Thesis defence in the University of Oulu

Doctoral Candidate

MHSc Päivi Stenman

Faculty and research unit

University of Oulu Graduate School, Faculty of Medicine, Research Unit of Nursing Science and Health Management

Field of study

Health Management

Date and time of the thesis defence

2.10.2020 12:00

Place of the thesis defence

https://oulu.zoom.us/j/62487642295?pwd=cEEzc1M4TkhQZlhXZzRBeGlpZUIwZz09

Topic of the dissertation

Elderly care staff’s experiences of job satisfaction and working environment during the implementation of kinaesthetics

Opponent

Professor Clas-Håkan Nygård, University of Tampere

Custos

Professor Marjo Suhonen, University of Lapland

Elderly care staff’s experiences of job satisfaction and working environment during the implementation of kinaesthetics

The purpose of the study was to describe elderly care staff's experiences of job satisfaction and working environment during the implementation of kinaesthetics. Job satisfaction refers to employees’ experiences of the characteristics of the work, the functioning of the work community, and organizational justice. The working environment is defined through its physical, social and symbolic characteristics.

Kinaesthetic was implemented in three geriatric wards. The first sub study (I) described the baseline job satisfaction of elderly care staff (N = 364) in a joint social and health care collaboration area comprising four municipalities prior to the implementation of kinaesthetics. The second sub study (II) described the changes that took place during the implementation of kinaesthetics in the working environment of nursing care as perceived by nurses (N = 15). The third sub study (III) described the changes in staff job satisfaction during the implementation of kinaesthetics. The material used to compare the different time points was collected in 2012 ((N = 336), 2014 (N = 326) and 2017 (N = 370).

The data in the sub studies were analysed using statistical methods and qualitative content analysis. During the implementation of kinaesthetics the changes were manifested in the nurse’s role, nursing mission and as increased meaningfulness of nursing. Job satisfaction was at a rather good level throughout the follow-up period. The line manager was present in everyday work and their actions were perceived as fair and just. The new operational model promoted a sense of community and setting goals. A common operational model and the support received from the line manager, colleagues and the person responsible for kinaesthetics promoted staff’s commitment to the new care practice model and work in elderly care.

In change management, it is important to recognise the prevalent culture in the workplace and the changing operational environment. The new care practice model must be given sufficient time to take root, and necessary resources must be allocated so that the process of change can be taken forward.

Dissertation

Last updated: 21.9.2020