Emotionsarbeit im Rettungsdienst

Einleitung: Emotionale Erschöpfung, ein zentraler Aspekt der Emotionsarbeit, beschreibt psychische Erschöpfung durch anhaltende emotionale Belastungen. Rettungsdienstmitarbeitende sind solchen Belastungen besonders ausgesetzt, weshalb Emotionsregulation essenziell ist. Ziel: Ziel dieser Arbeit ist die Analyse emotionaler Erschöpfung und deren Einflussfaktoren im Rettungsdienst der Deutschschweiz. Untersucht wird der Zusammenhang zwischen emotionaler Erschöpfung und Emotionsarbeit (Deep und Surface Acting) sowie der Einfluss sozialer Unterstützung und der Anzahl an Dienstjahren. Methode: Eine quantitative Umfrage bei den Mitarbeitenden der Rettungsdienste in der Deutschschweiz mit standardisierten Skalen zu emotionaler Erschöpfung, Emotionsregulation und sozialer Unterstützung wurde durchgeführt. Ergebnisse: Die emotionale Erschöpfung war insgesamt gering. Ebenso traten emotionale Dissonanzen selten auf, da eine hohe emotionale Übereinstimmung vorlag. Deep und Surface Acting wurden wenig genutzt. Ein signifikanter negativer Zusammenhang bestand zwischen sozialer Unterstützung und emotionaler Erschöpfung. Schlussfolgerung: In den Rettungsdiensten der Deutschschweiz herrscht eine geringe emotionale Erschöpfung, was mit einer geringen emotionalen Dissonanz sowie einer hohen sozialen Unterstützung einhergeht

Physiotherapy utilization and cost dynamics in Switzerland : insights from claims data analysis and expert interviews (2017–2023)

Text auf Englisch, Zusammenfassung auf Englisch, Französisch und DeutschPhysiotherapy is critical in meeting the healthcare needs of Switzerland’s aging and increas-ingly multimorbid population. While the findings underscore its growing importance, they also reveal areas for improvement, including more structured, evidence-based approaches to pre-scribing and therapy planning. Such strategies will empower providers and prescribing physi-cians to optimize physiotherapy’s impact, ensuring it remains an effective, cost-effective, and widely accessible therapeutic option. La physiothérapie joue un rôle central dans la prise en charge de la population suisse vieillis-sante et de plus en plus multimorbide. Les résultats de l'étude mettent en évidence l'impor-tance croissante de la physiothérapie, mais montrent également que des améliorations sont nécessaires, par exemple en ce qui concerne l'introduction d'approches plus structurées et basées sur les preuves pour l'indication, la prescription et la planification du traitement. Cela permettra aux prestataires de soins et aux médecins prescripteurs d'optimiser l'efficacité de la physiothérapie et d'assurer sa pérennité en tant qu'option thérapeutique efficace, rentable et accessible. Die Physiotherapie spielt eine zentrale Rolle in der Versorgung der alternden und zunehmend multimorbiden Bevölkerung der Schweiz. Die Studienergebnisse verdeutlichen die wachsende Bedeutung der Physiotherapie, zeigen jedoch auch Verbesserungsbedarf auf, etwa in Bezug auf die Einführung stärker strukturierter und evidenzbasierter Ansätze für Indikation, Anordnung und Therapieplanung. Dies ermöglicht es Leistungserbringern und anordnenden Ärzt:innen, die Wirksamkeit der Physiotherapie zu optimieren und ihren Bestand als effektive, kosteneffiziente und zugängliche Therapieoption nachhaltig zu sichern

Midwives’ work situation and job satisfaction in obstetric institutions across Switzerland : mapping the institutional landscape of birth care

Introduction: Switzerland's midwifery workforce might be facing uncertainties, with many midwives leaving the profession early. A shortage of midwives, as seen in many countries over the world, can impact the quality of maternity care. Understanding the factors influencing job satisfaction is crucial to ensuring sustainability in midwifery care . This ongoing dissertation project explores the current work and staff situation, as well as the job satisfaction of midwives in Swiss obstetric institutions, aiming to generate relevant recommendations. Methods: The dissertation project is linked to the SOCRATES-study, funded by the SNSF, and consists of cross-sectional observational surveys. The first study assesses midwives’ staff and work situation nationwide through surveys conducted with obstetric institutions. The Swiss Federation of Midwives (SHV) and experts with experience in various midwifery settings contributed to the development of this questionnaire. The second study examines job satisfaction and well-being among midwives working in intrapartum care across Switzerland. The linkage of data across both surveys allows for a comprehensive analysis within a third study. Findings will be statistically evaluated and visually represented. Results: This research identifies key factors influencing midwives’ job satisfaction and focusses their work and staff situations. The mapping of the institutional landscape of birth care across Switzerland (Figure 1) is a result of the study preparation. It highlights the institutional density and diversity and serves as a starting point for in-depth analyses of midwives' job satisfaction. Relevance: A deeper understanding of midwifery workplace and workforce dynamics is important for ensuring high quality care. This research’s recommendations will support obstetric institutions in enhancing job satisfaction, addressing possible staff shortages, and ultimately improving birth care in Switzerland

