Dementia Care Education Targeting Job Strain and Organizational Climate Among Dementia Care Specialists in Swedish Home Care Services
Open Access
- 1 January 2020
- journal article
- research article
- Published by Taylor & Francis Ltd in Journal of Multidisciplinary Healthcare
- Vol. ume 13, 85-97
- https://doi.org/10.2147/JMDH.S214378
Abstract
Introduction: An increasing number of older persons live at home with various limitations, such as dementia, requiring well-educated and trained home care staff to meet their complex care needs. Dementia care specialists working in home care service have reported high levels of job strain in comparison with home care staff in general. Aim: This pilot study aims to evaluate the effects of a dementia care education model targeting self-reported job strain and organizational climate, among dementia care specialists in home care service. Methods: A quasi-experimental, one-group pretest–posttest design was applied, with 12 months’ follow-up. Participants were dementia care specialists who worked in home care service (n=34 baseline; n=30 follow-up). The data were collected using the Strain in Dementia Care Scale and Creative Climate Questionnaires, administered pre- and post-intervention. The intervention applied an educational model based on previous research in dementia care and a person-centered approach. Results: The educational model was implemented in the context of home care services. Of 34 participants at baseline, only 21 responded to the questionnaires, due to a drop off of 13 participants and recruitment of 9 new participants (follow-up=30). A significantly reduced perceived job strain among the participants was detected, indicating perceiving less difficulty in “Balancing competing needs” when caring for the older persons. No significant difference was found in the self-reported creative organizational climate between the two occasions. Conclusion: The educational model could be integrated into dementia home care and it seemed to reduce job strain among dementia care specialists. Future studies are needed to evaluate the effects of the intervention using a stronger study design and a larger sample.Keywords
This publication has 29 references indexed in Scilit:
- Psychometric properties concerning four instruments measuring job satisfaction, strain, and stress of conscience in a residential care contextArchives of Gerontology and Geriatrics, 2013
- Job strain and stress of conscience among nurse assistants working in residential careJournal of Nursing Management, 2013
- Validation method training: nurses' experiences and ratings of work climateInternational Journal of Older People Nursing, 2013
- Job satisfaction and associated variables among nurse assistants working in residential careInternational Psychogeriatrics, 2012
- Staff outcomes from the Caring for Aged Dementia Care REsident Study (CADRES): A cluster randomised trialInternational Journal of Nursing Studies, 2012
- Home care in Europe: a systematic literature reviewBMC Health Services Research, 2011
- Developing person‐centred practice: nursing outcomes arising from changes to the care environment in residential settings for older peopleInternational Journal of Older People Nursing, 2010
- Associations between the working characteristics of nursing staff and the prevalence of behavioral symptoms in people with dementia in residential careInternational Psychogeriatrics, 2008
- Strain in nursing care of people with dementia: Nurses’ experience in Australia, Sweden and United KingdomAging & Mental Health, 2008
- Evidence‐based practice and determinants of research use in elderly care in SwedenJournal of Evaluation in Clinical Practice, 2007