title: Organizational factors related to the confidence of workers in working with residents with dementia or depression in aged care facilities.
abstract: There has been limited research examining how organizational factors are associated with the level of confidence of residential aged care staff in managing both residents' depression and the behavioural and psychological symptoms of residents with dementia (BPSD). This study investigated this issue.
  
  
  
  A cross-sectional study design was employed. In total, 255 aged care staff (131 senior staff, 124 junior staff) from 21 residential care facilities participated in the study. All staff completed measures of self-efficacy in managing BPSD as well as confidence in working with older people with depression. They also completed measures of organizational climate (autonomy, cohesion, trust, pressure, support, recognition, fairness and encouragement of innovation) and measures of workplace experience (job role, number of years working in aged care facilities), job stress and satisfaction, and knowledge of depression.
  
  
  
  The results demonstrated that autonomy, trust, support, and job stress were associated with confidence in managing BPSD, while the factors related to confidence in managing depression were autonomy, support, job stress, job satisfaction, and knowledge of depression.
  
  
  
  These findings highlight that organizational climate factors need to be addressed in order to increase staff confidence in managing BPSD and depression. In particular, the findings demonstrate the importance of fostering organizational environments in which autonomy is promoted and there is support and cooperation among aged care staff. Attention to these factors is likely to increase the confidence of staff as they carry out their carer role.
authors.affiliation: a Institute for Health and Ageing , Australian Catholic University , Melbourne , Australia.
authors.forename: Marita P
authors.initials: MP
authors.lastname: McCabe
authors.affiliation: b School of Psychology , Deakin University , Melbourne , Australia.
authors.forename: David
authors.initials: D
authors.lastname: Mellor
authors.affiliation: b School of Psychology , Deakin University , Melbourne , Australia.
authors.forename: Gery
authors.initials: G
authors.lastname: Karantzas
authors.affiliation: b School of Psychology , Deakin University , Melbourne , Australia.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Von Treuer
authors.affiliation: c Department of Psychiatry , Monash University , Melbourne , Australia.
authors.forename: Tanya E
authors.initials: TE
authors.lastname: Davison
authors.affiliation: a Institute for Health and Ageing , Australian Catholic University , Melbourne , Australia.
authors.forename: Daniel
authors.initials: D
authors.lastname: O'Connor
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003704:Dementia / Q000628:therapy*; D003863:Depression / Q000628:therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000458:organization & administration / Q000523:psychology*; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: BPSD; Organizational factors; depression; nursing homes; residential care