Background: While the relationship between nursesââ?¬â?¢ job satisfaction and their work in hospital environments is\nwell known, it remains unclear, which factors are most influential in the nursing home setting. The purpose of this\nstudy was to describe job satisfaction among care workers in Swiss nursing homes and to examine its associations\nwith work environment factors, work stressors, and health issues.\nMethods: This cross-sectional study used data from a representative national sample of 162 Swiss nursing homes\nincluding 4,145 care workers from all educational levels (registered nurses, licensed practical nurses, nursing\nassistants and aides). Care worker-reported job satisfaction was measured with a single item. Explanatory variables\nwere assessed with established scales, as e.g. the Practice Environment Scale ââ?¬â?? Nursing Work Index. Generalized\nEstimating Equation (GEE) models were used to examine factors related to job satisfaction.\nResults: Overall, 36.2 % of respondents reported high satisfaction with their workplace, while another 50.4 %\nwere rather satisfied. Factors significantly associated with high job satisfaction were supportive leadership (OR = 3.\n76), better teamwork and resident safety climate (OR = 2.60), a resonant nursing home administrator (OR = 2.30),\nadequate staffing resources (OR = 1.40), fewer workplace conflicts (OR = .61), less sense of depletion after work\n(OR = .88), and fewer physical health problems (OR = .91).\nConclusions: The quality of nursing home leadershipââ?¬â??at both the unit supervisor and the executive administrator\nlevelââ?¬â??was strongly associated with care workersââ?¬â?¢ job satisfaction. Therefore, recruitment strategies addressing\nspecific profiles for nursing home leaders are needed, followed by ongoing leadership training. Future studies\nshould examine the effects of interventions designed to improve nursing home leadership and work\nenvironments on outcomes both for care staff and for residents.
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