Job satisfaction, work engagement and stress/burnout of elderly care staff: a qualitative research Job satisfaction, work engagement and stress/burnout of elderly care staff

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Chiara Foà
Maria Cristina Guarnieri
Giorgia Bastoni
Barbara Benini
Olimpia Maria Giunti
Manola Mazzotti
Cristina Rossi
Alessandra Savoia
Leopoldo Sarli
Giovanna Artioli


Residential Care Facilities; elderly patients; health professionals; job satisfaction; work engagement; stress and burnout; interview.


Background and aim of the work. Faced with the widespread use of services and facilities for the care and assistance of the elderly, the aim of this study was to explore the factors that can affect job satisfaction, work engagement and stress / burnout of the professionals who work there. Method. 32 semi-structured interviews were administered to a not probabilistic sample of the different professional roles (coordinators, nurses, healthcare assistants, physiotherapists, community animators) of a Human Services Company in Reggio Emilia (Italy). This includes day-care and residential care facilities for the elderly. Results. The thematic content analysis showed that inter-professional collaboration and positive relationships with superiors, colleagues and elderly people favour the job satisfaction, while workload, high responsibilities, reduction of rest periods and contributory inequity create dissatisfaction. The work engagement is favoured by professional autonomy, a sense of belonging, professional growth, specific training, while it is disadvantaged by scarce career opportunities, job insecurity and low recognition of one's contribution. Finally, inadequate pay, work load, high turnover and strong emotional experiences related to elderly people increase work-related stress/burnout, while working autonomy, psychological support and good relationships with the elderly reduce it. Some specificities were found according to the different professional roles and the type of services offered. Discussion and conclusions. The results suggest organizational improvement strategies that take these factors into account. Among the improvement proposals we highlight, for example, the promotion of training events, a greater involvement of personnel in corporate decisions and an adequate psychological support for professionals.


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1. Vigorelli P. Aria nuova nelle Case per Anziani. Progetti capacitanti. [New air in residential for elderly people. Supporting projects]. Milano, Franco Angeli, 2016.
2. Squires JE, Hoben M, Linklater S, Carleton HL, Graham N, & Estabrooks CA. Job satisfaction among care aides in residential long-term care: a systematic review of contributing factors, both individual and organizational. Nurs Res Pract 2015:157924.
3. Maslach C. La sindrome del burnout: Il prezzo dell’aiuto agli altri. [The Burnout Syndrome: The cost of Helping Others], Cittadella, 1997.
4. Galletta M, Portoghese I, Carta MG, D' Aloja E, & Campagna M. The effect of nurse-physician collaboration on job satisfaction, team commitment, and turnover intention in nurses. Res Nurs Health 2016, 39(5): 375-385.
5. Karlsson I, Ekman SL, & Fagerberg I. A difficult mission to work as a nurse in a residential care home–some registered nurses’ experiences of their work situation. Scand J Caring Sci 2009, 23(2): 265-273.
6. Kitson A, Marshall A, Bassett K, Zeitz K. What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. J Adv Nurs 2013, 69(1): 4-5.
7.Öhman A, Keisu BI, & Enberg B. Team social cohesion, professionalism, and patient-centeredness: Gendered care work, with special reference to elderly care–a mixed methods study. BMC Health Serv Res 2017, 17(1): 381.
8. Bobbio A, Rattazzi AM, & Muraro M. Empowering Leadership Style in ambito sanitario. Uno studio sul coordinatore infermieristico [Empowering Leadership Style in the healthcare field. A study on the nursing coordinator]. Leadership 2007, 6(7): 8.
9. Moyle W, Skinner J, Rowe G, & Gork C. Views of job satisfaction and dissatisfaction in Australian long-term care. J Clin Nurs 2003, 12(2): 168-176.
10. Seligman M E, & Csikszentmihalyi M. Positive psychology: An introduction. In Flow and the foundations of positive psychology. Dordrecht, Springer, 2014: 279-298.
11. Avallone F. Psicologia del lavoro: storia, modelli, applicazioni [Psychology of the Workplace: history, models, applications]. Roma, La Nuova Italia Scientifica, 1994.
12. Kahn RL, & Byosiere P. Stress in organizations. In M.D. Dunnette & L.M. Hough (Eds.), Handbook of industrial and organizational psychology. Palo Alto, Consulting Psychologists Press, 1992, 571-650.
13. Avallone, F., Bonaretti, M. (Eds.). Benessere organizzativo. Per migliorare la qualità del lavoro nelle amministrazioni pubbliche [Organizational well-being. To improve the quality of work in public administrations]. Soveria Mannelli, Rubbettino Editore, 2003.

