Job Innovation for Direct Caregivers in the Care of Persons with Mental Retardation
A System of Personal Caregiving
Nicolle P. G. Boumans,
Andre A. van den Berg,
Corresponding Author
Nicolle P. G. Boumans
Department of Health Organisation, Policy and Economics, Maastricht, The Netherlands
University of Maastricht, Department of Health Organisation, Policy and Economics, PO Box 616, 6200 MD Maastricht, The Netherlands. Tel: + 43 3881570 or 3881692. Fax: +43 3671004. E-mail: [email protected]Search for more papers by this authorAndre A. van den Berg
Department of Medical Sociology, University of Maastricht, Maastricht, The Netherlands
Search for more papers by this authorNicolle P. G. Boumans,
Andre A. van den Berg,
Corresponding Author
Nicolle P. G. Boumans
Department of Health Organisation, Policy and Economics, Maastricht, The Netherlands
University of Maastricht, Department of Health Organisation, Policy and Economics, PO Box 616, 6200 MD Maastricht, The Netherlands. Tel: + 43 3881570 or 3881692. Fax: +43 3671004. E-mail: [email protected]Search for more papers by this authorAndre A. van den Berg
Department of Medical Sociology, University of Maastricht, Maastricht, The Netherlands
Search for more papers by this authorAbstract
Professionals in different branches of the health care sector increasingly advocate a more flexible, individually-tailored type of care. To fit in with this trend, the Job Innovation Model was developed in The Netherlands. This model involves the systematic introduction of a system of personal caregiving. The purpose of the present study, using a pre-test—post-test quasi-experimental design, was to evaluate the effects of the implementation of the Job Innovation Model on the work and work perception of direct caregivers in the care of persons with mental retardation. Caregivers in the experimental group were found to have adopted the principles of the Job Innovation Model to a greater extent than their colleagues in the control group, and as a result, the experimental group started to work more methodically and perceived greater clarity in their work. In addition, a trend was observed towards greater job satisfaction among caregivers as a result of the introduction of the new model. No changes were found concerning burnout.
REFERENCES
- 1 Gassman P, Melchior MEW, Berg AA van den. The nurse as director. Function innovation in long-stay psychiatry (in Dutch). Rijswijk/Maastricht: Geneeskundige Inspectie voor de Geestelijke Volksgezondheid/Universiteit Maastricht, 1994.
- 2 Marram G, Barret MW, Bevis EO. Primary nursing: a model for individualized care. St. Louis: Mosby, 1979.
- 3 Heeremans JGM, Boumans NPG, Algera M, Landeweerd JA. Primary nursing in practice; results of an experiment in a community hospital. Maastricht: University Press, 1994 (in Dutch).
- 4 Berg AA van den, Boumans NPG, Melchior MEW. Demand-driven profession; report Job Innovation for direct caregivers in the care of persons with mental retardation. Maastricht: University of Maastricht, 1997 (in Dutch).
- 5 Hackman JR, Oldham GR. Motivation through the design of work: test of a theory. Organizat Behav Hum Perf 1976; 16: 250–79.
- 6 Geelen AJM. Emancipation of the group leaders and quality of care. A study in the care of persons with mental retardation. Deventer: Instituut voor zorgonderzoek MSO, 1995 (in Dutch).
- 7 Boumans NPG, Landeweerd JA. A Dutch study of the effects of Primary nursing on job characteristics and organizational processes. J Adv Nurs 1996; 24: 16–23.
- 8 Blenkarn H, d'Amico M, Virtue E. Primary nursing and job satisfaction. Nursing Management 1988; 19: 41–2.
- 9 Molleman E. Using a different approach to the organization of care, the effects of primary nursing. PhD Thesis. Groningen: University Hospital, 1990 (in Dutch).
- 10 Thomas LH. Qualified nurse and nursing auxiliary perception of their work environment in primary, team and functional nursing wards. J Adv Nurs 1992; 17: 373–82.
- 11 McCormack B. A case study identifying nursing staffs' perception of the delivery method of nursing care in practice on a particular ward. J Adv Nurs 1992; 17: 187–97.
- 12 McGuire JM, Botting DA. The use of the Ethnograph program to identify the perceptions of nursing staff following the introduction of Primary Nursing in an acute medical ward for elderly people. J Adv Nurs 1990; 15: 1120–7.
- 13 MacLeod JA, Sella S. One Year later: Using role theory to evaluate a new delivery system. Nursing Forum 1992; 27: 20–8.
- 14 Buchel YHM, Roestel AMA van. Patient-oriented nursing; effects of a reorganization in nursing units. Tilburg: Maria Hospital, 1986 (in Dutch).
