6533b86ffe1ef96bd12cd2d7

RESEARCH PRODUCT

Resident care needs and work stressors in special care units versus non-specialized long-term care units

Harriet Finne-soveriLaura PekkarinenTimo SinervoMarko ElovainioAnja NoroEsko Leskinen

subject

AdultMaleGerontologymedicine.medical_specialtyActivities of daily livingAffect (psychology)Surveys and QuestionnairesActivities of Daily LivingHomes for the AgedHumansMedicineDementiaFinlandGeneral NursingAgedMinimum Data Setbusiness.industryMental DisordersPublic healthStressormedicine.diseaseLong-Term CareLong-term careWork (electrical)DementiaFemaleNursing StaffbusinessStress Psychological

description

Differences in how elderly residents' care needs affect staff's experiences of work stressors between special care units (SCUs) for dementia and psychiatric residents and non-SCUs were investigated. The data were drawn from 390 staff members in 38 long-term care SCUs, and 587 staff in 53 non-SCUs in Finland. Residents' care needs were based on the Resident Assessment Instrument (RAI) system measured by the Minimum Data Set 2.0. Work stressors (time-pressure and role-conflicts) were assessed with a staff survey questionnaire. Multiple-group regression analysis showed that residents' dependency in activities of daily living (ADL) was related to increased work stressors only in SCUs. A high proportion of behavioral problems was related to fewer work stressors for SCU staff, but more for non-SCU staff. Work stressors may be reduced by specializing, so that residents with similar care needs are placed together and care is focused.

https://doi.org/10.1002/nur.20157