Understanding barriers and drivers of active and micromobility to reduce car dependency in Switzerland

The transport sector is a major contributor to CO₂ emissions, with private combustion engine cars being a leading source. While vehicle electrification is crucial, it alone will not be able to mitigate the congestion challenges associated with expected population growth without compromising quality of life. This study explores the potential of active and micro-mobility to replace car trips and reduce energy consumption. In Switzerland, where many short-distance trips are still made by car, active and micro-mobility offer significant substitution potential. We assess their role both as stand-alone modes and as facilitators of intermodal mobility solutions. Previous research has predominantly focused on urban populations already inclined towards active and micro-mobility. In contrast, this study concentrates on high car users to identify critical barriers to active and micro-mobility adoption from their perspective. Key factors examined include comfort, perceived safety, time efficiency, cost, ease of use, and other psychological factors. Additionally, we assess the impact of socio-demographic, behavioural, and cultural factors on the adoption of active and micro-mobility. A large-scale survey of over 1,000 car-oriented participants will capture different perspectives on the drivers and barriers of active and micro-mobility. Multivariate statistical methods, such as regression analysis, will be used to examine the relationships between user attitudes and characteristics and the adoption of active and micro-mobility modes. This paper will present preliminary results from this survey, highlighting key psychological and socio-demographic barriers to adoption. These findings aim to provide a comprehensive understanding of the barriers car users face in adopting active and micro-mobility, and to support decision makers and service providers in developing user-centred solutions tailored to this group. This research supports Switzerland's transition to low-carbon, sustainable mobility, providing both environmental and social benefits to the country's evolving mobility landscape

From intention to behaviour : how individual entrepreneurial orientation and job fit influence employee intrapreneurship in SMEs

This study examines the intention–behaviour dynamics of intrapreneurship at the individual level, an area that remains largely underexplored compared with the widely studied domain of firm-level intrapreneurship. Based upon the theory of planned behaviour, we investigate the relationships between individual entrepreneurial orientation (intention), job fit (context) and employee intrapreneurship (behaviour) in small- and medium-sized enterprises (SMEs). We, therefore, conducted moderated regression analyses using a sample of 649 employees from SMEs. Our results indicate that individual entrepreneurial orientation has a positive effect on employee intrapreneurship, whereas surprisingly, job fit has no significant effect. However, job fit positively moderates the relationship between individual entrepreneurial orientation and employee intrapreneurship, especially its subdimensions person–organization fit and demands–abilities fit. Our findings enhance the theoretical comprehension of intrapreneurship, particularly the connection between intention and behaviour, while also offering valuable practical insights for the contextual employment settings within SMEs

Contributing factors of the preferred retirement age in nursing professionals : cross-sectional results of the German lidA cohort study

Aim: In Germany, the need for care will rise significantly. However, most nurses want to retire before reaching the official retirement age. The preferred retirement age is a critical factor of the retirement decision. This study examines contributing factors of the preferred retirement age and reasons for early retirement preference of older nurses. Methods: Interview data from the fourth wave 2022/2023 of the representative German lidA cohort study was analyzed (Nnurses = 418). Proportions, including 95 %-confidence interval (CI) of twelve reasons for an early exit preference were investigated. Linear regression models were used to investigate the effects of personal and work-related factors of nurses’ preferred retirement age. Results: The majority (70.6 %) preferred to retire early. The most significant reason for this preference was the desire for more leisure time (79.3 %). A higher age, better health, lower household income, long-term care settings, job satisfaction (B = 0.68, 95 %-CI = 0.38; 0.99) and job involvement (B = 0.68, 95 %-CI = 0.22; 1.15) were positively associated with nurses’ preferred retirement age. Whereas physical strain (B = -0.36, 95 %-CI = -0.65; -0.08) and psychosocial stress (B = -0.65, 95 %-CI = -0.94; -0.37) were negatively associated with the outcome. Conclusion: Our results highlight the need for healthy and stimulating work conditions that fit with nurses’ life circumstances. Besides the widely recognized physical and psychosocial work-related burdens, organizations should prioritize creating favorable conditions for job satisfaction and involvement. This is essential to motivate these urgently needed professionals to remain longer