Marcomini Ilaria, Di Nitto Marco, Zaghini Francesco, Caponnetto Valeria, Cesare Manuele, Iovino Paolo, Longobucco Yari, Alvaro Rosaria, Lancia Loreto, Manara Duilio Fiorenzo, Rasero Laura, Rocco Gennaro, Cicolini Giancarlo, Zega Maurizio, Mazzoleni Beatrice, Bagnasco Annamaria, Sasso Loredana
Vita-Salute San Raffaele University, Milan, Italy.
Department of Health Sciences, University of Genoa, Genoa, Italy.
J Nurs Scholarsh. 2025 May;57(3):536-545. doi: 10.1111/jnu.13050. Epub 2025 Jan 31.
Nurses' job satisfaction in hospitals is fundamental for the quality of care and the safety of patients. However, sociodemographic trends require moving care to patients' homes, and the predictors of job satisfaction for nurses working in the home care settings remain largely unknown. Therefore, the aim of this study was to investigate job satisfaction of nurses working in Italian home care settings and its determinants.
Multicenter observational cross-sectional study.
This study was conducted in the districts of 70 local health authorities in Italy. Data on the characteristics of the organization and nurses were collected. Nursing job satisfaction was evaluated on a four-point scale ranging from "very satisfied" to "very dissatisfied." Additionally, the following variables were assessed: workload, quality of leadership, work-private life conflict, burnout symptoms, possibility for development, staffing and resource adequacy, nurse manager ability, safety climate, and teamwork climate. A logistic regression analysis was conducted to identify factors influencing job satisfaction.
Only organizational variables had a predictive value for nurses' job satisfaction. Workload (OR = 1.01; p = 0.033), work-private life conflict (OR = 1.02; p < 0.001), burnout (OR = 1.02; p < 0.001), and staffing inadequacy (OR = 1.44; p = 0.003) predicted higher levels of nurse dissatisfaction. Instead, high-quality leadership (OR = 0.981; p < 0.001), possibility for development (OR = 0.973; p < 0.001), and good teamwork climate (OR = 0.994; p = 0.003) were predictors of better levels of satisfaction.
This study suggested that home care nurses are generally satisfied with their jobs. To enhance job satisfaction, it is essential to improve nurses' work environment, the leadership quality and ensure professional development.
Our results are globally relevant as they contribute to the limited evidence available on this topic in home care settings. This study emphasizes the need of measuring nurses' job satisfaction and implementing interventions to promote healthy work environments.
医院护士的工作满意度对于护理质量和患者安全至关重要。然而，社会人口趋势要求将护理服务转移到患者家中，而家庭护理环境中护士工作满意度的预测因素仍 largely 未知。因此，本研究的目的是调查意大利家庭护理环境中护士的工作满意度及其决定因素。
多中心观察性横断面研究。
本研究在意大利 70 个地方卫生当局的辖区内进行。收集了有关组织和护士特征的数据。护理工作满意度采用从“非常满意”到“非常不满意”的四点量表进行评估。此外，还评估了以下变量：工作量、领导质量、工作与私人生活冲突、倦怠症状、发展可能性、人员配备和资源充足性、护士长能力、安全氛围和团队合作氛围。进行逻辑回归分析以确定影响工作满意度的因素。
只有组织变量对护士的工作满意度具有预测价值。工作量（OR = 1.01；p = 0.033）、工作与私人生活冲突（OR = 1.02；p < 0.001）、倦怠（OR = 1.02；p < 0.001）和人员配备不足（OR = 1.44；p = 0.003）预示着护士更高的不满水平。相反，高质量的领导（OR = 0.981；p < 0.001）、发展可能性（OR = 0.973；p < 0.001）和良好的团队合作氛围（OR = 0.994；p = 0.003）是更高满意度水平的预测因素。
本研究表明家庭护理护士总体上对其工作感到满意。为提高工作满意度，改善护士的工作环境、领导质量并确保职业发展至关重要。
我们的结果具有全球相关性，因为它们为家庭护理环境中关于该主题的有限证据做出了贡献。本研究强调了测量护士工作满意度并实施干预措施以促进健康工作环境的必要性。
