Squires Janet E, Hoben Matthias, Linklater Stefanie, Carleton Heather L, Graham Nicole, Estabrooks Carole A
School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, ON, Canada K1H 8M5 ; Ottawa Hospital Research Institute, Centre for Practice-Changing Research (CPCR), 501 Smyth Road, Room 1282, Box 711, Ottawa, ON, Canada K1H 8L6.
Faculty of Nursing, University of Alberta, Level 3, Edmonton Clinic Health Academy, 11405 87 Avenue NW Edmonton, AB, Canada T6G 1C9.
Nurs Res Pract. 2015;2015:157924. doi: 10.1155/2015/157924. Epub 2015 Aug 5.
Despite an increasing literature on professional nurses' job satisfaction, job satisfaction by nonprofessional nursing care providers and, in particular, in residential long-term care facilities, is sparsely described. The purpose of this study was to systematically review the evidence on which factors (individual and organizational) are associated with job satisfaction among care aides, nurse aides, and nursing assistants, who provide the majority of direct resident care, in residential long-term care facilities. Nine online databases were searched. Two authors independently screened, and extracted data and assessed the included publications for methodological quality. Decision rules were developed a priori to draw conclusions on which factors are important to care aide job satisfaction. Forty-two publications were included. Individual factors found to be important were empowerment and autonomy. Six additional individual factors were found to be not important: age, ethnicity, gender, education level, attending specialized training, and years of experience. Organizational factors found to be important were facility resources and workload. Two additional factors were found to be not important: satisfaction with salary/benefits and job performance. Factors important to care aide job satisfaction differ from those reported among hospital nurses, supporting the need for different strategies to improve care aide job satisfaction in residential long-term care.
尽管关于专业护士工作满意度的文献越来越多，但非专业护理人员的工作满意度，尤其是在长期居住护理机构中的工作满意度，却鲜有描述。本研究的目的是系统回顾有关个体因素和组织因素与护理员、护工和护理助理工作满意度相关的证据，这些人员在长期居住护理机构中提供了大部分直接的居民护理服务。我们检索了九个在线数据库。两位作者独立进行筛选、提取数据，并评估纳入出版物的方法学质量。事先制定了决策规则，以得出哪些因素对护理员工作满意度至关重要的结论。共纳入42篇出版物。发现重要的个体因素是赋权和自主性。另外发现六个个体因素不重要：年龄、种族、性别、教育水平、参加专业培训情况和工作年限。发现重要的组织因素是设施资源和工作量。另外发现两个因素不重要：对薪资/福利的满意度和工作表现。对护理员工作满意度重要的因素与医院护士报告的因素不同，这支持了在长期居住护理机构中需要采取不同策略来提高护理员工作满意度的观点。
