Concerns, Satisfaction, and Retention of Canadian Community Health Nurses

Armstrong‐Stassen, Marjorie; Cameron, Sheila

doi:10.1207/s15327655jchn2204_1

Cited by 42 publications

(68 citation statements)

References 29 publications

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“…These issues include service access in rural and remote areas, transportation to community support agencies, flexibility in the provision of respite care, financial assistance to families for self-managed dementia care, and professional sensitivity to meet cultural and gender expectations of the family and client such as language and communication needs (Whittier, Scharlach, & Del Santo, 2005); workload, workplace satisfaction, and provider payment strategies (Armstrong-Stassen & Cameron, 2005); and the lack of standardized home care services across Canadian provinces that is associated with varying levels of provincial health plan support (Manning, 2004).…”

Section: Literature Reviewmentioning

confidence: 99%

Formal Care Providers' Perceptions of Home- and Community-Based Services: Informing Dementia Care Quality

Jansen

Forbes

Markle‐Reid

et al. 2009

Home Health Care Services Quarterly

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Little attention has been given to the perceptions of formal care providers on the nature and quality of home- and community-based dementia care. The purpose of this descriptive interpretive research was to explore formal care providers' perceptions of their experiences with Canadian home- and community-based dementia care. Participants within three personal interviews and six focus groups (n = 41) included nurses, social workers, therapists, home care aides, and Alzheimer Society personnel (front line/management) in rural and urban areas of Saskatchewan (n = 16), Manitoba (n = 20), and Ontario (n = 8). Two overarching thematic categories, Service Availability and Service Acceptability, emerged from the data analysis. Subthemes of availability were identified as: (a) challenges of service availability, including service wait lists, lack of home care provider training, lack of community-based dementia care infrastructure, and sociocultural and geographic barriers to accessing dementia services; and (b) essential facilitators of availability, including service infrastructure, service bridging, and agency partnerships to form coordinated care systems. Subthemes of acceptability were revealed as: (a) essential components of dementia care, including provision of comprehensive personal care and the use of dementia care professional practice knowledge within a home care setting; and (b) service challenges, including inadequate service time for the physical care and socioemotional support of the client and family caregiver, caregiver and formal provider difficulty with navigation of a fragmented care system, lack of system coordination, and financial costs of services. Essential, integrated dementia care could be established by listening to the "voices of formal care providers," thereby decreasing dementia care costs and increasing the quality of life for those with dementia, and their family caregivers.

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Section: Literature Reviewmentioning

confidence: 99%

Formal Care Providers' Perceptions of Home- and Community-Based Services: Informing Dementia Care Quality

Jansen

Forbes

Markle‐Reid

et al. 2009

Home Health Care Services Quarterly

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“…33 Similarly, inadequate staffing and coping with increasing numbers of seriously ill patients, together with a drop in nursing care standards, are reported among Australian and Canadian nurses. 4,35 Inadequate staffing can be associated with higher patientto-nurse ratios and, in turn, with nurses' perceptions of lower quality of work, work environment, and nursing leadership on the unit. 36 A realistic workload and sufficient staff and time to provide case management and documentation are essential for professional practice and job satisfaction.…”

Section: Job Dissatisfactionmentioning

confidence: 99%

Job Satisfaction of Multiple Sclerosis Certified Nurses

Gulick¹,

Halper²,

Namey³

2008

International Journal of MS Care

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Nurse certification became available to nurses working in the practice area of multiple sclerosis (MS) in 2002. However, the impact of certification on the MS nurse's role and both satisfaction and dissatisfaction with the certified role have not yet been determined, which was the purpose of this study. With a qualitative study design and an international sample of 168 certified MS nurses, data from open-ended questions were analyzed regarding role change, job satisfaction, and job dissatisfaction. Findings indicated enhanced role change and job satisfaction regarding increased autonomy, colleagueship, leadership roles, and primary care nursing. Dissatisfaction for some was attributed to insufficient resources and benefits, along with administrator failure to recognize the value and importance of certified nurses.

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“…nurses, physiotherapists, social workers), who oversee and coordinate but do not deliver care. Existing evidence suggests that structures of Ontario home health care delivery impact not only on the retention of nurses but also on the retention of other home care employees (Canadian Home Care Association , Armstrong‐Stassen & Cameron , Denton et al . , Doran et al .…”

Section: Introductionmentioning

confidence: 99%

“…). Dissatisfaction with pay and benefits, casual employment status (Canadian Home Care Association , Armstrong‐Stassen & Cameron , Denton et al . , Doran et al .…”

Section: Introductionmentioning

confidence: 99%