This study examines the role of work intensification in personal support workers’ (PSWs) intention to stay, while exploring the mediating relationships of stress and extrinsic and intrinsic job satisfaction. A 2015 survey of 938 PSWs is analysed using structural equation modelling. It is found that work intensification is negatively associated with intention to stay, and this relationship is mediated through stress and intrinsic job satisfaction. Extrinsic job satisfaction does not play a mediating role. Findings explain the mechanism between work intensification and intention to stay, and demonstrate work intensification as a challenge in retaining PSWs in home and community care work.
BarkenRDentonMSayinFK, et al. (2018) The influence of autonomy on personal support workers’ job satisfaction, capacity to care, and intention to stay. Home Health Care Services Quarterly37(4): 294–312.
2.
BartramTJoinerTAStantonP (2004) Factors affecting the job stress and job satisfaction of Australian nurses: Implications for recruitment and retention. Contemporary Nurse17(3): 293–304.
3.
BertaWLaporteAPerreiraT, et al. (2018) Relationships between work outcomes, work attitudes and work environments of health support workers in Ontario long-term care and home and community care settings. Human Resources for Health16(1): 15–26.
4.
BessaITomlinsonJ (2017) Established, accelerated and emergent themes in flexible work research. Journal of Industrial Relations59(2): 153–169.
BoxallPMackyK (2009) Research and theory on high-performance work systems: Progressing the high involvement stream. Human Resource Management Journal19(1): 3–23.
7.
BoxallPMackyK (2014) High-involvement work processes, work intensification and employee well-being. Work, Employment and Society28(6): 963–984.
8.
BoxallPWintertonJ (2018) Which conditions foster high-involvement work processes? A synthesis of the literature and agenda for research. Economic and Industrial Democracy39(1): 27–47.
9.
BraedleySOwusuPPrzednowekArmstrongP (2018) We’re told, ‘suck it up’: Long-term care workers’ psychological health and safety. Ageing International43(1): 91–109.
10.
BrownM (2012) Response to work intensification: Does generation matter?International Journal of Human Resource Management23(17): 3578–3595.
11.
BurchellBLadipoDWilkinsonF (2002) Job Insecurity and Work Intensification. London: Routledge.
12.
BurkeRJSinghPFiksenbaumI (2010) Work intensity: Potential antecedents and correlates. Personnel Review39(3): 347–360.
13.
CalleaAUrbiniFIngusciEChirumboloA (2016) The relationship between contract type and job satisfaction in a mediated moderation model: The role of job insecurity and psychological contract violation. Economic and Industrial Democracy37(2): 399–420.
DeckerFHHarris-KojetinLDBercovitzA (2009) Intrinsic job satisfaction, overall satisfaction, and intention to leave the job among nursing assistants in nursing homes. The Gerontologist49(5): 596–610.
16.
DeerySJIversonRDWalshJT (2010) Coping strategies in call centres: Work intensity and the role of co-workers and supervisors. British Journal of Industrial Relations48(1): 181–200.
17.
DentonMZeytinogluIUBrookmanC, et al. (2018) Personal support workers’ perception of safety in a changing world of work. Safety in Health4:2.
18.
DentonMZeytinogluIUDaviesSLianJ (2002) Job stress and job dissatisfaction of home care workers in the context of health care restructuring. International Journal of Health Services32(2): 327–357.
19.
DentonMZeytinogluIKuschKDaviesS (2007) Market-modelled home care: Impact on job satisfaction and propensity to leave. Canadian Public Policy33 (Suppl. 1): S81–S99.
20.
ElliottS (2004) Understanding the Drivers of Recruitment and Retention for Continuing Care Assistants in Nova Scotia. Halifax: Health Care Human Resource Sector Council.
21.
Eurofound (2012) Trends in Job Quality in Europe. Luxembourg: Publications Office of the European Union.
22.
FelsteadAGallieDGreenFHensekeG (2016) The determinants of skill use and work pressure: a longitudinal analysis. Economic and Industrial Democracy40(3): 730–754.
23.
FraherAL (2016) The vulnerability of quasi-professional experts: A study of the changing character of US airline pilots’ work. Economic and Industrial Democracy40(4): 867–889.
24.
FrankeF (2015) Is work intensification extra stress?Journal of Personnel Psychology14(1): 17–27.
