Determination of Workload, Work Stress and Related Factors in Nursing Home Workers during the COVID-19 Pandemic in Turkey

Akdeniz, Şengül; Çoban, Mustafa; Koç, Orhan; Pekesen, Mehtap; Yaylagul, Nilufer Korkmaz; Ozekicioglu, Seda Sonmez; Yetiz, Filiz; Başıbüyük, Gülüşan Özgün; Efe, Mehmet; Ergun, Ayşe Dericioğullari; Özgür, Özlem; Vural, Melih; Akış, Aslı Gözde; Tufan, İsmail

doi:10.3390/ijerph20010160

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…Studies around the world documented challenging COVID-19 working conditions in nursing homes and noted substantial psychological impact on the workforce [19][20][21][22][23][24][25].…”

Section: Covid-19 and Ltc Staffmentioning

confidence: 99%

U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis

Dubé,

Nielsen,

McPhillips

et al. 2023

PLoS ONE

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Objectives To explore experiences of U.S. (United States) nursing home leadership during the COVID-19 pandemic in their efforts to address resident loneliness and social isolation and to elicit stories about personal and professional impacts on themselves and staff. Design Qualitative inquiry via three optional open-ended questions appended to a national self-administered survey of American nursing home leaders was employed. Textual data was analyzed using an iterative reflexive thematic approach. Setting and participants A stratified sample frame defined by facility size (beds: 30–99, 100+) and quality ratings (1, 2–4, 5) was employed. Web survey links and paper surveys were sent to 1,676 nursing home directors of nursing between February and May 2022. Results Open text responses were collected from 271 nursing homes. Broad themes included: 1) Addressing needs of residents & families; 2) Challenges; and 3) Personal experiences of nursing home leadership/staff. Respondents described trauma to residents, staff, and leadership. Resident loneliness was addressed using existing and newer technologies and innovative indoor and outdoor activities. Residents experienced fear, illness, loss, and sometimes death. Isolation from family and lack of touch were particularly difficult. Regulations were seen as punitive while ignoring emotional needs of residents. Staffing challenges and pressures to do more with less created additional stress. Leadership and staff made significant sacrifices resulting in physical, social, and emotional consequences. Beneficial outcomes included staff bonding, professional growth, and permanent implementation of new interventions. Conclusions and implications New and creative interventions were successfully implemented to address social isolation and loneliness. Improved Wi-Fi and other nursing home infrastructure upgrades are needed to maintain them. Reimagining often conflicting overlapping federal, state, and local regulations, grounding them in good clinical judgement, and incentivizing performance improvement should be considered. Trauma experienced by staff needs to be addressed to deal with current and future workforce needs.

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“…Studies around the world documented challenging COVID-19 working conditions in nursing homes and noted substantial psychological impact on the workforce [19][20][21][22][23][24][25].…”

Section: Covid-19 and Ltc Staffmentioning

confidence: 99%

U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis

Dubé,

Nielsen,

McPhillips

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Despite strict regulations within long-term care homes in North America, quality of care across homes remains an ongoing concern [2,3]. Te COVID-19 pandemic was an example of the shortcomings in long-term care homes globally creating an environment that is increasingly unpredictable, underresourced, and complex to lead [2,[4][5][6][7][8]. A public inquiry into the operations of the long-term care sector in Ontario, Canada, instigated by poor resident and family outcomes in the frst wave of COVID-19, revealed a neglected system and called for immediate government attention and investment [2,9,10]; similar fndings were also noted across long-term care homes in the United States [11] and Australia [12].…”

Section: Introductionmentioning

confidence: 99%

Examining the Director of Nursing Role in Long-Term Care: An Integrative Review

Fineczko,

Chu,

Cranley

et al. 2023

Journal of Nursing Management

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Aim. To identify and examine the structures and processes that support the director of nursing role in long-term care homes. Background. The director of nursing in long-term care homes is central to overseeing and supporting the workforce and delivery of safe, quality resident care. With ongoing health human resource challenges and an aging population requiring care from long-term care homes, it is important to understand what individual and organizational factors support the director of nursing leadership in these settings. Evaluation. This review was guided by Cooper’s five stages of the integrative review process. Donabedian’s structure-process-outcome framework was applied to synthesize the literature. Key Issue(s). Five individual-level structures (years of experience, level of education, demonstrated leadership capabilities, completed certification and/or established linkages with a professional association, and completed continuing education); three organizational-level structures (physical presence of leadership across the organization, a clear job description, and salary); and four processes (nursing home administrators and the director of nursing relationship, availability of onsite continuing education opportunities targeting directors of nursing and support for continuing education, cultivating relationships and enhancing networks beyond the long-term care home, and orientation to the role) were identified across 11 articles to support the director of nursing role in long-term care homes. Conclusion(s). The findings indicate that there are individual characteristics that support the director of nursing in their role. Notably, there are organizational structures and processes that can be modified at the practice and policy level to better recruit, retain, and support the performance of directors of nursing. Implications for Nursing Management. There are actionable steps that leaders and decision-makers can take to support nursing leadership across long-term care homes and directly address health human resource challenges.

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The Mediating Role of Stress Between Workload, Work Environment, and Performance of Factory Workers

Kaban,

Jacksen

2024

NUSAMBA

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Research Aim: This study investigates the influence of workload and work environment on employee performance, with work stress serving as the mediator Approach: The study employed a quantitative approach using SEM-PLS analysis. The sample included 75 factory workers selected through census sampling conducted from February to June 2023 at PT PSB, a manufacturing firm in Medan, North Sumatra Findings: Findings reveal that workload and work environment positively impact employee performance, mediated by work stress Theoretical Contribution/Originality: This research contributes to the literature by exploring work stress as a mediator in enhancing the understanding of employee performance within the manufacturing sector Policy Implication: Recommendations include PT PSB and similar companies prioritizing plant workers' stress levels, monitoring workload, and fostering a healthy workplace environment Research Limitation: The scope of the study was limited by the number of respondents and the factors considered in assessing employee productivity

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Determination of Workload, Work Stress and Related Factors in Nursing Home Workers during the COVID-19 Pandemic in Turkey

Cited by 3 publications

References 36 publications

U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis

U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis

Examining the Director of Nursing Role in Long-Term Care: An Integrative Review

The Mediating Role of Stress Between Workload, Work Environment, and Performance of Factory Workers

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