Considering the employee point of view: Perceptions of job satisfaction and stress among nursing staff in nursing homes
Considering the employee point of view: Perceptions of job satisfaction and stress among nursing staff in nursing homes
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DOI：
10.1016/j.jamda.2006.05.010
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发表时间：
2007-01-01
影响因子：
7.6
通讯作者：
Hughes, Carmel M.
中科院分区：
文献类型：
--
作者：
Lapane, Kate L.;Hughes, Carmel M.
目的：记录养老院护理人员的工作满意度和压力源，并评价不同护理人员类型的压力原因的差异程度。设计：横断面研究。背景：北卡罗来纳州25家养老院参加一项新型长期护理药物示范项目。参与者：2002年春夏调查时聘用的护士和护理助理(n=1283)。测量：修改后用于养老院环境和工作满意度的健康专业压力问卷。结果：护士压力最大的情况是人手不足，有太多的工作要做，打断，让非健康专业人员决定如何做他们的工作，低工资，并最终对患者的结果负责。对护士助理来说，压力最大的情况包括工资低、人手不足和工作太多。护士助理比护士更有可能报告压力，因为他们没有足够的关于病人病情的信息。护士比护士助理更容易报告压力，因为非健康专业人员(如调查员)决定了他们必须如何做好自己的工作。结论：本研究结果支持需要提高对护理的认知度，改善护理人员配备，并在养老院提供有竞争力的薪酬。
Objective: To document job satisfaction and sources of stress among nursing staff working in nursing homes and to evaluate the extent to which the reasons of stress differ by type of nursing staff.Design: Cross-sectional study.Setting: Twenty-five nursing homes in North Carolina participating in a demonstration project of a new model of long-term care pharmacy.Participants: Nurses and nursing assistants employed at the time of the survey in the spring and summer of 2002 (n = 1283).Measurements: Health Professional Stress Inventory modified for use in the nursing home setting and ratings of job satisfaction.Results: The situations most stressful for nurses were not having enough staff, having too much work to do, interruptions, having non-health professionals determine how to do their job, poor pay, and ultimately being responsible for patient outcomes. The top most stressful situations for nursing assistants included poor pay, not enough staff, and too much work to do. Nursing assistants were more likely than nurses to report stress because they do not have adequate information regarding a patient's condition. Nurses were more likely than nursing assistants to report stress because non-health professionals (eg, surveyors) determine how they must do their job.Conclusions: The findings of this study support the need to improve recognition for nursing, improve staffing, and provide competitive compensation in nursing homes.