Dominique H Como, Carin M Wong, Victoria L Shier, Cara Lekovitch, Felicia Chew, Julie Britton, Natalie E Leland
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Nursing home workforce: perspectives on maintaining and improving staff morale.
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.
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.
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