Long‐term care services and care workers in Hangzhou City, China: A cross‐sectional survey

Shao-hua, Hong; Yu, Ping; Chen, Xueping; Qian, Siyu

doi:10.1111/jonm.12842

Cited by 6 publications

(8 citation statements)

References 11 publications

(10 reference statements)

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“…At the same time, this study demonstrates that long‐term care nurses generally had low academic qualifications, lacked nursing knowledge and skills, and often felt overwhelmed in the face of elderly care work. Hong et al (2019) pointed out that insufficient education may lead to inadequate professional knowledge of long‐term care nurses, making it difficult for long‐term care nurses to perform complex long‐term care work. Due to the late start of elderly nursing education in China and the lack of a unified and complete training system for elderly nursing education, few long‐term nurses have received systematic and standardized training on elderly nursing‐related knowledge and skills before they enter the workforce (McGilton et al, 2016), resulting in lack of professional skills and nursing ability.…”

Section: Discussionmentioning

confidence: 99%

The work status of nurses in long‐term care institutions in elderly care: A qualitative descriptive study

et al. 2023

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AimTo understand the work status of nurses in long‐term care institutions in China for elderly care to provide a reference for further formulating management strategies and promoting the development of long‐term care teams.MethodsUsing qualitative descriptive research methods, 31 nurses from three long‐term care institutions were selected through purposive sampling for in‐depth interviews, and a three‐week participatory observation was conducted on the daily work of nurses in the above three long‐term care institutions. Content analysis was used to analyse data.ResultsIn our sample, nurses in long‐term care institutions had insufficient manpower, generally had low academic qualifications, and lacked professional ability. Their work enthusiasm and initiative need to be further improved. Long‐term care nurses were moderately paid, and their salary satisfaction was lower than in other trades. At the same time, the social understanding of the long‐term care industry was insufficient, and the social identity of nurses in long‐term care institutions was low.ConclusionThe development of long‐term care requires the joint efforts of nurses, medical institutions, and society. By improving the system, cultivating talents and building a harmonious atmosphere, we aim to enhance the work enthusiasm of long‐term care nurses and promote the stable and orderly development of the long‐term care team.Implications for nursing managementNurses in long‐term care institutions are at the core of the ageing age and play a vital role in coping with the ageing problem, meeting long‐term care needs, improving the quality of life of old people and reducing the cost of long‐term care. The training and management of nurses in long‐term care institutions and the construction of the entire long‐term care system should be based on China's national conditions and actual needs.

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Section: Discussionmentioning

confidence: 99%

The work status of nurses in long‐term care institutions in elderly care: A qualitative descriptive study

et al. 2023

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“…Another problem existing in China's ACFs is insufficient personnel allocation. It is reported that the ratio of nursing staff to the elderly residents in most ACFs in Hunan Province is usually 1:6, and some ACFs even reach 1:10 (Hong et al, 2019), far below the standard of 1:3 set by the Hunan Provincial government (Department of Civil Affairs of Hunan Provincial, 2020). When an excessive number of elderly residents are assigned to nursing staff in ACFs, they have no other option but to physically restrain the residents to complete the caring work on time, which increases the use of physical restraints in China's ACFs (Lee et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Use of physical restraints and its associated risk factors in the aged care facilities: A multicentre cross‐sectional study

Zhang

Luo

et al. 2022

Journal of Clinical Nursing

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Aims and Objectives To investigate the use of physical restraints in aged care facilities(ACFs)and analyse its associated risk factors. Background Physical restraints have been widely used in ACFs worldwide, but they can cause physical and mental harm to older people. It is important to regulate the use of physical restraint. Design A cross‐sectional observational and correlational multicentre study. Methods By convenience sampling method, we selected eight ACFs in four representative regions of Hunan province, China, for this study. The ACF‐related information was obtained by interviewing the managers and reviewing records. We conducted investigation and observation on the elderly in the ACFs to understand the use of physical restraints at three different times: 9:30–11:30, 16:00–18:00 and 19:30–21:30 on a working day. The STROBE checklist was followed for this cross‐sectional study. Results This study found that the utilisation rate of physical restraints was 23.2%. The critical risk factors affecting the use of physical restrains include the following: (1) the ratio of nursing staff to the elderly residents; (2)whether there is a dementia care unit at the facility; (3) the number of elderly residents in each room; (4) the elderly residents' age, degree of education, marital status, care dependence and cognitive impairment; (5) whether the elderly has suffered from a stroke or senile dementia; (6) whether the elderly carries medical catheters. Conclusion There is a lack of standardisation in the use of physical restraints in ACFs of central China. Chinese ACFs should develop guidelines and reduction measures to standardise the use of physical restraints, basing on the key factors affecting the use of physical restraints. Relevance to clinical practice The use of physical restraints in ACFs is threatening the safety of the elderly residents. Understanding the implementation of physical restraint in ACFs can provide reference for reducing the use of physical restraint.

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“…Multimorbidity is associated with a wide range of disabilities and functional decline, which increase the demand for medical services. Unlike long-term health facility residents who have professional caregivers available 24 hours a day [40], people receive home-based long-term care services at a xed time. This may explain the association between multimorbidity and health service use in homebased long-term care residents.…”

Section: Discussionmentioning

confidence: 99%

Mediation Role of Health Service Use and Depression on Multimorbidity and Self-rated Health in Home-based Long-term Care Residents: a Cross-sectional Study

Yan

Peng

et al. 2021

Preprint

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Background: Multimorbidity is common among older people and a major cause of reduced quality of life. The study aim was to investigate the relationship between multimorbidity and self-rated health and its mediators in home-based long-term care residents.Methods: Participants were 1067 home-based long-term care residents covered by long-term care insurance in Shanghai. Stratified sampling was used to select participants from six Shanghai districts. Data were collected using face-to-face interviews. Multimorbidity was defined as co-occurrence of ≥2 chronic diseases in the same person. The 30-item Geriatric Depression Scale was used to assess depressive symptoms. Structural equation modeling was used for data analysis.Results: The findings showed that 59.4% of participants had multimorbidity and 67.7% reported depressive symptoms. The mean self-rated health score was 1.97 (standard deviation [SD] = 0.861) and mean health service use frequency was 1.61 (SD = 3.406) per month. Compared with participants with no multimorbidity, those with multimorbidity were more likely to report low self-rated health (β = −0.141, p<0.001), more severe depressive symptoms (β = 0.100, p<0.001), and more health service use (β = 0.121, p<0.001). Low self-rated health may be caused by depression and health service use (β = −0.280, p<0.001). The effect of multimorbidity on self-rated health was significantly mediated by depression (β = −0.024, p<0.001) and health service use (β = −0.034, p<0.001).Conclusion: Multimorbidity is associated with self-rated health, and depression and health service use mediate this association. Prevention and proper management of multimorbidity and depression in long-term care residents may help to maintain and improve quality of life.

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Long‐term care services and care workers in Hangzhou City, China: A cross‐sectional survey

Cited by 6 publications

References 11 publications

The work status of nurses in long‐term care institutions in elderly care: A qualitative descriptive study

The work status of nurses in long‐term care institutions in elderly care: A qualitative descriptive study

Use of physical restraints and its associated risk factors in the aged care facilities: A multicentre cross‐sectional study

Mediation Role of Health Service Use and Depression on Multimorbidity and Self-rated Health in Home-based Long-term Care Residents: a Cross-sectional Study

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