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Article Dans Une Revue Gériatrie et psychologie & neuropsychiatrie du vieillissement Année : 2015

Subjective hardship and training by female staff working in direct contact with the elderly in nursing homes: a cross-sectional study

Résumé

To describe training given and training desired and to assess the relation between training and perceived hard working conditions as experienced by female staff working in direct contact with the elderly in nursing homes. A transverse descriptive study was conducted with the involvement of 78 occupational physicians, and included staff in 105 nursing homes in the Rhône-Alpes Region of France. Data on training received during the previous 5 years and on training needs were collected from staff by self-administered questionnaire. 1,446 nursing assistants, 667 housekeepers and 348 nurses were included. The most frequent form of training during the previous 5 years was in handling. Staff most frequently desired training in palliative care and psychological approaches to residents. Part-time workers had less frequently had training during the previous 5 years. Staff with daytime hours significantly more often had training in the reception of and activities for the elderly and in hygiene than did night-staff. Almost half of respondents reported very hard working conditions related to physical handling of residents or to the physical deterioration of elderly persons. More than two-thirds reported very hard working conditions related to death. In all occupational categories, respondents who had had training in palliative care less often reported experiencing very hard working conditions related to death. Better adaptation of the training offer to the needs expressed by employees could improve the experience of working conditions in nursing homes. A longitudinal study could assess the impact of training in palliative care on reported hard working conditions related to death.
Objectif : décrire les formations reçues et souhaitées et évaluer la relation entre ces formations et la pénibilité ressentie par le personnel féminin des établissements d'hébergement pour personnes âgées dépendantes (Ehpad). Méthodes. Une étude transversale descriptive a été menée avec la participation de 78 médecins du travail auprès des salariées de 105 Ehpad de la Région Rhône-Alpes. Les informations auprès des salariés ont été recueillies par auto-questionnaire. Résultats. 1 446 agents de soins, 667 agents de service et 348 infirmières ont été inclus. Les formations à la manutention sont celles qui ont été le plus fréquemment suivies au cours des 5 dernières années. Les formations aux soins palliatifs et à l'approche psychologique des résidents sont le plus fréquemment souhaitées par les agents. Plus de deux tiers des sujets décrivent un fort niveau de pénibilité liée à la mort. Quelle que soit la catégorie professionnelle, les sujets ayant bénéficié d'une formation aux soins palliatifs expriment moins fréquemment un fort niveau de pénibilité liée à l'approche de la mort. Conclusion. Une meilleure adaptation des formations proposées aux besoins exprimés des salariées pourrait contribuer à un meilleur vécu des conditions de travail en maison de retraite
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Dates et versions

hal-01809177 , version 1 (06-06-2018)

Identifiants

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Carole Pelissier, Luc Fontana, Emmanuel Fort, Barbara Charbotel. Subjective hardship and training by female staff working in direct contact with the elderly in nursing homes: a cross-sectional study. Gériatrie et psychologie & neuropsychiatrie du vieillissement, 2015, 13 (4), pp. 396-406. ⟨10.1684/pnv.2015.0572⟩. ⟨hal-01809177⟩
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