Nursing staff competence, work strain, stress and satisfaction in elderly care: a comparison of home-based care and nursing homes
Nursing staff competence, work strain, stress and satisfaction in elderly care: a comparison of home-based care and nursing homes
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DOI：
10.1111/j.1365-2702.2006.01803.x
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发表时间：
2008-02-01
影响因子：
4.2
通讯作者：
Arnetz, Judith E.
中科院分区：
文献类型：
--
作者：
Hasson, Henna;Arnetz, Judith E.
目标。本研究的目的是：(1)比较养老院和居家护理中老年人护理人员对工作能力、工作压力和工作满意度的感知；(2)研究两种护理环境中工作满意度的决定因素。老年人护理从医院到社区设施和家庭护理的转变对护理实践产生了影响。在这两种护理环境中，护理人员缺乏能力发展，高水平的工作压力和低水平的工作满意度与高流动率有关。很少有研究将养老院的员工对自己的能力和工作的看法与家庭护理进行比较。采用横断面问卷调查法。2003年对瑞典两家老年人护理机构的护理人员的能力、工作压力、压力和满意度进行了问卷调查。对两个组织内部和两个组织之间的护理环境进行了所有结果变量的比较。本研究采用多元回归分析，分别探讨家庭照护与疗养院工作满意度的预测因子。总的来说，与养老院的工作人员相比，家庭护理工作人员报告的知识明显不足。然而，与养老院的工作人员相比，家庭护理人员经历的身体和情绪压力明显更少。与工作相关的疲劳程度、精神能量和总体工作满意度在不同的护理环境中没有显著差异。在这两种护理环境中，与工作有关的疲劳是工作满意度的最强（反向）预测因子。未来的干预措施应侧重于抵消与工作有关的疲劳和提高能力发展，以提高老年人护理人员在两种护理环境中的工作满意度。与临床实践相关。与工作相关的疲劳和缺乏能力发展可能会对家庭护理和养老院的老年人护理人员的工作满意度产生显著的负面影响。
Aims. The aims of this study were to: (1) compare older people care nursing staff's perceptions of their competence, work strain and work satisfaction in nursing homes and home-based care; and (2) to examine determinants of work satisfaction in both care settings.Background. The shift in older people care from hospitals to community-based facilities and home care has had implications for nursing practice. Lack of competence development, high levels of work strain and low levels of work satisfaction among nursing staff in both care settings have been associated with high turnover. Few studies have compared staff perceptions of their competence and work in nursing homes as opposed to home-based care.Design. A cross-sectional questionnaire survey.Methods. Nursing staff perceptions of their competence, work strain, stress and satisfaction were measured by questionnaire in 2003 in two older people care organizations in Sweden. Comparisons of all outcome variables were made between care settings both within and between the two organizations. Multiple regression analysis was used to determine predictors of work satisfaction in home care and nursing homes respectively.Results. In general, staff in home-based care reported significantly less sufficient knowledge compared with staff in nursing homes. However, home care staff experienced significantly less physical and emotional strain compared with staff in nursing homes. Ratings of work-related exhaustion, mental energy and overall work satisfaction did not differ significantly between care settings. In both care settings, work-related exhaustion was the strongest (inverse) predictor of work satisfaction.Conclusions. Future interventions should focus on counteracting work-related exhaustion and improving competence development to improve work satisfaction among older people care nursing staff in both care settings.Relevance to clinical practice. Work-related exhaustion and lack of competence development may have significant negative implications for work satisfaction among older people care nursing staff in both home care and nursing homes.