Common mental disorders, productivity and presenteeism in nursing workers

To investigate the association between the occurrence of common mental disorders with loss of productivity and presenteeism in nursing workers at a public health service.

Method:

This is a cross-sectional study, with 291 workers from Midwestern Brazil. Data collection carried out from October 2019 to January 2020, with instruments for sociodemographic characterization, labor and health conditions: Self Reporting Questionnaire-20, Standford Presenteeism Scale and Work Limitations Questionnaire. Data were analyzed using descriptive and inferential statistics, with Mann-Whitney tests and logistic regression, respecting a significance level of 5%.

Results:

The occurrence of common mental disorders was 4.27 times more likely to experience presenteeism, 10.17% of compromised overall productivity, and impairment of mental/interpersonal and production demands.

Conclusion:

The occurrence of common mental disorders was associated with presenteeism, with repercussions in loss of productivity of nursing workers.

DESCRIPTORS
Mental Disorders; Presenteeism; Efficiency; Organizational; Nursing; Occupational Health

Variables	n (%)
Sex
Female	247 (84.88)
Male	44 (15.12)
Age
Up to 39 years	164 (56.36)
40 years and older	127 (43.64)
Marital status
Singles	130 (44.70)
Married	119 (40.90)
Widow or divorced	42 (14.40)
Children
01 or more	202 (69.40)
None	89 (30.60)
Main family financial provider
The respondent himself	227 (78.00)
Partner or parents	64 (22.00)
Contract regime
CLT	174 (59.79)
Effective	106 (36.43)
Commissioned	11 (3.78)
Position
Nursing assistant/technician	210 (72.16)
Nurse	81 (27.84)
Work sectors
Adult/pediatric ICU and red/trauma room	123 (42.27)
Wards: medical, isolation, surgical	168 (57.73)
Shift and weekly workload
Daytime: 12h/36h shifts or business hours	185 (63.57)
Night: 12/36 hour shifts	66 (22.68)
Night: 12/60 hour shifts	40 (13.75)
Other employment relationship
No	218 (74.91)
Yes	73 (25.09)

Variables (Yes x No)	OR	(95%) CI	p-value*
Common mental disorders
Children	2.79	1.43 – 5.89	<0.01
Depression	4.63	1.75 – 12.65	<0.01
Migraine	7.29	2.85 – 20.23	<0.01
Generalized anxiety disorder	9.34	3.32 – 30.38	<0.01
Mixed anxiety and depressive disorder	5.78	2.82 – 12.09	<0.01
Gastritis	6.35	2.55 – 16.77	<0.01
Medical leave in the last year	4.60	2.34 – 9.13	<0.01
Night shifts 12/36h	2.35	1.28 – 4.27	0.01
Night shifts 12/60h	0.94	0.40 – 2.03	0.89
Night shifts 12/36h and 12/60h	1.94	1.11 – 3.37	0.02
Double shift	2.53	1.41 – 4.54	<0.01
Smokers	3.04	1.43 – 6.37	<0.01
Alcoholics	2.76	1.56 – 4.88	<0.01
Leisure routine	0.93	0.53 – 1.62	0.80
Presenteeism
Children	3.08	1.76 – 5.61	<0.01
Continuous psychotropic drug use	1.78	1.00 – 3.16	0.05
Depression	3.52	1.76 – 5.61	0.01
Migraine	2.61	1.04 – 6.86	0.04
Mixed anxiety and depressive disorder	2.72	1.35 – 5.60	0.01
Leisure routine	1.07	0.66 – 1.74	0.78
Medical leave in the last year	3.71	1.90 – 7.49	<0.01

Productivity – CMD	Yes		No		p-value*
QSCTS	Median	(SD)	Median	(SD)	p-value*
Work Limitations Questionnaire
General productivity index
CLT	8.56	(6.80)	4.90	(6.15)	<0.01
ICU and emergency departments	8.17	(6.45)	6.53	(6.82)	0.04
Leisure routine	5.39	(6.45)	8.27	(6.78)	0.03
Time management
CLT	30.00	(30.6)	15.00	(25.51)	0.01
Physical demand
Night shift	37.50	(28.68)	30.00	(30.69)	0.05
ICU and emergency department	41.67	(25.77)	30.00	(31.47)
Mental/interpersonal demand
CLT	30.56	(28.58)	9.38	(23.57)	<0.01
Gastritis diagnosis	30.56	(22.62)	19.44	(27.81)	0.03
Production demand
CLT	35.00	(30.97)	10.00	(28.36)	<0.01
Common mental disorders
Children	3.00	(4.18)	1.00	(3.3)	<0.01
Second link	5.00	(4.63)	2.00	(3.62)	<0.01
Smoking	5.00	(5.45)	3.00	(3.68)	0.01
Alcohol use	5.00	(4.84)	2.00	(3.4)	<0.01
GAD diagnosis	9.00	(5.67)	3.00	(3.64)	<0.01
Depression diagnosis	7.50	(5.48)	3.00	(3.74)	<0.01
Migraine diagnosis	9.00	(5.44)	3.00	(3.66)	<0.01
Gastritis diagnosis	8.00	(4.62)	2.00	(3.65)	<0.01
Psychotropic drug use	5.00	(4.52)	2.00	(3.75)	<0.01
Health leave in the last year	5.50	(4.66)	3.00	(3.91)	0.03

Variables	General index		Time management		Physical demand		Interpersonal mental demand		Production demand
Variables	Mean (SD)^† Median	p-value	Mean (SD)^† Median	p-value	Mean (SD)^† Median	p-value	Mean (SD)^† Median	p-value	Mean (SD)^† Median	p-value
SRQ-20
With CMD	10.13 (5.60) 8.59	0.02	34.00 (29.38) 30.00	0.29	45.75 (28.06) 41.67	0.06	34.70 (24.59) 30.56	0.01	34.67 (25.79) 31.25	0.02
Without CMD	8.58 (6.96) 6.28		29.79 (28.97) 22.50		38.59 (29.78) 35.00		27.98 (28.24) 16.67		29.08 (31.86) 15.00

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Marília Duarte Valim Av. Fernando Corrêa da Costa 2367, Bairro Boa Esperança 78060-900 – Cuiabá, MT, Brazil marilia.duarte.valim@gmail.com

Brasil

Brasil

Common mental disorders, productivity and presenteeism in nursing workers* * Extracted from the master’s thesis: “Fatores psicossociais associados ao presenteísmo e a perda de produtividade em trabalhadores de enfermagem”, Universidade Federal de Mato Grosso, 2022.

Trastornos mentales comunes, productividad y presentismo en trabajadores de enfermería

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Common mental disorders, productivity and presenteeism in nursing workers^* * Extracted from the master’s thesis: “Fatores psicossociais associados ao presenteísmo e a perda de produtividade em trabalhadores de enfermagem”, Universidade Federal de Mato Grosso, 2022.