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Published Online: 20 December 2007

Spirituality and Job Satisfaction among Hospice Interdisciplinary Team Members

Publication: Journal of Palliative Medicine
Volume 10, Issue Number 6

Abstract

As a continuing effort to enhance the quality of palliative care for the dying, this study examined (1) the prevalence of spirituality among hospice interdisciplinary team (IDT) members; (2) whether spirituality is related to job satisfaction; and (3) the structural path relationships among four variables: spiritual belief, integration of spirituality at work, self actualization and job satisfaction. The study surveyed 215 hospice IDT members who completed the Jarel Spiritual Well-Being Scale, the Chamiec-Case Spirituality Integration and Job Satisfaction Scales. Multiple regression and structural path modeling methods were applied to explain the path relationships involving all four variables. The IDT members surveyed were: nurses, 46.4%; home health aids, 24.9%; social workers, 17.4%; chaplains, 4.2%; physicians, 2.3%; and other, 4.8%. Ninety-eight percent of the respondents viewed themselves as having spiritual well-being. On a 0–100 scale, IDT staff reported high spiritual belief (mean = 89.4) and they were self-actualizing (mean = 82.6). Most reported high job satisfaction (mean = 79.3) and spiritual integration (mean = 67.9). In multiple regression, spirituality, integration and self-actualization explained 22% of the variation in job satisfaction (R = 0.48; adjusted R2 = 0.218; df = 3,175; F = 17.2; p = 0.001). Structural path models revealed that job satisfaction is more likely to be realized by a model that transforms one's spirituality into processes of integrating spirituality at work and self actualization (χ2 = 0.614; df = 1; p = 0.433) than a model that establishes a direct path from spirituality to job satisfaction (χ2 = 1.65; df = 1; p = 0.199). Hospice IDT member's integration of their spirituality at work and greater self actualization significantly improve job satisfaction.

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cover image Journal of Palliative Medicine
Journal of Palliative Medicine
Volume 10Issue Number 6December 2007
Pages: 1321 - 1328
PubMed: 18095811

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Published online: 20 December 2007
Published in print: December 2007

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Leah Clark
LifePath Hospice and Palliative Care, Inc., Tampa, Florida.
CarePartners Hospice and Palliative Care, Asheville, North Carolina.
Stephen Leedy
LifePath Hospice and Palliative Care, Inc., Tampa, Florida.
Laurie McDonald
LifePath Hospice and Palliative Care, Inc., Tampa, Florida.
Barbara Muller
LifePath Hospice and Palliative Care, Inc., Tampa, Florida.
Cheryl Lamb
LifePath Hospice and Palliative Care, Inc., Tampa, Florida.
Tracy Mendez
LifePath Hospice and Palliative Care, Inc., Tampa, Florida.
Sehwan Kim
LifePath Hospice and Palliative Care, Inc., Tampa, Florida.
Center for Hospice, Palliative Care, and End-of-Life Studies, University of South Florida, Tampa, Florida.
Ronald Schonwetter
LifePath Hospice and Palliative Care, Inc., Tampa, Florida.
Center for Hospice, Palliative Care, and End-of-Life Studies, University of South Florida, Tampa, Florida.

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