title: Nurses' Practice Environment and Their Job Satisfaction: A Study on Nurses Caring for Older Adults in Shanghai.
abstract: OBJECTIVE
  To examine the job satisfaction of nurses who are caring for older adults in healthcare settings in Shanghai, and to explore the underlying factors in order to explain and predict nurses' job satisfaction.
  
  
  BACKGROUND
  China has the largest elderly population in the world, and its population is aging rapidly. Studies on job satisfaction of nurses providing care for the elderly in China can help to identify problem areas and develop strategies for the improvement of nurses' working conditions. However, to date, this subject matter has not been thoroughly studied in the Chinese context. Previous studies in other countries show that many factors impact nurses' job satisfaction, with the practice environment being a critical factor. There is a serious nursing shortage in China, especially in the big cities such as Shanghai. Given the increasing care demand of the aging population, learning about the job satisfaction level among nurses who are caring for older adults can provide essential information to help attract and retain nurses in this specialty area.
  
  
  METHODS
  A cross-sectional survey was conducted among 444 nurses in 22 elderly care institutions in Shanghai. The Chinese version of the Index of Work Satisfaction (IWS) and the Nursing Practice Environment Scale were instruments used. Inferential statistical tests used to analyze the data included Spearman correlation analysis, one-way analysis of variance, and hierarchical regression tests.
  
  
  RESULTS
  The average overall IWS (part B) score was 135.21 ± 19.34. Personality, job and organizational characteristics were found to be the most influential factors, and the practice environment was identified as having the strongest impact on job satisfaction (Beta = 0.494).
  
  
  CONCLUSIONS
  Job satisfaction level among nurses who are caring for older adults in Shanghai is moderate, but the data suggest that this could be greatly increased if the nursing practice environment was improved.
authors.affiliation: Research Institute of Health Development Strategies, Fudan University, Shanghai, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Munk School of Global Affairs, University of Toronto, 315 Bloor Street West (at the Observatory) Toronto, Ontario, Canada M5S 0A7.
authors.forename: Weizhen
authors.initials: W
authors.lastname: Dong
authors.affiliation: College of Nursing and Health Professions, Valparaiso University, Valparaiso, Indiana, United States of America.
authors.forename: Kristen
authors.initials: K
authors.lastname: Mauk
authors.affiliation: Scholl of Nursing, Hangzhou Vocational and Technical College, Hangzhou, Zhejiang, China.
authors.forename: Peiying
authors.initials: P
authors.lastname: Li
authors.affiliation: Research Institute of Health Development Strategies, Fudan University, Shanghai, China.
authors.forename: Jin
authors.initials: J
authors.lastname: Wan
authors.affiliation: Research Institute of Health Development Strategies, Fudan University, Shanghai, China.
authors.forename: Guang
authors.initials: G
authors.lastname: Yang
authors.affiliation: Research Institute of Health Development Strategies, Fudan University, Shanghai, China.
authors.forename: Lyuying
authors.initials: L
authors.lastname: Fang
authors.affiliation: Research Institute of Health Development Strategies, Fudan University, Shanghai, China.
authors.forename: Wan
authors.initials: W
authors.lastname: Huan
authors.affiliation: College of Humanities and Management, Wenzhou Medical College, Zhejiang, China.
authors.forename: Chun
authors.initials: C
authors.lastname: Chen
authors.affiliation: Research Institute of Health Development Strategies, Fudan University, Shanghai, China.
authors.forename: Mo
authors.initials: M
authors.lastname: Hao
mesh_terms: D000328:Adult; D000368:Aged; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004777:Environment; D005260:Female; D005851:Geriatric Nursing / Q000706:statistics & numerical data; D006707:Homes for the Aged; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009732:Nursing Care / Q000523:psychology / Q000706:statistics & numerical data; D009735:Nursing Homes; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000706:statistics & numerical data; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data; D000078329:Workforce; D055815:Young Adult