Nursing Home Manager Role in Managing Aging Workers: A Qualitative Research in Nursing Homes
Nursing home manager (NHM) has now a great challenge: managing an aging staff ensuring higher level of quality assistance and enforcing health and safety regulations.
Aim of this research was to analyze NHM awareness of professional role in managing aging workers in order to think up solutions to improve working condition and quality of assistance.
On the basis of preliminary literature search, an ethnographic quality approach was applied. This study was based on a retrospective data collection of administrative data and on the analysis of responses to semi structured interviews on these topics. A comprehensive description was made and results were discussed with an expert occupational physician. Key points emerging are: (a) NHM were usually involved in individual job task description, but their awareness of responsibilities in health and safety management of nursing staff was not clear; (b) NHM were not usually consulted by their occupational physician (OP); (c) work modifications indicated by OP were often considered by NHM generic and not contextualized; (d) organization consequences of work restrictions were not shared among OP, Chief of staff and NHM; (e) when work restrictions were preceded by OP’s case discussion with relevant parties, there was a better management of nursing staff. On the bases of these results, main suggestions to improve management will include: new approaches for nursing staff risk assessment, better definition of NHM role and duty, specific pathways of learning for NHM and for registered nurses, involvement of registered nurses in nursing assistants’ management, OP case discussion with relevant parties, improvement in scientific documentation for fitness to work process, implementation of procedure for work restriction management.
KeywordsAging workers Nursing home managers Work restrictions
- 1.ATS Brescia. https://www.ats-brescia.it/bin/index.php. Accessed 31 Mar 2018
- 3.Camera di Commercio. Brescia in cifre 2017. http://www.bs.camcom.it/files/Studi/Approfondimenti_tematici_2017/brescia-in-cifre-2017-def.pdf. Accessed 31 Mar 2018
- 4.Cadei L (2012) Legami e significati nell’esperienza della sofferenza. Un’indagine qualitativa. in L. Pati (a cura di), Sofferenza e riprogettazione esistenziale. Il contributo dell’educazione, La Scuola, Brescia, pp 25–66. ISBN 978-88-350-3071–3Google Scholar
- 5.Cadei L (2005) La ricerca e il sapere per l’educazione, I.S.U., Milano, p 273. ISBN 10: 8883113853, ISBN-13: 978-88-831-1385-7Google Scholar
- 6.D’Errico A (2015) Invecchiamento e lavoro in sanità. Dati e Prospettive. https://www.ciip-consulta.it/images/MilanoExpo/invecchiamento/Angelo_DErrico.pdf
- 7.Guerrini G, Ramponi JP, Scarcella C, Trabucchi M (2014) Manuale di igiene ed organizzazione sanitaria delle residenze sanitarie assistenziali. Maggioli Editore, 1st ednGoogle Scholar
- 8.Guardini I, Deroma L, Salmaso D, Palese A (2011) Invecchiamento della popolazione infermieristica di due ospedali del Friuli Venezia Giulia: applicazione di un modello matematico deterministico. G Ital Med Lav Erg, 55–62Google Scholar
- 11.Leininger M (1985) Transcultural care diversity and universality: a theory of nursing. Nurse Healt Care 6(4):208–212Google Scholar
- 12.Morse M, Richards L (2009) Fare ricerca qualitativa. In: Graffina FG Fare Ricerca Qualitativa. FrancoAngeli, MilanoGoogle Scholar
- 13.Maricchio R, Ferraresi A, Bonamici F, Bertelli A, Passarini L, Bagnasco A, Sasso L (2013) Invecchiamento dei professionisti sanitari e fenomeno delle inidoneità al lavoro: studio osservazionale. L’infermiere 50:e9–e16. http://www.ipasvi.it/ecm/rivista-linfermiere/rivista-linfermiere-page-32-articolo-373.htm. Accessed 18 Apr 2018
- 15.Pennini A, Barbieri G (2017) Le Responsabilità del coordinatore delle professioni sanitarie. II Edizione Mc Graw Hill EducationGoogle Scholar
- 16.Podavitte F, Scarcella C, Mattana E, Trabucchi M (2008) Uno strumento per gestire razionalmente le liste d’accesso alle RSA. I Luoghi della Cura 3:16–20Google Scholar
- 17.Polit F, Beck C (2014) Fondamenti di Ricerca Infermieristica. McGraw Hill, MilanoGoogle Scholar
- 18.Robb MC, Mosci D, Chiari P (1999) EBN Identificazione dei disegni di ricerca. Evid Based Nurs 4:1–3Google Scholar