Personal and Work-Related Factors Associated with Good Care for Institutionalized Older Adults

Abstract

Despite efforts to promote good care, many institutionalized older adults (IOA) experience elevated neglectful conditions and reduced person-centered care approaches. Based on the job demand–control model, this study aimed to analyze the relationship between nursing home professionals’ personal and organizational factors and good care provided to institutionalized older people. Data was collected through a self-administered survey completed by 208 nursing home staff members. Three dimensions of personal factors (i.e., personal accomplishment, depersonalization, and negative old age stereotypes) were significant predictors of good care. Depersonalization and negative old age stereotypes were negatively associated with IOA, and both good care and personal accomplishment were positively associated with good care in nursing homes. Only one work-related factor (i.e., management support) was positively associated with good care. Personal factors may play a significant role in good care. Management support offers a promising mechanism to promote good care among nursing home professionals. The findings support the need to change the focus on entirely completing care tasks to providing good care of residents in nursing homes that promotes management support, personal accomplishment, personalization and positive old age consideration, attitudes, and behaviors. Policies and interventions should be developed to address in a more humanized way.

The Moderation of Perceived Comfort and Relations with Patients in the Relationship between Secure Workplace Attachment and Organizational Citizenship Behaviors in Elderly Facilities Staff

“…Our study lies within the theoretical framework of positive organizational behaviors (POBs) enacted by individuals, teams, organizations, and the health network as a whole [ 8 , 99 ], in the light of the promotion of healthcare humanization for the older adults [ 82 , 83 ], consistently with a healthy and active aging perspective [ 1 , 2 ]. In this view, caregivers’ OCBs can be considered as desirable outcomes promoting HAA.…”

“…Other important antecedents of an adequate caregiver-patient relationship are the caregiver professionals’ ability to actively listen [ 79 ] and communication skills in terms of assertiveness [ 80 , 81 ]. With regard to RFs, some scholars have emphasized the importance of the relationship between health care providers and the residents (e.g., [ 82 ]), whilst another study highlighted the operators’ professional skills involved in the care of the elderly, such as bonding and connection, tenderness and closeness, non-infantilization and respect [ 83 ]. Such skills can be considered as positive extra-role behaviors, which are necessary for the achievement and maintenance of an adequate level of relational humanization in these health care settings.…”

Burnout and Quality of Life in Professionals Working in Nursing Homes: The Moderating Effect of Stereotypes

“…Workers in nursing homes face residents´ disrupted behaviors, diseases, pain, and suffering every day. The presence of these factors could increase the probability of suffering from burnout March 2022 | Volume 13 | Article 772896 López-Frutos et al Quality of Life Nursing Homes (El Haj et al, 2020;López et al, 2021). Other research also suggests that decreased job satisfaction, workplace issues, or tasks performed may be factors leading to burnout (Gutierrez-Martínez et al, 2021).…”

“…It is important to study nursing homes professionals' burnout and its impact on their QoL not only for the need to protect and promote professionals' safety, health, and wellbeing but also the older adults they are caring for. For example, found lower levels of good care in professionals with higher levels of depersonalization in nursing homes (López et al, 2021). Understanding the process of how burnout affects professionals' QoL and how these variables are related to stereotypes toward older people will allow the development of interventions to promote the health of both workers and residents.…”

Enhancing the Quality of Care in Long-Term Care Settings

“…Research included took place around the world (UK, Australia, Taiwan, The Netherlands, Belgium, Korea, USA, Spain, Brazil, Germany, and Italy), used a range of methods, and examined quality of care from different angles. Five papers focused on workforce, adding important evidence around supporting staff with training [3], the influences on job competency, satisfaction, and intention to stay in work [4,5], staff burnout [6], and the relationship between staff and organisation with quality of care [7]. Evidence aimed at teams who work with the sector to improve quality of care was also included.…”