Determinants of the Quality of Work Life of Psychiatric Nurses and Relief on the Quality of Care
Condition: Quality of Work Life of Psychiatric Nurses; Impact on Quality of Care
Study type: Observational

Summary: 
      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 lead to greater loyalty, greater motivation of nurses and greater attractiveness
      within the community. '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 work life of
      psychiatric nurses and to determine the elements that can help to strengthen it. Moreover, it
      appears that the field of psychiatry could constitute an ideal field of experimentation.
      Psychiatry teams treat patients with chronic, severe and debilitating conditions, which are
      subject to significant social stigmatization, 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 working life among
      psychiatric nurses seems to us an important goal in order to put in place actions to
      strengthen psychological well-being at work, and thus to reduce turn-over and improve the
      quality of care.
    

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.
    

Intervention name(s): Quality of live at work
Intervention type(s): Behavioral
Intervention description(s): The judging criteria will be collected using two questionnaires: a questionnaire sent to the local referent of each center and a questionnaire for each nurse. Because the study is longitudinal (two collections of data), the questionnaires will be completed twice to twelve months apart by the same nurses.
Observational model: Cohort
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        -  Nurse with a degree in the state or psychiatric sector.

          -  Working in a psychiatric ward that offers full hospitalization, a day hospital (HdJ)
             or a medico-psychological center (CMP).
      
Keywords: Quality of life at work;Nurse;Quality of care;psychiatric