Nurses Practice Environment, Job Satisfaction, Workload and Quality of Nursing Care in Aged Care Facilities: A Mixed Method Study رسالة دكتوراة

Abstract

Background: The aging of populations is a global phenomenon, and healthcare systems around the world face the challenge of providing comprehensive, effective, and compassionate care to their elderly citizens. Investigating Practice Environment. Job satisfaction, workload, and quality of care are becoming areas of interest for the researcher, policy makers, educators, and clinical professionals. Purpose: This study was conducted to examine the relationship between practice environment, workload, job satisfaction, and nursing care to enhance the quality of care provided in aged care facilities. Methods: A Mixed metho approach was used. In phase one, a cross-sectional correlational predictive design was used. A sample of 276 participants from many aged care facilities completed the study’s questionnaire including Caring Behaviors Inventory-24 (CBI), Practice Environment Scale of the Nursing Work Index (PES-NWI), NASA Task Load Index, and Minnesota Satisfaction Questionnaire (MSQ) (short version). In phase II. Eleven participants were interviewed, and content analysis was used. Results: The results indicated that in general, the participants had positive caring behaviors while caring for the elderly people in the aged care facilities, a moderate level of positive Practice Environment was reported by the participants in the current study M= 93.3, SD= 8.6).The participants had a moderate workload (70.2 (SD = 15.5)., a moderate level of job satisfaction (M= 76.5, SD= 4.9). , there was a positive relationship between the practice environment and QONC among nurses employed in aged care facilities(r = 0.72. P= 0.000). VI There was a negative relationship between the workload and QONC among nurses employed in aged care facilities (r = -0.68. P= 0.000) , there was a positive relationship between the workload and QONC among nurses employed in aged care facilities (r = 0.76. P= 0.000) , and The results from the parsimonious regression model indicated that the practice environment, workload, and job satisfaction predicted the QONC among nurses employed in aged care facilities with a 62.0% of variance. The results revealed that three main themes with many categories and sub-categories emerged from the qualitative data. The participants emphasized the emotional dynamics of geriatric nursing, workload management and job satisfaction, and systemic issues and strategic improvements. Conclusion: these results increased our understanding regarding the interaction between the main variables understudy including quality of Nursing care, Practice Environment, workload, and job satisfaction in aged care facilities. The results of the current study might be utilized by the researchers, policy makers, educators, and clinical practitioners to develop systematic, strategic and supportive modules to improve the Practice Environment, job satisfaction, and workload management to improve the quality of care provided in the aged care facilities