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Khan S, Thayil A. Ripple Effects of Abusive Supervision. Psychol Rep 2024; 127:365-391. [PMID: 35714664 DOI: 10.1177/00332941221109114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abusive supervision (AS) is relentless in damaging employees' personal and professional life. This study examines the underlying mechanism through which AS damages employees' job and life satisfaction and, most importantly, the boundary conditions that help attenuate the cascading effects of AS. Using a sample of 187 employees from a large public sector organization, this study found that job tension transmits the antagonistic effects of AS to employees' job and life satisfaction. However, these effects were low for employees who were high rather than low in the personality trait of resilience. The study contributes to the AS literature by explicating job tension as one possible underlying mechanism and resilience as a personality trait that helps diminish the deleterious effects of AS on employees' job tension and wellbeing. Theoretical contributions and practical implications are discussed.
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Affiliation(s)
- Shahid Khan
- College of Business and Law, Central Queensland University, Brisbane, QLD, Australia
| | - Avani Thayil
- Stott's College, Acknowledge Education, Brisbane, QLD, Australia
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Hussein S, Towers AM, Palmer S, Brookes N, Silarova B, Mäkelä P. Developing a Scale of Care Work-Related Quality of Life (CWRQoL) for Long-Term Care Workers in England. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:945. [PMID: 35055767 PMCID: PMC8775923 DOI: 10.3390/ijerph19020945] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/06/2022] [Accepted: 01/11/2022] [Indexed: 02/04/2023]
Abstract
BACKGROUND Long-term care (LTC) workers are subjected to structural and inherent difficult conditions that are likely to impact their quality of life at work; however, no agreed scale measures it. This study aims to develop a scale to measure the work-related quality of life among LTC workers in England (CWRQoL). The study establishes the domains/sub-domains of CWRQoL, investigates the tool's utility and collates information on existing supporting strategies for CWRQoL. METHODS We adopt a mixed-methods approach employing inductive/deductive processes at three stages: (1) a scoping review of the literature; (2) interviews and focus groups with frontline LTC workers, managers and LTC stakeholders; and (3) a content validity consensus survey. RESULTS CWRQoL is composed of seven domains (and 23 sub-domains). Additional domains to those in the literature include financial wellbeing, sufficient time for building relations, managing grief and emotions associated with client death and end of life care. Stakeholders identified several benefits and challenges related to the CWRQoL tool's utility. COVID-19 significantly impacted LTC workers' mental wellbeing and spillover between work and home. CONCLUSIONS The study highlighted the complex nature of CWRQoL and provided a solid ground for developing and validating a CWRQoL scale.
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Affiliation(s)
- Shereen Hussein
- Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK;
| | - Ann-Marie Towers
- Centre for Health Services Studies (CHSS), University of Kent, Canterbury CT2 7NF, UK; (A.-M.T.); (N.B.)
| | - Sinead Palmer
- Personal Social Services Research Unit (PSSRU), University of Kent, Canterbury CT2 7NF, UK; (S.P.); (B.S.)
| | - Nadia Brookes
- Centre for Health Services Studies (CHSS), University of Kent, Canterbury CT2 7NF, UK; (A.-M.T.); (N.B.)
| | - Barbora Silarova
- Personal Social Services Research Unit (PSSRU), University of Kent, Canterbury CT2 7NF, UK; (S.P.); (B.S.)
| | - Petra Mäkelä
- Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK;
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Zarska A, Avgar AC, Sterling MR. Relationship Between Working Conditions, Worker Outcomes, and Patient Care: A Theoretical Model for Frontline Health Care Workers. Am J Med Qual 2021; 36:429-440. [PMID: 34310376 PMCID: PMC10570923 DOI: 10.1097/01.jmq.0000735508.08292.73] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Despite the integral role that frontline health care workers play in providing care to older adults and those with chronic conditions and disabilities, few studies have examined the relationships between the working conditions endured by this workforce, the quality of the care they deliver, and the outcomes of patients for whom they care. Thus, the authors: (1) developed a novel conceptual framework that highlights these relationships and (2) performed a comprehensive search and analysis of the literature (PubMed, AgeLine, Cumulative Index to Nursing and Allied Health Literature (CINAHL), JSTOR, Scopus, Web of Science) to assess the relationships proposed in the framework. A total of 31 studies were included. The results suggest that working conditions affect workers themselves, the care they deliver, and their patients' outcomes. Additional studies, as well as policy solutions, are needed to address the issues faced by this workforce in order to improve health care delivery.
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Affiliation(s)
- Aleksandra Zarska
- Cornell University, School of Industrial and Labor Relations, Ithaca, NY Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY
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Platania S, Caponnetto P, Morando M, Maglia M, Auditore R, Santisi G. Cross-Cultural Adaptation, Psychometric Properties and Measurement Invariance of the Italian Version of the Job Satisfaction Scale. Eur J Investig Health Psychol Educ 2021; 11:1073-1087. [PMID: 34563093 PMCID: PMC8544194 DOI: 10.3390/ejihpe11030080] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 09/14/2021] [Accepted: 09/15/2021] [Indexed: 11/16/2022] Open
Abstract
The JSS is based on the theoretical position that job satisfaction represented an affective or attitudinal reaction to a job, and today is one of the most popular instruments used in I-O psychology. This paper discusses the contribution to the validation of an Italian adaptation of the Job Satisfaction Survey. Five hundred and twenty-seven participants (258 men, 269 women) were enrolled to participate in this study, aged between 19 and 65 (Mage = 36.0, SD = 11.7). The sample mostly worked in public administration, in health care, and in the educational sector. A self-report questionnaire is used to investigate the psychometric properties of this scale, also measuring other variables. A back-translation procedure is used. The results pinpointed the goodness of the scale and the normality distribution. Confirmative factor analyses and multigroup confirmative factor analyses were performed to verify the factorial structure of the scale. The results confirmed the same factorial structure of the original version, suggesting a nine higher-order factor structure. The results from the multigroup confirmatory factor analysis showed that this factor solution was invariant across gender (men vs. women) and found evidence for metric invariance, uniqueness invariance, and scalar and structural invariance. The findings confirmed the applicability in the Italian context.
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Affiliation(s)
- Silvia Platania
- Section Psychology, Department of Educational Sciences, University of Catania, 95124 Catania, Italy; (M.M.); (G.S.)
- Correspondence:
| | - Pasquale Caponnetto
- Center of Excellence for the Acceleration of Harm Reduction (COEHAR), University of Catania, 95124 Catania, Italy; (P.C.); (M.M.)
- Department of Educational Sciences, University of Catania, 95124 Catania, Italy
| | - Martina Morando
- Section Psychology, Department of Educational Sciences, University of Catania, 95124 Catania, Italy; (M.M.); (G.S.)
| | - Marilena Maglia
- Center of Excellence for the Acceleration of Harm Reduction (COEHAR), University of Catania, 95124 Catania, Italy; (P.C.); (M.M.)
