An Exploration of Job Design in Long-Term Care Facilities and its Effect on Nursing Employee Satisfaction

Tyler, Denise; Parker, Victoria A.; Engle, Ryann L.; Brandeis, Gary H.; Hickey, Elaine C.; Rosen, Amy K.; Wang, Fei; Berlowitz, Dan R.

doi:10.1097/00004010-200604000-00007

Cited by 29 publications

(23 citation statements)

References 9 publications

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“…Observations previously conducted, as part of a larger study (Tyler et al, 2006), were used to categorise 20 long-term care facilities by teamwork amount: high, moderate, or low. After all facilities were categorised, all moderate-teamwork facilities were dropped from the sample leaving four high-teamwork and five low-teamwork facilities for analysis.…”

Section: Site Selectionmentioning

confidence: 99%

Nursing home culture, teamwork, and culture change

Tyler

2010

Journal of Research in Nursing

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Aims: Most developed countries are taking steps to move away from institutional models of care for the aged, in an attempt to both improve quality of life for those receiving care and improve the work of those providing care. In the USA, the concept of 'culture change' (CC) encompasses a variety of philosophical and practice models being employed to de-institutionalise skilled nursing facilities, also known as long-term care (LTC) facilities. Teamwork among direct-care workers is often promoted as an important aspect of culture change. However, a recent study found that, among facilities attempting CC, teamwork was the least commonly implemented CC component. This suggests that facilities may be having difficulty implementing teamwork and also raises questions about the link between teamwork and facility organisational culture. This study examined the relationship between teamwork and organisational culture in the LTC setting. Methods: Observations in 20 LTC facilities were used to identify facilities with high and low amounts of teamwork. Interviews with nursing staff from four high-teamwork and five low-teamwork facilities were compared to determine the aspects of organisational culture associated with teamwork, and explore how teamwork might be sustained in LTC facilities. Findings: Aspects of culture, including positive staff attitudes toward co-workers, were associated with high-teamwork facilities. Managerial modelling of these attitudes may be one factor that helps sustain teamwork. Conclusions: LTC facility managers may need to adjust their own attitudes and behaviour to support teamwork in their facilities. This has implications for facilities attempting to de-institutionalise.

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Section: Site Selectionmentioning

confidence: 99%

Nursing home culture, teamwork, and culture change

Tyler

2010

Journal of Research in Nursing

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“…Such administrative tasks are often perceived as not directly relating to care and as preventing nurses from interacting with their patients (Tyler et al . ). In this evolving context, what qualifies as ‘administrative work’, its relationship to the wider nursing role and where/when/why it is considered a ‘burden’ remains insufficiently explored (Allen ).…”

Section: Introductionmentioning

confidence: 97%

The content and meaning of administrative work: a qualitative study of nursing practices

Michel

Waelli

Allen

et al. 2017

Journal of Advanced Nursing

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Aim:To investigate the content and meaning of nurses' administrative work.Background: Nurses often report that administrative work keeps them away from bedside care. The content and meaning of this work remains insufficiently explored. Design:Comparative case studies. Method:The investigation took place in 2014. It was based on 254 hours of observations and 27 interviews with nurses and staff in two contrasting units: intensive care and long term care. A time and motion study was also performed over a period of 96 hours.Results: Documentation and Organizational Activities is composed of 6 categories; documenting the patient record, coordination, management of patient flow, transmission of information, reporting quality indicators, ordering supplies-stock management Equal amounts of time were spent on these activities in each case. Nurses did not express complaints about documentation in intensive care, whereas they reported feeling frustrated by it in long term care. These differences reflected the extent to which these activities could be integrated into nurses' clinical work, and this is in turn was related to a number of factors: staff ratios, informatics, and relevance to nursing work.Conclusion: Documentation and Organizational Activities are a main component of care.The meaning nurses attribute to them is dependent on organizational context. These activities are often perceived as competing with bedside care, but this does not have to be the case. The challenge for managers is to fully integrate them into nursing practice.Results also suggest that nurses' Documentation and Organizational Activities should be incorporated into informatics strategies.Keywords: nurses, administrative work, documentation, perception, activity timing. Summary StatementWhy is this research needed?• A great deal of nurses' work is composed of administrative and organizing work, essential for the process of care.• Nurses express the feeling of being frustrated by the increasing time spent on socalled "administrative work".• The content of this "administrative work" and why it is considered a burden remains insufficiently explored. Studying nurses' activities and perceptions in different wards enables us to better understand the organizational factors influencing nursing practices and perceptions.What are the key findings?• Nurses' administrative work is composed of six primary categories:documenting the patient record, coordination of activities and examinations/investigations, management of patient flow, transmission of information, tracking and reporting quality indicators, ordering supplies and stock management.• Both units spent an equal amount of time on Documentation and OrganizationalActivities, but the work had different meaning for nurses.• The meaning of Documentation and Organizational Activities reflects not only the time spent on these activities but their integration with nurses' work in the local context of care.• Staff ratios, effective use of electronic health information systems, and the relevance of Documentatio...

