ArticleAnnals of work exposures and health2021
What Determines Step-Rate at Work? An Investigation of Factors at the Shift, Worker, Ward, and Nursing Home Levels in Eldercare.
Article in Annals of work exposures and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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Who cites it
4 citing papers in PubMed.
- Occupational physical demands in eldercare workers: a systematic scoping review of studies reporting quantitative data.European journal of applied physiology · 2026Article
- Differences in the temporal patterns of occupational time on feet and sitting between homecare and nursing home workers.Annals of work exposures and health · 2025Article
- What determines childcare workers physical behaviours at work? An investigation of determinants at the institution, team, and worker levels in Danish day nurseries.Annals of work exposures and health · 2025Article
- Organizational strategies of eldercare work and health - Is the daily number of residents cared for over 14 months associated with back pain?Scandinavian journal of work, environment & health · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesCurrent knowledge on the determinants of step-rate at different organizational levels is limited. Thus, our aim was to identify, in eldercare, at what workplace level differences in step-rate occur and to identify determinants of workers' step-rate at these levels.
methodsParticipants were 420 eldercare workers from 17 nursing homes (126 wards) in Denmark. Accelerometry was used to assess step-rate (steps per hour) of workers over multiple shifts. We assessed various determinants at different levels of the workplace, i.e. at the (i) shift, (ii) worker, (iii) ward, and (iv) nursing home levels. Variance components analysis identified the percentage contribution to total variance in step-rate from each respective level. Multi-level linear regression modelling was used to investigate the association between candidate determinants at each level and step-rate.
resultsDifferences in eldercare workers' step-rate occurred primarily between shifts (within workers; 44.9%) and between workers (within wards; 49.1%). A higher step-rate was associated with: (i) weekend and evening shifts (versus weekday/day); (ii) job as a care helper (versus care aide) and an increased proportion of time spent on direct care tasks; (iii) working in a somatic ward (versus dementia), an increased resident-staff ratio and permission to take unscheduled breaks; and (iv) lack of elevators.
conclusionsWe found that nearly all variability in step-rate in eldercare work occurs between shifts (within workers) and between workers (within wards). The main determinants of step-rate were related to the type of shift, type of work tasks, staffing ratio, break policy, and availability of elevators.
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