- Department of Educational Sciences, University of Catania, 95124 Catania, Italy
| | - Roberta Auditore
- CTA Psychiatric Rehabilitation and Research, 95030 Mascalucia, Italy;
| | - Giuseppe Santisi
- Section Psychology, Department of Educational Sciences, University of Catania, 95124 Catania, Italy; (M.M.); (G.S.)
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Hallett N, Dickens GL. The violence prevention climate of mental health wards: a cross-sectional study of staff and patient views. Soc Psychiatry Psychiatr Epidemiol 2021; 56:97-107. [PMID: 32232505 DOI: 10.1007/s00127-020-01860-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Accepted: 03/11/2020] [Indexed: 11/25/2022]
Abstract
PURPOSE Ward climate can shape the behaviour of both staff and patients. A subset of the ward climate is the violence prevention climate, the unique characteristics that are perceived by the people within the environment as contributing towards the prevention of violence. The aim of this study was to explore differences between and within staff and patient groups in terms of their perceptions of the violence prevention climate. METHODS A cross-sectional survey was conducted with staff (n = 326) and patients (n = 95) in mental health care pathways within one charitable trust. All participants completed the VPC-14 to measure perceptions of the violence prevention climate, a validated 14-item two-factor scale (staff actions and patient actions). Staff demographic information was collected on the VPC-14 front sheet; patient demographic, clinical and violence data were collected from electronic case records. Bivariate analyses were conducted to compare within- and between-group variables. Significant staff and patient variables were entered into multiple hierarchical regression analyses to assess their relationship with VPC-14 factors. RESULTS Staff had a more positive view than patients of staff actions and patients had a more positive view of patient actions than did staff; staff- or patient-group membership was the best predictor of staff action scores. Individual staff characteristics accounted for a small amount of the variance in staff and patient action scores; individual patient characteristics explained more variance, but this was still below 20%. CONCLUSIONS Staff perceive their violence prevention-related contributions more positively than patients and vice versa. This has implications for staff; they may need to better articulate their role in violence prevention to patients, as well as recognise the role that patients play. However, within staff and patient groups, individual variables only make up a small amount of variance of perceptions of the violence prevention climate. This suggests that the violence prevention climate is a valid construct, i.e. that despite differences in individual variables, individuals within the patient group have similar perceptions of the VPC, as do those within the staff group.
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Affiliation(s)
- Nutmeg Hallett
- St Andrew's Healthcare, Cliftonville Road, Northampton, NN1 5DG, UK. .,University of Northampton, Park Campus, Boughton Green Road, Northampton, NN2 7AL, UK. .,School of Nursing, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
| | - Geoffrey L Dickens
- Centre for Applied Nursing Research, Western Sydney University and South West Sydney Local Health District, 1 Campbell Street, Liverpool, NSW, 2170, Australia
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Dickens GL, Tabvuma T, Hadfield K, Hallett N. Violence Prevention Climate in General Adult Inpatient Mental Health Units: Validation study of the VPC-14. Int J Ment Health Nurs 2020; 29:1101-1111. [PMID: 32536025 PMCID: PMC7687075 DOI: 10.1111/inm.12750] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 05/06/2020] [Accepted: 05/15/2020] [Indexed: 11/30/2022]
Abstract
Ward social climate is an important contributor to patient outcomes in inpatient mental health services. Best understood as the general 'vibe' or 'atmosphere' on the unit, social climate has been subject to a significant research aimed at its quantification. One aspect of social climate, the violence prevention climate, describes the extent to which the ward is perceived as safe and protective against the occurrence of aggression by both the patients and the staff. The violence prevention climate scale (VPC-14), developed in a UK forensic setting, was used in this study in a test of its validity in an Australian general mental health setting. The VPC-14 was administered across eleven wards of one metropolitan Local Health District in Sydney, NSW. N = 213 valid responses from nursing staff and patients were returned (response rates 23.4 and 24.3%, respectively). The VPC-14 demonstrated good internal reliability, and convergent validity was evidenced through moderate correlations with the WAS's anger and aggression subscale and the GMI total score. Concurrent validity was demonstrated by expected staff-patient differences in VPC-14 rating and by correlations between incidents of conflict and containment on wards and the VPC-14 ratings of staff and patients from those wards. Rasch analysis suggested that future tool development should focus on identifying ways to discriminate between ratings at the high end of the scale. The VPC-14 supplies valid and useful information about the violence prevention climate in general adult mental health wards.
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Affiliation(s)
- Geoffrey L Dickens
- Centre for Applied Nursing Research, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.,School of Nursing and Midwifery, Western Sydney University, Penrith South, NSW, Australia.,South Western Sydney Local Health District, Liverpool, NSW, Australia
| | - Tracy Tabvuma
- Centre for Applied Nursing Research, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.,South Western Sydney Local Health District, Liverpool, NSW, Australia
| | - Kylie Hadfield
- South Western Sydney Local Health District, Liverpool, NSW, Australia
| | - Nutmeg Hallett
- School of Nursing, University of Birmingham, Birmingham, UK
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Koy V, Yunibhand J, Angsuroch Y, Turale S, Rojnawee S. Registered nurses' perceptions of factors influencing nursing care quality: A structural equation modeling study. Nurs Health Sci 2019; 22:91-98. [PMID: 31609049 DOI: 10.1111/nhs.12653] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 08/27/2019] [Accepted: 08/29/2019] [Indexed: 01/09/2023]
Abstract
Cambodia, like many other countries, is working to raise nursing care standards, including improving nurse work environments and nurse education. This descriptive, cross-sectional study examined the factors influencing nursing care quality among 375 registered nurses from 12 government hospitals in Cambodia. The conceptual framework was modified from the Nurse Work Environment, Nurse Staffing, and Outcome Model, and five questionnaires were used. The hypothesized model fitted the empirical data and explained 12% of the variance in nursing care quality. Structural equation modeling revealed that nurse work satisfaction negatively affected nursing care quality, while the nurse practice environment and burnout had no effect. Nurse staffing had a positive direct effect on nurse work satisfaction, while nurse work satisfaction did not directly affect burnout. The results indicate that the highest impacting factors influencing nursing care quality were nurse work satisfaction and the indirect effect of nurse staffing on nursing care quality. Therefore, leaders and policymakers in government, health systems, and nursing across the country need to consider these results to enhance nursing care quality.
