Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-25T16:21:58.751Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  15 February 2011

David Edvardsson ,
Deirdre Fetherstonhaugh ,
Linda McAuliffe ,
Rhonda Nay  and
Carol Chenco
David Edvardsson*
Affiliation:
Department of Nursing, Umeå University, Umeå, Sweden Australian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, Melbourne, Australia
Deirdre Fetherstonhaugh
Affiliation:
Australian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, Melbourne, Australia
Linda McAuliffe
Affiliation:
Australian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, Melbourne, Australia
Rhonda Nay
Affiliation:
Australian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, Melbourne, Australia
Carol Chenco
Affiliation:
Australian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, Melbourne, Australia
*
Correspondence should be addressed to: David Edvardsson, Department of Nursing, Umeå University, S-901 87 Umeå, Sweden. Phone: +46 90 786 91 43; Fax: +46 90 786 91 69. Email: david.edvardsson@nurs.umu.se.
Get access

Abstract

Background: There are challenges in attracting and sustaining a competent and stable workforce in aged care, and key issues of concern such as low staff job satisfaction and feelings of not being able to provide high quality care have been described. This study aimed to explore the association between person-centered care provision and job satisfaction in aged care staff.

Methods: Residential aged care staff (n = 297) in Australia completed the measure of job satisfaction and the person-centered care assessment tool. Univariate analyses examined relationships between variables, and multiple linear regression analysis explored the extent to whichperceived person-centredness could predict job satisfaction of staff.

Results: Perceived person-centred care provision was significantly associated with job satisfaction, and person-centred care provision could explain nearly half of the variation in job satisfaction. The regression model with the three person-centered care subscales as predictor variables accounted for 40% of the variance in job satisfaction. Personalizing care had the largest independent influence on job satisfaction, followed by amount of organizational support and degree of environmental accessibility. Personalizing care and amount of organizational support had a statistically significant unique influence.

Conclusions: As person-centered care positively correlated with staff job satisfaction, supporting staff in providing person-centered care can enhance job satisfaction and might facilitate attracting and retaining staff in residential aged care. The findings reiterate a need to shift focus from merely completing care tasks and following organizational routines to providing high quality person-centered care that promotes the good life of residents in aged care.

