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Associations among patient care workers' schedule control, sleep, job satisfaction and turnover intentions.

Brossoit RM; Crain TL; Hammer LB; Lee S; Bodner TE; Buxton OM

Stress Health 2020 Oct; 36(4):442-456

https://doi.org/10.1002/smi.2941

20059873

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.

Sleep; Fatigue; Work schedules; Sleep deprivation; Health care personnel; Health care workers; Work intervals; Author Keywords: job satisfaction; patient care; schedule control; sleep duration; sleep quality; turnover intentions

Rebecca M. Brossoit, Department of Psychology, Colorado State University 1876 Campus Delivery. Fort Collins, CO 80523-1876, USA

20201001

Journal Article

rebecca.brossoit@colostate.edu

Grant; Cooperative Agreement

2021

Grant-Number-T42-OH-009229; Cooperative-Agreement-Number-U01-OH-008788

4

1532-3005

Stress and Health

CO; OR; PA; MA; FL

University of Colorado, Denver