The Influence of Nursing Home, Ward, and Eldercare Workers on the Number of Resident Handlings Performed per Shift in Eldercare

Stavros Kyriakidis, Matthew L. Stevens, Kristina Karstad, Karen Søgaard and Andreas Holtermann
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Stavros Kyriakidis: National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100 Copenhagen, Denmark
Matthew L. Stevens: National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100 Copenhagen, Denmark
Kristina Karstad: National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100 Copenhagen, Denmark
Karen Søgaard: Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark
Andreas Holtermann: National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100 Copenhagen, Denmark

IJERPH, 2021, vol. 18, issue 21, 1-13

Abstract: The purpose of our study was to investigate which organizational levels and factors determine the number of resident handlings in eldercare. We conducted a multi-level study, stratified on day and evening shifts, including information on four levels: nursing homes (n = 20), wards within nursing homes (day, n = 120; evening, n = 107), eldercare workers within wards (day, n = 619; evening, n = 382), and within eldercare workers (i.e., days within eldercare workers; day, n = 5572; evening, n = 2373). We evaluated the influence of each level on the number of resident handlings using variance components analysis and multivariate generalized linear mixed models. All four levels contributed to the total variance in resident handlings during day and evening shifts, with 13%/20% at “nursing homes”, 21%/33% at “wards within nursing homes”, 25%/31% at “elder-care workers within wards”, and 41%/16% “within eldercare workers”, respectively. The percentage of residents with a higher need for physical assistance, number of residents per shift, occupational position (only within day shifts), and working hours per week (only within day shifts) were significantly associated with the number of resident handlings performed per shift. Interventions aiming to modify number of resident handlings in eldercare ought to target all levels of the eldercare organization.

Keywords: patient handling; nurses; multi-level; healthcare; day shift; evening shift; day-to-day variation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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