title: Despite shattered expectations a willingness to care for elders remains with education and clinical supervision.
abstract: The aim was to describe nursing home (NH) caregivers' work experiences while receiving education and clinical supervision for 2 years. Working in elder care seems to be losing its attraction especially with organizational changes, cutbacks and changes in work place conditions. Clinical supervision has been reported to increase job satisfaction and creativity. Semi-structured interviews from caregivers working at an NH in Sweden were conducted, at the start and again at 12 and 24 months. At about 12 months the caregivers were informed of planned cutbacks. Content analysis was the method used to analyse the interviews from seven caregivers who participated throughout the entire period. Findings show that the value of a caring milieu was one category generated by the subcategories: experiences related to work activities and changes, and experiences related to relationships. The value of knowledge was the other category that was influenced by the experiences related to the different backgrounds and the experiences related to increased knowledge gained from the support through education and clinical supervision. The categories contained positive as well as negative influences on care. The initial focus on practical duties associated with the opening of the NH shifted towards caregiver activities with the elders they spoke warmly about. After 2 years the caregivers' willingness to care continued despite their disappointment in the worsened working conditions. The main theme that resulted was: Despite shattered expectations a willingness to care for elders remained. Continued education and clinical supervision seems to be one factor behind the retained willingness. These findings demonstrate that support and caregiver involvement in educational programmes are important during times of change and when disappointments arise in the workplace.
authors.affiliation: Department of Caring Sciences and Sociology, University of Gävle, Gävle, Sweden. birgitta.flackman@hig.se
authors.forename: Birgitta
authors.initials: B
authors.lastname: Fläckman
authors.forename: Ingegerd
authors.initials: I
authors.lastname: Fagerberg
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Häggström
authors.forename: Annica
authors.initials: A
authors.lastname: Kihlgren
authors.forename: Mona
authors.initials: M
authors.lastname: Kihlgren
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D004645:Empathy; D005851:Geriatric Nursing / Q000193:education* / Q000592:standards; D006707:Homes for the Aged; D006801:Humans; D007318:Inservice Training; D008137:Longitudinal Studies; D009723:Nurse-Patient Relations; D009735:Nursing Homes; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration* / Q000600:supply & distribution; D015279:Organizational Culture; D010563:Personnel Turnover; D013548:Sweden; D000078329:Workforce