Work ability in hospital housekeeping services and associated factors

Beltrame, Marlize Tatsch; Magnago, Tânia Solange Bosi de Souza; Kirchhof, Ana Lúcia Cardoso; Marconato, Cintia da Silva; Morais, Bruna Xavier

doi:10.1590/1983-1447.2014.04.50715

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Original Papers • Rev. Gaúcha Enferm. 35 (4) • Dec 2014 • https://doi.org/10.1590/1983-1447.2014.04.50715 copy

Work ability in hospital housekeeping services and associated factors

Capacidad para trabajar en servicio de limpieza hospitalaria y los factores asociados

Authorship SCIMAGO INSTITUTIONS RANKINGS

This study aimed to measure the Work Ability Index of workers of a hospital housekeeping staff and identify the associated factors. Cross-sectional study conducted in 201 with 157 workers of the housekeeping staff of a university hospital in Rio Grande do Sul, Brazil. A questionnaire containing sociodemographic, labor and health variables and the Brazilian version of the Work Ability Index was used. As a result, 79.6% of the workers were classified as having good/great work capacity. Mild mental (31.8%) and musculoskeletal disorders (15.9%) were the most prevalent medical diagnoses. After some adjustments, the workers that did not have time for leisure showed a 2.67 times higher prevalence of having the work ability reduced (CI95%=1.23-5.82). The other variables lost their association with the outcome. Measures aimed at the maintenance of work ability and the practice of physical activity and training for postural care are indicated.

Nursing; Occupational health; Housekeeping, hospital; Work capacity evaluation

Questions	N	%
Number of current diseases diagnosed by a physician
None	47	29.9
01	38	24.2
02	22	14.0
03	17	10.8
04	5	3.2
05 or more	28	17.8
Estimated number of times the worker has been absent because of sickness (self-perception)
I am totally unable to work	1	0.6
I am able to work only part-time	2	1.3
I often need to slow the pace of work or change work methods	3	1.9
I sometimes need to slow the pace of work or change work methods	26	16.6
Able to do the work, but it causes some symptoms	37	23.6
There is no impediment / No diseases	88	56.1
Absence from work due to sickness in the past year (days)
100 to 365	2	1.3
25 to 99	6	3.8
10 to 24	10	6.4
Up to 9	50	31.8
None	89	56.7
Own prognosis of work ability two years from now
It is unlikely	7	4.5
Not very sure	28	17.8
Very likely	122	77.7

Variables	Work ability				p
	Low/moderate		Good/excellent
	N	%	N	%
Sex					0.207
Male	2	10.5	17	89.5
Female	30	21.7	108	78.3
Age					0.488
19 to 34 years	8	15.7	43	84.3
35 to 44 years	10	20.0	40	80.0
45 to 60 years	14	25.0	42	75.0
Education					0.315
Graduate	32	21,1	120	78.9
Non-graduate	0	0	5	100.0
Self-declared race/color					0.569
White	19	19.0	81	81.0
Other	13	22.8	44	77.2
Marital status					0.068
Married/living with a partner	25	24.8	76	75.2
Single/ without a partner	7	12.5	49	87.5
Number of children					0.184
None	3	14.3	18	85.7
Up to 03	23	20.2	91	79.8
More than 03	6	27.3	16	72.7
Household income per head capita familiar (N=156)					0.637
<1 minimum wage	20	19.4	83	80.6
1 to 2 minimum wages	12	22.6	41	77.4

Variables	Work ability				P
	Low/moderate		Good/excellent
	N	%	N	%
Function					0.998
Cleaning worker	21	20.4	82	79.6
Helper (cleaning of materials)	11	20.4	43	79.6
Work shift					0.010
Day	31	24.4	96	75.6
Night	1	3.3	29	96.7
Working timetable					0.772
Sufficient	23	19.8	93	80.2
Insufficient	9	22.0	32	78.0
Another job					0.291
No	27	19.4	112	80.6
Yes	5	27.8	13	72.2
Overtime					0.497
No	20	18.9	86	81.1
Yes	12	23.5	39	76.5
In-house training					0.224
No	6	28.6	15	71.4
Sometimes	9	39.1	14	60.9
Yes	17	15.0	96	85.0

Variables	Work ability				P
	Low/moderate		Good/excellent
	N	%	N	%
Time for leisure					0.001
No	8	47.1	9	52.9
Sometimes	13	27.7	34	72.3
Yes	11	11.8	82	88.2
Use of tobacco					0.732
No	15	19.0	64	81.0
Yes	10	19.6	41	80.4
I quit smoking	7	25.9	20	74.1
Suspicion of alcoholism (CAGE*)					0.404
No	2	18.2	9	81.8
Yes	0	0	6	100.0
Use of medicines					0.286
No	13	16.9	64	83.1
Yes	19	23.8	61	76.3
Medical care during the past year					0.035
No	8	12,3	57	87.7
Yes	24	26.1	68	73.9
Psychological care					0.031
No	27	18.4	120	81.6
Yes	5	50.0	5	50.0
Has suffered at work					0.714
No	27	20.9	102	79.1
Yes	5	17.9	23	82.1
Body Mass Index					0.616
Normal	20	19.2	84	80.8
Overweight/obese	12	22.6	41	77.4

Variables	Reduced work ability
Variables	OR* Crude	CI(95%)**	p	OR adjusted***	CI(95%)	p
Sex
Male	1
Female	2.06	0.54-7.95	0.292
Marital status
Single and without a partner	1			1
Married/living with a partner	1.98	0.91-4.28	0.83	1.69	0.82-3.49	0.154
Number of children
None	1
Up to 03	1.41	0.46-4.28	0.542
More than 03	1.90	0.57-6.66	0.311
Work shift
Night	1			1
Day	7.32	1.04-51.53	0.046	4.78	0.68-33.29	0.114
Receives in-house training
Yes	1			1
Sometimes	1.89	0.84-4.25	0.119	1.65	0.82-3.32	0.157
No	2.60	1.32-5.09	0.005	1.62	0.74-3.51	0.222
Time for leisure
Yes	1			1
Sometimes	2.33	1.13-4.81	0.021	1.76	0.88-3.50	0.105
No	3.97	1.88-8.42	<0.0001	2.67	1.23-5.82	0.013
Medical care
Yes	2.12	1.01-4.48	0.045	1.93	0.98-3.82	0.056
No	1			1
Psychological care
Yes	2.72	1.34-5.52	0.006	1.83	0.95-3.52	0.067
No	1			1

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
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[1] Author's address: Tânia Solange Bosi de Souza Magnago Av. Roraima, 1000, prédio 26, Centro de Ciências da Saúde, Universidade Federal de Santa Maria 97105-900, Santa Maria, RS E-mail: tmagnago@terra.com.br