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Individualized Health Care for Older Diabetes Patients from the Perspective of Health Professionals and Service Consumers. J Pers Med 2021; 11:jpm11070608. [PMID: 34199022 PMCID: PMC8306441 DOI: 10.3390/jpm11070608] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Revised: 06/17/2021] [Accepted: 06/25/2021] [Indexed: 12/26/2022] Open
Abstract
Background: Individualized nursing care as a form of person-centered care delivery is a well-known approach in the health care context and is accepted as best practice by organizations and professionals, yet its implementation in everyday practice creates serious challenges. The aim was to assess and compare the perceptions of health professionals and older diabetes patients on their individual care in regard to the patient’s clinical situation, personal life situation, and decisional control. Methods: The quantitative study with a cross-sectional survey design was conducted from March 2019 until January 2021. The Individualized Care Scale was applied for the data collection. Health professionals (nurses and physicians, n = 70) and older diabetes patients (n = 145) participated in the study. The average duration of diabetes was 15.8 years (SD = 10.0) and type 2 diabetes was the most common (89.0%). The current glucose-lowering therapy for 51.0% of the patients was oral medications, 37.9% used injected insulin, and 11.1% were treated by combined therapy. Results: The highest-rated aspects of individualized care on both dimensions of the scale from the health professionals’ perspective related to the clinical situation, and the scores for provision were significantly higher than those for support. The highest means of patients’ ratings on the support dimension related to the clinical situation and the decisions over care sub-scale; for the care provision dimension, the highest individuality in care was assigned to the decisions over care sub-scale. The lowest ratings of individualized care, both in the health professionals’ and patients’ samples, related to the personal life situation sub-scale. Conclusions: Health professionals are more positive in regard to individualized care support and provisions for older diabetes patients than the patients themselves. Patient characteristics, such as the type of glucose-lowering therapy, education, and nutritional status, make a difference in patients’ understanding and experience of individuality in care.
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Avci D, Alp Yilmaz F. Association between Turkish clinical nurses' perceptions of individualized care and empathic tendencies. Perspect Psychiatr Care 2021; 57:524-530. [PMID: 32618372 DOI: 10.1111/ppc.12573] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Accepted: 06/20/2020] [Indexed: 12/01/2022] Open
Abstract
PURPOSE This study aimed to determine the association between nurses' perceptions of individualized care and empathic tendencies. DESIGN AND METHODS This cross-sectional study was conducted with 269 nurses working in Yozgat City Hospital between June 2018 and December 2018. Data were collected with the Personal Information Form, Individualized Care Scale-A-Nurse Version, Empathic Tendencies Scale. For the analysis, descriptive statistics, t test, analysis of variance, Pearson's correlation, multivariate linear regression analysis were used. FINDINGS Marital status, education level, length of service, clinic worked in, number of patients, and empathic tendency level was determined to be statistically significant predictive factors for nurses' perceptions of individualized care (P < .05). PRACTICE IMPLICATIONS Nurse managers can organize in-service training programs to improve clinical nurses' perceptions of individualized care, empathic tendencies, and skills.
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Affiliation(s)
- Dilek Avci
- Department of Nursing, Faculty of Health Sciences, Bandirma Onyedi Eylul University, Balikesir, Turkey
| | - Figen Alp Yilmaz
- Department of Nursing, Faculty of Health Sciences, Bozok University, Yozgat, Turkey
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Guven Ozdemir N, Sendir M. The relationship between nurses' empathic tendencies, empathic skills, and individualized care perceptions. Perspect Psychiatr Care 2020; 56:732-737. [PMID: 32072651 DOI: 10.1111/ppc.12489] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Revised: 02/04/2020] [Accepted: 02/08/2020] [Indexed: 11/28/2022] Open
Abstract
PURPOSE The study aims to determine the relationship between nurses' empathic tendencies, empathic skills, and individualized care perceptions. DESIGN AND METHODS This study employed a descriptive and correlational design. Data were collected from nurses in eight training and research hospitals in Turkey. The study sample consisted of 472 nurses who were both volunteered to participate and randomly selected. FINDINGS A definite high-level relation was determined between nurses' empathic tendencies and individualized care perceptions, but no relation was determined between nurses' empathic skills and individualized care perceptions. PRACTICE IMPLICATIONS This study can underline practices accounting for empathy and individualized care in nursing research and training programs.
