The Association between Work Stressors, Knowledge about Aging, Burnout, and Job Satisfaction among Nursing Home Activity Directors

2019 ◽  
Vol 44 (1) ◽  
pp. 42-60
Author(s):  
Dafna Halperin
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S3-S3
Author(s):  
Jenny Inker ◽  
Christine J Jensen ◽  
Sonya Barsness

Abstract Effective training is critical to providing quality care in long-term care environments, where many residents have dementia. Training has been linked to positive resident care outcomes and improved job satisfaction of staff. The aim of this study was to develop, pilot, and evaluate a Microlearning training curriculum, using short (5-10 minute) “bursts” of training available through an online platform on demand (i.e. 24/7). The expected outcomes were to improve staff knowledge, attitudes, and skills regarding person-centered dementia care and to increase job satisfaction. Researchers translated the Centers for Medicare and Medicaid Hand-in-Hand training curriculum into 52 weekly Microlearning lessons delivered via an online platform (accessible by computer, IPad or smart phone) followed by a short quiz. Using pre- and post-tests, nine focus groups, and fourteen telephone interviews, the researchers engaged with a convenience sample of staff (N = 244) working at all levels from direct care to leadership in nine nursing homes in Virginia. Pre- and post-tests comprised items from the Dementia Attitudes Scale and the Nursing Home Nurse Aide Job Satisfaction Scale. Results from a between subjects t-test demonstrated significant improvements in attitudes to people with dementia. Focus groups and interviews revealed high satisfaction with the training with a significant majority agreeing it was a helpful way to learn and that they were able to apply what they had learned to caring for residents. This pilot demonstrates a promising new practice for training long-term care staff. Further research using a control group receiving usual training is indicated.


Nursing Open ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. 1787-1797
Author(s):  
Tove Karin Vassbø ◽  
Ådel Bergland ◽  
Marit Kirkevold ◽  
Marie Lindkvist ◽  
Qarin Lood ◽  
...  

2021 ◽  
Author(s):  
◽  
Daniela Adiyaman

Uncivil behaviours from insider as well as outsider members of the organization are commonly experienced and may have detrimental effects on employee’s well-being. While previous diary studies demonstrated that such effects might already appear within the same day, few investigated how long they might last. Moreover, previous studies that examined targets of incivility’s stress reaction mainly focused on emotions and neglected that such interpersonal misconduct might also impair employees’ self-esteem. In addition, previous studies on the boundary conditions of experienced incivility’s effects showed that resources are crucial to cope with experienced incivility’ effects. However, few studies considered the close social context and specifically whether targets observe others being rudely treated as well, which may also buffer targets’ stress reaction. In addition, employees may have to cope with many job stressors (included incivility) but resources are limited, thus they may lack the resources to successfully cope with experienced incivility’s effects. We therefore conducted two first diary studies to examine the short-term effects of experienced incivility on employees’ well-being (angry and depressive mood and self-esteem) as well as the lagged effects on general negative affect. In a third filed study, we also examined customer incivility’ effects on exhaustion and job satisfaction. In addition, we investigated the buffering role of observed incivility as well as the exacerbating role of some work stressors (workload, organizational constraints and an organizational change). Our findings revealed that experienced incivility positively related to angry, depressive mood and exhaustion and negatively related to self-esteem and job satisfaction. With regard to the boundary conditions, observed incivility did buffer experienced incivility’s effects on depressive mood and self-esteem. Unexpectedly however, the organizational change also buffered customer incivility’ effects on job satisfaction. Finally and in line with the depletion of resources assumption, workload did exacerbate experienced incivility’s effect on general negative affect. Overall, the present research confirms the harmful effects of experienced incivility on employees’ well-being. Moreover, it highlights that sharing experiences of incivility with other victims may buffer targets’ strain and on the contrary, facing some work stressors may exacerbate it.


2021 ◽  
pp. 073346482110405
Author(s):  
Verena R. Cimarolli ◽  
Natasha S. Bryant ◽  
Francesca Falzarano ◽  
Robyn Stone

Limited research has examined coronavirus disease 2019 (COVID-19)-related work stressors experienced by nursing home (NH) employees and how these stressors may impact employees’ decision to resign when taking organizational factors into account. Thus, the purpose of this study was to investigate whether quality of employer communication related to COVID-19 and staff preparedness to care for residents with COVID-19 can mediate the effects of COVID-19-related stressors on NH employees’ ( N = 1,730) decision to resign. Results from path analyses indicate that higher quality of communication and more optimal preparedness mediated the relationship between COVID-19-related stressors and likelihood of resignation. Specifically, higher levels of COVID-19-related stressors were indirectly associated with reduced likelihood of resigning through the paths of more optimal communication and preparedness. Findings underscore the importance of effective employer communication during emergencies in NHs.


2020 ◽  
Vol 32 (3) ◽  
pp. 371-380 ◽  
Author(s):  
Ruslan Leontjevas ◽  
Linda Hooijschuur ◽  
Martin Smalbrugge ◽  
Raymond T.C.M. Koopmans ◽  
Debby L. Gerritsen

ABSTRACTObjective:The Act in case of Depression program showed effects on the quality of life and depression in nursing home (NH) residents. We aimed to explore the effects of this complex multidisciplinary program on job satisfaction, job demands, and autonomy in nursing home staff.Design:Four data points from a stepped-wedge cluster-randomized trial on patient outcomes were used for secondary analyses on staff outcomes.Setting:Sixteen dementia special care and 17 somatic care units in Dutch NHs.Participants were 717 (90.1%) care staff or trainees, 34 (4.3%) paramedical staff, and 45 (5.7%) other staff members.Intervention describes procedures for nursing staff, activity therapists, psychologists, and physicians. It contains evidence-based pathways for depression assessment, treatment, and monitoring treatment results.Results:Mixed models for intention-to-treat analyses showed no significant changes in job demands, job satisfaction, or autonomy. Models corrected for the ratio of unit residents who received, when indicated, a specific program component revealed reduced job demands and improved job satisfaction and autonomy when treatment procedures were used. A better use of assessment procedures was associated with increased job demands, while conducting monitoring procedures was associated with increased job demands and decreased autonomy.Conclusions:Components of complex care programs may affect the staff outcomes in opposite directions and, taken together, produce a zero-sum or a statistically insignificant effect. While implementing treatment protocols affecting patients directly can also improve job outcomes such as satisfaction and autonomy and decrease job demands, it is possible that other procedures of complex programs may have unfavorable effects on job outcomes. It is important to account for specific components of complex interventions when evaluating intervention effects.


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