The Impact of Nursing Staffs' Working Conditions on the Quality of Care Received by Older Adults in Long-Term Residential Care Facilities: A Systematic Review of Interventional and Observational Studies

Little documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents' quality of care (QoC). Supporting evidence is weak because most studies examining this employ cross-sectional designs. Systematic searches of twelve bibli...

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Published inGeriatrics (Basel) Vol. 7; no. 1; p. 6
Main Authors Perruchoud, Elodie, Weissbrodt, Rafaël, Verloo, Henk, Fournier, Claude-Alexandre, Genolet, Audrey, Rosselet Amoussou, Joëlle, Hannart, Stéphanie
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 28.12.2021
MDPI
Subjects
Aging
Chronic illnesses
Geriatrics
Health care
long-term residential care facilities
Longitudinal studies
Nurses
Nursing care
Nursing homes
nursing staff
Observational studies
older adults
Older people
Patient safety
quality
Quality of care
Systematic Review
Workforce planning
Working conditions
older adults
long-term residential care facilities
working conditions
health care
nursing staff
quality
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Abstract Little documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents' quality of care (QoC). Supporting evidence is weak because most studies examining this employ cross-sectional designs. Systematic searches of twelve bibliographic databases sought experimental and longitudinal studies, published up to May 2021, focusing on LTRCF nursing staff's working conditions and the QoC they provided to older adults. Of the 3577 articles identified, 159 were read entirely, and 11 were retained for inclusion. Higher nursing staff hours worked per resident per day (HPRD) were associated with significant reductions in pressure sores and urinary tract infections. Overall staff qualification levels and numbers of RNs had significant positive influences on QoC. To the best of our knowledge, this systematic review is the first to combine cohort studies with a quasi-experimental study to explore associations between LTRCF nursing staff's working conditions and older adult residents' QoC. Human factors (including HPRD, staff turnover, skill mix, staff ratios) and the specific working contribution of RNs had overwhelmingly significant influences on QoC. It seems essential that LTRCF supervisory and decision-making bodies should promote optimal working conditions for nursing staff because these have such a direct impact on residents' QoC.
AbstractList Background: Little documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents’ quality of care (QoC). Supporting evidence is weak because most studies examining this employ cross-sectional designs. Methods: Systematic searches of twelve bibliographic databases sought experimental and longitudinal studies, published up to May 2021, focusing on LTRCF nursing staff’s working conditions and the QoC they provided to older adults. Results: Of the 3577 articles identified, 159 were read entirely, and 11 were retained for inclusion. Higher nursing staff hours worked per resident per day (HPRD) were associated with significant reductions in pressure sores and urinary tract infections. Overall staff qualification levels and numbers of RNs had significant positive influences on QoC. Conclusions: To the best of our knowledge, this systematic review is the first to combine cohort studies with a quasi-experimental study to explore associations between LTRCF nursing staff’s working conditions and older adult residents’ QoC. Human factors (including HPRD, staff turnover, skill mix, staff ratios) and the specific working contribution of RNs had overwhelmingly significant influences on QoC. It seems essential that LTRCF supervisory and decision-making bodies should promote optimal working conditions for nursing staff because these have such a direct impact on residents’ QoC.
BACKGROUNDLittle documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents' quality of care (QoC). Supporting evidence is weak because most studies examining this employ cross-sectional designs. METHODSSystematic searches of twelve bibliographic databases sought experimental and longitudinal studies, published up to May 2021, focusing on LTRCF nursing staff's working conditions and the QoC they provided to older adults. RESULTSOf the 3577 articles identified, 159 were read entirely, and 11 were retained for inclusion. Higher nursing staff hours worked per resident per day (HPRD) were associated with significant reductions in pressure sores and urinary tract infections. Overall staff qualification levels and numbers of RNs had significant positive influences on QoC. CONCLUSIONSTo the best of our knowledge, this systematic review is the first to combine cohort studies with a quasi-experimental study to explore associations between LTRCF nursing staff's working conditions and older adult residents' QoC. Human factors (including HPRD, staff turnover, skill mix, staff ratios) and the specific working contribution of RNs had overwhelmingly significant influences on QoC. It seems essential that LTRCF supervisory and decision-making bodies should promote optimal working conditions for nursing staff because these have such a direct impact on residents' QoC.
Little documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents' quality of care (QoC). Supporting evidence is weak because most studies examining this employ cross-sectional designs. Systematic searches of twelve bibliographic databases sought experimental and longitudinal studies, published up to May 2021, focusing on LTRCF nursing staff's working conditions and the QoC they provided to older adults. Of the 3577 articles identified, 159 were read entirely, and 11 were retained for inclusion. Higher nursing staff hours worked per resident per day (HPRD) were associated with significant reductions in pressure sores and urinary tract infections. Overall staff qualification levels and numbers of RNs had significant positive influences on QoC. To the best of our knowledge, this systematic review is the first to combine cohort studies with a quasi-experimental study to explore associations between LTRCF nursing staff's working conditions and older adult residents' QoC. Human factors (including HPRD, staff turnover, skill mix, staff ratios) and the specific working contribution of RNs had overwhelmingly significant influences on QoC. It seems essential that LTRCF supervisory and decision-making bodies should promote optimal working conditions for nursing staff because these have such a direct impact on residents' QoC.
Author Fournier, Claude-Alexandre
Hannart, Stéphanie
Perruchoud, Elodie
Rosselet Amoussou, Joëlle
Verloo, Henk
Weissbrodt, Rafaël
Genolet, Audrey
AuthorAffiliation 2 Service of Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital, Route de Cery 60, CH-1008 Lausanne, Switzerland
3 Psychiatry Library, Education and Research Department, Lausanne University Hospital and University of Lausanne, Site de Cery, CH-1008 Lausanne, Switzerland; joelle.rosselet@chuv.ch
1 Department of Nursing Sciences, School of Health Sciences, HES-SO Valais/Wallis, University of Applied Sciences and Arts Western Switzerland, Chemin de l’Agasse 5, CH-1950 Sion, Switzerland; rafael.weissbrodt@hevs.ch (R.W.); henk.verloo@hevs.ch (H.V.); calexandre.fournier@hevs.ch (C.-A.F.); audrey.genolet@hevs.ch (A.G.); stephanie.hannart-oppliger@hevs.ch (S.H.)
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Issue 1
Keywords older adults
long-term residential care facilities
working conditions
health care
nursing staff
quality
Language English
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Snippet Little documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents' quality of care...
Background: Little documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents’...
BACKGROUNDLittle documentation exists on relationships between long-term residential care facilities (LTRCFs), staff working conditions and residents' quality...
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StartPage 6
SubjectTerms Aging
Chronic illnesses
Geriatrics
Health care
long-term residential care facilities
Longitudinal studies
Nurses
Nursing care
Nursing homes
nursing staff
Observational studies
older adults
Older people
Patient safety
quality
Quality of care
Systematic Review
Workforce planning
Working conditions
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Title The Impact of Nursing Staffs' Working Conditions on the Quality of Care Received by Older Adults in Long-Term Residential Care Facilities: A Systematic Review of Interventional and Observational Studies
URI https://www.ncbi.nlm.nih.gov/pubmed/35076476
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https://pubmed.ncbi.nlm.nih.gov/PMC8788263
https://doaj.org/article/3f205101311d4027bd8e26bbc8101339
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