14. Iavicoli S. et al. Stress & Burnout. Come riconoscere i sintomi e prevenire il rischio. Guida per gli Operatori Sanitari [Stress and burnout. How to recognize the symptoms and prevent the risk]. Roma, ISPESL, 2008.
15. Santinello, M., & Negrisolo, A. (Eds.). Quando ogni passione è spenta: la sindrome del burnout nelle professioni sanitarie [When all passion is extinguished: the burnout syndrome in health professions]. New York, McGraw-Hill Education, 2009.
16. Maslach C, Jackson SE, Leiter MP, Schaufeli WB, & Schwab RL. Maslach burnout inventory. Palo Alto, Consulting Psychologists Press 1986, 21: 3463-3464.
17. Maslach, C., & Leiter, M. P. Burnout and engagement in the workplace: A contextual analysis. Adv Motiv Achiev 1999, 11: 275-302.
18. Schaufeli, W. B., & Bakker, A. B. Job demands, job resources, and their relationship with burnout and engagement: A multi‐sample study. J Occup Organ Psychol 2004, 25(3): 293-315.
19. Bakker AB, Demerouti E. The job demands-resources model: State of the art. J Manag Psychol 2007, 22(3): 309-328.
20. Casartelli A. Aiutare chi aiuta. La supervisione a sostegno della professione [Helping those who help. Supervision in support of the profession]. Prospettive sociali e sanitarie 2012, 42(1): 3-5.
21. Bridger E. Employee engagement: Come ottenere il massimo da dipendenti soddisfatti e motivati [Employee engagement: How to get the most out of satisfied and motivated workers]. Edizioni LSWR, 2016.
22. Bakker AB. An evidence-based model of work engagement. Curr Dir Psychol Sci 2011, 20(4): 265-269.
23. Robinson D, Perryman S, & Hayday S The drivers of employment engagement. Brighton, Institute for Employment Studies 2004.
24. Laudadio A, & Mancuso S. Manuale di psicologia positiva [Positive Psychology Manual]. Milano, Franco Angeli, 2015.
25. Schaufeli W B., & Salanova M. Enhancing work engagement through the management of human resources in Näswall K, Hellgren J, & Sverke M. (Eds.) The individual in the changing working life (pp 380-402). Cambridge, Cambridge University Press, 2008.
26. Sachau DA. Resurrecting the motivation-hygiene theory: Herzberg and the positive psychology movement. Hum. Resour Dev Rev 2007, 6(4): 377-393.
27. Castaldo A. La valutazione della soddisfazione degli operatori in RSA [Evaluation of the satisfaction of operators in Residential Care Facilities]. I Luoghi di cura 2008, 4(4): 17-20.

28. Schaufeli WB, Bakker AB, & Salanova M. The measurement of work engagement with a short questionnaire: A cross-national study. Educ Psychol Meas 2006, 66(4): 701-716.
29. Bakker AB, Schaufeli WB, Leiter MP, & Taris TW. Work engagement: An emerging concept in occupational health psychology. Work stress 2008, 22(3): 187-200.
30. Cortese CG. La soddisfazione lavorativa del personale infermieristico. Adattamento italiano della scala Index of Work Satisfaction di Stamps [Job satisfaction among nursing personnel: application of the Italian version of the Stamps Index of Work Satisfaction]. Med Lav 2007, 98(3): 175-191.
31. De Carlo NA, Falco A, & Capozza D. Stress, benessere organizzativo e performance. Valutazione e intervento per l'azienda positiva. [Stress, organizational well-being and performance. Evaluation and intervention for the positive company]. Milano, Franco Angeli, 2013.
32. McGilton KS et al. Uncovering the Devaluation of Nursing Home Staff During COVID-19: Are We Fuelling the Next Health Care Crisis? Editorial / JAMDA 2020, 21: 962e965.

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