Boumans Jogé, van Boekel Leonieke, Kools Nathalie, Scheffelaar Aukelien, Baan Caroline, Luijkx Katrien
Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000, LE, Tilburg, the Netherlands.
BMC Nurs. 2021 Nov 1;20(1):217. doi: 10.1186/s12912-021-00743-8.
Staff members, and their attitudes, are crucial for providing person-centered care in residential care facilities for people with dementia. However, the literature on the attitudes of nursing staff regarding person-centered care is limited. The objective of this study is to explore the association between staff characteristics (age, education level, years of work experience and function, i.e., care or welfare) and staff attitudes toward perceived person-centered care provision and including informal caregivers in the caregiving process in residential care facilities.
A convenience sample of 68 care staff - nurses and nurse assistants - welfare staff members - activity counselors, hostesses, and living room caretakers - of two residential care facilities filled out a questionnaire. Staff attitudes regarding perceived person-centered care were measured with the Person-centered Care Assessment Tool (P-CAT). Staff attitudes regarding informal care provision were measured with the Attitudes Toward Families Checklist (AFC). Multiple linear regression analysis explored the association between variables age, work experience, education, and function (care or welfare).
A higher age of staff was associated with a more negative attitude toward perceived person-centered care and informal care provision. Welfare staff had a more negative attitude toward the inclusion of informal caregivers than care staff. The perceived person-centered care provision of the care and welfare staff was both positive. Work experience and education were not associated with perceived person-centered care provision or informal care provision.
This study is one of the first to provide insight into the association between staff characteristics and their attitude toward their perceived person-centered care provision and informal care provision. A higher age of both the care and welfare staff was associated with a more negative attitude toward their perceived person-centered care and informal care provision. Welfare staff had a less positive attitude toward informal care provision. Additionally, future studies, also observational studies and interview studies, are necessary to collect evidence on the reasons for negative attitudes of older staff members towards PCC and informal care giving, to be able to adequately target these reasons by implementing interventions that eliminate or reduce these negative attitudes.
工作人员及其态度对于在痴呆症患者居住护理机构中提供以人为本的护理至关重要。然而，关于护理人员对以人为本护理态度的文献有限。本研究的目的是探讨工作人员特征（年龄、教育水平、工作年限和职能，即护理或福利）与工作人员对所感知的以人为本护理提供以及在居住护理机构护理过程中纳入非正式护理人员的态度之间的关联。
两所居住护理机构的68名护理人员（护士和护士助理）、福利工作人员、活动顾问、女招待和客厅管理员组成的便利样本填写了一份问卷。使用以人为本护理评估工具（P-CAT）测量工作人员对所感知的以人为本护理的态度。使用家庭态度清单（AFC）测量工作人员对非正式护理提供的态度。多元线性回归分析探讨了年龄、工作经验、教育和职能（护理或福利）之间的关联。
工作人员年龄越大，对所感知的以人为本护理和非正式护理提供的态度越消极。与护理人员相比，福利工作人员对纳入非正式护理人员的态度更消极。护理和福利工作人员所感知的以人为本护理提供都是积极的。工作经验和教育与所感知的以人为本护理提供或非正式护理提供无关。
本研究是首批深入了解工作人员特征与其对所感知的以人为本护理提供和非正式护理提供态度之间关联的研究之一。护理和福利工作人员年龄越大，对所感知的以人为本护理和非正式护理提供的态度越消极。福利工作人员对非正式护理提供的态度不太积极。此外，未来还需要进行研究，包括观察性研究和访谈研究，以收集老年工作人员对以人为本护理和非正式护理给予消极态度原因的证据，以便能够通过实施消除或减少这些消极态度的干预措施来充分针对这些原因。
