作者: Donald Allensworth-Davies , Jennifer Leigh , Kim Pukstas , Scott Miyake Geron , Eric Hardt
DOI: 10.1097/01.HMR.0000296788.31504.B7
关键词: Transcultural nursing 、 Nursing 、 Job satisfaction 、 Cultural competence 、 Organizational culture 、 Ethnic group 、 Staffing 、 Country of origin 、 Cultural diversity 、 Medicine
摘要: BACKGROUND: Long-term care facilities nationwide are finding it difficult to train and retain sufficient numbers of nursing assistants, resulting in a dire staffing situation. Researchers, managers, practitioners alike have been trying determine the correlates job satisfaction address this increasingly untenable One factor that has received little empirical attention long-term literature is cultural competence. Cultural competence defined as set skills, attitudes, behaviors, policies enable organizations staff work effectively cross-cultural situations. PURPOSE: To examine organizational perceived by assistants if was related differences across countries origin racio-ethnic groups. METHODS: Primary data collected from cross-section 135 at four New England homes. Demographics, perceptions competence, ratings were collected. A multivariate, generalized linear model used assess predictors satisfaction. secondary analysis then conducted identify most important components competency. RESULTS: Perception (p = .0005) autonomy .001) strongest among assistants; these increase, also increases. Neither country nor racio-ethnicity associated with satisfaction, but .05). comfortable environment for employees different races/cultures emerged competency .04). RECOMMENDATIONS: Developing maintaining employee managerial strategies increasing improving retention. Toward end, creating an integral part process. Managerial recommendations discussed.