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 in | Geriatrics (Basel) Vol. 7; no. 1; p. 6 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Switzerland
MDPI AG
28.12.2021
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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. |
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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.) |
AuthorAffiliation_xml | – name: 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.) – name: 2 Service of Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital, Route de Cery 60, CH-1008 Lausanne, Switzerland – name: 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 |
Author_xml | – sequence: 1 givenname: Elodie orcidid: 0000-0002-5436-3179 surname: Perruchoud fullname: Perruchoud, Elodie organization: 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 – sequence: 2 givenname: Rafaël surname: Weissbrodt fullname: Weissbrodt, Rafaël organization: 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 – sequence: 3 givenname: Henk orcidid: 0000-0002-5375-3255 surname: Verloo fullname: Verloo, Henk organization: Service of Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital, Route de Cery 60, CH-1008 Lausanne, Switzerland – sequence: 4 givenname: Claude-Alexandre surname: Fournier fullname: Fournier, Claude-Alexandre organization: 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 – sequence: 5 givenname: Audrey orcidid: 0000-0002-5402-1363 surname: Genolet fullname: Genolet, Audrey organization: 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 – sequence: 6 givenname: Joëlle surname: Rosselet Amoussou fullname: Rosselet Amoussou, Joëlle organization: Psychiatry Library, Education and Research Department, Lausanne University Hospital and University of Lausanne, Site de Cery, CH-1008 Lausanne, Switzerland – sequence: 7 givenname: Stéphanie orcidid: 0000-0002-9676-6566 surname: Hannart fullname: Hannart, Stéphanie organization: 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 |
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Keywords | older adults long-term residential care facilities working conditions health care nursing staff quality |
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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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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 |
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