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Understanding and mitigating occupational stress in professional dementia caregivers in residential aged care: a
Hayley Antipas1, Jeanette Tamplin1,2, Tanara Vieira Sousa1
1Creative Arts and Music Therapy Research Unit, Faculty of Fine Arts and Music, University of Melbourne, Melbourne, Australia.
Introduction:
Mitigating occupational stress for professional dementia caregivers in residential aged care facilities is critical to workforce sustainability, care quality, health, and economic burden. This study examines the evidence to understand how occupational stress is experienced and how it may be mitigated by interventions.
Methods:
A systematic review of CINAHL, PsycINFO, PubMed and MEDLINE databases was conducted to identify original research published in English between 1995 and March 2023. Two reviewers screened search results. Quality was appraised using the Downs and Black Checklist, CASP and MMAT. Framework synthesis was used to synthesise data.
Results:
52 studies were eligible for the review from 1,121 aged care facilities and involving 16,372 caregivers. Data synthesis resulted in a Conceptual Ecosystem of Professional Dementia Caregivers' Experience of Occupational Stress in Residential Aged Care Settings, which proposes a complex and active system with dependent factors. Stress is experienced psychologically, physically and relationally. Activators and mediators of stress occur every day and as singular events. Interventions that address multiple factors simultaneously appear most effective.
Conclusion:
Professional caregiver occupational stress is systems-based and complex. Interventions are recommended that prevent stress activating events, reduce constant stress activators, and increase constant stress mediators. Practical implications are discussed.
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