title: Considering the employee point of view: perceptions of job satisfaction and stress among nursing staff in nursing homes.
abstract: OBJECTIVE
  To document job satisfaction and sources of stress among nursing staff working in nursing homes and to evaluate the extent to which the reasons of stress differ by type of nursing staff.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Twenty-five nursing homes in North Carolina participating in a demonstration project of a new model of long-term care pharmacy.
  
  
  METHODS
  Nurses and nursing assistants employed at the time of the survey in the spring and summer of 2002 (n = 1283).
  
  
  METHODS
  Health Professional Stress Inventory modified for use in the nursing home setting and ratings of job satisfaction.
  
  
  RESULTS
  The situations most stressful for nurses were not having enough staff, having too much work to do, interruptions, having non-health professionals determine how to do their job, poor pay, and ultimately being responsible for patient outcomes. The top most stressful situations for nursing assistants included poor pay, not enough staff, and too much work to do. Nursing assistants were more likely than nurses to report stress because they do not have adequate information regarding a patient's condition. Nurses were more likely than nursing assistants to report stress because non-health professionals (eg, surveyors) determine how they must do their job.
  
  
  CONCLUSIONS
  The findings of this study support the need to improve recognition for nursing, improve staffing, and provide competitive compensation in nursing homes.
authors.affiliation: Department of Community Health, Brown Medical School, Providence, RI 02912, USA. Kate_Lapane@brown.edu
authors.forename: Kate L
authors.initials: KL
authors.lastname: Lapane
authors.forename: Carmel M
authors.initials: CM
authors.lastname: Hughes
mesh_terms: D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000175:diagnosis / Q000523:psychology*; D002983:Clinical Competence / Q000592:standards; D003220:Conflict, Psychological; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D009657:North Carolina; D024802:Nurse's Role / Q000523:psychology; D009728:Nursing Assistants / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D009735:Nursing Homes / Q000458:organization & administration; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D015279:Organizational Culture; D010561:Personnel Staffing and Scheduling; D010563:Personnel Turnover; D017009:Professional Autonomy; D012307:Risk Factors; D012456:Salaries and Fringe Benefits; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016526:Workload; D017132:Workplace / Q000458:organization & administration / Q000523:psychology