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The Impact of Caregivers' Stress, Workload, and Socioeconomic status on Nursing Home Residents' Perception of Quality Care.

机译:护理人员的压力,工作量和社会经济状况对疗养院居民对优质护理的感知的影响。

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摘要

The quality of health care services received by residents in nursing homes has been classified as poor, and the diminished quality of care for these residents has been linked to such variables as the stress levels, workloads, and socioeconomic status (SES) of caregivers. The purpose of this quantitative study was to determine whether these characteristics of caregivers have a combined significant relationship with the perceptions of the quality of care by residents of nursing homes. The study was guided by a combination of 3 theories: situational, social learning, and caregiver stress theories. Data were collected from participants in 2 nursing homes in Dauphin County, Pennsylvania. Sixty caregivers completed the Daily Hassle Scale Instrument questionnaire, and 52 nursing home residents, ages 65 to 85 years, completed the Observable Quality Care Instrument questionnaire. Multiple regression was used to determine if there were any relationships among the independent variables and the dependent variable. The results of the study indicated that the stress levels and the caregivers' perception of their workloads were statistically significant and negatively correlated with the perceived quality of care by the residents and contributed to 85% of the variance in perceived quality of care by the residents. SES did not have any correlation with the other 2 independent variables and did not contribute to the predictive model. The social significance of the study follows that, because greater workloads and higher stress levels of caregivers were correlated with lower perceived quality of care by residents, this result could help guide care providers and policy makers in strategies aimed at reducing workloads, lowering stress levels, providing adequate training for caregivers, and maintaining their institutional goals.
机译:居民在疗养院中获得的医疗保健服务的质量被归类为差,这些居民的护理质量下降已与护理人员的压力水平,工作量和社会经济状况(SES)等变量联系在一起。这项定量研究的目的是确定护理人员的这些特征是否与疗养院居民对护理质量的看法有明显的综合关系。这项研究由三种理论组合指导:情境,社会学习和照料者压力理论。数据来自宾夕法尼亚州多芬县的2个疗养院的参与者。 60名护理人员完成了“每日麻烦量表”问卷,52位年龄在65至85岁的疗养院居民完成了“可观察质量护理工具”问卷。多元回归用于确定自变量和因变量之间是否存在任何关系。研究结果表明,压力水平和护理人员对其工作量的感知在统计学上显着,并且与居民的感知医疗质量呈负相关,并导致居民感知的医疗质量差异的85%。 SES与其他2个独立变量没有任何关联,也没有对预测模型有所贡献。该研究的社会意义在于,由于工作量增加和护理人员的压力增加与居民对护理质量的感知降低有关,因此该结果可帮助指导护理提供者和决策者制定旨在减少工作量,降低压力水平,为看护者提供足够的培训,并保持其机构目标。

著录项

  • 作者

    Tee, Dorothy Yorowa Nwogu.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Gerontology.;Psychology General.;Psychology Social.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 156 p.
  • 总页数 156
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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