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Working in group living homes for older people with dementia: the effects on job satisfaction and burnout and the role of job characteristics

  • Selma te Boekhorst (a1) (a2), Bernadette Willemse (a1), Marja F. I. A. Depla (a1), Jan A. Eefsting (a2) and Anne Margriet Pot (a1) (a2) (a3)...

Abstract

Background: Group living homes are a fast-growing form of nursing home care for older people with dementia. This study seeks to determine the differences in job characteristics of nursing staff in group living homes and their influence on well-being.

Methods: We examined the Job Demand Control Support (JDCS) model in relation to 183 professional caregivers in group living homes and 197 professional caregivers in traditional nursing homes. Multilevel linear regression analysis was used to study the mediator effect of the three job characteristics of the JDCS-model (demands, control and social support) on job satisfaction and three components of burnout (emotional exhaustion, depersonalization and decreased personal accomplishment).

Results: Demands were lower in group living homes, while control and social support from co-workers were higher in this setting. Likewise, job satisfaction was higher and burnout was lower in group living homes. Analysis of the mediator effects showed that job satisfaction was fully mediated by all three psychosocial job characteristics, as was emotional exhaustion. Depersonalization was also fully mediated, but only by control and social support. Decreased personal accomplishment was partially mediated, again only by job characteristics, control and support.

Conclusion: This study indicates that working in a group living home instead of a traditional nursing home has a beneficial effect on the well-being of nursing staff, largely because of a positive difference in psychosocial job characteristics.

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Corresponding author

Correspondence should be addressed to: Selma te Boekhorst, Trimbos-Instituut, Postbus 725, 3500 AS Utrecht, The Netherlands. Phone: 0031302959441; Fax number: 0031302971111. Email: sboekhorst@trimbos.nl.

References

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Alfredson, B. B. and Annerstedt, L. (1994). Staff attitudes and job satisfaction in the care of demented elderly people: group living compared with long-term care institutions. Journal of Advanced Nursing, 20, 964974.
Baron, R. M. and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 11731182.
Caplan, R. D., Cobb, S., French, J. R. P., Van Harrison, R. and Pinnwau, S. R. (1975). Job Demands and Worker Health: Main Effects and Occupational Differences. Washington, DC: National Institute for Occupational Safety and Health.
De Lange, A. H. (2005). What about Causality? Examining Longitudinal Relations between Work Characteristics and Mental Health. Ridderkerk: Ridderprint B.V.
Gezondheidsraad (2002). Dementie. Dementia. Den Haag: Gezondheidsraad.
Häggström, T. and Norberg, A. (1996). Maternal thinking in dementia care. Journal of Advanced Nursing, 24, 431438.
Hammer, R. M. (1999). The lived experience of being at home. A phenomenological investigation. Journal of Gerontological Nursing, 25, 1018.
Johnson, J. V. and Hall, E. M. (1988). Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. American Journal of Public Health, 78, 13361342.
Karasek, R. A. (1979). Job demands, job decision latitude, and mental strain: implications for job redesign. Administrative Science Quarterly, 24, 285307.
Karasek, R. A. and Thorell, T. (1990). Healthy Work: Stress, Productivity, and the Reconstruction of Working Life. New York: Basic Books.
Malmberg, B. and Zarit, S. (1993). Group homes for people with dementia. The Gerontologist, 33, 682686.
Maslach, C. and Jackson, S. E. (1986). MBI: Maslach Burnout Inventory: Manual Research Edition. Palo Alto, CA: Consulting Psychologists Press, Inc.
Onishi, J. et al. (2006). Behavioral, psychological and physical symptoms in group homes for older adults with dementia. International Psychogeriatrics, 18, 112.
Schaufeli, W. and Van Dierendonck, D. (2000). UBOS, Utrecht Burnout Scale: Manual. Zeist: SWETS Test Publishers; Palo Alto, CA.: Consulting Psychologists Press, Inc.
Sundin, L., Bildt, C., Lisspers, J., Hochwalder, J. and Setterlind, S. (2006). Organisational factors, individual characteristics and social support: what determines the level of social support? Work, 27, 4555.
te Boekhorst, S. Depla, M. F. I. A., De Lange, J., Pot, A. M. and Eefsting, J. A. (2007). Kleinschalig wonen voor ouderen met dementie: een begripsverheldering. Small-scale group living for elderly with dementia: a clarification. Tijdschrift voor Gerontologie en Geriatrie, 38, 1726.
Thomsen, S., Arnetz, B., Nolan, P., Soares, J. and Dallender, J. (1999). Individual and organizational well-being in psychiatric nursing: a cross-cultural study. Journal of Advanced Nursing, 30, 749757.
Trochim, W. K. M. (1989). An introduction to concept mapping for planning and evaluation. Evaluation and Program Planning, 1, 116.
van Der Doef, M. and Maes, S. (1999a). The job-demand-control (-support) model and psychological well-being: a review of 20 years of empirical research. Work and Stress, 13, 87114.
van Der Doef, M. and Maes, S. (1999b). The Leiden Quality of Work Questionnaire: its construction, factor structure, and psychometric qualities. Psychological Reports, 85, 963970.
Waldenstrom, K., Lundberg, I., Waldenstrom, M. and Harenstam, A. (2003). Does psychological distress influence reporting of demands and control at work? Occupational and Environmental Medicine, 11, 887891.

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