| 1. |
- Gustavsson, Kristoffer, et al.
(författare)
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Healthcare professionals' experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies
- 2023
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Ingår i: Bmj Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 13:6
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Tidskriftsartikel (refereegranskat)abstract
- ObjectivesThis qualitative systematic review aimed to explore and synthesise healthcare professionals' (HCPs) experiences of job satisfaction when providing person-centred care (PCC) in healthcare settings in Europe.MethodThis systematic review of qualitative studies was followed by a thematic synthesis applying an inductive approach. Studies concerning HCPs and different levels of healthcare in Europe were eligible for inclusion. The CINAHL, PubMed and Scopus databases were searched. Study titles, abstracts and full texts were screened for relevance. Included studies were assessed for methodological quality using a quality appraisal checklist. Data were extracted and synthesised via thematic synthesis, generating analytical themes.ResultsSeventeen studies were included in the final thematic synthesis, and eight analytical themes were derived. Most studies were conducted in Sweden and the UK and were performed in hospitals, nursing homes, elderly care and primary care. Thirteen of these studies were qualitative and four used a mixed-method design in which the qualitative part was used for analysis. HCPs experienced challenges adapting to a new remoulded professional role and felt torn and inadequate due to ambiguities between organisational structures, task-oriented care and PCC. Improved job satisfaction was experienced when providing PCC in line with ethical expectations, patients and colleagues expressed appreciation and team collaboration improved, while learning new skills generated motivation.ConclusionThis systematic review found varied experiences among HCPs. Notably, the new professional role was experienced to entail disorientation and uncertainty; importantly, it also entailed experiences of job satisfaction such as meaningfulness, an improved relationship between HCPs and patients, appreciation and collaboration. To facilitate PCC implementation, healthcare organisations should focus on supporting HCPs through collaborational structures, and resources such as time, space and staffing.PROSPERO registration numberCRD42022304732.
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| 2. |
- Hensing, Gunnel, 1956, et al.
(författare)
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Validity of the Capacity to Work Index: Development of an Instrument to Measure Work Capacity in Relation to Depression and Anxiety in the General Working Population
- 2023
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Ingår i: Journal of Occupational Rehabilitation. - 1053-0487.
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Tidskriftsartikel (refereegranskat)abstract
- PurposeTo develop an index to assess capacity to work in relation to common mental disorders (CMDs) in the general working population and field test its psychometric properties.MethodsContent analysis of three qualitative studies on people (n = 49) with their own experiences of working with CMD guided the items selected for the index. Face and content validity and test-retest reliability were performed. The index was field tested in two versions with 26 and 17 items, respectively, among health care professionals regarding internal reliability, component structure and concurrent validity.ResultsThe final version of the Capacity to Work Index (C2WI; 17 items) was normally distributed in the field test with high internal reliability (Cronbach's alpha, 0.84). Missing responses were randomly distributed and nonspecific. Principal component analysis showed one clear component with negatively framed items. Concurrent validity showed high correlation with the WHO-5 Well-Being Scale (Pearson's r, 0.68), but lower correlation for the general health question (r, - 0.44), one item of the Work Ability Index (r, - 0.33), and the Stress of Conscience constructs (r, 0.44).ConclusionThe C2WI showed promising psychometric qualities. Low and negative correlation with the item from Work Ability Index suggests that the C2WI measures additional dimensions, but further testing in larger and more diverse samples is required.
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| 3. |
- Härter Griep, Rosane, et al.
