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Table 2 Mean values and changes between 2019 and 2022

From: Psychosocial burdens in palliative care – a longitudinal cohort study in nursing homes and impacts of the COVID-19 pandemic

Category

Interpretation of high mean values

2019

2022

Effects

t-test1

n

M

[95%-CI]

SD

n

M

[95%-CI]

SD

MD

d2

+/-3

t-value

df

p-value

Demands

             

Quantitative demands

negative

54

58.2

[52.71; 63.69]

20.6

57

52.3

[48.15; 56.45]

16.0

-5.9

0.321

+

1.68

99.98

0.096

Emotional demands

negative

55

76.6

[71.76; 81.44]

18.3

58

73.5

[68.87; 78.13]

18.0

-3.1

0.171

 

0.91

110.46

0.366

Hiding emotions

negative

55

48.0

[41.63; 54.37]

24.1

58

45

[38.98; 51.02]

23.4

-3.0

0.126

 

0.67

110.24

0.504

Work privacy conflicts4

negative

55

38.8

[30.92; 46.68]

29.8

58

38.9

[32.77; 45.03]

23.8

0.1

0.004

 

0.02

103.28

0.984

Dissolution

negative

55

37.5

[30.73; 44.27]

25.6

58

42.9

[36.65; 49.15]

24.3

5.4

0.217

-

-1.15

109.78

0.253

Influence and possibilities for development

             

Influence at work

positive

55

48.0

[42.11; 53.89]

22.3

58

53.4

[47.74; 59.06]

22.0

5.4

0.244

+

-1.30

110.50

0.198

Degrees of freedom (breaks/holidays)

positive

55

59.8

[53.35; 66.25]

24.4

58

69.4

[64.92; 73.88]

17.4

9.6

0.455

+

-2.40

97.22

0.018

Possibilities for development

positive

55

66.4

[61.17; 71.63]

19.8

58

65.7

[60.78; 70.62]

19.1

-0.7

0.036

 

0.19

110.12

0.849

Meaning of work

positive

55

88.9

[83.06; 94.74]

22.1

58

89.0

[85.32; 92.68]

14.3

0.1

0.005

 

0.03

91.70

0.977

Commitment to workplace

positive

55

65.7

[58.06; 73.34]

28.9

58

69.8

[64.22; 75.38]

21.7

4.1

0.161

 

0.85

100.08

0.398

Social relations and leadership

             

Predictability of work

positive

55

55.5

[49.18; 61.82]

23.9

58

59.5

[55.05; 63.95]

17.3

4.0

0.193

 

-1.02

98.06

0.313

Role clarity

positive

55

80.5

[76.85; 84.15]

13.8

58

77.2

[73.98; 80.42]

12.5

-3.3

0.251

-

1.33

108.50

0.186

Role conflicts

negative

55

38.8

[33.88; 43.72]

18.6

58

44.3

[39.08; 49.52]

20.3

5.5

0.282

-

-1.50

110.87

0.136

Quality of leadership

positive

55

61.7

[54.88; 68.52]

25.8

58

62.6

[56.91; 68.29]

22.1

0.9

0.038

 

-0.20

106.46

0.843

Support at work

positive

55

72.7

[67.18; 78.22]

20.9

58

75.2

[70.82; 79.58]

17.0

2.5

0.132

 

-0.70

104.17

0.488

Feedback

positive

55

57.3

[51.25; 63.35]

22.9

58

56.2

[50.74; 61.66]

21.2

-1.1

0.050

 

0.27

109.14

0.792

Quantity of social relations

positive

55

61.4

[54.24; 68.56]

27.1

58

56.9

[50.77; 63.03]

23.8

-4.5

0.177

 

0.94

107.43

0.351

Sense of community

positive

55

74.8

[70.41; 79.19]

16.6

58

77.4

[73.51; 81.29]

15.1

2.6

0.164

 

0.87

108.63

0.386

Unfair treatment

negative

55

24.5

[17.84; 31.16]

25.2

58

21.1

[15.34; 26.86]

22.4

-3.4

0.143

 

0.76

107.87

0.451

Trust and justice

positive

55

65.2

[61.00; 69.40]

15.9

58

67.3

[63.62; 70.98]

14.3

2.1

0.139

 

0.74

108.27

0.463

Recognition

positive

55

56.8

[49.24; 64.36]

28.6

58

61.6

[55.09; 68.11]

25.3

4.8

0.178

 

0.94

107.70

0.348

Additional factors

             

Work environment/physical demands

negative

55

40.0

[34.24; 45.76]

21.8

58

42.1

[36.49; 47.71]

21.8

2.1

0.096

 

0.51

110.68

0.610

Job insecurity

negative

55

22.9

[17.85; 27.95]

19.1

58

16.4

[10.92; 21.88]

21.3

-6.5

0.321

+

1.71

110.66

0.091

Insecurity over working conditions

negative

55

29.1

[22.23; 35.97]

26.0

58

22.3

[17.26; 27.34]

19.6

-6.8

0.296

+

1.56

110.29

0.121

Effects on job satisfaction and health

             

Intention to leave profession/job4

negative

55

14.5

[7.65; 21.35]

25.9

58

14.4

[9.18; 19.62]

20.3

-0.1

0.004

 

0.02

102.33

0.982

Job satisfaction

positive

55

65.2

[60.52; 69.88]

17.7

58

64.7

[60.92; 68.48]

14.7

-0.5

0.031

 

0.163

105.13

0.871

Work engagement

positive

55

73.8

[69.04; 78.56]

18.0

57

70.2

[65.22; 75.18]

19.2

-3.6

0.193

 

1.024

109.91

0.308

General health

positive

55

68.4

[62.56; 74.24]

22.1

57

71.9

[67.12; 76.68]

18.4

3.5

0.172

 

-0.91

105.07

0.365

Burnout symptoms

negative

55

52.3

[46.30; 58.30]

22.7

58

49.0

[43.78; 54.22]

20.3

-3.3

0.153

 

0.81

108.08

0.418

Presenteeism

negative

55

52.7

[45.54; 59.86]

27.1

58

40.9

[33.59; 48.21]

28.4

-11.8

0.425

+

2.26

111.00

0.026

Inability to relax

negative

53

43.4

[35.35; 51.45]

29.9

58

38.8

[31.85; 45.75]

27.0

-4.6

0.162

 

0.85

105.12

0.398

Contact to residents and relatives

             

Conflicts with relatives

negative

55

15.0

[9.82; 20.18]

19.6

57

15.8

[12.01; 19.59]

14.6

0.8

0.046

 

-0.24

99.74

0.808

Burnout symptoms related to relatives

negative

55

26.0

[20.79; 31.21]

19.7

58

32.0

[27.34; 36.66]

18.1

6.0

0.318

-

-1.683

108.93

0.095

Conflicts with residents

negative

53

40.5

[34.20; 46.80]

23.4

58

39.1

[32.38; 45.82]

26.1

-1.4

0.056

 

0.298

108.96

0.766

Burnout symptoms related to residents

negative

53

31.0

[26.26; 35.74]

17.6

58

27.2

[22.03; 32.37]

20.1

-3.8

0.201

+

1.062

108.81

0.291

  1. CI: Confidence interval; df: Degree of freedom; M: Mean; MD: Mean difference; n: Total number of individuals in the sample; SD: Standard deviation
  2. 1 Welch t-test (95%-CI, α = 0.05); 2 Cohen’s d (95%-CI); 3+: Relevant positive change between 2019 and 2022 (d ≥ 0.2); -: Relevant negative change between 2019 and 2022 (d ≥ 0.2); 4 Scale adjustments between 2019 and 2022