Abstract

Objective: The aim of the study is to explore what characterizes the work culture in Norwegian nursing homes and what promotes the positive aspects in the work culture. Methods: Research design: Multimethod research. Two surveys (N = 105) and interviews with 11 informants at three Norwegian nursing homes were conducted. We included the questionnaires: The Systematizing Person-Group Relations, that seek to explore which aspects dominate the particular work environment identifying challenges, limitations and opportunities and The Sense of Coherence (SoC) that was used as an indicator for overall quality of working life with a salutogenic orientation. The data were analyzed using independent samples student’s t-test and factor analyses, the material from the interviews was systemized and worked through using well known analytical methods. Results: The results showed that the informants feel more meaning, manageability and comprehensibility in their work environment, when they are engaged and focused on goal orientation. In the interviews the informants expressed engagement related to their work environment and to patients and colleagues. They mentioned that being a team and working together was positive for their perception of their work environment. A positive work culture was characterized by solution orientation and the experiences of better opportunity to “attend to the patients in a good way”. Conclusions: It seems like healthcare workers as individuals has both a positive attitude and ways to express this in the work culture, such as humor and positive thinking. But the work culture itself seems to create some negative issues.

Highlights

  • The rapidly increasing population of older adults is expected to continue and accelerate in the decades

  • The Sense of Coherence (SoC) data were analyzed In this survey 210 of the health care personnel working at the and correlated with the Strengthen Person-Group Relation Instrument (SPGR) data to find covariance.[41] three nursing homes received the questionnaire, 105 (50%)

  • 4.2 Health care workers’ perceptions of positive experiences in the work environment in Norwegian nursing homes methods, including quantitative data collection based on The When we look closer at the positive work experiences we SPGR and SoC instruments, and qualitative data collection see that the relationship with the patients represent many based on individual interviews to examine the research ques- positive values for the health care workers, which is congrutions

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Summary

INTRODUCTION

The rapidly increasing population of older adults is expected to continue and accelerate in the decades. Challenges that nurse leaders face today.[18] HWE comprises a setting in which a nurse is able to produce and provide 2.1 Sample good quality care and where the nurse has job satisfac- The sample consisted of health care workers such as nurses, tion These are important issues in Nursing Homes, and special educated nurses, nursing managers, social educators, must be focused on.[19] In Norway HWE represents a new occupational therapists, physiotherapists, assistant nurses, perspective on work culture. 2016, Vol 4, No 4 are typical for employees in nursing homes.[26] The three resignation, self-satisfaction, engagement and empathy in nursing homes with in total 210 health care workers are all in the work culture.[30] These issues can, for instant illuminate one community in the middle of Norway. These are important issues in work environment in nursing homes.[19]

Qualitative method
RESULTS
Caring for patients as a positive aspect in their work
DISCUSSION
CONCLUSIONS
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