Nursing home staff attitudes towards residents with dementia: strain and satisfaction with work
Nursing home staff attitudes towards residents with dementia: strain and satisfaction with work
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DOI：
10.1046/j.0309-2402.2003.02848.x
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发表时间：
2003-12-01
影响因子：
3.8
通讯作者：
Low, LF
中科院分区：
文献类型：
--
作者：
Brodaty, H;Draper, B;Low, LF
背景。职业和居民特征影响疗养院员工的压力和满意度，并且员工流动率很高。与更多认知障碍患者一起工作，尤其是在白班时，与疗养院工作人员的高压力有关。工作量可以高度预测负担和工作压力的体验，而这些结果根据员工是全职还是兼职工作而有所不同。目标。调查疗养院工作人员对居民的态度、与痴呆症护理相关的压力和对工作的满意度及其与家庭人口、职业和行为障碍的关系。方法。采用横断面设计，对悉尼东郊 12 家疗养院的 253 名疗养院工作人员进行了自我填写问卷调查，并对 12 所疗养院中 11 所的所有 647 名居民进行了行为评估。使用瑞典护理压力评估量表测量员工的态度和压力，并使用瑞典护理和工作评估满意度量表测量员工的满意度。结果。工作人员对痴呆症居民最普遍的五种看法是：他们焦虑、无法控制自己的困难行为、难以预测、孤独和害怕/脆弱。员工发现最难应对的五个属性是攻击性/敌对性、无法控制自己的困难行为、固执/抵抗性、故意刁难和不可预测。尽管 91% 的员工表示他们对工作感到满意，但四分之一的员工表示居民对工作没有满意度。最受认可的五个满意度陈述是“工作中的患者/住院医师几乎总是得到良好的护理”、“尝试并了解患者经历发生在他们身上的事情的方式很重要”、“向亲属提供了有关护理和治疗的足够信息”、“我喜欢我目前的工作状况”和“我们的工作组织很好”。不同家庭之间与痴呆症护理相关的压力水平存在显着差异，而行为障碍水平并未解释这一差异。结论。疗养院工作人员往往以消极的方式看待居民，而不是积极的方式。工作人员普遍对自己的工作感到满意。除住院医师行为障碍外，其他因素也是造成护理人员紧张的重要影响因素。
Background. Occupational and resident characteristics affect levels of staff stress and satisfaction in nursing homes, and levels of staff turnover are high. Working with more cognitively impaired residents, especially on day shift, is associated with high levels of stress in nursing home staff. Workload is highly predictive of the experience of burden and job pressure, while these outcomes vary according to whether staff work full- or part-time.Aims. To investigate the attitudes of nursing home staff towards residents, strain related to dementia care and satisfaction with work and their associations with demographic, occupational and behavioural disturbance in the home.Methods. A cross-sectional design was adopted, using a self-completion questionnaire survey of 253 nursing home staff from 12 nursing homes in Sydney's eastern suburbs, and behavioural assessment of all 647 residents from 11 of the 12 homes. Staff attitudes and strain were measured using the Swedish Strain in Nursing Care Assessment Scale and satisfaction using the Swedish Satisfaction with Nursing Care and Work Assessment Scale.Results. Staff members' five most prevalent perceptions of residents with dementia were that they are anxious, have little control over their difficult behaviour, are unpredictable, lonely and frightened/vulnerable. The five attributes staff found most difficult to cope with were being aggressive/hostile, having little control over their difficult behaviour, being stubborn/resistive, deliberately difficult, and unpredictable. Although 91% of staff reported that they were happy in their job, a quarter reported that residents provided no job satisfaction. The five satisfaction statements most agreed with were 'The patients/residents at work nearly always receive good care', 'It is important to try and enter into the way patients experience what happens to them', 'Relatives are given enough information about care and treatment', 'I enjoy my current work situation' and 'Our work organisation is good'. There were significant differences between homes in levels of strain related to dementia care that were not accounted for by the level of behavioural disturbance.Conclusions. Nursing home staff tended to perceive residents in more negative than positive ways. Staff were generally satisfied with their work. Factors other than resident behavioural disturbance are important influences in nursing staff strain.