Coming to grips with challenging behaviour: a cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units

Zwijsen, S. A., Gerritsen, D. L., Eefsting, J. A., Smalbrugge, M., Hertogh, C. M. P. M. and Pot, A. M. (2015) Coming to grips with challenging behaviour: a cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units. International Journal of Nursing Studies, 52 1: 68-74. doi:10.1016/j.ijnurstu.2014.10.003

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads
UQ345300_OA.pdf Full text (open access) application/pdf 586.56KB 0

Author Zwijsen, S. A.
Gerritsen, D. L.
Eefsting, J. A.
Smalbrugge, M.
Hertogh, C. M. P. M.
Pot, A. M.
Title Coming to grips with challenging behaviour: a cluster randomised controlled trial on the effects of a new care programme for challenging behaviour on burnout, job satisfaction and job demands of care staff on dementia special care units
Journal name International Journal of Nursing Studies   Check publisher's open access policy
ISSN 0020-7489
1873-491X
Publication date 2015-01
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.ijnurstu.2014.10.003
Open Access Status
Volume 52
Issue 1
Start page 68
End page 74
Total pages 7
Place of publication Bromley, United Kingdom
Publisher Elsevier
Collection year 2015
Language eng
Formatted abstract
Background

Caring for people with dementia in dementia special care units is a demanding job. Challenging behaviour is one of the factors influencing the job satisfaction and burnout of care staff. A care programme for the challenging behaviour of nursing home residents with dementia might, next to diminishing the challenging behaviour of residents, improve job satisfaction and reduce the care staff's feelings of burnout.

Objectives

To determine the effects of a care programme for the challenging behaviour of nursing home residents with dementia on the burnout, job satisfaction and job demands of care staff.

Design

The care programme was implemented according to a stepped wedge design in which care units were randomly divided over five groups with different time points of starting with implementation.

Setting

17 Dutch dementia special care units.

Participants

Care staff members of the 17 units.

Intervention

The care programme consists of an education package and of various structured assessment tools that guide professionals through the multidisciplinary detection, analysis, treatment and evaluation of treatment of challenging behaviour.

Methods

Burnout, job satisfaction and job demands were measured before implementation, halfway through the implementation process and after all the care units had implemented the care programme. Burnout was measured with the Dutch version of the Maslach burnout inventory (UBOS-C, three subscales); job satisfaction and job demands were measured with subscales of the Leiden Quality of Work Questionnaire. Mixed model analyses were used to determine effects. Care staff could not be blinded for the intervention.

Results

Of the 1441 questionnaires, 645 were returned (response 45%, 318 control measurements, 327 intervention measurements) by 380 unique care staff members. Significant effects were found on job satisfaction (0.93, 95% CI 0.48–1.38). On the other outcomes, no significant changes in the scores were found.

Conclusion

Positive effects of using the Grip on Challenging behaviour care programme were found on job satisfaction, without an increase in job demands.
Keyword Dementia
Behaviour
Nursing staff
Burnout
Job satisfaction
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online ahead of print 13 Oct 2014

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Psychology Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Mon, 17 Nov 2014, 16:27:35 EST by System User on behalf of School of Psychology