Longitudinal comparison of depression, coping, and turnover among NHS and private sector staff caring for people with dementia

Margallo-Lana, Marisa; Reichelt, Katharina; Hayes, Patricia A.; Lee, L; Fossey, J; O’Brien, John T.; Ballard, Clive

doi:10.1136/bmj.322.7289.769

Cited by 23 publications

(19 citation statements)

References 5 publications

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“…A high turnover rate for staffs caring for people with dementia was also revealed in the United Kingdom in private facilities (38%) and NHS facilities (16%) 3) . Moreover, the 1-year turnover rates were reported to be 56.4, 39.7 and 35.8% for certified nurse aides, licensed practical nurses, and registered nurses, respectively, in the USA 4) .…”

mentioning

confidence: 88%

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A Prospective Study of Factors Associated with Risk of Turnover among Care Workers in Group Homes for Elderly Individuals with Dementia

Suzumura

Fushiki

Kobayashi

et al. 2013

Journal of Occupational Health

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mentioning

confidence: 88%

“…Few prospective studies 3) have been conducted to assess risk factors associated with staff turnover in care workers, to our knowledge. Consequently, we conducted a prospective study of care workers at GHs to assess factors associated with risk of their turnover.…”

mentioning

confidence: 99%

A Prospective Study of Factors Associated with Risk of Turnover among Care Workers in Group Homes for Elderly Individuals with Dementia

Suzumura

Fushiki

Kobayashi

et al. 2013

Journal of Occupational Health

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“…La utilización preferente de este tipo de estrategias se ha relacionado con un peor bienestar, habiéndose demostrado que aquellas personas que utilizan preferentemente este tipo de estrategias manifiestan un mayor malestar físico 21 .…”

Section: ) Patrón De Afrontamiento Centrado En Las Emocionesunclassified

“…Específicamente, el afrontamiento activo ha resultado ser un factor protector contra el distrés psicológico 21 . Además, se ha demostrado que el afrontamiento centrado en el problema, actúa como un factor protector contra el distrés psicológico, mientras que el afrontamiento centrado en las emociones se ha relacionado positiva y significativamente con el distrés 22 .…”

Section: ) Patrón De Afrontamiento Centrado En Las Emocionesunclassified

Estrategias de afrontamiento ante el estrés y fuentes de recompensa profesional en médicos especialistas de la Comunidad Valenciana: un estudio con entrevistas semiestructuradas

Escribà‐Agüir¹,

Bernabé-Muñoz²

2002

Rev. Esp. Salud Publica

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Escuela Valenciana de Estudios para la Salud (EVES). Consejera de Sanitat. Generalitat Valenciana. (*) Trabajo financiado parcialmente con una ayuda del Fondo de Investigación Sanitaria (99/0704). RESUMENFundamento. Los profesionales de la medicina están particularmente expuestos a factores de riesgo psicosocial que pueden afectar su calidad de vida. La identificación de estrategias de afrontamiento frente al estrés y las fuentes de recompensa profesional permitiría instaurar medidas preventivas tendentes a moderar el efecto negativo de estos factores de riesgo. Los objetivos del presente trabajo son identificar las estrategias de afrontamiento ante el estrés que utilizan los médicos especialistas de seis hospitales públicos de la provincia de Valencia, y describir sus fuentes de recompensa y satisfacción profesional.Métodos. Estudio cualitativo realizado por entrevistas semiestructuradas individuales a 47 médicos especialistas de seis hospitales públicos de la provincia de Valencia. Las entrevistas han sido grabadas en audio y transcritas posteriormente. Se ha realizado un análisis del contenido del discurso.Resultados. Las estrategias de afrontamiento referidas con más frecuencia por los facultativos entrevistados, analizadas de manera general, son las centradas en las emociones y en concreto la desconexión conductual y la búsqueda de apoyo social emocional. Sin embargo, ante factores estresantes puntuales concretos de la práctica diaria, las estrategias más frecuentes son las centradas en el problema. Una parte importante de los médicos entrevistados manifiesta no tener ninguna recompensa laboral. Entre los que sí expresan elementos de recompensa, refieren en primer lugar el salario, seguido de la satisfacción personal por la dedicación a la medicina.Conclusiones. La inclusión de formación sobre estrategias de afrontamiento activo frente al estrés en el currículo profesional de los médicos, podría aumentar sus recursos personales para hacer frente al mismo. Además se deberían instaurar cambios organizacionales que aumenten las recompensas laborales.Palabras Clave: Personal sanitario. Estrategias de afrontamiento, recompensas laborales, estrés laboral, médicos, hospital. ABSTRACT Coping Stress Strategies and Source of Proffessional Gratification Among Specialist in the Community of Valencia. A Qualitative StudyBackground: The professionals in the medical field are particularly exposed to psychological risk factors which may affect their quality of life. Identification of stress coping strategies and the sources of professional rewards would afford the possibility of implementing preventive measures aimed a moderating the negative effect of these risk factors. The objectives of this study are to identify the stress coping strategies that are used by specialised doctors from six public hospitals of the Valencian Community, and to describe their sources of work reward and job satisfaction.

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“…homeopathy), environmental modifications and subjective barriers, but evidence on their effectiveness is scanty. 76,77 Also, the high levels of staff turnover, 78 the absence of an appropriate skill-mix and staff shortages in most care-facility settings has rendered the systematic application of non-pharmacological management techniques unfeasible. This has led to an increased imperative to utilize drug treatments, but unfortunately with an inadequate evidencebase to inform clinical practice.…”

Section: Behavioural and Psychological Symptoms In Dementia (Bpsd)mentioning

confidence: 99%

End-of-life care and dementia

Robinson

Hughes

Daley

et al. 2005

Rev. Clin. Gerontol.

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In the UK, research continues to confirm that people with certain chronic illnesses, such as chronic lung disease and cardiac failure, represent the ‘disadvantaged dying’ compared to those with terminal cancer. But what is the situation for people dying with advanced dementia and what is the experience of their carers? Practical guidance for clinicians is scarce. In Standard 7 of the National Service Framework for Older People, which covers mental health, there is mention neither of how care should be provided nor of how patient choice should be ensured for people with dementia at the end of life. In the UK, 5% of the population aged 65 and over and 20% of those aged 80 and over have dementia similar prevalence figures are found in the USA. Current predictions suggest that the number of people with dementia will increase by 40% by 2026 and will double by 2050. The increased demand for end-of-life care for people with dementia will be associated with major social and economic costs, but what is the current standard of such care? How can the quality be improved? And how should future services be configured to cope with this increasing need? In this paper, we review current knowledge around end-of-life care in dementia, discuss the clinical challenges and ethical dilemmas presented to carers, consider the difficulties in delivering such care and suggest practical approaches to improve the quality of such care.

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Longitudinal comparison of depression, coping, and turnover among NHS and private sector staff caring for people with dementia

Cited by 23 publications

References 5 publications

A Prospective Study of Factors Associated with Risk of Turnover among Care Workers in Group Homes for Elderly Individuals with Dementia

A Prospective Study of Factors Associated with Risk of Turnover among Care Workers in Group Homes for Elderly Individuals with Dementia

Estrategias de afrontamiento ante el estrés y fuentes de recompensa profesional en médicos especialistas de la Comunidad Valenciana: un estudio con entrevistas semiestructuradas

End-of-life care and dementia

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