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  • 1
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 19, No. 1 ( 2021-12-28), p. 313-
    Abstract: Since the outbreak of the COVID-19 pandemic, outpatient nurses have been exposed to a double burden of already known occupational and new pandemic-related stressors. Recent studies suggest that increased pandemic-related stress can affect mental health and promote the development of negative mental health outcomes for nurses. This includes a decrease in sleep quality and work engagement. In addition, certain groups appear to be particularly vulnerable to pandemic-related stress. The aim of this study was to investigate the stress perception of German outpatient nurses during the COVID-19 pandemic. The aim was to determine associations between their pandemic-related stress and variables such as sleep quality, work engagement, pandemic-related worries and concerns. For this purpose, a questionnaire was developed based on well-established measurement instruments such as the 10-item Perceived Stress Scale, the Pittsburgh Sleep Quality Index and the Copenhagen Psychosocial Questionnaire to conduct a cross-sectional online survey among outpatient nurses from Germany. Participants (n = 166) showed rather moderate overall pandemic-related stress levels, good sleep quality, high work engagement, and moderate pandemic-related worries and concerns. Pandemic-related stress proved to be a predictor of decreased sleep quality and work engagement of outpatient nurses with weak effect sizes. Despite the surprisingly moderate stress levels, the effects of pandemic-related stress on selected aspects of participants’ mental health could be demonstrated. Therefore, behavioural and organisational health promotion measures are recommended to support outpatient nurses during the pandemic. However, further research is needed to determine the causal relationships and long-term effects of pandemic-related stress on the mental health of outpatient caregivers.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2175195-X
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  • 2
    In: Prävention und Gesundheitsförderung, Springer Science and Business Media LLC, Vol. 17, No. 1 ( 2022-02), p. 32-43
    Abstract: According to forecasts, there will be a shortage of up to 0.85 million skilled workers in healthcare by 2050. Increasing workloads are already leading to high levels of sick leave among employees. There is a lack of scientific knowledge about the health behaviour of outpatient caregivers to be able to develop and provide target group-specific measures for workplace health promotion (WHP). Objectives Based on the opinions of experts, the aim was to characterise the health behaviour of outpatient caregivers and to determine existing WHP measures in outpatient care. In addition, experts’ experiences with regard to the development and implementation of WHP measures were recorded. Materials and methods Ten experts from the Hamburg care industry and science were surveyed in a focus group interview in January 2020. The data were evaluated using qualitative content analysis. Results As a basis for self-determination and independence in dealing with one’s own health, the experts on nutrition, physical activity and smoking emphasised the central importance of awareness-raising measures for nursing staff. To cope with stress, the focus was increasingly on preventive measures such as realistic trip planning , working time planning and adjusting break times . Conclusions The working conditions of outpatient care have a negative effect on the eating and drinking behaviour as well as the physical activity of the employees. Quantitative surveys on the health behaviour of outpatient nurses are required in order to strengthen the experts’ assessments. Target group-specific measures of WHP must be adapted to outpatient care and include both behavioural and preventive approaches.
    Type of Medium: Online Resource
    ISSN: 1861-6755 , 1861-6763
    RVK:
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2211781-7
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  • 3
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2021
    In:  Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie Vol. 71, No. 2 ( 2021-03), p. 69-74
    In: Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie, Springer Science and Business Media LLC, Vol. 71, No. 2 ( 2021-03), p. 69-74
    Abstract: The contact restrictions associated with the COVID-19 pandemic have led many companies to allow their employees to work from home for infection control reasons. Objective This literature review explores the question in what way health-promoting work from home can be excercised. Results Working from home requires consideration of the same guidelines just like those for office and computer workstations. To prevent negative mental and physical stress reactions, an ergonomic workstation design is recommended. Furthermore, the organization of working time (structuring the working day, adhering to breaks and regeneration units, and avoiding disturbances and interruptions) is of great importance for a health-promoting work design at home. Conclusion Important components of a health-promoting work design are temporal, spatial and mental separation of work and private life. Employees and their individual needs must be taken into account when designing a health-promoting workplace at home; however, the responsibility for implementing health-promoting work design mostly lies solely with the employees due to the ad hoc change of workplace.
