David A Hurtado1, Seung-Sup Kim2,3, S V Subramanian3, Jack T Dennerlein4, David C Christiani5, Dean M Hashimoto5,6, Glorian Sorensen3,7,8. 1. Oregon Institute of Occupational Health Sciences and OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA. 2. Department of Public Health Sciences, Korea University, Seoul, Korea. 3. Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA, USA. 4. Department of Physical Therapy, Movement & Rehabilitation Science, Northeastern University, Bouvé College of Health Science, Boston, MA, USA. 5. Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA. 6. Occupational Health Services, Partners HealthCare System, Boston, MA, USA. 7. Center for Work, Health and Wellbeing, Harvard T. H. Chan School of Public Health, Boston, MA, USA. 8. Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA, USA.
Abstract
AIMS: To test the associations of safety practices as reported by nurses and their respective unit supervisors with job satisfaction. BACKGROUND: Psychosocial workplace factors are associated with job satisfaction; however, it is unknown whether nurses and supervisors accounts of safety practices are differentially linked to this outcome. METHODS: Cross-sectional study design including nurses (n = 1052) nested in 94 units in two hospitals in Boston (MA, USA). Safety practices refer to the identification and control of occupational hazards at the unit. Safety practices were measured aggregating nurses' responses per unit, and supervisory levels. Individual's job satisfaction for each nurse was the response variable. RESULTS: Supervisors assessed safety practices more favourably than their unit nursing staff. Adjusted random intercept logistic regressions showed that the odds of higher job satisfaction were higher for nurses at units with better safety practices (OR: 1.67, 95% CI: 1.04, 2.68) compared with nurses at units that averaged lower safety practices. Supervisors' reports of safety practices were not correlated with the job satisfaction of their staff. CONCLUSIONS: Adequate safety practices might be a relevant managerial role that enhances job satisfaction among nurses. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing supervisors should calibrate their safety assessments with their nursing staff to improve nurses' job satisfaction.
AIMS: To test the associations of safety practices as reported by nurses and their respective unit supervisors with job satisfaction. BACKGROUND: Psychosocial workplace factors are associated with job satisfaction; however, it is unknown whether nurses and supervisors accounts of safety practices are differentially linked to this outcome. METHODS: Cross-sectional study design including nurses (n = 1052) nested in 94 units in two hospitals in Boston (MA, USA). Safety practices refer to the identification and control of occupational hazards at the unit. Safety practices were measured aggregating nurses' responses per unit, and supervisory levels. Individual's job satisfaction for each nurse was the response variable. RESULTS: Supervisors assessed safety practices more favourably than their unit nursing staff. Adjusted random intercept logistic regressions showed that the odds of higher job satisfaction were higher for nurses at units with better safety practices (OR: 1.67, 95% CI: 1.04, 2.68) compared with nurses at units that averaged lower safety practices. Supervisors' reports of safety practices were not correlated with the job satisfaction of their staff. CONCLUSIONS: Adequate safety practices might be a relevant managerial role that enhances job satisfaction among nurses. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing supervisors should calibrate their safety assessments with their nursing staff to improve nurses' job satisfaction.