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Affiliation(s)
- Virya Koy
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | | | - Yupin Angsuroch
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Sue Turale
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
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Hanratty B, Craig D, Brittain K, Spilsbury K, Vines J, Wilson P. Innovation to enhance health in care homes and evaluation of tools for measuring outcomes of care: rapid evidence synthesis. HEALTH SERVICES AND DELIVERY RESEARCH 2019. [DOI: 10.3310/hsdr07270] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
BackgroundFlexible, integrated models of service delivery are being developed to meet the changing demands of an ageing population. To underpin the spread of innovative models of care across the NHS, summaries of the current research evidence are needed. This report focuses exclusively on care homes and reviews work in four specific areas, identified as key enablers for the NHS England vanguard programme.AimTo conduct a rapid synthesis of evidence relating to enhancing health in care homes across four key areas: technology, communication and engagement, workforce and evaluation.Objectives(1) To map the published literature on the uses, benefits and challenges of technology in care homes; flexible and innovative uses of the nursing and support workforce to benefit resident care; communication and engagement between care homes, communities and health-related organisations; and approaches to the evaluation of new models of care in care homes. (2) To conduct rapid, systematic syntheses of evidence to answer the following questions. Which technologies have a positive impact on resident health and well-being? How should care homes and the NHS communicate to enhance resident, family and staff outcomes and experiences? Which measurement tools have been validated for use in UK care homes? What is the evidence that staffing levels (i.e. ratio of registered nurses and support staff to residents or different levels of support staff) influence resident outcomes?Data sourcesSearches of MEDLINE, CINAHL, Science Citation Index, Cochrane Database of Systematic Reviews, DARE (Database of Abstracts of Reviews of Effects) and Index to Theses. Grey literature was sought via Google™ (Mountain View, CA, USA) and websites relevant to each individual search.DesignMapping review and rapid, systematic evidence syntheses.SettingCare homes with and without nursing in high-income countries.Review methodsPublished literature was mapped to a bespoke framework, and four linked rapid critical reviews of the available evidence were undertaken using systematic methods. Data were not suitable for meta-analysis, and are presented in narrative syntheses.ResultsSeven hundred and sixty-one studies were mapped across the four topic areas, and 65 studies were included in systematic rapid reviews. This work identified a paucity of large, high-quality research studies, particularly from the UK. The key findings include the following. (1) Technology: some of the most promising interventions appear to be games that promote physical activity and enhance mental health and well-being. (2) Communication and engagement: structured communication tools have been shown to enhance communication with health services and resident outcomes in US studies. No robust evidence was identified on care home engagement with communities. (3) Evaluation: 6 of the 65 measurement tools identified had been validated for use in UK care homes, two of which provide general assessments of care. The methodological quality of all six tools was assessed as poor. (4) Workforce: joint working within and beyond the care home and initiatives that focus on staff taking on new but specific care tasks appear to be associated with enhanced outcomes. Evidence for staff taking on traditional nursing tasks without qualification is limited, but promising.LimitationsThis review was restricted to English-language publications after the year 2000. The rapid methodology has facilitated a broad review in a short time period, but the possibility of omissions and errors cannot be excluded.ConclusionsThis review provides limited evidential support for some of the innovations in the NHS vanguard programme, and identifies key issues and gaps for future research and evaluation.Future workFuture work should provide high-quality evidence, in particular experimental studies, economic evaluations and research sensitive to the UK context.Study registrationThis study is registered as PROSPERO CRD42016052933, CRD42016052933, CRD42016052937 and CRD42016052938.FundingThe National Institute for Health Research Health Services and Delivery Research programme.
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Affiliation(s)
- Barbara Hanratty
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
| | - Dawn Craig
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
| | - Katie Brittain
- Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK
| | | | - John Vines
- Northumbria School of Design, Northumbria University, Newcastle upon Tyne, UK
| | - Paul Wilson
- Alliance Manchester Business School, University of Manchester, Manchester, UK
- National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Greater Manchester, University of Manchester, Manchester, UK
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Chao SF. Does geriatric nursing staff burnout predict well-being of LTC residents? Geriatr Nurs 2019; 40:360-366. [PMID: 30738620 DOI: 10.1016/j.gerinurse.2018.12.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 12/19/2018] [Accepted: 12/20/2018] [Indexed: 11/29/2022]
Abstract
Nursing staff in residential settings are exposed to a large number of stressors. This study examined the relationship between geriatric nursing staff (GNS) burnout and the well-being of residents in long-term care (LTC) facilities. Data were obtained concerning 590 older residents who were served by 315 GNS in 172 LTC facilities in Taiwan, using multilevel modeling. The depersonalization (DP) dimension of burnout in GNS was consistently related to various resident well-being outcomes. Higher DP among GNS was associated with lower residential satisfaction and perceived quality-of-life, as well as more depressive symptoms among older LTC residents. The findings support the claim that DP among GNS has a greater role in determining LTC resident well-being than other dimensions of burnout. Efforts should be made to mitigate the emergence of DP among GNS. Support and education are also needed to enable GNS to foster positive interactions and relationships with LTC residents.
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Affiliation(s)
- Shiau-Fang Chao
- Department of Social Work, National Taiwan University, No 1, Section 4, Roosevelt Road, Daan District, Taipei 106, Taiwan.
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Vassbø TK, Kirkevold M, Edvardsson D, Sjögren K, Lood Q, Sandman PO, Bergland Å. Associations between job satisfaction, person‐centredness, and ethically difficult situations in nursing homes—A cross‐sectional study. J Adv Nurs 2018; 75:979-988. [DOI: 10.1111/jan.13890] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Revised: 08/20/2018] [Accepted: 08/29/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Tove K. Vassbø
- Lovisenberg Diaconal University College Oslo Norway
- Oslo University Oslo Norway
| | | | - David Edvardsson
- Umeå University Umeå Sweden
- La Trobe University Melbourne Vic. Australia
| | | | - Qarin Lood
- Umeå University Umeå Sweden
- La Trobe University Melbourne Vic. Australia
- University of Gothenburg Gothenburg Sweden
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Quality of care for frail older persons in a homecare setting: what is it and how can it be measured? Int Psychogeriatr 2018; 30:1259-1267. [PMID: 29094674 DOI: 10.1017/s1041610217002228] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
UNLABELLED ABSTRACTBackground:As more older persons opt to age in place, there is a growing trend to hire migrant workers as live-in caregivers to care for them. This raises the need to examine the quality of care they receive within this unique care setting. The objective of this pilot study was to establish the components of quality of care as provided by migrant live-in caregivers. METHODS We interviewed a convenience sample of older persons cared for by migrant live-in caregivers and their relatives. When relatives reported that older persons could not be interviewed due to advanced dementia, only relatives were interviewed. Overall, 72 older persons and 117 relatives were interviewed. We used the Quality of Care Questionnaire (QuCQ) developed for this study to examine the main components of quality of care in this population. RESULTS Factor analysis using older persons' data revealed two factors. In the first factor, "caretaking," items concerning provision of prompt care exhibited the highest loadings. Items measuring interpersonal aspects of the care dynamic had the highest loadings in the second factor, thus labeled "relationship." The factor analysis based on relatives' data yielded similarities and differences with the one based on older persons' data. Yet, there were significant correlations between relative and older persons' responses when using the older persons' factor structure. CONCLUSIONS According to older persons and relatives, quality of care depends on the extent to which older persons' care-related needs, as well as social ones, are addressed. Appropriate evaluation of quality of care in the live-in setting is important for its improvement.