(författare)
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Work-Family Conflict and Self-Rated Health : the Role of Gender and Educational Level. Baseline Data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
- 2016
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Ingår i: International Journal of Behavioral Medicine. - : Springer Science and Business Media LLC. - 1070-5503 .- 1532-7558. ; 23:3, s. 372-382
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: This study examined gender differences in the association between work-family conflict and self-rated health and evaluated the effect of educational attainment.METHOD: We used baseline data from ELSA-Brasil, a cohort study of civil servants from six Brazilian state capitals. Our samples included 12,017 active workers aged 34-72 years. Work-family conflict was measured by four indicators measuring effects of work on family, effects of family in work and lack of time for leisure and personal care.RESULTS: Women experienced more frequent work-family conflict, but in both genders, increased work-family conflict directly correlated with poorer self-rated health. Women's educational level interacted with three work-family conflict indicators. For time-based effects of work on family, highly educated women had higher odds of suboptimal self-rated health (OR = 1.54; 95 % CI = 1.19-1.99) than less educated women (OR = 1.14; 95 % CI = 0.92-1.42). For strain-based effects of work on family, women with higher and lower education levels had OR = 1.91 (95 % CI 1.48-2.47) and OR = 1.40 (95 % CI 1.12-1.75), respectively. For lack of time for leisure and personal care, women with higher and lower education levels had OR = 2.60 (95 % CI = 1.95-3.47) and OR = 1.11 (95 % CI = 0.90-1.38), respectively.CONCLUSION: Women's education level affects the relationship between work-family conflict and self-rated health. The results may contribute to prevention activities.
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| 4. |
- van Diepen, Cornelia, et al.
(författare)
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A content analysis on the perceptions of LGBTQ plus (centred) health care on Twitter
- 2022
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Ingår i: Health Expectations. - : Wiley. - 1369-6513 .- 1369-7625. ; 25:6, s. 3238-3245
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Tidskriftsartikel (refereegranskat)abstract
- Background LGBTQ+ individuals have experienced many barriers to receiving quality health care, but the worldwide implementation of person-centred care should make a positive change. However, as forthright disclosures are difficult to find using traditional methods, novel approaches should be utilized to uncover opinions and experiences on LGBTQ+ health care. Twitter could be a place where people post on this topic. Aim This study aimed to explore tweets mentioning LGBTQ+ (centred) health care. Methods The methods consisted of an explorative qualitative content analysis of tweets. The tweets were collected between 26 February and 30 March 2021, resulting in 2524 tweets of which 659 were relevant for content analysis. Results The results showed an excess of political tweets involving LGBTQ+ health care. Many tweets included general statements on the need for LGBTQ+ health care. The few tweets on personal experiences in LGBTQ+ health care showed the overwhelming need for quality care that has been made difficult by political developments. Conclusion Most tweets were made to inform others of the necessity of quality health care for LGBTQ+ individuals, but the utilization of person-centred care is hardly noticeable. Public Contribution This study was conducted with the involvement of a public partner (second author) who contributed to the design, data analyses and writing of the paper. Moreover, this study involves the analysis of data provided by the public and published on social media.
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| 5. |
- van Diepen, Cornelia, et al.
(författare)
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Association between person-centred care and healthcare providers’ job satisfaction and work-related health: a scoping review
- 2020
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 10:12
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Tidskriftsartikel (refereegranskat)abstract
- Objective: This scoping review aimed to explore and describe the research on associations between person-centred care (PCC) and healthcare provider outcomes, for example, job satisfaction and work-related health. Design: Scoping review. Eligibility criteria: Studies were included if they were empirical studies that analysed associations between PCC measurement tools and healthcare providers outcomes. Search strategy: Searches in PubMed, CINAHL, Psychinfo and SCOPUS databases were conducted to identify relevant studies published between 2001 and 2019. Two authors independently screened studies for inclusion. Results: Eighteen studies fulfilled the inclusion criteria. Twelve studies were cross-sectional, four quasi-experimental, one longitudinal and one randomised controlled trial. The studies were carried out in Sweden, The Netherlands, the USA, Australia, Norway and Germany in residential care, nursing homes, safety net clinics, a hospital and community care. The healthcare provider outcomes consisted of job satisfaction, burnout, stress of conscience, psychosocial work environment, job strain and intent to leave. The cross-sectional studies found significant associations, whereas the longitudinal studies revealed no significant effects of PCC on healthcare provider outcomes over time. Conclusion: Most studies established a positive association between PCC and healthcare provider outcomes. However, due to the methodological variation, a robust conclusion could not be generated. Further research is required to establish the viability of implementing PCC for the improvement of job satisfaction and work-related health outcomes through rigorous and consistent research.
