Associate Professor of Nursing, Roberts Wesleyan College, Rochester, NY, USA.
Professor of Gerontology Nursing, Sheffield Hallam University, South Yorkshire, UK.
J Nurs Scholarsh. 2019 Sep;51(5):560-568. doi: 10.1111/jnu.12488. Epub 2019 Jun 27.
The provision of quality care in nursing home (NH) facilities is an ongoing challenge, and the literature indicates that the quality of care (QOC) is often suboptimal. While it is highly recommended that NH facilities adopt a culture of person-centered care (PCC) to ensure quality care, the outcomes of this shift on staff working in NH settings has not been well studied. The purpose of this article was to understand the theoretical relationship between staff and job satisfaction, stress, turnover, and staff outcomes in PCC NH settings, by utilizing Cohen-Mansfield's (1995) comprehensive occupational stress model.
An integrative review of the electronic databases of research published in English between 2000 and 2015 was conducted.
A review of 11 papers suggested that job satisfaction in the nursing workforce is positively related to consistency in QOC delivery and increased quality of life among residents in NHs. Management support and PCC practices positively correlate with improved QOC, staff satisfaction, and staff retention.
This review showed that PCC intervention and training representing the key concept of workplace resources has a positive impact on NH staff job stress and satisfaction.
Supporting the NH workforce through PCC training is essential for promoting job satisfaction and reducing job-related stress as well as turnover, which in turn will improve QOC delivered to the residents living in NHs.
养老院（NH）设施中提供高质量的护理是一个持续存在的挑战，文献表明护理质量（QOC）往往不尽如人意。虽然强烈建议 NH 设施采用以患者为中心的护理（PCC）文化，以确保提供高质量的护理，但这种转变对 NH 环境中工作人员的影响尚未得到充分研究。本文的目的是通过利用科恩-曼斯菲尔德（1995 年）的综合职业压力模型，了解 PCC NH 环境中工作人员与工作满意度、压力、离职率和工作人员结果之间的理论关系。
对 2000 年至 2015 年期间以英文发表的研究电子数据库进行综合回顾。
对 11 篇论文的回顾表明，护理人员的工作满意度与 QOC 交付的一致性以及 NH 居民生活质量的提高呈正相关。管理层的支持和 PCC 实践与改善 QOC、员工满意度和员工保留率呈正相关。
本综述表明，PCC 干预和培训代表了工作场所资源的关键概念，对 NH 工作人员的工作压力和满意度产生积极影响。
通过 PCC 培训为 NH 工作人员提供支持对于提高工作满意度、降低工作相关压力和离职率至关重要，从而提高 NH 居民的 QOC。
