Strongly Dissatisfied to Dissatisfied |
Satisfied to Strongly Satisfied | Mean Score (Range=1-5) | ||
Extrinsic Satisfaction* | HHA | 45% | 55% | 3.5 |
RN | 50% | 50% | 3.5 | |
Intrinsic Satisfaction* | HHA | 36% | 63% | 3.8 |
RN | -- | 100% | 4.3 |
Strongly Disagree to Disagree | Agree to Strongly Agree |
Mean Score (Range=1-5) | ||
Leadership Support (see page 2 for components) | HHA | 27% | 73% | 4.1 |
RN | -- | 100% | 4.6 | |
Motivational Climate (see page 3 for components) | HHA | 18% | 82% | 3.5 |
RN | -- | 100% | 3.8 | |
Timely & Thorough communication (see page 3 for components) |
HHA | 36% | 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) |
HHA | 27% | 82% | 3.2 |
RN | 25% | 75% | 2.1 | |
In-services are client-focused (see page 4 for components) |
HHA | 22% | 78% | 3.2 |
RN | 25% | 75% | 2.8 | |
Staff participate in agency decisions (see page 4 for components) |
HHA | 100% | -- | 1.8 |
RN | 100% | -- | 2.0 | |
Mission influences agency practices (see page 4 for components) |
HHA | 50% | 50% | 2.8 |
RN | 25% | 75% | 3.0 | |
Strongly Disagree | Disagree | Agree | Strongly Agree | ||
EXTRINSIC SATISFACTION | |||||
with pay | HHA | --% | 46% | 46% | 9% |
RN | -- | 50 | 50 | -- | |
with benefits | HHA | -- | 9 | 82 | 9 |
RN | -- | -- | 100 | -- | |
INTRINSIC SATISFACTION | |||||
with chances to learn new things | HHA | 0 | 18 | 73 | 9 |
RN | -- | -- | 75 | 25 | |
with chances to take part in making decisions | HHA | 18 | 23 | 56 | 3 |
RN | -- | -- | 25 | 75 | |
with chances to do something worthwhile | HHA | 9 | 55 | 36 | -- |
RN | -- | -- | 25 | 75 |
Strongly Disagree | Disagree | Agree | Strongly Agree | ||
Direct Supervisor | |||||
...sets high standards. | HHA | --% | --% | 73% | 27% |
-- | -- | 25 | 75 | ||
...lets them know how they are doing. | HHA | 9 | -- | 55 | 36 |
RN | -- | -- | 50 | 50 | |
...is concerned about them as people. | HHA | 9 | -- | 55 | 36 |
RN | -- | -- | 40 | 60 | |
...is available when needed. | HHA | -- | 27 | 55 | 18 |
RN | -- | -- | 50 | 50 | |
...discusses clients and how to deal with them. | HHA | -- | -- | 64 | 36 |
RN | -- | -- | 50 | 50 |
Strongly Disagree | Disagree | Agree | Strongly Agree | ||
Staff feels... | |||||
...good ideas and work payoff. | HHA | --% | --% | 73% | 27% |
RN | -- | -- | 25 | 75 | |
...working hard gets recognized. | HHA | 9 | -- | 55 | 36 |
RN | -- | -- | 50 | 50 | |
...good jobs are rewarded in some way. | HHA | 9 | -- | 55 | 36 |
RN | -- | -- | 40 | 60 |
Strongly Disagree | Disagree | Agree | Strongly Agree | ||
Staff feels... | |||||
...well informed about new clients. | HHA | --% | --% | 73% | 27% |
RN | -- | -- | 25 | 75 | |
...informed about changes in work assignments. | HHA | 9 | -- | 55 | 36 |
RN | -- | -- | 50 | 50 |
Strongly Disagree | Disagree | Agree | Strongly Agree | ||
Staff feels... | |||||
...alone when caring for clients. | HHA | 82% | --% | 9% | 9% |
RN | 25 | 75 | -- | -- | |
...supervisor understands them. | HHA | -- | 30 | 40 | 30 |
RN | -- | 25 | 50 | 25 | |
...close to other staff members. | HHA | 20 | -- | 60 | 20 |
RN | -- | -- | 50 | 50 | |
...very close to their clients. | HHA | -- | 9 | 46 | 45 |
RN | -- | 25 | 75 | -- |
Strongly Disagree | Disagree | Agree | Strongly Agree | ||
At in-services... | |||||
...different types of clients & their problems are presented. | HHA | 82% | --% | 9% | 9% |
RN | 25 | 75 | -- | -- | |
...clients & how to deal with their problems are discussed. | HHA | -- | 30 | 40 | 30 |
RN | -- | 25 | 50 | 25 |
Never | Some- times | Fairly Often |
All the Time | ||
Staff help with decisions for- | |||||
...hiring new staff. | HHA | 100% | --% | --% | --% |
RN | 75 | 25 | -- | -- | |
...types of benefits provided. | HHA | 82 | 18 | -- | -- |
RN | 75 | 25 | -- | -- | |
...vacation schedules. | HHA | 36 | 46 | -- | 18 |
RN | -- | -- | 75 | 25 | |
...OSHA bag supplies. | HHA | 50 | 20 | 20 | 10 |
RN | 100 | -- | -- | -- | |
...daily work assignments. | HHA | 18 | 18 | 9 | 55 |
RN | -- | -- | 75 | 25 |
Never | Some- times | Fairly Often |
All the Time | ||
Staff feels mission influences | |||||
...hiring process. | HHA | 10% | 20% | 50% | 20% |
RN | -- | 25 | 50 | 25 | |
...orientation. | HHA | 20 | 30 | 30 | 20 |
RN | -- | 25 | 50 | 25 | |
...in-services. | HHA | 10 | 20 | 50 | 20 |
RN | -- | 25 | 50 | 25 | |
...everyday management. | HHA | 10 | 20 | 30 | 40 |
RN | -- | 25 | 50 | 25 |
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 | -- |
BEST ASPECT OF JOB | |
---|---|
NURSES | HOME HEALTH ASSISTANTS |
**Staff are helpful & friendly | **Helping clients |
Flexible schedule | **Flexible schedule & hours |
Autonomy & independence | Communication 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. |
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.