The light shines in the darkness : a qualitative exploration of administrator satisfaction in an increasingly dissatisfying industry Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/k06989761

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  • PURPOSE-Administrators of nursing homes are turning over at very high rates in the present industry. With the growth of older populations needing skilled nursing care, this presents a risk to the needs of the elderly. Satisfaction and turnover have been correlated in the literature. The purpose of this qualitative study was to explore dimensions of satisfaction and dissatisfaction among nursing home administrators in order to ascertain constructs potentially contributing to dissatisfaction in the industry. METHODS-Informational letters were mailed to all licensed administrators in the state (N=143) who were then randomized to receive follow-up invitational phone calls to join the study. Those interested in participating were asked a few short screening questions about their tenures in the industry and overall perceptions of satisfaction. Interested participants were then divided into 3 different strata based on their tenures. Purposive sampling informed the choices of participants and selected 10 from each of the shortest, longest, and most dynamic tenures. Interviews occurred on nursing home sites around Oregon. Grounded theory was used in a priori analysis by means of a coding paradigm in order to allow emergent data to reveal substantive categories in a theoretically directed pattern of coding, contrasting, verifying, and eventually grounding new theory in data. FINDINGS-Allowing the data to emerge in analysis of satisfaction and dissatisfaction revealed two corresponding core categories, Constraints to the Job and Meaningful Work. Constraints to the Job included 4 categories: Bureaucratic Constraints, Budgetary Constraints, Personnel Constraints, and Ethical Constraints. Meaningful Work included Working Conditions and Meaningful Interiors. As dissatisfaction and satisfaction were further compared and verified, theory grounded in data emerged and revealed that constraints to the job obstruct an administrator's autonomy, which in turn impedes the ability to engage in meaningful work and contributes to dissatisfaction. CONCLUSIONS-While constructs of dissatisfaction emerged, administrators on the whole revealed high satisfaction with their positions. Future studies should concentrate on the bureaucratic constraints to the job as these constraints were perceived as extremely dissatisfying and hold political implications for state and corporate policies.
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