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J Am Med Dir Assoc. 2019 Dec;20(12):1611-1616.e4. doi: 10.1016/j.jamda.2019.06.020. Epub 2019 Aug 6.

Factors Associated With Nurses' Job Satisfaction In Residential Long-term Care: The Importance of Organizational Context.

Author information

1
University of Ottawa, School of Nursing, Ottawa, Ontario, Canada. Electronic address: laloisio@uottawa.ca.
2
University of Ottawa, School of Nursing, Ottawa, Ontario, Canada.
3
Toronto Rehabilitation Institute, University Health Network Lawrence S. Bloomberg - Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
4
Faculty of Nursing Edmonton Clinic Health Academy, University of Alberta, Edmonton, Alberta, Canada.

Abstract

OBJECTIVES:

We examined demographic, individual, and organizational context factors associated with nurses' job satisfaction in residential long-term care (LTC) settings. Job satisfaction has implications for staff turnover, staff health, and quality of care.

DESIGN:

A cross-sectional analysis of survey data collected in the Translating Research in Elder Care program.

SETTING AND PARTICIPANTS:

N = 756 nurses (registered nurses: n = 308; licensed practical nurses: n = 448) from 89 residential LTC settings in 3 Western Canadian provinces.

METHODS:

We used a generalized estimating equation model to assess demographic, individual, and organizational context factors associated with job satisfaction. Job satisfaction was measured using the Michigan Organizational Assessment Questionnaire Job Satisfaction Scale.

RESULTS:

Demographic, individual, and organizational context factors were associated with job satisfaction among nurses in residential LTC settings. At the demographic level, hours worked in 2 weeks (B = 0.002, P = .043) was associated with job satisfaction. At the individual level, emotional exhaustion-burnout (B = -0.063, P = .02) was associated with lower job satisfaction, while higher scores on empowerment (meaning) (B = 0.140, P = .015), work engagement (vigor) (B = 0.096, P = .01), and work engagement (dedication) (B = 0.129, P = .001) were associated with higher job satisfaction. With respect to organizational context, culture (B = 0.175, P < .001), organizational slack-space (eg, perceived availability and use of adequate space; B = 0.043, P = .040), and adequate orientation (B = 0.092, P < .001) were associated with higher job satisfaction.

CONCLUSIONS AND IMPLICATIONS:

We identified previously unexamined modifiable organizational features (organizational slack-space and adequate orientation) as factors associated with LTC nurses' job satisfaction in the Canadian context. Our findings support future efforts to improve job satisfaction through improvements in organizational space and provision of adequate workplace orientation.

KEYWORDS:

Job satisfaction; licensed practical nurses; long-term care; registered nurses; regulated nurses; work environment

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