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Tan Y, Zhao Q, Yang H, Song S, Xie X, Yu Z. Turnover intention and coping strategies among older nursing assistants in China: a qualitative study. Front Psychol 2023; 14:1269611. [PMID: 37842716 PMCID: PMC10570443 DOI: 10.3389/fpsyg.2023.1269611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 09/18/2023] [Indexed: 10/17/2023] Open
Abstract
Introduction With the increasing aging population, older nursing assistants have made significant contributions to institutional eldercare. However, there is a high turnover rate among these workers, and it is crucial to address this issue and find ways to stabilize the workforce. This study aimed to explore the factors influencing turnover intention and coping strategies among older nursing assistants, in order to provide targeted assistance and guidance to reduce their intention to resign and ultimately lower the turnover rate. Methods Qualitative research methods were employed to conduct semi-structured interviews with older nursing assistants in Changsha. The data obtained from these interviews were then analyzed using a phenomenological analysis approach and NVIVO (QSR International, Doncaster, Australia) software version 11.0. Results It is found that several factors influence turnover intention among older nursing assistants. Which include work pay, work environment, professional identity, external motivation, and work pressure. Additionally, the coping strategies employed by these individuals in relation to their intention to resign include self-regulation, seeking support, self-improvement, and exploring motivation. Discussion It is also evident from our study that reducing the turnover intention of older nursing assistants requires a collaborative effort from older adult care institutions, functional departments, and eldercare nursing assistants themselves. By addressing the factors influencing turnover intention and providing support and resources for coping strategies, we can work towards stabilizing the workforce and improving institutional eldercare.
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Affiliation(s)
- Yuting Tan
- Department of Gynaecology, The First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s Hospital, Guangdong, China
| | - Qian Zhao
- Department of Gynaecology, The First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s Hospital, Guangdong, China
| | - Huafeng Yang
- Department of Functional Neurology, The First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s Hospital, Guangdong, China
| | - Shufen Song
- Department of Gynaecology, The First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s Hospital, Guangdong, China
| | - Xiaohua Xie
- Department of Nursing, The First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s Hospital, Guangdong, China
| | - Zhiying Yu
- Department of Gynaecology, The First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s Hospital, Guangdong, China
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Ta'an WF, Al-Hammouri MM, Rababah JA. The predicting effects of professional governance and structural empowerment on job satisfaction among Jordanian nurses: A cross-sectional study. J Nurs Manag 2022; 30:3013-3021. [PMID: 35666613 DOI: 10.1111/jonm.13698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 05/30/2022] [Accepted: 06/01/2022] [Indexed: 11/30/2022]
Abstract
AIM This study aimed to investigate the role of professional governance and empowerment in predicting nurses' job satisfaction. BACKGROUND Nurses can lead the way to enhance health care quality for all if they work in safe, satisfying and empowering environments. Professional governance and structural empowerment are associated with favourable work conditions and environments. However, studies addressing the predicting effects of professional governance and structural empowerment on job satisfaction are still limited. METHODS A cross-sectional design was applied. Online self-reported questionnaires were completed by 126 nurses. The analysis consisted of descriptive statistics, Pearson r correlation and hierarchical multiple regression to address the research aim. RESULTS Job satisfaction moderately correlated with structural empowerment (r = .40, p < .001) and professional governance (r = .30, p < .001). The final regression model revealed that 30% of the variation in job performance scores can be predicted by professional governance, structural empowerment and some demographic characteristics (R2 = .30, F = 8.67, p < .001). CONCLUSIONS Working in an environment that incorporates empowerment conditions, genuine support and valuable opportunities will increase the nurse's job satisfaction. Additionally, nurses will have higher job satisfaction if they have their voices heard. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers should properly assess the existing situation in each institution, implement already-tested-for-effectiveness and efficiency interventions and create new ones based on nurses'-specific needs.
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Affiliation(s)
- Wafa'a F Ta'an
- Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammed Munther Al-Hammouri
- Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Jehad A Rababah
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Berlanda S, de Cordova F, Fraizzoli M, Pedrazza M. Risk and Protective Factors of Well-Being among Healthcare Staff. A Thematic Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6651. [PMID: 32932588 PMCID: PMC7558609 DOI: 10.3390/ijerph17186651] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 09/04/2020] [Accepted: 09/10/2020] [Indexed: 12/04/2022]
Abstract
The purpose of this study was to identify physical and psychosocial working conditions to improve well-being at work among healthcare staff. This is a potent area of inquiry given the relationship between healthcare staff well-being and service quality and other key organizational characteristics. However, while numerous studies in this area have used a quantitative methodology, very few have applied qualitative methodologies gathering subjective descriptions of the sources of well-being, providing in so doing significant data to explore in depth the factors that influence well-being in healthcare systems. We gathered qualitative data analyzing open-ended questions about risk and protective factors of well-being at work. The sample was made of 795 professionals answering an online questionnaire. Answers were coded and analyzed using the thematic analysis with an inductive approach (data-driven). We identified four themes strongly affecting professional well-being in health-care staff: Interactions, Working Conditions, Emotional Responses to Work, and Competence and Professional Growth. Our findings suggest possible strategies and actions that may be effective in helping to calibrate case-specific support and monitoring interventions to improve health and well-being of healthcare staff. We also discuss the implications of the study and suggest possible avenues for future empirical research.
