University of Ottawa,Faculty of Health Sciences,School of Nursing.
University of British Columbia,School of Nursing.
Can J Aging. 2019 Jun;38(2):130-142. doi: 10.1017/S0714980818000478. Epub 2019 Mar 12.
ABSTRACTRegistered nurses (RNs) and licensed practical nurses (LPNs) provide the skilled component of nursing care in Canadian residential long-term care facilities, yet we know little about this important workforce. We surveyed 309 RNs and 448 LPNs from 91 nursing homes across Western Canada and report descriptively on their demographics and work and health-related outcomes. LPNs were significantly younger than RNs, worked more hours, and had less nursing experience. LPNs also experienced significantly more dementia-related responsive behaviours from residents compared to RNs. Younger LPNs and RNs reported significantly worse burnout (emotional exhaustion) and poorer mental health compared to older age groups. Significant differences in demographics and work- and health-related outcomes were also found within the LPN and RN samples by province, region, and owner-operator model. These findings can be used to inform important policy decisions and workplace planning to improve quality of work life for nurses in residential long-term care facilities.
摘要注册护士(RNs)和执业护师(LPNs)在加拿大的住宅长期护理机构中提供护理工作的熟练部分,但我们对这一重要的劳动力群体知之甚少。我们调查了来自加拿大西部 91 家养老院的 309 名注册护士和 448 名执业护师,并对他们的人口统计学特征以及工作和健康相关结果进行了描述性报告。LPN 比 RN 年轻,工作时间更长,护理经验更少。与 RN 相比,LPN 经历了更多与痴呆症相关的居民反应行为。与年龄较大的群体相比,年轻的 LPN 和 RN 报告的倦怠(情绪疲惫)和心理健康状况较差。在 LPN 和 RN 样本中,还根据省份、地区和所有者-运营商模式发现了工作和健康相关结果的显著差异。这些发现可用于为重要的政策决策和工作场所规划提供信息,以改善住宅长期护理机构护士的工作生活质量。