Applying a palliative care approach in residential care: effects on nurse assistants' work situation

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Beck, Ingela,1965-Lund University,Lunds universitet,Högskolan Kristianstad,Avdelningen för Hälsovetenskap I,Forskningsplattformen för Hälsa i samverkan,Institutionen för hälsovetenskaper,Medicinska fakulteten,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Older people's health and Person-Centred care,Lund University Research Groups (författare)

Applying a palliative care approach in residential care : effects on nurse assistants' work situation

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Objectives: The aim was to investigate the effects of an intervention that applies a palliative care approach in residential care upon nurse assistants' level of strain, job satisfaction, and view of leadership.Method: A quasi-experimental, pretest and posttest design was used. Study circles with workshops involving nurse assistants (n = 75) and their superiors (n = 9) focusing on emotional and existential issues in palliative care were evaluated using a questionnaire answered by the nurse assistants at baseline (November 2009), post-intervention (May 2010), and six-month follow-up (November 2010) in comparison with controls (n = 110).Results: Directly after the intervention, the job satisfaction of the nurse assistants decreased and they perceived the leadership more negatively than before the intervention. Six months later, strain as a result of criticism from residents and their superiors and having difficulty in balancing emotional involvement had decreased.Significance of results: The intervention initially seemed to decrease the well-being of the nurse assistants, which could be the result of their increased awareness of the residents' and relatives' needs, in combination with limited support. More emphasis should be placed on the role of leadership when implementing changes in practice.

Jakobsson, UlfLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Family Medicine and Clinical Epidemiology,Lund University Research Groups (författare)
Edberg, Anna-Karin,1961-Lund University,Lunds universitet,Högskolan Kristianstad,Avdelningen för Hälsovetenskap II,Forskningsplattformen för Hälsa i samverkan,Institutionen för hälsovetenskaper,Medicinska fakulteten,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Older people's health and Person-Centred care,Lund University Research Groups(Swepub:hkr)eda (författare)
Högskolan KristianstadAvdelningen för Hälsovetenskap I (creator_code:org_t)

Ingår i:Palliative & Supportive Care: Cambridge University Press13:3, s. 543-5531478-95151478-9523

Av författaren/redakt...: Beck, Ingela, 19 ...; Jakobsson, Ulf; Edberg, Anna-Kar ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskaper; och Omvårdnad

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Annan medicin oc ...; och Gerontologi medi ...

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