‘I feel like a salesperson’: the effect of multiple‐source care funding on the experiences and views of nursing home nurses in England

Abstract

Citation: Thompson, Juliana, Cook, Glenda and Duschinsky, Robbie (2015) 'I feel like a salesperson': the effect of multiple-source care funding on the experiences and views of nursing home nurses in England. Nursing Inquiry, 22 (2). pp. [168][169][170][171][172][173][174][175][176][177] Northumbria University has developed Northumbria Research Link (NRL) to enable users to access the University's research output. Copyright © and moral rights for items on NRL are retained by the individual author(s) and/or other copyright owners. Single copies of full items can be reproduced, displayed or performed, and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided the authors, title and full bibliographic details are given, as well as a hyperlink and/or URL to the original metadata page. The content must not be changed in any way. Full items must not be sold commercially in any format or medium without formal permission of the copyright holder. The full policy is available online: http://nrl.northumbria.ac.uk/policies.html This document may differ from the final, published version of the research and has been made available online in accordance with publisher policies. To read and/or cite from the published version of the research, please visit the publisher's website (a subscription may be required.) 'I feel like a salesperson': the effect of multiple-source care funding on the experiences and views of nursing home nurses in EnglandThompson, Juliana Cook, Glenda Duschinsky, Robbie AbstractThe difficulties faced in the recruitment and retention of nursing staff in nursing homes for older people is an international challenge. It is therefore essential that the causes of nurses' reluctance to work in these settings are determined. This paper considers the influence that multiple-source care funding issues have on nursing home nurses' experiences and views regarding the practice and appeal of the role. The methodology for this study was hermeneutic phenomenology. Thirteen nurses from seven nursing homes in the North East of England were interviewed in a sequence of up to five interviews, and data was analysed using a literary analysis method. Findings indicate that participants are uncomfortable with the business aspects that funding issues bring to their role. The primary difficulties faced are: tensions between care issues and funding issues; challenges associated with 'selling beds'; and coping with self-funding residents' changing expectations of care. The findings of the study suggest that multiple-source care funding systems that operate in nursing homes for older people pose challenges to nursing home nurses. Some of these challenges may impact on their recruitment and retention.

Facilitators and Barriers Surrounding the Role of Administration in Employee Job Satisfaction in Long-Term Care Facilities: A Systematic Review

“…Lack of training with medically complex patients (8.16%) [22,24,25,65,75,79] and prohibitive environmental characteristics [22,33,54,68] each occurred 8 times (8.16%). Lack of leadership training [22,24,28,29,31] and business aspects interfering with care [80] occurred 7 times respectively (7.14%). High coworker conflicts occurred 6 times (6.12%) [34,35,46,47,78].…”

“…Thompson/2015 [80] To consider the influence of multiple-source care funding issues on nursing-home nurses' job satisfaction.…”

Professional development and career planning for nurses working in care homes for older people: A scoping review

“…Professional development needs identified in Dyck and Kim (2018) exploratory descriptive study included knowledge and skills related to pressure ulcer care, infectious diseases, mental and emotional problems, and managing multiple long-term conditions. Reflecting the view reported earlier that residents' health status is relatively stable, participants in Thompson's (2015) study reported that the care home nurse role requires less clinical skills related to acute conditions than other areas of adult nursing. However, they do require more social work skills to support residents and their families deal with internal family conflict and help prepare them for the intensity of their involvement with families.…”

“…Thirty-seven articles for full-text evaluation were retrieved, and of these, 25 met the inclusion criteria (Figure 1). The three articles by Thompson et al (2015Thompson et al ( , 2016Thompson et al ( , 2018 were retrieved from the author's PhD Thesis (Thompson, 2015).…”

A multifaceted intervention to reduce antimicrobial prescribing in care homes: a non-randomised feasibility study and process evaluation

“…We were also aware that turnover of staff can be substantial in care homes (figures range from 19-42% annually). 38,39 Thus, we anticipated that further training would be needed over the course of the study for staff who were unable to attend a training session as well as newly employed staff. Therefore, we decided to also develop the training in DVD and online formats.…”