Supporting Nursing Staff During Crises: Impact of Organisational Support Measures and Resources in Job Satisfaction in German Nursing Homes

Background/Objectives: The COVID-19 pandemic placed an immense burden on nursing home staff, significantly increasing their workload. How the impact of these challenges on job satisfaction is mitigated by personal and social resources, along with organisational support measures initiated by nursing...

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Main Authors: Elisabeth Diehl, Anna Hirschmüller, Aline Wege, Albert Nienhaus, Pavel Dietz
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Geriatrics
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Online Access:https://www.mdpi.com/2308-3417/9/6/159
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author Elisabeth Diehl
Anna Hirschmüller
Aline Wege
Albert Nienhaus
Pavel Dietz
author_facet Elisabeth Diehl
Anna Hirschmüller
Aline Wege
Albert Nienhaus
Pavel Dietz
author_sort Elisabeth Diehl
collection DOAJ
description Background/Objectives: The COVID-19 pandemic placed an immense burden on nursing home staff, significantly increasing their workload. How the impact of these challenges on job satisfaction is mitigated by personal and social resources, along with organisational support measures initiated by nursing homes, is investigated in this study. Methods: In 2021, a cross-sectional survey was conducted among nursing home staff in Rhineland-Palatinate (n = 373). The questionnaire contained parts of standardised instruments (parts of the Copenhagen Psychosocial Questionnaire (COPSOQ), Brief Resilience Scale) and self-developed questions related to support measures such as training, psychological support and work organisation changes. The association of these support measures, as well as personal and social resources (e.g., resilience, social support, sense of community), with job satisfaction was explored. Descriptive, bivariate and regression analyses were conducted. Results: While various support measures were offered to the nursing home staff, significant gaps remained. Training on hygiene and COVID-19 care was beneficial but not universally available. Similarly, psychological, pastoral and palliative support was lacking for a large portion of nursing home staff. Surprisingly, in the regression analysis, frequent information updates from supervisors were found to be negatively correlated with job satisfaction (<i>p</i> = 0.002). However, some personal and social resources (resilience (<i>p</i> = 0.002), social support (<i>p</i> = 0.001), sense of community at work (<i>p</i> ≤ 0.001), commitment to the workplace (<i>p</i> = 0.019), recognition by management (<i>p</i> ≤ 0.001)), and various support measures (training programmes (<i>p</i> = 0.005), changes in work organisation (<i>p</i> = 0.008), technical measures (<i>p</i> = 0.025)) were positively correlated with job satisfaction. Conclusions: This study highlights that despite the implementation of various support measures for nursing home staff during the COVID-19 pandemic, significant gaps remained. Notably, a substantial portion of staff members lacked access to crucial support services such as psychological, pastoral and palliative care. Furthermore, healthcare facility managers should prioritise the following support measures, especially during crises: comprehensive training, including resilience training; flexible working arrangements; and recognition for nursing staff. Ultimately, healthcare organisations should aim to create a supportive work environment that fosters a sense of community and belonging among their nursing workforce.
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spelling doaj-art-4142b388b8574aaa82d02d3a791b6f7e2025-08-20T02:43:31ZengMDPI AGGeriatrics2308-34172024-12-019615910.3390/geriatrics9060159Supporting Nursing Staff During Crises: Impact of Organisational Support Measures and Resources in Job Satisfaction in German Nursing HomesElisabeth Diehl0Anna Hirschmüller1Aline Wege2Albert Nienhaus3Pavel Dietz4Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131 Mainz, GermanyInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131 Mainz, GermanyInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131 Mainz, GermanyDepartment for Occupational Medicine, Hazardous Substances and Health Science, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services [BGW], Pappelallee 33/35/37, 22089 Hamburg, GermanyInstitute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131 Mainz, GermanyBackground/Objectives: The COVID-19 pandemic placed an immense burden on nursing home staff, significantly increasing their workload. How the impact of these challenges on job satisfaction is mitigated by personal and social resources, along with organisational support measures initiated by nursing homes, is investigated in this study. Methods: In 2021, a cross-sectional survey was conducted among nursing home staff in Rhineland-Palatinate (n = 373). The questionnaire contained parts of standardised instruments (parts of the Copenhagen Psychosocial Questionnaire (COPSOQ), Brief Resilience Scale) and self-developed questions related to support measures such as training, psychological support and work organisation changes. The association of these support measures, as well as personal and social resources (e.g., resilience, social support, sense of community), with job satisfaction was explored. Descriptive, bivariate and regression analyses were conducted. Results: While various support measures were offered to the nursing home staff, significant gaps remained. Training on hygiene and COVID-19 care was beneficial but not universally available. Similarly, psychological, pastoral and palliative support was lacking for a large portion of nursing home staff. Surprisingly, in the regression analysis, frequent information updates from supervisors were found to be negatively correlated with job satisfaction (<i>p</i> = 0.002). However, some personal and social resources (resilience (<i>p</i> = 0.002), social support (<i>p</i> = 0.001), sense of community at work (<i>p</i> ≤ 0.001), commitment to the workplace (<i>p</i> = 0.019), recognition by management (<i>p</i> ≤ 0.001)), and various support measures (training programmes (<i>p</i> = 0.005), changes in work organisation (<i>p</i> = 0.008), technical measures (<i>p</i> = 0.025)) were positively correlated with job satisfaction. Conclusions: This study highlights that despite the implementation of various support measures for nursing home staff during the COVID-19 pandemic, significant gaps remained. Notably, a substantial portion of staff members lacked access to crucial support services such as psychological, pastoral and palliative care. Furthermore, healthcare facility managers should prioritise the following support measures, especially during crises: comprehensive training, including resilience training; flexible working arrangements; and recognition for nursing staff. Ultimately, healthcare organisations should aim to create a supportive work environment that fosters a sense of community and belonging among their nursing workforce.https://www.mdpi.com/2308-3417/9/6/159nursesjob satisfactionsupport measurespersonal resourcessocial resourcesCOVID-19 pandemic
spellingShingle Elisabeth Diehl
Anna Hirschmüller
Aline Wege
Albert Nienhaus
Pavel Dietz
Supporting Nursing Staff During Crises: Impact of Organisational Support Measures and Resources in Job Satisfaction in German Nursing Homes
Geriatrics
nurses
job satisfaction
support measures
personal resources
social resources
COVID-19 pandemic
title Supporting Nursing Staff During Crises: Impact of Organisational Support Measures and Resources in Job Satisfaction in German Nursing Homes
title_full Supporting Nursing Staff During Crises: Impact of Organisational Support Measures and Resources in Job Satisfaction in German Nursing Homes
title_fullStr Supporting Nursing Staff During Crises: Impact of Organisational Support Measures and Resources in Job Satisfaction in German Nursing Homes
title_full_unstemmed Supporting Nursing Staff During Crises: Impact of Organisational Support Measures and Resources in Job Satisfaction in German Nursing Homes
title_short Supporting Nursing Staff During Crises: Impact of Organisational Support Measures and Resources in Job Satisfaction in German Nursing Homes
title_sort supporting nursing staff during crises impact of organisational support measures and resources in job satisfaction in german nursing homes
topic nurses
job satisfaction
support measures
personal resources
social resources
COVID-19 pandemic
url https://www.mdpi.com/2308-3417/9/6/159
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