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Registered nurses’ health in community elderly careinSweden

While the prevalence of malnutrition in the free-living elderly population is relatively low, the risk of malnutrition increases dramatically in the institutionalized and hospitalized elderly. 1 The prevalence of malnutrition is even higher in cognitively impaired elderly individuals and is associated with cognitive decline. 2 Patients who are malnourished when admitted to the hospital tend to have longer hospital stays, experience more complications, and have greater risks of morbidity and mortality than those whose nutritional state is normal. 3 By identifying elderly persons who are malnourished or at risk of malnutrition either in the hospital or community setting, the MNA® allows clinicians to. | Nurses Work-Life Experiences Registered nurses health in community elderly care in Sweden K. Josefsson PHD RNT Associate Professor Senior Lecturer School of Health Care and Social Welfare Malardalen University Eskilstuna Sweden JOSEFSSON K. 2012 Registered nurses health in community elderly care in Sweden. International Nursing Review 59 409-415 Aim To describe registered nurses RNs ratings of their work-related health problems sickness presence and sickness absence in community care of older people. To describe RNs perceptions of time competence and emotional pressure at work. To describe associations between time knowledge and emotional pressure with RNs perceptions of work-related health problems sickness presence and sickness absence. Background There is a global nursing shortage. It is a challenge to provide working conditions that enable RNs to deliver quality nursing care. Method A descriptive design and a structured questionnaire were used. 213 RNs in 60 care homes for older people participated with a response rate of 62 . Findings RNs reported work-related health problems such as neck back disorders dry skin dry mucous membranes muscles joints disorders sleep disorders and headache. They had periods of fatigue unhappiness sadness because of their work 37 . Most of the RNs felt at times psychologically exhausted alter work with difficulties leaving their thoughts of work behind. RNs stated high sickness presence 68 and high sickness absence 63 . They perceived high time pressure adequate competence and emotional pressure at work. There was a weak to moderate correlation between RNs health problems and time pressure. Discussion We cannot afford a greater shortage of RNs in community care of older people. Politicians and employers need to develop a coordinated package of policies that provide a long-term and sustainable solution with healthy workplaces. Conclusion It is important to prevent RNs work-related health problems and time pressure at work. Keywords