Person-Centered Care Environment Associated With Care Staff Outcomes in Long-Term Care Facilities

JiSun CHOI ； Da Eun KIM ； Ju Young YOON

《The Journal of Nursing Research》 29卷1期 (2021/02) Pp. 1-7

https://doi.org/10.1097/jnr.0000000000000412

摘要

Background: Although a general implementation of person-centered care in Korean long-term care delivery systems would be challenging, person-centered care has the potential to improve resident and staff outcomes through changes in current care services. However, little empirical evidence currently supports a positive relationship between person-centered care environments and staff outcomes. Purpose: This study was designed to examine the relationship between person-centered care environments and staff outcomes, including job satisfaction and turnover intention, among care staff in Korean long-term care facilities. Methods: This descriptive, correlational study used data from 235 care staff (94 nursing staff and 141 personal care workers) in 13 long-term care facilities in Korea. Data were collected using structured survey questionnaires, including items related to the person-centered care environment, job satisfaction, and turnover intention. Multilevel linear and logistic regression analyses were performed using Mplus Version 7.0. Results: After controlling for individual (age, education, monthly income, position, shift work, and job tenure) and organizational (type of facility, location, ownership, bed size, and staffing levels) characteristics, a significant relationship was found between the person-centered care environment and job satisfaction and turnover intention among staff in Korean long-term care facilities. Conclusions/Implications for Practice: The study findings indicate that working in a person-centered care environment is key to higher job satisfaction, which is a significant predictor of turnover intention among staff in long-term care facilities. To recruit and retain qualified staff to provide high-quality person-centered care in long-term care facilities, a supportive work environment is crucial. Fostering a person-centered care environment will ultimately improve quality of care for residents.

關鍵字

intent to leave ； job satisfaction ； nursing home ； nurse staffing ； person-centered care

參考文獻

Squires, J. E., Hoben,M., Linklater, S., Carleton, H. L.,Graham,N., Estabrooks, C. A., & Estabrooks, C. A. (2015). Job satisfaction among care aides in residential long-term care: A systematic review of contributing factors, both individual and organizational. Nursing Research and Practice, 2015, Article ID 157924. https://doi.org/10.1155/2015/157924

Bethell, J., Chu, C. H.,Wodchis, W. P., Walker, K., Stewart, S. C., & McGilton, K. S. (2018). Supportive supervision and staff intent to turn over in long-term care homes. Gerontologist, 58(5), 953-959. https://doi.org/10.1093/geront/gnx008

Chamberlain, S. A., Hoben, M., Squires, J. E., & Estabrooks, C. A. (2016). Individual and organizational predictors of health care aide job satisfaction in long term care. BMC Health Services Research, 16, Article No. 577. https://doi.org/10.1186/s12913-016-1815-6

Choi, J., & Johantgen, M. (2012). The importance of supervision in retention of CNAs. Research in Nursing & Health, 35(2), 187-199. https://doi.org/10.1002/nur.21461

Donoghue, C. (2010). Nursing home staff turnover and retention: An analysis of national level data. Journal of Applied Gerontology, 29(1), 89-106. https://doi.org/10.1177/0733464809334899