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Spring 1999

XYZ Home Care Agency

STAFF PERCEPTIONS

Summary Scores for Job Satisfaction

 Strongly
Dissatisfied
to Dissatisfied
Satisfied
to Strongly
Satisfied
Mean Score
(Range=1-5)
Extrinsic
Satisfaction*
HHA45%55%3.5
RN50%50%3.5
    
Intrinsic
Satisfaction*
HHA36%63%3.8
RN--100%4.3
*see page 2 for factors in extrinsic and intrinsic satisfaction

Summary Scores for Leadership
and Management Practices

  Strongly Disagree
to Disagree
Agree to
Strongly Agree
Mean Score
(Range=1-5)
Leadership Support
(see page 2 for components)
HHA27% 73%4.1
RN--100%4.6
    
Motivational Climate
(see page 3 for components)
HHA18% 82%3.5
RN--100%3.8
    
Timely & Thorough communication
(see page 3 for components)
HHA36%64%2.6
RN--100%3.0
    
 Never to
Sometimes
Fairly often
to Always
Mean Score
(Range=1-4)
Agency culture
provides support
(see page 3 for components)
HHA27%82%3.2
RN25%75%2.1
    
    
In-services are
client-focused
(see page 4 for components)
HHA22%78%3.2
RN25%75%2.8
    
    
Staff participate in
agency decisions
(see page 4 for components)
HHA100%--1.8
RN100%--2.0
    
    
Mission influences
agency practices
(see page 4 for components)
HHA50%50%2.8
RN25%75%3.0
    

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Table 1. Job Satisfaction

 Strongly
Disagree
DisagreeAgree Strongly
Agree
EXTRINSIC SATISFACTION    
with payHHA--%46%46%9%
RN--5050--
     
with benefitsHHA--9829
RN----100--
     
INTRINSIC SATISFACTION    
with chances to learn new thingsHHA01873 9
RN----7525
     
with chances to take part in making decisionsHHA18 23563
RN----2575
     
with chances to do something worthwhileHHA955 36--
RN----2575

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Table 2. Leadership Practices

 Strongly
Disagree
DisagreeAgree Strongly
Agree
Direct Supervisor    
...sets high standards.HHA--%--%73%27%
----2575
     
...lets them know how they are doing.HHA9-- 5536
RN----5050
     
...is concerned about them as people.HHA9-- 5536
RN----4060
     
...is available when needed.HHA--2755 18
RN----5050
     
...discusses clients and how to deal with them.HHA-- --6436
RN----50 50

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Table 3. Motivational Climate

 Strongly
Disagree
DisagreeAgree Strongly
Agree
Staff feels...     
...good ideas and work payoff.HHA--%--% 73%27%
RN----2575
     
...working hard gets recognized.HHA9-- 5536
RN----5050
     
...good jobs are rewarded in some way.HHA9-- 5536
RN----4060

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Table 4. Communication Practice

 Strongly
Disagree
DisagreeAgree Strongly
Agree
Staff feels...     
...well informed about new clients.HHA--%--% 73%27%
RN----2575
     
...informed about changes in work assignments.HHA9 --5536
RN----5050

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Table 5. Agency Culture

 Strongly
Disagree
DisagreeAgree Strongly
Agree
Staff feels...     
...alone when caring for clients.HHA82%--% 9%9%
RN2575----
     
...supervisor understands them.HHA--3040 30
RN--255025
     
...close to other staff members.HHA20-- 6020
RN----5050
     
...very close to their clients.HHA--9 4645
RN--2575--

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Table 6. Client-Centered In-Services

 Strongly
Disagree
DisagreeAgree Strongly
Agree
At in-services...     
...different types of clients & their problems are presented. HHA82%--%9%9%
RN2575----
     
...clients & how to deal with their problems are discussed. HHA--304030
RN--255025

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Table 7. Participatory Decision Making

 NeverSome-
times
Fairly
Often
All the
Time
Staff help with decisions for-     
...hiring new staff.HHA100%--%--%--%
RN7525----
     
...types of benefits provided.HHA8218-- --
RN7525----
     
...vacation schedules.HHA3646--18
RN----7525
     
...OSHA bag supplies.HHA50202010
RN100------
     
...daily work assignments.HHA1818955
RN----7525

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Table 8. Influence of Mission Statement

 NeverSome-
times
Fairly
Often
All the
Time
Staff feels mission influences     
...hiring process.HHA10%20%50%20%
RN--255025
     
...orientation.HHA20303020
RN--255025
     
...in-services.HHA10205020
RN--255025
     
...everyday management.HHA10203040
RN--255025

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Table 9. In-service Topics

 Want Some
Information
  Want a Lot of
Information
Staff wants...     
...communication skills.HHA 73%  --%
RN 75 --
     
...dementia effects.HHA 70 20
RN 50 --
     
...aging health.HHA 64 9
RN 75 --
     
...infection control.HHA 60 10
RN 50 --
     
...nutrition information.HHA 60  10
RN -- --
     
...effective teamwork.HHA 55 9
RN 25 --
     
...cleaning skills.HHA 40 --
RN 50 --
     
...hygiene care.HHA 30 --
RN 75 --

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Table 10. Staff Comments

Agency is small
BEST ASPECT OF JOB
NURSESHOME HEALTH ASSISTANTS
**Staff are helpful & friendly**Helping clients
Flexible schedule**Flexible schedule & hours
Autonomy & independenceCommunication with nurses
Staff are great
WORST ASPECT OF JOB
**Pressure to work faster,
more in less time
**Client demands or calls to home
Emotional needs of the clients**Not able to do more for clients
Negative attitude of one staff person**Desired work hours not available
Jobs out of town**Too much paperwork
 **When clients cancel, wages are cut.
 Poor communication with supervisor.
**Multiple staff members provided these comments.

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Note: Fifty home care assistants and twenty-five home care nurses were surveyed. Surveys took place during three different in-service sessions. There were no managers or administrators personnel in the in-service room. Staff tenure ranged from 1 to 15 years. Statistical analysis reveals no significant differences between full and part time or between "short" and long-term staff.

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