Job strain and stress of conscience among nurse assistants working in residential care.
OBJECTIVE
The aim was to investigate job strain and stress of conscience among nurse assistants working in residential care and to explore associations with personal and work-related aspects and health complaints.


BACKGROUND
It is important to investigate job strain and stress of conscience, both for the well-being of the nurse assistants themselves and for the impact on the quality of care they provide.


METHODS
Questionnaires measuring job strain, stress of conscience, personal and work-related aspects and health complaints were completed by NAs (n = 225). Comparisons of high and low levels of job strain and stress of conscience and multiple linear regression analyses were performed.


RESULTS
Organisational and environmental support and low education levels were associated with low levels of job strain and stress of conscience. Personalised care provision and leadership were related to stress of conscience and the caring climate was related to job strain.


CONCLUSIONS
There is a need for support from the managers and a supportive organisation for reducing nurse assistants work-related stress, which in turn can create a positive caring climate where the nurse assistants are able to provide high quality care.


CONCLUSIONS
The managers' role is essential when designing supportive measures and implementing a value-system that can facilitate personalised care provision.
Department of Health Sciences, Lund University, Lund, Sweden; The Swedish Institute for Health Sciences (Vårdalinstitutet), Lund University, Lund, Sweden.
Anneli
A
Orrung Wallin
Ulf
U
Jakobsson
Anna-Karin
AK
Edberg
D001291:Attitude of Health Personnel; D003242:Conscience; D003430:Cross-Sectional Studies; D006801:Humans; D007588:Job Satisfaction; D007857:Leadership; D008134:Long-Term Care; D009728:Nursing Assistants / Q000523:psychology*; D012112:Residential Facilities / Q000592:standards*; D013315:Stress, Psychological / Q000150:complications*; D011795:Surveys and Questionnaires
aged care; long-term care; staff; work situation; work stress