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Affiliation(s)
- Nur Guven Ozdemir
- Department of Fundamentals of Nursing, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
| | - Merdiye Sendir
- Department of Fundamentals of Nursing, University of Health Sciences, Istanbul, Turkey
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van der Roest HG, van Eenoo L, van Lier LI, Onder G, Garms-Homolová V, Smit JH, Finne-Soveri H, Jónsson PV, Draisma S, Declercq A, Bosmans JE, van Hout HPJ. Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: design, baseline, and rationale of the IBenC project. BMC Health Serv Res 2019; 19:310. [PMID: 31092244 PMCID: PMC6521361 DOI: 10.1186/s12913-019-4109-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2018] [Accepted: 04/17/2019] [Indexed: 11/15/2022] Open
Abstract
Background Europe’s ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The ‘Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care’ (IBenC) project aims to develop a new benchmark methodology based on quality of care and cost of care utilization to identify best practices in home care. The study’s baseline data, methodology, and rationale are reported. Methods Home care organizations in Belgium, Finland, Germany, Iceland, Italy, and the Netherlands, home care clients of 65 years and over receiving home care, and professionals working in these organizations were included. Client data were collected according to a prospective longitudinal design with the interRAI Home Care instrument. Assessments were performed at baseline, after six and 12 months by trained (research) nurses. Characteristics of home care organizations and professionals were collected cross-sectionally with online surveys. Results Thirty-eight home care organizations, 2884 home care clients, and 1067 professionals were enrolled. Home care clients were mainly female (66.9%), on average 82.9 years (± 7.3). Extensive support in activities of daily living was needed for 41.6% of the sample, and 17.6% suffered cognitive decline. Care professionals were mainly female (93.4%), and over 45 years (52.8%). Considerable country differences were found. Conclusion A unique, international, comprehensive database is established, containing in-depth information on home care organizations, their clients and staff members. The variety of data enables the development of a novel cost-quality benchmark method, based on interRAI-HC data. This benchmark can be used to explore relevant links between organizational efficiency and organizational and staff characteristics. Electronic supplementary material The online version of this article (10.1186/s12913-019-4109-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Henriëtte G van der Roest
- Department of General Practice and Elderly Care Medicine, Amsterdam Public Health research institute, Amsterdam UMC, VU University medical center, Van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands.
| | - Liza van Eenoo
- LUCAS Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium
| | - Lisanne I van Lier
- Department of General Practice and Elderly Care Medicine, Amsterdam Public Health research institute, Amsterdam UMC, VU University medical center, Van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands
| | - Graziano Onder
- Department of Geriatrics, Neuroscience and Orthopedics, Agostino Gemelli University Hospital, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Vjenka Garms-Homolová
- Department of Economics and Law, HTW Berlin, University of Applied Sciences, Berlin, Germany
| | - Johannes H Smit
- Department of Psychiatry, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, The Netherlands & GGZ inGeest Specialized Mental Health Care, Research and Innovation, Amsterdam, The Netherlands
| | - Harriet Finne-Soveri
- Department of Wellbeing, National Institute for Health and Welfare, Helsinki, Finland
| | - Pálmi V Jónsson
- Department of Geriatrics, Landspitali University Hospital, and Faculty of Medicine, University of Iceland, Reykjavík, Iceland
| | - Stasja Draisma
- Department of Wellbeing, National Institute for Health and Welfare, Helsinki, Finland
| | - Anja Declercq
- LUCAS Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium
| | - Judith E Bosmans
- Department of Health Sciences, Faculty of Science, Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Hein P J van Hout
