Wells Yvonne, Brooke Elizabeth, Solly Kane N
Lincoln Centre for Research on Ageing, La Trobe University, Melbourne, Victoria, Australia.
Melbourne School Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Australas J Ageing. 2019 Mar;38(1):E1-E6. doi: 10.1111/ajag.12638.
To review studies published in the Australasian Journal on Ageing (AJA) about the aged care workforce, and to identify influences on quality of care and potential policy directions.
Articles in the AJA on the aged care workforce published from 2009 to 2018 were identified, grouped into themes and rated for quality.
Twenty-eight articles were identified. Articles fell into four themes: (i) staff knowledge, skills and attitudes; (ii) staff well-being and workforce stability; (iii) environmental factors that influence staff capacity; and (iv) interventions to improve staff capacity. Studies reinforced the importance of staff-consumer, staff-relatives and staff-staff relationships and a supportive workplace culture for staff work ability and capacity to provide high quality care.
It is possible to improve practice in community and residential aged care, given: (i) enough staff; (ii) better training in person-centred practice; and (iii) a supportive staff culture that encourages staff to put their training into practice.
回顾发表于《澳大拉西亚老年学杂志》（AJA）上有关老年护理劳动力的研究，并确定对护理质量的影响以及潜在的政策方向。
识别2009年至2018年发表在AJA上有关老年护理劳动力的文章，按主题分组并进行质量评级。
共识别出28篇文章。文章分为四个主题：（i）员工知识、技能和态度；（ii）员工福祉和劳动力稳定性；（iii）影响员工能力的环境因素；（iv）提高员工能力的干预措施。研究强化了员工与消费者、员工与亲属以及员工与员工之间关系的重要性，以及支持性工作场所文化对员工工作能力和提供高质量护理能力的重要性。
鉴于以下几点，改善社区和住宿式老年护理实践是可能的：（i）足够的员工；（ii）以个人为中心实践的更好培训；（iii）鼓励员工将培训付诸实践的支持性员工文化。