    Type of Medium: Online Resource
    ISSN: 0944-2502 , 2198-0713
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2247312-9
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  • 4
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 15 ( 2021-08-03), p. 8213-
    Abstract: The COVID-19 pandemic has affected outpatient caregivers in a particular way. While the German population becomes increasingly older, the number of people in need of care has also increased. The health and, thus, the health behaviour of employees in the outpatient care become relevant to maintain working capacity and performance in the long term. The aims of the study were (1) to examine the health behaviour and (2) to explore pandemic-related perceived change of health behaviour among outpatient caregivers during the COVID-19 pandemic. In a mixed-methods study, 15 problem-centred interviews and a web-based cross-sectional survey (N = 171) were conducted with outpatient caregivers working in Northern Germany. Interviewees reported partially poorer eating behaviour, higher coffee consumption, lower physical activity, skipping breaks more often and less sleep duration and quality during the pandemic. Some quantitative findings indicate the same tendencies. A majority of participants were smokers and reported higher stress perception due to the pandemic. Preventive behaviour, such as wearing PPE or hand hygiene, was increased among interviewees compared to the pre-pandemic period. Our findings indicate that the COVID-19 pandemic could negatively affect outpatient caregivers’ health behaviour, e.g., eating/drinking behaviour and physical activity. Therefore, employers in outpatient care should develop workplace health promotion measures to support their employees in conducting more health-promoting behaviours during the COVID-19 pandemic.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2175195-X
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  • 5
    Online Resource
    Online Resource
    MDPI AG ; 2021
    In:  International Journal of Environmental Research and Public Health Vol. 18, No. 22 ( 2021-11-09), p. 11743-
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 22 ( 2021-11-09), p. 11743-
    Abstract: Health literacy became an important competence during the COVID-19 pandemic. Despite outpatient caregivers being a particularly vulnerable occupational group, their health literacy has hardly been examined yet, especially during the pandemic. Hence, this study aimed to explore this field and provide first empirical insights. Data were collected based on a cross-sectional online survey among 155 outpatient caregivers. In particular, health literacy (HLS-EU-Q16), diet and physical activity, pandemic-related worries, perceived information sufficiency and stress perception were examined. Descriptive and ordinal logistic regression analyses were run to test explorative assumptions. The majority of outpatient caregivers reported high values of health literacy (69% on a sufficient level). Although no significant associations between health literacy and health behaviours or perceived information sufficiency were found, perceived information sufficiency and perceived stress (OR = 3.194; 95% CI: 1.542–6.614), and pandemic-related worries (OR = 3.073; 95% CI: 1.471–6.421; OR = 4.243; 95% CI: 2.027–8.884) seem to be related. Therefore, dissemination of reliable information and resource-building measures to reduce worries may be important parameters for improving outpatient caregivers’ health. Our results provide first explorative insights, representing a starting point for further research. Considering outpatient caregivers’ mobile work setting, they need to be provided with adequate equipment and comprehensible information to ensure physically and mentally healthy working conditions.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2175195-X
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  • 6
    Online Resource
    Online Resource
    MDPI AG ; 2021
    In:  International Journal of Environmental Research and Public Health Vol. 18, No. 7 ( 2021-04-01), p. 3684-
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 7 ( 2021-04-01), p. 3684-
    Abstract: The COVID-19 pandemic has affected health professionals in a special way, as they are responsible for the care of vulnerable groups. Little is known about how outpatient caregivers perceive their working conditions during the pandemic in Germany and about the difficulties they face. The aims of this study were (1) to examine specific job demands of outpatient caregivers in regard to the COVID-19 pandemic, (2) to illuminate their job resources they can rely on and (3) to identify potential strain reactions they experience. Fifteen semi-structured telephone interviews were conducted with outpatient caregivers working in Northern Germany in the period May–June 2020. Interviews were analyzed by using qualitative content analysis. Outpatient caregivers experienced daily mask obligation, lack of personal protection equipment (PPE) and stricter hygiene regulations as demanding during the pandemic. They also described a higher workload and emotional demands such as fear of infection or infecting others. They perceived team spirit and communication as important work-related resources. Depressive symptoms and feelings of stress were described as strain reactions. Outpatient care services need to be better prepared for sudden pandemic situations and provide their employees with sufficient PPE and education to reduce pandemic-related job demands leading to negative strain reactions.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2175195-X
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  • 7
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 10 ( 2021-05-13), p. 5195-
