与家庭护理服务和房屋服务设施不遵守法规相关的组织因素:一项探索性横断面研究

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Laura Corneliusson, Salla Ruotsalainen, Tiina Pesonen, Juhani Sulander, Timo Sinervo
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引用次数: 0

摘要

理由。最近的研究强调,组织问题、工作压力和道德困扰是老年人护理服务机构中工作人员普遍存在的问题,但影响老年人护理服务机构遵守法规的因素目前尚不清楚。目的和目标。这项探索性研究旨在调查组织因素、服务对象的临床特征以及感知到的组织因素与居家护理服务和服务性住房设施中员工不遵守规章制度的相关性。研究方法2021 年 10 月,研究人员向在芬兰家庭护理服务机构和服务公寓工作的执业护士和注册护士发送了一份自我报告调查表。样本包括 352 名居家护理人员和 555 名住房服务人员。针对居家护理服务和服务公寓设施分别计算了不同的模型。数据采用逻辑回归模型进行分析。遵循 CROSS 报告指南。结果结果表明,在住房服务机构中,干扰次数较多、团队自主性较低以及为私人雇主工作的员工发生违规行为的几率较高。在家庭护理服务中,一天中的访问次数越多、中断次数越多、团队自主性越低,不遵守规定的几率就越高,而为需要较少资源的客户提供服务则会降低不遵守规定的几率。在这两种情况下,认为缺乏时间和资源都是影响因素。结论在老年人护理服务中,分配更多的时间处理任务、确保充足的人员配备以及支持团队自主性,可以提高规章的合规性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Organizational Factors Associated with Regulation Noncompliance in Home Care Services and Service Housing Facilities: An Exploratory Cross-Sectional Study

Rationale. Recent studies have highlighted organizational issues, work stressors, and moral distress as prevalent problems among staff working within care services for older people, but factors influencing regulatory compliance in care services for older people are currently uncharted. Aims and Objectives. The aim of this exploratory study was to investigate how organizational factors, the clinical characteristics of the clients, and perceived organizational factors are associated with staff regulation noncompliance within home care services and service housing facilities. Methods. A self-report survey was sent to practical and registered nurses working in home care services and service housing in Finland in October 2021. The sample consisted of 352 home care and 555 service housing staff members. Separate models were calculated for home care services and service housing facilities. The data were analyzed using logistic regression models. CROSS reporting guidelines were followed. Results. The results show that in service housing facilities, higher numbers of disruptions, lower team autonomy, and working for a private employer increased the odds of regulation noncompliance. In home care services, higher numbers of visits during a day, higher numbers of disruptions, and lower team autonomy increased the odds of regulation noncompliance, while attending to clients requiring less resources decreased the odds of regulation noncompliance. Perceived lack of time and resources were influential factors in both contexts. Conclusion. Allocating more time to attend to tasks, ensuring adequate staffing, as well as supporting team autonomy, may increase regulation compliance within care services for older people.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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