Supervisory relationships in long-term care facilities: A comparative case study of two facilities using complexity science

Escrig-Piñol, Astrid; Corazzini, Kirsten; Blodgett, Meagan B.; Chu, Charlene H.; McGilton, Katherine S.

doi:10.1111/jonm.12681

Cited by 22 publications

(36 citation statements)

References 33 publications

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“…There should be an acknowledgement that a certain level of experience is required to meet the demands placed upon charge nurses by the multiple dimensions and responsibilities of this role. We may be setting charge nurses up for failure and jeopardising their health by recruiting new graduates for this role, which may lead to deleterious effects on resident outcomes (Prentice et al, ), the work environment and staff outcomes (Escrig‐Pinol et al, ).…”

Section: Discussionmentioning

confidence: 99%

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Unpacking the multiple dimensions and levels of responsibility of the charge nurse role in long‐term care facilities

Escrig-Piñol

Hempinstall

McGilton

2019

Int J Older People Nursing

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Aim The charge nurse in long‐term care facilities (LTCFs) performs a multiplicity of tasks that range from oversight of the entire facility to directly assisting residents in activities of daily living. In order to refine resident‐centred care strategies and to increase the quality of care provided in LTCFs, this study aims at gaining a more nuanced understanding of the different dimensions of the charge nurse role as a central figure in these institutions. Methods Data were generated through semi‐structured interviews. A purposive sample of ten Registered Nurses in a charge nurse role, diverse in experience, age, gender and background, was recruited from five LTCFs in Ontario, Canada. The study used a combination of conventional and direct qualitative content analyses. Findings All tasks performed by the charge nurses were categorised in four dimensions: clinical, supervisory, team support and managerial. Administration was a cross‐cutting sub‐dimension which has gained presence over the years. Depending on the shift worked and the organisational structure of the facility, each dimension gained or lost weight as part of the overall role. Conclusion These findings suggest that the charge nurse role is in a state of flux and lacking standardisation within and across facilities. LTCFs would benefit from increasing recognition of the role according to the wide range of tasks performed and responsibilities assumed, and by recruiting their charge nurses accordingly. Implications for practice The proposed conceptual framework could be used to map and assess charge nurses’ workloads and responsibilities, in order to enhance staff satisfaction and resident‐centred care in LTCFs.

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Section: Discussionmentioning

confidence: 99%

“…All project data were collected in 2015, including the subset of data used for this study (i.e., interviews with RNs). Further details on the project's background and methodology are included in recent publications (Escrig‐Pinol, Corazzini, Blodgett, Chu, & McGilton, ; Prentice et al, ).…”

Section: Methodsmentioning

confidence: 99%

Unpacking the multiple dimensions and levels of responsibility of the charge nurse role in long‐term care facilities

Escrig-Piñol

Hempinstall

McGilton

2019

Int J Older People Nursing

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“…Supervisors need to focus on supporting their staff, and provide opportunities to build knowledge and skills to address and reduce resident's responsive behaviours. These actions would influence nursing homes staffs' satisfaction with work, and ultimately their retention (Chu et al, 2016;Escrig-Pinol et al, 2019;Bethell et al, 2018).…”

Section: Impli C Ati On S For N Ur S Ing Manag Ementmentioning

confidence: 99%

“…In summary, previous research has identified that supervisory support, work effectiveness and work empowerment have been positively associated with job satisfaction of nurses and NAs (Aloisio et al., 2019; Chamberlain et al., 2016; Li et al., 2013; Schwendimann et al., 2016; Squires et al., 2015). It has also been suggested that supervisors have a key role in addressing stressful resident issues of their staff and that positive work environments and effective collaboration among team members have positive outcomes (Escrig‐Pinol et al., 2019). Examples of this include the following: lower risk of staff assault (Isaksson, 2013; Sharipova et al., 2010), and reduced staff stress linked to residents with responsive behaviours by fostering staff to work together to be responsive to resident needs, and for supervisors to pitch in to support staff when required (Escrig‐Pinol et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

The influence of supervisory support, work effectiveness, work empowerment and stress secondary to residents' responsive behaviours on job satisfaction of nursing staff: A multisite cross‐sectional study

et al. 2020

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Aim To examine the association between stress secondary to residents' responsive behaviours and job satisfaction of nurses and nursing assistants working in nursing homes. To test whether supervisory support, work effectiveness and work empowerment confound this relationship. Background Understanding how the stress secondary to residents' responsive behaviours influences job satisfaction for staff and determining the factors influencing this relationship are important for retention of staff in nursing homes. The term ‘responsive behaviours’ refers to the subset of behavioural and psychological symptoms of dementia. Methods Survey responses from 191 nursing assistants and 81 nurses in five nursing homes in Ontario were analysed. Results Staff's stress attributed to residents' responsive behaviours was negatively associated with job satisfaction. This direct effect was weakened by more than a third through the confounding net effects of supervisory support, work effectiveness and work empowerment. Conclusion The work environment created by leaders in nursing homes can lessen the influence of stress secondary to residents' responsive behaviours on staffs' job satisfaction. Implications for Nursing Management Supervisors need training and education to support and mentor their staff effectively, and to guide their use of evidence‐based practices that integrate the patient‐centred care approach in order to effectively respond and minimize responsive behaviours.

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“…With the aging of global population, the needs for long-term care (LTC) have increased signi cantly. However, most of long-term care facilities (LTCFs) have been faced with the sta ng challenges, resulting in poor capacity to provide competent and high-quality long-term care to the elderly [1][2][3]. Health care aides (HCAs, equivalent to nursing assistants) provided 80%~90% of the direct care to LTCF residents [4].…”

Section: Introductionmentioning

confidence: 99%

The Supportive Supervisory Scale: Psychometric Properties in Chinese Health Care Aides Samples

Tian

Dong

et al. 2020

Preprint

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Objective To sinicize the Supportive Supervisory Scale (SSS) and analyze the psychometric properties of the Chinese version of SSS (SSS-C).Methods The SSS (the original English version) was firstly sinicized and adjusted, then its psychometric properties were examined in 300 health care aides from four long-term care (LTC) facilities. SPSS 22.0 was used to process the data and calculate the reliability and validity. Results The 15-item SSS-C had satisfactory internal consistency (Cronbach’s α coefficient=0.852), split half reliability (Spearman-Brown coefficient=0.834) and test-retest reliability (Pearson correlation coefficient=0.784). Three factors were extracted, four items were deleted because their communality was less than 0.4 and the remaining 11 items could explain 55.654% of the total variance. The discriminant validity of the SSS-C varied significantly between sites.Conclusions The Chinese version of SSS can be used to effectively measure the supervisory support of the nurses within the LTC settings.

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Supervisory relationships in long-term care facilities: A comparative case study of two facilities using complexity science

Abstract: Nurse managers who provide effective supervisory support can improve the quality of care provided to their residents.

Cited by 22 publications

References 33 publications

Unpacking the multiple dimensions and levels of responsibility of the charge nurse role in long‐term care facilities

Unpacking the multiple dimensions and levels of responsibility of the charge nurse role in long‐term care facilities

The influence of supervisory support, work effectiveness, work empowerment and stress secondary to residents' responsive behaviours on job satisfaction of nursing staff: A multisite cross‐sectional study

The Supportive Supervisory Scale: Psychometric Properties in Chinese Health Care Aides Samples

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