Staffing adequacy, supervisory support and quality of care in long‐term care settings: staff perceptions

Räikkönen, Outi; Perälä, Marja-Leena; Kahanpää, Anja

doi:10.1111/j.1365-2648.2007.04443.x

Cited by 34 publications

(41 citation statements)

References 38 publications

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“…Previous studies have shown that quality of care is related to staff's well-being [50] and job satisfaction [51,52] The staff that indicated they had greater time to perform their duties also perceived the quality in the secure-environment dimension as higher in this study. This finding is in line with Bowers et al [53], who found that time available for giving care has an impact on quality of care.…”

Section: Discussionmentioning

confidence: 48%

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The Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) instrument: Psychometric properties and staff views of the quality of forensic psychiatric services in Sweden

Schröder¹,

Lundqvist²

2013

OJN

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The aim of the present study was to evaluate the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) and to describe the perceived quality of psychiatric care among forensic inpatient service staff. A sample of 348 forensic inpatient staff from 18 forensic wards in Sweden participated in the study. A confirmatory factor analysis revealed a seven-factor structure with item loadings > 0.50 on expected factors, indicating adequate psychometric properties. The staff's ratings of quality of care were high, 94% being positive. The highest ratings were found for the secluded-environment dimension and the lowest for the secure-environment dimension. Several factors influenced the ratings of quality of care, for instance, staff's time to perform their duties and staff's age. It is concluded that the QPC-FIPS can give valuable information about staff's perceptions of the quality of care provided at inpatient forensic psychiatric care services, which can be used to identify areas for quality improvement. Use of the QPC-FIPS is an easy and inexpensive way to evaluate quality in forensic inpatient care, preferably in conjunction with the QPC-FIP instrument developed for forensic inpatients and covering the same items and dimensions.

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Section: Discussionmentioning

confidence: 48%

“…This finding is in line with Bowers et al [53], who found that time available for giving care has an impact on quality of care. In addition, Räikkönen et al [51] argue that staff with sufficient time performed work of better quality than those with insufficient time.…”

Section: Discussionmentioning

confidence: 99%

The Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) instrument: Psychometric properties and staff views of the quality of forensic psychiatric services in Sweden

Schröder¹,

Lundqvist²

2013

OJN

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“…Secondary Traumatic Stress was negatively correlated with supervisory support (p=.002), but after effect size was calculated the strength of association was not as strong as organizational support and trauma-informed caregiver development.This does not negate the importance of supervisory support as this study found supervisory support to be significantly associated with higher levels of compassion satisfaction (p < .001) and the strength of this relationship was medium when effect sizes were calculated. Countless other researchers have found lack ofsupervisory support to be a strong predictor of burnout and secondary traumatic stress (Harrison & Westwood, 2009;Jankoski, 2010;Tehrani, Osborne, & Lane, 2012) and correlated with trauma caregiver perceptions of client care (Räikkönen, Perälä, &Kahanpää, 2008).…”

Section: Discussionmentioning

confidence: 99%

Trauma-Informed Systems of Care: The Role of Organizational Culture in the Development of Burnout, Secondary Traumatic Stress, and Compassion Satisfaction

Handran¹

2015

JSWHR

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Caregivers who provide services to trauma survivors are at high risk of developing secondary traumatic stress and burnout. Researchers and practitioners in the field of traumatology emphasize the role organizational culture has on individuals who provide services to trauma survivor's well-being. Although there is a considerable amount of theoretical literature on organizational culture and its effects on traumaworkers' well-being, there is a lack of empirical research. The purpose of this exploratory study was to identify what organizational characteristics influence trauma caregivers' compassion fatigue and compassion satisfaction.This study used data from a sample of 282 individuals who provide services to survivors of trauma including 67 animal control officers, 102 child, youth, and family service workers, and 113 individuals who work with the homeless. This research supports the literature and found several significant relationships between the independent and dependent variables. Organizational support and trauma-informed caregiver development were found to be strong predictor variables for burnout and secondary traumatic stress. Practical implications are provided addressing the roles that organizational support, supervisory support, peer support, and trauma-informed caregiver development have in the implementation of a trauma-informed system of care.

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“…[3][4][5][6] Positive managernurse relationships, [3] and managers providing support and empowering work environments to their nurses are strongly associated with nurses' self-assessed skills to deliver high quality care, [5] whereas unjustified management behaviour decreases nurses' work motivation. [3] Managers also need to recognize their own resources and shortcomings.…”

Section: Introductionmentioning

confidence: 99%

“…[2] Due to the issues related to quality care and patient safety, added with the global shortage of professionally qualified nurses, interest in nurses' competence has in-creased. [3][4][5] Consequently, assessment of competence is important in targeting available competence resources in an optimal way. [3] It is also important that nurses' and their managers' competence assessments are realistic and aligned.…”

Section: Introductionmentioning

confidence: 99%

Congruence between nurse managers’ and nurses’ competence assessments: A correlation study

Numminen¹,

Leino‐Kilpi

Isoaho

et al. 2014

JNEP

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Background/objective: Nurse managers have an important impact on nurses' competence. However, research on managers' and nurses' competence assessments using the same criteria is scarce. For quality care it is important that these assessments align. This study compared nurses' and their managers' competence assessments. Methods:A cross-sectional, descriptive, comparative correlation design was applied. Participants were 1656 manager-nurse pairs conducting self-assessments and manager assessments respectively in a university hospital in Finland. The Nurse Competence Scale which measures nurses' generic level professional competence was used to collect the data. Means, range, frequencies, and standard deviations, and Mixed Models with Repeated Measures were used in data analysis.Results: Both managers and nurses assessed the competence level as good, but managers assessed the level significantly higher than nurses themselves. However, the overall competence profiles between the groups aligned. Higher competence level and smaller Visual Analogy Scale (VAS) score differences between the groups were related to individualized patient care, and ethically committed and flexible action in care situations. Lower competence level and bigger VAS score differences between groups concerned consultation, guiding, and evaluation activities within care team, developmental tasks, and use of research knowledge.Conclusions: Although the difference between managers' and nurses' competence assessments was significant in favour of managers, there is a strong congruence between the groups concerning core tasks of nursing. Competences with low scores, differences between groups, management's support, and factors influencing competence need further research for planning interventions to enhance competence development. Use of multiple assessment methods is recommended to add validity and reliability of the measurements.

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Staffing adequacy, supervisory support and quality of care in long‐term care settings: staff perceptions

Cited by 34 publications

References 38 publications

The Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) instrument: Psychometric properties and staff views of the quality of forensic psychiatric services in Sweden

The Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) instrument: Psychometric properties and staff views of the quality of forensic psychiatric services in Sweden

Trauma-Informed Systems of Care: The Role of Organizational Culture in the Development of Burnout, Secondary Traumatic Stress, and Compassion Satisfaction

Congruence between nurse managers’ and nurses’ competence assessments: A correlation study

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