Lovisenberg Diaconal University College, Oslo, Norway.
Oslo University, Oslo, Norway.
J Adv Nurs. 2019 May;75(5):979-988. doi: 10.1111/jan.13890. Epub 2018 Nov 20.
To explore the associations between job satisfaction and perceived person-centredness and ethically difficult situations among staff in nursing homes (NHs).
Previous studies have indicated that person-centredness and few ethically difficult situations can contribute positively to NH staff's job satisfaction. However, empirical evidence of these associations is lacking.
Cross-sectional survey design.
Nursing home staff (N = 341) in six NHs in Australia, Norway, and Sweden completed the questionnaire measuring job satisfaction, person-centredness, and ethically difficult situations. Data were collected between April - June 2016. Univariate analysis was used to describe the sample, one-way analysis of variance examined differences between variables. Bivariate correlation tested the relationships between variables and hierarchical multiple regression explored the extent to which person-centredness and ethically difficult situations could explain job satisfaction among staff.
After controlling for socio-demographic variables in a regression model, three variables of person-centredness and "ethically difficult situations" were significantly associated with job satisfaction. A "climate of community" contributed the most, followed by the "amount of organizational and environmental support," "a climate of everydayness," and few "ethically difficult situations."
The results support the theoretical foundation and previous findings suggesting that establishing NHs organizations based on person-centredness will increase staff job satisfaction. However, this is a cross-sectional study and the causality may go in both directions and should be further explored.
探讨养老院工作人员工作满意度与感知的以患者为中心和道德困境之间的关系。
以往的研究表明，以患者为中心和较少的道德困境可以对养老院工作人员的工作满意度产生积极影响。然而，这些关联的实证证据尚缺乏。
横断面调查设计。
澳大利亚、挪威和瑞典的六家养老院的 341 名员工完成了测量工作满意度、以患者为中心和道德困境的问卷。数据收集于 2016 年 4 月至 6 月。单变量分析用于描述样本，单因素方差分析检验变量之间的差异。双变量相关检验变量之间的关系，分层多元回归探索以患者为中心和道德困境在多大程度上可以解释员工的工作满意度。
在回归模型中控制了社会人口统计学变量后，以患者为中心的三个变量和“道德困境”与工作满意度显著相关。“社区氛围”的贡献最大，其次是“组织和环境支持的数量”、“日常氛围”和“较少的道德困境”。
结果支持以患者为中心的养老院组织将提高员工工作满意度的理论基础和以往发现。然而，这是一项横断面研究，因果关系可能是双向的，应进一步探讨。
