PDF(Pubmed)
Abstract：
UNASSIGNED: Support workers are central to the delivery of residential aged care, but the workforce is facing increasing work demands and widespread shortages. This contributes to high rates of burnout, decreased job satisfaction and high staff turnover. Peer-led interventions are reported to be effective but it is necessary to use evidence-based interventions to support this key workforce group.
UNASSIGNED: This study aimed to evaluate the scientific evidence on effectiveness of strategies improving psychosocial and turnover-related outcomes for support workers in aged care that could be incorporated into a peer-led intervention.
UNASSIGNED: Systematic review and meta-analyses of experimental and quasi-experimental studies.
UNASSIGNED: Residential aged care.
UNASSIGNED: A systematic literature review was conducted using MEDLINE (via PubMed), EMBASE (via Scopus), and CINAHL (via EBSCO). We included studies examining the effectiveness of workplace interventions aiming to reduce aged care support workers\' turnover rates and/or improve their work-related psychosocial outcomes (such as work stress, job satisfaction, self-esteem, and other). A number of meta-analyses using a mixed-effects model were performed to calculate standardized mean differences and odds ratios.
UNASSIGNED: Fifty-one studies were included: 15 randomised controlled trials (RCTs), 19 non-RCTs and 17 Pre-Post studies. Most of the studies were rated as having \'high\' or \'very high risk of bias\'. The studies were clustered by intervention type: 1) knowledge-based, 2) interpersonal skills-based, 3) team-building, and 4) self-care. Knowledge-based interventions were the most used approach, with 26 studies in this category, and frequently reported improvements in stress- and satisfaction-related outcomes. There were twelve interpersonal skills-based and nine team-building interventions, which often reported decreased work stress, staff turnover, and intention to quit. There were four self-care interventions of which only one reported improvements in stress-related outcomes. Meta-analyses showed that only knowledge-based interventions resulted in statistically significant improvements: lower staff turnover rates (OR 0.47, 95 %CI: 0.37, 060), and higher scores for job/life satisfaction (SMD 0.26, 95 % CI: 0.05, 0.46) and staff attitude (SMD 0.23, 95 % CI: 0.05, 0.45).
UNASSIGNED: This review found numerous strategies that have been trialled to improve support workers\' psychosocial- and turnover-related outcomes. Most studies reported improvements in outcomes. However, our meta-analyses suggest that the effect sizes were small and mostly non-significant, with the evidence being of low certainty. The evidence for effectiveness of knowledge-based interventions appears the most convincing, with statistically significant improvements reported for turnover rates, job/life satisfaction and staff attitude. More high-quality studies are needed to consolidate the existing evidence.
UNASSIGNED: CRD42017059007; 02 June 2017.Tweetable abstract: Knowledge-based interventions most promising in improving support workers\' outcomes in aged care. #agedcare #staffturnover.
UNASSIGNED: This study aimed to evaluate the scientific evidence on effectiveness of strategies improving psychosocial and turnover-related outcomes for support workers in aged care that could be incorporated into a peer-led intervention.
UNASSIGNED: Systematic review and meta-analyses of experimental and quasi-experimental studies.
UNASSIGNED: Residential aged care.
UNASSIGNED: A systematic literature review was conducted using MEDLINE (via PubMed), EMBASE (via Scopus), and CINAHL (via EBSCO). We included studies examining the effectiveness of workplace interventions aiming to reduce aged care support workers\' turnover rates and/or improve their work-related psychosocial outcomes (such as work stress, job satisfaction, self-esteem, and other). A number of meta-analyses using a mixed-effects model were performed to calculate standardized mean differences and odds ratios.
UNASSIGNED: Fifty-one studies were included: 15 randomised controlled trials (RCTs), 19 non-RCTs and 17 Pre-Post studies. Most of the studies were rated as having \'high\' or \'very high risk of bias\'. The studies were clustered by intervention type: 1) knowledge-based, 2) interpersonal skills-based, 3) team-building, and 4) self-care. Knowledge-based interventions were the most used approach, with 26 studies in this category, and frequently reported improvements in stress- and satisfaction-related outcomes. There were twelve interpersonal skills-based and nine team-building interventions, which often reported decreased work stress, staff turnover, and intention to quit. There were four self-care interventions of which only one reported improvements in stress-related outcomes. Meta-analyses showed that only knowledge-based interventions resulted in statistically significant improvements: lower staff turnover rates (OR 0.47, 95 %CI: 0.37, 060), and higher scores for job/life satisfaction (SMD 0.26, 95 % CI: 0.05, 0.46) and staff attitude (SMD 0.23, 95 % CI: 0.05, 0.45).
UNASSIGNED: This review found numerous strategies that have been trialled to improve support workers\' psychosocial- and turnover-related outcomes. Most studies reported improvements in outcomes. However, our meta-analyses suggest that the effect sizes were small and mostly non-significant, with the evidence being of low certainty. The evidence for effectiveness of knowledge-based interventions appears the most convincing, with statistically significant improvements reported for turnover rates, job/life satisfaction and staff attitude. More high-quality studies are needed to consolidate the existing evidence.
