Promoting workplace retention during global crises: An international survey of the preventive role of psychological support among victims of social discrimination in long-term care facilities

Geriatr Nurs. 2024 Sep-Oct:59:94-102. doi: 10.1016/j.gerinurse.2024.06.021. Epub 2024 Jul 11.

Abstract

This international cross-sectional survey examined the potential role of organizational psychological support in mitigating the association between experiencing social discrimination against long-term care (LTC) facilities' healthcare professionals (HCPs) and their intention to stay in the current workplace during the COVID-19 pandemic. Participants included a convenience sample of 2,143 HCPs (nurses [21.5 %], nurse aids or residential care workers [40.1 %], social workers [12.1 %], and others [26.4 %]) working at 223 LTC facilities in 13 countries/regions. About 37.5 % of the participants reported experiencing social discrimination, and the percentage ranged from 15.3 % to 77.9 % across countries/regions. Controlling for socio-demographic and work-related variables, experiencing social discrimination was significantly associated with a lower intention to stay, whereas receiving psychological support showed a statistically significant positive association (p-value=0.015 and <0.001, respectively). The interaction term between social discrimination and psychological support showed a statistically significant positive association with the intention to stay, indicating a moderating role of the psychological support.

Keywords: Discrimination; Long-term care; Organizational support; Turnover; Workforce.

MeSH terms

  • Adult
  • COVID-19* / prevention & control
  • COVID-19* / psychology
  • Cross-Sectional Studies
  • Female
  • Health Personnel / psychology
  • Humans
  • Long-Term Care*
  • Male
  • Middle Aged
  • Nursing Homes
  • Psychosocial Support Systems
  • Social Discrimination*
  • Surveys and Questionnaires
  • Workplace* / psychology