Above and beyond: A qualitative study of the work of nurses and care assistants in long term care.


Journal

Work (Reading, Mass.)
ISSN: 1875-9270
Titre abrégé: Work
Pays: Netherlands
ID NLM: 9204382

Informations de publication

Date de publication:
2020
Historique:
pubmed: 3 3 2020
medline: 22 10 2020
entrez: 3 3 2020
Statut: ppublish

Résumé

As the Canadian population ages, there is a need to improve long-term care (LTC) services. An increased understanding of the positive work experiences of LTC staff may help attract more human health resources to LTC. To describe the perceptions of the roles and work of nurses and care assistants in LTC from interprofessional perspectives. This study used qualitative data collected from a larger mixed-methods study, Care by Design. The qualitative phase explored the lived experience of LTC staff from the perspectives of key stakeholders via focus groups and individual interviews. One central theme that emerged from the study was that of LTC staff going "above and beyond" their clinical duties to care for residents. This above and beyond theme was categorized into subthemes including: 1. familial bonds between residents and staff; 2. staff spending additional time with residents; 3. the ability to provide comfort to family members; and 4. staff dedication during end-of-life care. The findings show that staff develop a kinship with residents, demonstrate respect towards residents' families and provide comfort at the end-of-life. In emphasizing these themes of positive and fulfilling work, the present study provides insight into why staff work in LTC.

Sections du résumé

BACKGROUND BACKGROUND
As the Canadian population ages, there is a need to improve long-term care (LTC) services. An increased understanding of the positive work experiences of LTC staff may help attract more human health resources to LTC.
OBJECTIVE OBJECTIVE
To describe the perceptions of the roles and work of nurses and care assistants in LTC from interprofessional perspectives.
METHODS METHODS
This study used qualitative data collected from a larger mixed-methods study, Care by Design. The qualitative phase explored the lived experience of LTC staff from the perspectives of key stakeholders via focus groups and individual interviews.
RESULTS RESULTS
One central theme that emerged from the study was that of LTC staff going "above and beyond" their clinical duties to care for residents. This above and beyond theme was categorized into subthemes including: 1. familial bonds between residents and staff; 2. staff spending additional time with residents; 3. the ability to provide comfort to family members; and 4. staff dedication during end-of-life care.
CONCLUSIONS CONCLUSIONS
The findings show that staff develop a kinship with residents, demonstrate respect towards residents' families and provide comfort at the end-of-life. In emphasizing these themes of positive and fulfilling work, the present study provides insight into why staff work in LTC.

Identifiants

pubmed: 32116270
pii: WOR203105
doi: 10.3233/WOR-203105
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

509-516

Auteurs

Emily Gard Marshall (EG)

Department of Family Medicine, Primary Care Research Unit, Dalhousie University, Halifax, NS, Canada.

Melissa Power (M)

Department of Family Medicine, Primary Care Research Unit, Dalhousie University, Halifax, NS, Canada.

Nancy Edgecombe (N)

Nunavut Artic College, Iqaluit, NU, Canada.

Melissa K Andrew (MK)

Department of Medicine (Geriatrics), Dalhousie University, Halifax, NS, Canada.

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