Associations Among Patient Care Workers' Schedule Control, Sleep, Job Satisfaction and Turnover Intentions
Administration for Children and Families; Alfred P Sloan Foundation; National Heart, Lung and Blood Institute, Grant/Award Number: R01HL107240; National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention: Mountain and Plains Education and Research Center (MAP ERC), Grant/Award Number: T42OH009229; National Institute on Aging, Grant/Award Number: U01AG027669; National Institutes of Health and the Centers for Disease Control and Prevention: Eunice Kennedy Shriver National Institute of Child Health and Human Development, Grant/Award Numbers: U01HD051217, U01HD051218, U01HD051256, U01HD051276; Office of Behavioral and Science Sciences Research, and National Institute for Occupational Safety and Health, Grant/Award Numbers: U01HD059773, U01OH008788; William T. Grant Foundation; Mobile Sleep Technologies, Grant/Award Numbers: NIH/NIA SBIR R43AG056250, NSF/STTR #1622766
Stress and Health
Healthcare is the fastest growing occupational sector in America, yet patient care workers experience low job satisfaction, high turnover, and susceptibility to poor sleep compared to workers in other jobs and industries. Increasing schedule control may be one way to help mitigate these issues. Drawing from conservation of resources theory, we evaluate associations among schedule control (i.e. a contextual resource), employee sleep duration and quality (i.e. personal resources), job satisfaction, and turnover intentions. Patient care workers who reported having more schedule control at baseline reported greater sleep duration and sleep quality 6 months later, as well as higher job satisfaction and lower turnover intentions 12 months later. Workers who experienced greater sleep sufficiency (i.e. feeling well‐rested) reported higher job satisfaction 6 months later, and workers who experienced fewer insomnia symptoms (i.e. trouble falling and staying asleep) reported lower turnover intentions 6 months later. The association between schedule control and job satisfaction was partially mediated by greater sleep sufficiency, though this effect was small. Providing patient care workers with greater control over their work schedules and opportunities for improved sleep may improve their job attitudes. Results were not replicated when different analytical approaches were performed, so findings should be interpreted provisionally.
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Brossoit, R. M., Crain, T. L., Hammer, L. B., Lee, S., Bodner, T. E., & Buxton, O. M. (2020). Associations Among Patient Care Workers' Schedule Control, Sleep, Job Satisfaction, and Turnover Intentions. Stress and Health.