Caring Self-efficacy of Direct Care Workers in Residential Aged Care Settings: A Mixed Methods Scoping Review

Conference: The European Conference on Aging & Gerontology (EGen2022)
Title: Caring Self-efficacy of Direct Care Workers in Residential Aged Care Settings: A Mixed Methods Scoping Review
Stream: Resilience
Presentation Type: Live-Stream Presentation
Sumina Shrestha, La Trobe University, Australia
Yvonne Wells, La Trobe University, Australia
Christine While, La Trobe University, Australia
Muhammad Aziz Rahman, Federation University, Australia


Background and Objectives: Self-efficacy in caring refers to a perceived ability of care workers to establish compassionate relationships with clients and meet their caring needs. Self-efficacy is a contextual concept, and its attributes vary between different care settings. In the literature, the caring self-efficacy of direct care workers in residential aged care is explored mostly as a predictor rather than the focus of interest. The purpose of this study was to provide an overview of residential aged care workers’ caring self-efficacy and influencing factors from the existing literature. Research Design and Methods: A systematic search was performed in six electronic databases, and following the full-text review, reference lists of relevant studies were screened. All primary studies, qualitative and quantitative, including grey literature, were included. A protocol detailing the methodology was published before commencing the review. Results: We retrieved 8,737 records in total, of which 41 studies met the inclusion criteria. ‘Dealing with difficult situations’ was the most mentioned notion related to caring self-efficacy in aged care. The self-efficacy score of direct care workers was high. It was positively influenced by access to resources, relationships with residents and their families, the support of supervisors and co-workers, job satisfaction, and training opportunities. On the other hand, it was negatively affected by work pressure and burnout. Discussion and Implications: Aged care providers can increase access to organisational resources and training opportunities to enhance the confidence of their staff. Further research on conceptual understanding of caring self-efficacy among multicultural aged care workers is recommended.

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