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The influence of supervisory support, work effectiveness, work empowerment and stress secondary to residents' responsive behaviors on job satisfaction of nursing staff: a multisite cross-sectional study.

AIM
 To examine the association between stress secondary to residents' responsive behaviors and job satisfaction of nurses and nursing assistants working in nursing homes. To test whether supervisory support, work effectiveness and work empowerment confound this relationship.


BACKGROUND
 Understanding how the stress secondary to residents' responsive behaviors influences job satisfaction for staff and determining the factors influencing this relationship are important for retention of staff in nursing homes. The term "responsive behaviors" refers to the subset of behavioral and psychological symptoms of dementia.


METHODS
 Survey responses from 191 nursing assistants and 81 nurses in five nursing homes in Ontario were analysed.


RESULTS
Staff's stress attributed to residents' responsive behaviors was negatively associated with job satisfaction. This direct effect was weakened by more than a third through the confounding net effects of supervisory support, work effectiveness and work empowerment.


CONCLUSION
The work environment created by leaders in nursing homes can lessen the influence of stress secondary to residents' responsive behaviors on staffs' job satisfaction.