Evidence map›Paper›PMID 41053856›Full record

ArticleBMC nursing2025

Job demands and general health of nursing staff in German nursing homes during the COVID-19 pandemic: the buffering effect of job resources.

Anna Hirschmüller, Aline Wege, Pavel Dietz, Albert Nienhaus, Elisabeth Diehl

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Anna HirschmüllerInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131, Mainz, Germany. anna.hirschmueller@unimedizin-mainz.de.
Aline WegeInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131, Mainz, Germany.
Pavel DietzInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131, Mainz, Germany.
Albert NienhausDepartment for Occupational Medicine, Hazardous Substances and Health Science, Institution for Accident Insurance and Prevention in the Health and Welfare Services (BGW), Pappelallee 33/35/37, 22089, Hamburg, Germany.
Elisabeth DiehlInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNursing staff in nursing homes face high workloads, negatively impacting their health. This issue is exacerbated by workforce shortages and rising care needs, highlighting the necessity of identifying resources that mitigate workload-related stress.

methodsA cross-sectional survey was conducted among 364 nurses from 55 nursing homes in Rhineland-Palatinate, Germany, at the end of 2021 during the COVID-19 pandemic. Quantitative demands, personal and job-related resources and general health were assessed using the Copenhagen Psychosocial Questionnaire (COPSOQ), the Brief Resilience Scale (BRS), and the German general self-efficacy short scale (ASKU). Moderator analyses were conducted to examine the buffering effect of resources on the impact of job demands on general health.

resultsHigh quantitative demands were significantly associated with poorer general health among nursing staff. Job-related resources, including sense of community (β = 0.27, p < .001), support at work (β = 0.12, p = .031), and commitment to workplace (β = 0.13, p = .013), moderated the negative effect of job demands on general health. Personal resources such as resilience and self-efficacy did not emerge as significant moderators.

conclusionsResults show that nursing staff with higher levels of job resources experienced less deterioration in general health under increasing job demands. This demonstrates the importance of fostering organizational resources to mitigate the adverse health effects of high workload in this context. Therefore, systemic organizational changes may be more impactful than personal resource-focused strategies in addressing stress for nursing staff. Interventions that enhance workplace cohesion, support, and commitment are likely to yield benefits for nurses' health.

Indexed as

Job demandsNursing staffOccupational healthResources

Identifiers

PMID41053856
PMCPMC12502166

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LicenceCC BY
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Registered trials

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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.