Predictors of Nurses' Job Satisfaction in Home Care Settings: Findings From the AIDOMUS-IT Study

IF 2.9 3区医学 Q1 NURSING

Journal of Nursing Scholarship Pub Date : 2025-01-31 DOI:10.1111/jnu.13050

Ilaria Marcomini, Marco Di Nitto, Francesco Zaghini, Valeria Caponnetto, Manuele Cesare, Paolo Iovino, Yari Longobucco, Rosaria Alvaro, Loreto Lancia, Duilio Fiorenzo Manara, Laura Rasero, Gennaro Rocco, Giancarlo Cicolini, Maurizio Zega, Beatrice Mazzoleni, Annamaria Bagnasco, Loredana Sasso

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引用次数: 0

Abstract

Introduction

Nurses' job satisfaction in hospitals is fundamental for the quality of care and the safety of patients. However, sociodemographic trends require moving care to patients' homes, and the predictors of job satisfaction for nurses working in the home care settings remain largely unknown. Therefore, the aim of this study was to investigate job satisfaction of nurses working in Italian home care settings and its determinants.

Design

Multicenter observational cross-sectional study.

Methods

This study was conducted in the districts of 70 local health authorities in Italy. Data on the characteristics of the organization and nurses were collected. Nursing job satisfaction was evaluated on a four-point scale ranging from “very satisfied” to “very dissatisfied.” Additionally, the following variables were assessed: workload, quality of leadership, work–private life conflict, burnout symptoms, possibility for development, staffing and resource adequacy, nurse manager ability, safety climate, and teamwork climate. A logistic regression analysis was conducted to identify factors influencing job satisfaction.

Results

Only organizational variables had a predictive value for nurses' job satisfaction. Workload (OR = 1.01; p = 0.033), work–private life conflict (OR = 1.02; p < 0.001), burnout (OR = 1.02; p < 0.001), and staffing inadequacy (OR = 1.44; p = 0.003) predicted higher levels of nurse dissatisfaction. Instead, high-quality leadership (OR = 0.981; p < 0.001), possibility for development (OR = 0.973; p < 0.001), and good teamwork climate (OR = 0.994; p = 0.003) were predictors of better levels of satisfaction.

Conclusions

This study suggested that home care nurses are generally satisfied with their jobs. To enhance job satisfaction, it is essential to improve nurses' work environment, the leadership quality and ensure professional development.

Clinical Relevance

Our results are globally relevant as they contribute to the limited evidence available on this topic in home care settings. This study emphasizes the need of measuring nurses' job satisfaction and implementing interventions to promote healthy work environments.

Abstract Image

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家庭护理环境中护士工作满意度的预测因素：AIDOMUS-IT 研究结果。

导读：医院护士的工作满意度是护理质量和患者安全的基础。然而，社会人口趋势要求将护理转移到患者家中，并且在家庭护理环境中工作的护士的工作满意度预测因素在很大程度上仍然未知。因此，本研究的目的是调查在意大利家庭护理机构工作的护士的工作满意度及其决定因素。设计：多中心观察性横断面研究。方法：本研究在意大利70个地方卫生当局的地区进行。收集组织和护士的特征数据。护理工作满意度以从“非常满意”到“非常不满意”的四分制进行评估。此外，还评估了以下变量：工作量、领导质量、工作-私人生活冲突、倦怠症状、发展可能性、人员配备和资源充足性、护士管理能力、安全气候和团队合作气候。采用logistic回归分析找出影响工作满意度的因素。结果：只有组织变量对护士工作满意度有预测价值。工作量(OR = 1.01；p = 0.033)，工作-私人生活冲突(OR = 1.02；p结论：本研究提示家庭护理护士普遍对其工作满意。要提高护士的工作满意度，必须改善护士的工作环境，提高护士的领导素质，保证护士的专业发展。临床相关性：我们的结果具有全球相关性，因为它们有助于在家庭护理环境中提供有限的证据。本研究强调有必要测量护士的工作满意度，并实施干预措施，以促进健康的工作环境。

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来源期刊

Journal of Nursing Scholarship 医学-护理

CiteScore

6.30

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.