title: Work satisfaction and dissatisfaction--caregivers' experiences after a two-year intervention in a newly opened nursing home.
abstract: OBJECTIVE
  The aim of the study was to investigate, from the narratives of nine enrolled nurses and one nurses' aide directly involved in patient care, the deeper meaning of work satisfaction and dissatisfaction when working with the older people.
  
  
  BACKGROUND
  Both nationally and internationally, there is little research documented regarding the working situation of the enrolled nurses and nurses' aides who make up the majority of care for older people today. With this in mind, it is important to focus on how these occupational groups experience their work with the older residents in municipal care, following a two-year intervention.
  
  
  METHODS
  The study is part of a larger longitudinal study, with a quasi-experimental design within the municipal system of care for older people in Sweden. The investigation was carried out following a two-year intervention, which included: education, support and clinical supervision.
  
  
  METHODS
  The interviews were performed 12 and 24 months after start of the intervention and were analysed with a phenomenological-hermeneutic method inspired by Ricoeur's philosophy.
  
  
  RESULTS
  The findings from these narratives illustrated a change compared with the findings from the first interviews, when the nursing home had just opened. There was a shift from a dominance of dissatisfaction with work, to a dominance of work satisfaction and this was expressed in the following themes: experience of a changed perspective, experience of open doors, and experience of closed doors. Each theme emerged from several different subthemes and each subtheme that had been expressed in the caregivers' narratives was interpreted.
  
  
  CONCLUSIONS
  The study shows that the caregivers' experience of work satisfaction in the workplace exceeded their experience of dissatisfaction and that the intervention, consisting of: education, support, and supervision might have facilitated this positive development where the older residents were prioritized. It also shows that communication and understanding between management and staff had increased as the nursing home had opened.
  
  
  CONCLUSIONS
  The findings can be used to help to prevent work dissatisfaction, and thereby increase work satisfaction for caregivers working in nursing homes.
authors.affiliation: University of Gävle, 801 76 Gävle, Sweden. elisabet.haggstrom@hig.se
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Häggström
authors.forename: Kirsti
authors.initials: K
authors.lastname: Skovdahl
authors.forename: Birgitta
authors.initials: B
authors.lastname: Fläckman
authors.forename: Annika L
authors.initials: AL
authors.lastname: Kihlgren
authors.forename: Mona
authors.initials: M
authors.lastname: Kihlgren
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000193:education / Q000523:psychology; D002983:Clinical Competence; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D005851:Geriatric Nursing / Q000193:education / Q000458:organization & administration; D006801:Humans; D007588:Job Satisfaction; D008137:Longitudinal Studies; D008875:Middle Aged; D033262:Narration; D009728:Nursing Assistants / Q000193:education / Q000523:psychology; D015402:Nursing Education Research; D009735:Nursing Homes; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000523:psychology; D009743:Nursing, Practical / Q000193:education / Q000458:organization & administration; D009745:Nursing, Supervisory; D015279:Organizational Culture; D010687:Philosophy, Nursing; D015397:Program Evaluation; D036301:Qualitative Research; D013548:Sweden; D017132:Workplace / Q000458:organization & administration / Q000523:psychology