Factors Associated With Care Workers’ Intention to Leave Employment in Nursing Homes: A Secondary Data Analysis of the Swiss Nursing Homes Human Resources Project

Gaudenz, Clergia; Geest, Sabina De; Schwendimann, René; Zúñiga, Franziska

doi:10.1177/0733464817721111

Cited by 43 publications

(80 citation statements)

References 59 publications

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“…The everlasting feeling of guilt may very well result in low job satisfaction and possible burnout, 13 and must be seen in relation to shortage of staff and heavy workload. 9,14 Research has previously revealed that long-term nursing staff are subject to considerable occupational stress, and report high levels of burnout. 15…”

Section: Discussionmentioning

confidence: 99%

“…Studies show that the staff in nursing homes find that making the care person-centred and dignified is the most challenging issue, often because of effectivity, everyday stress and overload. 4 A shortage of staff in general and professional staff in particular as well as high turnover rates 9 present major challenges in terms of achieving the ideal of a person-centred approach. In the interests of making the care more person-centred, systematic intervention of ‘one-to-one contact’ (resident – carer) was trialled for 30 min twice a week over 12 months in two units in a nursing home in Eastern Norway.…”

Section: Introductionmentioning

confidence: 99%

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Healthcare staff's experiences of implementing one to one contact in nursing homes

Helgesen¹,

Fagerli²,

Grøndahl

2019

Nurs Ethics

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Background: Person-centred care is often described as an ideal way of preserving vulnerable persons’ wellbeing and dignity and an essential component of quality-care delivery. However, the staff find that making the care dignified is the most challenging issue, often because of effectivity, everyday stress and overload. In the interests of making the care more person-centred, systematic intervention involving ‘one-to-one contact’ (resident – carer) was trialled for 30 min twice a week over 12 months in two units in a nursing home in Eastern Norway. Objectives: The aim of the study was to elicit healthcare staff’s experiences of implementing ‘one-to-one contact’ between residents and carers in nursing homes. Methods: The study has a grounded-theory inspired design. Two groups of health care staff were each interviewed three times. Data were collected over an 18-month period. Ethical considerations: The study was approved by the Data Protection Official for Research under the auspices of the Norwegian Social Science Data Services. Findings: The core category is ‘One-to-one contact’ at a nursing home is possible, but requires open-mindedness. The core category indicates that open-mindedness is required, since it does not take much for scepticism to take over and cause reversion to habitual practices. The category Expectant but Sceptical describes staff thoughts and experiences before the implementation phase got underway. The category Positive but Undecided describes staff experiences 6 months into the intervention and after 12 months. Conclusions: This study has revealed that systematic ‘one-to-one contact’ between resident and carer in nursing home is achievable, and that such a simple action might be an important step towards achieving more person-centred care as the resident is seen more as a person. However, in order to make a more person-centred and dignified approach to care constant attentiveness and awareness is required, as there were ongoing factors counteracting it.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Healthcare staff's experiences of implementing one to one contact in nursing homes

Helgesen¹,

Fagerli²,

Grøndahl

2019

Nurs Ethics

View full text Add to dashboard Cite

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“…It highlights the importance of FCWs being able to work in a climate that respects their role and the contribution they make to individual residents and to wider society. Seven papers discuss the way in which being respected, feeling respected and valued and receiving recognition can have a positive impact on staff resilience and retention (Yeatts et al 2018;Choi & Johantgen et al 2012;Gaudenz et al 2019;King et al 2013;Nakanishi & Imai 2012;Rajan &McKee 2020 andMoss &Meyer 2014).…”

Section: Culture Of Carementioning

confidence: 99%

“…Having good, positive one-to-one relationships with work colleagues (Schwendimann et al 2016;Nakanishi & Imai 2012;Gaudenz et al 2019;King et al 2013;Casper et al 2020) is viewed as being associated with resilience and retention. More specifically, three papers identify the absence of 'conflict' in these relationships as important (Gaudenz et…”

Section: Connectedness With Colleaguesmentioning

confidence: 99%

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Supporting the resilience and retention of frontline care workers in care homes for older people: A scoping review and thematic synthesis

Johnston

Malcolm

Rambabu

et al. 2020

Preprint

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The COVID-19 pandemic has reinforced the need to ensure that strategic and operational approaches to retain high quality, resilient frontline care home workers, who are not registered nurses, are informed by context specific, high quality evidence. We therefore conducted this scoping review to address the question: What is the current evidence for best practice to support the resilience and retention of frontline care workers in care homes for older people? MEDLINE, PubMed, PsycINFO, Embase, MedRxiv, CINAHL, ASSIA, Social Science Premium were searched for literature published between 2010 and 2020. The search strategy employed combinations of search terms to target frontline care workers in care homes for older people and the key concepts relevant to resilience and retention were applied and adapted for each database. Thirty studies were included. Evidence for best practice in supporting the resilience and retention specifically of frontline care workers in care homes is extremely limited, of variable quality and lacks generalisability. At present, it is dominated by cross-sectional studies mostly from out with the UK. The small number of intervention studies are inconclusive. The review found that multiple factors are suggested as being associated with best practice in supporting resilience and retention, but few have been tested robustly. The thematic synthesis of these identified the analytical themes of - Culture of Care; Content of Work; Connectedness with Colleagues; Characteristics and Competencies of Care Home Leaders and Caring during a Crisis. The evidence base must move from its current state of implicitness. Only then can it inform intervention development, implementation strategies and meaningful indicators of success. High quality, adequately powered, co-designed intervention studies, that address the fundamentally human and interpersonal nature of the resilience and retention of frontline care workers in care homes are required.

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Nurses' experiences of delirium and how to identify delirium—A qualitative study

et al. 2020

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Aim Delirium is a serious, acute medical condition which places a heavy burden on the patient, his or her family and healthcare professionals. There have been only a limited number of studies to explore nurses' experiences of delirium and how delirium is identified in community care. The research questions of the study are as follows: “How do community care nurses' experience delirium?” and “How is delirium identified?”. Design This study has been designed as an explorative and descriptive study. Methods A topic‐based interview guide was developed containing questions associated with the Registered Nurses' experiences of their meetings with people with delirium and their identification of delirium. Results Nurses working in the community care need to know more about delirium as they play a key role in treatment. Our results also show that the participants have difficulty in establishing whether a patient is suffering from acute confusion/delirium, depression or dementia.

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Factors Associated With Care Workers’ Intention to Leave Employment in Nursing Homes: A Secondary Data Analysis of the Swiss Nursing Homes Human Resources Project

Cited by 43 publications

References 59 publications

Healthcare staff's experiences of implementing one to one contact in nursing homes

Healthcare staff's experiences of implementing one to one contact in nursing homes

Supporting the resilience and retention of frontline care workers in care homes for older people: A scoping review and thematic synthesis

Nurses' experiences of delirium and how to identify delirium—A qualitative study

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