Job satisfaction amongst aged care staff: exploring the influence of person-centered care provision

Edvardsson, David; Fetherstonhaugh, Deirdre; McAuliffe, Linda; Nay, Rhonda; Chenco, Carol

doi:10.1017/s1041610211000159

Cited by 108 publications

(120 citation statements)

References 30 publications

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“…Lynch et al [37] state that person-centred nursing must be integrated with situational leadership theory to provide the individual level of appropriateness to support person-centred practice. In Edvardsson et al [38], the results showed that job satisfaction as well as support from the organisation and the degree of environmental accessibility could predict perceived quality of person-centred care. That is, to be in a person-centred caregiver role, the caregiver must be in a work environment that gives opportunities for reflection and professional development [39].…”

Section: Discussionmentioning

confidence: 98%

The Benefits of Person-Centred Clinical Supervision in Municipal Healthcare—Employees’ Experience

Nordbøe¹,

Enmarker²

2017

OJN

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Satisfied employees in healthcare services who have opportunities to develop their professional competence by reflecting on professional challenges play an important role in the quality of care. The aim of the present study was to describe the employees' experience of the benefits of participating in a personcentred clinical supervision setting. The supervision, guided by a professional supervisor, was carried out with a group of six day-and night-shift municipal healthcare professionals for a period of four months during their mandatory work hours. Data were obtained from written individual evaluations and group interviews shortly after the last session and again twelve months later. The results showed that the participants experienced that their internal resources and coping skills had been strengthened by the supervision. They developed abilities to meet the challenges more constructively than before. New understandings gave them the opportunity to alternative actions in practice. Further intervention studies of person-centred clinical supervision must focus on such clinical outcomes as patient safety and professional development.

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Section: Discussionmentioning

confidence: 98%

The Benefits of Person-Centred Clinical Supervision in Municipal Healthcare—Employees’ Experience

Nordbøe¹,

Enmarker²

2017

OJN

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“…Calculations of the primary relative endpoint was based on a previously reported Pyramid questionnaire mean of 76 and SD 21 for overall satisfaction in similar context [57], which indicates that a sample of 150 relatives from each group would be sufficient to detect significant pre-post intervention mean differences of at least 8.7. Calculations of the primary staff endpoint was based on a previously reported MJS mean of 81 and SD of 14 for job satisfaction in similar context [34], which indicates that a sample of 150 staff from each group would be sufficient to detect significant pre-post intervention mean differences of at least 3.4. Therefore, a total of at least 900 participants will be recruited.…”

Section: Methodsmentioning

confidence: 99%

“…To conclude, the literature indicates that interventions aiming to improve the situation of nursing home residents, relatives and staff would benefit from having a person-centred approach [33, 34], even if further evidence is needed [18]. No previous controlled trials have been located that have evaluated effects and meanings of a person-centred and thriving promoting intervention for nursing home care on resident, relatives’ and staff endpoints.…”

Section: Introductionmentioning

confidence: 99%

A person-centred and thriving-promoting intervention in nursing homes - study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial

et al. 2017

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BackgroundThe literature suggests that person-centred care can contribute to quality of life and wellbeing of nursing home residents, relatives and staff. However, there is sparse research evidence on how person-centred care can be operationalised and implemented in practice, and the extent to which it may promote wellbeing and satisfaction. Therefore, the U-Age nursing home study was initiated to deepen the understanding of how to integrate person-centred care into daily practice and to explore the effects and meanings of this.MethodsThe study aims to evaluate effects and meanings of a person-centred and thriving-promoting intervention in nursing homes through a multi-centre, non-equivalent controlled group before-after trial design. Three nursing homes across three international sites have been allocated to a person-centred and thriving-promoting intervention group, and three nursing homes have been allocated to an inert control group. Staff at intervention sites will participate in a 12-month interactive educational programme that operationalises thriving-promoting and person-centred care three dimensions: 1) Doing a little extra, 2) Developing a caring environment, and 3) Assessing and meeting highly prioritised psychosocial needs. A pedagogical framework will guide the intervention. The primary study endpoints are; residents’ thriving, relatives’ satisfaction with care and staff job satisfaction. Secondary endpoints are; resident, relative and staff experiences of the caring environment, relatives’ experience of visiting their relative and the nursing home, as well as staff stress of conscience and perceived person-centredness of care. Data on study endpoints will be collected pre-intervention, post-intervention, and at a six-month follow up. Interviews will be conducted with relatives and staff to explore experiences and meanings of the intervention.DiscussionThe study is expected to provide evidence that can inform further research, policy and practice development on if and how person-centred care may improve wellbeing, thriving and satisfaction for people who reside in, visit or work in nursing homes. The combination of quantitative and qualitative data will illuminate the operationalisation, effects and meaning of person-centred and thriving-promoting care.Trial registrationThe trial was registered at ClinicalTrials.gov March 19, 2016, identifier NCT02714452.

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“…In addition, it empowers residents, helping them to maximize their potential for retaining relationships, capabilities, interests and skills by acknowledging what they prefer in the context of their strengths and needs (Menne, Johnson, Whitlach, & Schwartz, 2012). Person-centered approaches have been found to empower direct care staff and facilitate delivery of individualized care (Caspar, O'Rourke, & Gutman, 2009), as well as improve job satisfaction (Edvardsson, Fetherstonhaugh, McAuliffe, Nay, & Chenco, 2011). …”

Section: Introduction and Rationalementioning

confidence: 99%

“We Can’t Provide Season Tickets to the Opera”: Staff Perceptions of Providing Preference-Based, Person-Centered Care

Abbott

Heid

Haitsma

2016

Clinical Gerontologist

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Knowledge of a nursing home resident's everyday living preferences provides the foundation for ongoing individualized care planning. Objective The purpose of this study is to identify nursing home (NH) staff perceptions of facilitators and barriers to learning about and meeting residents’ preferences and reasons why staff feel residents change their minds about preferences. Methods Focus group sessions and interviews were conducted with 36 NH staff members working in a facility that has been actively assessing resident preferences for five years. Results Thematic codes classifying facilitators, barriers, and dependencies were identified. Staff shared ways they are able to help meet residents’ preferences as well as barriers to fulfilling resident preferences through their own behaviors, facility characteristics, the social environment, and resident characteristics. In addition, staff believe that residents change their minds about important preferences ‘depending on’ several factors including; global environmental characteristics, social environment, resident characteristics, and general staff perceptions. Conclusions This work identifies key facilitators and barriers to consider when implementing quality improvement efforts designed to improve the person-centered nature of care in nursing homes and is intended to further inform the culture change movement, which aims to transform NHs by empowering staff and delivering person-centered care.

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Job satisfaction amongst aged care staff: exploring the influence of person-centered care provision

Cited by 108 publications

References 30 publications

The Benefits of Person-Centred Clinical Supervision in Municipal Healthcare—Employees’ Experience

The Benefits of Person-Centred Clinical Supervision in Municipal Healthcare—Employees’ Experience

A person-centred and thriving-promoting intervention in nursing homes - study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial

“We Can’t Provide Season Tickets to the Opera”: Staff Perceptions of Providing Preference-Based, Person-Centered Care

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