Work stress among nursing home care attendants in Taiwan: a questionnaire survey.
BACKGROUND
Care attendants constitute the main workforce in nursing homes, but their heavy workload, low autonomy, and indefinite responsibility result in high levels of stress and may affect quality of care. However, few studies have focused of this problem.


OBJECTIVE
The aim of this study was to examine work-related stress and associated factors that affect care attendants in nursing homes and to offer suggestions for how management can alleviate these problems in care facilities.


METHODS
We recruited participants from nine nursing homes with 50 or more beds located in middle Taiwan; 110 care attendants completed the questionnaire. The work stress scale for the care attendants was validated and achieved good reliability (Cronbach's alpha=0.93). We also conducted exploratory factor analysis.


RESULTS
Six factors were extracted from the work stress scale: insufficient ability, stressful reactions, heavy workload, trouble in care work, poor management, and working time problems. The explained variance achieved 64.96%. Factors related to higher work stress included working in a hospital-based nursing home, having a fixed schedule, night work, feeling burden, inconvenient facility, less enthusiasm, and self-rated higher stress.


CONCLUSIONS
Work stress for care attendants in nursing homes is related to human resource management and quality of care. We suggest potential management strategies to alleviate work stress for these workers.
Department of Healthcare Administration, Asia University, 500, Lioufeng Road, Wufeng Township, Taichung 413, Taiwan. gingerhsu@seed.net.tw
Hui-Chuan
HC
Hsu
Yuan-Wei
YW
Kung
Hsiao-Chien
HC
Huang
Pei-Yu
PY
Ho
Ya-Ying
YY
Lin
Wen-Shin
WS
Chen
D000328:Adult; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000209:etiology / Q000517:prevention & control / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007587:Job Description; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology; D009728:Nursing Assistants / Q000458:organization & administration / Q000523:psychology*; D009735:Nursing Homes / Q000458:organization & administration*; D015404:Nursing Methodology Research; D016272:Occupational Health; D010559:Personnel Management; D010561:Personnel Staffing and Scheduling; D017009:Professional Autonomy; D011787:Quality of Health Care; D012307:Risk Factors; D012456:Salaries and Fringe Benefits; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013624:Taiwan; D016526:Workload; D017132:Workplace / Q000458:organization & administration / Q000523:psychology*