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Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study
BACKGROUND: Increasing home care has been seen as a way to respond to the growing care needs of the aging population. To secure a sufficient number of nurses to provide home care, it is essential to identify and take into account the factors related to their well-being and job satisfaction. This stu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10612316/ https://www.ncbi.nlm.nih.gov/pubmed/37891583 http://dx.doi.org/10.1186/s12912-023-01568-3 |
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author | Kaihlanen, Anu-Marja Ruotsalainen, Salla Väisänen, Visa Corneliusson, Laura Pesonen, Tiina Sinervo, Timo |
author_facet | Kaihlanen, Anu-Marja Ruotsalainen, Salla Väisänen, Visa Corneliusson, Laura Pesonen, Tiina Sinervo, Timo |
author_sort | Kaihlanen, Anu-Marja |
collection | PubMed |
description | BACKGROUND: Increasing home care has been seen as a way to respond to the growing care needs of the aging population. To secure a sufficient number of nurses to provide home care, it is essential to identify and take into account the factors related to their well-being and job satisfaction. This study examined associations of both objective and subjective job demands and resources with stress and job satisfaction among nurses working in home care. METHODS: This study used a mixed-methods sequential explanatory design. First, quantitative data was collected with a survey, followed by a qualitative survey with open-ended questions. Linear regression analyses and qualitative content analysis with an inductive approach were used to analyze the quantitative and qualitative data, respectively. Joint display in a form of a table was used to integrate the results. RESULTS: Of the objectively measured job demands and resources, higher proportion of direct care time and higher number of interruptions were associated with higher stress in the fully adjusted models. Of the subjective measures, higher time pressure, role conflicts and disruptions were associated with higher stress. Higher time pressure, role conflicts, and disruptions in the workday were associated with lower job satisfaction, whereas higher care continuity and having more autonomy were associated with higher job satisfaction. The results of the qualitative study, in which the nurses described their experiences of their working week, partly explained and confirmed the results of the quantitative study but were also contradictory in some respects. CONCLUSIONS: Many demands, both subjectively experienced and objectively measured in terms of work organization, may undermine home care nurses’ well-being and enjoyment at work. A severe nursing shortage combined with a growing number of clients is the reality of home care, significantly increasing the risk of burnout and turnover among employees. Strategies must be developed urgently to ensure sufficient personnel in home care. For example, investments should be made in opportunities for autonomous planning of work, and promotion of good cooperation and functionality of work teams. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12912-023-01568-3. |
format | Online Article Text |
id | pubmed-10612316 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-106123162023-10-29 Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study Kaihlanen, Anu-Marja Ruotsalainen, Salla Väisänen, Visa Corneliusson, Laura Pesonen, Tiina Sinervo, Timo BMC Nurs Research BACKGROUND: Increasing home care has been seen as a way to respond to the growing care needs of the aging population. To secure a sufficient number of nurses to provide home care, it is essential to identify and take into account the factors related to their well-being and job satisfaction. This study examined associations of both objective and subjective job demands and resources with stress and job satisfaction among nurses working in home care. METHODS: This study used a mixed-methods sequential explanatory design. First, quantitative data was collected with a survey, followed by a qualitative survey with open-ended questions. Linear regression analyses and qualitative content analysis with an inductive approach were used to analyze the quantitative and qualitative data, respectively. Joint display in a form of a table was used to integrate the results. RESULTS: Of the objectively measured job demands and resources, higher proportion of direct care time and higher number of interruptions were associated with higher stress in the fully adjusted models. Of the subjective measures, higher time pressure, role conflicts and disruptions were associated with higher stress. Higher time pressure, role conflicts, and disruptions in the workday were associated with lower job satisfaction, whereas higher care continuity and having more autonomy were associated with higher job satisfaction. The results of the qualitative study, in which the nurses described their experiences of their working week, partly explained and confirmed the results of the quantitative study but were also contradictory in some respects. CONCLUSIONS: Many demands, both subjectively experienced and objectively measured in terms of work organization, may undermine home care nurses’ well-being and enjoyment at work. A severe nursing shortage combined with a growing number of clients is the reality of home care, significantly increasing the risk of burnout and turnover among employees. Strategies must be developed urgently to ensure sufficient personnel in home care. For example, investments should be made in opportunities for autonomous planning of work, and promotion of good cooperation and functionality of work teams. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12912-023-01568-3. BioMed Central 2023-10-27 /pmc/articles/PMC10612316/ /pubmed/37891583 http://dx.doi.org/10.1186/s12912-023-01568-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Kaihlanen, Anu-Marja Ruotsalainen, Salla Väisänen, Visa Corneliusson, Laura Pesonen, Tiina Sinervo, Timo Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study |
title | Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study |
title_full | Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study |
title_fullStr | Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study |
title_full_unstemmed | Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study |
title_short | Job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study |
title_sort | job demand and job resource factors explaining stress and job satisfaction among home care nurses – a mixed-methods sequential explanatory study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10612316/ https://www.ncbi.nlm.nih.gov/pubmed/37891583 http://dx.doi.org/10.1186/s12912-023-01568-3 |
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