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

Beck, Ingela LU ; Jakobsson, Ulf LU and Edberg, Anna-Karin LU (2015) In Palliative & Supportive Care 13(3). p.543-553
Abstract
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Palliative & Supportive Care
volume
13
issue
3
pages
543 - 553
publisher
Cambridge University Press
external identifiers
  • pmid:24138938
  • wos:000356539900016
  • scopus:84945186542
ISSN
1478-9515
DOI
10.1017/S1478951513000783
language
English
LU publication?
yes
id
bc1cf0fc-ec55-4c9c-98cc-9cfe802bd49a (old id 4143178)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24138938?dopt=Abstract
date added to LUP
2013-11-04 23:44:36
date last changed
2017-10-22 03:20:49
@article{bc1cf0fc-ec55-4c9c-98cc-9cfe802bd49a,
  abstract     = {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.},
  author       = {Beck, Ingela and Jakobsson, Ulf and Edberg, Anna-Karin},
  issn         = {1478-9515},
  language     = {eng},
  number       = {3},
  pages        = {543--553},
  publisher    = {Cambridge University Press},
  series       = {Palliative & Supportive Care},
  title        = {Applying a palliative care approach in residential care: Effects on nurse assistants' work situation.},
  url          = {http://dx.doi.org/10.1017/S1478951513000783},
  volume       = {13},
  year         = {2015},
}