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Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study

BACKGROUND: Care workers in nursing homes often perform tasks that are rather related to organizational or management activities than ‘direct patient care’. ‘Indirect care activities’, such as documentation or other administrative tasks are often considered by care workers as a burden, as they incre...

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Autores principales: Ausserhofer, Dietmar, Tappeiner, Waltraud, Wieser, Heike, Serdaly, Christine, Simon, Michael, Zúñiga, Franziska, Favez, Lauriane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237523/
https://www.ncbi.nlm.nih.gov/pubmed/37268879
http://dx.doi.org/10.1186/s12877-023-04022-w
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author Ausserhofer, Dietmar
Tappeiner, Waltraud
Wieser, Heike
Serdaly, Christine
Simon, Michael
Zúñiga, Franziska
Favez, Lauriane
author_facet Ausserhofer, Dietmar
Tappeiner, Waltraud
Wieser, Heike
Serdaly, Christine
Simon, Michael
Zúñiga, Franziska
Favez, Lauriane
author_sort Ausserhofer, Dietmar
collection PubMed
description BACKGROUND: Care workers in nursing homes often perform tasks that are rather related to organizational or management activities than ‘direct patient care’. ‘Indirect care activities’, such as documentation or other administrative tasks are often considered by care workers as a burden, as they increase overall workload and keep them away from caring for residents. So far, there is little investigation into what kind of administrative tasks are being performed in nursing homes, by which type of care workers, and to which extent, nor how administrative burden is associated with care workers’ outcomes. PURPOSE: The objective of this study was to describe care workers’ administrative burden in Swiss nursing homes and to explore the association with four care worker outcomes (i.e., job dissatisfaction, emotional exhaustion, intention to leave the current job and the profession). METHODS: This multicenter cross-sectional study used survey data from the Swiss Nursing Homes Human Resources Project 2018. It included a convenience sample of 118 nursing homes and 2′207 care workers (i.e., registered nurses, licensed practical nurses) from Switzerland’s German- and French-speaking regions. Care workers completed questionnaires assessing the administrative tasks and burden, staffing and resource adequacy, leadership ability, implicit rationing of nursing care and care worker characteristics and outcomes. For the analysis, we applied generalized linear mixed models, including individual-level nurse survey data and data on unit and facility characteristics. RESULTS: Overall, 73.9% (n = 1′561) of care workers felt strongly or rather strongly burdened, with one third (36.6%, n = 787) reporting to spend 2 h or more during a "normal" day performing administrative tasks. Ratings for administrative burden ranged from 42.6% (n = 884; ordering supplies and managing stocks) to 75.3% (n = 1′621; filling out the resident’s health record). One out of four care workers (25.5%, n = 561) intended to leave the profession, whereby care workers reporting higher administrative task burden (OR = 1.24; 95%CI: 1.02–1.50) were more likely to intend to leave the profession. CONCLUSION: This study provides first insights on care workers’ administrative burden in nursing homes. By limiting care workers’ burdensome administrative tasks and/or shifting such tasks from higher to lower educated care workers or administrative personnel when appropriate, nursing home managers could reduce care workers’ workload and improve their job satisfaction and retention in the profession.
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spelling pubmed-102375232023-06-04 Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study Ausserhofer, Dietmar Tappeiner, Waltraud Wieser, Heike Serdaly, Christine Simon, Michael Zúñiga, Franziska Favez, Lauriane BMC Geriatr Research BACKGROUND: Care workers in nursing homes often perform tasks that are rather related to organizational or management activities than ‘direct patient care’. ‘Indirect care activities’, such as documentation or other administrative tasks are often considered by care workers as a burden, as they increase overall workload and keep them away from caring for residents. So far, there is little investigation into what kind of administrative tasks are being performed in nursing homes, by which type of care workers, and to which extent, nor how administrative burden is associated with care workers’ outcomes. PURPOSE: The objective of this study was to describe care workers’ administrative burden in Swiss nursing homes and to explore the association with four care worker outcomes (i.e., job dissatisfaction, emotional exhaustion, intention to leave the current job and the profession). METHODS: This multicenter cross-sectional study used survey data from the Swiss Nursing Homes Human Resources Project 2018. It included a convenience sample of 118 nursing homes and 2′207 care workers (i.e., registered nurses, licensed practical nurses) from Switzerland’s German- and French-speaking regions. Care workers completed questionnaires assessing the administrative tasks and burden, staffing and resource adequacy, leadership ability, implicit rationing of nursing care and care worker characteristics and outcomes. For the analysis, we applied generalized linear mixed models, including individual-level nurse survey data and data on unit and facility characteristics. RESULTS: Overall, 73.9% (n = 1′561) of care workers felt strongly or rather strongly burdened, with one third (36.6%, n = 787) reporting to spend 2 h or more during a "normal" day performing administrative tasks. Ratings for administrative burden ranged from 42.6% (n = 884; ordering supplies and managing stocks) to 75.3% (n = 1′621; filling out the resident’s health record). One out of four care workers (25.5%, n = 561) intended to leave the profession, whereby care workers reporting higher administrative task burden (OR = 1.24; 95%CI: 1.02–1.50) were more likely to intend to leave the profession. CONCLUSION: This study provides first insights on care workers’ administrative burden in nursing homes. By limiting care workers’ burdensome administrative tasks and/or shifting such tasks from higher to lower educated care workers or administrative personnel when appropriate, nursing home managers could reduce care workers’ workload and improve their job satisfaction and retention in the profession. BioMed Central 2023-06-02 /pmc/articles/PMC10237523/ /pubmed/37268879 http://dx.doi.org/10.1186/s12877-023-04022-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ausserhofer, Dietmar
Tappeiner, Waltraud
Wieser, Heike
Serdaly, Christine
Simon, Michael
Zúñiga, Franziska
Favez, Lauriane
Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study
title Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study
title_full Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study
title_fullStr Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study
title_full_unstemmed Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study
title_short Administrative burden in Swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study
title_sort administrative burden in swiss nursing homes and its association with care workers’ outcomes—a multicenter cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237523/
https://www.ncbi.nlm.nih.gov/pubmed/37268879
http://dx.doi.org/10.1186/s12877-023-04022-w
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