25.
FurnhamAEracleousAChamorro-PremuzicT (2009) Personality, motivation and job satisfaction: Hertzberg meets the Big Five. Journal of Managerial Psychology24(8): 765–779.
26.
GenetNKronemanMBoermaWG (2013) Explaining governmental involvement in home care across Europe: An international comparative study. Health Policy110(1): 84–93.
27.
GlasbergALErikssonSNorbergA (2007) Burnout and ‘stress of conscience’ among health care personnel. Journal of Advanced Nursing57(4): 392–403.
GreenF (2004) Why has work effort become more intense?Industrial Relations43(4): 709–741.
30.
GreenFTsitsianisN (2005) An investigation of national trends in job satisfaction in Britain and Germany. British Journal of Industrial Relations43(3): 401–429.
31.
HackmanJRLawlerEE (1971) Employee reactions to job characteristics. Journal of Applied Psychology55(3): 259–286.
32.
HartSMWarrenAM (2015) Understanding nurses’ work: Exploring the links between changing work, labour relations, workload, stress, retention and recruitment. Economic and Industrial Democracy36(2): 305–329.
33.
HassardJMorrisJ (2017) Corporate restructuring, work intensification and perceptual politics: Exploring the ambiguity of managerial insecurity. Economic and Industrial Democracy41(2): 323–350.
34.
HerzbergF (1965) The motivation to work among Finnish supervisors. Personnel Psychology18(4): 393–402.
35.
HerzbergF (1966) Work and the Nature of Man. Cleveland, OH: World Publishing Company.
36.
HögeTHornungS (2015) Perceived flexibility requirements: Exploring mediating mechanisms in positive and negative effects on worker well-being. Economic and Industrial Democracy36(3): 407–430.
37.
HoltomBCMitchellTRLeeTWEberlyMB (2008) Turnover and retention research: A glance at the past, a closer review of the present, and a venture into the future. Academy of Management Annals2(1): 231–274.
38.
Home Care Sector Study Corporation (2003) Canadian Home Care Human Resources Study. Synthesis Report 2003. Ottawa: Home Care Sector Study Corporation.
39.
HowardJLFrinkDD (1996) The effects of organizational restructure on employee satisfaction. Group and Organization Management21(3): 278–303.
40.
HuangXVan de VliertE (2003) Where intrinsic job satisfaction fails to work: National moderators of intrinsic motivation. Journal of Organizational Behavior24(2): 159–179.
41.
IsekeA (2014) The part-time job satisfaction puzzle: Different types of job discrepancies and the moderating effect of family importance. British Journal of Industrial Relations52(3): 445–469.
42.
IshitaniTT (2010) Exploring the effects of congruence and Holland’s personality codes on job satisfaction: An application of hierarchical linear modeling techniques. Journal of Vocational Behavior76(1): 16–24.
43.
KallebergALNesheimTOlsenKM (2009) Is participation good or bad for workers? Effects of autonomy, consultation and teamwork on stress among workers in Norway. Acta Sociologica52(2): 99–116.
44.
KashefiM (2009) Job satisfaction and/or job stress: The psychological consequences of working in ‘high performance work organizations’. Current Sociology57(6): 809–828.
45.
KeefeJMKnightLMartin-MathewsALegareJ (2011) Key issues in human resource planning for home support workers in Canada. Work40(1): 21–28.
46.
LockeEA (1976) The nature and causes of job satisfaction. In: DunnetteMD (ed.) Handbook of Industrial and Organizational Psychology. Chicago: Rand McNally, pp. 1297–1343.
47.
LumJMSladekJYingA (2010) Ontario Personal Support Workers in Home and Community Care: CRNCC/PSNO Survey Results. Toronto: Canadian Research Network for Care in the Community.
48.
LyonsTF (1981) Propensity to leave scale of 1971. In: CookJDHepworthSJWallTDWarrPB (eds) Experience of Work: A Compendium and Review of 249 Measures and their Use. New York: Academic Press.
49.
MackyKBoxallP (2008) High-involvement work practices, work intensification and employee well-being: A study of New Zealand workplaces. Asia-Pacific Journal of Human Resources46(1): 38–55.
50.
MobleyWH (1977) Intermediate linkages in the relationship between job satisfaction and employee turnover. Journal of Applied Psychology62(2): 237–240.
