Job Satisfaction and Intent to Leave Among Psychiatric Nurses: Closed Versus Open Wards

Baum, Alexander; Kagan, Ilya

doi:10.1016/j.apnu.2015.03.004

Cited by 38 publications

(62 citation statements)

References 26 publications

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“…Gender, marital status, educational level, and professional title were not significantly associated with psychiatric nurses’ job satisfaction and are somewhat consistent with findings from previous studies (Baum & Kagan, ; Tarcan et al, ). Although gender was not associated with general and intrinsic job satisfaction, the sensitivity analysis indicated that male gender was negatively associated with extrinsic job satisfaction scores.…”

Section: Discussionsupporting

confidence: 90%

“…Working more than 40 hr per week was negatively associated with job satisfaction, similar to previous research (Ball et al, ; Baum & Kagan, ; Li & Lambert, ; Van, Clarke, Willems, et al, ), while monthly income level was positively associated with job satisfaction, echoing the results of previous research (Holmberg et al, ; Tarcan et al, ). Reducing required work hours and ensuring fair compensation may help in enhancing job satisfaction among Chinese psychiatric nurses.…”

Section: Discussionsupporting

confidence: 87%

“…The explanation for this could be that men have a higher expectation of reward from their employment than women (Gasser, Flint, & Tan, ). Similar to the research by Liu et al (), age was negatively associated with job satisfaction, while some other studies showed non‐significance between age (or working years) and job satisfaction of nurses (Baum & Kagan, ; Li & Lambert, ; Lu et al, ). These comparisons reveal that the association between job satisfaction and age or working years varied in different contexts.…”

Section: Discussionsupporting

confidence: 78%

“…Some factors related to stressors have also been associated with nurses’ job satisfaction. Specifically, low income (Holmberg, Sobis, & Carlström, ; Tarcan et al, ), heavy workload (Ball et al, ; Baum & Kagan, ; Li & Lambert, ; Van, Clarke, Willems, & Mondelaers, ), and poor collaboration with physicians were all associated with lower nurse job satisfaction (Van, Clarke, Willems, et al, ; Van, Clarke, Wouters, et al, ; Zhang, Huang, Liu, Yan, & Li, ). Perceptions of respect from patients and social recognition of the specialty were positively associated with job satisfaction (Lu et al, ; Zhou et al, ), while patient‐initiated violence was negatively associated with nurse’ job satisfaction (Chang & Cho, ; Cheung et al, ; Cheung & Yip, ; Purpora & Blegen, ).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Job satisfaction and associated factors among psychiatric nurses in tertiary psychiatric hospitals: Results from a nationwide cross‐sectional study

Zhou

Jiang

Rakofsky

et al. 2019

Journal of Advanced Nursing

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Aims To investigate the job satisfaction among psychiatric nurses in China and to explore its associated factors. Design A cross‐sectional survey among a nationwide sample from 32 tertiary psychiatric hospitals in 29 provincial capitals in China. Methods Nurses (N = 9.907) were targeted for this survey in December 2017. In all, 8,493 responded (response rate = 85.7%) and 7,881 (79.5%) were included in the analysis. An online questionnaire was used to collect demographics and factors related to the work environment. The short version of the Minnesota Satisfaction Questionnaire was used to assess job satisfaction. Multilevel regression was used to examine the association between job satisfaction and these factors. Results The mean job satisfaction score was 73.7. The multiple regression analysis indicated that self‐rated health, monthly income, medical liability insurance coverage, perceived respect from patients, social recognition, nurse–physician collaboration, and trust were significantly associated with higher job satisfaction scores, while age, work hours, and directly experiencing patient‐initiated violence were negatively associated with job satisfaction (p < .05). Conclusion Overall, Chinese psychiatric nurses are closer to satisfied than neutral and some demographics and factors related to stressful work environments were associated with nurses’ job satisfaction scores. Impact This study examined factors associated with the job satisfaction of Chinese psychiatric nurses in a nationwide sample and indicated that to improve nurses’ job satisfaction, the government and hospital administrators could consider ways to promote nurses’ personal health and to modify the stressful work environments, such as improving income, reducing work hours, promoting the psychiatric nursing specialty in ways that increase the public's respect for it, increasing awareness of medical liability insurance coverage, and protecting nurses from patients’ violence.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Job satisfaction and associated factors among psychiatric nurses in tertiary psychiatric hospitals: Results from a nationwide cross‐sectional study

Zhou

Jiang

Rakofsky

et al. 2019

Journal of Advanced Nursing

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“…Ward occupancy was highest during period 3, further supporting such a mechanism. Attitudes and burnout of nursing staff predict aggressive incidents on closed psychiatric units [32] and nurses working on open compared to locked wards have higher work satisfaction [33]. Staff mentioned that the time spent on opening and closing the doors during locked periods was freed for other activities such as patient contact during open periods.…”

Section: Discussionmentioning

confidence: 99%

Effect of Door-Locking Policy on Inpatient Treatment of Substance Use and Dual Disorders

et al. 2017

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Objective: Substance use treatment is often performed inside locked wards. We investigate the effects of adopting a policy of open-door treatment for a substance use treatment and dual diagnosis ward. Methods: This is a prospective open-label study investigating 3-month study periods before opening (P1), immediately after (P2), and 1 year after the first period (P3). Data on committed patients, coercion (seclusion, forced medication, absconding events with subsequent police search), violence, and substance use was collected daily. We applied generalised estimating equation models. Results: The mean daily number of patients with ongoing commitment changed from 2.64 (P1) to 2.12 (P2) to 0.96 (P3), corresponding to a reduction of relative risk (RR) for having an ongoing commitment by 20% in P2 (RR 0.80; 95% CI 0.66-0.98) and 67% in P3 (RR 0.33; 95% CI 0.25-0.42). The mean daily number of coercive events was 0.29, 0.13, and 0.05, corresponding to a risk for undergoing coercive measures reduced by 56% (RR 0.44; 95% CI 0.22-0.90) and 85% (RR 0.15; 95% CI 0.05-0.45). Substance use, violence or ward atmosphere did not differ significantly. Conclusions: Our results support findings from general psychiatric wards of reduced coercion after adopting a primarily open-door policy. However, coercive events were rare during all periods. The widespread practice of restricting the freedom of inpatients with substance use disorders by locking ward doors is highly questionable.

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Psychometric Properties of the Essen Climate Evaluation Schema (EssenCES) in a Sample of General Psychiatric Wards

Sieß

Schalast

2017

Archives of Psychiatric Nursing

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Job Satisfaction and Intent to Leave Among Psychiatric Nurses: Closed Versus Open Wards

Cited by 38 publications

References 26 publications

Job satisfaction and associated factors among psychiatric nurses in tertiary psychiatric hospitals: Results from a nationwide cross‐sectional study

Job satisfaction and associated factors among psychiatric nurses in tertiary psychiatric hospitals: Results from a nationwide cross‐sectional study

Effect of Door-Locking Policy on Inpatient Treatment of Substance Use and Dual Disorders

Psychometric Properties of the Essen Climate Evaluation Schema (EssenCES) in a Sample of General Psychiatric Wards

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