- Department of General Practice and Elderly Care Medicine, Amsterdam Public Health research institute, Amsterdam UMC, VU University medical center, Van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands
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Danaci E, Koç Z. The association of job satisfaction and burnout with individualized care perceptions in nurses. Nurs Ethics 2019; 27:301-315. [DOI: 10.1177/0969733019836151] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Background: Individualized care is closely related to the fulfillment of nurses’ ethical responsibilities regarding the provision of healthcare as well as having a strong foundation in the philosophy of nursing. Objective: This study aimed to determine the association of job satisfaction and burnout with individualized care perceptions in nurses working at a university hospital located in the Central Black Sea region of northern Turkey. Research design: A cross-sectional correlational survey design. Participants and research context: The study was conducted between 15 February 2017 and 15 August 2017 with 419 nurses working at a public university hospital located in Samsun. Data were collected using an information form, the Individualized Care Scale-Nurse Version, the Minnesota Job Satisfaction Scale, and the Maslach Burnout Inventory. The Mann–Whitney U test, Kruskal–Wallis test and Spearman Correlation were used. Ethical considerations: Ethical approval for the study was obtained from the Ondokuz Mayıs University Clinical Studies Board of Ethics. Oral informed consent was taken from the participants. Findings: There was a significant positive relationship between the total Individualized Care Scale-A Nurse Version score and the General Satisfaction subscale score of the Minnesota Job Satisfaction Scale (r = 0.121, p < 0.05). The total Individualized Care Scale-A Nurse Version score increased as the General Satisfaction subscale score of the Minnesota Job Satisfaction Scale increased. There was a significant negative relationship between the total Individualized Care Scale-B Nurse Version score and the Desensitization (r = –0.143, p < 0.01) and Personal Achievement subscale scores of the Maslach Burnout Inventory (r = –0.182, p < 0.01). The Desensitization and Personal Achievement subscale scores of the Maslach Burnout Inventory increased as the total Individualized Care Scale-B Nurse Version score decreased. Discussion: Factors associated with the individualized care perceptions of nurses, such as job satisfaction and burnout levels and factors related to personal life and worklife should be taken into consideration. Also in order to increase job satisfaction and motivation in nurses, personal preferences regarding the service they want to work at should be taken into account. Conclusion: Nurses with lower burnout and higher job satisfaction were found to have higher individualized care perceptions and to support the individuality of patients in care applications. It is important to consider work-related factors associated with individualized care perceptions, job satisfaction, and burnout in nurses.
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Hirakawa Y, Chiang C, Uemura MY, Aoyama A. Job Satisfaction Among Japanese Home-Visit Care Workers. HOME HEALTH CARE MANAGEMENT AND PRACTICE 2018. [DOI: 10.1177/1084822318803861] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The present qualitative study aims to shed light on the job satisfaction of home-visit care workers in Japan. A total of 19 participants were recruited from two rural, three suburban, and one urban area in and around Nagoya city. The qualitative data were collected through individual or group interviews from May to August of 2017. The interviews were conducted using an open-ended questionnaire concerning job satisfaction. Qualitative content analysis was used to systematically identify ideas and patterns emerging from the interview data. Three main themes emerged from the analysis: client–worker conflict, public opinion about the profession, and changing but rewarding work. Home-visit care workers enjoy working in an environment where communication is highly valued, and appreciate the diversity of their clients’ personalities.
