Understanding Formal Caregiver Burden in Nursing Assistants in Nursing Homes: A Mixed Methods Approach.

IF 1.1 4区医学 Q3 NURSING Research in Gerontological Nursing Pub Date : 2023-09-01 Epub Date: 2023-07-14 DOI:10.3928/19404921-20230706-02

Rachel Kunkle, Claudia Chaperon, Lori L Popejoy, Leeza Struwe, Steven Wengel, Ann M Berger

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Abstract

The current study aimed to describe formal caregiver burden of nursing assistants in nursing homes. A descriptive, cross-sectional, convergent mixed methods approach identified attributes of formal caregiver burden using phenomenological interviews and established self-report measures. Themes included nursing assistants' experiences of stress, close relationships, extensive assistance of residents, balancing needs and routines, and feeling accomplished. Self-report measures demonstrated moderate stress, moderate caring behaviors, responsibility, and competence. MDS 3.0 results showed moderate cognitive impairment, minimal depressive symptoms, and decreased functional status of residents. The mixed methods synthesis confirmed the presence of five attributes of formal caregiver burden: perceived stress, caring for another, dependency of the older adult, responsibility, and competence. Burnout was not confirmed. Future investigation of attributes among a larger, diverse sample of nursing assistants, residents, and nursing homes will advance knowledge and inform research design and methods of interventions. [Research in Gerontological Nursing, 16(5), 231-240.].

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了解疗养院护理助理的正式护理人员负担：一种混合方法。

本研究旨在描述养老院护理助理的正式护理负担。一种描述性、横断面、收敛性的混合方法，通过现象学访谈和建立的自我报告测量，确定了正式护理人员负担的属性。主题包括护理助理的压力体验、亲密关系、住院医生的广泛帮助、平衡需求和日常生活以及成就感。自我报告测量显示出适度的压力、适度的关爱行为、责任感和能力。MDS 3.0结果显示，居民存在中度认知障碍、轻微抑郁症状和功能状态下降。混合方法综合证实了正式照顾者负担的五个属性的存在：感知压力、照顾他人、对老年人的依赖、责任和能力。烧坏未得到证实。未来对护理助理、居民和疗养院的更大、多样化样本的属性调查将提高知识，并为干预措施的研究设计和方法提供信息。[老年护理研究，16（5），231-240。

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来源期刊

Research in Gerontological Nursing NURSING-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.