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Relationships between the characteristics of oncohematology services providing palliative care and the sociodemographic characteristics of caregivers using health indicators: social support, perceived stress, coping strategies, and quality of work life

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Abstract

Objective

The aim of this study was to analyze the relationships between the characteristics of the management of oncohematology services and the psychosocial determinants of caregivers’ health at work including social support, stress, and coping strategies.

Design

Investigation using questionnaires was carried out about nurses and nurse aides in hematology and oncology services.

Setting

All hematology and oncology services of Western France were requested. Five questionnaires concerning sociodemographic characteristics, measurements of quality of work life, of social support, of perceived stress, and of coping strategies and quality of work life were delivered among health professionals.

Participants

Five hundred seventy-four questionnaires from 53 different services were analyzed. There were 57.4% nurses and 42.6% nurse aides. Some 94.1% were female and 33.5% were older than 40 years.

Results

Several characteristics of oncohematology services were significantly linked to health indicators, as the need for time and recognition, the importance of training (in palliative care, pain management, and help relationship), the care of patients and their families, the interdisciplinary efficiency, and external interventions (psychologists and volunteers). We showed that participative management which includes implementation of service projects and of multidisciplinary staff influence the quality of work life of health professionals. We showed also how much the characteristics of services organized around an effective social support (need for recognition) favor a better quality of work life among caregivers, influencing their perceived stress and their coping strategies.

Conclusion

To our knowledge, it is the first study showing a relationship between participative management (including multidisciplinary staffs, approach with a service project, and internal training) and the quality of work life in the domain of health care. The implementation of this model should be promoted in health care services.

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Author information

Authors and Affiliations

  1. Clinique Pasteur, 45 avenue de Lombez, 31076, Toulouse Cedex 3, France

    Anne-Marie Pronost

  2. Clinical Investigation Center, INSERM 202, CHU Tours, 2bis boulevard Tonnellé, 37044, Tours Cedex, France

    Amélie Le Gouge & Bruno Giraudeau

  3. Human Sciences Department, Medical Faculty, 2 avenue Foch, 29000, Brest, France

    Daniele Leboul

  4. Haematology Department, CHU Angers, 2 rue Moll, 49033, Angers Cedex, France

    Martine Gardembas-Pain

  5. Haematology Department, CHU Brest, 2 avenue Foch, 29000, Brest, France

    Christian Berthou

  6. Psychology Faculty, François Rabelais University, 4 rue des Tanneurs, 37000, Tours, France

    Evelyne Fouquereau

  7. Haematology Department, CHU Tours, 2bis boulevard Tonnellé, 37044, Tours Cedex, France

    Philippe Colombat

Authors
  1. Anne-Marie Pronost
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  2. Amélie Le Gouge
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  3. Daniele Leboul
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  4. Martine Gardembas-Pain
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  5. Christian Berthou
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  6. Bruno Giraudeau
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  7. Evelyne Fouquereau
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  8. Philippe Colombat
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Corresponding author

Correspondence to Anne-Marie Pronost.

Additional information

Financial support: PHRC CHU Tours

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Pronost, AM., Le Gouge, A., Leboul, D. et al. Relationships between the characteristics of oncohematology services providing palliative care and the sociodemographic characteristics of caregivers using health indicators: social support, perceived stress, coping strategies, and quality of work life. Support Care Cancer 20, 607–614 (2012). https://doi.org/10.1007/s00520-011-1139-3

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  • DOI: https://doi.org/10.1007/s00520-011-1139-3

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