The Association between Quality Improvement Initiatives in Dementia Care and Supportive Psychosocial Work Environments in Nursing Homes.
The Association between Quality Improvement Initiatives in Dementia Care and Supportive Psychosocial Work Environments in Nursing Homes.
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DOI：
10.3390/healthcare6020044
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发表时间：
2018-05-08
期刊：
影响因子：
--
通讯作者：
Tei-Tominaga M
中科院分区：
文献类型：
--
作者：
Nakanishi M;Tei-Tominaga M
背景：质量改进举措可以帮助养老院加强社会心理工作环境。本研究的目的是研究支持性社会心理工作环境与痴呆护理质量改进计划的专业和组织特征之间的关系。方法：采用纸质问卷调查法对日本12家特殊疗养院365名专业护理人员进行方便抽样。社会心理工作环境的评估使用社会资本和职场道德气候量表来计算职场社会资本、道德领导和排他性职场气候的分数。质量改进计划的变量包括家庭类型（单户型或传统）、痴呆症护理的额外效益，以及使用日文版痴呆症护理人员能力感量表评估护理人员在痴呆症护理方面的专业程度。结果：职业化水平和单位型家庭与高社会资本、强伦理领导和低排他性工作环境显著相关。痴呆护理效益的存在与社会心理工作环境的任何子量表无关。结论：质量改进措施营造支持性的社会心理工作环境，可以通过以单位为基础的特殊养老院专业护理人员团队建设，提高痴呆症护理的专业性。
Background: Quality improvement initiatives can help nursing homes strengthen psychosocial work environments. The aim of the present study was to examine the association between supportive psychosocial work environment, and professional and organizational characteristics regarding quality improvement initiatives in dementia care. Methods: A paper questionnaire survey was administered to a convenience sample of 365 professional caregivers in 12 special nursing homes in Japan. Psychosocial work environment was assessed using the Social Capital and Ethical Climate at the Workplace Scale to calculate a score of social capital in the workplace, ethical leadership, and exclusive workplace climate. Variables for quality improvement initiatives included type of home (unit-type or traditional), presence of additional benefit for dementia care, and professionalism in dementia care among caregivers evaluated using the Japanese version of the Sense of Competence in Dementia Care Staff Scale. Results: Elevated professionalism and unit-type home were significantly associated with high social capital, strong ethical leadership, and low exclusive workplace climate. The presence of dementia care benefit was not associated with any subscale of psychosocial work environment. Conclusions: Quality improvement initiatives to foster supportive psychosocial work environment should enhance professionalism in dementia care with unit-based team building of professional caregivers in special nursing homes.
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DOI：
10.3390/ijerph15020240
发表时间：
2018-01-31
影响因子：
--
作者：
Tei-Tominaga M;Nakanishi M
通讯作者：
Nakanishi M
影响因子：
8.1
作者：
Dhaini, Suzanne R.;Zuniga, Franziska;Schwendimann, Rene
通讯作者：
Schwendimann, Rene
影响因子：
7.2
作者：
Brodaty, Henry;Low, Lee-Fay;Chenoweth, Lynn
通讯作者：
Chenoweth, Lynn
DOI：
10.1007/s00420-003-0447-4
发表时间：
2003-09-01
影响因子：
3
作者：
Eriksen, W
通讯作者：
Eriksen, W
影响因子：
9.7
作者：
Kaye, H. Stephen;Chapman, Susan;Harrington, Charlene
通讯作者：
Harrington, Charlene