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Rahnavard F, Sadati AK, Hemmati S, Ebrahimzade N, Sarikhani Y, Heydari ST, Lankarani KB. The impact of environmental and demographic factors on nursing job satisfaction. Electron Physician 2018; 10:6712-6717. [PMID: 29881535 PMCID: PMC5984027 DOI: 10.19082/6712] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2016] [Accepted: 04/09/2018] [Indexed: 02/05/2023] Open
Abstract
Objective This study aims to evaluate all aspects of job satisfaction in registered nurses working in different hospitals in Shiraz, Iran. Methods This cross-sectional study was performed during February to August 2015 in Shiraz, Iran. It comprised of 371 registered nurses working in government and private hospitals using multi-stage cluster sampling. Job satisfaction was evaluated using 5 items of the Job Descriptive Index (JDI) consisting of 63 questions developed by Smith, Kendall, and Hulin (1969). Statistical tests including independent sample t test and one-way analysis of variance (ANOVA) were used in order to identify the relation between job satisfaction, and demographic features and work environment. Data were analyzed by SPSS version 15.0, using descriptive statistics, independent-samples t-test, and ANOVA. Results Our findings showed no relationship between demographic variables and job satisfaction. However, a significant association was observed between environmental aspects such as work rotation (fixed versus rotating) nurse’s status (staff vs. supervisors), type of hospitals (governmental vs. private) and work (p<0.01), promotion (p<0.02) and pay (p<0.01) items respectively; however, type of hospital was deemed exempt regarding promotion. Also regarding the number of shifts per week, nurses with more than eight shifts present a lower mean score of satisfaction about pay significantly (p=0.03). Conclusion The results concerning younger nurses have different types of satisfaction based on several environmental factors. Nurses’ policy makers must pay more attention to nurses’ satisfaction and focus on reducing the various inequalities.
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Affiliation(s)
- Farnaz Rahnavard
- M.Sc., Institute of Health, Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ahmad Kalateh Sadati
- Ph.D. of Sociology, Assistant Professor, Department of Sociology, Faculty of Social Sciences, Yazd University, Yazd, Iran
| | - Sorror Hemmati
- Ph.D. Candidate of Management, Department of Education, Yazd, Yazd, Iran
| | - Najmeh Ebrahimzade
- M.Sc., Institute of Health, Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Yaser Sarikhani
- M.Sc., Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
| | - Seyed Taghi Heydari
- Ph.D. of Biostatistics, Institute of Health, Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Kamran Bagheri Lankarani
- Professor of Internal Medicine, Institute of Health, Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Determinants of the nurses' and nursing assistants' request for antipsychotics for people with dementia. Int Psychogeriatr 2017; 29:475-484. [PMID: 27866485 DOI: 10.1017/s1041610216001897] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Although physicians are responsible for writing the antipsychotic prescriptions for patients with dementia, the initiative is often taken by nurses or nursing assistants. To reduce antipsychotics uses, one needs to understand the reasons for nurses and nursing assistants to request them. This study gives an overview of the influencing factors for this request based on the Theory of Planned Behavior in which attitude, beliefs, and behavioral control is thought to influence the intention to request, which in turn affects the behavior to request for a prescription. METHODS Eighty-one nurses and nursing assistants of one Dutch nursing home organization completed an online survey. RESULTS Nurses and nursing assistants frequently agreed on items related to the positive effects of antipsychotics for the resident and for the staff. Nurses and nursing assistants with a lower job satisfaction were more likely to call for antipsychotics. Having more positive beliefs about treatment effects and feel of being more in control toward asking for antipsychotics were positively associated with intention to call. All variables explained 59% of the variance of intention. The current position (nurse/nursing assistant) was associated with actual behavior to call. The explained variance was 25%. CONCLUSIONS Policy-makers should focus on the nurses' and nursing assistants' belief in positive effects of antipsychotics for the resident, which is not in line with available evidence. Nurses and nursing assistants should be educated about the limited effectiveness of antipsychotics.
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Hockley J, Kinley J. A practice development initiative supporting care home staff deliver high quality end-of-life care. Int J Palliat Nurs 2017; 22:474-481. [PMID: 27802082 DOI: 10.12968/ijpn.2016.22.10.474] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND The global population is changing with an increasing percentage of the oldest old, many of whom in the UK are looked after in care homes. Care homes now provide care for a fifth of the UK population who die each year. However, most nursing care homes are privately owned and not part of the NHS, which exposes staff to a lack of skills/knowledge in relation to end-of-life care. METHODS To implement the Gold Standards Framework in Care Homes Programme and audit outcomes within nursing care homes across five Clinical Commissioning Groups over a 7-year period using a research-based model of facilitation. RESULTS The percentage of residents dying in nursing care homes increased from 57% to 79%, with improvement in other outcomes. CONCLUSIONS A 'high' facilitation model, including a sustainability initiative and ongoing audit, contributed to significant improvements when implementing the Programme. Reciprocity and trustworthiness underpin the success of this initiative.
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Affiliation(s)
- Jo Hockley
- Primary Palliative Care Research Group, The Usher Institute for Population Health Sciences and Informatics, University of Edinburgh, Scotland
| | - Julie Kinley
- Care Home Project Team, St Christopher's Hospice, London, England
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Recommended Vs. Reported Working Conditions & Current Satisfaction Levels among Migrant Caregivers in Israel. JOURNAL OF POPULATION AGEING 2016. [DOI: 10.1007/s12062-016-9170-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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16
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Hockley J, Dewar B, Watson J. Promoting end-of-life care in nursing homes using an ‘integrated care pathway for the last days of life’. J Res Nurs 2016. [DOI: 10.1177/174498710501000209] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
The purpose of this study was to promote quality end-of-life care in eight independent nursing homes using an ‘integrated care pathway (ICP) for the last days of life’ document. Action research methodology underpinned the design of this study in order to promote collaboration between staff in the nursing homes and the research team, empower staff in the practice of quality end-of-life care, and promote sustainable development of end-of-life care once the study finished. Considerable barriers within the nursing home context highlighted initial difficulties. This is reported elsewhere (Watson et al., in press) (Bridges Initiative, 2004). However, key champions appointed in each nursing home and their subsequent support was a major part of facilitating the ICP implementation. This paper reports the qualitative analysis from the summative evaluation of the study. One overarching pattern of ‘dying being more central to care in the nursing homes’ emerged as a result of the study; five themes that contributed to this shift were: greater ‘openness’ around death and dying; recognising dying and taking responsibility; better ‘teamwork’; critically using palliative care knowledge to influence practice; more meaningful communication.
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Affiliation(s)
| | - Belinda Dewar
- The Royal Bank of Scotland Centre for the Older Person’s Agenda, Queen Margaret University College, Edinburgh
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Juthberg C, Eriksson S, Norberg A, Sundin K. Perceptions of Conscience in Relation To Stress of Conscience. Nurs Ethics 2016; 14:329-43. [PMID: 17459817 DOI: 10.1177/0969733007075868] [Citation(s) in RCA: 64] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Every day situations arising in health care contain ethical issues influencing care providers' conscience. How and to what extent conscience is influenced may differ according to how conscience is perceived. This study aimed to explore the relationship between perceptions of conscience and stress of conscience among care providers working in municipal housing for elderly people. A total of 166 care providers were approached, of which 146 (50 registered nurses and 96 nurses' aides/enrolled nurses) completed a questionnaire containing the Perceptions of Conscience Questionnaire and the Stress of Conscience Questionnaire. A multivariate canonical correlation analysis was conducted. The first two functions emerging from the analysis themselves explained a noteworthy amount of the shared variance (25.6% and 17.8%). These two dimensions of the relationship were interpreted either as having to deaden one's conscience relating to external demands in order to be able to collaborate with coworkers, or as having to deaden one's conscience relating to internal demands in order to uphold one's identity as a `good' health care professional.
