Evidence map›Paper›PMID 33061841›Full record

ArticleBMC nursing2020

Work environment-related factors and nurses' health outcomes: a cross-sectional study in Lebanese hospitals.

Martine Elbejjani, Mary Abed Al Ahad, Michael Simon, Dietmar Ausserhofer, Nuhad Dumit, Huda Abu-Saad Huijer, Suzanne R Dhaini

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Article in BMC nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Association Between Perceived Stress and Burnout Among Neonatal Intensive Care Nurses.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025
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  19. Team Workload and Performance of Healthcare Workers with Musculoskeletal Symptoms.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Martine ElbejjaniClinical Research Institute, and Department of Internal Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Mary Abed Al AhadHariri School of Nursing, American University of Beirut, Beirut, Lebanon.
Michael SimonInstitute of Nursing Science, University of Basel, Basel, Switzerland.
Dietmar AusserhoferInstitute of Nursing Science, University of Basel, Basel, Switzerland.
Nuhad DumitHariri School of Nursing, American University of Beirut, Beirut, Lebanon.
Huda Abu-Saad HuijerHariri School of Nursing, American University of Beirut, Beirut, Lebanon.
Suzanne R DhainiHariri School of Nursing, American University of Beirut, Beirut, Lebanon.ORCID 0000-0002-6073-604X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorldwide, studies show a relationship between nurses' health and some work environment factors; however, data on nurses' health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors: overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources and adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care)) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses.

methodsA cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two Lebanese university-affiliated hospitals; 170 RNs had complete data. Adjusted multivariable logistic regression models were used to estimate the association between work environment factors and health outcomes.

resultsThe most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disease was associated with higher overall (OR = 1.36 (95%CI = 1.03, 1.80)), temporal (OR = 1.30 (95%CI = 1.09, 1.55)), and physical demands (OR = 1.20 (95%CI = 1.03, 1.49)), higher task allocation to RNs (OR = 1.11 (95%CI = 1.01, 1.23)) and lower teamwork climate (OR = 0.60 (95%CI = 0.36, 0.98). Higher odds of mental/emotional problems were associated with higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18 to 88%). Work environment indicators were associated with higher co-occurrence of health problems.

conclusionsResults show elevated health burden and co-morbidity among Lebanese RNs and highlight the value of comprehensive approaches that can simultaneously improve several work environment factors (namely self-perceived workload, teamwork,, resources, and nursing task allocation) to reduce this burden.

Indexed as

Nurses’ healthNurses’ mental healthNurses’ physical healthnurse’s work environmentWork environment indicators

Identifiers

PMID33061841
PMCPMC7545948

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.