Consumer Directed Care and Resident Quality of Life: How Leadership and Organizational Factors Impact on Success

Author(s):  
Marita McCabe ◽  
Denny Meyer ◽  
David Mellor ◽  
Jessica Byers ◽  
Debra Osborne ◽  
...  
2021 ◽  
Vol 21 (3) ◽  
pp. 1428-1439
Author(s):  
Morufat A Alabi ◽  
Adeyinka G Ishola ◽  
Adenike C Onibokun ◽  
Victor O Lasebikan

Background: Burnout remains a huge public health problem among nurses. Methods: A cross-sectional descriptive study assessed 259 nurses from two Neuropsychiatric hospitals in Nigeria. Data was collected using a sociodemographic/ job related questionnaire, the Maslach Burnout Inventory (MBI), and the Short-Form health survey (SF-12). The associations between sociodemographic characteristic and burnout was anaysed using Chi square test, between burnout and quality of life using Spearman correlation statistics. Predictors of burnout were determined using binary regression analysis Results: Prevalence of emotional exhaustion (EE) was 44.4%, depersonalization (DEP) 31.7% and reduced personal ac- complishment was 98.8%. Predictors of EE were: poor funding from management, OR = 0.38 (95% CI 0.15-0.95) and role conflict, OR = 2.44 (95% CI 1.03-5.78), while the predictors of DEP, were age group, 31-40 years, OR = 0.37 (95% CI 0.18-0.77), male gender, OR = 2.55 (95% CI 1.40-4.65), role conflict, OR = 6.53 (95% CI 0.88-7.81) and working at more urban city, OR = 3.07 (95% CI 1.54-6.16). The mean total Quality of life (QOL) scores were significantly higher among respondents who had no EE and DEP p < 0.001. Conclusion: Burnout is high among mental health nurses and is associated with poor quality of life. Keywords: Nurses; burnout; quality of life; workplace; organizational factors; more-urban.


2021 ◽  
pp. e20200144
Author(s):  
Vanessa I. Rohlf ◽  
Rebekah Scotney ◽  
Holly Monaghan ◽  
Pauleen Bennett

Working in the veterinary profession can be both stressful and rewarding. High workloads, long work hours, emotionally charged interactions with clients, and exposure to animal suffering and participation in euthanasia place many at risk of compassion fatigue, which then threatens their professional quality of life (ProQOL). Despite this risk, many veterinary professionals choose to stay within the profession. This study explores personal and organizational factors predicting compassion satisfaction (CS), burnout, and secondary traumatic stress (STS) in veterinary professionals, and the extent to which these aspects of ProQOL are linked with intentions to leave the profession. Regression results show that personal factors accounted for 31.1% of the variance in CS, 45.3% in burnout, and 33.8% in STS. Organizational factors significantly accounted for 33.3% of the variance in CS, 47.9% in burnout, and 32.7% in STS. Together, ProQOL accounted for 28.9% and 16.0% of the variance in intentions to leave one’s current role and to leave the profession altogether, respectively. These results suggest that both personal and organizational factors play a role in veterinary professionals’ ProQOL and highlight the importance of promoting CS and managing burnout and STS for the purpose of fostering veterinary staff well-being and retention.


2018 ◽  
Vol 16 (3) ◽  
pp. 173
Author(s):  
Anastasia Miller, PhD ◽  
Lynn Unruh, PhD, RN, LHRM ◽  
Tracy Wharton, PhD, MEd, MSc, MSW, LCSW ◽  
Xinliang Liu, PhD ◽  
Ning Zhang, PhD, MD, MPH

Objective: The purpose of this study was to determine a baseline level of compassion satisfaction, burnout, and secondary traumatic stress (STS) in firefighters, as well as to examine how these constructs related to perceived organizational support, perceived coworker support, psychological resilience, and debriefing in the fire personnel.Design: This was done through a voluntary nonrandom, cross-sectional administration of surveys. Setting: The study was carried out in the state of Florida.Subjects, Participants: Surveys were e-mailed out to state firefighters. Two hundred seventy surveys were completed by active firefighting personnel across the state.Main Outcome Measure(s): The Professional Quality of Life: Compassion Satisfaction and Compassion Fatigue Version 5 was also sent to establish self-reported levels of compassion satisfaction, burnout, and STS. The Survey of Perceived Organizational Support, Perceived Organizational Support Survey, and the Brief Resilience Survey were also used in addition to questions regarding debriefing activities. Results: Gender, race, and education levels were significantly related to compassion satisfaction in the regression analysis. Organizational support was associated with higher compassion satisfaction as well as lower burnout and STS. Coworker support was associated with higher compassion satisfaction. Psychological resilience was positively associated with higher levels of compassion satisfaction and lower burnout and STS. Those who participated in informal debriefing methods had higher compassion satisfaction as well as lower burnout. Firefighters working at agencies that did not provide mental health professional’s services had lower compassion satisfaction.Conclusions: Fire agencies have multiple avenues and policy options to improve the professional quality of life for firefighters.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S381-S381
Author(s):  
Franziska Zúñiga ◽  
Sabine Hahn

Abstract Few studies so far take a broader perspective at staffing in nursing homes (NH) including e.g. the impact of activity staff on quality outcomes. Moreover, few assess resident-reported quality of life (QoL). Examining the relationship of organizational and resident factors with QoL, we report the results from a questionnaire survey of organizational characteristics from 51 Swiss nursing homes and of structured interviews with 863 residents. Residents rated their quality of life with a single item. A logistic regression model was applied. At the organizational level, a higher number of activity staff was significantly related to QoL, while at resident level, both the possibility to select their NH and less care dependency were significant predictors. Meaningful activities as well as autonomous decision-making concerning one’s living place seem of paramount importance for residents’ better perception of their QoL. NH staff mix needs to address the possibility to offer enjoyable activities.


2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


ASHA Leader ◽  
2010 ◽  
Vol 15 (15) ◽  
pp. 5-6
Author(s):  
Anne Skalicky ◽  
Brenda Schick ◽  
Donald Patrick
Keyword(s):  

Author(s):  
Nina Simmons-Mackie

Abstract Purpose: This article addresses several intervention approaches that aim to improve life for individuals with severe aphasia. Because severe aphasia significantly compromises language, often for the long term, recommended approaches focus on additional domains that affect quality of life. Treatments are discussed that involve increasing participation in personally relevant life situations, enhancing environmental support for communication and participation, and improving communicative confidence. Methods: Interventions that have been suggested in the aphasia literature as particularly appropriate for people with severe aphasia include training in total communication, training of communication partners, and activity specific training. Conclusion: Several intervention approaches can be implemented to enhance life with severe aphasia.


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