Willemse Bernadette M, De Jonge Jan, Smit Dieneke, Visser Quirijn, Depla Marja F I A, Pot Anne Margriet
Netherlands Institute of Mental Health and Addiction, Program on Aging, Utrecht, The Netherlands; Department of Clinical Psychology, VU University, Amsterdam, The Netherlands.
J Adv Nurs. 2015 Feb;71(2):404-16. doi: 10.1111/jan.12505. Epub 2014 Aug 14.
To explore the role of nursing staff's person-centredness caring for people with dementia in relation to their work environment and job-related well-being.
Given the development towards person-centred care and labour force issues, research has recently focused on the effect of person-centredness on nursing staff's well-being. Findings from occupational stress research suggest that employees' personal characteristics, such as person-centredness, can moderate the impact particular job characteristics have on their job-related well-being.
Cross-sectional survey.
A national survey was conducted among healthcare staff (n = 1147) in 136 living arrangements for people with dementia in the Netherlands (2008-2009). Hierarchical regression analyses were used.
Person-centredness moderates the relationship between coworker support and three outcomes of job-related well-being and between supervisor support and two of these outcomes. For highly person-centred nursing staff, coworker support was found to have a weaker impact and supervisor support to have a stronger impact on their job-related well-being. In addition, direct effects showed that person-centredness was weakly associated with more job satisfaction, more emotional exhaustion and more strongly with more personal accomplishment.
Nursing staff's person-centredness does play a modest role in relation to job characteristics and job-related well-being. Findings indicate that person-centredness is not only beneficial to residents with dementia as found earlier, but also for nursing staff themselves; specifically, in case nursing staff members feel supported by their supervisor. Since a more person-centred workforce feels more competent, further implementation of person-centred care might have a positive impact on the attractiveness of the profession.
探讨护理人员以患者为中心的护理方式在痴呆症患者护理工作环境及工作相关幸福感方面所起的作用。
鉴于以患者为中心的护理发展趋势及劳动力问题,近期研究聚焦于以患者为中心对护理人员幸福感的影响。职业压力研究结果表明,员工的个人特质,如以患者为中心,可缓和特定工作特质对其工作相关幸福感的影响。
横断面调查。
对荷兰136家痴呆症患者生活照料机构的医护人员(n = 1147)进行全国性调查(2008 - 2009年)。采用分层回归分析。
以患者为中心缓和了同事支持与工作相关幸福感的三个结果之间的关系,以及上级支持与其中两个结果之间的关系。对于高度以患者为中心的护理人员,发现同事支持对其工作相关幸福感的影响较弱,而上级支持的影响较强。此外,直接效应表明,以患者为中心与更高的工作满意度、更多的情感耗竭弱相关,与更多的个人成就感强相关。
护理人员的以患者为中心在工作特质及工作相关幸福感方面确实起到了一定作用。研究结果表明,以患者为中心不仅如早期研究发现的那样对痴呆症患者有益,对护理人员自身也有益;具体而言,当护理人员感到得到上级支持时。由于更以患者为中心的员工会感觉更有能力,进一步实施以患者为中心的护理可能会对该职业的吸引力产生积极影响。