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Glasberg AL, Eriksson S, Dahlqvist V, Lindahl E, Strandberg G, Söderberg A, Sørlie V, Norberg A. Development and Initial Validation of the Stress of Conscience Questionnaire. Nurs Ethics 2016; 13:633-48. [PMID: 17193804 DOI: 10.1177/0969733006069698] [Citation(s) in RCA: 107] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Stress in health care is affected by moral factors. When people are prevented from doing ‘good’ they may feel that they have not done what they ought to or that they have erred, thus giving rise to a troubled conscience. Empirical studies show that health care personnel sometimes refer to conscience when talking about being in ethically difficult everyday care situations. This study aimed to construct and validate the Stress of Conscience Questionnaire (SCQ), a nine-item instrument for assessing stressful situations and the degree to which they trouble the conscience. The items were based on situations previously documented as causing negative stress for health care workers. Content and face validity were established by expert panels and pilot studies that selected relevant items and modified or excluded ambiguous ones. A convenience sample of 444 health care personnel indicated that the SCQ had acceptable validity and internal consistency (Cronbach’s alpha exceeded 0.83 for the overall scale). Explorative factor analysis identified and labelled two factors: ‘internal demands’ and ‘external demands and restrictions’. The findings suggest that the SCQ is a concise and practical instrument for use in various health care contexts.
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Walmsley BD, McCormack L. Stigma, the medical model and dementia care: Psychological growth in senior health professionals through moral and professional integrity. DEMENTIA 2016; 15:1685-1702. [DOI: 10.1177/1471301215574112] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Minimal research explores the impact of a career in dementia care on senior health professionals. This study sought positive and negative subjective interpretations from seven senior health professionals regarding their experiences in dementia care. Data from semi-structured interviews were analysed using interpretative phenomenological analysis (IPA). One superordinate theme, Honouring stigmatised self, overarched four sub-themes: Systemic stigma, Invalidated, Self-respect and Moral integrity and Growth. Stigma was interpreted as systemically entrenched minimisation of aged care and the aged-care workforce, including poor remuneration and training. Participants experienced peer invalidation particularly when attempting to resolve complex professional and moral challenges in dementia care. These often occurred in the context of efforts to individualise care, constrained within a medical model. Paradoxically, external invalidation motivated a search for redefining ‘self’ and moral integrity. By wisely acknowledging career experience, growthful domains of self-respect, optimism, humility and innovation defined professional practice and personal choices. Implications are discussed.
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Kumar P, Mehra A, Inder D, Sharma N. Organizational commitment and intrinsic motivation of regular and contractual primary health care providers. J Family Med Prim Care 2016; 5:94-100. [PMID: 27453851 PMCID: PMC4943158 DOI: 10.4103/2249-4863.184631] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Motivated and committed employees deliver better health care, which results in better outcomes and higher patient satisfaction. OBJECTIVE To assess the Organizational Commitment and Intrinsic Motivation of Primary Health Care Providers (HCPs) in New Delhi, India. MATERIALS AND METHODS Study was conducted in 2013 on a sample of 333 HCPs who were selected using multistage stage random sampling technique. The sample includes medical officers, auxiliary nurses and midwives, and pharmacists and laboratory technicians/assistants among regular and contractual staff. Data were collected using the pretested structured questionnaire for organization commitment (OC), job satisfiers, and intrinsic job motivation. Analysis was done by using SPSS version 18 and appropriate statistical tests were applied. RESULTS The mean score for OC for entire regular staff is 1.6 ± 0.39 and contractual staff is 1.3 ± 0.45 which has statistically significant difference (t = 5.57; P = 0.00). In both regular and contractual staff, none of them show high emotional attachment with the organization and does not feel part of the family in the organization. Contractual staff does not feel proud to work in a present organization for rest of their career. Intrinsic motivation is high in both regular and contractual groups but intergroup difference is significant (t = 2.38; P < 0.05). Contractual staff has more dissatisfier than regular, and the difference is significant (P < 0.01). CONCLUSION Organizational commitment and intrinsic motivation of contractual staff are lesser than the permanent staff. Appropriate changes are required in the predictors of organizational commitment and factors responsible for satisfaction in the organization to keep the contractual human resource motivated and committed to the organization.
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Affiliation(s)
- Pawan Kumar
- Directorate General of Health Services, Government of NCT of Delhi, F-17, Karkardooma, Delhi, India
| | - Anu Mehra
- Law Centre-1, Faculty of Law, University of Delhi, New Delhi, India
| | - Deep Inder
- Department of Pharmacology, FOD, Jamia Millia Islamia, New Delhi, India
| | - Nandini Sharma
- Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
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Gendron T, Welleford EA, Pelco L, Myers BJ. Who Is Likely to Commit to a Career With Older Adults? GERONTOLOGY & GERIATRICS EDUCATION 2016; 37:208-228. [PMID: 25153156 DOI: 10.1080/02701960.2014.954042] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Gerontology, as an academic discipline, provides professionals with the conceptual knowledge and the skills necessary to address the complexities of working with a diverse aging population. We know little about what attracts professionals to the aging field and what maintains commitment to these careers. The aim of this study was to investigate the roles of career motivation, job satisfaction, anxiety about aging, and professional identity in relation to career commitment among those working with older adults. Participants (N = 756) were recruited through organizations and institutions serving older adults and responded to an online survey. Participants' motivation for working with older adults, level of job satisfaction, and exposure to formal gerontological education significantly predicted career commitment. In addition, aging anxiety mediated the relationship between job satisfaction and career commitment. This study sheds lights on perspectives of professionals working with older adults and highlights areas for future gerontological research and training.
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Affiliation(s)
- Tracey Gendron
- a Department of Gerontology , Virginia Commonwealth University , Richmond , Virginia , USA
| | - E Ayn Welleford
- a Department of Gerontology , Virginia Commonwealth University , Richmond , Virginia , USA
| | - Lynn Pelco
- b Department of Community Engagement , Virginia Commonwealth University , Richmond , Virginia , USA
| | - Barbara J Myers
- c Department of Psychology , Virginia Commonwealth University , Richmond , Virginia , USA
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Zúñiga F, Ausserhofer D, Hamers JP, Engberg S, Simon M, Schwendimann R. Are Staffing, Work Environment, Work Stressors, and Rationing of Care Related to Care Workers' Perception of Quality of Care? A Cross-Sectional Study. J Am Med Dir Assoc 2015; 16:860-6. [DOI: 10.1016/j.jamda.2015.04.012] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2015] [Revised: 04/17/2015] [Accepted: 04/17/2015] [Indexed: 11/25/2022]
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Hockley J. Learning, support and communication for staff in care homes: outcomes of reflective debriefing groups in two care homes to enhance end-of-life care. Int J Older People Nurs 2015; 9:118-30. [PMID: 24862992 DOI: 10.1111/opn.12048] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2013] [Accepted: 03/31/2014] [Indexed: 12/01/2022]
Abstract
BACKGROUND Nursing care homes are increasingly the place where frail older people die. However, training in end-of-life care is not statutory. AIMS AND OBJECTIVES To develop strategies to promote quality end-of-life care in nursing care homes. DESIGN Action research was used to work collaboratively with the managers and staff in two nursing care homes to develop end-of-life care. METHODS There were three overarching phases: an exploratory phase, feedback/planning of actions and a summative evaluation. Two main actions were inductively derived. One of the actions, reflective debriefing groups following a resident's death, is reported. RESULTS Ten reflective debriefing groups, led by the researcher (a specialist palliative care nurse), were undertaken. The groups facilitated learning at three different levels (being taught, developing understanding and critical thinking) and enabled staff to feel supported and valued. IMPLICATIONS FOR PRACTICE The use of reflective debriefing groups is a useful mechanism to support experience-based learning about death/dying in care homes.