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Affiliation(s)
- Sabrina Berlanda
- Department of Human Sciences, University of Verona, 37129 Verona, Italy; (F.d.C.); (M.F.); (M.P.)
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Ayalew F, Kibwana S, Shawula S, Misganaw E, Abosse Z, van Roosmalen J, Stekelenburg J, Kim YM, Teshome M, Mariam DW. Understanding job satisfaction and motivation among nurses in public health facilities of Ethiopia: a cross-sectional study. BMC Nurs 2019; 18:46. [PMID: 31636508 PMCID: PMC6794848 DOI: 10.1186/s12912-019-0373-8] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Accepted: 10/02/2019] [Indexed: 11/18/2022] Open
Abstract
Background Poor job conditions and limited resources are reducing job satisfaction and motivation among nurses in low-income countries, which may affect the quality of services and attrition rates. The objective of this study was to examine job satisfaction, motivation and associated factors among nurses working in the public health facilities of Ethiopia, with the aim of improving performance and productivity in the health care system. Methods The study employed a cross-sectional two-stage cluster sampling design. From a random sample of 125 health facilities, 424 nurses were randomly selected for face-to-face interviews in all regions of Ethiopia. Nurses responded to questions about their overall job satisfaction and job conditions, including items related to intrinsic and extrinsic motivation, using a 5-point Likert scale. Multilevel analysis was performed to adjust for different clustering effects. Satisfaction levels (percent of respondents who were satisfied) were calculated for individual items, and composite mean scores (range: 1–5) were calculated for motivational factors. Adjusted odds ratios were computed to examine the association of these factors with overall job satisfaction. Results Overall, 60.8% of nurses expressed satisfaction with their job. Composite mean scores for intrinsic and extrinsic motivational factors were 3.5 and 3.0, respectively. Job satisfaction levels were significantly higher for female nurses (65.6%, p = 0.04), those older than 29 years (67.8%, p = 0.048) and had over 10 years work experiences (68.8%, p = 0.007). Satisfaction with remuneration (AOR = 2.04, 95% CI = 1.36, 3.06), recognition (AOR = 2.21; 95% CI = 1.38, 3.53), professional advancement (AOR = 1.54; 95% CI = 1.06, 2.29), features of the work itself (AOR = 1.65; 95% CI = 1.20, 2.91) and nurses’ work experiences from 5 to 10 years (AOR = 0.37, 95% CI = 0.17, 0.79) were significantly associated with overall job satisfaction after controlling for other predictors. Conclusions The study findings are signals for the Ministry of Health to strengthen the human resource management system and practices to improve nurses’ overall job satisfaction and motivation, especially among nurses with 5 to 10 years of experience on the job. Expanded recognition systems and opportunities for advancement are required to increase nurses’ job satisfaction and motivation. Equitable salary and fringe benefits are also needed to reduce their dissatisfaction with the job.
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Affiliation(s)
| | | | | | | | - Zeine Abosse
- Management Sciences for Health, Addis Ababa, Ethiopia
| | | | - Jelle Stekelenburg
- Department of Health Sciences, Global Health, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.,Department of Obstetrics and Gynecology, Leeuwarden Medical Centre, Leeuwarden, the Netherlands
| | - Young Mi Kim
- Jhpiego, 1615 Thames St # 200, Baltimore, MD 21231 USA
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The Relationship between Mental Health and the Quality of Life of Polish Nurses with Many Years of Experience in the Profession: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16101798. [PMID: 31117197 PMCID: PMC6572116 DOI: 10.3390/ijerph16101798] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 05/16/2019] [Accepted: 05/18/2019] [Indexed: 11/16/2022]
Abstract
BACKGROUND In their professional work, nurses struggle repeatedly with difficult situations that are causes of stress. Another issue is the low prestige of the nursing profession compared with other professions, which results in dissatisfaction, increased frustration, and lack of precision when performing professional tasks. The aim of this study was to assess the relationship between mental health and quality of life and satisfaction with life in nurses with many years of experience in the profession. METHODS The study was conducted in a group of 523 randomly selected professionally active nurses aged over 40 years old from the Podlaskie Voivodeship. Standardized questionnaires were used, including WHOQOL-BREF, a short version of a questionnaire assessing quality of life, the general health questionnaire (GHQ-28), and the satisfaction with life scale (SWLS). RESULTS The mental health component was found to be significantly affected by financial situation (p = 0.005). Among respondents describing their financial status as bad, the assessment of negative mental health symptoms was higher. The remaining studied variables-work experience, nature of work, place of residence, age, material status, having a partner, and having children-did not affect the respondents' mental health status. The co-occurrence of chronic diseases affected (p = 0.008) the intensification of negative mental health symptoms such as somatic symptoms, anxiety, insomnia, and social dysfunction. The intensification of negative mental health symptoms was not connected with absence from work. CONCLUSIONS The financial situation of the respondents significantly determined their quality of life as well as influencing mental health components. Nurses' satisfaction with life was correlated with all studied domains of quality of life.
