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对澳大利亚创新型老年护理机构员工满意度的质性探索。

A qualitative exploration of staff satisfaction in innovative Australian aged care.

作者信息

Connelly Suzelie G, Millear Prudence, Tulloch Kirsten

机构信息

School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.

出版信息

Australas J Ageing. 2025 Sep;44(3):e70090. doi: 10.1111/ajag.70090.

Abstract

OBJECTIVES

Long-term worker shortages in Australian residential aged care are well-documented. These shortages adversely impact residents' well-being and the morale of staff caring for them. This study aimed to explore staff and management experiences through workplace theories related to worker satisfaction: job demands-resources theory, self-determination theory, moral disengagement and work as calling theory, at NewDirection Care, which provides innovative aged care in Queensland. A further aim was to identify the impact of the innovations on staff satisfaction.

METHODS

Semi-structured staff and management interviews (n = 18, 13 females, 5 males) were held on-site. An appreciative inquiry approach identified the under-researched linkages between staff satisfaction in innovative aged care and workplace theories. The NVivo 12.0 qualitative analysis software was used for reflexive thematic analysis of interviews.

RESULTS

Three themes emerged from the interviews: (1) the supportive management culture, (2) the innovative conditions and (3) finding meaningfulness at work. These themes demonstrated how staff attitudes linked to the chosen workplace theories and identified how specific innovations, combined in both the physical environment and models of care, were associated with improved staff satisfaction.

CONCLUSIONS

The current study indicates that workplace initiatives may increase staff satisfaction, potentially ameliorating shortages by attracting and retaining staff. Semi-structured interviews identified that specific innovations, combined in both the physical environment and models of care, are associated with improved staff satisfaction. Reflexive thematic analysis of interviews contributed to the literature and suggested future research opportunities, such as examining differences in aged care worker satisfaction between traditional and innovative residences.

摘要

目标

澳大利亚老年护理机构长期存在员工短缺问题,这已被充分记录。这些短缺对居民的福祉以及照顾他们的员工士气产生了不利影响。本研究旨在通过与员工满意度相关的工作场所理论:工作需求-资源理论、自我决定理论、道德脱离和工作使命感理论,来探索新方向护理中心(NewDirection Care)员工和管理层的经历,该护理中心在昆士兰州提供创新型老年护理服务。另一个目标是确定这些创新对员工满意度的影响。

方法

在现场进行了半结构化的员工和管理层访谈(n = 18,13名女性,5名男性)。一种积极探究的方法确定了创新型老年护理中员工满意度与工作场所理论之间研究不足的联系。使用NVivo 12.0定性分析软件对访谈进行反思性主题分析。

结果

访谈中出现了三个主题:(1)支持性的管理文化,(2)创新条件,以及(3)在工作中找到意义。这些主题展示了员工态度如何与所选的工作场所理论相关联,并确定了在物理环境和护理模式中结合的特定创新如何与提高员工满意度相关。

结论

当前研究表明,工作场所举措可能会提高员工满意度,有可能通过吸引和留住员工来缓解短缺问题。半结构化访谈确定,在物理环境和护理模式中结合的特定创新与提高员工满意度相关。对访谈的反思性主题分析为文献做出了贡献,并提出了未来的研究机会,例如研究传统和创新型住所中老年护理工作者满意度的差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f4/12416523/77e40f302240/AJAG-44-0-g001.jpg

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