Castle Nicholas G, Degenholtz Howard, Rosen Jules
Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, USA.
BMC Health Serv Res. 2006 May 24;6:60. doi: 10.1186/1472-6963-6-60.
Job satisfaction is important for nursing home staff and nursing home management, as it is associated with absenteeism, turnover, and quality of care. However, we know little about factors associated with job satisfaction and dissatisfaction for nursing home workers.
In this investigation, we use data from 251 caregivers (i.e., Registered Nurses, Licensed Practical Nurses, and Nurse Aides) to examine: job satisfaction scores of these caregivers and what characteristics of these caregivers are associated with job satisfaction. The data were collected from two nursing homes over a two and a half year period with five waves of data collection at six-month intervals. The Job Description Index was used to collect job satisfaction data.
We find that, overall nursing home caregivers are satisfied with the work and coworkers, but are less satisfied with promotional opportunities, superiors, and compensation. From exploratory factor analysis three domains represented the data, pay, management, and work. Nurse aides appear particularly sensitive to the work domain. Of significance, we also find that caregivers who perceived the quality of care to be high have higher job satisfaction on all three domains than those who do not.
These results may be important in guiding caregiver retention initiatives in nursing homes. The finding for quality may be especially important, and indicates that nursing homes that improve their quality may have a positive impact on job satisfaction of staff, and thereby reduce their turnover rates.
工作满意度对养老院工作人员和养老院管理至关重要，因为它与旷工、人员流动和护理质量相关。然而，我们对养老院工作人员工作满意度和不满的相关因素知之甚少。
在本次调查中，我们使用了来自251名护理人员（即注册护士、执业护士和护工）的数据，以检验：这些护理人员的工作满意度得分，以及这些护理人员的哪些特征与工作满意度相关。数据是在两年半的时间里从两家养老院收集的，每隔六个月收集一波数据，共收集了五波。使用工作描述指数来收集工作满意度数据。
我们发现，总体而言，养老院护理人员对工作和同事感到满意，但对晋升机会、上级和薪酬不太满意。通过探索性因素分析，三个领域代表了数据，即薪酬、管理和工作。护工似乎对工作领域特别敏感。重要的是，我们还发现，认为护理质量高的护理人员在所有三个领域的工作满意度都高于那些不这样认为的人。
这些结果可能对指导养老院护理人员留用举措具有重要意义。质量方面的发现可能尤为重要，这表明提高质量的养老院可能会对员工的工作满意度产生积极影响，从而降低员工流失率。
