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

Publisher: BioMed Central Country of Publication: England NLM ID: 101170535 Publication Model: Electronic Cited Medium: Internet ISSN: 1478-4491 (Electronic) Linking ISSN: 14784491 NLM ISO Abbreviation: Hum Resour Health Subsets: MEDLINE

Original Publication: [London] : BioMed Central

Attitude of Health Personnel* ; Employment* ; Home Care Services* ; Hospitals* ; Job Satisfaction* ; Nurses* ; Organizations*; Adult ; Career Mobility ; Decision Making ; Female ; Hospitals, Private ; Hospitals, Public ; Humans ; Male ; Middle Aged ; Nursing ; Organizations, Nonprofit ; Personnel Management ; Salaries and Fringe Benefits ; Switzerland ; Workplace ; Young Adult

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.

Int J Nurs Stud. 2009 Jan;46(1):95-106. (PMID: 18823625)
Int J Nurs Stud. 2013 Feb;50(2):162-73. (PMID: 23218020)
J Intellect Disabil Res. 2009 Jul;53(7):620-32. (PMID: 19298503)
Nurs Forum. 2009 Oct-Dec;44(4):235-44. (PMID: 19954463)
J Nurs Manag. 2017 May;25(4):318-325. (PMID: 28317211)
Int Nurs Rev. 2018 Jul 24;:null. (PMID: 30039849)
Health Care Manage Rev. 2017 Apr/Jun;42(2):162-171. (PMID: 26587998)
J Nurs Scholarsh. 2017 Jan;49(1):103-110. (PMID: 27899008)
Aust J Rural Health. 2002 Jun;10(3):178-86. (PMID: 12081512)
J Nurs Manag. 2005 Jan;13(1):40-50. (PMID: 15613093)
Int J Nurs Stud. 2017 Jun;71:60-69. (PMID: 28334686)
Health Aff (Millwood). 2011 Feb;30(2):202-10. (PMID: 21289340)
J Soc Psychol. 2008 Oct;148(5):523-34. (PMID: 18958974)
J Occup Health Psychol. 1998 Oct;3(4):322-55. (PMID: 9805280)
Am J Community Psychol. 1985 Dec;13(6):693-713. (PMID: 4083275)
Health Syst Transit. 2015;17(4):1-288, xix. (PMID: 26766626)
Res Nurs Health. 1991 Apr;14(2):87-95. (PMID: 2047539)
Violence Vict. 1997 Fall;12(3):247-63. (PMID: 9477540)
Eur J Public Health. 2008 Aug;18(4):380-5. (PMID: 18292122)
Int J Nurs Stud. 2012 Sep;49(9):1180-9. (PMID: 22321821)
J Clin Nurs. 2015 Nov;24(21-22):3224-32. (PMID: 26417730)
Med Care Res Rev. 2005 Apr;62(2):139-66. (PMID: 15750174)
Res Nurs Health. 2002 Jun;25(3):176-88. (PMID: 12015780)
Health Care Manage Rev. 2015 Jul-Sep;40(3):237-53. (PMID: 24901298)
Front Psychol. 2015 Sep 15;6:1389. (PMID: 26441764)
Scand J Public Health. 2010 Feb;38(3 Suppl):8-24. (PMID: 21172767)
PLoS Med. 2012;9(6):e1001244. (PMID: 22723748)
Int Nurs Rev. 2009 Sep;56(3):326-32. (PMID: 19702806)
J Health Econ. 2012 Mar;31(2):359-70. (PMID: 22425769)
Am J Public Health. 2001 Sep;91(9):1452-5. (PMID: 11527781)
Hum Resour Health. 2010 Nov 25;8:27. (PMID: 21108833)
Health Aff (Millwood). 2005 May-Jun;24(3):790-801. (PMID: 15886174)
J Clin Nurs. 2008 Feb;17(4):468-81. (PMID: 17331093)
J Nurs Manag. 2006 May;14(4):271-81. (PMID: 16629841)
BMC Nurs. 2015 May 14;14:33. (PMID: 25991910)
Am Psychol. 2000 Jan;55(1):68-78. (PMID: 11392867)
Int J Geriatr Psychiatry. 2003 Jan;18(1):78-85. (PMID: 12497560)
J Nurs Scholarsh. 2018 Sep;50(5):530-539. (PMID: 30043443)
J Clin Nurs. 2009 Nov;18(22):3181-9. (PMID: 19619211)
Sante Publique. 2012 May-Jun;24(3):189-207. (PMID: 23043694)
Int J Nurs Stud. 2016 Apr;56:63-70. (PMID: 26803172)
Int J Nurs Stud. 2014 Nov;51(11):1441-9. (PMID: 24666815)
Occup Environ Med. 2008 May;65(5):364-6. (PMID: 18045846)
Can J Nurs Res. 2002 Mar;33(4):35-50. (PMID: 11998196)
Atl Econ J. 2009 Sep 1;37(3):259-277. (PMID: 21625342)
Can J Aging. 2016 Jun;35(2):175-89. (PMID: 27223577)
Sociol Health Illn. 2005 Sep;27(6):831-54. (PMID: 16283901)
Mon Labor Rev. 1983 Apr;106(4):3-12. (PMID: 10309959)
Int J Nurs Stud. 2004 Mar;41(3):247-54. (PMID: 14967181)

Keywords: Comparative study; Home care; Hospitals; Non-profit organisations; Nurse; Nursing; Types of institutions; Working conditions

Date Created: 20181111 Date Completed: 20190419 Latest Revision: 20190419

20240829

PMC6230274

10.1186/s12960-018-0324-6

30413167