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Table 1 Studies of job satisfaction in long-term care settings

From: Determinants of staff job satisfaction of caregivers in two nursing homes in Pennsylvania

Author(s)

Job Satisfaction Instrument

Number of Items

Number of Response options (Anchors used)

Job Satisfaction Domains

Sample Size and Setting

Analyses Used

Significant Findings

Parsons and associates (2003) [3]

Modified from Herzberg (1966)

35

5 (strongly disagree – strongly agree)

Personal opportunity Supervision

550 NAs in 70 facilities in Louisiana

Ordinary Least Squares Regression

Most dissatisfied with pay, benefits, and recognition

    

Benefits

   
    

Coworker support

   
    

Social rewards

   
    

Task rewards

   

Moyle and associates (2003) [39]

N/A

N/A

N/A

Workplace flexibility

27 RNs and NAs in one facility in Australia

Content analysis of focus group data

Satisfaction was linked to workplace flexibility, residents, team environment, and better resident care

    

Team environment

   
    

Optimal resident care

   

Chou, Boldy, & Lee (2002a, b) [7, 19]

Measure of Job Satisfaction (MJS)

22

5 (very dissatisfied – very satisfied)

Professional support

Seventy facilities with 610 nursing home staff and 373 hostel care staff in Australia

Structural Equation Modeling

Job satisfaction is associated with professional support

    

Personal satisfaction Workload

   
    

Training

   
    

Team spirit/co-workers

   

Will and Simmons (1999) [33]

Job Descriptive Index (JDI)

NG

NG

Work on present job

423 NAs in 29 nursing homes in Ohio

Means

Satisfied most with work and least with pay

    

Pay

   
    

Opportunities for promotion

   
    

Supervision

   
    

Co-workers

   
    

Job in general

   

Atchison (1998) [20]

Job Diagnostic Survey

14

5 (extremely dissatisfied – extremely satisfied)

Satisfaction

283 NAs in 24 nursing homes

Chi square

Job satisfaction lowest for security, growth/development, socialization, and challenges

    

Job security

   
    

Coworkers

   
    

Sense of accomplishment

   
    

Helping other people

   
    

Dissatisfaction

   
    

Pay/benefits

   
    

Potential for job growth

   
    

Management

   
    

Autonomy

   

Kiyak, Namazi, & Kahana (1997) [27]

Job Descriptive Index (JDI)

NG

NG

Work on present job

308 nursing home and community agency staff

Ordinary Least Squares Regression

Higher dissatisfaction associated with turnover

    

Pay

   
    

Opportunities for promotion

   
    

Supervision

   
    

Co-workers

   
    

Job in general

   

Gillies, Foreman, & Pettengill (1996) [22]

Index of Work Satisfaction (IWS)

44

7 (not given)

Autonomy

44 nurse directors and nurse educators working in long-term care facilities

Repeated Measures ANOVA

Job satisfaction highest for interactions, autonomy, and professional status

    

Interaction

   
    

Agency policies

   
    

Pay

   
    

Professional status

   
    

Task requirement

   

Grieshaber, Parker, & Deering (1995) [1]

   

Work environment

Two nursing homes

  
    

Job content

   

Irvine & Evans (1995)+ [40]

N/A

N/A

N/A

Routinization

Meta-analyses with combined sample size of 5,352

Meta-analyses

Work content and work environment are more strongly associated with job satisfaction than economic variables

    

Autonomy

   
    

Feedback

   
    

Role conflict

   
    

Role ambiguity

   
    

Work overload

   

Coward and associates (1995) [29]

Modified Stamps and Piedmonte (1986) scale [IWS]

18

5 (strongly disagree – strongly agree)

Professional status

281 RNs and LPNs from 26 nursing homes

Multivariate regression analysis

Five factors associated with job satisfaction (race, income, supervisor, initial intent to stay, current intent to leave)

    

Task requirement

   
    

Autonomy

   
    

Interactions with other nurses

   
    

Pay

   

Monahan & Carthy (1992) [41]

N/A

N/A

N/A

Attachment

75 NAs at 7 nursing homes

Content analysis

Attachment most related to retention of NAs

    

Gratification

   
    

Demands

   
    

Monetary needs

   
    

Decision-making

   

Grau and associates (1991) [42]

Combined several scales

44

5 different scales

Job process

219 NAs in one nursing home

Hierarchical regression analysis

Social atmosphere and job benefits associated with institutional loyalty

    

Attitudes toward administration

   
    

Social atmosphere

   
    

Job benefits

   
    

Job tasks

   

Anderson, Aird, & Haslam (1991) [43]

NG

12

5 (strongly disagree – strongly agree)

None

212 nursing staff in 6 nursing homes

Means

Nursing staff have high levels of satisfaction, but is associated with absenteeism

Humphris & Turner (1989) [44]

Porter (1962) scale

13

6 (extremely satisfied – extremely unsatisfied)

Working conditions

84 nurses at a unit for the elderly severely mentally infirm

Chi square

Low satisfaction was associated with turnover from unit

    

Emotional climate

   
    

General

   

Mullins and associates (1988) [45]

Job Satisfaction Survey (JSS)

36

NG

Pay

Heads of departments (n = 439) from 46 nursing homes

Regression analyses

Most satisfied when individual efforts are rewarded

    

Promotion

   
    

Supervision

   
    

Benefits

   
    

Rewards/appreciation

   
    

Working conditions

   
    

Coworkers

   
    

Nature of job

   
    

Communication

   

Deckard, Hicks & Rountree (1986) [46]

Job Diagnostic Survey (JDS)

NG

NG

Skill variety

340 nurses from a nursing home chain

Means

Job satisfaction was similar to norms in other occupations

    

Task identity

   
    

Task significance

   
    

Autonomy

   
    

Job feedback

   

Waxman and associates (1984) [47]

Minnesota Satisfaction Scale

20

5 (very dissatisfied – very satisfied)

Job Satisfaction Scale

234 NAs in 7 facilities, uses 20 questions for overall job satisfaction score

Kendal's Rank Order Correlation

Positive association between job satisfaction and turnover

Bergman et al. (1984) [2]

None

19

4 (none – very much)

Job

12 long-term care facilities and 432 RNs, LPNs, and NAs

ANOVA

Descriptive results provided

    

Knowledge, skill, and attitudes

   
    

Autonomy

   
    

Stress

   
  1. NA = Nurse Aide; RN = Registered Nurse; LPN = Licensed Practical Nurse
  2. + = This study is a meta-analysis, and does not include only long-term care studies
  3. NG = Not given; N/A = Not applicable