Individual, Organizational and Managerial Determinants of Quality of Life at Work of Psychiatric Nurses and Relief on the Quality of Care

Brief Summary

Detailed Description

Psychological well-being at work is a major public health issue. The number of sick personal leaving hospitals has increased by 10% in five years and the average cost of absenteeism is around 3000 euros per agent per year. These changes are associated with the increase in turnover among nurses, thus raising the question of its impact on the quality of care. Psychological suffering at work is one of the main determinants of intention to leave for nurses. The investigators hypothesize that an improvement in the quality of work life of nurses could allow greater loyalty, greater motivation of nurses and greater attractiveness within the institution. Among the publications on psychological well-being at work, few have been interested in the structural aspects of the organization of care and in particular to the variables specific to the caregivers themselves, such as the quality of life at work. Nevertheless, studies carried out in industry show significant and positive links between quality of life at work and performance at work. Thus, it seems appropriate to identify the factors likely to lead to an improvement in the quality of life at work of psychiatric nurses and to determine the elements that can help reinforce it. Moreover, it appears that the field of psychiatry could constitute an ideal field of experimentation. Psychiatry teams treat patients with chronic, severe and disabling conditions, which are subject to significant social stigma, and expose nurses to a high rate of burnout. The organization of psychiatric care is also multidisciplinary. The various care procedures allow caregivers to carry out activities that include more or less significant participation in decision-making. Also, studying the determinants of the quality of life at work among psychiatric nurses seems to be an important goal in order to implement actions to strengthen psychological well-being at work, and thus reduce turnover and to improve the quality of care. The main objective is to identify the individual, organizational and managerial factors that can explain changes in the quality of work life of psychiatric nurses. To study the link between changes in the quality of work life of nurses and the quality of care delivered to patients. Study the effects of a change in the quality of work life of nurses on turnover.

Primary Outcomes

Secondary Outcomes

• Measuring work engagement using the French version of UWES-9 (Schaufeli, Bakker, Salanova, 2006).(1 year)
• Measuring the satisfaction of psychological needs at work using the satisfaction scale of the psychological needs of Gillet, Rosnet and Vallerand (2008).(1 year)
• Measuring the support for autonomy using a version adapted to the work context of the Measuring the Perceived Autonomy Support Scale for Exercise Settings (PASSES) of Gillet, Vallerand, Paty, Gobancé and Berjot (2010).(1 year)
• Measuring the personality using Big Five Inventory (BFI) by John, Donahue and Kentle (1991).(1 year)
• Measuring the feeling of self-efficacy from the questionnaire referring to specific behaviors in General Self-Efficacy Scale (GSE) Nagels (2008)(1 year)
• Measuring psychological well-being at work using the scale of Gilbert, Dagenais-Desmarais and Savoie (2011).(1 year)
• Measuring job satisfaction using an adaptation of the job satisfaction scale of Fouquereau and Rioux (2002).(1 year)
• Measuring the well-treatment by a self-evaluation of patient well-being practices, Terrien,Anthoine and Mouret (2012).(1 year)
• Measuring thetransformational leadership using the Global Transformational Leasership scale (GTL) developed by Carless, Wearing and Mann (2000).(1 year)