Institutional effects on nurses' working conditions: a multi-group comparison of public and private non-profit and for-profit healthcare employers in Switzerland

Autor: Véronique Addor, Remo Aeschbacher
Rok vydání: 2018
Předmět:
Male
Public Administration
Organizations
Nonprofit
Nurses
Nursing shortage
Health administration
Types of institutions
0302 clinical medicine
Health care
030212 general & internal medicine
Salary
Workplace
Non-profit organisations
media_common
lcsh:R5-920
030504 nursing
lcsh:Public aspects of medicine
Health services research
Middle Aged
Home Care Services
Hospitals
8. Economic growth
Job satisfaction
Female
0305 other medical science
lcsh:Medicine (General)
Autonomy
Switzerland
Adult
Employment
Attitude of Health Personnel
media_common.quotation_subject
Decision Making
Working conditions
Nursing
Job Satisfaction
Personnel Management
Home care
Hospitals
Private
03 medical and health sciences
Young Adult
Humans
Organizations
business.industry
Hospitals
Public
Salaries and Fringe Benefits
Nurse
Research
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Career Mobility
Human resource management
Business
Comparative study
Zdroj: Human Resources for Health
Human Resources for Health, Vol 16, Iss 1, Pp 1-10 (2018)
ISSN: 1478-4491
Popis: Background In response to the need for competitive recruitment of nurses resulting from the worldwide nursing shortage, employers need to attract and retain nurses by promoting their competitive strengths in their working conditions (WCS) and by addressing their competitive weaknesses. This study investigated workplace differences between public hospitals (PuHs), private for-profit hospitals (PrHs), socio-medical institutions (SOMEDs), home care services (HCs), private medical offices (PrOs) and non-profit organisations (NPOs), helping to provide a foundation for competition-oriented institutional employer branding and to increase transparency in the labour market for nurses. Methods Data from the Swiss Nurses at Work study of the career paths of 11 232 nurses who worked in Switzerland between 1970 and 2014 were subjected to secondary analysis, assessing the effect of institutional characteristics on self-reported determinants of job satisfaction (such as WCS) using multivariate linear regression and post hoc tests with Bonferroni-adjusted significance levels. Principal component analysis was used to reduce the number of WCS in the original study. Results Nurses at PuHs and PrHs were less likely to experience autonomy, flexibility of work hours and participation in decision-making than those at other workplaces. Although PuHs were rated higher than PrHs in terms of satisfaction with salary and advancement opportunities, they were associated with more alienating work factors, such as stress and aggression. SOMED workplaces were significantly more often associated with alienating conditions and low job satisfaction, but were rated higher than the other institutions in terms of participation in decision-making. The nurses’ ratings implied that PrO workplaces were more likely to offer a mild work environment, social support and recognition than other institutions, but that advancement opportunities were limited. NPO workplaces were associated with the highest degree of autonomy, flexibility, participation, recognition, organisational commitment and job satisfaction. In these respects, HC and NPO workplaces received similar ratings, although the HC workplaces were associated with a significantly lower organisational commitment and significantly lower job satisfaction. Conclusions Due to their structural characteristics, NPOs, SOMEDs and HCs can attract nurses seeking greater self-determination, PuHs can attract career-oriented nurses, and PrOs and PrHs are likely to attract nurses through offering less-stressful working conditions. Electronic supplementary material The online version of this article (10.1186/s12960-018-0324-6) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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