Research Update: Job Satisfaction

Fall -23 Research Update

Shifting Tides in Homecare Burnout: Job Satisfaction Is Improving

Job satisfaction among the home care nursing workforce is improving, exceeding 70 percent in Transcend Strategy Group’s latest study. Dissatisfaction peaked in winter 2022 as self-reported burnout rates climbed above 60 percent.

Members of the nursing workforce attribute the gains in satisfaction to the normalization of life after the COVID-19 pandemic and organizational efforts to improve workforce conditions.

Respondents expressed optimism about the future, expecting burnout to continue to improve as the peak of the COVID pandemic fades. These sentiments were greatest among newer members of the nursing workforce and lesser among RNs at the four- to six-year mark.

The Future of Burnout

How would you characterize the future of burnout in home care?

74% Stat


5% Stat

Getting Worse

21% Stat

Here to Stay

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“Setting and keeping boundaries is so important with patients and employers. Younger nurses struggle and it will wreck their sanity.”

– 43-year-old RN, female, Missouri

Despite the overall decrease from 2022, 53 percent of respondents in the latest survey still report burnout within the past six months. The highest rates were reported among roles requiring advanced training, such as registered nurses and nurse practitioners, as well as workforce members in their first three years.

The greatest amount of change in self-reported burnout has been among those at the seven- to nine-year mark in their career – who reported the highest rates in 2022 and among the lowest in the most recent study.

Respondents reported the primary causes of their burnout are/were long-term job stress and how their organization handles workload and on-call management.

Causes of Burnout

Defined as chronic workplace stress leading to near constant feelings of exhaustion, increased mental or emotional distance from one’s job, and negative or cynical feelings about one’s job.

Why are/were you burnt out?

51% Stat

Long-Term Job Stress

37% Stat

Workload/On-Call Management

Source: Transcend Strategy Group; Homecare Nursing Workforce Satisfaction Survey

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“It’s a lot of work to take care of someone every day and to do this for years and years with all the struggles that come with that.”

– 29-year-old HHA, female, Connecticut

“The high-intensity work makes me physically and mentally exhausted, and that pressure just can’t be relieved.”

– 37-year-old LPN, male, California