Department of Nursing Science, University of Turku, Turku, Finland.
J Clin Nurs. 2013 Feb;22(3-4):479-90. doi: 10.1111/j.1365-2702.2011.04052.x. Epub 2012 May 5.
To examine the association between caregivers' work satisfaction and individualised care in different care settings for older people.
Work satisfaction in older people care settings has been associated with absenteeism, staff turnover and the quality of care delivered. The management of individuality is an important quality of care issue. Although these two issues are important there is little evidence about the possible association between them.
An exploratory and correlational survey design.
Data were collected using three questionnaires, the Individualised Care Instrument the Individualised Care Scale-Nurse and the Index of Work Satisfaction from a sample of professional nursing caregivers (n=263, response rate 71%) in care settings for older people in one health care area in Finland in 2010. Statistical analysis included descriptive statistics, correlations, analysis of variance and multiple regression analysis.
Caregivers support the patient's individuality through specific activities, perceiving that they maintain individuality in care provision whilst reporting moderate work satisfaction. The ratings of individuality assessments were the lowest in nursing homes followed by long-term care in in-patient wards. There were statistically significant correlations between work satisfaction and specific perceptions in the support of individuality. The sub-scales of the instruments used were: the Support of Individuality in general, Individuality in the Care Provided, Knowing the Person, Staff-to-Resident Communication and Staff-to-Staff Communication. Significant statistical differences in the results were found between staff working in home care, primary health care, in-patient wards and nursing homes.
Low job satisfaction can affect the provision of individualised care emphasising the need to promote individualised care at an organisational level as a means of improving work satisfaction.
Instruments to measure work satisfaction and individualised care can be used to improve care quality.
探讨不同老年人护理环境中护理人员工作满意度与个体化护理之间的关系。
老年人护理环境中的工作满意度与缺勤、员工离职和提供的护理质量有关。管理个体性是护理质量的一个重要问题。尽管这两个问题很重要，但关于它们之间可能存在的关联的证据很少。
探索性和相关性调查设计。
2010 年，在芬兰一个医疗保健区的老年人护理环境中，从护理人员（n=263，回应率为 71%）中使用三个问卷，即个体化护理工具、个体化护理量表-护士和工作满意度指数收集数据。统计分析包括描述性统计、相关性、方差分析和多元回归分析。
护理人员通过特定活动支持患者的个性，他们认为在提供护理时保持了个性，同时报告了中等程度的工作满意度。在养老院中，对个性化评估的评价最低，其次是住院病房的长期护理。工作满意度与支持个性的具体感知之间存在显著的相关性。使用的仪器的子量表是：总体支持个性、提供的护理个性化、了解患者、员工与患者沟通和员工与员工沟通。在家庭护理、初级保健、住院病房和养老院工作的员工之间，结果存在统计学上显著的差异。
低工作满意度会影响个体化护理的提供，强调需要在组织层面上促进个体化护理，以提高工作满意度。
用于衡量工作满意度和个体化护理的工具可用于提高护理质量。
