Abstract
ABSTRACTBackgroundAlthough a general implementation of person-centered care in Korean long-term care delivery systems would be challenging, person-centered care has the potential to improve resident and staff outcomes through changes in current care services. However, little empirical evidence currently supports a positive relationship between person-centered care environments and staff outcomes.PurposeThis study was designed to examine the relationship between person-centered care environments and staff outcomes, including job satisfaction and turnover intention, among care staff in Korean long-term care facilities.MethodsThis descriptive, correlational study used data from 235 care staff (94 nursing staff and 141 personal care workers) in 13 long-term care facilities in Korea. Data were collected using structured survey questionnaires, including items related to the person-centered care environment, job satisfaction, and turnover intention. Multilevel linear and logistic regression analyses were performed using Mplus Version 7.0.ResultsAfter controlling for individual (age, education, monthly income, position, shift work, and job tenure) and organizational (type of facility, location, ownership, bed size, and staffing levels) characteristics, a significant relationship was found between the person-centered care environment and job satisfaction and turnover intention among staff in Korean long-term care facilities.Conclusions/Implications for PracticeThe study findings indicate that working in a person-centered care environment is key to higher job satisfaction, which is a significant predictor of turnover intention among staff in long-term care facilities. To recruit and retain qualified staff to provide high-quality person-centered care in long-term care facilities, a supportive work environment is crucial. Fostering a person-centered care environment will ultimately improve quality of care for residents.
Highlights
The rapid increase in the aging population worldwide has led to a growing demand for long-term care facilities such as nursing homes and skilled nursing facilities for older adults who experience cognitive or functional impairment (McGilton et al, 2016)
After controlling for individual and organizational characteristics, a significant relationship was found between the person-centered care environment and job satisfaction and turnover intention among staff in Korean long-term care facilities
Conclusions/Implications for Practice: The study findings indicate that working in a person-centered care environment is key to higher job satisfaction, which is a significant predictor of turnover intention among staff in long-term care facilities
Summary
The rapid increase in the aging population worldwide has led to a growing demand for long-term care facilities such as nursing homes and skilled nursing facilities for older adults who experience cognitive or functional impairment (McGilton et al, 2016). Factors related to turnover and turnover intention among staff in long-term care settings include job satisfaction, supportive supervision, work shift, demographic characteristics (e.g., age and education), and organizational characteristics (e.g., staffing levels, bed size, and location; Karantzas et al, 2012; Zhang et al, 2019). A general implementation of personcentered care in Korean long-term care delivery systems would be challenging, person-centered care has the potential to improve resident and staff outcomes through changes in current care services. Purpose: This study was designed to examine the relationship between person-centered care environments and staff outcomes, including job satisfaction and turnover intention, among care staff in Korean long-term care facilities
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