Evidence map›Paper›PMID 39979883›Full record

Observational studyBMC health services research2025

Work restrictions among healthcare providers in a northern Italian public academic hospital: an observational study.

Silvia Pazzaglia, Martina Bruno, Simone Gambazza, Filippo Binda, Alberto Bisesti, Jessica Graziella Calegari, Dario Laquintana

Abstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Silvia Pazzaglia *Department of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Via Francesco Sforza 35, 20122, Milan, Italy.ORCID http://orcid.org/0009-0000-9269-6903
Martina Bruno *Department of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Via Francesco Sforza 35, 20122, Milan, Italy.ORCID http://orcid.org/0009-0004-0288-6439
Simone GambazzaDepartment of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Via Francesco Sforza 35, 20122, Milan, Italy. simone.gambazza@unimi.it.ORCID http://orcid.org/0000-0002-6225-2989
Filippo BindaDepartment of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Via Francesco Sforza 35, 20122, Milan, Italy.ORCID http://orcid.org/0000-0002-2937-2698
Alberto BisestiDepartment of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Via Francesco Sforza 35, 20122, Milan, Italy.
Jessica Graziella CalegariDepartment of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Via Francesco Sforza 35, 20122, Milan, Italy.
Dario LaquintanaDepartment of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Via Francesco Sforza 35, 20122, Milan, Italy.ORCID http://orcid.org/0000-0001-8552-2630

Funding

Ministero della Salute Current Research IRCCS
6 · The paper itself

Abstract

backgroundReduced work capacity in public hospitals has organizational repercussions, given the aging population, the shortage of healthcare workers, and the greater demand for healthcare services. In this study, we analysed the characteristics of staff assessed as "fit with restrictions" at a public academic hospital in northern Italy. We also aimed to identify individual and work-related variables that may be associated with the probability and timing of being "fit with restrictions".

methodsIn this single-center observational study, sociodemographic data from staff employed in the Department of Healthcare Professions at our institution were analyzed using logistic regression to assess any associations between staff characteristics and the probability of being "fit with restrictions". Additionally, a multivariable Cox proportional hazard model was fitted to investigate the potential association between staff characteristics and the timing of their first assessment as "fit with restrictions".

resultsThe study population was 2251 employees of which 18.4% (415/2251) were "fit with restrictions"; 56.1% (233/415) of nursing staff had at least one restriction, whereas 72.3% (300/415) of staff with restrictions had a permanent restriction. Sex was not associated with the probability of being "fit with restrictions" (odds ratio [OR] 0.75, 95%CI: 0.55 to 1.03). However, the probability was 22.9% lower (95%CI: 14.1% to 31.8%) for rehabilitation and technical healthcare staff compared to that of nurses and midwives. The Cox model showed an increase in the hazards of being "fit with restrictions" by a factor of 1.30 (95%CI: 1.02-1.68) for females.

conclusionsA significant proportion of nursing staff face mobility and posture restrictions, with older hires and greater seniority associated with higher probabilities of restrictions. These findings underscore the importance of addressing aging and workplace conditions in the public healthcare sector, particularly considering differences across job profiles and sex.

Indexed as

Health PersonnelHospitals, PublicAdultFemaleHumansItalyMaleMiddle AgedProportional Hazards ModelsHealthcare providersHospital personnel managementItalyOccupational healthPublic hospitalWork-fitness

Identifiers

PMID39979883
PMCPMC11840990

What OpenQuestion holds

Textmetadata
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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.