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Bong HJ, Lee M. The influence of socio-cognitive mindfulness, moral sensitivity and dementia communication behaviors on dementia nursing performance of nurses in long-term care hospitals: a cross-sectional study. BMC Nurs 2024; 23:351. [PMID: 38789977 PMCID: PMC11127314 DOI: 10.1186/s12912-024-02013-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Accepted: 05/13/2024] [Indexed: 05/26/2024] Open
Abstract
BACKGROUND By incorporating socio-cognitive mindfulness which has been under-examined in the nursing field, this study investigated the relationships between socio-cognitive mindfulness, moral sensitivity, dementia communication behaviors, and dementia nursing performance of nurses in long-term care hospitals. This study also examined the factors influencing nurses' dementia nursing performance. METHODS A cross-sectional study was conducted with 209 nurses from long-term care hospitals in Korea. Data were collected between August 1 and August 31, 2022. Participants completed the questionnaire assessing their socio-cognitive mindfulness, moral sensitivity, dementia communication behaviors, and dementia nursing performance. Pearson's correlation and hierarchical multiple regression analysis were performed for data analysis. RESULTS Dementia nursing performance of the nurses in long-term care hospitals was positively related to their socio-cognitive mindfulness, moral sensitivity, and dementia communication behaviors. Furthermore, nurses' dementia communication behaviors, moral sensitivity, and total clinical career, in that order, were found to be the factors influencing their dementia nursing performance. CONCLUSION The findings indicate that the higher socio-cognitive mindfulness, moral sensitivity, and dementia communication behaviors, the higher dementia nursing performance, and that higher dementia nursing performance is associated with better dementia communication behaviors, greater moral sensitivity, and more extensive clinical experiences. This study provides a foundation for developing effective interventions to enhance dementia nursing performance in the future. To improve dementia nursing performance of nurses in long-term care hospitals, it is necessary to improve dementia communication behaviors and moral sensitivity, and prepare multilateral countermeasures to maintain nurses' clinical careers.
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Affiliation(s)
- Hyun Ju Bong
- Department of Nursing, Seoyeong University, Gwangju, South Korea
| | - Mikyoung Lee
- Department of Nursing, Dongshin University, 67 Dongshindae-gil, Naju-si, Jeollanam- do, 58245, South Korea.
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Larsson H, Beck I, Blomqvist K. Perspectives on existential loneliness. Narrations by older people in different care contexts. Int J Qual Stud Health Well-being 2023; 18:2184032. [PMID: 36871234 PMCID: PMC9987781 DOI: 10.1080/17482631.2023.2184032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023] Open
Abstract
The aim was to explore existential loneliness in different long-term care contexts as narrated by older people. A qualitative secondary analysis was performed of 22 interviews with older people in residential care, home care, and specialized palliative care. The analysis started with naive reading of interviews from each care context. As these readings showed similarity with Eriksson's theory of the suffering human being, the three different concepts of suffering were used as an analytic grid. Our result indicates that suffering and existential loneliness are interrelated for frail older people. Some situations and circumstances that trigger existential loneliness are the same in the three care contexts while others differ. In residential and home care, unnecessary waiting, not feeling at home and not being encountered with respect and dignity can trigger existential loneliness while seeing and hearing others suffering can give rise to existential loneliness in residential care. In specialized palliative care, feelings of guilt and remorse are prominent in relation to existential loneliness. In conclusion, different healthcare contexts have various conditions for providing care that meet the existential needs of older people. Hopefully our results will be used as a basis for discussions in multi-professional teams and among managers.
