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Hospice Job Satisfaction

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Despite high levels of satisfaction expressed by hospice employees when compared to employees in other sectors of health care, hospice social workers have the lowest job satisfaction compared to other professionals on the hospice interdisciplinary team (Casarret, Spencer, Haskins, & Teno, 2011; Monroe & DeLoach, 2004). Job satisfaction amongst health care employees contributes to the retention or tenure of qualified and experienced employees (Fritzsche & Parrish, 2005; Head, Washington & Myers, 2013; Kobayshi & McCallister, 2013; Miller, 2008). High turnover has been shown to be associated with decreased job satisfaction among direct care hospice workers and has also been shown to compromise quality of care for hospice patients (Dill & Kagle, …show more content…
Hospice programs provided services to 44.6% of all persons who died in the United States in 2012, with over 1.5 million patients receiving services from a hospice agency that year (NHPCO, 2012; 2013). Hospice is considered the model for quality and compassionate care for persons with a life-limiting illness. Referral to hospice care has been suggested to be an indicator of quality care for persons diagnosed with terminal illness (Earle et al., 2003; Kamal, Gradison, Maguire, Taylore & Abernathy, 2014). Patients admitted to hospice have been shown to have lower anxiety, better pain management and longer life expectancy compared to patients who were not admitted to hospice (Connor, Pyenson, Fitch, Spence & Iwasaki, 2007; Greer et al., 1986; NHPCO, 2014). Admission to a hospice results in improved coping and better health outcomes for decedent family caregivers (Christakis & Iwashyna, …show more content…
As a philosophy of care, hospice uses a holistic approach to end-of-life care designed to meet the physical, emotional, social and spiritual needs of patients and families. To meet those needs, hospice, as a system of care in the United States, has developed into diverse health care organizations that provide medical, nursing social services, home health care, and bereavement care, as well as medication and supplies specific to the needs of individual patients and families. The utilization and staffing ratios of these direct service providers are under the discretion of leadership in the hospice organization and great variation in staffing ratios and service provision have been noted across hospices (Aldridge et al., 2014; NHPCO,

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