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Updated: Jul 16, 2025

Author Spotlight: Investigating the Impact of Emotional Prosodies on Voice Recognition and Perception
Published on: August 9, 2024
Having a Say Matters: The Association Between Home Health Aides' Voice and Job Satisfaction.
Mara Bensson-Ravunniarath1, Joanna Bryan Ringel2, Ariel Avgar3
1Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Home health aides (HHAs) with a greater voice in patient care reported higher job satisfaction. Empowering HHAs may improve retention in this vital healthcare profession.
Area of Science:
- Healthcare Workforce Studies
- Occupational Health Psychology
- Nursing and Allied Health
Background:
- High turnover rates among home health aides (HHAs) are a significant challenge in healthcare.
- Factors contributing to HHA turnover include demanding work, low wages, and feeling excluded from the medical team.
- A lack of perceived voice may negatively impact job satisfaction and retention.
Purpose of the Study:
- To investigate the association between home health aides' perceived voice and their job satisfaction.
- To explore whether feeling heard by healthcare professionals influences job satisfaction among HHAs.
Main Methods:
- A cross-sectional survey was conducted with 413 English- and Spanish-speaking HHAs caring for adults with heart failure in New York, NY.
- Validated scales were used to assess perceived voice (5-item scale) and job satisfaction (Work Domain Satisfaction Scale).
- Multivariable linear regression analysis examined the relationship between voice and job satisfaction, adjusting for demographic and training variables.
Main Results:
- Higher perceived voice scores were significantly associated with greater job satisfaction among HHAs (p=0.008).
- This association remained significant after adjusting for race/ethnicity, heart failure training, and knowledge.
- The median voice score was 18, and the mean job satisfaction score was 26.4.
Conclusions:
- Home health aides who feel they have a voice in patient care experience enhanced job satisfaction.
- Improving HHAs' perceived voice could be a key strategy for interventions aimed at increasing retention in the home health field.
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