Burnout in UK care home staff and its effect on staff turnover: MARQUE English national care home longitudinal survey

Costello, Harry; Cooper, Claudia; Marston, Louise; Livingston, Gill

doi:10.1093/ageing/afz118

Cited by 32 publications

(28 citation statements)

References 29 publications

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“…Whilst they often possess little knowledge of their working rights and the UK's history of trade unionisation, they also work long and unsociable hours (Shutes, 2012). According to Costello et al (2020), care home staff in their study experienced an average lowlevel burnout but one-third of staff experienced high-level burnout. Whilst this was not connected to turnover rates, it was linked poor quality care.…”

Section: Introductionmentioning

confidence: 97%

Working, living and dying in COVID times: perspectives from frontline adult social care workers in the UK

Briggs

Telford

Lloyd³

et al. 2021

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Purpose This paper aims to explore 15 UK adult social care workers’ experiences during the COVID-19 pandemic. Design/methodology/approach This paper’s 15 open-ended interviews with adult social care workers are complemented by digital ethnography in COVID-19 social media forums. This data set is taken from a global mixed-methods study, involving over 2,000 participants from 59 different countries. Findings Workers reported a lack of planning, guidance and basic provisions including personal protective equipment. Work intensification brought stress, workload pressure and mental health problems. Family difficulties and challenges of living through the pandemic, often related to government restrictions, intensified these working conditions with precarious living arrangements. The workers also relayed a myriad of challenges for their residents in which, the circumstances appear to have exacerbated dementia and general health problems including dehydration, delirium and loneliness. Whilst COVID-19 was seen as partially responsible for resident deaths, the sudden disruptions to daily life and prohibitions on family visits were identified as additional contributing factors in rapid and sudden decline. Research limitations/implications Whilst the paper’s sample cohort is small, given the significance of COVID-19 at this present time the findings shed important light on the care home experience as well as act as a baseline for future study. Social implications Care homes bore the brunt of illness and death during the first and second COVID-19 waves in the UK, and many of the problems identified here have still yet to be actioned by the government. As people approach the summer months, an urgent review is required of what happened in care homes and this paper could act as some part of that evidence gathering. Originality/value This paper offers revealing insights from frontline care home workers and thus provides an empirical snapshot during this unique phase in recent history. It also builds upon the preliminary/emerging qualitative research evidence on how the COVID-19 pandemic impacted care homes, care workers and the residents.

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Section: Introductionmentioning

confidence: 97%

Working, living and dying in COVID times: perspectives from frontline adult social care workers in the UK

Briggs

Telford

Lloyd³

et al. 2021

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“…Both existing and new staff require appropriate training on infection control and adapting to new roles and responsibilities. With previous issues noted around care home staff retention and turnover rates generally in the UK(Costello et al 2019;Donoghue 2009), ensuring that standardised training is undertaken may be challenging and must be considered in future training and service planning.There are some limitations to note. Fewer participants from BAME backgrounds undertook this research due to the convenience sampling method, and future research strategies should consider an alternative method in order to capture the views of a broader population.…”

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confidence: 99%

Working in a care home during the COVID-19 pandemic: How has the pandemic changed working practices?

Giebel

Cannon

et al. 2021

Preprint

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The aim of this research was to explore the impact of COVID-19 on the working practices of care home staff, caring for people living with dementia. Remote qualitative, semi-structured interviews were conducted with care home staff caring for people living with dementia (PLWD) in the UK. Participants were recruited to the larger programme of research via convenience sampling. Interviews were conducted via telephone or online platforms. This research employed inductive thematic analysis. Sixteen care home staff were included in this study. Three overarching themes were developed from the analysis that conveyed changes to the everyday working practices of the care home workforce and the impact such changes posed to staff wellbeing: (1) Practical implications of working in a care home during the COVID-19 pandemic; (2); Staff values and changes to the staff roles (3): Impact to the care home staff and concerns for the care sector. The COVID-19 pandemic has significantly disrupted the daily working practices of care home staff, with staff forced to adopt additional roles on top of increased workloads to compensate for the loss of external agencies and support. Support and guidance must be offered urgently to inform care home staff on how to best adapt to their new working practices, ensuring that they are adequately trained.

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“…Care workers have been widely known as 'undervalued' (Himmelweit, 2007;Nelson and Gordon, 2007;Bjerregaard, 2014;NAO, 2018a;Rolfe, 2020) with this term being frequently used in reports of care worker's views and closely linked to high numbers of care workers reporting 'burnout' (Clough, 2018;Albert, 2019;Costello et al, 2020). For a long time, care work has been considered as doing people's 'dirty work' (Stacey, 2005) providing intimate, personal care to vulnerable adults who are unable to care for themselves (Bjerregaard et al, 2014).…”

Section: Paymentioning

confidence: 99%

“…This could (Bjerregaard, 2014;NAO, 2018a). This, therefore, may result in 'burnout' and being set unrealistic goals without having the power to speak up or make any changes to how they can achieve them (Clough, 2018;Albert, 2019;Costello et al, 2020;Rolfe, 2020). Effective where care workers feel inspired to excel in their role and work in an environment where care workers strive to improve their performance.…”

Section: Wellbeing Value and Recognitionmentioning

confidence: 99%

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Care Worker Perceptions of Recruitment and Retention in Adult Social Care Settings

Pitarella¹

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In England, the Adult Social Care (ASC) sector continues to grow and is faced with repeated scrutiny regarding the availability and effectiveness of care workers. This results in difficult challenges for organisations, such as funding demands, recruitment costs, and job satisfaction. These challenges are combined with the increasing demand to meet the needs of vulnerable adults and provide high-quality care. Some organisations have improved their delivery of care, whilst others have declined in quality as providers have struggled with the challenges they face (Care Quality Commission (CQC), 2019). These challenges are exacerbated by the high turnover in staffing levels. Although organisations have processes in place, such as exit interviews, there appears to be a lack of clear identification of the causes of turnover in ASC settings. This research study contributes to the debate on how to improve recruitment and retention in ASC settings. This research takes a qualitative approach and seeks to highlight key factors affecting recruitment and retention issues through the views and experiences of care workers to consider strategies to improve the workforce and quality of care for vulnerable adults. This thesis presents findings from semi-structured interviews with present care workers and managers from 2019-2020 working in residential care homes, domiciliary care providers and supported accommodation. The research identified that individual personalities, pay, training, management, and organisational practices are all influential to care worker satisfaction.

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Burnout in UK care home staff and its effect on staff turnover: MARQUE English national care home longitudinal survey

Cited by 32 publications

References 29 publications

Working, living and dying in COVID times: perspectives from frontline adult social care workers in the UK

Working, living and dying in COVID times: perspectives from frontline adult social care workers in the UK

Working in a care home during the COVID-19 pandemic: How has the pandemic changed working practices?

Care Worker Perceptions of Recruitment and Retention in Adult Social Care Settings

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