title: Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care.
abstract: This study addressed the factors that nursing staff perceived as creating job satisfaction in their working environment in addition to addressing the ethical dilemmas that staff experienced within an acute psychiatric care setting. It also addressed how clinical supervision contributed to job satisfaction among staff as well as the differences between staff who attended and staff who did not attend to clinical supervision. Data were analyzed using descriptive statistics. Overall, the results of this study showed that the factors influencing nurses are related to areas of dissatisfaction, for example, stress and experiences with shortcomings. Factors that contribute to job satisfaction or dissatisfaction were found to be related to the nurses' value systems. The ethical dilemmas that were specifically addressed involved how to care for patients and handle work in relation to patients' autonomy, how to approach the patient, how to provide care against the will of the patient, and what action was ethically right for each particular patient.
authors.affiliation: Department of Nursing Education, Hedmark College, University of Oslo, Institute of Nursing Science, Oslo, Norway. elisabeth.severinsson@kungsbacka.mail.telia.com
authors.forename: E
authors.initials: E
authors.lastname: Severinsson
authors.forename: J K
authors.initials: JK
authors.lastname: Hummelvoll
mesh_terms: D000208:Acute Disease; D000328:Adult; D001291:Attitude of Health Personnel; D003625:Data Collection; D004630:Emergencies / Q000451:nursing*; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D001523:Mental Disorders / Q000175:diagnosis / Q000451:nursing*; D008875:Middle Aged; D009664:Norway; D015399:Nursing Research; D011568:Psychiatric Nursing / Q000592:standards* / Q000639:trends; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013315:Stress, Psychological; D011795:Surveys and Questionnaires