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Staff Working Life and Older Persons' Satisfaction With Care: A Multilevel, Correlational Design
Maria Engström1, Hans Högberg, Annika Strömberg
1Faculty of Health and Occupational Studies, Department of Caring Science, University of Gävle, Sweden (Drs Engström, Högberg, Strömberg, Hagerman, and Skytt); Department of Public Health and Caring Sciences, Uppsala University, Sweden (Drs Engström and Skytt); and Nursing Department, Medicine and Health College, Lishui University, China (Dr Engström).
Background:
The importance of staff working life for staff well-being has been demonstrated in several studies; less research has focused on staff working life and older persons' satisfaction with care.
Purpose:
The study aim was to study relationships between 1) staff assessments of their structural conditions/empowerment in elderly care, psychological empowerment, and job satisfaction and (2) older persons' satisfaction with care.
Methods:
A multilevel, cross-sectional, and correlational design was applied using questionnaire data on working life (1021 staff members) and unit-level data (40 elderly care units) on older persons' satisfaction with care.
Results:
Statistically significant relationships were found between all 3 working life variables and older persons' satisfaction with care. Furthermore, the results revealed an indirect/mediating effect of job satisfaction between structural empowerment and satisfaction with care, but not for psychological empowerment.
Conclusions:
Staff structural empowerment, psychological empowerment, and job satisfaction are linked to older persons' satisfaction with care.
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