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Affiliation(s)
| | - Chifa Chiang
- Nagoya University Graduate School of Medicine, Japan
| | | | - Atsuko Aoyama
- Nagoya University Graduate School of Medicine, Japan
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Nowaskie D, Carvell CA, Alder CA, LaMantia MA, Gao S, Brown S, Boustani MA, Austrom MG. Care coordinator assistants: Job satisfaction and the importance of teamwork in delivering person-centered dementia care. DEMENTIA 2018; 19:1560-1572. [PMID: 30278794 DOI: 10.1177/1471301218802739] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
As the prevalence of persons with dementia increases, a larger, trained, and skilled healthcare workforce is needed. Attention has been given to models of person-centered care as a standard for dementia care. One promising role to deliver person-centered care is the care coordinator assistant. An inquiry about care coordinator assistant's job satisfaction is reasonable to consider for retention and quality improvement purposes. We evaluated care coordinator assistants' job satisfaction quantitatively and qualitatively. This study was part of a Centers for Medicare & Medicaid Services Health Care Innovation Award to the Indiana University School of Medicine. Sixteen care coordinator assistants, predominately female, African American or Caucasian, college graduates with a mean age of 43.1 years participated. Care coordinator assistants wrote quarterly case reports to share stories, lessons learned, and/or the impact of their job and completed the revised Job Satisfaction Inventory and Job in General scales during the second year of the Centers for Medicare & Medicaid Services award. For the Job Descriptive Index subscales promotion, supervision, and coworkers and Job in General, care coordinator assistants scored similar to normative means. Care coordinator assistants reported significantly higher satisfaction on the work subscale and significantly lower satisfaction on the pay subscale compared to normative data. Care coordinator assistants completed 119 quarterly case reports. Job satisfaction and teamwork were recurring themes in case reports, referenced in 47.1% and 60.5% of case reports, respectively. To address the demands of increasing dementia diagnoses, care coordinator assistants can constitute a compassionate, competent, and satisfied workforce. Training care coordinator assistants to work together in a team to address the needs of persons with dementia and caregivers provides a viable model of workforce development necessary to meet the growing demands of this population.
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Affiliation(s)
- Dustin Nowaskie
- Department of Psychiatry, Indiana University School of Medicine (IUSM), USA
| | | | | | - Michael A LaMantia
- Division of General Internal Medicine and Geriatrics, Larner College of Medicine, University of Vermont, USA.,University of Vermont Center on Aging, USA
| | - Sujuan Gao
- Department of Biostatistics, IUSM, USA.,Indiana Alzheimer Disease Center, IUSM, USA
| | - Steve Brown
- Department of Biostatistics, IUSM, USA.,Indiana Alzheimer Disease Center, IUSM, USA
| | - Malaz A Boustani
- Eskenazi Health.,Department of General Internal Medicine and Geriatrics, IUSM, USA
| | - Mary Guerriero Austrom
- Department of Psychiatry, IUSM, USA.,Indiana Alzheimer Disease Center, IUSM, USA and Diversity Affairs, IUSM, USA
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Oppert ML, O'Keeffe VJ, Duong D. Knowledge, facilitators and barriers to the practice of person-centred care in aged care workers: a qualitative study. Geriatr Nurs 2018; 39:683-688. [PMID: 29859699 DOI: 10.1016/j.gerinurse.2018.05.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2018] [Accepted: 05/11/2018] [Indexed: 10/24/2022]
Abstract
The current study describes aged care workers' interpretation of the concept of person-centred care; and identifies the barriers that exist to impede its practice, and the facilitators that encourage person-centred care practice. Data were collected from interviews with aged care workers from two residential aged care facilities providing both high and low care for residents with and without physical and psychological issues based in Australia. Data were analysed to identify and explore categories of meaning for barriers and facilitators. Analysis is grounded in Brooker's VIPS framework for person-centred dementia care which is utilised as a comparative tool for analysing participants' understanding of person-centred care. Findings revealed that aged care workers have a reasonable but incomplete understanding of person-centred care. Insufficient time and residents' dementia behaviours acted as barriers to care workers' provision of person-centred care. Teamwork was found to facilitate person-centred care by increasing instrumental and relationship resources.
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Affiliation(s)
- Michelle L Oppert
- Asia-Pacific Centre for Work, Health, and Safety, School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, Australia; University of South Australia, Asia Pacific Centre for Work Health and Safety, School of Education, Arts and Social Sciences, IPC-MAG-26, Magill Campus, GPO Box 2471, Adelaide 5001, Australia.
