Nursing Home Staff with Children: Unique Needs Among Single and Partnered Parents.

IF 4.6 2区医学 Q1 GERONTOLOGY Gerontologist Pub Date : 2024-10-30 DOI:10.1093/geront/gnae157

Katherine A Kennedy, David C Mohr, Whitney L Mills

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Abstract

Background and objectives: Nursing home (NH) staff job dissatisfaction and turnover are associated with lower care quality. However, little is known about the impact of being single on workplace experiences. Guided by the Job Demands-Control-Support Model, we compared job satisfaction, turnover intention, and psychological distress for single and partnered parents working in NHs.

Research design and methods: Employee and manager data from the 2011-12 wave of the Work Family Health Network study were combined (N=1,144) to define parents with complete data (N=586). Bivariate tests and multivariate regressions clustering observations within NHs were used.

Results: Most single parents (n=190, 32%) were nursing assistants (NAs) (n=142, 74.74%) or licensed practical nurses (LPNs) (n=29, 15.26%). Compared to partnered parents, single parents were similar on turnover intention and job satisfaction, but they were more likely to report distress (OR=1.79, 95% CI 1.09, 2.94) observed only among NAs (OR=2.08, 95% CI 1.12, 3.85). Psychological distress was associated with greater turnover intent (β =0.02, p<.05) among NAs and LPNs, yet only among single parents (β =0.04, p<.01). Distress was more likely with higher family-to-work conflict (OR= 1.67, 95% CI 1.18, 2.36) and work-to-family conflict (OR=1.60, 95% CI 1.20, 2.14) among licensed nurses, yet the distress-work-family conflict associations were only significant for partnered parent nurses.

Discussion and implications: Supporting NH staff depends upon knowing their parental, relationship, and occupational status. Additional research is needed to understand and develop strategies to mitigate psychological distress and increase resources particularly among NA single parents employed in NHs.

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有子女的养老院工作人员：单亲和伴侣父母的独特需求。

背景和目标：疗养院（NH）工作人员的工作不满和离职与护理质量下降有关。然而，人们对单身对工作场所体验的影响知之甚少。在工作需求-控制-支持模型的指导下，我们比较了在疗养院工作的单身父母和伴侣父母的工作满意度、离职意向和心理困扰：将 2011-12 年工作家庭健康网络研究中的员工和管理者数据合并（N=1,144），定义出数据完整的父母（N=586）。使用二元检验和多元回归对国家卫生机构内的观察结果进行聚类：大多数单亲父母（人数=190，32%）是护理助理（NAs）（人数=142，74.74%）或执业护士（LPN）（人数=29，15.26%）。与有伴侣的父母相比，单亲父母在离职意向和工作满意度方面的情况相似，但他们更有可能报告心理困扰（OR=1.79，95% CI 1.09，2.94），仅在护理助理中观察到（OR=2.08，95% CI 1.12，3.85）。心理困扰与更大的离职意向相关（β=0.02，p 讨论与启示：为非正规医疗机构员工提供支持取决于了解他们的父母、关系和职业状况。需要开展更多的研究，以了解和制定减轻心理压力和增加资源的策略，尤其是受雇于养老院的新来港定居单亲家长。

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来源期刊

Gerontologist GERONTOLOGY-

CiteScore

11.00

自引率

8.80%

发文量

171

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.