Test of the Efficacy of Two Coping Interventions.
[So] Source:Int J Environ Res Public Health;13(3), 2016 Mar 18.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:The purpose of the current study was to assess real-time physiological reactions to the threat of layoffs and to determine whether the use of an emotion-focused vs. problem-focused coping intervention would be more efficacious in attenuating these physiological reactions. A 2 (coping intervention) × 4 (within-subjects time points) mixed experimental design was used to test the hypotheses. Eighty-four undergraduates participated in this laboratory experiment during which their galvanic skin response (GSR) and heart rate (HR) were continuously monitored. Analyses indicate that individuals instructed to utilize an emotion-focused coping strategy experienced a significantly greater decline in their GSR compared to those utilizing the problem-focused coping method. Results suggest organizations conducting layoffs might focus first on dealing with the emotional aftermath of downsizing before focusing on problem-solving tasks, such as resume writing and other traditional outplacement activities.
[Mh] Termos MeSH primário: Adaptação Psicológica/fisiologia
Emoções
Downsizing Organizacional/psicologia
Resolução de Problemas
Estresse Fisiológico/fisiologia
Estresse Psicológico/fisiopatologia
Local de Trabalho/psicologia
[Mh] Termos MeSH secundário: Adulto
Mecanismos de Defesa
Feminino
Seres Humanos
Masculino
Meio-Oeste dos Estados Unidos
Estudantes de Medicina/psicologia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160322
[St] Status:MEDLINE


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[PMID]:26907116
[Au] Autor:Jones-Berry S
[Ti] Título:Downbanded or deleted--how the NHS is shedding its senior nurses.
[So] Source:Nurs Stand;30(26):12-3, 2016 Feb 24.
[Is] ISSN:2047-9018
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Liderança
Recursos Humanos de Enfermagem no Hospital
Downsizing Organizacional
[Mh] Termos MeSH secundário: Seres Humanos
Segurança do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170223
[Lr] Data última revisão:
170223
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160225
[St] Status:MEDLINE
[do] DOI:10.7748/ns.30.26.12.s15



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