Work Stressors and the Quality of Life in Long-Term Care Units

Pekkarinen, Laura; Sinervo, Timo; Perälä, Marja-Leena; Elovainio, Marko

doi:10.1093/geront/44.5.633

Cited by 64 publications

(53 citation statements)

References 40 publications

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“…Annerstedt [28] found that staff in small group-living units reported greater competence, more knowledge in dealing with dementia, and greater satisfaction than those in traditional nursing homes. Pekkarinen [29] reported that large units increased time pressure on employees and reduced quality of life of residents. Demands on staff were lower and social support from co-workers was higher in small group-living homes than in larger traditional nursing homes [30]; satisfaction was also higher and burnout lower in these small homes.…”

Section: Discussionmentioning

confidence: 99%

The nature, characteristics and associations of care home staff stress and wellbeing: a national survey

et al. 2017

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BackgroundThe majority of residents in care homes in the United Kingdom are living with dementia or significant memory problems. Caring in this setting can be difficult and stressful for care staff who work long hours, have little opportunity for training, are poorly paid and yet subject to high expectation. This may affect their mental and physical wellbeing, cause high rates of staff turnover and absenteeism, and affect the quality of care they provide. The main objective of this survey was to explore the nature, characteristics and associations of stress in care home staff.MethodsStaff working in a stratified random sample of care homes within Wales completed measures covering: general health and wellbeing (SF-12); stress (Work Stress Inventory); job content (Karasek Job Content); approach to, and experience of, working with people living with dementia (Approaches to Dementia Questionnaire; and Experience of Working with Dementia Patients); and Productivity and Health Status (SPS-6). Multiple linear regressions explored the effects of home and staff characteristics on carers.Results212 staff from 72 care homes completed questionnaires. Staff from nursing homes experienced more work stress than those from residential homes (difference 0.30; 95% confidence interval (CI) from 0.10 to 0.51; P < 0.01), and were more likely to report that their health reduced their ability to work (difference -4.77; CI -7.80 to -1.73; P < 0.01). Psychological demands on nurses were higher than on other staff (difference = 1.57; CI 0.03 to 3.10; P < 0.05). A positive approach to dementia was more evident in those trained in dementia care (difference 8.54; CI 2.31 to 14.76; P < 0.01), and in staff working in local authority homes than in the private sector (difference 7.75; CI 2.56 to 12.94; P < 0.01).ConclusionsOur study highlights the importance of dementia training in care homes, with a particular need in the private sector. An effective intervention to reduce stress in health and social care staff is required, especially in nursing and larger care homes, and for nursing staff.Trial registrationISRCTN registry: ISRCTN80487202. Registered 24 July 2013

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Section: Discussionmentioning

confidence: 99%

The nature, characteristics and associations of care home staff stress and wellbeing: a national survey

et al. 2017

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“…Pekkarinen and colleagues, in Finland, took a different approach in looking at the effects of unit size [35]. They argue that many resident quality of life domains stem from the interpersonal activities between staff and residents as they receive care.…”

Section: Household or Group Sizementioning

confidence: 99%

Evidence-based long term care design

Calkins

2009

NRE

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Research on the impact of the built environment in long-term care settings continues to grow. This article focuses on work conducted and published since 2000, when an earlier review on research on dementia and design was published. The vast majority of research that addressed neurological conditions in residents in long-term care settings (assisted living and nursing homes) relates to Alzheimer's disease and related dementias.

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“…Some dissatisfied staff show greater aggression towards other workers [7] and residents [8]. Job dissatisfaction is associated with reduced quality of resident care [9] and resident quality of life [10], as well as reduced ability of organizations to change [11]. Conversely, caregivers (including care aides) who report perceiving high quality of care in their facilities also report higher satisfaction with their job [12].…”

Section: Introductionmentioning

confidence: 99%

Satisfaction of Health Care Staff about Work Domains, Home Care Department, Family medicine Department, Armed Forces Hospitals Southern Region, KSA, 2015

Al-Modeer¹,

Esmail²,

Mohamed³

et al. 2016

Int J Community Fam Med

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Background: This study was conducted to assess staff satisfaction among staff of home care department, family medicine, Armed forces hospitals southern region, Saudi Arabia. Methods: All forty four staff working at home care department are subjected to official validated questionnaire designed by continuous quality improvement department[medical services department, Armed Forces Hospitals], to measure 11 domains of satisfaction and overall satisfaction, the questionnaire was distributed anonymously in sealed envelopes with clear instruction about collection, the data codededited-analyzed using SPSS IBM version 22. Conclusion:Over all satisfaction is accepted 88.6% but some domains need to be worked on as benefits 52.3% employee affairs 65.9% and accommodation 50%.

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Work Stressors and the Quality of Life in Long-Term Care Units

Abstract: Long-term care units are encouraged to review their practices so that employee well-being is supported. Attention also should be focused on unit size, as small units appear better able to help employees cope with work stress, resulting in better quality of life for residents.

Cited by 64 publications

References 40 publications

The nature, characteristics and associations of care home staff stress and wellbeing: a national survey

The nature, characteristics and associations of care home staff stress and wellbeing: a national survey

Evidence-based long term care design

Satisfaction of Health Care Staff about Work Domains, Home Care Department, Family medicine Department, Armed Forces Hospitals Southern Region, KSA, 2015

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