Job satisfaction and attitudes of nursing staff on a unit for the elderly severely mentally infirm, with change of location

J Adv Nurs. 1989 Apr;14(4):298-307. doi: 10.1111/j.1365-2648.1989.tb03417.x.


Relocation of the elderly has stimulated research into its effect on this vulnerable group. This study, by contrast, focuses attention on the staff response to relocation. Nursing staff on an Elderly and Severely Mentally Infirm Unit (ESMI) who were caring for the 50-60 inpatients completed a questionnaire, measuring job satisfaction and work-related attitudes, immediately and after the relocation to a newly refurbished unit. A follow-up was conducted 8 months after the change of environment. Only after the 8-month follow-up had overall levels of job satisfaction improved significantly. No changes over time were found in attitude to caring for ESMI patients or views about providing more facilitative activities as opposed to traditional nursing care. On all occasions there was a great sense of co-operation amongst staff, but they were unsatisfied with the pressure of work. Morale and feeling part of a team effort dropped after relocation but regained original levels on follow-up. Staff turnover was high for the duration of the study. Opinions concerning work were not associated with staff leaving immediately on relocation but low satisfaction levels did predict a future exodus of staff from the unit after the relocation.

MeSH terms

  • Aged
  • Attitude of Health Personnel*
  • Facility Design and Construction*
  • Female
  • Follow-Up Studies
  • Hospital Units
  • Humans
  • Interior Design and Furnishings*
  • Job Satisfaction*
  • Male
  • Mental Disorders / nursing*
  • Nurses / psychology*