Abstract:Volunteers are key to successful ombudsmen programs. Motivating them and keeping them is difficult. The principal goal of this article is to compare active and resigned volunteer ombudsman perceptions (along with select demographic influences) of factors that either encouraged or discouraged their work. The authors find that former ombudsmen felt more role ambiguity, greater nursing facility resistance, higher boredom, and desired better supervision than active volunteer ombudsmen. They also served less time i… Show more
“…The association between role conflict and role ambiguity with job satisfaction/dissatisfaction and withdrawal decisions has been widely reported across work settings (Kahn et al, 1964; Örtqvist & Wincent, 2006). Regarding nursing homes (NHs), one study found that role conflict was the most enervating stressor for active long-term care (LTC) Ombudsmen (Nelson, Netting et al, 2004). Ombudsmen, like NHAs, must balance resident autonomy with beneficence and face similar competing demands/expectations from families, staff, regulators, and others that are not always consistent with their resident rights–based focus.…”
This study examines how job satisfaction in six subscales and select stressors and demographic covariates influence nursing home administrator’s (NHA) intentions to quit. Quantitative and qualitative data were collected from 311 NHAs in five states. Adjusted odds ratios and 95% confidence intervals for the ordered logistic regression models indicated that NHAs with satisfying work demands, rewards, and coworkers, and who experienced less role conflict and had fewer prior nursing home jobs had lower turnover intentions. Although generally satisfied, roughly 24% reported intending to quit. Surprisingly, NHAs reporting higher job skills were more likely to consider leaving, suggesting that talented NHAs may choose career advancement eased by stigma-free job-hopping in an industry with high mobility norms. Qualitative data suggested that job satisfaction/dissatisfaction was influenced by a more nuanced interpretation of satisfying and more taxing job facets and quitting triggers, including themes such as helping residents and struggling with regulations.
“…The association between role conflict and role ambiguity with job satisfaction/dissatisfaction and withdrawal decisions has been widely reported across work settings (Kahn et al, 1964; Örtqvist & Wincent, 2006). Regarding nursing homes (NHs), one study found that role conflict was the most enervating stressor for active long-term care (LTC) Ombudsmen (Nelson, Netting et al, 2004). Ombudsmen, like NHAs, must balance resident autonomy with beneficence and face similar competing demands/expectations from families, staff, regulators, and others that are not always consistent with their resident rights–based focus.…”
This study examines how job satisfaction in six subscales and select stressors and demographic covariates influence nursing home administrator’s (NHA) intentions to quit. Quantitative and qualitative data were collected from 311 NHAs in five states. Adjusted odds ratios and 95% confidence intervals for the ordered logistic regression models indicated that NHAs with satisfying work demands, rewards, and coworkers, and who experienced less role conflict and had fewer prior nursing home jobs had lower turnover intentions. Although generally satisfied, roughly 24% reported intending to quit. Surprisingly, NHAs reporting higher job skills were more likely to consider leaving, suggesting that talented NHAs may choose career advancement eased by stigma-free job-hopping in an industry with high mobility norms. Qualitative data suggested that job satisfaction/dissatisfaction was influenced by a more nuanced interpretation of satisfying and more taxing job facets and quitting triggers, including themes such as helping residents and struggling with regulations.
“…Volunteer movement is inconceivable without a close connection with patriotic upbringing, as one of its basic directions (Nelson, Netting, Huber & Borders, 2004).…”
This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
“…Consistent with pre-COVID-19 research, RC among NHAs is predictive of higher TI (Nelson et al, 2021). Research on other long-term care roles suggests that RC emerges as a “most discouraging factor” (Nelson et al, 2004, p. 318). This is arguably due to an inescapable plethora of fundamental NH “goal incompatibilities” (Nelson & Cox, 2004, p. 86).…”
The COVID-19 pandemic created challenges for U. S. nursing home administrators (NHA) and staff. This study explored organizational and psychological factors associated with NHA stress, dissatisfaction, and turnover intent (TI) during the third year of the pandemic. Results from a nationwide, cross-sectional survey of 1139 NHAs were merged with Centers for Medicare and Medicaid Services nursing home survey deficiency, staffing, complaint, and other operations data. A hierarchical, generalized estimating equations model with ordered logit link found that NHAs with higher COVID stress (AOR = 1.65, 95% CI = 1.22, 2.23), higher use of agency/contract staff (AOR = 1.50, 95% CI = 1.08.2.09) and higher role conflict were more likely to indicate TI. NHAs with higher job satisfaction in workload, work content, and rewards were less likely to hold TI. Industry leaders should create strategies to reduce NHA’s job stress and role conflicts and provide opportunities for improving staff recruitment and retention, reducing reliance on agency staffing.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.