The purpose of this study was to describe personal, job, agency, environmental, and ergonomic factors that affect job satisfaction among home health workers (HHWs). A cross-sectional design was conducted, and data from the National Home and Hospice Care Survey (N = 3,274) were analyzed using a multilevel structural equation model (generalized structural equation model). HHWs with excellent training knowledge were about 1.5 times more likely to report a higher degree of job satisfaction compared with those with poor training knowledge, and those who reported a work-related injury were 66% more likely to report lower job satisfaction score. Job satisfaction is associated with work environment, leadership support, and work-related training. Future research and a follow-up survey are needed to understand HHWs’ workforce and be better positioned to meet their need so that they may meet the need of the aging population.
Bureau of Labor Statistics. Occupational Outlook Handbook. 2016-17 ed. Washington, DC: US Department of Labor; 2015.
2.
StoneRI.The direct care worker: The third rail of home care policy. Annu Rev Public Health. 2004;25:521-537.
3.
MittalVRosenJLeanaC.A dual-driver model of retention and turnover in the direct care workforce. Gerontologist. 2009;49(5):623-634.
4.
LandesSDWengSS. Racial–ethnic differences in turnover intent among home health aides. J Appl Gerontol. [published online ahead of print February8, 2019]. doi:10.1177/0733464819827806
5.
SchaufeliWBMaslachC. Historical and conceptual development of burnout. In: SchaufeliWBMaslachCMarekT, eds. Professional Burnout: Recent Developments in Theory and Research. New York, NY: Routledge; 2017:1-16.
6.
BaileyCMaddenAAlfesKFletcherL.The meaning, antecedents and outcomes of employee engagement: A narrative synthesis. International Journal of Management Reviews. 2017;19(1):31-53.
7.
RaziqAMaulabakhshR.Impact of working environment on job satisfaction. Procedia Economics and Finance. 2015;23:717-725.
8.
McGhanGMcCaugheyDHeraldR.Older adult home health aides: A viable option. Innovation in Aging. 2017;1(suppl 1):568.
9.
YoonSProbstJDiStefanoC.Factors affecting job satisfaction among agency-employed home health aides. Home Health Care Management & Practice. 2016;28(1):57-69.
10.
McCaugheyDMcGhanGKimJBrannonDLeroyHJablonskiR.Workforce implications of injury among home health workers: Evidence from the National Home Health Aide Survey. Gerontologist. 2012;52(4):493-505.
11.
McCaugheyDTurnerNKimJDelliFraineJMcGhanGE.Examining workplace hazard perceptions & employee outcomes in the long-term care industry. Safety Science. 2015;78:190-197.
12.
LoveMTendick-MatesanzFThomasonJCarterDGlassmanMZanoniJ.“Then they trust you…” managing ergonomics in home care. New Solut. 2017;27(2):225-245.
13.
FasanyaBKDadaEA.Workplace violence and safety issues in long-term medical care facilities: nurses’ perspectives. Saf Health Work. 2016;7(2):97-101.
14.
AlmklovPGAntonsenSByeRØrenA.Organizational culture and societal safety: Collaborating across boundaries. Safety Science. 2018;110:89-99.
15.
FischerSAJonesJVerranJA.Consensus achievement of leadership, organisational and individual factors that influence safety climate: Implications for nursing management. J Nurs Manag. 2018;26(1):50-58.
16.
FazzonePABarloonLFMcConnellSJChittyJA.Personal safety, violence, and home health. Public Health Nurs. 2000;17(1):43-52.
17.
GellerES.Leadership lessons for OSH professionals: How to nurture engagement for injury prevention. Professional Safety. 2016;61(6):63-71.
18.
WilhelmJBryantNSuttonJPStoneR.Predictors of Job Satisfaction and Intent to Leave among Home Health Workers: An Analysis of the National Home Health Aide Survey. Washington, DC: US Department of Health and Human Services, Assistant Secretary for Planning; 2015.
19.
HamadiHProbstJCKhanMMBellingerJPorterC.Home-based direct care workers: Their reported injuries and perceived training knowledge. Workplace Health Saf. 2016;64(6):249-261. doi: 10.1177/2165079916630554
20.
HamadiHProbstJCKhanMMBellingerJPorterC.Determinants of occupational injury for us home health aides reporting one or more work-related injuries. Injury Prevention. 2018;24(5):351-357.
BercovitzJFeldmanM.The mechanisms of collaboration in inventive teams: Composition, social networks, and geography. Research Policy. 2011;40(1):81-93.
23.
NunnallyJC.Psychometric Theory. New York, NY: McGraw-Hill; 1978.
24.
CoogleCLParhamIAJablonskiRRachelJA.The value of geriatric care enhancement training for direct service workers. Gerontol Geriatr Educ. 2007;28(2):109-131.
25.
Navaie-WaliserMLincolnPKaruturiMReischK.Increasing job satisfaction, quality care, and coordination in home health. J Nurs Adm. 2004;34(2):88-92.
26.
HassonHArnetzJE.Nursing staff competence, work strain, stress and satisfaction in elderly care: a comparison of home-based care and nursing homes. J Clin Nurs. 2008;17(4):468-481.
27.
LandersSMadiganELeffB, et al. The future of home health care: A strategic framework for optimizing value. Home Health Care Manag Pract. 2016;28(4):262-278.
28.
ThomasNIBrownNDHodgesLC, et al. Factors associated with work-related injury among hospital employees. AAOHN J. 2006;54(1):24-31.
29.
StevensonDGHuskampHAGrabowskiDCKeatingNL.Differences in hospice care between home and institutional settings. J Palliat Med. 2007;10(5):1040-1047.
