Impact of Workplace Environment on Job Satisfaction among Nursing Assistants

Background: Nursing assistants (NAs) provides the most of care but turnover among NAs can range from 69% to 171% annually.

Objective: To identify elements of the work environment most closely related to job satisfaction.

Methods: The 2004 National Nursing Assistant Survey (NNAS) was used. Job Satisfaction was measured using six items. Model included relationships with the NA's job supervisor (ten items); having sufficient time to assist residents (two items); organizational climate (five items); and the supervisor and organization valued the NA's work (two items). Multiple regression with SUDAAN was used to test the effect of on job satisfaction, controlling for demographic characteristics. 2,897 NAs included.

Results: In multiple regression analysis (R2=0.534), the factors most strongly associated with job satisfaction were organizational climate (â=0.3636;P<0.001) and the perceived value of their work (â=0.2429;P<0.001). Better relationships with their direct supervisor were also associated with higher satisfaction (â=0.1491;P<0.001). Having sufficient time to assist residents were positively associated with job satisfaction (â=0.1446;P<0.001).

Discussion: Workplace environment, an organizational climate that provides an atmosphere of both respect and challenge, and organizational recognition of the value of NA work, were highly correlated with job satisfaction. It is of interest that these broad organizational characteristics were more closely associated with job satisfaction than elements closer to day to day work, including relationships with the direct supervisor and the perception that there is sufficient time to complete required duties. NAs perceive themselves to be valued and respected are likely to improve job satisfaction that improves retention and quality of care.