    Abstract: The confined environment of a ship promotes the transmission of the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) due to close contact among the population on board. The study aims to provide an overview of outbreaks of SARS-CoV-2 on board of cruise, navy or cargo ships, to identify relevant outbreak management techniques, related problems and to derive recommendations for prevention. Four databases were searched. The study selection included reports about seroprevalences or clinically/laboratory confirmed infections of SARS-CoV-2 on board ships between the first of January, 2020 and the end of July, 2020. A total of 37 studies were included of whom 33 reported outbreaks of SARS-CoV-2 on cruise ships (27 studies referred to the Diamond Princess). Two studies considered outbreaks on the Grand Princess, three studies informed about Nile River cruises and one study about the MS Westerdam (mention of multiple outbreaks possible in one study). Additionally, three studies reported outbreaks of SARS-CoV-2 on navy vessels and one study referred to a cargo ship. Problems in handling outbreaks resulted from a high number of asymptomatic infections, transportation issues, challenges in communication or limited access to health care. Responsible operators need to implement infection control measures which should be described in outbreak management plans for ships to prevent transmission risks, including, e.g., education, testing strategies, communication lines, social distancing and hygiene regulations.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2175195-X
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  • 8
    In: Healthcare, MDPI AG, Vol. 10, No. 6 ( 2022-06-20), p. 1148-
    Abstract: Due to ongoing demographic changes, the need for care is increasing in Germany. The number of outpatient care services is also rising, and with it, the number of employees in outpatient care, who are also continuously becoming older. Workplace health promotion (WHP) becomes relevant in this context, as it can reduce negative strain reactions and promote employees’ health. The aim of this study was (1) to reveal implemented WHP interventions in German outpatient care services; (2) to examine the potential challenges regarding a successful implementation of WHP measures; and (3) to illuminate further requests and needs experienced by outpatient careworkers. In qualitative field research, 30 semi-structured individual interviews were conducted with German caregivers, using the problem-centered interview method. The collected data were deductively and inductively evaluated and interpreted, using qualitative content analysis according to Mayring. Outpatient caregivers reported various WHP measures known from their workplaces, such as the provision of fruit baskets, programmes to increase physical activity, or a subsidy for a personal gym. They further reported WHP, such as back training, known from other care services. However, the respondents spoke of the challenges regarding the implementation or the use of WHP interventions in general. The most frequently named barriers were a lack of time after work and interventions that were only offered in their leisure time. In the same course, the participants still needed offers to increase physical activity, joint activities, or relaxation techniques. However, respondents highlighted that they preferred the interventions to take place during working hours. This way, they would also be more likely to take advantage of the interventions. The results of this study provide an insight into various WHP measures that already exist, or that are desirable for implementation with regard to caregivers’ needs. Subjectively perceived challenges for a successful implementation of WHP measures represent the importance of adjustments in the work organization of caregivers. It becomes clear that WHP is not yet established in the ambulant care sector, although it appears to be imperative for keeping caregivers healthy. Considering the different needs of employees, the results can provide a basis for the development of needs-based health promotion measures for caregivers.
    Type of Medium: Online Resource
    ISSN: 2227-9032
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2721009-1
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  • 9
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2021
    In:  Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie Vol. 71, No. 1 ( 2021-01), p. 32-37
    In: Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie, Springer Science and Business Media LLC, Vol. 71, No. 1 ( 2021-01), p. 32-37
    Abstract: This review article deals with the current state of research on psychological stress factors and resources in outpatient care. Potential stress factors described in the literature are from the fields of work content (e.g. dealing with suffering), work organization (e.g. shift system), social relationships (e.g. lack of recognition), work environment (e.g. time delay due to high traffic volume) and new forms of work (e.g. lack of separation between work and private life). Work resources include, for example, a high degree of personal responsibility, a large amount of freedom, the meaningfulness of work and the possibility of self-protection through frequent changes of setting. There is an urgent need for research to identify psychological stress factors and resources more systematically and to reveal the possible consequences of work stresses. Especially in the light of demographic change and the associated shift in age structures, comprehensive research approaches are needed in order to be able to develop health-promoting measures for specific target groups in outpatient care in the future.
    Type of Medium: Online Resource
    ISSN: 0944-2502 , 2198-0713
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2247312-9
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  • 10
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2021
    In:  Prävention und Gesundheitsförderung Vol. 16, No. 1 ( 2021-02), p. 16-20
    In: Prävention und Gesundheitsförderung, Springer Science and Business Media LLC, Vol. 16, No. 1 ( 2021-02), p. 16-20
    Abstract: This article aims to contribute to the current state of research regarding health behaviour among employees in the healthcare sector. The number of people in need of care is continually growing and thus there is a growing need of employees in this field. Nevertheless little is known about German caregivers’ health behaviour. There are some indications that caregivers show poor eating habits, have insufficient physical activity and lack opportunities for breaks or regeneration periods. Therefore future research and interventions analysing caregivers’ work and health behaviour are needed as a basis for development of future needs-based health promotion interventions.
    Type of Medium: Online Resource
    ISSN: 1861-6755 , 1861-6763
    RVK:
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2211781-7
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