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Work Satisfaction Among Hospice and Palliative Nurses.
Barbara Head1, Alyssa Middleton, Craig Zeigler
1Barbara Head, PhD, CHPN, ACSW, FPCN, is associate professor, Division of Internal Medicine, Palliative Care and Medical Education, University of Louisville School of Medicine, Kentucky. Alyssa Middleton, MSSW, is doctoral student, Kent School of Social Work, University of Louisville, Kentucky. Craig Zeigler, PhD, is biostatistician, Office of Medical Education and Graduate Medical Education, University of Louisville School of Medicine, Kentucky.
Job satisfaction for hospice and palliative nurses is crucial. While many are satisfied, nearly half consider quitting due to workload and administrative issues, impacting patient care.
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Area of Science:
- Nursing
- Healthcare Management
- Palliative Care
Background:
- Job satisfaction among hospice and palliative nurses is vital for maintaining a stable workforce and ensuring quality care for terminally ill patients and their families.
- High turnover rates and workforce dissatisfaction can negatively affect the healthcare environment and patient outcomes.
Purpose of the Study:
- To evaluate job satisfaction, intent to leave, job stressors, and self-care strategies among hospice and palliative nurses nationwide.
- To identify factors influencing job satisfaction and areas for workplace improvement.
Main Methods:
- A nationwide survey was conducted with 633 hospice and palliative nurses.
- Quantitative data were analyzed using statistical correlations and multiple regression.
- Qualitative data were analyzed using a grounded theory approach.
Main Results:
- Statistically significant correlations were found between job satisfaction scales and overall satisfaction, intent to leave, and thoughts of quitting.
- Increased salary, positive organizational relationships, professional pride, autonomy, and control were positively associated with job satisfaction.
- Top job stressors included workload and administrative problems; physical activity was a popular self-care strategy.
Conclusions:
- Most surveyed nurses reported high job satisfaction, yet a significant portion frequently considered quitting, highlighting work environment dissatisfaction.
- Respondents recommended increased recognition, better salaries, reduced workloads, and a greater focus on patient needs over profits to improve job satisfaction.

