Table.
Prevalence of stress among staff in private and NHS residential homes and stress coping mechanisms
| Private homes
|
NHS homes
|
Overall comparison of private and NHS facilities
|
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Care assistant* (n=140) | Nurse (n=21) |
P value † | Care assistant (n=37) | Nurse (n=27) |
P value† | Private (n=161) |
NHS (n=64) |
P value‡ | |||
| No (%, 95% CI) with general health questionnaire score: | |||||||||||
| ⩾5 | 31 (22%, 15% to 29%) |
4 (19%, 3% to 38%) |
1.0 | 7 (19%, 7% to 31%) |
3 (11%, 0% to 23%) |
0.5 | 35 (22%, 19% to 25%) |
10 (16%, 7% to 25%) |
0.3 (χ2=1.7, df=1) | ||
| <5 | 109 (78%, 71% to 85%) |
17 (81%, 65% to 97%) |
30 (81%, 69% to 93%) |
24 (89%, 77% to 100%) |
126 (78%, 75% to 81%) | 54 (84%, 75% to 93%) |
|||||
| Staff turnover§ | — | — | — | — | — | — | 75 (38%, 31% to 45%) | 19 (16%, 9% to 23%) | <0.0001 (χ2=16.4, df=1) | ||
| Median (range) score for coping mechanisms: | |||||||||||
| Active coping | 11 (4-16) | 21 (4-16) | 0.2 | 12 (6-16) | 13 (7-16) | 0.03 | 11 (4-16) | 12 (6-16) | 0.008 | ||
| Planning | 11 (2-16) | 10 (4-16) | 0.2 | 11 (6-16) | 13 (7-16) | 0.01 | 11 (2-16) | 12 (6-16) | 0.011 | ||
| Seeking support | 12 (3-16) | 12 (4-16) | 0.8 | 11 (6-16) | 12 (4-15) | 0.8 | 12 (3-16) | 11 (4-16) | 0.5 | ||
| Reinterpretation | 11 (2-16) | 11 (4-16) | 0.02 | 11 (6-16) | 13 (8-16) | 0.1 | 11 (2-16) | 12 (6-16) | 0.03 | ||
| Acceptance | 11 (4-16) | 11 (3-16) | 0.7 | 10 (5-16) | 12 (9-16) | <0.001 | 11 (3-16) | 12 (5-16) | 0.14 | ||
Care assistants and senior care assistants. †Fisher's exact test for general health questionnaire analyses and Mann-Whitney U test for coping mechanism scores.
χ2test for general health questionnaire and turnover; Mann-Whitney U test for coping mechanism scores.
Staff turnover rate was calculated by using all staff (198 for private homes and 117 for NHS homes) not just those who completed questionnaires.
Because some of the demographic variables could overlap with those pertaining to coping and psychological distress we carried out logistic regression analyses (with NHS v private facilities as the dependent variable and age, sex, general health questionnaire score, active coping, planning, seeking support, reinterpretation, and acceptance as the independent variables) for nursing staff (seeking support Wald 6.3, P=0.001 and planning Wald 3.3 P=0.07 entered into the equation but not general health questionnaire) and care assistants separately (none of the variables entered into the equation).