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

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Author

Summary, in English

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.

Department/s

Publishing year

2015

Language

English

Pages

543-553

Publication/Series

Palliative & Supportive Care

Volume

13

Issue

3

Document type

Journal article

Publisher

Cambridge University Press

Topic

  • Gerontology, specializing in Medical and Health Sciences
  • Nursing

Status

Published

Research group

  • Older people's health and Person-Centred care
  • Family Medicine and Clinical Epidemiology

ISBN/ISSN/Other

  • ISSN: 1478-9515