Deeply Discrediting: A Systematic Review Examining the Conceptualizations and Consequences of the Stigma of Working in Aged Care

Manchha, Asmita V; Walker, Nicole; Way, Kïrsten A.; Dawson, Danielle; Tann, Ken; Thai, Michael

doi:10.1093/geront/gnaa166

Cited by 28 publications

(26 citation statements)

References 84 publications

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“…Stigma of working in aged care is associated with the adverse psychological consequences of distress, diminished selfesteem, and sense of professionalism. 30 Feelings of being the lowest priority in public health efforts to protect and care for the community that were identified in the current study seem to align with the sentiments of stigma and discrimination. The findings reported here further add to the qualitative research on the JD-R model with a new focus on the current pandemic environment.…”

Section: Discussionsupporting

confidence: 53%

Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic

Tierney¹,

Doherty²,

Elliot³

2022

AJAN

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Background:The COVID-19 pandemic has had widespread impacts on the community and has demanded a rapid response from the aged care sector. System changes for infection control have been required including the use of personal protective equipment, lockdowns, visitor restrictions and changes to activities within aged care facilities. Even prior to COVID-19, the high physical and emotional demands of aged care work were recognised.Objective: This study sought to understand aged care workers' experiences of the COVID-19 pandemic.Methods: Using a pragmatic paradigm qualitative data about work experiences during COVID-19 was collected from people employed in different aged care organisations in a range of aged care roles and settings from multiple Australian states. Data was collected using focus groups and interviews conducted online between August-October 2020. Inductive thematic analysis was used to identify key themes in the data. results: Participants included 15 people working across a range of aged care roles including clinical, care and management staff and across both residential and community settings. Five themes were identified which characterised aged care workers thoughts about their jobs during the pandemic. These included intensified procedures and emotional demands, feeling undervalued and detached from the frontline, exposure of existing system deficiencies, recognising teamwork and increased confidence in technology. conclusion: Reflecting on aged care workers' experiences of COVID-19 highlights the need to better support workers and acknowledge their important role in caring for older Australians. This includes at an organisational level by providing supportive environments and access to online resources as well as at the community and policy level by recognising aged care workers as frontline workers. The COVID-19 pandemic has also highlighted existing systemic issues in the aged care sector that need to be addressed for the provision of quality aged care in Australia during the COVID-19 pandemic and into the future. aUthOrs laUra tierNeY PhD 1

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Section: Discussionsupporting

confidence: 53%

Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic

Tierney¹,

Doherty²,

Elliot³

2022

AJAN

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“…Although differences between nurses' experiences across different types of healthcare facilities were not a specific focus of this study, it is worth noting long‐term care and residential facilities may have experienced special challenges related to organizational learning. Even in the absence of a global pandemic, organizational learning in long‐term facilities may be impeded by chronic issues related to inadequate staffing (Werner & Coe, 2021 ), low staff retention (Kennedy et al, 2021 ), stigma toward those working in aged care and its psychological impact on staff (Manchha et al, 2021 ) and few opportunities for front‐line staff to engage in organizational learning (Lyman et al, 2021 ). During the COVID‐19 pandemic, severe shortages of staff, PPE and testing supplies (McGarry et al, 2020 ; Ouslander & Grabowski, 2020 ) while caring for some of the most vulnerable members of society likely exacerbated those underlying challenges to organizational learning.…”

Section: Discussionmentioning

confidence: 99%

Organizational learning during COVID‐19: A qualitative study of nurses' experiences

Lyman

Horton

Oman

2021

J Nursing Management

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Aim The aim of this study is to test the validity of the Organizational Learning in Hospitals model in the context of the COVID‐19 pandemic. Background Organizational learning is especially crucial in circumstances of intense, complex, enduring change, as with the COVID‐19 pandemic. Nurse managers need additional guidance for fostering organizational learning under such circumstances. The Organizational Learning in Hospitals model may be a helpful resource but requires additional validation. Methods Semi‐structured interviews were conducted to gather 19 nurses' first‐hand experiences of organizational learning during the COVID‐19 pandemic. Data were analysed using deductive thematic analysis. Results Nurses' experiences of organizational learning generally aligned with the tenets of the model. Specifically, effective organizational learning occurred when the contextual factors and mechanisms portrayed in the model converged. Model and contrary cases illustrate this phenomenon. Conclusions This study validates and adds context to the model. It offers practical examples of the contextual factors and mechanisms of organizational learning. Leaders can use the model to guide their efforts to foster organizational learning. Implications for Nursing Management This study reaffirms the importance of nurse leaders' central role in organizational learning. Nurse leaders can use the Organizational Learning in Hospitals model, and the practical examples provided, to foster organizational learning during challenging times.

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“…Typically, a negative outcome of decreased sense of occupational value and meaningfulness, and increased occupational disapproval and intent to leave is associated with occupational stigma. 68 , 69 Individuals with high scores on this dimension tend to deny their occupational choices and deem themselves unsuitable for medical work, as well as struggle to derive a sense of value from their work, while they also avoid mentioning their work to others with serious consideration of changing careers.…”

Section: Discussionmentioning

confidence: 99%

Development of the Chinese Version of the Physician Internalized Occupational Stigma Scale (PIOSS)

Fan¹,

Cong²,

Tao³

et al. 2022

PRBM

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Background/Objective Internalized occupational stigma may develop in physicians as a result of their identification with the public negative labels and stereotypes about them, and then internalization of them as a part of their self-concept. This study aims to develop the Physician Internalized Occupational Stigma Scale (PIOSS) and to examine its reliability and validity. Methods In study 1, the initial scale was used to investigate 356 physicians. While in study 2, a total of 346 physicians were investigated with the survey tools named the PIOSS, the Career Commitment Scale (CCS), the Workplace Well-Being Scale (WWBS), the Scale for the Doctor with Patient-doctor Relationship (DDPRQ-10), the Intent to Leave Scale (ILS) and the Occupational Disidentification Scale (ODS). Results The PIOSS includes 19 items divided into 3 dimensions: label identification, status loss, and career denial. The results of confirmatory factor analysis (CFA) reveal that the three-factor model fitted well ( χ 2 /df=2.574, RMSEA= 0.068, CFI= 0.931, IFI= 0.931, TLI= 0.919, PNFI= 0.762, PCFI= 0.795). The PIOSS total and each dimension scores were significantly negatively correlated with the CCS and the WWBS scores and remarkably positively associated with the DDPRQ-10, the ILS, and the ODS scores. Cronbach’s α coefficients for the PIOSS total scale and dimensions ranged from 0.775 to 0.914, and split-half reliability coefficients ranged from 0.801 to 0.931. In addition, the PIOSS exhibited cross-gender invariance. Conclusion Having good reliability and validity, the PIOSS can serve as a valid tool for the assessment of physician internalized occupational stigma.

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Deeply Discrediting: A Systematic Review Examining the Conceptualizations and Consequences of the Stigma of Working in Aged Care

Cited by 28 publications

References 84 publications

Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic

Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic

Organizational learning during COVID‐19: A qualitative study of nurses' experiences

Development of the Chinese Version of the Physician Internalized Occupational Stigma Scale (PIOSS)

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