Department of Psychology, School of Medicine, Universidad San Pablo-CEU, CEU Universities, 28925 Alcorcón, Madrid, Spain.
Int J Environ Res Public Health. 2021 Jan 19;18(2):820. doi: 10.3390/ijerph18020820.
Despite efforts to promote good care, many institutionalized older adults (IOA) experience elevated neglectful conditions and reduced person-centered care approaches. Based on the job demand-control model, this study aimed to analyze the relationship between nursing home professionals' personal and organizational factors and good care provided to institutionalized older people. Data was collected through a self-administered survey completed by 208 nursing home staff members. Three dimensions of personal factors (i.e., personal accomplishment, depersonalization, and negative old age stereotypes) were significant predictors of good care. Depersonalization and negative old age stereotypes were negatively associated with IOA, and both good care and personal accomplishment were positively associated with good care in nursing homes. Only one work-related factor (i.e., management support) was positively associated with good care. Personal factors may play a significant role in good care. Management support offers a promising mechanism to promote good care among nursing home professionals. The findings support the need to change the focus on entirely completing care tasks to providing good care of residents in nursing homes that promotes management support, personal accomplishment, personalization and positive old age consideration, attitudes, and behaviors. Policies and interventions should be developed to address in a more humanized way.
尽管努力促进良好的护理，但许多机构化的老年人（IOA）经历了更高的忽视状况和减少了以患者为中心的护理方法。基于工作需求-控制模型，本研究旨在分析养老院专业人员的个人和组织因素与向机构化老年人提供的良好护理之间的关系。通过对 208 名养老院工作人员进行的自我管理调查收集了数据。个人因素的三个维度（即个人成就感、去个性化和消极的老年刻板印象）是良好护理的重要预测因素。去个性化和消极的老年刻板印象与 IOA 呈负相关，良好护理和个人成就感都与养老院的良好护理呈正相关。只有一个与工作相关的因素（即管理支持）与良好护理呈正相关。个人因素可能在良好护理中发挥重要作用。管理支持为促进养老院专业人员提供良好护理提供了有希望的机制。这些发现支持需要将关注重点从完全完成护理任务转变为在养老院中为居民提供促进管理支持、个人成就感、个性化和积极的老年考虑、态度和行为的良好护理。应制定政策和干预措施，以更人性化的方式解决问题。
