Caring self-efficacy of direct care workers in residential aged care settings: A mixed methods scoping review

Shrestha, Sumina; Alharbi, Rayan Jafnan; Wells, Yvonne; While, Christine; Rahman, Muhammad Aziz

doi:10.1016/j.gerinurse.2021.09.014

Cited by 10 publications

(20 citation statements)

References 58 publications

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“…Second, higher levels of confidence significantly predicted lower emotional and depersonalization levels and higher personal accomplishment levels while controlling for covariates. Similar to Shrestha et al [ 27 ]’s mixed methods scoping review study, this study found that higher self-confidence in RAC staff were negatively associated with burnout levels. Results from our study supported findings from Duffy et al [ 23 ]’s study where greater levels of self-efficacy in care staff had significantly contributed to lower levels of emotional exhaustion and depersonalization and higher levels of personal accomplishment [ 23 ].…”

Section: Discussionsupporting

confidence: 80%

“…There is also growing evidence for a significant relationship between staff burnout levels and their confidence in managing older adults [ 23 , 26 ]. In a recent mixed methods scoping review, Shrestha et al [ 27 ] investigated caring self-efficacy in direct care workers employed in residential aged care settings and findings from their study showed that self-efficacy was negatively associated with burnout and work stress. In addition, Duffy et al [ 23 ] examined the association of burnout and aged care staff's confidence in caring for older adults with dementia.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the relationship between co-worker and supervisor support, self- confidence, coping skills and burnout in residential aged care staff

2022

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Background Staff working in residential aged care facilities face unique challenges and stressors in their workplaces which increase their risk for occupational burnout. Burnout in this workforce results in low job satisfaction, increased levels of absenteeism and poor retention rates. Given Australia’s ageing population and the demand for residential aged care staff, it is imperative to explore predictors of burnout in this cohort in order to help staff prevent and manage burnout. Methods This study examined the extent to which co-worker and supervisor support, self-confidence and adaptive coping skills predicted burnout among residential aged care staff, after controlling for staff demographics, organisational climate and work patterns. One hundred and thirty three residential aged care staff across Australia were surveyed using online questionnaires measuring levels of co-worker and supervisor support, self- confidence, adaptive coping skills and burnout. Results Regression analyses indicated that, overall, co-worker and supervisor support, self-confidence, and adaptive coping predicted each dimension of burnout (emotional exhaustion, depersonalization and personal accomplishment). After controlling for covariates and other predictors: confidence significantly predicted all three dimensions; support significantly predicted emotional exhaustion and depersonalization, and adaptive coping significantly predicted emotional exhaustion. Conclusion These findings suggest that co-worker and supervisor support, self- confidence and adaptive coping skills need to be addressed to prevent and manage occupational burnout for residential aged care staff in Australia.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Exploring the relationship between co-worker and supervisor support, self- confidence, coping skills and burnout in residential aged care staff

2022

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“…19 Although several other measures to assess the selfefficacy of aged care workers have been identified in the literature, most were developed specifically to measure self-efficacy in dementia care. 7 None of these measures emphasises measuring the self-efficacy of residential aged care workers to provide overall care to older residents.…”

Section: Caring Efficacy Scalementioning

confidence: 99%

“…[4][5][6] Self-efficacy in caring refers to perceived confidence of care workers in their ability to provide care to their patients or clients, meet their caring needs, establish meaningful interpersonal relationships with them and deal appropriately in challenging situations. [7][8][9] One of the popular tools to measure caring self-efficacy is the Caring Efficacy Scale (CES). The 30-item self-report CES was developed by Coates 9 in the United States to measure the confidence of nurses and other caregivers in developing caring relationships with their patients, and expressing caring skills, attitudes and behaviours when providing care.…”

