BACKGROUND The majority of residents in care homes in the United Kingdom are living with dementia or significant memory problems. Caring in this setting can be difficult and stressful for care staff who work long hours, have little opportunity for training, are poorly paid and yet subject to high expectation. This may affect their mental and physical wellbeing, cause high rates of staff turnover and absenteeism, and affect the quality of care they provide. The main objective of this survey was to explore the nature, characteristics and associations of stress in care home staff. METHODS Staff working in a stratified random sample of care homes within Wales completed measures covering: general health and wellbeing (SF-12); stress (Work Stress Inventory); job content (Karasek Job Content); approach to, and experience of, working with people living with dementia (Approaches to Dementia Questionnaire; and Experience of Working with Dementia Patients); and Productivity and Health Status (SPS-6). Multiple linear regressions explored the effects of home and staff characteristics on carers. RESULTS 212 staff from 72 care homes completed questionnaires. Staff from nursing homes experienced more work stress than those from residential homes (difference 0.30; 95% confidence interval (CI) from 0.10 to 0.51; P < 0.01), and were more likely to report that their health reduced their ability to work (difference -4.77; CI -7.80 to -1.73; P < 0.01). Psychological demands on nurses were higher than on other staff (difference = 1.57; CI 0.03 to 3.10; P < 0.05). A positive approach to dementia was more evident in those trained in dementia care (difference 8.54; CI 2.31 to 14.76; P < 0.01), and in staff working in local authority homes than in the private sector (difference 7.75; CI 2.56 to 12.94; P < 0.01). CONCLUSIONS Our study highlights the importance of dementia training in care homes, with a particular need in the private sector. An effective intervention to reduce stress in health and social care staff is required, especially in nursing and larger care homes, and for nursing staff. TRIAL REGISTRATION ISRCTN registry: ISRCTN80487202. Registered 24 July 2013.

中文翻译：

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养老院工作人员压力与福祉的性质，特征和关联：全国调查。

背景技术英国护理院中的大多数居民患有痴呆症或严重的记忆障碍。对于长时间工作，很少有培训机会，薪水低下但又有很高期望的护理人员，在这种情况下进行护理可能会带来困难和压力。这可能会影响他们的身心健康，导致员工更替率和缺勤率增加，并影响他们提供的护理质量。这项调查的主要目的是探讨养老院工作人员压力的性质，特征和关联。方法在威尔士地区的护理院内分层抽样的工作人员完成了包括以下方面的措施：总体健康和福祉（SF-12）；压力（工作压力清单）；工作内容（Karasek工作内容）；的方法和经验 与痴呆症患者一起工作（痴呆症调查表的方法；以及与痴呆症患者一起工作的经验）；以及生产力和健康状况（SPS-6）。多元线性回归探讨了家庭和员工特征对护理人员的影响。结果来自72个疗养院的212名员工完成了问卷调查。疗养院工作人员的工作压力比寄养院工作人员的工作压力更大（差异0.30； 95％置信区间（CI）从0.10到0.51； P <0.01），并且更有可能报告他们的健康状况降低了他们的工作能力（差异-4.77； CI -7.80至-1.73； P <0.01）。对护士的心理要求高于对其他员工的要求（差异= 1.57； CI为0.03至3.10； P <0.05）。在接受痴呆症护理培训的人中，对痴呆症的积极态度更为明显（差异8.54； CI 2。31至14.76；P <0.01），并且在地方政府机关工作的人员要比私营部门（差异7.75； CI为2.56至12.94； P <0.01）。结论我们的研究突出了痴呆症培训在养老院的重要性，特别是在私营部门。需要一种有效的干预措施来减轻卫生和社会护理人员的压力，尤其是在养老院和大型护理院以及护理人员中。试用注册ISRCTN注册：ISRCTN80487202。2013年7月24日注册。需要一种有效的干预措施来减轻卫生和社会护理人员的压力，尤其是在养老院和大型护理院以及护理人员中。试用注册ISRCTN注册：ISRCTN80487202。2013年7月24日注册。需要一种有效的干预措施来减轻卫生和社会护理人员的压力，尤其是在养老院和大型护理院以及护理人员中。试用注册ISRCTN注册：ISRCTN80487202。2013年7月24日注册。