Interventions Intended to Improve the Well-Being at Work of Nurses Working in Care Settings for Older People—A Systematic Review

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2024-12-25 DOI:10.1111/opn.70005

Johanna Wiisak, Arja Suikkala, Helena Leino-Kilpi, Minna Stolt, Riitta Suhonen, Sanna Koskinen

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Abstract

Introduction

Nurses' well-being at work (WAW) is important for overall health care outcomes. Nurses often navigate complex roles, contending with time constraints, ethical challenges and societal undervaluation, underscoring the necessity of addressing their WAW.

Methods

The aim of this systematic review was to analyse the interventions that potentially improve nurses' WAW in care settings for older people. The ultimate goal is to provide an understanding of this field and advance the development of WAW interventions. We performed a systematic review which was registered in PROSPERO and conducted according to PRISMA guideline. We conducted a comprehensive literature search across five scientific databases and one platform in February 2023.

Results

Out of 5975 records, we included 21 full-text articles in the review. Interventions were typically complex and focused on (a) nurses' health, (b) nursing care, (c) care facilities and (d) management. Interventions resulted in a range of outcomes on the (a) physical, (b) psychosocial and (c) environmental dimensions of WAW, with most interventions leading to positive outcomes, albeit with instances of negative and neutral results.

Conclusions

Interventions focusing on nurses' health or care facilities can be promising to improve WAW of nurses working in care settings for older people. Interventions aimed at improving the WAW have focused on various aspects. Despite the mainly positive outcomes, some interventions can also compromise nurses' WAW.

Implications for Practice

Strategies and interventions aimed at improving nurses’ WAW are needed in practice as nurses’ WAW is crucial in recruiting to and retaining nurses in care settings for older people. Promoting WAW also contributes to the quality of care for older people and the provision of ethically high-quality health services.

Trial Registration

The review protocol was registered in the International Prospective Register of Systematic Reviews, PROSPERO (CRD42023399478)

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旨在改善老年人护理环境中护士工作幸福感的干预措施——一项系统综述。

导读：护士的工作幸福感（WAW）对整体卫生保健结果很重要。护士经常扮演复杂的角色，与时间限制、道德挑战和社会低估作斗争，强调了解决其WAW的必要性。方法：本系统综述的目的是分析可能改善老年人护理环境中护士WAW的干预措施。最终目标是提供对这一领域的理解，并促进WAW干预措施的发展。我们根据PRISMA指南进行了系统评价，并在PROSPERO上注册。我们于2023年2月对5个科学数据库和1个平台进行了全面的文献检索。结果：在5975条记录中，我们纳入了21篇全文文章。干预措施通常很复杂，侧重于(a)护士健康、(b)护理、(c)护理设施和(d)管理。干预措施在WAW的(a)身体、(b)社会心理和(c)环境维度上产生了一系列结果，大多数干预措施产生了积极的结果，尽管也有负面和中性结果的例子。结论：以护士健康或护理机构为重点的干预措施有望改善在老年人护理机构工作的护士的WAW。旨在改善世界战争状况的干预措施侧重于各个方面。尽管主要是积极的结果，一些干预措施也可能损害护士的WAW。对实践的影响：在实践中需要旨在改善护士工作环境的策略和干预措施，因为护士的工作环境对于在老年人护理机构招聘和留住护士至关重要。促进世界妇女地位也有助于提高对老年人的护理质量和提供合乎道德的高质量保健服务。试验注册：审查方案已在国际前瞻性系统评论注册库PROSPERO注册（CRD42023399478）。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.