Elliott Kate-Ellen J, Rodwell John, Martin Angela J
Wicking Dementia Research and Education Centre, Faculty of Health, University of Tasmania, Hobart, Tasmania, Australia.
Swinburne Business School, Swinburne University, Hawthorn, Victoria, Australia.
J Nurs Manag. 2017 Oct;25(7):558-568. doi: 10.1111/jonm.12493. Epub 2017 May 18.
Relationships exist between aged care nurses' perceptions of psychosocial work characteristics, job satisfaction and mental health, suggesting these characteristics may be important for the management of aged care services.
An expanded demand-control-support model that included justice perceptions was examined to determine its impact on multiple types of psychological and organisational well-being outcomes (i.e. job satisfaction, psychological distress and depression).
Data were collected from a sample of 173 aged care nurses using a self-report survey and analysed using hierarchical multiple regression.
A significant proportion (27-28%) of the variance in aged care nurses' satisfaction, depression and psychological distress was explained by the psychosocial factors included in the model. Job control had the most consistent impact with direct effects on job satisfaction, psychological distress and depression. Informational justice was associated with both psychological distress and depression.
Targeting job control may provide the biggest response for nurse managers in aged care, as it is likely to influence nurses' job satisfaction, psychological distress and depression.
Facility managers should implement organisational policies and procedures that promote higher levels of control over how nurses perform their work in order to improve nurse well-being in aged care settings.
老年护理护士对心理社会工作特征的认知、工作满意度和心理健康之间存在关联，这表明这些特征可能对老年护理服务的管理很重要。
研究一个包含公平感认知的扩展需求 - 控制 - 支持模型，以确定其对多种类型的心理和组织幸福感结果（即工作满意度、心理困扰和抑郁）的影响。
通过自我报告调查从173名老年护理护士样本中收集数据，并使用分层多元回归进行分析。
模型中包含的心理社会因素解释了老年护理护士满意度、抑郁和心理困扰中相当大比例（27 - 28%）的方差。工作控制对工作满意度、心理困扰和抑郁有直接影响，其影响最为一致。信息公平与心理困扰和抑郁均相关。
针对工作控制可能为老年护理中的护士长提供最大的应对效果，因为它可能影响护士的工作满意度、心理困扰和抑郁。
机构管理者应实施组织政策和程序，以促进对护士工作方式的更高程度控制，从而改善老年护理环境中护士的幸福感。
