The Association of Nursing Homes' Organizational Context With Care Aide Empowerment: A Cross-Sectional Study.

IF 4.6 2区医学 Q1 GERONTOLOGY

Gerontologist Pub Date : 2024-06-01 DOI:10.1093/geront/gnae033

Alba Iaconi, Matthias Hoben, Whitney Berta PhD, Yinfei Duan, Peter G Norton, Yuting Song, Stephanie A Chamberlain, Anna Beeber, Ruth A Anderson, Holly J Lanham, Janelle Perez, Jing Wang, Katharina Choroschun, Shovana Shrestha, Greta Cummings, Carole A Estabrooks

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引用次数: 0

Abstract

Background and objectives: Organizational context is thought to influence whether care aides feel empowered, but we lack empirical evidence in the nursing home sector. Our objective was to examine the association of features of nursing homes' unit organizational context with care aides' psychological empowerment.

Research design and methods: This cross-sectional study analyzed survey data from 3765 care aides in 91 Western Canadian nursing homes. Random-intercept mixed-effects regressions were used to examine the associations between nursing home unit organizational context and care aides' psychological empowerment, controlling for care aide, care unit, and nursing home covariates.

Results: Organizational (IVs) culture, social capital, and care aides' perceptions of sufficient time to do their work were positively associated with all four components of psychological empowerment (DVs): competence (0.17 [0.13, 0.21] for culture, 0.18 [0.14, 0.21] for social capital, 0.03 [0.01, 0.05] for time), meaning (0.21 [0.18, 0.25] for culture, 0.19 [0.16, 0.23] for social capital, 0.03 [0.01, 0.05 for time), self-determination (0.38 [0.33, 0.44] for culture, 0.17 [0.12, 0.21] for social capital, 0.08 [0.05, 0.11] for time), and impact (0.26 [0.21, 0.31] for culture, 0.23 [0.19, 0.28] for social capital, 0.04 [0.01, 0.07] for time).

Discussion and implications: In this study, modifiable elements of organizational context (i.e., culture, social capital, and time) were positively associated with care aides' psychological empowerment. Future interventions might usefully target these modifiable elements of unit level context in the interest of assessing their effects on staff work attitudes and outcomes, including the quality of resident care.

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养老院的组织环境与护理助理赋权的关系：横断面研究

背景和目标：组织环境被认为会影响护理助理是否感到有能力，但我们缺乏养老院领域的实证证据。我们的目标是研究养老院单位组织环境的特征与护理助理心理授权的关联：这项横断面研究分析了来自加拿大西部 91 家养老院 3765 名护理员的调查数据。在控制护理助理、护理单位和养老院协变量的基础上，采用随机截距混合效应回归法研究了养老院单位组织环境与护理助理心理授权之间的关系：结果：组织（IVs）文化、社会资本和护理助理对有充足时间完成工作的看法与心理授权的所有四个组成部分（DVs）均呈正相关：能力（文化为 0.17 [0.13, 0.21]，社会资本为 0.18 [0.14, 0.21]，时间为 0.03 [0.01, 0.05]）、意义（文化为 0.21 [0.18, 0.25]，社会资本为 0.19 [0.01, 0.05]）、社会资本（IVs）和护理助理对有充足时间完成工作的看法与心理授权的所有四个组成部分（DVs）均呈正相关。25]，社会资本为 0.19 [0.16，0.23]，时间为 0.03 [0.01，0.05]），自决（文化为 0.38 [0.33，0.44]，社会资本为 0.17 [0.12，0.21]，时间为 0.08 [0.05, 0.11] 时间），以及影响（文化为 0.26 [0.21, 0.31]，社会资本为 0.23 [0.19, 0.28]，时间为 0.04 [0.01, 0.07]）：在本研究中，组织环境中可改变的因素（即文化、社会资本和时间）与护理助理的心理授权呈正相关。未来的干预措施可能会以这些可改变的单位环境因素为目标，以评估其对员工工作态度和结果（包括居民护理质量）的影响。

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来源期刊

Gerontologist GERONTOLOGY-

CiteScore

11.00

自引率

8.80%

发文量

171

期刊介绍： The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.