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Affiliation(s)
- Helena Larsson
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.,The Research Platform for Collaboration for Health, Kristianstad University, Kristianstad, Sweden
| | - Ingela Beck
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.,The Research Platform for Collaboration for Health, Kristianstad University, Kristianstad, Sweden.,The Institute for Palliative Care, Region Skane and Lund University, Lund, Sweden.,Department of Clinical Sciences Lund, Division of Oncology, Faculty of Medicine, Lund University, Lund, Sweden
| | - Kerstin Blomqvist
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.,The Research Platform for Collaboration for Health, Kristianstad University, Kristianstad, Sweden
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Korbus H, Hildebrand C, Schott N, Bischoff L, Otto AK, Jöllenbeck T, Schoene D, Voelcker-Rehage C, Vogt L, Weigelt M, Wollesen B. Health status, resources, and job demands in geriatric nursing staff: A cross-sectional study on determinants and relationships. Int J Nurs Stud 2023; 145:104523. [PMID: 37327686 DOI: 10.1016/j.ijnurstu.2023.104523] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 04/14/2023] [Accepted: 05/02/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND According to current estimates, the number of people needing care will double in the next 40 years. It is expected that between 130,000 and 190,000 additional nurses will be needed by 2030 in Germany. Physical and psychological burdens associated with nursing in long-term care facilities can develop into serious health risk factors and significantly impact occupational factors such as absenteeism, especially when linked to difficult working conditions. However, demands and resources specific to the nursing profession have not been analyzed extensively to preserve and promote nurses' workability and health adequately. OBJECTIVE Our study aimed to examine the extent to which perceived health among geriatric nursing staff in Germany is predicted by personal resources, job demands, and job resources. In addition, we analyzed the impact of different behavior and experience patterns on these relationships. DESIGN, SETTING, AND PARTICIPANTS An observational study was conducted between August 2018 and February 2020 in 48 nursing home facilities with 854 staff members in Germany as part of the project 'PROCARE - Prevention and occupational health in long-term care'. METHODS The survey contained instruments that measure workplace exposure, musculoskeletal complaints, physical and mental well-being, chronic stress, and work-related behavior and experience patterns. In addition, health-related information on physical activity and nutrition was collected. Data were analyzed using structural equation modeling. RESULTS The combined physical and mental workload for geriatric nurses is very high, with 75 % showing chronic stress. In the overall model, job and personal resources have a stronger association with mental health than physical health, while job demands have an equal impact on mental and physical health. Coping behavior also plays an important key role that should be assessed and considered. A behavior and experience risk pattern (health-endangering) is more strongly associated with a lower health status than a health-promoting behavior pattern. Results of the multigroup test showed that work-related behavior and experience patterns significantly moderate the relationship between physical health and mental health (χ2 = 392/p ≤ .001/df = 256/RMSEA = 0.028/CFI = 0.958/TLI = 0.931). Only 43 % show a health-friendly coping pattern. CONCLUSIONS Our findings underline the importance of holistic health promotion, which not only aims at changes at the behavioral level and the development of coping strategies but also takes on the task of reducing the workload and including measures to improve the working climate. TRIAL REGISTRATION NUMBER DRKS.de (DRKS00015241); August 9, 2018. TWEETABLE ABSTRACT Healthier coping patterns can benefit geriatric nurses' health. However, this is not a substitute for improving working conditions.
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Affiliation(s)
| | | | | | | | | | | | - Daniel Schoene
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany
| | | | - Lutz Vogt
- Goethe Universität Frankfurt am Main, Germany
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Chang SO, Kim EY. Ways that nursing home nursing staff build resilience: a phenomenographic approach. BMC Geriatr 2022; 22:861. [PMCID: PMC9667428 DOI: 10.1186/s12877-022-03582-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Accepted: 09/20/2022] [Indexed: 11/17/2022] Open
Abstract
Abstract
Background
Resilience has been studied as an effective concept in nursing that acts as a protective factor which aids in overcoming difficult situations and related mental problems. With the recent increase in demand for nursing homes, nursing home nursing staff are facing a variety of stresses and psychological burdens. Improving resilience has been suggested as one way to deal with the difficulties, such as stress, exhaustion, and burnout, that nursing home nursing staff are experiencing. In order to provide successful education aimed at improving such resilience, it is very important to understand how to perceive experience from the learner’s point of view.
Aim
The study’s aim is to identify the ways that nursing home nursing staff build resilience.
