The Impact of Nursing Staffs' Working Conditions on the Quality of Care Received by Older Adults in Long-Term Residential Care Facilities: A Systematic Review of Interventional and Observational Studies.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_56567E159A6B
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The Impact of Nursing Staffs' Working Conditions on the Quality of Care Received by Older Adults in Long-Term Residential Care Facilities: A Systematic Review of Interventional and Observational Studies.
Journal
Geriatrics
Author(s)
Perruchoud E., Weissbrodt R., Verloo H., Fournier C.A., Genolet A., Rosselet Amoussou J., Hannart S.
ISSN
2308-3417 (Electronic)
ISSN-L
2308-3417
Publication state
Published
Issued date
28/12/2021
Peer-reviewed
Oui
Volume
7
Number
1
Pages
6
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
Little documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents' quality of care (QoC). Supporting evidence is weak because most studies examining this employ cross-sectional designs.
Systematic searches of twelve bibliographic databases sought experimental and longitudinal studies, published up to May 2021, focusing on LTRCF nursing staff's working conditions and the QoC they provided to older adults.
Of the 3577 articles identified, 159 were read entirely, and 11 were retained for inclusion. Higher nursing staff hours worked per resident per day (HPRD) were associated with significant reductions in pressure sores and urinary tract infections. Overall staff qualification levels and numbers of RNs had significant positive influences on QoC.
To the best of our knowledge, this systematic review is the first to combine cohort studies with a quasi-experimental study to explore associations between LTRCF nursing staff's working conditions and older adult residents' QoC. Human factors (including HPRD, staff turnover, skill mix, staff ratios) and the specific working contribution of RNs had overwhelmingly significant influences on QoC. It seems essential that LTRCF supervisory and decision-making bodies should promote optimal working conditions for nursing staff because these have such a direct impact on residents' QoC.
Keywords
Geriatrics and Gerontology, Gerontology, Aging, Health (social science), health care, long-term residential care facilities, nursing staff, older adults, quality, working conditions
Pubmed
Open Access
Yes
Create date
06/01/2022 17:08
Last modification date
15/02/2022 7:34
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