The relationship between small-scale nursing home care for people with dementia and staff's perceived job characteristics

Willemse, Bernadette; Depla, Marja; Smit, Dieneke; Pot, Anne Margriet

doi:10.1017/s1041610214000015

Cited by 28 publications

(24 citation statements)

References 39 publications

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“…We also assessed job resources to adjust for and examine their influence. Four job resources were included: (a) Presence/absence of educational opportunities (Ono, Nanbu, & Natsuhara, ); (b) appropriate feedback or support from nursing managers (Udou et al., ); (c) cooperation between nurses and care workers; and (d) recognition of organisational philosophy (Willemse, Depla, Smit, & Pot, ). First, we asked participants whether they had educational opportunities (e.g., ‘How many times did you have seminar programmes inside/outside of the hospital within the last 3 months?’).…”

Section: Methodsmentioning

confidence: 99%

Work values and their association with burnout/work engagement among nurses in long-term care hospitals

et al. 2018

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Section: Methodsmentioning

confidence: 99%

Work values and their association with burnout/work engagement among nurses in long-term care hospitals

et al. 2018

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“…Dutch certified nurse assistants are comparable to licensed practical/vocational nurses in the United States [37]. There are also nurse assistants (educational level 2), nurse aides (educational level 1) as well as some uneducated staff [38]. In many LTCFs, the lowest percentage of staff are RNs (educational level 4) and BRNs (educational level 5).…”

Section: Methodsmentioning

confidence: 99%

Relationship between the presence of baccalaureate-educated RNs and quality of care: a cross-sectional study in Dutch long-term care facilities

Backhaus

Rossum

Verbeek

et al. 2017

BMC Health Serv Res

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BackgroundRecent evidence suggests that an increase in baccalaureate-educated registered nurses (BRNs) leads to better quality of care in hospitals. For geriatric long-term care facilities such as nursing homes, this relationship is less clear. Most studies assessing the relationship between nurse staffing and quality of care in long-term care facilities are US-based, and only a few have focused on the unique contribution of registered nurses. In this study, we focus on BRNs, as they are expected to serve as role models and change agents, while little is known about their unique contribution to quality of care in long-term care facilities.MethodsWe conducted a cross-sectional study among 282 wards and 6,145 residents from 95 Dutch long-term care facilities. The relationship between the presence of BRNs in wards and quality of care was assessed, controlling for background characteristics, i.e. ward size, and residents’ age, gender, length of stay, comorbidities, and care dependency status. Multilevel logistic regression analyses, using a generalized estimating equation approach, were performed.Results57% of the wards employed BRNs. In these wards, the BRNs delivered on average 4.8 min of care per resident per day. Among residents living in somatic wards that employed BRNs, the probability of experiencing a fall (odds ratio 1.44; 95% CI 1.06-1.96) and receiving antipsychotic drugs (odds ratio 2.15; 95% CI 1.66-2.78) was higher, whereas the probability of having an indwelling urinary catheter was lower (odds ratio 0.70; 95% CI 0.53-0.91). Among residents living in psychogeriatric wards that employed BRNs, the probability of experiencing a medication incident was lower (odds ratio 0.68; 95% CI 0.49-0.95). For residents from both ward types, the probability of suffering from nosocomial pressure ulcers did not significantly differ for residents in wards employing BRNs.ConclusionsIn wards that employed BRNs, their mean amount of time spent per resident was low, while quality of care on most wards was acceptable. No consistent evidence was found for a relationship between the presence of BRNs in wards and quality of care outcomes, controlling for background characteristics. Future studies should consider the mediating and moderating role of staffing-related work processes and ward environment characteristics on quality of care.

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“…Te Boekhorst, Willemse, Depla, Eefsting, and Pot () found that job demands were lower and job control and social support were higher in small‐scale, homelike nursing homes in comparison with traditional nursing homes. Evidence shows that it is not only the type of small‐scale living environment that seems to impact the staff's well‐being, but also the dose or level of small scaledness that seems to matter (Verbeek, ; Willemse, Depla, Smit, & Pot, ). Willemse and colleagues () showed that if the long‐term care facility more strictly adhered to the key principles of small‐scale care, the staff perceived more decision‐making authority and less work pressure.…”

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The Impact of Organizational Innovations in Nursing Homes on Staff Perceptions: A Secondary Data Analysis

Adams

Verbeek

Zwakhalen

2017

J of Nursing Scholarship

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Purpose: The shift in nursing home care for patients with dementia from traditional task-driven environments towards patient-centered small-scale environments has implications for nursing practice. Information about its implications for nursing staff is lacking, and only a few studies have addressed staff perceptions. We sought to explore staff perceptions of required skills and to determine differences in job satisfaction, motivation, and job characteristics of staff working in both care settings. Design: A secondary data analysis was conducted. The data source used was drawn from a larger study testing the effects of small-scale living . Methods: Nursing staff working on a permanent basis and who were directly involved in care were eligible to participate in the study. Data on job satisfaction, motivation, and job characteristics of nursing staff working in typical small-scale and traditional care environments were derived using a questionnaire. Data were analyzed using descriptive statistics. Differences between nursing staff job satisfaction, motivation, and job characteristics were tested using multilinear regression analysis. Findings: In total, 138 staff members were included (81 staff members working in traditional nursing home wards and 57 staff members working in smallscale nursing home wards). The findings showed that in typical small-scale nursing homes, job satisfaction and job motivation were significantly higher compared to those in typical traditional nursing homes. Job autonomy and social support were also significantly higher, while job demands were significantly lower in these small-scale nursing homes. Social support was found to be the most significant predictor of job motivation and job satisfaction in both types of typical nursing homes. Nursing staff working in traditional care environments more often expressed the intention to switch to small-scale environments. Conclusions: Based on the findings of this study, it can be concluded that nursing homes environments differ substantially in experienced job satisfaction and job motivation. Clinical Relevance: To enable a balanced work environment for nursing staff, a clear understanding of the relation between living environments and experienced job satisfaction among nursing staff is required. Since social support seems to be one of the key contributors to a supportive beneficial work climate, managers should focus on enabling this in daily nursing home care.

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The relationship between small-scale nursing home care for people with dementia and staff's perceived job characteristics

Cited by 28 publications

References 39 publications

Work values and their association with burnout/work engagement among nurses in long-term care hospitals

Work values and their association with burnout/work engagement among nurses in long-term care hospitals

Relationship between the presence of baccalaureate-educated RNs and quality of care: a cross-sectional study in Dutch long-term care facilities

The Impact of Organizational Innovations in Nursing Homes on Staff Perceptions: A Secondary Data Analysis

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