Sandberg Linda, Borell Lena, Edvardsson David, Rosenberg Lena, Boström Anne-Marie
Department of Neurobiology, Care Sciences and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.
School of Nursing and Midwifery, La Trobe University, Heidelberg, VIC, Australia.
J Multidiscip Healthc. 2018 May 22;11:255-266. doi: 10.2147/JMDH.S155467. eCollection 2018.
An increasing number of older persons worldwide live at home with various functional limitations such as dementia. So, home care staff meet older persons with extensive, complex needs. The staff's well-being is crucial because it can affect the quality of their work, although literature on job strain among home care staff is limited.
To describe perceived job strain among home care staff and to examine correlations between job strain, personal factors, and organizational factors.
The study applied a cross-sectional survey design. Participants were dementia care specialists who work in home care (n=34) and other home care staff who are not specialized in dementia care (n=35). The Strain in Dementia Care Scale (SDCS) and Creative Climate Questionnaire instruments and demographic variables were used. Descriptive and inferential statistics (including regression modeling) were applied. The regional ethical review board approved the study.
Home care staff perceived job strain - particularly because they could not provide what they perceived to be necessary care. Dementia care specialists ranked job strain higher (m=5.71) than other staff members (m=4.71; =0.04). Job strain (for total score and for all five SDCS factors) correlated with being a dementia care specialist. Correlations also occurred between job strain for SDCS factor 2 (difficulties understanding and interpreting) and not having Swedish as first language and SDCS factor 5 (lack of recognition) and stagnated organizational climate.
The study indicates that home care staff and particularly dementia care specialists perceived high job strain. Future studies are needed to confirm or reject findings from this study.
全球越来越多的老年人虽有痴呆等各种功能限制但仍居家生活。因此，居家护理人员会接触到有广泛、复杂需求的老年人。员工的幸福感至关重要，因为这会影响他们的工作质量，尽管关于居家护理人员工作压力的文献有限。
描述居家护理人员感知到的工作压力，并研究工作压力、个人因素和组织因素之间的相关性。
本研究采用横断面调查设计。参与者为居家护理领域的痴呆症护理专家（n = 34）和非痴呆症护理专业的其他居家护理人员（n = 35）。使用了痴呆症护理压力量表（SDCS）、创新氛围问卷工具和人口统计学变量。应用了描述性和推断性统计（包括回归建模）。该地区伦理审查委员会批准了本研究。
居家护理人员感知到工作压力——尤其是因为他们无法提供他们认为必要的护理。痴呆症护理专家的工作压力得分（m = 5.71）高于其他工作人员（m = 4.71；P = 0.04）。工作压力（总分及SDCS的所有五个因素）与作为痴呆症护理专家相关。SDCS因素2（理解和解释困难）的工作压力与非以瑞典语为第一语言以及SDCS因素5（缺乏认可）的工作压力与组织氛围停滞之间也存在相关性。
该研究表明居家护理人员，尤其是痴呆症护理专家感知到较高的工作压力。需要未来的研究来证实或反驳本研究的结果。
