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1.
Clin Gerontol ; 41(4): 282-292, 2018.
Article in English | MEDLINE | ID: mdl-28990884

ABSTRACT

OBJECTIVES: Although research shows that nursing home staff experience significant levels of stress and burnout, studies analyzing the relationship of psychosocial variables on their feelings of anxiety are scarce. This study aims to analyze the relationship between psychosocial variables and levels of anxiety among staff. METHOD: Participants were 101 nursing home professionals. In addition to anxiety, socio-demographic variables, depersonalization, burden, relationship with families of the residents, and guilt about the care offered to the residents were assessed. A hierarchical regression analysis was carried out to analyze the contribution of the assessed variables to staff anxiety levels. RESULTS: The obtained model explained 57% of the variance in anxious symptomatology. Guilt about the care offered and poor quality of the relationship with residents' family were associated with anxiety. Further, working at nursing homes where the staff report higher levels of anxiety symptoms, the presence of depersonalization and burden were also associated with anxiety. CONCLUSION: The findings suggest that in addition to work-related variables (burden and burnout), problems with family members and guilt about the care offered are relevant variables for understanding staff's anxious symptomatology. CLINICAL IMPLICATIONS: Interventions that address issues of guilt about the quality of care, and problematic relationships with family members of residents, may have potential to reduce staff anxiety and promote their well-being.


Subject(s)
Anxiety/psychology , Burnout, Professional/psychology , Nursing Homes/statistics & numerical data , Nursing Staff/psychology , Aged , Anxiety/epidemiology , Burnout, Professional/epidemiology , Depersonalization/psychology , Female , Guilt , Humans , Male , Professional-Family Relations , Psychology , Spain/epidemiology
2.
Int Psychogeriatr ; 29(1): 57-65, 2017 01.
Article in English | MEDLINE | ID: mdl-27609481

ABSTRACT

BACKGROUND: Caregivers' commitment to personal values is linked to caregivers' well-being, although the effects of personal values on caregivers' guilt have not been explored to date. The goal of this study is to analyze the relationship between caregivers´ commitment to personal values and guilt feelings. METHOD: Participants were 179 dementia family caregivers. Face-to-face interviews were carried out to describe sociodemographic variables and assess stressors, caregivers' commitment to personal values and guilt feelings. Commitment to values was conceptualized as two factors (commitment to own values and commitment to family values) and 12 specific individual values (e.g. education, family or caregiving role). Hierarchical regressions were performed controlling for sociodemographic variables and stressors, and introducing the two commitment factors (in a first regression) or the commitment to individual/specific values (in a second regression) as predictors of guilt. RESULTS: In terms of the commitment to values factors, the analyzed regression model explained 21% of the variance of guilt feelings. Only the factor commitment to family values contributed significantly to the model, explaining 7% of variance. With regard to the regression analyzing the contribution of specific values to caregivers' guilt, commitment to the caregiving role and with leisure contributed negatively and significantly to the explanation of caregivers' guilt. Commitment to work contributed positively to guilt feelings. The full model explained 30% of guilt feelings variance. The specific values explained 16% of the variance. CONCLUSION: Our findings suggest that commitment to personal values is a relevant variable to understand guilt feelings in caregivers.


Subject(s)
Caregivers/psychology , Dementia/nursing , Guilt , Social Values , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Psychiatric Status Rating Scales , Regression Analysis , Spain , Stress, Psychological , Surveys and Questionnaires , Young Adult
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