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Evaluation of an educational "toolbox" for improving nursing staff competence and psychosocial work environment in elderly care: Results of a prospective, non-randomized controlled intervention
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Social Medicine)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Social Medicine)
2007 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 44, no 5, 723-735 p.Article in journal (Refereed) Published
Abstract [en]

Background: Lack of professional development opportunities among nursing staff is a major concern in elderly care and has been associated with work dissatisfaction and staff turnover. There is a lack of prospective, controlled studies evaluating the effects of educational interventions on nursing competence and work satisfaction. Objectives: The aim of this study was to evaluate the possible effects of an educational "toolbox" intervention on nursing staff ratings of their competence, psychosocial work environment and overall work satisfaction. Design: The study was a prospective, non-randomized, controlled intervention. Participants and settings: Nursing staff in two municipal elderly care organizations in western Sweden. Methods: In an initial questionnaire survey, nursing staff in the intervention municipality described several areas in which they felt a need for competence development. Measurement instruments and educational materials for improving staff knowledge and work practices were then collated by researchers and managers in a "toolbox." Nursing staff ratings of their competence and work were measured pre and post-intervention by questionnaire. Staff ratings in the intervention municipality were compared to staff ratings in the reference municipality, where no toolbox was introduced. Results: Nursing staff ratings of their competence and psychosocial work environment, including overall work satisfaction, improved significantly over time in the intervention municipality, compared to the reference group. Both competence and work environment ratings were largely unchanged among reference municipality staff. Multivariate analysis revealed a significant interaction effect between municipalities over time for nursing staff ratings of participation, leadership, performance feedback and skills' development. Staff ratings for these four scales improved significantly in the intervention municipality as compared to the reference municipality. Conclusions: Compared to a reference municipality, nursing staff ratings of their competence and the psychosocial work environment improved in the municipality where the toolbox was introduced.

Place, publisher, year, edition, pages
2007. Vol. 44, no 5, 723-735 p.
Keyword [en]
Elderly care, Competence development, Intervention, Nursing, Staff training, Work satisfaction
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-95255DOI: 10.1016/j.ijnurstu.2006.01.012ISI: 000247990000009PubMedID: 16563398OAI: oai:DiVA.org:uu-95255DiVA: diva2:169397
Available from: 2006-12-12 Created: 2006-12-12 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Nursing Staff Competence, Psychosocial Work Environment and Quality of Elderly Care: Impact of an Educational Intervention
Open this publication in new window or tab >>Nursing Staff Competence, Psychosocial Work Environment and Quality of Elderly Care: Impact of an Educational Intervention
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Effekter av en utbildningsintervention på personalens kompetens, psykosociala arbetsmiljö samt vårdkvalitet inom kommunal äldreomsorg
Abstract [en]

Insufficient competence among nursing staff is a major concern in elderly care worldwide as the healthcare needs of the elderly become increasingly complex. In previous research, insufficient competence has been associated with work dissatisfaction and stress among elderly care nurses, and with lower quality of care. This thesis describes the development, implementation and evaluation of an educational intervention for nursing staff in elderly care. In a prospective, controlled study, evaluation of the educational toolbox was based on nursing staff ratings of their competence and psychosocial work environment, as well as on care recipients’ and family relatives’ ratings of the quality of elderly care.

Paper I validated a questionnaire measuring care recipient relatives’ perceptions of quality of care. Paper II compared self-rated competence, work strain, stress, and work satisfaction between staff working in home-based care and nursing homes. Papers III and IV evaluated the impact of the educational intervention on staff perceptions of their competence and psychosocial work environment (Paper III) and on care recipients’ and relatives’ perceptions of the quality of care (Paper IV).

The results showed that staff ratings of their competence and psychosocial work environment, including work satisfaction and work stress, improved significantly over time in the intervention municipality, compared to the reference group. Neither care recipients’ nor relatives’ ratings of the quality of care changed significantly over time in the intervention organization. Furthermore, there were no significant interaction effects over time between the intervention and reference groups for quality ratings. These results indicate that an educational toolbox that can be used according to local workplace needs may be an effective and sustainable intervention for improving staff competence and the psychosocial work environment. However, further studies are needed to investigate whether, and under what conditions, improved staff competence and work environment have an impact on quality of care.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2006. 83 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 210
Keyword
Social medicine, elderly care, home care, nursing home, nursing staff, care recipient, family members, quality of care, the psychosocial work environment, competence development, Socialmedicin
Identifiers
urn:nbn:se:uu:diva-7383 (URN)91-554-6750-4 (ISBN)
Public defence
2007-01-11, Rudbecksalen, Rudbeck laboratoriet, Dag Hammarskjölds väg 20, Uppsala, 09:15
Opponent
Supervisors
Available from: 2006-12-12 Created: 2006-12-12Bibliographically approved

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