| | - Valerie J O'Keeffe
- Asia-Pacific Centre for Work, Health, and Safety, School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, Australia; University of South Australia, Asia Pacific Centre for Work Health and Safety, School of Education, Arts and Social Sciences, IPC-MAG-26, Magill Campus, GPO Box 2471, Adelaide 5001, Australia
| | - David Duong
- Asia-Pacific Centre for Work, Health, and Safety, School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, Australia; University of South Australia, Asia Pacific Centre for Work Health and Safety, School of Education, Arts and Social Sciences, IPC-MAG-26, Magill Campus, GPO Box 2471, Adelaide 5001, Australia
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McCabe MP, Mellor D, Karantzas G, Von Treuer K, Davison TE, O'Connor D. Organizational factors related to the confidence of workers in working with residents with dementia or depression in aged care facilities. Aging Ment Health 2017; 21:487-493. [PMID: 26666515 DOI: 10.1080/13607863.2015.1118011] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES There has been limited research examining how organizational factors are associated with the level of confidence of residential aged care staff in managing both residents' depression and the behavioural and psychological symptoms of residents with dementia (BPSD). This study investigated this issue. METHOD A cross-sectional study design was employed. In total, 255 aged care staff (131 senior staff, 124 junior staff) from 21 residential care facilities participated in the study. All staff completed measures of self-efficacy in managing BPSD as well as confidence in working with older people with depression. They also completed measures of organizational climate (autonomy, cohesion, trust, pressure, support, recognition, fairness and encouragement of innovation) and measures of workplace experience (job role, number of years working in aged care facilities), job stress and satisfaction, and knowledge of depression. RESULTS The results demonstrated that autonomy, trust, support, and job stress were associated with confidence in managing BPSD, while the factors related to confidence in managing depression were autonomy, support, job stress, job satisfaction, and knowledge of depression. CONCLUSION These findings highlight that organizational climate factors need to be addressed in order to increase staff confidence in managing BPSD and depression. In particular, the findings demonstrate the importance of fostering organizational environments in which autonomy is promoted and there is support and cooperation among aged care staff. Attention to these factors is likely to increase the confidence of staff as they carry out their carer role.
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Affiliation(s)
- Marita P McCabe
- a Institute for Health and Ageing , Australian Catholic University , Melbourne , Australia
| | - David Mellor
- b School of Psychology , Deakin University , Melbourne , Australia
| | - Gery Karantzas
- b School of Psychology , Deakin University , Melbourne , Australia
| | | | - Tanya E Davison
- c Department of Psychiatry , Monash University , Melbourne , Australia
| | - Daniel O'Connor
- a Institute for Health and Ageing , Australian Catholic University , Melbourne , Australia
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Backhaus R, Rossum EV, Verbeek H, Halfens RJG, Tan FES, Capezuti E, Hamers JPH. Work environment characteristics associated with quality of care in Dutch nursing homes: A cross-sectional study. Int J Nurs Stud 2016; 66:15-22. [PMID: 27940368 DOI: 10.1016/j.ijnurstu.2016.12.001] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2016] [Revised: 10/13/2016] [Accepted: 12/02/2016] [Indexed: 11/25/2022]
Abstract
BACKGROUND A lack of relationship between direct care staffing levels and quality of care, as found in prior studies, underscores the importance of considering the quality of the work environment instead of only considering staff ratios. Only a few studies, however, have combined direct care staffing with work environment characteristics when assessing the relationship with quality of care in nursing homes. OBJECTIVES To examine the relationship between direct care staffing levels, work environment characteristics and perceived quality of care in Dutch nursing homes. DESIGN Cross-sectional, observational study in cooperation with the Dutch Prevalence Measurement of Care Problems. SETTINGS Twenty-four somatic and 31 psychogeriatric wards from 21 nursing homes in the Netherlands. PARTICIPANTS Forty-one ward managers and 274 staff members (registered nurses or certified nurse assistants) from the 55 participating wards. METHODS Ward rosters were discussed with managers to obtain an insight into direct care staffing levels (i.e, total direct care staff hours per resident per day). Participating staff members completed a questionnaire on work environment characteristics (i.e., ward culture, team climate, communication and coordination, role model availability, and multidisciplinary collaboration) and they rated the quality of care in their ward. Data were analyzed using multilevel linear regression analyses (random intercept). Separate analyses were conducted for somatic and psychogeriatric wards. RESULTS In general, staff members were satisfied with the quality of care in their wards. Staff members from psychogeriatric wards scored higher on the statement 'In the event that a family member had to be admitted to a nursing home now, I would recommend this ward'. A better team climate was related to better perceived quality of care in both ward types (p≤0.020). In somatic wards, there was a positive association between multidisciplinary collaboration and agreement by staff of ward recommendation for a family member (p=0.028). In psychogeriatric wards, a lower score on market culture (p=0.019), better communication/coordination (p=0.018) and a higher rating for multidisciplinary collaboration (p=0.003) were significantly associated with a higher grade for overall quality of care. Total direct care staffing, adhocracy culture, hierarchy culture, as well as role model availability were not significantly related to quality of care. CONCLUSIONS Our findings suggest that team climate may be an important factor to consider when trying to improve quality of care. Generating more evidence on which work environment characteristics actually lead to better quality of care is needed.
