Nursing assistants' job commitment: effect of nursing home organizational factors and impact on resident well-being
Nursing assistants' job commitment: effect of nursing home organizational factors and impact on resident well-being
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DOI：
10.1093/geront/48.supplement_1.36
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发表时间：
2008-07-01
期刊：
影响因子：
5.7
通讯作者：
Zincavage, Rebekah M.
中科院分区：
文献类型：
--
作者：
Bishop, Christine E.;Weinberg, Dana Beth;Zincavage, Rebekah M.
目的：本研究的目的是调查（一）是否认证护理助理（CNA）更致力于养老院的工作时，他们认为自己的工作作为增强（更大的自主权，使用的知识，团队合作），和（B）是否CNA工作承诺影响居民满意度。设计和方法：管理哲学和实践的定性探索和CNAs的意见，他们的工作在18个马萨诸塞州养老院形成的基础上进行调查，255 CNAs在15个家庭。对105名居民进行了生活质量问卷调查。Logistic回归会计聚类估计的影响，个人特征，满意度有形的工作奖励，和方面的工作设计CNA的意图留在目前的工作。一般线性模型估计的工作承诺的居民满意度与他们的关系，护理人员的影响。结果如下：在我们考虑了对工资、福利和晋升机会的满意度之后，良好的基本监督对影响CNA留在工作岗位上的意愿最为重要。工作提升与留下来的意图没有显着相关。居民更满意他们的关系，护理人员和他们的生活质量的单位，更高比例的CNA致力于他们的工作。影响：研究发现，更大的工作承诺的CNAs与更好的质量的关系和居民的生活意味着更好的工作，更好的照顾。如果没有基本监督的改进，增加CNA自主权、知识投入和团队合作的文化变革可能不会增加工人对工作的承诺。
Purpose: The purpose of this study was to investigate (a) whether certified nursing assistants (CNAs) are more committed to nursing home jobs when they perceive their jobs as enhanced (greater autonomy, use of knowledge, teamwork), and (b) whether CNA job commitment affects resident satisfaction. Design and Methods: A qualitative exploration of management philosophy and practice and of CNAs' views of their jobs in 18 Massachusetts nursing homes formed the basis for a survey administered to 255 CNAs in 15 homes. A quality-of-life questionnaire was administered to 105 residents. Logistic regression accounting for clustering estimated the effect of personal characteristics, satisfaction with tangible job rewards, and aspects of job design on CNAs' intent to stay in current jobs. A general linear model estimated the effect of job commitment on residents' satisfaction with their relationship to nursing staff. Results: After we accounted for satisfaction with wages, benefits, and advancement opportunities, good basic supervision was most important in affecting CNAs' intent to stay in their jobs. Job enhancements were not significantly related to intent to stay. Residents were more satisfied with their relationships to nursing staff and their quality of life on units where a higher proportion of CNAs were committed to their jobs. Implications: The finding that greater job commitment of CNAs is associated with better quality of relationships and life for residents implies that better jobs lead to better care. Culture change transformation that increases CNA autonomy, knowledge input, and teamwork may not increase workers' commitment to jobs without improvements in basic supervision.