Care work and quality of care for older people: a review of the research literature

Hannan, Shirina; Norman, Ian; Redfern, Sally

doi:10.1017/s0959259801112104

Cited by 55 publications

(76 citation statements)

References 45 publications

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“…Earlier studies have identified the importance of matching education programs to the needs of care staff. A review of care work and care of older people concluded that educational training programs must be relevant to staff needs if they are to have a positive impact on staff and patient outcomes (Hannan, Norman, & Redfern, 2001). To address gaps in understanding of the specific learning needs of home care providers, this study examined the frequency of specific dementia-related work activities, perceived competence in dementia-related work activities, and priorities for continuing education topics among home care nurses, case managers, and nursing aides, in a predominantly rural health region.…”

mentioning

confidence: 99%

Dementia-related work activities of home care nurses and aides: Frequency, perceived competence, and continuing education priorities

Morgan

Kosteniuk

O’Connell

et al. 2015

Educational Gerontology

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confidence: 99%

Dementia-related work activities of home care nurses and aides: Frequency, perceived competence, and continuing education priorities

Morgan

Kosteniuk

O’Connell

et al. 2015

Educational Gerontology

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“…There are many ways to measure it, among which Likert scales are the most commonly used. Research on work satisfaction has also been active concerning care work (see e.g., Hannan et al, 2001;Häggström et al, 2005;Redfern et al, 2002). On the based of instruments used generally in work-satisfaction research, the Nordic research team of the NORDCARE project included ten items of work satisfaction in the questionnaire with which respondents were asked to evaluate different issues of their work and working conditions using a four-point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

The adoption of market-based practices within care for older people: is the work satisfaction of Nordic care workers at risk?

Kröger

2011

NORD J SOC RES

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“…In one survey, 50% of RNs in care homes rated their knowledge as insufficient in areas such as psychiatric illness, dealing with threat and violence, dementia, computer skills and healthcare and social welfare law [6]. Other research has suggested that current competencies do not correspond with the tasks required in nursing homes [7].Competency development is known to predict work satisfaction and lower turnover rates [8].Developing competencies in this workforce will facilitate professional development, more clearly define a career pathway in care home nursing and increase the status of work in this area.This study set out to develop a competency framework for RNs working in care homes using the Delphi method. …”

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confidence: 99%

The competencies of Registered Nurses working in care homes: a modified Delphi study

Stanyon

Goldberg

Astle³

et al. 2017

Age Ageing

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BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS:A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS:Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION:The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group. Key words: care homes, nursing, competencies BACKGROUNDDue to the ageing population there is increased use of residential and nursing homes -collectively referred to as care homes -to support the growing proportion of older people with more complex care needs. In the UK, care homes provide 465,000 beds, compared with 132,000 in acute hospitalsThe Registered Nurses (RNs) who work in care homes have usually received most of their training in acute hospitals [2]. Acute hospital work however, requires different skills and competencies from work in long-term care. There has been a call by many in nursing education to raise students' understanding of gerontological and care home nursing as specialties that represent demanding and rewarding careers [3].The role of nursing in long-term care is underdeveloped and working with older people is viewed by students as a low status career choice with lack of opportunities for professional development [4]. The Care Quality Commission (CQC) stated concerns about the shortage of nurses within nursing homes, many having insufficient staff on duty to ensure residents receive safe and dignified care. They reported 8% vacancy rates for RNs and the highest turnover rate of any job role in social care settings at 32% [1]. There is a concern that RNs are employed to earn a home its nursing home status and are not enabled to make full use of their competencies. It is also apparent that many RNs working in care homes are overseas workers and, due to changes in regulations, there are worries over their language/communication skills, competence and supervision [2].There is a likely relationship between high turnover rates and nurses' perceptions of low competency in core skill areas for long-term care [5]. In one survey, 50% of RNs in care homes rated their knowledge as insufficient in areas such as psychiatric illness, dea...

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Care work and quality of care for older people: a review of the research literature

Abstract: Redfern (2001). Care work and quality of care for older people: a review of the research literature.

Cited by 55 publications

References 45 publications

Dementia-related work activities of home care nurses and aides: Frequency, perceived competence, and continuing education priorities

Dementia-related work activities of home care nurses and aides: Frequency, perceived competence, and continuing education priorities

The adoption of market-based practices within care for older people: is the work satisfaction of Nordic care workers at risk?

The competencies of Registered Nurses working in care homes: a modified Delphi study

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