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Affiliation(s)
- Ramona Backhaus
- CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
| | - Erik van Rossum
- CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands; Zuyd University of Applied Sciences, Research Centre on Autonomy and Participation, Heerlen, The Netherlands
| | - Hilde Verbeek
- CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands
| | - Ruud J G Halfens
- CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands
| | - Frans E S Tan
- CAPHRI School for Public Health and Primary Care, Department of Methodology and Statistics, Maastricht University, Maastricht, The Netherlands
| | - Elizabeth Capezuti
- Hunter College and the Graduate Center, City University of New York, New York, NY, US
| | - Jan P H Hamers
- CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands
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de Brouwer BJM, Kaljouw MJ, Schoonhoven L, van Achterberg T. Essential elements of the nursing practice environment in nursing homes: Psychometric evaluation. Int J Older People Nurs 2016; 12. [DOI: 10.1111/opn.12137] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 09/19/2016] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - Lisette Schoonhoven
- Faculty of Health Sciences; University of Southampton; Southampton General Hospital; Southampton UK
| | - Theo van Achterberg
- Centre for Health Services and Nursing Research; KU Leuven; Leuven Belgium
- Scientific Institute for Quality of Healthcare; Radboud University Medical Centre; Nijmegen The Netherlands
- Department of Public Health; Uppsala University; Uppsala Sweden
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Abstract
Introduction: Since the European population is ageing, a growing number of elderly will need home care. Consequently, high quality home care for the elderly remains an important challenge. Job satisfaction among care professionals is regarded as an important aspect of the quality of home care. Aim: This paper describes a research protocol to identify elements that have an impact on job satisfaction among care professionals and on quality of care for older people in the home care setting of six European countries. Methods: Data on elements at the macro-level (policy), meso-level (care organisations) and micro-level (clients) are of importance in determining job satisfaction and quality of care. Macro-level indicators will be identified in a previously published literature review. At meso- and micro-level, data will be collected by means of two questionnaires utilsed with both care organisations and care professionals, and by means of interRAI Home Care assessments of clients. The client assessments will be used to calculate quality of care indicators. Subsequently, data will be analysed by means of linear and stepwise multiple regression analyses, correlations and multilevel techniques. Conclusions and Discussion: These results can guide health care policy makers in their decision making process in order to increase the quality of home care in their organisation, in their country or in Europe.
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Bröchner J, Camén C, Eriksson H, Garvare R. Quality and legal aspects in public care procurement. TQM JOURNAL 2016. [DOI: 10.1108/tqm-09-2014-0075] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
– The purpose of this paper is to assess the applicability of care quality concepts as contract award criteria for public procurement of health and social care, using the case of Sweden.
Design/methodology/approach
– Based on a literature review, European and Swedish legal texts, government regulations as well as 26 Swedish court review cases concerning care procurement have been analysed.
Findings
– Methods used for assessing care quality are seldom useful for predicting the quality to be delivered by a potential contractor. Legal principles of transparency and equal treatment of tenderers make it necessary to apply strict requirements for verification.
