Redesigning nursing work in long-term care environments.

The authors present a highly statistically oriented argument for examining work attitudes and activities among three groups of caregivers [RNs, RPNs, and HCAs] working in long-term care. The investigators used both work sampling, written surveys, and interviews with a sample of 46 caregivers in a la...

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Publicado en:Nursing Economic$ Vol. 18; no. 2; pp. 79 - 88
Autores principales: Hall LM, O'Brien-Pallas L
Formato: research tables/charts Journal Article
Publicado: Jannetti Publications, Inc. Mar/Apr2000
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2000
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      pub: Jannetti Publications, Inc.
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        atl: Redesigning nursing work in long-term care environments.
      aug:
        au:
          Hall LM
          O'Brien-Pallas L
        affil: Faculty of Nursing, University of Toronto, Ontario, Canada
      sug:
        subj:
          Work Redesign
          Long Term Care
          Nurse Attitudes
          Job Characteristics
          Job Satisfaction
          Descriptive Statistics
          Analysis of Variance
          Nursing Models, Theoretical
          Academic Medical Centers Ontario
          Ontario
          Work Sampling
          Nurse Attitudes Evaluation
          Registered Nurses
          Practical Nurses
          Interviews
          Job Satisfaction Evaluation
          Research Instruments
          Pearson's Correlation Coefficient
          Time Factors
          Health Personnel, Unlicensed
          Adult
          Middle Age
          Male
          Female
          Funding Source
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: The authors present a highly statistically oriented argument for examining work attitudes and activities among three groups of caregivers [RNs, RPNs, and HCAs] working in long-term care. The investigators used both work sampling, written surveys, and interviews with a sample of 46 caregivers in a large university-affiliated LTC facility in Toronto, Canada. While RNs stated their strong affinity for direct patient care activities, they perform the lowest percentage of direct care, chiefly due to their accountability for planning and coordinating the care provided by others. The HCAs who provided the bulk of direct patient care 'valued it the least,' apparently finding little gratification with this aspect of their role. This study suggests that there is a need to examine and clarify work roles and perceptions for all caregivers as part of any work redesign process. A higher level of RN involvement in direct patient care activities, along with 'attention to enhancing the importance' of these activities for staff employed in the HCA role, could be beneficial.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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