51.
MobleyWHGriffethRWHandHHMeglinoBM (1979) A review and conceptual analysis of the employee turnover process. Psychological Bulletin86(3): 493–522.
52.
MohammedAMLaiYDaskalakiMSaridakisG (2016) Employee turnover as a cost factor of organizations. In: SaridakisGCooperCL (eds) Research Handbook on Employee Turnover. Cheltenham: Edward Elgar, pp. 109–126.
53.
MottazCJ (1985) The relative importance of intrinsic and extrinsic rewards as determinants of work satisfaction. Sociological Quarterly26(3): 365–385.
54.
Ontario Ministry of Health and Long-Term Care (2015) Inpatient discharges main table (CIHI discharge abstract database). Intellihealth Ontario.
55.
PanagiotoglouDFanceyPKeefeJMartin-MatthewsA (2017) Job satisfaction: Insights from home support care workers in three Canadian jurisdictions. Canadian Journal on Aging/La Revue Canadienne du Vieillissement36(1): 1–14
56.
Parent-ThirionAVermeylenGVan HoutenG, et al. (2012) Fifth European Working Conditions Survey. Luxembourg: Publications Office of the European Union.
57.
PiasnaA (2018) Scheduled to work hard: The relationship between non-standard working hours and work intensity among European workers (2005–2015). Human Resource Management Journal28(1): 167–181.
58.
PodsakoffPMMacKenzieSBLeeJYPodsakoffNP (2003) Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology88(5): 879–903.
59.
PodsakoffPMMacKenzieSBPodsakoffNP (2012) Sources of method bias in social science research and recommendations on how to control it. Annual Review of Psychology63: 539–569.
60.
RandolphDSJohnsonSP (2005) Predicting the effect of extrinsic and intrinsic job satisfaction factors on recruitment and retention of rehabilitation professionals. Journal of Healthcare Management50(1): 49–60.
61.
RiceRWMcFarlinDBBennettDE (1989) Standards of comparison and job satisfaction. Journal of Applied Psychology74(4): 591–598.
62.
RuberyJUrwinP (2011) Bringing the employer back in: Why social care needs a standard employment relationship. Human Resource Management Journal21(2): 122–137.
63.
SaariMPattersonEKellySTourangeauAE (2018) The evolving role of the personal support worker in home care in Ontario, Canada. Health and Social Care in the Community26(2): 240–249.
64.
SaridakisGCooperCL (2016) Introduction: The state of employee turnover. In: SaridakisGCooperCL (eds) Research Handbook on Employee Turnover. Cheltenham: Edward Elgar, pp. 1–4.
SteelRP (2002) Turnover theory at the empirical interface: Problems of fit and function. Academy of Management Review27(3): 346–360.
67.
SteelRPLounsburyJW (2009) Turnover process models: Review and synthesis of a conceptual literature. Human Resource Management Review19(4): 271–282.
68.
TrevorCO (2001) Interactions among actual ease-of-movement determinants and job satisfaction in the prediction of voluntary turnover. Academy of Management Journal44(4): 621–638.
69.
Van de WeerdtCBarattaR (2012) New working conditions and consequences on activity of home health care workers. Work41 (Suppl. 1): 1–4.
70.
Van DickRChristOStellmacherJ, et al. (2004) Should I stay or should I go? Explaining turnover intentions with organizational identification and job satisfaction. British Journal of Management15(4): 351–360.
71.
WichertI (2002) Job insecurity and work intensification: The effects on health and well-being. In: BurchellBLadipoDWilkinsonF (eds) Job Insecurity and Work Intensification. London: Routledge, pp. 154–171.
72.
WrightTABonettDG (2007) Job satisfaction and psychological well-being as nonadditive predictors of workplace turnover. Journal of Management33(2): 141–160.
73.
ZeytinogluIDentonMDaviesS, et al. (2007a) Associations between work intensification, stress and job satisfaction: The case of nurses in Ontario. Relations Industrielles/Industrial Relations62(2): 201–225.
74.
ZeytinogluIUDentonMDaviesS, et al. (2007b) Deteriorated external work environment, heavy workload and nurses’ job satisfaction and turnover intention. Canadian Public Policy33 (Suppl.): S31–S47.