Research limitations/implications
– Results refer primarily to a Swedish context but could be applicable throughout the EU. Further studies of relations between award criteria and public/private collaborative practices for improving care quality during contractual periods are desirable.
Practical implications
– Local and regional procurement officials should benefit from a better understanding of how quality criteria should be designed and applied to the award procedures for care contracts. Care providers in the private sector would also be able to develop their quality strategies and present their abilities more efficiently when tendering for public contracts.
Social implications
– Issues of quality of health and social care are of obvious importance for social sustainability. Public awareness of care quality problems is evident and often a cause of media concern.
Originality/value
– This investigation pinpoints the difference between traditional care quality thinking and the legal principles underlying contract award in public procurement of care services.
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Ayalon L, Roziner I. Satisfaction with the relationship from the perspectives of family caregivers, older adults and their home care workers. Aging Ment Health 2016; 20:56-64. [PMID: 25793662 DOI: 10.1080/13607863.2015.1020412] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVES Given the increasing reliance on both formal (paid) and informal (unpaid) assistance for the care of older adults and the close relationships which are often formed with home care workers, the present study evaluated satisfaction with the relationship from the perspectives of the three members that make up the home caregiving triad: older adults, their family members and their home care workers. METHODS We relied on a representative sample of 223 complete caregiving triads composed of an older adult, a family member and a home care worker. Each of the members rated his or her level of satisfaction with all other members in the unit, using a seven-item self-report satisfaction with the relationship scale (e.g., satisfaction with communication, intimacy). The Social Relations Model (SRM) was used to partial out the specific variance associated with each of the members as either an actor (i.e., the average satisfaction as a rater, unrelated to whom the person rates) or a partner (i.e., the unique satisfaction level elicited by a person, which is consistent across all ratings of this person). RESULTS The structural equations model yielded acceptable results: χ²(3) = 6.94, p = .07. Our analysis revealed that the variability associated with the worker as partner was significantly greater than the variability associated with the older adult as partner (∆χ² [1] = 9.21, p = .002) or with the family member as partner (∆χ² [1] = 8.46, p = .004). CONCLUSIONS The study highlights the importance of studying satisfaction with the relationship in the home care setting and calls for further examination of the entire caregiving triad. The home care worker plays a key role in ensuring the overall satisfaction in the caregiving triad.
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Affiliation(s)
- Liat Ayalon
- a Louis and Gabi and Weisfield School of Social Work , Bar Ilan University , Ramat Gan , Israel
| | - Ilan Roziner
- a Louis and Gabi and Weisfield School of Social Work , Bar Ilan University , Ramat Gan , Israel
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Souza ACD, Milani D, Alexandre NMC. Adaptação cultural de um instrumento para avaliar a satisfação no trabalho. REVISTA BRASILEIRA DE SAÚDE OCUPACIONAL 2015. [DOI: 10.1590/0303-7657000113715] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Introdução: o trabalho ocupa um lugar importante na vida do indivíduo e, dependendo da forma como é organizado e executado, pode gerar satisfações ou insatisfações. O método mais utilizado para avaliar a satisfação no trabalho tem sido a aplicação de instrumentos de medida. Objetivo: realizar a adaptação cultural do instrumento Job Satisfaction Survey para utilização no contexto dos trabalhadores brasileiros. Método: o procedimento de adaptação cultural do instrumento constou das seguintes etapas: (1) Tradução independente por dois tradutores; (2) Síntese das traduções por um terceiro tradutor e especialistas; (3) Retrotradução por outros dois tradutores independentes; (4) Revisão por um comitê de especialistas; (5) Verificação do Índice de Validade de Conteúdo; (6) Pré-teste com trabalhadores de Enfermagem; (7) Adequações finais do instrumento. Resultados: foram obtidas as equivalências semântica, idiomática, cultural e conceitual entre a versão traduzida e a versão original e observou-se facilidade de entendimento e aceitação dos itens do questionário no contexto dos trabalhadores da Enfermagem. Conclusão: a análise do comitê de especialistas e o pré-teste demonstraram que os itens são pertinentes à cultura brasileira e avaliam a dimensão proposta pelo instrumento original.
