Staff perceptions of residents across the long-term care landscape
Staff perceptions of residents across the long-term care landscape
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DOI：
10.1111/j.1365-2648.2004.03301.x
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发表时间：
2005-02-01
影响因子：
3.8
通讯作者：
Gaugler, JE
中科院分区：
文献类型：
--
作者：
Gaugler, JE
本文报告了一项研究，以确定如何设施，居民，家庭和工作人员水平的指标与工作人员的感知居民在养老院（NH），辅助生活设施（ASL）和家庭护理之家（FCH）的经验。虽然各种努力已经描述了工作人员-居民互动在养老院（NH）的后果，少数研究确定了在多种长期护理环境中可能影响工作人员对居民看法的因素，参与者是在美利坚合众国肯塔基州随机选择的5个国家卫生机构、5个美国手语机构和16个家庭护理机构的41名护理人员。面对面和电话采访进行了护理人员，居民在他们的照顾，居民的家庭成员，参与设施的管理人员。电话访谈测量工作人员的居民对两个领域的看法：凝聚力（员工和居民之间的亲密感）和居民的个人生活和护理需求的知识。回归模型发现，工作人员谁是已婚，报告更积极的态度对家庭成员，并在较小的设施工作报告更大的员工居民凝聚力。此外，工作人员谁照顾了较高比例的居民与学习困难表示更大的知识residents.The研究结果强调，需要考虑的因素，工作人员的家庭关系时，考虑工作人员的居民的看法。他们还意味着，临床干预措施，旨在加强社会关系的NHS可以扩展到整个长期护理景观，积极影响工作人员居民家庭三位一体。
This paper reports a study to determine how facility-, resident-, family- and staff-level indicators are empirically associated with staff members' perceptions of residents in nursing homes (NHs), assisted living facilities (ASLs) and family care homes (FCHs).While various efforts have described the ramifications of staff-resident interactions in nursing homes (NHs), few studies identify the factors that potentially influence staff members' perceptions of residents in multiple long-term care settings.The participants were 41 care staff located in five NHs, five ASLs, and 16 FCHs randomly selected in Kentucky, United States of America. Face-to-face and telephone interviews were conducted with care staff, residents in their care, family members of residents, and administrators of participating facilities. Telephone interviews measured staff perceptions of residents on two domains: cohesion (perceived feelings of closeness between staff and residents) and knowledge of residents' personal lives and care needs.Regression models found that staff who were married, reported more positive attitudes towards family members, and worked in smaller facilities reported greater staff-resident cohesion. In addition, staff who cared for a higher percentage of residents with learning difficulties indicated greater knowledge of residents.The findings emphasize the need to consider elements of staff-family relationships when considering staff perceptions of residents. They also imply that clinical interventions designed to enhance social relationships in NHs can be extended across the long-term care landscape to influence the staff-resident-family triad positively.