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Ebrahimi P, Malmoon Z, Zaboli R. Nursing Workloads and Psychological Empowerment in Hospitals: Structural Equations Modeling. HOSPITAL PRACTICES AND RESEARCH 2017. [DOI: 10.15171/hpr.2017.21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Cosentino C, Bettuzzi M, Campioli G, Di Marco V, Giacopuzzi G, Marinoni I, Orlandini L, Palermo A, Pattacini S, Artioli G. Individual and social variables and their effect on Case/Care Manager Job Satisfaction: an exploratory study. ACTA BIO-MEDICA : ATENEI PARMENSIS 2017; 88:59-66. [PMID: 28752834 DOI: 10.23750/abm.v88i3 -s.6615] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 07/13/2017] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIMS The Case/Care Manager (CCM) is a new position for in the Italian National Health Service scenario. Job satisfaction plays a key role for the CCM to engage in his work, accomplishing it in a complete. Nurses' job satisfaction is a complex construct and many different variables can influence it: personal characteristics, cultural characteristic, social characteristic, organizational characteristic, and environmental characteristic. The main aim of this study is to assess the job satisfaction in a sample of CCM and to assess if and how Social Variables (organizational climate and health) and Individual (socio-demographic variables, coping strategies, emotion regulation) relate to the CCM job satisfaction. METHODS This study has a quantitative exploratory cross-sectional design. Participants were Nurse CCM with or without specific training who filled a battery of questionnaires : Job Satisfaction Survey (JSS) , section three of ICONAS questionnaire, section five of the Multidimensional Organizational Health Questionnaire (MOHQ), anamnestic sheet, Coping Orientation to the Problems Experienced (COPE-NVI-25), and Emotion Regulation Questionnaire (ERQ). The battery was administered online on the website of Italian Case Manager, Italian Association of Care Manager, and IPASVI Colleges. It was also distributed during the National Congress for Case Manager in Padua. RESULTS 103 participants took part in the study. The total mean score of JSS was 117,28 (S.D.=21,12). The emotional regulation strategy most used was the "Cognitive Response", and the most used Coping strategy was "Problem Oriented". There were significant correlations between JSS and Social variables in the total score (ICONAS r=.574 p<0.01; MOHQ (positive indicators) r=.608 p<0.01; MOHQ (negative indicators) r=-.634 p <0.01) and in its subscales. There were also significant correlations between JSS subscales and Individual variables (COPE and ERQ). Participants with a specific training tend to use the emotion regulation strategy "Negative interpretation self-oriented" (U 910.500 p<0.005) and "Distraction" (U 885.000 p<0.005) more than those without specific training. The same significant difference was found in JSS pay (t=-2,48 per p<0.05) and JSS Fringe Benefits (t=-2,07 per p<0.05). DISCUSSION The CCM job satisfaction seems to be ambivalent. It seems to be not entirely polarized on presence/absence, but rather still in a gray area. organizational climate and health influence significantly the overall perception of job satisfaction and its different areas. The most "avoiding" emotional regulation strategies, seem to negatively affect the perception of satisfaction. Emotional regulation and coping strategies related to challenges focusing and management, along with the individual perception of collaboration, positively influence satisfaction. Participants who underwent a specific CCM training, committing themselves financially and personally, perceive less job satisfaction when their role is not recognized in terms of pay. This study showed that that the main strategies used to regulate emotions are the Cognitive Response and the Social Contact. We suggest that further studies could be made to define the links between individual strategies and the presence of chronic distress and we suggest that a specific training on coping and emotion regulation may be implemented in graduation and post-graduation courses.
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