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Affiliation(s)
- Jo Hockley
- Care Home Project Team, St Christopher's Hospice, London, UK
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Abstract
Purpose
– This study aims to identify the status of occupational stress among a sample of hospital employees in Iran. It further intended to reveal the harmful effects of occupational stress on employees’ health and well-being.
Design/methodology/approach
– The study used a cross-sectional research design. A validated questionnaire was used to collect data from hospital employees.
Findings
– Job-related, working environment, interpersonal and organisational factors were related to occupational stress. One-fourth of employees rated their occupational stress high. The major sources of occupational stress were inadequate pay, inequality at work, too much work, staff shortage, poor recognition and promotion, time pressure, job insecurity and lack of management support. High levels of occupational stress have been linked to an increased risk of physical injuries, cardiovascular disease, high blood pressure, depression and increases in negative personal behaviours such as anger, anxiety and irritability. Occupational stress was positively associated with employees’ turnover intentions.
Research limitations/implications
– The findings of this study are not generalisable to the wider population of hospital employees in Iran due to the small sample size. Thus, future research should involve additional samples.
Practical implications
– The study has practical relevance for designing and implementing strategies to decrease occupational stress among hospital employees.
Originality/value
– This article contributes to health care theory and practise by identifying factors contributing to employees’ occupational stress and examining the association between occupational stress and two important employee outcomes – health status and turnover intention.
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Mosadeghrad AM, Ferdosi M. Leadership, job satisfaction and organizational commitment in healthcare sector: proposing and testing a model. Mater Sociomed 2013; 25:121-6. [PMID: 24082837 PMCID: PMC3769150 DOI: 10.5455/msm.2013.25.121-126] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2013] [Accepted: 04/25/2013] [Indexed: 11/13/2022] Open
Abstract
Conflict of interest: none declared.
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Affiliation(s)
- Ali Mohammad Mosadeghrad
- School of Health Management and Information Sciences, Tehran University of Medical Sciences , Tehran, Iran
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26
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Åhlin J, Ericson-Lidman E, Eriksson S, Norberg A, Strandberg G. Longitudinal relationships between stress of conscience and concepts of importance. Nurs Ethics 2013; 20:927-42. [PMID: 23702896 DOI: 10.1177/0969733013484487] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The aim of this observational longitudinal cohort study was to describe relationships over time between degrees of stress of conscience, perceptions of conscience, burnout scores and assessments of person-centred climate and social support among healthcare personnel working in municipal care of older people. This study was performed among registered nurses and nurse assistants (n = 488). Data were collected on two occasions. Results show that perceiving one's conscience as a burden, having feelings of emotional exhaustion and depersonalization and noticing disturbing conflicts between co-workers were positively associated with stress of conscience. No significant changes were observed during the year under study, but degrees of stress of conscience and burnout scores were higher than in previous studies, suggesting that downsizing and increased workloads can negatively affect healthcare personnel. Following and expressing one's conscience in one's work, and perceiving social support from superiors are of importance in buffering the effects of stress of conscience.
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Chatwin J. Conversation analysis as a method for investigating interaction in care home environments. DEMENTIA 2013; 13:737-46. [DOI: 10.1177/1471301213485231] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This article gives an outline of how the socio-linguistic approach of conversation analysis can be applied to the analysis of carer–patient interaction in care homes. A single case study from a routine encounter in a residential care home is presented. This is used to show how the conversation analysis method works, the kinds of interactional and communication features it can expose, and what specific contribution this kind of micro-interactional approach may make to improving quality of care in these environments.
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Jones MC, Johnston D. Do mood and the receipt of work-based support influence nurse perceived quality of care delivery? A behavioural diary study. J Clin Nurs 2012; 22:890-901. [PMID: 23157273 DOI: 10.1111/jocn.12013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2012] [Indexed: 11/27/2022]
Abstract
AIMS AND OBJECTIVES To examine the effect of nurse mood in the worst event of shift (negative affect, positive affect), receipt of work-based support from managers and colleagues, colleague and patient involvement on perceived quality of care delivery. BACKGROUND While the effect of the work environment on nurse mood is well documented, little is known about the effects of the worst event of shift on the quality of care delivered by nurses. DESIGN This behavioural diary study employed a within-subject and between-subject designs incorporating both cross-sectional and longitudinal elements. METHODS One hundred and seventy-one nurses in four large district general hospitals in England completed end-of-shift computerised behavioural diaries over three shifts to explore the effects of the worst clinical incident of shift. Diaries measured negative affect, positive affect, colleague involvement, receipt of work-based support and perceived quality of care delivery. Analysis used multilevel modelling (MLWIN 2.19; Centre for Multi-level Modelling, University of Bristol, Bristol, UK). RESULTS High levels of negative affect and low levels of positive affect reported in the worst clinical incident of shift were associated with reduced perceived quality of care delivery. Receipt of managerial support and its interaction with negative affect had no relationship with perceived quality of care delivery. Perceived quality of care delivery deteriorated the most when the nurse reported a combination of high negative affect and no receipt of colleague support in the worst clinical incident of shift. Perceived quality of care delivery was also particularly influenced when the nurse reported low positive affect and colleague actions contributed to the problem. CONCLUSIONS Receipt of colleague support is particularly salient in protecting perceived quality of care delivery, especially if the nurse also reports high levels of negative affect in the worst event of shift. RELEVANCE TO CLINICAL PRACTICE The effect of work-based support on care delivery is complex and requires further investigation.
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Affiliation(s)
- Martyn C Jones
- School of Nursing and Midwifery, University of Dundee, Dundee, UK.