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“…In one study of job satisfaction among CNAs in nursing homes, Castle (2007) found that CNAs were satisfied working with residents but less satisfied with their pay and workload. Findings from a study conducted in eastern Massachusetts nursing homes indicated that CNAs were more satisfied with their work in nursing homes than licensed nurses (Tyler et al, 2006). Still, studies on the linkage between job satisfaction and actual turnover among CNAs are sparse.…”

Section: Introductionmentioning

confidence: 99%

A long‐term follow‐up and management study of hepatocellular carcinoma patients surviving for 10 years or longer after curative hepatectomy

Shimada

Sano

Sakamoto

et al. 2005

Cancer

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BACKGROUNDThe aims of the current study were to elucidate the clinicopathologic characteristics and disease recurrence patterns of patients with hepatocellular carcinoma (HCC) who survived for 10 years or longer after undergoing an initial hepatectomy.METHODSBetween January 1987 and December 1993, 578 patients underwent potentially curative hepatectomy at the study institution. Disease recurrence and follow‐up data were available for 481 of these patients, who then were followed for more than 10 years after the initial hepatectomy. Fourteen clinicopathologic features were compared between the 10‐year survivors and those patients who died within 10 years after the surgery. The risk factors for disease recurrence, the recurrence status, time to recurrence, and treatment modalities for recurrence were examined among the 10‐year survivors.RESULTSThere were 105 10‐year survivors (21.8%), including 42 disease‐free survivors (8.7%). Favorable independent factors found to be correlated with 10‐year survival were age < 55 years, a plasma retention rate of indocyanine green at 15 minutes of < 15%, the presence of a solitary tumor, the absence of intrahepatic metastases, the absence of portal vein invasion, and the absence of underlying cirrhosis. A negative test for the the hepatitis C antibody and the absence of intrahepatic metastases were found to be independent predictive factors for 10‐year disease‐free survival among the 10‐year survivors.CONCLUSIONSThe results suggest that younger patients without underlying cirrhosis who have a solitary HCC that does not demonstrate vascular invasion might survive for longer than 10 years after the initial hepatectomy. In addition to close surveillance in such patients after hepatectomy, repeat hepatectomy, local ablation therapy, and transhepatic arterial chemoembolization may contribute to long‐term survival, even if disease recurrence occurs. Cancer 2005. © 2005 American Cancer Society.

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An Exploration of Job Design in Long-Term Care Facilities and its Effect on Nursing Employee Satisfaction

Abstract: This study used quantitative and qualitative methods to examine the design of nursing jobs in long-term care facilities and the effect of job design on employee satisfaction.

Cited by 29 publications

References 9 publications

Nursing home culture, teamwork, and culture change

Nursing home culture, teamwork, and culture change

The content and meaning of administrative work: a qualitative study of nursing practices

A long‐term follow‐up and management study of hepatocellular carcinoma patients surviving for 10 years or longer after curative hepatectomy

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