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J Adv Nurs. 2018 Oct 29. doi: 10.1111/jan.13890. [Epub ahead of print]

Associations between job satisfaction, person-centredness, and ethically difficult situations in nursing homes-A cross-sectional study.

Author information

1
Lovisenberg Diaconal University College, Oslo, Norway.
2
Oslo University, Oslo, Norway.
3
Umeå University, Umeå, Sweden.
4
La Trobe University, Melbourne, Vic., Australia.
5
University of Gothenburg, Gothenburg, Sweden.
6
Karolinska Institutet, Solna, Sweden.

Abstract

AIM:

To explore the associations between job satisfaction and perceived person-centredness and ethically difficult situations among staff in nursing homes (NHs).

BACKGROUND:

Previous studies have indicated that person-centredness and few ethically difficult situations can contribute positively to NH staff's job satisfaction. However, empirical evidence of these associations is lacking.

DESIGN:

Cross-sectional survey design.

METHOD:

Nursing home staff (N = 341) in six NHs in Australia, Norway, and Sweden completed the questionnaire measuring job satisfaction, person-centredness, and ethically difficult situations. Data were collected between April - June 2016. Univariate analysis was used to describe the sample, one-way analysis of variance examined differences between variables. Bivariate correlation tested the relationships between variables and hierarchical multiple regression explored the extent to which person-centredness and ethically difficult situations could explain job satisfaction among staff.

RESULTS:

After controlling for socio-demographic variables in a regression model, three variables of person-centredness and "ethically difficult situations" were significantly associated with job satisfaction. A "climate of community" contributed the most, followed by the "amount of organizational and environmental support," "a climate of everydayness," and few "ethically difficult situations."

CONCLUSION:

The results support the theoretical foundation and previous findings suggesting that establishing NHs organizations based on person-centredness will increase staff job satisfaction. However, this is a cross-sectional study and the causality may go in both directions and should be further explored.

KEYWORDS:

cross-sectional study; ethical difficult situations; nursing home staff; person-centred care; person-centred climate

PMID:
30375019
DOI:
10.1111/jan.13890

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