Method
This study used phenomenography, a methodology for exploring the relationship between subject and phenomenon. From January 15, 2022 to February 20, 2022, data collection was undertaken at three nursing homes located in the Republic of Korea. The data was collected through semi-structured interviews with 20 nursing staff members in NHs and a data analysis that strictly followed the 7-step analysis process of phenomenography.
Results
Eight categories were derived. The eight categories were then divided into two groups of four representing perception and strategy. Perception included four categories: ‘grasping the situation’, ‘thinking about one’s responsibility for the resident and personal values’, ‘considering one’s strength’ and ‘thinking of an improved self’. Strategy included four categories: ‘evaluation of oneself and one’s environment’, ‘taking care of oneself’, ‘finding concrete ways to manage the problem’ and ‘self-development for growth’. Perception had three levels of awareness, valuing and assuring, while strategy had three levels of identifying, introspecting and concretizing.
Conclusion
This study provides insight into how individual nursing staff build resilience, a complex and subjective concept. It provides a foundation for future resilience education of nursing home nursing staff and suggests future educational intervention development directions.
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Boumans J, van Boekel L, Kools N, Scheffelaar A, Baan C, Luijkx K. How staff characteristics influence residential care facility staff's attitude toward person-centered care and informal care. BMC Nurs 2021; 20:217. [PMID: 34724935 PMCID: PMC8559399 DOI: 10.1186/s12912-021-00743-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 10/18/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Staff members, and their attitudes, are crucial for providing person-centered care in residential care facilities for people with dementia. However, the literature on the attitudes of nursing staff regarding person-centered care is limited. The objective of this study is to explore the association between staff characteristics (age, education level, years of work experience and function, i.e., care or welfare) and staff attitudes toward perceived person-centered care provision and including informal caregivers in the caregiving process in residential care facilities. METHODS A convenience sample of 68 care staff - nurses and nurse assistants - welfare staff members - activity counselors, hostesses, and living room caretakers - of two residential care facilities filled out a questionnaire. Staff attitudes regarding perceived person-centered care were measured with the Person-centered Care Assessment Tool (P-CAT). Staff attitudes regarding informal care provision were measured with the Attitudes Toward Families Checklist (AFC). Multiple linear regression analysis explored the association between variables age, work experience, education, and function (care or welfare). RESULTS A higher age of staff was associated with a more negative attitude toward perceived person-centered care and informal care provision. Welfare staff had a more negative attitude toward the inclusion of informal caregivers than care staff. The perceived person-centered care provision of the care and welfare staff was both positive. Work experience and education were not associated with perceived person-centered care provision or informal care provision. CONCLUSION This study is one of the first to provide insight into the association between staff characteristics and their attitude toward their perceived person-centered care provision and informal care provision. A higher age of both the care and welfare staff was associated with a more negative attitude toward their perceived person-centered care and informal care provision. Welfare staff had a less positive attitude toward informal care provision. Additionally, future studies, also observational studies and interview studies, are necessary to collect evidence on the reasons for negative attitudes of older staff members towards PCC and informal care giving, to be able to adequately target these reasons by implementing interventions that eliminate or reduce these negative attitudes.
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Affiliation(s)
- Jogé Boumans
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000, LE, Tilburg, the Netherlands.