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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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Boev C, Xue Y, Ingersoll GL. Nursing job satisfaction, certification and healthcare-associated infections in critical care. Intensive Crit Care Nurs 2015; 31:276-84. [PMID: 26169234 DOI: 10.1016/j.iccn.2015.04.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Revised: 03/19/2015] [Accepted: 04/04/2015] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The purpose of this study was to examine the relationship between nursing job satisfaction and healthcare-associated infections (HAIs) in adult critical care. METHODS Multilevel modelling was used to examine the relationship between nursing job satisfaction and two HAIs, ventilator-associated pneumonia (VAP) and central-line associated bloodstream infections (CLABSI). RESULTS Units with nurses that reported satisfaction with organisational policies were associated with a 6.08 decrease in VAP (p=0.013) and units with nurses reporting favourable perception of task requirements were associated with a 7.02 decrease in VAP (.014). Positive perception of organisational policies was associated with lower rates of CLABSI (p=0.002). Unexpected findings include a positive relationship between perception of pay and autonomy and CLABSI as well as perception of interactions and VAP. Units with a higher proportion of Critical Care Registered Nurse (CCRN) certified nurses were associated with lower rates of both CLABSI (p<0.001) and VAP (p=0.037). CONCLUSION This study provides preliminary evidence to support the relationship between nursing job satisfaction and HAIs in critical care, although some relationships were counterintuitive. A secondary finding included significant relationships between CCRN certified nurses and HAIs.
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Affiliation(s)
- Christine Boev
- University of Rochester Medical Center, Rochester, NY, United States.
| | - Ying Xue
- University of Rochester Medical Center, Rochester, NY, United States
| | - Gail L Ingersoll
- University of Rochester Medical Center, Rochester, NY, United States
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Swedberg L, Michélsen H, Hammar Chiriac E, Hylander I. On-the-job training makes the difference: healthcare assistants' perceived competence and responsibility in the care of patients with home mechanical ventilation. Scand J Caring Sci 2014; 29:369-78. [DOI: 10.1111/scs.12173] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2014] [Accepted: 07/10/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Lena Swedberg
- Centre for Family Medicine; Department of Neurobiology, Care Sciences and Society; Karolinska Institutet; Huddinge Sweden
| | - Hans Michélsen
- Centre for Family Medicine; Department of Neurobiology, Care Sciences and Society; Karolinska Institutet; Huddinge Sweden
| | - Eva Hammar Chiriac
- Department of Behavioural Sciences and Learning; Linköping University; Linköping Sweden
| | - Ingrid Hylander
- Centre for Family Medicine; Department of Neurobiology, Care Sciences and Society; Karolinska Institutet; Huddinge Sweden
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20
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Portella FF, Rocha AW, Haddad DC, Fortes CB, Hugo FN, Padilha DM, Samuel SM. Oral hygiene caregivers’ educational programme improves oral health conditions in institutionalised independent and functional elderly. Gerodontology 2013; 32:28-34. [DOI: 10.1111/ger.12049] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2013] [Indexed: 02/01/2023]
Affiliation(s)
- Fernando F. Portella
- Tutorial Education Program; School of Dentistry, Federal University of Rio Grande do Sul; Porto Alegre Brazil
- Dental Materials Laboratory; School of Dentistry, Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Aline W. Rocha
- Tutorial Education Program; School of Dentistry, Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Daniel C. Haddad
- Tutorial Education Program; School of Dentistry, Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Carmem B.B. Fortes
- Dental Materials Laboratory; School of Dentistry, Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Fernando N. Hugo
- Research Center in Social Dentistry, School of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Dalva M.P. Padilha
- Research Center in Social Dentistry, School of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Susana M.W. Samuel
- Tutorial Education Program; School of Dentistry, Federal University of Rio Grande do Sul; Porto Alegre Brazil
- Dental Materials Laboratory; School of Dentistry, Federal University of Rio Grande do Sul; Porto Alegre Brazil
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