UNASSIGNED: CRD42017059007; 02 June 2017.Tweetable abstract: Knowledge-based interventions most promising in improving support workers\' outcomes in aged care. #agedcare #staffturnover.
摘要：
■支持人员是提供住宿老年人护理的核心，但是劳动力正面临着日益增长的工作需求和广泛的短缺。这导致了高的倦怠率，工作满意度下降，员工流失率高。据报道，同伴主导的干预措施是有效的，但有必要使用基于证据的干预措施来支持这一关键劳动力群体。
这项研究旨在评估科学证据，以改善老年护理支持工作者的心理社会和离职相关结果的策略的有效性，这些策略可以纳入同伴主导的干预措施。
■实验和准实验研究的系统评价和荟萃分析。
■老年护理。
■使用MEDLINE（通过PubMed）进行了系统的文献综述，EMBASE（通过Scopus），和CINAHL（通过EBSCO）。我们纳入了旨在降低老年护理支持工作者的离职率和/或改善其与工作相关的心理社会结果（例如工作压力，工作满意度,自尊,和其他）。使用混合效应模型进行了许多荟萃分析，以计算标准化的平均差和优势比。
■包括51项研究：15项随机对照试验（RCT），19个非随机对照试验和17个Pre-Post研究。大多数研究被评为“高”或“非常高的偏倚风险”。这些研究按干预类型进行了聚类：1)基于知识的，2)人际交往能力为主,3)团队建设,4）自我照顾。基于知识的干预是最常用的方法，在这一类别中有26项研究，并经常报告压力和满意度相关结果的改善。有12项基于人际交往技能的干预措施和9项团队建设干预措施，经常报告工作压力下降，人员流动，并打算退出。有四种自我护理干预措施，其中只有一种报告了压力相关结果的改善。Meta分析显示，只有以知识为基础的干预措施在统计学上显着改善：较低的员工流失率（OR0.47，95CI：0.37，060），工作/生活满意度（SMD0.26，95％CI：0.05，0.46）和员工态度（SMD0.23，95％CI：0.05，0.45）得分较高。
■这篇综述发现了许多策略，这些策略已经过尝试，以改善支持工作者的心理社会和离职相关结果。大多数研究报告结果有所改善。然而,我们的荟萃分析表明，效应大小很小，而且大多不显著，证据的确定性很低。基于知识的干预措施有效性的证据似乎最有说服力，报告的周转率有统计学上的显著改善，工作/生活满意度和员工态度。需要更多高质量的研究来巩固现有的证据。
■CRD42017059007；2017年6月2日。Tweetable摘要：基于知识的干预措施最有希望改善老年护理支持工作者的结果。#老年护理#员工流动。
这项研究旨在评估科学证据，以改善老年护理支持工作者的心理社会和离职相关结果的策略的有效性，这些策略可以纳入同伴主导的干预措施。
■实验和准实验研究的系统评价和荟萃分析。
■老年护理。
■使用MEDLINE（通过PubMed）进行了系统的文献综述，EMBASE（通过Scopus），和CINAHL（通过EBSCO）。我们纳入了旨在降低老年护理支持工作者的离职率和/或改善其与工作相关的心理社会结果（例如工作压力，工作满意度,自尊,和其他）。使用混合效应模型进行了许多荟萃分析，以计算标准化的平均差和优势比。
■包括51项研究：15项随机对照试验（RCT），19个非随机对照试验和17个Pre-Post研究。大多数研究被评为“高”或“非常高的偏倚风险”。这些研究按干预类型进行了聚类：1)基于知识的，2)人际交往能力为主,3)团队建设,4）自我照顾。基于知识的干预是最常用的方法，在这一类别中有26项研究，并经常报告压力和满意度相关结果的改善。有12项基于人际交往技能的干预措施和9项团队建设干预措施，经常报告工作压力下降，人员流动，并打算退出。有四种自我护理干预措施，其中只有一种报告了压力相关结果的改善。Meta分析显示，只有以知识为基础的干预措施在统计学上显着改善：较低的员工流失率（OR0.47，95CI：0.37，060），工作/生活满意度（SMD0.26，95％CI：0.05，0.46）和员工态度（SMD0.23，95％CI：0.05，0.45）得分较高。
■这篇综述发现了许多策略，这些策略已经过尝试，以改善支持工作者的心理社会和离职相关结果。大多数研究报告结果有所改善。然而,我们的荟萃分析表明，效应大小很小，而且大多不显著，证据的确定性很低。基于知识的干预措施有效性的证据似乎最有说服力，报告的周转率有统计学上的显著改善，工作/生活满意度和员工态度。需要更多高质量的研究来巩固现有的证据。
■CRD42017059007；2017年6月2日。Tweetable摘要：基于知识的干预措施最有希望改善老年护理支持工作者的结果。#老年护理#员工流动。