| | - Leonieke van Boekel
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000, LE, Tilburg, the Netherlands
| | - Nathalie Kools
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000, LE, Tilburg, the Netherlands
| | - Aukelien Scheffelaar
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000, LE, Tilburg, the Netherlands
| | - Caroline Baan
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000, LE, Tilburg, the Netherlands
| | - Katrien Luijkx
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000, LE, Tilburg, the Netherlands
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Vidal-Alves MJ, Pina D, Puente-López E, Luna-Maldonado A, Luna Ruiz-Cabello A, Magalhães T, Pina-López Y, Ruiz-Hernández JA, Jarreta BM. Tough Love Lessons: Lateral Violence among Hospital Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179183. [PMID: 34501771 PMCID: PMC8431196 DOI: 10.3390/ijerph18179183] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 08/27/2021] [Accepted: 08/28/2021] [Indexed: 11/16/2022]
Abstract
Background: Workplace violence is a growing social problem among many professions, but it particularly affects the health sector. Studies have mainly focused on evaluating user violence toward health professionals, with less attention being paid to other sources of conflict, such as co-workers themselves. There are different manifestations of this violence in what has been called a context of tolerated or normalized violence among co-workers. However, its effects are far from being tolerable, as they have an impact on general health and job satisfaction and contribute to burnout among professionals. Based on this idea, and following the line of the previous literature, nursing staff are a population at high risk of exposure to workplace violence. For this reason, the present study aims to evaluate exposure to lateral violence or violence among co-workers in nursing staff in public health services and the relationship of this exposure with some of the most studied consequences. (2) Methods: A cross-sectional associative study was carried out in which scales of workplace violence (HABS-CS), burnout (MBI-GS), job satisfaction (OJS), and general health (GHQ-28) were applied to a sample of 950 nursing staff from 13 public hospitals located in the southeast of Spain. (3) Results: The results show that nursing staff have a high exposure to violence from their co-workers, which is more common in male nurses. Greater exposure is observed in professionals with between 6 and 10 years of experience in the profession, and it is not characteristic of our sample to receive greater violence when they have less experience or are younger. A positive correlation is observed with high levels of burnout and a negative correlation with general health and job satisfaction. (4) Conclusions: The results of this work contribute to increasing the scientific evidence of the consequences of a type of workplace violence frequent among nursing staff and to which less attention has been paid in relative terms to other types of prevalent violence. Organizations should be aware of the importance of this type of workplace violence, its frequency and impact, and implement appropriate prevention policies that include the promotion of a culture that does not reward violence or minimize reporting. A change of mentality in the academic environment is also recommended in order to promote a more adequate training of nursing staff in this field.
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Affiliation(s)
- María Joao Vidal-Alves
- Department of Socio-sanitary Sciences, University of Murcia, 30100 Murcia, Spain; (M.J.V.-A.); (A.L.-M.); (A.L.R.-C.)
- Department of Community Medicine, Information and Health Decisions, School of Medicine, University of Porto, 4200-319 Porto, Portugal;
- Department of Science, University Institute of Health Sciences-CESPU, 4585-116 Gandra, Portugal
| | - David Pina
- Department of Socio-sanitary Sciences, University of Murcia, 30100 Murcia, Spain; (M.J.V.-A.); (A.L.-M.); (A.L.R.-C.)
- Correspondence:
| | - Esteban Puente-López
- Applied Psychology Service (SEPA), University of Murcia, 30100 Murcia, Spain; (E.P.-L.); (J.A.R.-H.)
| | - Aurelio Luna-Maldonado
- Department of Socio-sanitary Sciences, University of Murcia, 30100 Murcia, Spain; (M.J.V.-A.); (A.L.-M.); (A.L.R.-C.)
| | - Aurelio Luna Ruiz-Cabello
- Department of Socio-sanitary Sciences, University of Murcia, 30100 Murcia, Spain; (M.J.V.-A.); (A.L.-M.); (A.L.R.-C.)
| | - Teresa Magalhães
- Department of Community Medicine, Information and Health Decisions, School of Medicine, University of Porto, 4200-319 Porto, Portugal;
- Department of Science, University Institute of Health Sciences-CESPU, 4585-116 Gandra, Portugal
| | | | - José Antonio Ruiz-Hernández
- Applied Psychology Service (SEPA), University of Murcia, 30100 Murcia, Spain; (E.P.-L.); (J.A.R.-H.)
