Document Detail


Resources and quality of care in services for the elderly.
MedLine Citation:
PMID:  18519296     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To investigate the association between resources of the workplace and the quality of care in municipal long-term care. At the municipal level, the resources comprised the proportion of care workers with a long period of professional training and the relative availability of care-giving manpower. At the level of the organizational unit, the resources comprised aspects of the psychosocial working environment. METHODS: A survey of 7,500 care workers in 36 municipalities in Denmark was performed. Quality of care was measured by seven standardized questions in a questionnaire. Data on the psychosocial resources of the workplace were aggregated responses from the care workers to questions from the Copenhagen Psychosocial Questionnaire. Data on the training and relative availability of care workers were derived by combining information from payroll lists and data available from government databases. RESULTS: There was a positive association between psychosocial resources at the level of the organizational unit and the quality of care provided by the individual care worker. There was no association between the level of professional training of the municipal workforce of care-givers and the quality of care provided by the individual care worker. There was a complex relationship between the relative availability of care-giving manpower at the municipal level and the quality of care provided by the individual care worker. CONCLUSIONS: Improving the psychosocial working environment of care workers is one key to securing sufficient caring staff for the long-term care sector; increasing manpower or increasing the proportion of highly trained staff are not in themselves such keys.
Authors:
Jacob Hilden Winsløw; Vilhelm Borg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of public health     Volume:  36     ISSN:  1403-4948     ISO Abbreviation:  Scand J Public Health     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-06-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883503     Medline TA:  Scand J Public Health     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  272-8     Citation Subset:  IM    
Affiliation:
National Research Centre for the Working Environment, Copenhagen, Denmark. jhw@arbejdsmiljoforskning.dk
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MeSH Terms
Descriptor/Qualifier:
Aged
Caregivers / economics,  education,  standards*
Community Health Services / economics,  manpower,  standards*
Denmark
Geriatric Nursing / economics,  manpower,  standards*
Health Services for the Aged / economics,  manpower,  standards*
Humans
Long-Term Care / economics,  manpower,  standards
Professional Competence
Quality Assurance, Health Care*
Questionnaires
Resource Allocation / economics,  manpower,  standards*
Workplace / economics,  organization & administration,  standards*

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