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30
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From I, Nordström G, Wilde-Larsson B, Johansson I. Caregivers in older peoples' care: perception of quality of care, working conditions, competence and personal health. Scand J Caring Sci 2012; 27:704-14. [DOI: 10.1111/j.1471-6712.2012.01083.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2011] [Accepted: 08/06/2012] [Indexed: 11/29/2022]
Affiliation(s)
- Ingrid From
- School of Health and Social Studies; Dalarna University; Falun; Sweden
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Hussein Amzat I, Abdul Rahman Idris D. Structural equation models of management and decision‐making styles with job satisfaction of academic staff in Malaysian research university. INTERNATIONAL JOURNAL OF EDUCATIONAL MANAGEMENT 2012. [DOI: 10.1108/09513541211263700] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Mosadeghrad AM, Ferlie E, Rosenberg D. A study of relationship between job stress, quality of working life and turnover intention among hospital employees. Health Serv Manage Res 2012; 24:170-81. [PMID: 22040944 DOI: 10.1258/hsmr.2011.011009] [Citation(s) in RCA: 79] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Job stress is a serious threat to the quality of working life (QWL) of health-care employees and can cause hostility, aggression, absenteeism and turnover, as well as reduced productivity. In addition, job stress among employees affects the quality of health-care services. The purpose of this study was to gain a better understanding of the relationships between job stress and QWL of employees, and their impact on turnover intention at Isfahan hospitals, Iran. The study employed a cross-sectional research design. A validated questionnaire was used to collect data from hospital employees. Overall, 26% of employees graded their job stress high. The major sources of stress were inadequate pay, inequality at work, too much work, staff shortage, lack of recognition and promotion prospects, time pressure, lack of job security and lack of management support. An inverse relationship was found between job stress and QWL among hospital employees. The most important predictor of QWL was disturbance handling, followed by job proud, job security and job stress. Finally, while QWL was negatively associated with turnover intentions, job stress was positively related to employees' intention to quit. Since job stress has a strong correlation with employee QWL and turnover intention, it is very important to apply the right human resources policies to increase employees' QWL and decrease subsequent turnover. This study invites further research to explore, implement and evaluate intervention strategies for prevention of occupational stress and improvement in QWL.
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Karantzas GC, Mellor D, McCabe MP, Davison TE, Beaton P, Mrkic D. Intentions to Quit Work Among Care Staff Working in the Aged Care Sector. THE GERONTOLOGIST 2012; 52:506-16. [DOI: 10.1093/geront/gnr161] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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McKenzie G, Teri L, Pike K, LaFazia D, van Leynseele J. Reactions of Assisted Living Staff to Behavioral and Psychological Symptoms of Dementia. Geriatr Nurs 2012; 33:96-104. [DOI: 10.1016/j.gerinurse.2011.12.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2011] [Revised: 12/15/2011] [Accepted: 12/30/2011] [Indexed: 10/14/2022]
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Rodgers V, Welford C, Murphy K, Frauenlob T. Enhancing autonomy for older people in residential care: what factors affect it? Int J Older People Nurs 2012; 7:70-4. [DOI: 10.1111/j.1748-3743.2012.00310.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Broughton M, Smith ER, Baker R, Angwin AJ, Pachana NA, Copland DA, Humphreys MS, Gallois C, Byrne GJ, Chenery HJ. Evaluation of a caregiver education program to support memory and communication in dementia: A controlled pretest–posttest study with nursing home staff. Int J Nurs Stud 2011; 48:1436-44. [DOI: 10.1016/j.ijnurstu.2011.05.007] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2010] [Revised: 05/15/2011] [Accepted: 05/18/2011] [Indexed: 11/16/2022]
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Anderson KA, Fields NL, Dobb LA. Understanding the impact of early-life trauma in nursing home residents. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2011; 54:755-767. [PMID: 22060003 DOI: 10.1080/01634372.2011.596917] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Reactions to early life trauma can reemerge or be exacerbated in later life as coping resources and abilities are compromised by age-related changes and declines in health. For newly admitted nursing home residents, this can impact their receptiveness to assistance with care and elicit challenging reactions to environmental and situational triggers. Unfortunately, current assessment tools fail to account for reactions to early-life trauma. In this article, we review existing literature on early-life trauma and aging and introduce a hypothetical case to illustrate the importance of identifying nursing home residents with past trauma experiences.
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Affiliation(s)
- Keith A Anderson
- College of Social Work, The Ohio State University, Columbus, USA.
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Hasson H, Arnetz JE. Care recipients’ and family members’ perceptions of quality of older people care: a comparison of home-based care and nursing homes. J Clin Nurs 2011; 20:1423-35. [DOI: 10.1111/j.1365-2702.2010.03469.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Stern C. The meaningfulness of Canine-Assisted Interventions (CAIs) on the health and social care of older people residing in long term care: a systematic review. ACTA ACUST UNITED AC 2011; 9:727-790. [PMID: 27820415 DOI: 10.11124/01938924-201109210-00001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
BACKGROUND Preliminary evidence suggests that canine-assisted interventions (any therapeutic process that intentionally involves dogs as part of the process ) may produce some short term beneficial effects on the health and social care of older people residing in long term care facilities; however there has been no formal qualitative synthesis on how these activities are experienced by those involved. Determining peoples' opinions and feelings towards this activity is crucial to its success. OBJECTIVE The aim of this systematic review was to synthesise the best available evidence on the meaningfulness of canine-assisted intervention on older people who reside in long term care. DATA SOURCES A comprehensive search was undertaken of 32 electronic databases and two reputable websites from their inception to 2009. The search was restricted to English language and both published and unpublished studies were considered. REVIEW METHODS Studies that examined the experience of older people residing in long term care that were involved in canine-assisted interventions were considered. Critical appraisal of study quality was undertaken using Joanna Briggs Institute critical appraisal instruments. Data extraction was via the Joanna Briggs Institute standard data extraction form for evidence of meaningfulness. RESULTS Two studies met inclusion criteria and methodological quality requirements. Studies had some differences: one explored residents' experiences while the other focused on staff experiences, one was conducted in a 'Westernised' country and one included residents who had been involved in this activity for two years prior to the study being conducted. There were 41 findings extracted from both studies that were organised into 12 categories. A meta-synthesis was undertaken and two synthesised findings were developed; the first suggesting that providing residents of long term care facilities the opportunity to participate in canine-assisted interventions (more specifically canine-assisted activities) can provide a range of mental, emotional, physiological and social benefits and the other suggesting that undertaking a program in such a facility has both practical and safety considerations for staff, residents and animals. CONCLUSIONS The current evidence base for the meaningfulness of canine-assisted activities in long term care facilities is limited and methodologically weak. A qualitative meta-synthesis using the Joanna Briggs Institute Qualitative Assessment and Review Instrument software suggests that the experience of a resident being involved in a canine-assisted activity can be positive on an emotional, mental, physiological and social level but there are some practical issues to consider such as the personal preference of the resident and staff training. Caution is advised when interpreting these results due to the small number of studies included and their methodological limitations. IMPLICATIONS FOR PRACTICE Canine-assisted activities may provide a positive experience for residents however the following should be considered: IMPLICATIONS FOR RESEARCH: Due to the limited number of qualitative studies attempting to determine the experiences of older people involved in canine-assisted interventions within a long term care environment, further high quality studies should be undertaken. Studies should focus on the experiences of the different people involved (staff, family, animal handlers), and compare residents with different medical or psychological conditions to determine if involvement is experienced differently across populations.
