Nurse satisfaction with the guided care role
Guided Care was tested in a 3-year cluster-randomized controlled trial. GCN survey data were collected at baseline and annually for three years. The baseline survey collected demographic information, surveyed the importance of job factors, and evaluated satisfaction with past positions. Job satisfaction was measured with the McCloskey/Mueller Satisfaction Scale (MMSS) in Year 2, 3 and 4. We also interviewed all GCNs to understand their experiences.
The most important factors in a nursing job for these nurses were flexible hours, manageable workload, and good pay and benefits (5.89 on a 6-point Likert scale). They were least satisfied with their past nursing jobs in the areas of workload (4.11/6), pay and benefits (4.22/6), and relationship with physicians (4.22/6).
The Year 4 survey strongly indicated that GCNs were more satisfied with the GCN role (5.57/6) when compared with their past nursing roles (4.33/6). MMSS indicates that while GCNs are highly satisfied with the schedule and interaction with coworkers, they desire more professional development opportunities.
Results from the GCN exit interview confirmed the findings from the analysis of the surveys of high job satisfaction. Many described being a GCN as the best job they ever have had. They were also very satisfied with the close patient interactions and recognized this is a unique feature in Guided Care.
The findings support that being a Guided Care Nurse has the potential to be a fulfilling career for registered nurses.
Learning Areas:Administration, management, leadership
Chronic disease management and prevention
Public health or related nursing
Assess nurses’ satisfaction with their role as GCNs by identifying important factors in nursing positions, to compare job satisfaction between the GCN role and past nursing jobs, and to describe the GCNs’ morale and job satisfaction over time.
Keyword(s): Nurses, Service Delivery
Qualified on the content I am responsible for because: I have worked with the team to prepare for the study. I got Ph.D. in Public Health from Bloomberg School of Public Health, Johns Hopkins University; and Master of Public Policy from University of Chicago. I had years of teaching and research experience.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.