Getting Along in Assisted Living: Quality of Relationships Between Family Members and Staff.
Assisted living
Communication
Conflict
Family–staff relationships
Journal
The Gerontologist
ISSN: 1758-5341
Titre abrégé: Gerontologist
Pays: United States
ID NLM: 0375327
Informations de publication
Date de publication:
23 11 2020
23 11 2020
Historique:
received:
25
03
2020
pubmed:
3
7
2020
medline:
7
4
2021
entrez:
3
7
2020
Statut:
ppublish
Résumé
Assisted living facilities (ALFs) have quickly expanded as an alternative to nursing homes. Research on nursing homes has revealed problems in relationships between family members and staff. However, little is known about these relationships within ALFs. The purpose of the current study was to examine the prevalence of conflict and positive and negative interactions from the perspective of both family members and staff and to examine the effects of positive and negative aspects of the relationship on salient staff and family outcomes in ALFs. Data were collected from 252 family members and 472 staff members across 20 ALFs who participated in the Partners in Care in Assisted Living study. Participants completed measures including interpersonal conflict, depressive symptoms, perception of treatment, and stress related to caregiving. Conflict among family and staff members was found to be relatively low. For staff, interpersonal conflict and treatment by family members significantly predicted burnout and depressive symptoms. For families, only female gender significantly predicted burden. Subgroup analyses, however, indicated that the effect of interpersonal conflict was significantly associated with perceived caregiver burden among family members whose relative had dementia. Despite the relatively harmonious relationships among family-staff in ALFs, sources of conflict and negative interactions were identified, revealing the importance of collaborative relationships and the influence these relationships have on both family and staff outcomes. These findings can inform intervention efforts to improve family-staff interactions within ALFs.
Sections du résumé
BACKGROUND AND OBJECTIVES
Assisted living facilities (ALFs) have quickly expanded as an alternative to nursing homes. Research on nursing homes has revealed problems in relationships between family members and staff. However, little is known about these relationships within ALFs. The purpose of the current study was to examine the prevalence of conflict and positive and negative interactions from the perspective of both family members and staff and to examine the effects of positive and negative aspects of the relationship on salient staff and family outcomes in ALFs.
RESEARCH DESIGN AND METHODS
Data were collected from 252 family members and 472 staff members across 20 ALFs who participated in the Partners in Care in Assisted Living study. Participants completed measures including interpersonal conflict, depressive symptoms, perception of treatment, and stress related to caregiving.
RESULTS
Conflict among family and staff members was found to be relatively low. For staff, interpersonal conflict and treatment by family members significantly predicted burnout and depressive symptoms. For families, only female gender significantly predicted burden. Subgroup analyses, however, indicated that the effect of interpersonal conflict was significantly associated with perceived caregiver burden among family members whose relative had dementia.
DISCUSSION AND IMPLICATIONS
Despite the relatively harmonious relationships among family-staff in ALFs, sources of conflict and negative interactions were identified, revealing the importance of collaborative relationships and the influence these relationships have on both family and staff outcomes. These findings can inform intervention efforts to improve family-staff interactions within ALFs.
Identifiants
pubmed: 32614048
pii: 5866379
doi: 10.1093/geront/gnaa057
pmc: PMC7681211
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1445-1455Subventions
Organisme : NIA NIH HHS
ID : P30 AG022845
Pays : United States
Organisme : NIA NIH HHS
ID : T32 AG049666
Pays : United States
Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
Références
Gerontologist. 2003 Apr;43 Spec No 2:96-106
pubmed: 12711730
Gerontologist. 2007 Aug;47(4):504-15
pubmed: 17766671
J Appl Gerontol. 1991 Sep;10(3):328-42
pubmed: 10170818
J Nurs Manag. 2009 Jan;17(1):59-65
pubmed: 19166523
Health Care Manage Rev. 2007 Apr-Jun;32(2):140-9
pubmed: 17438397
J Palliat Care. 2003 Spring;19(1):27-35
pubmed: 12710112
J Fam Nurs. 2018 Feb;24(1):60-85
pubmed: 29455580
Health Aff (Millwood). 2010 Feb;29(2):312-7
pubmed: 20056692
Gerontologist. 1986 Jun;26(3):260-6
pubmed: 3721233
Clin Nurs Res. 2012 Aug;21(3):350-67
pubmed: 22203088
Gerontologist. 2009 Apr;49(2):224-35
pubmed: 19363017
J Adv Nurs. 2011 Jun;67(6):1232-41
pubmed: 21306421
J Appl Gerontol. 2014 Aug;33(5):564-85
pubmed: 24652861
Int J Evid Based Healthc. 2010 Jun;8(2):45-74
pubmed: 20923509
Health Serv Res. 2018 Dec;53(6):4906-4920
pubmed: 30066481
J Gen Intern Med. 2006 Jan;21 Suppl 1:S3-8
pubmed: 16405707
AAOHN J. 2011 Apr;59(4):173-80
pubmed: 21462900
J Appl Gerontol. 2016 Jan;35(1):84-105
pubmed: 25098251
J Clin Nurs. 2003 May;12(3):431-41
pubmed: 12709118
J Aging Health. 2009 Sep;21(6):895-912
pubmed: 19602705
J Gerontol Nurs. 2014 Jan;40(1):41-9
pubmed: 23937102
Health Soc Care Community. 2018 Jul;26(4):474-485
pubmed: 28990248
Gerontologist. 1989 Jun;29(3):314-20
pubmed: 2788108
J Adv Nurs. 2006 Apr;54(1):45-52
pubmed: 16553690
Qual Health Res. 2017 Jun;27(7):1006-1022
pubmed: 27206457
Clin Gerontol. 2018 Jul-Sep;41(4):282-292
pubmed: 28990884
Health Commun. 2009 Jan;24(1):12-20
pubmed: 19204854
Aging Ment Health. 2005 Mar;9(2):105-18
pubmed: 15804627
NCHS Data Brief. 2018 Feb;(299):1-8
pubmed: 29442991
Qual Health Res. 2018 Jan;28(1):60-72
pubmed: 28918701
Gerontologist. 1998 Aug;38(4):499-503
pubmed: 9726137
Health Aff (Millwood). 2014 Apr;33(4):658-66
pubmed: 24711328
Eur J Cancer Care (Engl). 2002 Sep;11(3):183-7
pubmed: 12296835
Gerontologist. 2007 Dec;47(Suppl 1):83-99
pubmed: 19127297
J Fam Nurs. 2014 Feb;20(1):73-97
pubmed: 24122579
Gerontologist. 2018 Nov 3;58(6):1033-1043
pubmed: 28977636
Gerontologist. 2005 Oct;45 Spec No 1(1):87-95
pubmed: 16230755