Keywords

aged carelong-term care questionnairesjob satisfaction
Type
Research Article
Information
International Psychogeriatrics , Volume 23 , Issue 8 , October 2011 , pp. 1205 - 1212
Copyright
Copyright © International Psychogeriatric Association 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Australian Nursing Federation (2009). Nurses in Residential Aged Care. Available at: http://www.accesseconomics.com.au/publicationsreports/search.php?searchfor=the+australian+nursing+federation&from=0&search=Go; last accessed 20 October 2010.Google Scholar
Berg, A., Welander-Hansson, U. and Hallberg, I. R. (1994). Nurses’ creativity, tedium and burnout during one year of clinical supervision and implementation of individually planned nursing care: comparisons between a ward for severely demented patients and a similar control ward. Journal of Advanced Nursing, 20, 742–749.CrossRefGoogle Scholar
Beverly, C., Burger, S. G., Maas, M. L. and Specht, J. K. P. (2010). Aging issues: nursing imperatives for healthcare reform. Nursing Administration Quarterly, 34, 95–109.CrossRefGoogle ScholarPubMed
Brodaty, H., Draper, B. and Low, L. F. (2003). Nursing home staff attitudes towards residents with dementia: strain and satisfaction with work. Journal of Advanced Nursing, 44, 583–590.CrossRefGoogle ScholarPubMed
Chen, Z., Yu, J., Song, Y. and Chui, D. (2010). Aging Beijing: challenges and strategies of health care for the elderly. Ageing Research Reviews, 9S, S2–S5.CrossRefGoogle Scholar
Chenoweth, L. et al. (2009). Caring for Aged Dementia Care Resident Study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: a cluster-randomised trial. Lancet Neurology, 8, 317–325CrossRefGoogle ScholarPubMed
Chou, S. C., Boldy, D. P. and Lee, A. H. (2002). Measuring job satisfaction in residential aged care. International Journal for Quality in Health Care, 14, 49–54.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J. (1997). Turnover among nursing home staff. Nursing Management, 28, 59–64.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J. and Bester, A. (2006). Flexibility as a management principle in dementia care: the Adards example. Gerontologist, 46, 540–544.CrossRefGoogle ScholarPubMed
Drebing, C., McCarty, E. F. and Emerson Lombardo, N. B. (2002). Professional caregivers for patients with dementia: predictors of job and career commitment. American Journal of Alzheimer's Disease and Other Dementias, 17, 357–366CrossRefGoogle ScholarPubMed
Edberg, A. K. and Hallberg, I. R. (1996). Effects of clinical supervision on nurse-patient cooperation quality: a controlled study in dementia care. Clinical Nursing Research, 5, 127–146.CrossRefGoogle ScholarPubMed
Edvardsson, D., Sandman, P. O., Nay, R. and Karlsson, S. (2008a). Associations between the working characteristics of nursing staff and the prevalence of behavioral symptoms among people with dementia in residential care. International Psychogeriatics, 20, 764–76.CrossRefGoogle ScholarPubMed
Edvardsson, D., Winblad, B. and Sandman, P. O. (2008b). Person-centred care for people with severe Alzheimer's disease: current status and ways forward. Lancet Neurology, 7, 362–367.CrossRefGoogle ScholarPubMed
Edvardsson, D., Sandman, P. O., Nay, R. and Karlsson, S. (2009). Predictors of job strain in residential dementia care nursing staff. Journal of Nursing Management, 17, 59–65.CrossRefGoogle ScholarPubMed
Edvardsson, D., Fetherstonhaugh, D. and Nay, R. (2010a). Promoting a continuation of self and normality: person-centred care as described by people with dementia, family members and aged care staff. Journal of Clinical Nursing, 19, 2611–2618.CrossRefGoogle Scholar
Edvardsson, D., Fetherstonhaugh, D., Gibson, S. and Nay, R. (2010b). Development and initial testing of the Person-centred Care Assessment Tool (P-CAT). International Psychogeriatrics, 22, 101–108.CrossRefGoogle Scholar
Fossey, J. et al. (2006). Effect of enhanced psychosocial care on antipsychotic use in nursing home residents with severe dementia: cluster randomized trial. BMJ, 332, 756–761.CrossRefGoogle Scholar
Hoeffer, B. et al. (2006). Assisting cognitively impaired nursing home residents with bathing: effects of two bathing interventions on caregiving. Gerontologist, 46, 524–532.CrossRefGoogle ScholarPubMed
Kitwood, T. (1997). Dementia Reconsidered. The Person Comes First. Maidenhead: Open University Press.Google Scholar
Kontos, P. C., Mitchell, G. J., Mistry, B. and Ballon, B. (2010). Using drama to improve person-centred care. International Journal of Older People Nursing, 5, 159–168.CrossRefGoogle Scholar
McCormack, B. and McCance, T. (2006). Development of a framework for person-centred nursing. Journal of Advanced Nursing, 56, 472–479.CrossRefGoogle ScholarPubMed
McCormack, B. et al. (2010). Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential care settings for older people. International Journal of Older People Nursing, 5, 93–107.CrossRefGoogle Scholar
McKeown, J., Clarke, A., Ingleton, C., Ryan, T. and Repper, J. (2010). The use of life story work with people with dementia to enhance person-centred care. International Journal of Older People Nursing, 5, 148–158.CrossRefGoogle ScholarPubMed
Morgan, D. G., Stewart, N. J., D'Arcy, C., Forbes, D. and Lawson, J. (2005). Work stress and physical assault of nursing aides in rural nursing homes with and without dementia special care units. Journal of Psychiatric and Mental Health Nursing, 12, 347–358.CrossRefGoogle ScholarPubMed
Nolan, M. R., Davies, S., Brown, J., Keady, J. and Nolan, J. (2004). Beyond “person-centred” care: a new vision for gerontological nursing. Journal of Clinical Nursing, 13, 45–53.CrossRefGoogle Scholar
Olsson, A., Björkhem, K. and Hallberg, I. R. (1998). Systematic clinical supervision of home carers working in the care of demented people who are at home: structure, content and effects as experienced by participants. Journal of Nursing Management, 6, 239–276.CrossRefGoogle ScholarPubMed
Packer, T. (2003). Turning rhetoric into reality: person-centred approaches for community mental health nursing. In Keady, J., Clarke, C. and Adams, T. (eds.), Community Mental Health Nursing and Dementia Care (pp. 104–119), Maidenhead: Open University Press.Google Scholar
Palese, A., Granzotto, D., Broll, M. G. and Carlesso, N. (2010). From health organization-centred standardization work process to a personhood-centred care process in an Italian nursing home: effectiveness on bowel elimination model. International Journal of Older People Nursing, 5, 179–187.CrossRefGoogle Scholar
Ryan, T., Nolan, , Enderby, M. and Reid, D.. (2004). “Part of the family”: sources of job satisfaction amongst a group of community-based dementia care workers. Health and Social Care in the Community, 12, 111–118.CrossRefGoogle ScholarPubMed
Statistics Sweden (2006). The Elderly: Care Needs and Proximity to Relatives. Demographic Reports, 1. Stockholm: Statistics Sweden.Google Scholar
te Boekhorst, S., Willemse, B., Depla, M. F. I. A., Eefsting, J. A. and Pot, A. M. (2008). Working in group living homes for older people with dementia: the effects on job satisfaction and burnout and the role of job characteristics. International Psychogeriatrics, 20, 927–940.CrossRefGoogle ScholarPubMed
van Weert, J. C. M., van Dulmen, A. M., Spreeuwenberg, P. M. M., Bensing, J. M. and Ribbe, M. W. (2005). The effects of the implementation of snoezelen on the quality of working life in psychogeriatric care. International Psychogeriatrics 17, 407–427.CrossRefGoogle ScholarPubMed
Vernooij-Dassen, M. J. et al. (2009). Dementia care and the labour market: the role of job satisfaction. Aging and Mental Health, 14, 383–390.CrossRefGoogle Scholar
Zimmerman, S. et al. (2005). Attitudes, stress, and satisfaction of staff who care for residents with dementia. Gerontologist, 45, 96–105.CrossRefGoogle ScholarPubMed