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Perceived Work Environment, Educational Status, Staffing Levels, and Work Outcomes in Long-Term Care Settings During COVID-19

Authors
 Eunhee Cho  ;  Kyung Hee Lee  ;  Bada Kang  ;  Jiyoon Jang  ;  Jinhee Shin  ;  Sameh Eltaybani  ;  Noriko Yamamoto-Mitani  ;  Min Jung Kim 
Citation
 JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, Vol.24(10) : 1600-1605, 2023-10 
Journal Title
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
ISSN
 1525-8610 
Issue Date
2023-10
Keywords
COVID-19 ; care staff ; long-term care ; work outcome
Abstract
Objectives: Coronavirus disease (COVID-19) has severely affected older residents in long-term care (LTC) settings. However, care workers' perceptions of their work environment and potential impact on their work outcomes during the pandemic is not well known. This study examined associations between care staff's perceived work environment, educational status, and facility staffing levels and work outcomes of care staff in LTC settings during the COVID-19 pandemic.

Design: This study employed a cross-sectional, observational, correlational design.

Setting and participants: A total of 207 care staff were conveniently recruited from 30 LTC settings in South Korea.

Methods: The perceived work environment, educational status of care staff, and facility staffing levels (ie, beds-to-registered nurse [RN] and beds-to-nursing assistant [NA] or care worker ratios), as well as their work outcomes (ie, general and COVID-19 specific outcomes) were collected using questionnaires. Multivariable binary logistic regressions were conducted, controlling for the characteristics of care staff (ie, age, sex, occupation, and career length) and facilities (ie, location, bed size, ownership, and residents' disease and care profiles).

Results: Approximately 45% of the participants were either NAs or care workers, and 38% were RNs. More than half (53.14%) perceived their work environment to be good. LTC staff who perceived their work environment to be poor were more likely to be dissatisfied with their work [odds ratio (OR) 20.88), experience high burnout (OR 8.63), intend to leave the facility within a year (OR 5.00), and experience increased overtime work (OR 3.58) and work-life imbalance (OR 1.93) due to COVID-19.

Conclusions and implications: LTC work environments should be improved and government-led initiatives for ensuring such improvements should be implemented to enable a better response to future public health crises and maintain the quality of care for and safety of residents in LTC settings.
Full Text
https://www.sciencedirect.com/science/article/pii/S1525861023007181
DOI
10.1016/j.jamda.2023.08.009
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kang, Bada(강바다)
Lee, Kyung Hee(이경희) ORCID logo https://orcid.org/0000-0003-2964-8356
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/196827
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