- Department of Psychiatry and Social Psychology, University of Murcia, 30100 Murcia, Spain
| | - Begoña Martínez Jarreta
- Department of Pathological Anatomy, Forensic and Legal Medicine and Toxicology, University of Zaragoza, 50009 Zaragoza, Spain;
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Testing Two Student Nurse Stress Instruments in Chinese Nursing Students: A Comparative Study Using Exploratory Factor Analysis. BIOMED RESEARCH INTERNATIONAL 2021; 2020:6987198. [PMID: 33083478 PMCID: PMC7563080 DOI: 10.1155/2020/6987198] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 08/24/2020] [Indexed: 12/16/2022]
Abstract
Background The development and transformation of nursing within professional tertiary education have exerted a great pressure and challenge upon nursing students. Stress experienced by nursing students is a common precursor of psychological distress and attrition. However, no scale is specifically used to evaluate the sources of stress experienced by nursing students in Mainland China. Aims and Objective. This study is aimed at testing and comparing the reliability and validity including sensitivity and specificity of two nursing students' stress instruments, the Chinese version of Student Nurse Stress Index Scale (SNSI-CHI), and the Stressors in Student Nursing Scale (SINS-CN) in Chinese nursing students, and describing the stress status of nursing students in China. Methods A cross-sectional survey was conducted in two nursing schools in Henan Province from August 2017 to January 2018. Data were collected by using a questionnaire comprising the Chinese version of SNSI (SNSI-CHI), the Chinese version of SINS (SINS-CN), and the Chinese Perceived Stress Scale (CPSS). Homogeneity and stability, content, construct and concurrent validity, and sensitivity and specificity were assessed. Results The Cronbach's alpha (α) of SNSI-CHI was 0.90, and the item-to-total correlations ranged from 0.35 to 0.66. The Cronbach's α of SINS-CN was 0.93, and the item-to-total correlations ranged from 0.19 to 0.61. The findings of exploratory factor analysis (EFA) confirmed a good construct validity of SNSI-CHI and SINS-CN. The Pearson's rank correlation coefficients, between total scores of SNSI-CHI and CPSS and SINS-CN and CPSS, were assessed to 0.38 (P < 0.01) and 0.39 (P < 0.01), respectively. Regarding the CPSS, as the criterion, the cut-points of SNSI-CHI and SINS-CN for the area under the receiver operator characteristic (ROC) curve were 0.77and 0.66, respectively. Conclusion Both scales are valid and reliable for evaluating the source of stress of student nurses in China. Each has its own characteristics, but the SNSI-CHI demonstrated marginal advantage over the SINS-CN. The SNSI-CHI is short, is easily understood, and with clear dimension for the nursing students, and the SNSI-CHI is more acceptable for the users in China.
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Wang L, Chen H, Yang L, Qian C, Sun D, Sun Y. Systematic training program for nursing home staff based on the concept of combination of medicine and care. Medicine (Baltimore) 2020; 99:e20559. [PMID: 32541480 PMCID: PMC7302615 DOI: 10.1097/md.0000000000020559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
It is important to improve the training for nursing home staff in order to achieve better quality of life for the elderly.This study aimed to develop a systematic training program for nursing home staff based on the concept of combination of medicine and care.Thirty-four nursing staff from 2 representative nursing homes in Qiqihar City were selected as study subjects and divided into experimental and control groups. The subjects in both groups received routine training following "National Occupational Standards of Elderly Nursing Staff". In addition, the subjects in experimental groups received systematic training at three levels based on the concept of combination of medicine and care for 4 months.After the training, the competence scores of nursing staff in experimental group increased significantly compared to control group, the living quality of the elderly in nursing homes cared by nursing staff in experimental group was significantly improved, and the satisfaction of the elderly to nursing staff in experimental group improved significantly, compared to control group (P < .05).We develop systematic training program for nursing home staff based on the concept of combination of medicine and care, which can improve nursing care for the elderly in nursing home.
