Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-05T15:14:22.912Z Has data issue: false hasContentIssue false

Improving Work Satisfaction amongst Nursing Staff and Quality of Care for Elderly Patients with Dementia: Some Policy Implications

Published online by Cambridge University Press:  14 November 2008

Alan Gilloran
Affiliation:
Department of Management and Social Sciences, Queen Margaret College, Clerwood Terrace, Edinburgh EH 12 8TS, Scotland.
Alex Robertson
Affiliation:
Department of Social Policy and Social Work, University of Edinburgh, William Robertson Building, Edinburgh.
Tom McGlew
Affiliation:
Department of Sociology, University of Edinburgh, 18, Buccleuch Place, Edinburgh.
Kevin McKee
Affiliation:
Centre for Health Care for the Elderly, University of Sheffield, Sheffield, England.

Abstract

This paper discusses the policy implications for encouraging a high quality of service provision in hospital for elderly people with dementia. Contemporary policy is examined and the continuing need for long-stay beds is highlighted, particularly in Scotland. The measurement of the quality of care in nursing is reviewed and concern is expressed over whether the patients or only the audit score will benefit from any change in practice. Ways of improving both work satisfaction and the quality of care are recommended on the basis of a study of psychogeriatric wards in NHS hospitals in Scotland.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allsop, J. and May, A. 1993. Between the devil and the deep blue sea: managing the NHS in the wake of the 1990 Act. Critical Social Policy, 13, 2, 522.CrossRefGoogle Scholar
Argyle, M. 1989. The Social Psychology of Work, 2nd ed.Penguin, Harmondsworth.Google Scholar
Balogh, R. 1992. Audits of nursing care in Britain: a review and a critique of approaches to validating them. International Journal of Nursing Studies, 29, 2, 119133.CrossRefGoogle Scholar
Cox, D. 1991. Health service management – a sociological view: Griffiths and the non-negotiated order of the hospital. In Gabe, J., Calnan, M. and Bury, M., The Sociology of the Health Service. Routledge, London.Google Scholar
DHSS 1983. NHS Management Enquiry (The Griffiths Report). HMSO, London.Google Scholar
Drucker, N. 1986. Lost in the Haar: a critique of Mental Health in Focus. In McCrone, D. (ed.), Scottish Government Yearbook 1986. Unit for the Study of Government in Scotland, Edinburgh.Google Scholar
Gilloran, A., McGlew, T., McKee, K., Robertson, A. and Wight, D. 1993. Measuring the quality of care in psychogeriatric wards. Journal of Advanced Nursing, 18, 269275.CrossRefGoogle ScholarPubMed
Goldstone, L. A., Ball, J. A. and Collier, M. 1983. Monitor: an Index of the Quality of Nursing Care for Acute Medical and Surgical Wards. Newcastle upon Tyne Polytechnic, Newcastle upon Tyne.Google Scholar
Goldstone, L. A. and Maselino-Okai, C. V. 1986. Senior Monitor: An Index of the Quality of Nursing Care for Senior Citizens on Hospital Wards. Newcastle upon Tyne Polytechnic Products, Newcastle upon Tyne.Google Scholar
Hunter, D.J. and Wistow, G. 1988. The Scottish difference: policy and practice in community care. In McCrone, D. and Brown, A. (eds), Scottish Government Yearbook 1988. Unit for the Study of Government in Scotland, Edinburgh.Google Scholar
Jacques, A. 1992. Understanding Dementia, 2nd ed.Churchill Livingstone, Edinburgh.Google Scholar
Kitson, A. L. 1987. Raising standards of clinical practice – the fundamental issue of effective nursing practice. Journal of Advanced Nursing, 12, 321329.CrossRefGoogle ScholarPubMed
Kitwood, T. 1993. Towards a theory of dementia care: the interpersonal process. Ageing and Society, 13, 5167.CrossRefGoogle Scholar
Kitwood, T. and Bredin, K. 1992. Towards a theory of dementia care: personhood and well-being. Ageing and Society, 12, 269287.CrossRefGoogle ScholarPubMed
Koch, T. 1992. A review of nursing quality assurance. Journal of Advanced Nursing, 17, 785794.CrossRefGoogle ScholarPubMed
Locke, E. A. 1976. The nature and causes of job satisfaction. In Dunnette, M. D. (ed), Handbook of Industrial and Organisational Psychology. Rand McNally, Chicago.Google Scholar
Martin, F. M. 1984. Between the Acts: Community Mental Health Services 1959–1983. Nuffield Provincial Hospitals Trust, London.Google Scholar
McGlew, T., Robertson, A., Gilloran, A., McKee, K., McKinlay, A. and Wight, D. 1991. An Empirical Study of Job Satisfaction among Nurses and the Quality of Care Received by Patients in Psychogeriatric Wards in Scottish Hospitals. Unpubld. Final Report to Scottish Home and Health Department.Google Scholar
McKenna, H. 1993. A long-term view. Nursing Times, 89 No. 41.Google ScholarPubMed
Petch, A. 1992. At Home in the Community. Avebury, Aldershot.Google Scholar
Phaneuf, M. 1976. The Nursing Audit. Appleton-Century-Crofts, New York.Google ScholarPubMed
Pollitt, C. 1993. The struggle for quality: the case of the National Health Service. Policy and Politics, 21, 3, 161170.CrossRefGoogle Scholar
Pullen, I. 1993. Countdown to community care: hunting the gowk? – psychiatric community care in Scotland. British Medical Journal, 306, 710712.CrossRefGoogle Scholar
Redfern, S. J. and Norman, I. J. 1990. Measuring the quality of nursing care: a consideration of different approaches. Journal of Advanced Nursing, 15, 12601271.CrossRefGoogle ScholarPubMed
Robertson, A., Gilloran, A., McGlew, T., McKee, K., McKinlay, A. and Wight, D. (forthcoming). Nurses job satisfaction and the quality of hospital care received by demented elderly patients. International Journal of Geriatric Psychiatry (in press).Google Scholar
Rushton, A. 1990. Literature review: community-based versus hospital-based care for acutely mentally ill people. British Journal of Social Work, 20, 373383.Google Scholar
Schneider, J., Kavanagh, S., Knapp, M., Beecham, J. and Netten, A. 1993. Elderly people with advanced cognitive impairment in England: resource use and costs. Ageing and Society, 13, 2750.CrossRefGoogle Scholar
SHHD/SED 1985. Mental Health in Focus. Report on the Mental Health Services for Adults in Scotland. HMSO, Edinburgh.Google Scholar
SHHD/SHSPC 1988. Scottish Health Authorities Priorities for the Eighties and Nineties, HMSO, Edinburgh.Google Scholar
SHHD/SHSPC 1989. Mental Hospitals in Focus, Report on the Future Role of Mental Illness Hospitals in Scotland. HMSO, Edinburgh.Google Scholar
Strong, P. and Robinson, J. 1990. The NHS – Under New Management. Open University Press, Milton Keynes.Google Scholar
Wandelt, M. and Ager, J. 1974. Quality Patient Care Scale. Appleton-Century-Crofts, New York.Google Scholar
Wells, T. J. 1980. Problems in Geriatric Nursing Care: A Study of Nurses' Problems in Care of Old People in Hospital. Churchill-Livingstone, Edinburgh.Google Scholar