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| 6. |
- van Diepen, Cornelia, et al.
(författare)
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Associations between person-centred care and job strain, stress of conscience, and intent to leave among hospital personnel
- 2022
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 31:5-6, s. 612-622
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To determine the associations between person-centred care (PCC) and job strain, stress of conscience and intent to leave among healthcare professionals in Swedish hospital departments. Background: Hospitals have experienced difficulty in retaining qualified healthcare personnel. Previous studies have shown that working in a person-centred environment could offset this challenge, but research is scarce. Design: A cross-sectional survey design using the STROBE checklist. Methods: Healthcare professionals (n=94) in six hospital departments in Sweden completed a survey measuring perceived PCC, job strain, stress of conscience and intent to leave. Data were collected from April 2019 to April 2020. Bivariate analysis was used to describe the sample and correlations between the explanatory variables and perceived PCC and its subscales. Regression analyses were performed to explore the associations between perceived PCC and job strain, stress of conscience and intent to leave. Results: The organisational and environmental support subscale of perceived PCC showed significant correlations with all explanatory variables, while the extent of personalising care subscale only correlated with job strain and intent to leave. The regression analyses showed that higher perceived PCC was associated with higher job strain, less stress of conscience and less intent to leave. Conclusion: Higher perceived PCC is associated with work-related factors in hospital departments. There is scope for further research in this area.
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| 7. |
- van Diepen, Cornelia, et al.
(författare)
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"Care is not care if it isn't person-centred": A content analysis of how Person-Centred Care is expressed on Twitter
- 2021
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Ingår i: Health Expectations. - : Wiley. - 1369-6513 .- 1369-7625. ; 24:2, s. 548-555
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Tidskriftsartikel (refereegranskat)abstract
- Background: Person-Centred Care (PCC) has been the subject of growing interest in recent decades. Even though there is no conceptual consensus regarding PCC, many health-care institutions have implemented elements into their care. Objective: This study aimed to investigate the PCC topics presented by different stakeholder groups on Twitter and to explore the perceptions of PCC within the content of the tweets. Method: Tweets with mentions of PCC in various translations were collected through a Twitter Application Programming Interface in October 2019. The tweets were analysed using quantitative and qualitative content analysis. Results: Five stakeholder groups and ten topics were identified within 1540 tweets. The results showed that the PCC content focused on providing information and opinions rather than expressing experiences of PCC in practice. Qualitative content analysis of 428 selected tweets revealed content on a vision that all care should be person-centred but that the realization of that vision was more complicated. Conclusions: Twitter has shown to be a quick and non-intrusive data collection tool for uncovering stakeholders' expressions concerning PCC. The PCC content revealed that stakeholders feel a need to 'educate' others about their perception of PCC when experiences and real-life applications are missing. More action should be taken for the implementation of PCC rather than circulating PCC vision without operationalization in care. Public Contribution: The public provided the data through their posts on Twitter, and it is their perception of PCC that is studied here.
