Research Group Mental Health Nursing,Inholland University of Applied Sciences,De Boelelaan 1109,1081 HV,Amsterdam,the Netherlands.
Department of Psychiatry,Alzheimer Centre,EMGO Institute for Health and Care Research,Amsterdam Public Health research institute,VU University Medical Centre,A.J. Ernststraat 1187,Postbox 74077,1070 BB,Amsterdam,the Netherlands.
Int Psychogeriatr. 2017 Dec;29(12):2017-2032. doi: 10.1017/S1041610217001582. Epub 2017 Aug 22.
Person-centered care interventions can improve the quality of life and decrease behavioral problems of people with dementia. Although not convincingly proven, person-centered care interventions may benefit the caregivers as well. This study aims to gain insight into how working with the Veder Contact Method (VCM) - a new person-centered care method - influences the job satisfaction of caregivers.
Within a quasi-experimental study, the job satisfaction of caregivers of six experimental wards (n = 75) was compared with caregivers of six control wards (n = 36) that applied Care-As-Usual. The Leiden Quality of Work Questionnaire (LQWQ) was filled in by caregivers in both conditions. Additionally, on the experimental wards, qualitative research, i.e. focus groups with 42 caregivers and interviews with 11 managers, was conducted to obtain a deeper understanding of the influence of applying VCM on caregivers' job satisfaction. The transcripts were analyzed using deductive analysis.
No quantitatively significant differences were found on the subscales of the LQWQ: work and time pressure, job satisfaction, autonomous decision making, social support from colleagues, and social support from supervisors. From the qualitative research, some caregivers and managers reported that implementing VCM contributed to their job satisfaction and that applying VCM supported handling difficult behavior and depressed mood of residents and contributed to team building.
No significant effects on job satisfaction were demonstrated. Qualitative findings indicate that VCM positively influences the daily work performances of nursing home caregivers. The relation between the experience of offering quality care and job satisfaction of caregivers needs further investigation.
以患者为中心的护理干预可以提高痴呆患者的生活质量,减少其行为问题。虽然没有令人信服的证据,但以患者为中心的护理干预可能也会使护理人员受益。本研究旨在深入了解使用 Veder 接触法(VCM)——一种新的以患者为中心的护理方法——如何影响护理人员的工作满意度。
在一项准实验研究中,比较了 6 个实验组(n=75)和 6 个对照组(n=36)护理人员的工作满意度。对照组采用常规护理,实验组采用 VCM。两组护理人员均填写莱顿工作质量问卷(LQWQ)。此外,在实验组还进行了定性研究,即对 42 名护理人员进行焦点小组讨论和对 11 名管理人员进行访谈,以深入了解应用 VCM 对护理人员工作满意度的影响。对转录本进行了演绎分析。
LQWQ 的子量表:工作和时间压力、工作满意度、自主决策、同事社会支持和主管社会支持,均未发现有统计学意义的差异。从定性研究中,一些护理人员和管理人员报告称,实施 VCM 有助于提高他们的工作满意度,并且应用 VCM有助于处理居民的困难行为和抑郁情绪,并有助于团队建设。
工作满意度没有显著影响。定性研究结果表明,VCM 对养老院护理人员的日常工作表现有积极影响。提供优质护理的体验与护理人员工作满意度之间的关系需要进一步研究。