Wong Carin M, Como Dominique H, Lekovitch Cara, Chew Felicia, Leland Natalie E
Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
J Am Med Dir Assoc. 2025 Feb;26(2):105411. doi: 10.1016/j.jamda.2024.105411. Epub 2024 Dec 12.
To capture nursing home staff perspectives on the benefits and challenges related to caring for residents living with Alzheimer disease and other related dementias. These perspectives will inform the initial development of strategies to help with staff retention.
A secondary qualitative analysis of semistructured interviews conducted with nursing home staff, which was embedded within a pragmatic clinical trial.
Purposive sampling was used to capture perspectives of staff spanning across job roles from 23 nursing homes.
During the parent study primary analysis, staff experiences providing dementia care were consistently described. In response, this study completed a secondary analysis of study data using thematic analysis to identify benefits and challenges of caring for this population.
Analysis of nursing home staff (n = 327) interviews captured benefits and challenges of caring for residents living with dementia. Three themes reflected staff perspectives of the benefits, including valuing interpersonal relationship with residents (eg, learning about residents' likes, dislikes, and history), providing care fosters a sense of purpose, and the variability of the job from day to day (eg, getting to use different strategies to interact with residents). Two themes portrayed the challenges staff articulated, including feeling discouraged because of ineffective care strategies (eg, not being able to manage residents' behaviors) and the toll that caring for this resident population takes on staff mental health (eg, death of residents).
Nursing home staff report benefits and challenges to providing care to people with dementia. To assist with staff retention and lower staff turnover, nursing home administrators need to take into consideration how to help their staff manage the challenges and facilitate the benefits through the implementation of organizational strategies.
了解养老院工作人员对于照顾患有阿尔茨海默病及其他相关痴呆症居民的益处和挑战的看法。这些看法将为帮助留住员工的策略的初步制定提供信息。
对养老院工作人员进行的半结构化访谈进行二次定性分析，该访谈嵌入一项实用临床试验中。
采用目的抽样法，以获取来自23家养老院不同工作岗位工作人员的看法。
在母研究的初步分析中，工作人员提供痴呆症护理的经历被不断描述。作为回应，本研究使用主题分析法对研究数据进行二次分析，以确定照顾这一人群的益处和挑战。
对养老院工作人员（n = 327）访谈的分析得出了照顾痴呆症患者的益处和挑战。三个主题反映了工作人员对益处的看法，包括重视与居民的人际关系（如了解居民的喜好、厌恶和经历）、提供护理能带来使命感以及工作每天的多样性（如能够使用不同策略与居民互动）。两个主题描绘了工作人员所表达的挑战，包括因护理策略无效而感到气馁（如无法管理居民的行为）以及照顾这一居民群体给工作人员心理健康带来的影响（如居民死亡）。
养老院工作人员报告了为痴呆症患者提供护理的益处和挑战。为了帮助留住员工并降低员工流失率，养老院管理人员需要考虑如何帮助员工应对挑战，并通过实施组织策略来促进益处的实现。