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Affiliation(s)
| | - Hong Chen
- The First Hospital of Qiqihar, Heilongjiang, PR China
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Hiltunen K, Fogelholm N, Saarela RKT, Mäntylä P. Survey of health care personnel's attitudes toward oral hygiene in long‐term care facilities in Finland. SPECIAL CARE IN DENTISTRY 2019; 39:557-563. [DOI: 10.1111/scd.12424] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 09/23/2019] [Accepted: 09/24/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Kaija Hiltunen
- Faculty of MedicineDepartment of Oral and Maxillofacial DiseasesUniversity of Helsinki Helsinki Finland
| | - Nele Fogelholm
- Faculty of MedicineDepartment of Oral and Maxillofacial DiseasesUniversity of Helsinki Helsinki Finland
- Department of Oral and Maxillofacial DiseasesHelsinki University Hospital Helsinki Finland
| | - Riitta K. T. Saarela
- Department of Social Services and HealthcareOral Health Care Unit Helsinki Finland
| | - Päivi Mäntylä
- Faculty of MedicineDepartment of Oral and Maxillofacial DiseasesUniversity of Helsinki Helsinki Finland
- Faculty of Health SciencesInstitute of DentistryUniversity of Eastern Finland Kuopio Finland
- Department of Oral and Maxillofacial DiseasesKuopio University Hospital Kuopio Finland
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Kloos N, Drossaert CHC, Bohlmeijer ET, Westerhof GJ. Online positive psychology intervention for nursing home staff: A cluster-randomized controlled feasibility trial of effectiveness and acceptability. Int J Nurs Stud 2019; 98:48-56. [PMID: 31295708 DOI: 10.1016/j.ijnurstu.2019.06.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 05/09/2019] [Accepted: 06/09/2019] [Indexed: 01/25/2023]
Abstract
BACKGROUND Nursing staff in nursing homes is at risk for stress-related problems. Positive psychology interventions have been shown to effectively improve well-being and decrease depressive symptoms, and may be beneficial for nursing staff. However, controlled studies with nursing staff are missing. OBJECTIVES AND DESIGN This is the first study to test the effectiveness and acceptability of an online multi-component positive psychology intervention in nursing home staff. This study used a cluster-randomized controlled design, with an intervention group and a control group, and measurements at baseline (T0) and following the training period (T1). We hypothesized that the intervention would improve general well-being, job satisfaction and work engagement, especially for people with low initial well-being, satisfaction or engagement. Furthermore, we explored the acceptability of such an intervention for nursing home staff. SETTINGS AND PARTICIPANTS All nursing staff of the units for physically frail older adults of four Dutch nursing homes belonging to one care organization were invited to participate in this study. A sample of 128 nursing staff completed T0, and 107 nursing staff completed T1, mostly licensed practical nurses with a mean age of 42 years. METHODS The 8-week online intervention concerned information and evidence-based exercises of six topics of Positive Psychology, which were completed individually at home. General well-being, job satisfaction and work engagement were measured, and participants evaluated the intervention. RESULTS No time by group interaction effect was found on general well-being nor on work engagement, but there was a small effect on job satisfaction. No moderation effects of baseline outcome measures were found. The evaluation of the intervention varied: a majority positively valued the intervention, in particular the topics "positive emotions" and "strengths", but most agreed that there was too much text and too many exercises. CONCLUSIONS The online multi-component positive psychology intervention had only very limited effectiveness, as the decrease in job satisfaction in the control group may reflect a regression to the mean. The high baseline levels of well-being and engagement, intervention content, obligatory character of the intervention, and individuality are discussed as possible reasons for these results. Opportunities lie in creating a concise, work focused positive psychology intervention for nursing staff, including some form of autonomy support.
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Affiliation(s)
- Noortje Kloos
- Department of Psychology, Health and Technology, Centre for eHealth and Wellbeing Research, University of Twente, Drienerlolaan 5, 7522NB, Enschede, the Netherlands.
| | - Constance H C Drossaert
- Department of Psychology, Health and Technology, Centre for eHealth and Wellbeing Research, University of Twente, Drienerlolaan 5, 7522NB, Enschede, the Netherlands.
| | - Ernst T Bohlmeijer
- Department of Psychology, Health and Technology, Centre for eHealth and Wellbeing Research, University of Twente, Drienerlolaan 5, 7522NB, Enschede, the Netherlands.
| | - Gerben J Westerhof
- Department of Psychology, Health and Technology, Centre for eHealth and Wellbeing Research, University of Twente, Drienerlolaan 5, 7522NB, Enschede, the Netherlands.
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