Fjelltun Aud-Mari Sohini, Henriksen Nils, Norberg Astrid, Gilje Fredricka, Normann Hans Ketil
Department of Nursing and Health Sciences, University of Tromsø, Tromsø, Norway.
Scand J Caring Sci. 2009 Mar;23(1):57-66. doi: 10.1111/j.1471-6712.2007.00590.x. Epub 2008 Nov 7.
The aim of this study is to describe carers' and nurses' appraisals of workload in care of frail elderly awaiting nursing home (NH) placement.
Carers' workload of care for frail elderly awaiting NH placement has been studied separately from that of nurses' workload. The literature neither addressed a comparison of carers' and nurses' appraisals of psychological and physical workloads nor the most strenuous factors common to the workloads of both nurses and carers in care of the same elderly person. The terms 'carers' and 'nurses' in this paper refer to informal caregivers and to both enrolled nurses and Registered Nurses respectively, when no particular one is stated.
The sample comprised 11 nurses and 11 carers paired based on care provided to the same elderly person awaiting NH placement in Norway. Data collected by a workload-scale was analyzed by descriptive statistics. Data collected by individual interviews were analyzed by qualitative content analysis. Carers' and nurses' appraisals of workload were compared and contrasted and most strenuous factors described.
The findings show that both carers and nurses rated workload levels maximum. Carers' highest ratings concerned psychological workload, while nurses' highest ratings concerned physical workload. The workload ratings concerning elderly with advanced dementia disease were most similarly aligned. Qualitative content analysis showed three categories that describe the most strenuous factors common to the workloads of both carers and nurses. These were feeling responsible, burdened and ambivalent.
This study reports carers' and nurses' appraisals of workload in care of frail elderly awaiting NH placement. The results show many similarities and some differences. These results may help guide policy development to address resource allocations to elderly care. Further research is needed to address workloads of care for elderly awaiting NH placement.
本研究旨在描述护理人员和护士对等待养老院安置的体弱老年人护理工作负荷的评估。
对等待养老院安置的体弱老年人的护理人员工作负荷与护士工作负荷是分别进行研究的。文献中既未涉及护理人员和护士对心理和身体工作负荷评估的比较，也未涉及在照顾同一位老年人时护理人员和护士工作负荷中最繁重的共同因素。本文中，“护理人员”和“护士”在未特别指明时，分别指非正式护理人员以及登记护士和注册护士。
样本包括11名护士和11名护理人员，他们基于对挪威同一位等待养老院安置的老年人的护理进行配对。通过工作量量表收集的数据采用描述性统计进行分析。通过个人访谈收集的数据采用定性内容分析法进行分析。对护理人员和护士的工作负荷评估进行比较和对比，并描述最繁重的因素。
结果表明，护理人员和护士都将工作负荷水平评为最高。护理人员的最高评分涉及心理工作负荷，而护士的最高评分涉及身体工作负荷。对患有晚期痴呆症老年人的工作负荷评分最为相似。定性内容分析显示了三类描述护理人员和护士工作负荷中共同的最繁重因素。这些因素是感到有责任、负担沉重和矛盾心理。
本研究报告了护理人员和护士对等待养老院安置的体弱老年人护理工作负荷的评估。结果显示出许多相似之处和一些差异。这些结果可能有助于指导政策制定，以解决老年护理资源分配问题。需要进一步研究以解决等待养老院安置的老年人的护理工作负荷问题。