- 15 Emans BJM, Boer DJ van. Primary nursing and the relation between nurses and nursing management. (in Dutch). Acta Hospitalia 1988; 2: 5–15.
- 16 McPhail A, Pikula H, Roberts J, Browne G, Harper D. Primary nursing: a randomized crossover trial. Western J Nurs Res 1990; 12: 188–200.
- 17 Melchior MEW. Burnout and work in long-stay psychiatric nursing. PhD Thesis. Maastricht: University of Maastricht, 1996.
- 18 Emans BJM. Primary Nursing leaders: about the paradox of the management of responsible people in Primary Nursing. Tijdschrift voor Ziekenverpleging 1990; 44: 36–9 (in Dutch).
- 19 Boumans NPG. Nurses' work in general hospitals: a study of work aspects and their influence on nurses. PhD Thesis. Maastricht: University Maastricht, 1990 (in Dutch).
- 20 McGreevy ME, Coates MR. Primary nursing implementation using the project nurse and the nursing process framework. J Nurs Admin 1980; 10: 9–15.
- 21 Bekkers F, Bakker F de, Dartel H van, Meerman D, Vliet J van. Patient-oriented nursing and quality of care. Assen: Van Gorcum, 1990 (in Dutch).
- 22 Gardner K. A summary of findings of a five-year comparison study of primary and team nursing. Nurs Res 1991; 40: 113–7.
- 23 Giovanetti P. A comparison of team and primary nursing care systems. Nurs Dimens 1980; 7: 96–100.
- 24 Mills MEC. A comparison of primary and team nursing care delivery systems as an influence on patient and staff: perceptions of care. PhD Thesis. School of Hygiene and Public Health: John Hopkins University, 1979.
- 25 Alexander CS, Weisman CS, Chase GA. Evaluating primary nursing in hospitals: examination of effects on nursing staff. Medical Care 1981; 19: 80–9.
- 26 Wilson NM, Dawson P. A comparison of primary nursing and team nursing in a geriatric long-term care setting. Int J Nurs Studies 1989; 26: 1–13.
- 27 Melchior MEW, Philipsen H, Abu-Saad Huyer H, Halfens RJG, Berg AA van den, Gassman P. The effectiveness of primary nursing on burnout among psychiatric nurses in long-stay settings. J Adv Nurs 1996; 24: 694–702.
- 28 Reed SE. A comparison of nurse-related behaviour, philosophy of care and job satisfaction in team and primary nursing. J Adv Nurs 1988; 13: 383–95.
- 29 McGrath A, Reid N, Boore J. Occupational stress in nursing. Int J Nurs Studies 1989; 3: 3–31.
- 30 Sullivan IG. Burnout: a study of a psychiatric center. In: DT Wessels, AH Kutscher, JB Seeland, FE Selder, DJ Cherico, EJ Clark, eds. Professional burnout in medicine and helping professions. New York/London: Haworth Press, 1989.
- 31 Thomas LH, Bond S. Towards defining the organization of nursing care in hospital wards: an empirical study. J Adv Nurs 1990; 15: 1106–12.
- 32 Mead DM. The development of primary nursing in NHS care giving institutions in Wales. PhD Thesis. Swansea: University of Wales, 1993.
- 33 Roodbol PF. Perceived responsibility in Primary Nursing. Master's Thesis. Maastricht: University of Maastricht, 1993 (in Dutch).
- 34 Boone HJLR. Organization of the nursing unit: a study of the effects on the work situation Master's Thesis. Maastricht: University of Maastricht, 1994 (in Dutch).
- 35 Schaft AJ van der. Working methodically. Master's Thesis. Maastricht: University of Maastricht, 1987 (in Dutch).
- 36 Verkooien HEC. A measurement for the use of the nursing process. Master's Thesis. Maastricht: University of Maastricht, 1990 (in Dutch).
- 37 Schaufeli WB. Burned-out: about the backgrounds of work stress: The burnout-syndrome. Rotterdam: Donker, 1990 (in Dutch).
- 38 Maslach C, Jackson SE. Maslach Burnout Inventory. Palo Alto: Consulting Psychologists Press, 1981.
- 39 Schaufeli WB, Dierendonck D van. The construct validity of two burnout measures. J Organizat Behav 1993; 14: 631–47.
- 40 Landeweerd JA, Boumans NPG, Nissen JMJF. Nurses' job satisfaction; The Maastricht Job Satisfaction Scale for health care. In: CC Beek, ThC Dorsten, eds. Handboek Verpleegkundige Innovatie. Houtem/Diegem: Bohn Stafleu Van Lochem, 1996 (in Dutch).
