Nursing home workforce: perspectives on maintaining and improving staff morale.

IF 3.2 2区医学 Q1 GERONTOLOGY

Gerontologist Pub Date : 2025-09-08 DOI:10.1093/geront/gnaf171

Dominique H Como, Carin M Wong, Victoria L Shier, Cara Lekovitch, Felicia Chew, Julie Britton, Natalie E Leland

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引用次数: 0

Abstract

Background and objectives: To explore nursing home staff perspectives on maintaining and improving staff morale for those who provide direct and indirect care, to residents living with dementia.

Research design and methods: This qualitative analysis was embedded within a multisite pragmatic randomized trial that compared two nonpharmacological approaches to providing dementia care. Semistructured interviews with a purposive sample of nursing home staff (n = 327) were conducted. Staff morale emerged from the interview data. A thematic analysis approach was utilized to identify patterns and relationships related to staff morale.

Results: Three themes emerged (1) self-care strategies, (2) peer-to-peer support, and (3) leadership approaches and practices. Staff described the use of self-care strategies to support their own mental or physical well-being. Descriptions of peer-to-peer support reflected instances where staff supported one another through teamwork and mentorship. Staff also highlighted how organizational leadership contributed to morale by ensuring staff felt appreciated and supported.

Discussion and implications: Results of this study support a multidimensional approach to maintaining and improving nursing home staff morale in order to retain the workforce. Prioritizing staff morale can be manageable even in this challenging health care landscape. Therefore, policies and practices should be put into place to support staff morale.

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养老院员工：维护和提高员工士气的观点。

背景与目的：探讨养老院工作人员如何维持和提高为痴呆症患者提供直接和间接护理的工作人员的士气。研究设计和方法：这一定性分析嵌入在一项多地点实用随机试验中，该试验比较了两种提供痴呆症护理的非药物方法。对养老院工作人员（n = 327）进行了半结构化访谈。采访数据显示，员工士气高涨。采用了专题分析方法来查明与工作人员士气有关的模式和关系。结果：出现了三个主题：(1)自我护理策略，(2)同伴对同伴支持，(3)领导方法和实践。工作人员描述了自我护理策略的使用，以支持他们自己的精神或身体健康。点对点支持的描述反映了员工通过团队合作和指导相互支持的实例。工作人员还强调了组织领导如何通过确保员工感到受到赞赏和支持来提高士气。讨论与启示：本研究的结果支持以多维度的方法来维持和改善养老院员工的士气，以留住员工。即使在这种充满挑战的医疗保健环境中，优先考虑员工士气也是可以管理的。因此，政策和做法应该到位，以支持员工的士气。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.