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| 8. |
- van Diepen, Cornelia
(författare)
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Determining the Reach of the Health Organization’s Twitter Campaign Through Combining Geolocated Tweets With Other Data Sources
- 2020
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Ingår i: SAGE Research Methods Cases. - 1 Oliver's Yard, 55 City Road, London EC1Y 1SP United Kingdom : SAGE Publications Ltd. - 9781446273050
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Bokkapitel (refereegranskat)abstract
- Smoking has a geographical component as the prevalence differs across urban and rural areas as well as affluent and deprived neighborhoods. Anti-smoking organizations have tried to reach people even in the most remote areas and have, therefore, turned to social network sites. An example is the youth-dedicated smoking- cessation organization The Filter Wales (TFW) who have interacted with young people about smoking through Twitter. The purpose of this case study is to determine the reach of TFW and in what type of geographical area these young people live. The data for this study consisted of Twitter data as these present the possibility to uncover socio-demographic components to the individuals posting those tweets. The Twitter archives of the young people in contact with TFW are collected and their geolocated tweets isolated. These geolocated tweets were placed in larger geographical areas, which match with other data sources. By joining these different data sources together, the reach of the Twitter campaign of TFW could be determined. This reach exceeded mere geographical location to type of area to remoteness, rural/urban, and neighborhood deprivation of the people they contacted. This method can be applied by any other health organization with a Twitter handle
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| 9. |
- van Diepen, Cornelia, et al.
(författare)
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How the current non-significant effects of person-centred care on nurses' outcomes could be abated by the WE-CARE roadmap enablers: A discursive paper
- 2023
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 10:4, s. 2044-2052
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To describe the non-significant results in nurses' outcomes after the implementation of person-centred care (PCC) and discuss if and how enablers of the WE-CARE roadmap for implementing PCC could abate the non-significant results. Design: In this paper, an innovative framework of enablers in the WE-CARE Roadmap is explained in relation to increased PCC and nurses' job satisfaction. Method: Findings from a scoping review and published material provided how PCC and nurses' outcomes connect. The WE-CARE roadmap entails five enablers: Information technology, Quality measures, Infrastructure, Incentive systems and contracting strategies. Results: The WE-CARE roadmap was described and each enabler in the WE-CARE roadmap is discussed concerning PCC and the nurses' job satisfaction. Thus far, the effects of PCC on nurses' outcomes have been non-significant. The WE-CARE roadmap enablers can be implemented to ensure an increased PCC implementation and higher nurses' job satisfaction.
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| 10. |
- van Diepen, Cornelia, et al.
(författare)
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Nursing home staff perceptions of well-being during the COVID-19 pandemic: A qualitative study
- 2023
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Ingår i: Journal of Advanced Nursing. - 0309-2402. ; 79:10, s. 3866-3875
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To explore how nursing home staff perceived their work environment during the COVID-19 pandemic and how this impacted their well-being. Design: A qualitative interview study. Methods: Interviews were held with twenty-two registered nurses and assistant nurses from five nursing homes in the Netherlands between April 2021 and July 2021. The interviews were analysed using qualitative content analysis. The Standards for Reporting Qualitative Research (SRQR) were followed. Results: Five themes emerged from the interviews and indicated that working during the COVID-19 pandemic impacted perceived well-being of nursing home staff. Three themes concerned experiences at work: eroding care, additional roles and workplace support. Specifically, the increased workload with additional tasks, the constant stream of new guidelines and constrictive personal protective equipment caused discomfort and anxiety. Two other themes concerned experiences outside of work: work-life interference and social interactions and status. The nurses reported that when they returned home after work, they were tired and worried about spreading the virus while facing limited social interactions and support. Conclusion: The social distancing measures due to the COVID-19 pandemic negatively impacted nursing home staff well-being by increasing demands in the absence of adequate resources. Implications for the Profession and/or Patient Care: The well-being needs of nurses should receive continued attention to ensure the sustainability of healthcare during future crises. Patient or Public Contribution: The nursing home managers participated in recommending the topics to be covered during interviews. Impact: center dot What problem did the study address ? The pressure of stressful working conditions on the well-being of nurses during the pandemic. center dot What were the main findings ? Nurses created strategies to cope with declining well-being. However, the available resources did not alleviate the increased demands caused by the pandemic. center dot Where and on whom will the research have an impact ? This study is important for healthcare organizations to understand how the COVID-19 pandemic affected nurses so that they may better prepare for future crises.
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