The relationship between small-scale nursing home care for people with dementia and staff's perceived job characteristics

Willemse, B. M., Depla, M. F. I. A., Smit, D. and Pot, A. M. (2014) The relationship between small-scale nursing home care for people with dementia and staff's perceived job characteristics. International Psychogeriatrics, 26 5: 805-816. doi:10.1017/S1041610214000015


Author Willemse, B. M.
Depla, M. F. I. A.
Smit, D.
Pot, A. M.
Title The relationship between small-scale nursing home care for people with dementia and staff's perceived job characteristics
Journal name International Psychogeriatrics   Check publisher's open access policy
ISSN 1741-203X
1041-6102
Publication date 2014-05
Year available 2014
Sub-type Article (original research)
DOI 10.1017/S1041610214000015
Open Access Status
Volume 26
Issue 5
Start page 805
End page 816
Total pages 12
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2015
Language eng
Formatted abstract
Background: Over the past few decades, new care models that are more resident-oriented and directed toward small-scale and homelike environments have been developed worldwide. The impact of these care models on the quality of life of residents has been studied. However, little research has been conducted to gain insight into how these new care models influence healthcare staff's work environment. This study focuses on the consequences of small-scale care on staff's perceived job characteristics.

Methods: Data were derived from a sample of 136 Dutch living arrangements providing nursing home care for people with dementia (2008/2009), in which 1,327 residents and 1,147 staff participated. The relationship between two indicators of small-scale care (small-scale care characteristics and total number of residents with dementia in facility) and staff's job characteristics (job demands, decision authority, coworker and supervisor support) were studied with multilevel regression analyses. All analyses were adjusted for staff, resident, and living arrangement characteristics when needed.

Results: Both indicators of small-scale care were associated with job demands; staff perceived less time and work pressure as more characteristics of small-scale care were integrated and the facility had less residents with dementia in total. Only one indicator was associated with decision authority. As more characteristics of small-scale care were integrated, staff's perceived decision authority was higher. No relationship was found with coworker and supervisor social support.

Conclusions: Knowing that job demands and decision authority are important predictors of job appraisal and well-being, our findings show that small-scale care could have a beneficial impact on healthcare staff's work environment.
Keyword Nursing home care
Long-term care
Care model
Psychosocial work environment
Job design
Workload
Autonomy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Psychology Publications
 
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