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The relation between group living home care and demands, control and social support of care staff Bernadette Willemse, DienekeSmit,  Jacomine de Lange & Anne Margriet Pot
Research on care staffincreasingly important: Growingnumber of peoplewith dementia Decreasinglaborforce Variety in living arrangements Group living home care: Number of characteristics integrated Different job characteristics Working alone more often Domestic tasks 2 Background IPA 2010: Santiago de Compostela 28-09-2010
Job Demand-Control Support model1,2 Job satisfaction Demands Group living home care characteristics Control Social support 	Organization of care  Job characteristics      Staff wellbeing Intention to leave  Burnout Sickness leave 1 Karasek,1979 2 Johnson and Hall, 1988 28-09-2010 IPA 2010: Santiago de Compostela
Are group living home care characteristics related to care staffperceived… Demands Control Supervisor social support Coworkersocial support … taking functioning of residents and staff ratio into account 4 Research question IPA 2010: Santiago de Compostela 28-09-2010
Methods: design and sample LAD-study: Cross-sectional design 136 living arrangements representing different types of nursing home care  1147 care staff (59%) 1327 residents (84%) 28-09-2010 IPA 2010: Santiago de Compostela
Methods: measures (1) Care organization  Group living home care characteristics: 14 items (0-56) Staff does notwear a uniform Residentscanget out of bed whenthey want Living rooms have a homelyatmosphere The meals are prepared in the kitchen of the unit/home ,[object Object],28-09-2010 IPA 2010: Santiago de Compostela
Methods: measures (2) Care staff: Job characteristics (LQWQ) Demands: Work and time pressure Control: Decisionauthority Social support co-workers Social support supervisor ,[object Object],Residents:  ,[object Object]
Behavioral problems (NPIQ)28-09-2010 IPA 2010: Santiago de Compostela
8 Who is the care staff? IPA 2010: Santiago de Compostela 28-09-2010
9 What are the tasks of care staff? IPA 2010: Santiago de Compostella 28-09-2010
10 Preliminary analysis IPA 2010: Santiago de Compostela 28-09-2010
Results: GLHC characteristics More group living home care characteristics in a living arrangement is related to: Less perceived demands (β=-.151; p<.01) More perceived control (β=.205; p<.01) 						… of care staff 28-09-2010 IPA 2010: Santiago de Compostela
Results: domestictasks More domestic tasks is related to: Less perceived demands (β=-.075; p<.05) More perceived control (β=.121; p<.05) 						… of care staff 28-09-2010 IPA 2010: Santiago de Compostela
Limitations of the study Cross-sectional design Different types of demands: Only one type of demands (mental) studied Effect GLHC on emotional demands? 28-09-2010 IPA 2010: Santiago de Compostela
Conclusions ,[object Object]
with more GLHC characteristics

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The relation between group living home care and demands, control and social support of care staff

  • 1. The relation between group living home care and demands, control and social support of care staff Bernadette Willemse, DienekeSmit, Jacomine de Lange & Anne Margriet Pot
  • 2. Research on care staffincreasingly important: Growingnumber of peoplewith dementia Decreasinglaborforce Variety in living arrangements Group living home care: Number of characteristics integrated Different job characteristics Working alone more often Domestic tasks 2 Background IPA 2010: Santiago de Compostela 28-09-2010
  • 3. Job Demand-Control Support model1,2 Job satisfaction Demands Group living home care characteristics Control Social support Organization of care Job characteristics Staff wellbeing Intention to leave Burnout Sickness leave 1 Karasek,1979 2 Johnson and Hall, 1988 28-09-2010 IPA 2010: Santiago de Compostela
  • 4. Are group living home care characteristics related to care staffperceived… Demands Control Supervisor social support Coworkersocial support … taking functioning of residents and staff ratio into account 4 Research question IPA 2010: Santiago de Compostela 28-09-2010
  • 5. Methods: design and sample LAD-study: Cross-sectional design 136 living arrangements representing different types of nursing home care 1147 care staff (59%) 1327 residents (84%) 28-09-2010 IPA 2010: Santiago de Compostela
  • 6.
  • 7.
  • 8. Behavioral problems (NPIQ)28-09-2010 IPA 2010: Santiago de Compostela
  • 9. 8 Who is the care staff? IPA 2010: Santiago de Compostela 28-09-2010
  • 10. 9 What are the tasks of care staff? IPA 2010: Santiago de Compostella 28-09-2010
  • 11. 10 Preliminary analysis IPA 2010: Santiago de Compostela 28-09-2010
  • 12. Results: GLHC characteristics More group living home care characteristics in a living arrangement is related to: Less perceived demands (β=-.151; p<.01) More perceived control (β=.205; p<.01) … of care staff 28-09-2010 IPA 2010: Santiago de Compostela
  • 13. Results: domestictasks More domestic tasks is related to: Less perceived demands (β=-.075; p<.05) More perceived control (β=.121; p<.05) … of care staff 28-09-2010 IPA 2010: Santiago de Compostela
  • 14. Limitations of the study Cross-sectional design Different types of demands: Only one type of demands (mental) studied Effect GLHC on emotional demands? 28-09-2010 IPA 2010: Santiago de Compostela
  • 15.
  • 16. with more GLHC characteristics
  • 17. where they have more domestic tasks … perceive less demands and more control 28-09-2010 IPA 2010: Santiago de Compostella
  • 18. Further research Job satisfaction Demands Group living home care characteristics Control Social support Organization of care Job characteristics Wellbeing Intention to leave Burnout Sickness leave 28-09-2010 IPA 2010: Santiago de Compostela
  • 19. Furtherinformation Bernadette Willemse bwillemse@trimbos.nl www.trimbos.nl Program onAging, Netherlandsinstitutefor Mental Health and Addiction 28-09-2010 IPA 2010: Santiago de Compostella