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Job stress and job satisfaction: home care workers in a consumer-directed model of care.

Authors
Delp-L; Wallace-SP; Geiger-Brown-J; Muntaner-C
Source
Health Serv Res 2010 Aug; 45(4):922-940
NIOSHTIC No.
20037648
Abstract
Objective: To investigate determinants of job satisfaction among home care workers in a consumer-directed model. Data Sources/Setting: Analysis of data collected from telephone interviews with 1,614 Los Angeles home care workers on the state payroll in 2003. Data Collection and Analysis: Multivariate logistic regression analysis was used to determine the odds of job satisfaction using job stress model domains of demands, control, and support. Principal Findings: Abuse from consumers, unpaid overtime hours, and caring for more than one consumer as well as work-health demands predict less satisfaction. Some physical and emotional demands of the dyadic care relationship are unexpectedly associated with greater job satisfaction. Social support and control, indicated by job security and union involvement, have a direct positive effect on job satisfaction. Conclusions: Policies that enhance the relational component of care may improve workers' ability to transform the demands of their job into dignified and satisfying labor. Adequate benefits and sufficient authorized hours of care can minimize the stress of unpaid overtime work, caring for multiple consumers, job insecurity, and the financial constraints to seeking health care. Results have implications for the structure of consumer-directed models of care and efforts to retain long-term care workers.
Keywords
Job-stress; Job-analysis; Health-care-personnel; Work-environment; Worker-health; Psychological-effects; Psychological-stress; Psychological-reactions; Emotional-stress; Author Keywords: Long-term care; home care providers; consumer direction
Contact
Linda Delp, Ph.D., M.P.H., UCLA Labor Occupational Safety and Health Program, 10945 Le Conte Ave., Suite 2107, Box 951478, Los Angeles, CA 90095-1478
CODEN
HESRA
Publication Date
20100801
Document Type
Journal Article
Email Address
ldelp@ucla.edu
Funding Type
Grant
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-007440
Issue of Publication
4
ISSN
0017-9124
Source Name
Health Services Research
State
CA; MD
Performing Organization
University of Maryland
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