Arbetstillfredsställelse relaterat till vårdkvalitet i en specifik vårdmiljö ur ett sjuksköterskeperspektiv

Sammanfattning: ABSTRACT Problems with high turnover in nursing has escalated during the last years both nationally and internationally. according to previous research job satisfaction and quality of care was connected to specific features of the hospital work environement. It was also recommended by Coomber & Barriball (2007) to analyze job satisfaction at ward level with qualitative interviews to get a deeper and more extended insight in which specific features are of importance. The aim of this study was to investigate and describe the experiance of job satisfaction in relation to quality of care from nurses perspective. This study was carried out at an orthopaedic ward with primary nursing as organizational context of care. Two focus group interviews were conducted, they comprised nine nurses with at least two years experiance of primary nursing. A qualitative content analysis with inductive approach was used in order to develop more detailed insights of potential factors influencing work satisfaction at ward level. Two themes were identified. Theme (1).Factors of importance in the hospital work environement that affect job satisfaction and quality of care. This theme included three subcategories; hindrances and support from the organization, and support from the organizations underlying context of care. Theme (2): Positive feedback from the patients enhances job satisfaction. This theme included how the nurses perceive the concept quality of care and to deliver high quality care. This study indicated that nurses ability of deliverence of high quality care is regulated by the guidelines of the organization, the organizational context of care and how well different specific features consociate. The nurses expressed that they experienced job satisfaction when they had influence over the process of care delivery and also when the patients gave positive feedback on their job performance.