Section: Introductionmentioning

confidence: 99%

“…Self‐efficacy in caring refers to perceived confidence of care workers in their ability to provide care to their patients or clients, meet their caring needs, establish meaningful interpersonal relationships with them and deal appropriately in challenging situations 7–9 . One of the popular tools to measure caring self‐efficacy is the Caring Efficacy Scale (CES).…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the Caring Efficacy Scale among personal care attendants working in residential aged care settings

et al. 2023

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ObjectiveThis study assessed the psychometric properties of the Caring Efficacy Scale (CES) among personal care attendants providing care to older residents in residential aged care settings.MethodsThis cross‐sectional study was completed in Australia in 2020–2021. Confirmatory factor analysis (CFA) of the 30‐item original CES (Model 1) and 28‐item CES validated in registered nurses (Model 2) was conducted to assess the goodness of fit of these models in our study population. Due to unsatisfactory fit indices for both models, exploratory factor analysis (EFA) was conducted to examine the dimensionality and underlying structure of the original CES among personal care attendants. Internal consistency of the final scale and subscales identified was examined using item‐total correlations and Cronbach's alpha coefficients.ResultsTwo hundred and eighty personal care attendants participated in the study. The model fit indices such as Comparative Fit Index and Tucker Lewis Index of both models were less than 0.90, while the Standardised Root Mean Square Residual and Root Mean Square of Approximation values were greater than or equal to 0.08 and 0.06, respectively. The EFA identified a two‐factor structure, and 22 items of the 30 in the original scale were retained. Item‐total correlations amongst items retained in the scale and subscales were greater than 0.3. Cronbach's alpha for the abbreviated scale was 0.85, with 0.83 and 0.79, respectively, for the two subscales.ConclusionsThe modified CES can be used as a robust tool to assess the self‐efficacy of personal care attendants in providing care to older residents in residential aged care settings.

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Mentoring medical students as a means to increase healthcare assistant status: A qualitative study

Davison,

Semlyen,

Lindqvist

2024

Nursing Open

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AimTo offer a practical way in which the status of healthcare assistants (HCAs) can be increased by drawing on their experience, knowledge and skillset, whilst mentoring medical students during an HCA project.DesignQualitative, reflexive thematic analysis.MethodsOne‐to‐one semi‐structured interviews were conducted between April and June 2019, with 13 participants. Participants included five healthcare assistants; three practice development nurses, two of whom were former HCAs; one registered general nurse and four clinical educators.ResultsTwo themes were identified: HCAs as silent, invisible caregivers (theme 1) and the formation of an HCA identity through mentoring (theme 2). HCAs are often silent performers of complex patient care with limited opportunity to engage in the interprofessional team dialogue. Social perceptions of HCAs describe them as a marginalised, poorly understood, ‘unqualified’ group with ‘lowly status’. Mentoring medical students allows HCAs to draw on their experience, knowledge and skillset by actively contributing to the learning and development of future doctors.ConclusionThe mentoring of medical students gave HCAs an active voice within the interprofessional team, instilling their confidence and self‐worth. Mentoring allowed HCAs to move from a homogenous, group‐based social identity to a role‐based one that enabled HCAs to reveal the true extent of their work whilst negotiating their place and identity within the interprofessional team.ImpactLeaders in healthcare will see that a re‐evaluation of HCAs as performers of basic, hands‐on patient care is needed to breakdown ingrained beliefs, eliminating a ‘us and them’ mentality. Involving HCAs in the mentoring of medical students will impact on the personal development of both HCAs and medical students in the cultivation of a future, person‐centred, inclusive and collaborative workforce.Reporting MethodCOREQ guidelines to enhance methodological rigour were strictly adhered to.Patient and Public InvolvementThere is no patient or public involvement.

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Caring self-efficacy of direct care workers in residential aged care settings: A mixed methods scoping review

Cited by 10 publications

References 58 publications

Exploring the relationship between co-worker and supervisor support, self- confidence, coping skills and burnout in residential aged care staff

Exploring the relationship between co-worker and supervisor support, self- confidence, coping skills and burnout in residential aged care staff

Psychometric properties of the Caring Efficacy Scale among personal care attendants working in residential aged care settings

Mentoring medical students as a means to increase healthcare assistant status: A qualitative study

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