Beeber Anna S, Cohen Lauren W, Zimmerman Sheryl, Gwyther Lisa P, Washington Tiffany, Cagle John G, Reed David
J Gerontol Nurs. 2014 Jan;40(1):41-9. doi: 10.3928/00989134-20130731-03. Epub 2013 Aug 16.
Research within residential care/assisted living (RC/AL) settings has shown that the attitudes of personal care (PC) staff toward their organization and its residents and families can affect the quality of resident care. This article describes the perceptions, experiences, and attitudes of PC staff and their supervisors, and considers these data in the context of non-hierarchical staffing patterns-a philosophically expected, yet unproven tenet of RC/AL. Using data collected from 18 RC/AL communities, these analyses compared the characteristics, perceptions, experiences, and attitudes of PC staff (N = 250) and supervisors (N = 30). Compared to supervisors, PC staff reported greater burden, frustration, depersonalization, hassles, and feeling significantly more controlling of, and less in partnership with, families (p < 0.05). Because the PC staff experience is crucial for resident outcomes, more work is needed to create an environment where PC staff are less burdened and have better attitudes toward work and families.
在寄宿护理/辅助生活(RC/AL)机构中的研究表明,个人护理(PC)工作人员对其所在机构及其居民和家庭的态度会影响居民护理质量。本文描述了PC工作人员及其主管的看法、经历和态度,并在非等级制人员配置模式的背景下考虑这些数据——这是RC/AL在理念上所期望但尚未得到证实的原则。利用从18个RC/AL社区收集的数据,这些分析比较了PC工作人员(N = 250)和主管(N = 30)的特征、看法、经历和态度。与主管相比,PC工作人员报告称负担更重、更沮丧、更冷漠、麻烦更多,并且感觉对家庭的控制明显更多,与家庭的合作更少(p < 0.05)。由于PC工作人员的经历对居民的护理结果至关重要,因此需要做更多工作来营造一个让PC工作人员负担减轻、对工作和家庭态度更好的环境。