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Affiliation(s)
- Cindy Stern
- 1. The Joanna Briggs Institute, The University of Adelaide, Adelaide, Australia
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Froggatt K, Hockley J, Parker D, Brazil K. A system lifeworld perspective on dying in long term care settings for older people: Contested states in contested places. Health Place 2011; 17:263-8. [DOI: 10.1016/j.healthplace.2010.11.001] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2010] [Revised: 09/16/2010] [Accepted: 11/02/2010] [Indexed: 11/29/2022]
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Stern C. The meaningfulness of Canine-Assisted Interventions (CAIs) on the health and social care of older people residing in long term care: a systematic review. ACTA ACUST UNITED AC 2011. [DOI: 10.11124/jbisrir-2011-139] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Hockley J, Watson J, Oxenham D, Murray SA. The integrated implementation of two end-of-life care tools in nursing care homes in the UK: an in-depth evaluation. Palliat Med 2010; 24:828-38. [PMID: 20663812 DOI: 10.1177/0269216310373162] [Citation(s) in RCA: 90] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In economically developed countries there is a rapidly increasing number of older people living and dying in care homes. The relative isolation of nursing care homes from the development of palliative care, the poor retention and recruitment of staff, and the lack of medical cover, hinder the provision of quality end-of-life care. End-of-life care strategies internationally highlight the benefit of using tools to help improve end-of-life care in care homes. All seven private nursing care homes within one district in Scotland undertook to implement, as a package, two end-of-life care tools, namely, the Gold Standards Framework for Care Homes (GSFCH) and an adapted Liverpool Care Pathway for Care Homes (LCP). A model of high facilitation, visiting the homes every 10-14 days with significant in-house staff training, was used to implement the 18-month programme. The notes of 228 residents who had died prior to and during the project were examined, alongside a staff audit looking at the effect that the project had on practice. A nurse researcher undertook qualitative interviews of bereaved relatives, pre-/post-implementation. This paper reports the results of an in-depth evaluation of professional practices and residents outcomes. There was a highly statistically significant increase in use of Do Not Attempt Resuscitation (DNAR) documentation, advance care planning and use of the LCP. An apparent reduction in unnecessary hospital admissions and a reduction in hospital deaths from 15% deaths pre-study to 8% deaths post-study were also found. Further work is needed to assess the optimum input required for successful implementation.
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Affiliation(s)
- J Hockley
- Primary Palliative Care Research Group, Division of Community Health Sciences, University of Edinburgh, UK.
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Testad I, Mikkelsen A, Ballard C, Aarsland D. Health and well-being in care staff and their relations to organizational and psychosocial factors, care staff and resident factors in nursing homes. Int J Geriatr Psychiatry 2010; 25:789-97. [PMID: 19862696 DOI: 10.1002/gps.2419] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE The aim of this study is to investigate the association of psychosocial factors and patient factors with stress in care staff in nursing homes. METHODS In this cross-sectional survey, 197 care staff from 13 dementia wards from four nursing homes in the Stavanger region, Norway, participated. Stress in care staff was measured by Perceived Stress Scale, Hopkins Symptom Check List, and subjective health complaints. Agitation in patients was measured with the Cohen-Mansfield Agitation Inventory. Work-related psychosocial factors were measured by General Nordic Questionnaire for Psychosocial and Social Factors at Work (QPSNordic). Data were analyzed using multivariate regression analyses. RESULTS Psychosocial factors (QPS Nordic) were significantly associated with all the three outcome measures of stress in care staff, whereas agitation was associated with subjective health complaints only. QPS Nordic subscales significantly associated with stress in care staff were those associated with leadership. CONCLUSIONS Psychosocial factors were more important predictors of carer stress than patient-related factors such as dementia severity and agitation. The findings provide key background information in the planning of interventions to improve conditions for care staff and ultimately for nursing home residents.
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Affiliation(s)
- I Testad
- Stavanger University Hospital, Psychiatric Clinic, Stavanger, Norway.
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Heath H. Outcomes from the work of Registered Nurses working with older people in UK care homes. Int J Older People Nurs 2010; 5:116-27. [DOI: 10.1111/j.1748-3743.2010.00217.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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ENGSTRÖM MARIA, WADENSTEN BARBRO, HÄGGSTRÖM ELISABETH. Caregivers’ job satisfaction and empowerment before and after an intervention focused on caregiver empowerment. J Nurs Manag 2010; 18:14-23. [DOI: 10.1111/j.1365-2834.2009.01047.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Wadensten B, Engström M, Häggström E. Public nursing home staff's experience of participating in an intervention aimed at enhancing their self-esteem. J Nurs Manag 2009; 17:833-42. [PMID: 19793240 DOI: 10.1111/j.1365-2834.2009.00968.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AIM The aim of the present study was to gain an understanding of how nursing staff experienced participating in a training programme aimed at strengthening their self-esteem and empowering them, to determine whether participation benefited them in any way, and to describe their opinions about possible benefits or disadvantages. BACKGROUND Staff working in institutions such as nursing homes have a low status in society. A training programme was introduced to staff in a public nursing home. It focused on helping them understand factors in the work situation that influence them and on empowering them. METHOD The study was explorative and qualitative in design. FINDINGS The participants in the programme were generally satisfied with it. Their opinions about the benefits they received from the programme can be described using three themes: 'improved communication skills', 'enhanced self-esteem' and 'sees work in a different light'. CONCLUSIONS The most important finding of the present study is that it was possible to strengthen and empower staff. Staff members were generally pleased and satisfied with the content/organization of the training programme. They felt the programme had been of value to them by improving their communication skills and increasing their self-esteem. IMPLICATIONS FOR NURSING MANAGEMENT The present result could be of value to managers and educators working in the area of nursing home care when planning education and development activities for staff. Learning to communicate better and understand the social structure at the workplace could improve staff members' self-esteem, thereby enhancing the work situation and atmosphere as well as empowering the individuals.
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Affiliation(s)
- Barbro Wadensten
- Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, SE-752 37 Uppsala, Sweden.
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Liao SH, Hu DC, Chung HY. The relationship between leader-member relations, job satisfaction and organizational commitment in international tourist hotels in Taiwan. INTERNATIONAL JOURNAL OF HUMAN RESOURCE MANAGEMENT 2009. [DOI: 10.1080/09585190903087222] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Shu-Hsien Liao
- a Department of Management Sciences & Decision Making , Tamkang University , Taipei County, Taiwan, R.O.C
| | - Da-Chian Hu
- a Department of Management Sciences & Decision Making , Tamkang University , Taipei County, Taiwan, R.O.C
| | - Hui-Ying Chung
- a Department of Management Sciences & Decision Making , Tamkang University , Taipei County, Taiwan, R.O.C
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Exploring the relationship between pharmacists' job satisfaction, intention to quit the profession, and actual quitting. Res Social Adm Pharm 2009; 5:121-32. [DOI: 10.1016/j.sapharm.2008.08.002] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2008] [Revised: 08/06/2008] [Accepted: 08/06/2008] [Indexed: 11/22/2022]
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