Validation method training: nurses' experiences and ratings of work climate

Söderlund, Mona; Hansebo, Görel

doi:10.1111/opn.12027

Cited by 22 publications

(58 citation statements)

References 36 publications

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“…We categorised 6 of the 27 qualitative papers and 6 of the 22 quantitative papers as higher quality. The relevant studies took place in the USA, 32–43 Sweden, 44–52 Australia, 53–60 the Netherlands, 61–67 the UK, 68–70 Norway, 71–74 Portugal, 75 76 Canada, 77 78 Ireland 79 and Germany. 80 They describe diverse interventions, including training and delivery of person-centred and relationship-focused care and DCM, 36 37 40 43 44 52 53 55–57 59 63 66 68 72–74 78 79 training in dementia and managing difficult behaviour, 41 42 58 60 80 communication skills and awareness training, 32–34 38 39 62 64 69 creative and sensory interventions, 45–47 61 65 70 71 75–77 staff supervision interventions, 35 48–50 restraint minimisation 51 and behavioural therapy interventions.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia

et al. 2017

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ObjectivesThis review aims to understand what elements of psychosocial interventions are associated with improved outcomes for people with dementia to inform implementation in care homes.DesignA systematic review of qualitative and quantitative intervention studies was undertaken.Eligibility criteria for included studiesWe included primary research studies evaluating psychosocial interventions that trained care home staff to deliver a specific intervention or that sought to change how staff delivered care to residents with dementia and reported staff and resident qualitative or quantitative outcomes.MethodsWe searched MEDLINE, PsychINFO and EMBASE electronic databases and hand-searched references up to May 2016. Quality of included papers was rated independently by 2 authors, using operationalised checklists derived from standard criteria. We discussed discrepancies and reached consensus. We conducted a narrative synthesis of quantitative and a thematic synthesis of qualitative findings to find what was effective immediately and in sustaining change.ResultsWe identified 49 papers fulfilling predetermined criteria. We found a lack of higher quality quantitative evidence that effects could be sustained after psychosocial interventions finished with no evidence that interventions continued to work after 6 months. Qualitative findings suggest that staff valued interventions focusing on getting to know, understand and connect with residents with dementia. Successful elements of interventions included interactive training, post-training support, aiming to train most staff, retaining written materials afterwards and building interventions into routine care.ConclusionsPsychosocial interventions can improve outcomes for staff and residents with dementia in care homes; however, many trial results are limited. Synthesis of qualitative findings highlight core components of interventions that staff value and feel improve care. These findings provide useful evidence to inform the development of sustainable, effective psychosocial interventions in care homes.Trial registration numberCRD42015017621.

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Section: Resultsmentioning

confidence: 99%

Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia

et al. 2017

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“…Ongoing competence development is essential because a wide array of competence is necessitated. It is possible to develop nurses' communication skills and enhance their responses to complex care situations with targeted training (Söderlund, Norberg, & Hansebo, ). It is also necessary to develop different forms and methods for learning that can be integrated into working life and to have care units for older people where everyday learning is supported (Häggström & Bruhn, ).…”

Section: Discussionmentioning

confidence: 99%

“…Our results corroborated the view that a holistic conception of competence is necessitated in nursing practice; the competence needed for older people nursing is a combination of knowledge, skills and attitudes. (Söderlund, Norberg, & Hansebo, 2014). It is also necessary to develop different forms and methods for learning that can be integrated into working life and to have care units for older people where everyday learning is supported (Häggström & Bruhn, 2009 (Bedin et al, 2013;Furåker & Nilsson, 2013;Karlsson et al, 2009;Mueller et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Competence for older people nursing in care and nursing homes: An integrative review

Kiljunen

Välimäki

Kankkunen

et al. 2016

Int J Older People Nursing

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“… 27 The CCQ was used in several Swedish studies. 19 , 24 , 29 , 30 The CCQ consists of 50 statements, which, taken together, generate a total score and these 10 dimensions (five statements per dimension): Challenge: Emotional involvement of members in the operations and goals of the organization Freedom: Independence in behavior demonstrated by organization members Idea support: Manner in which new ideas are received Trust/openness: Degree of trust that is conveyed and experienced in the relationship Dynamism/liveliness: Eventfulness and dynamics of the organization Playfulness/humor: Display of an informal, spontaneous, relaxed atmosphere Debate: Occurrence of encounters and clashes concerning differences of opinions, ideas, experiences, and knowledge Conflicts: Presence of interpersonal conflicts and emotional tension (in contrast to conflicts between ideas) in the organization Risk taking: Ability to tolerate uncertainty in the organization Ideas time: Time individuals can use for introduction or suggestion of new ideas …”

Section: Methodsmentioning

confidence: 99%

Job strain: a cross-sectional survey of dementia care specialists and other staff in Swedish home care services

Sandberg¹,

Borell²,

Edvardsson³

et al. 2018

JMDH

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IntroductionAn increasing number of older persons worldwide live at home with various functional limitations such as dementia. So, home care staff meet older persons with extensive, complex needs. The staff’s well-being is crucial because it can affect the quality of their work, although literature on job strain among home care staff is limited.AimTo describe perceived job strain among home care staff and to examine correlations between job strain, personal factors, and organizational factors.MethodsThe study applied a cross-sectional survey design. Participants were dementia care specialists who work in home care (n=34) and other home care staff who are not specialized in dementia care (n=35). The Strain in Dementia Care Scale (SDCS) and Creative Climate Questionnaire instruments and demographic variables were used. Descriptive and inferential statistics (including regression modeling) were applied. The regional ethical review board approved the study.ResultsHome care staff perceived job strain – particularly because they could not provide what they perceived to be necessary care. Dementia care specialists ranked job strain higher (m=5.71) than other staff members (m=4.71; p=0.04). Job strain (for total score and for all five SDCS factors) correlated with being a dementia care specialist. Correlations also occurred between job strain for SDCS factor 2 (difficulties understanding and interpreting) and not having Swedish as first language and SDCS factor 5 (lack of recognition) and stagnated organizational climate.ConclusionThe study indicates that home care staff and particularly dementia care specialists perceived high job strain. Future studies are needed to confirm or reject findings from this study.

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Validation method training: nurses' experiences and ratings of work climate

Abstract: Training in the validation method could develop nurses' communication skills and improve their handling of complex care situations.

Cited by 22 publications

References 36 publications

Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia

Systematic review of the effective components of psychosocial interventions delivered by care home staff to people with dementia

Competence for older people nursing in care and nursing homes: An integrative review

Job strain: a cross-sectional survey of dementia care specialists and other staff in Swedish home care services

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