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

Abstract

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.

Challenges and coping experiences faced by nursing staff in long-term care facilities in China: a qualitative meta-analysis

“…The analysis included 15 studies ( 39 – 53 ) that covered various Chinese provinces, such as Yunnan ( n = 1), Shandong ( n = 2), Hubei ( n = 1), Guangxi ( n = 3), Chongqing ( n = 1), Hebei ( n = 1), Jiangsu ( n = 1), Hunan ( n = 1), Sichuan ( n = 1), Fujian ( n = 1), Tianjin ( n = 1), and Zhejiang ( n = 1). These studies involved a total of 109 registered nurse and 96 nursing aides.…”

“…It's not enough to raise children and pay off the mortgage. I have no savings in recent years, and the economic pressure is great ( 39 ).” Additionally, some nursing staff describe the challenges of long working hours and lack of sufficient rest. “ Every other day, I have to work an extra shift, from 07:00 to 19:00 ( 46 ).” Moreover, discussions among nursing staff highlight the shortage of hospital resources and staff, leading to increased pressure.…”

“…Moreover, a lack of emotional support from family or friends can further burden their mental wellbeing. “ And some relatives heard that I was a Nursing staff, and in the nursing home, they said that I was not as good as a nanny ( 39 )”. Consequently, due to the fear of discrimination, nursing staff may hesitate to disclose their profession, which exacerbates feelings of inferiority.…”

“…It created a significant psychological gap ( 53 ).” Additionally, the pressure could be influenced by comparisons among peers. “ My classmates earn almost twice as much money as I do in general hospitals, which makes me reluctant to continue ( 39 ).” As the pressure continues to build, some nursing staff express a growing sense of dissatisfaction in their career. “ To be honest, I don't believe long-term nursing staff play a vital role in the process of older adult care… It seems to revolve around injections, infusions, and medications ( 39 ).” Excessive pressure can even impact the mental health of nursing staff.…”

“…It's not enough to raise children and pay off the mortgage. I have no savings in recent years, and the economic pressure is great (39)." Additionally, some nursing staff describe the challenges of long working hours and lack of sufficient rest.…”