Khuwaja Ali Khan, Qureshi Riaz, Andrades Marie, Fatmi Zafar, Khuwaja Nadya Khan
Department of Community Health Sciences, Aga Khan University, Karachi.
J Ayub Med Coll Abbottabad. 2004 Jan-Mar;16(1):23-7.
Job dissatisfaction and stress among doctors affect the quality of health care. We assessed the levels of satisfaction for workplace characteristics and job stress among doctors of three teaching hospitals in Karachi.
A postal-survey was conducted between May to June 2002. Satisfaction for workplace characteristics and stress were inquired and graded by Likert scale (1 = very low to 5 = very high). Questions were also asked about its affect on their lives. In order to calculate the differences in means of job satisfaction and stress score by sex of doctors, chi-square and t-test with 95% confidence interval (CI) were used. Out of 270 doctors approached conveniently, 189 (70%) responded and 182 questionnaires were found complete for analysis.
Majority (68%) of the doctors was not satisfied with their jobs. Overall, the mean scores for satisfaction were low for workplace characteristics. Lowest scores were found for pay and benefits 2.12 (SE 0.8), safety and security 2.15 (SE 0.8) and workload 2.69 (SE 0.9). Female doctors had significantly lower satisfaction about workload (mean job satisfaction score difference = 0.60; 95%CI, 0.24-0.97), relation with colleagues (mean job satisfaction score difference = 0.49: 95%CI, 0.11-0.87) and autonomy (mean job satisfaction score difference = 0.45; 95%CI, 0.07-0.82) as compared to their male counterparts. Overall, 48% of doctors graded job stress from high to very high levels.
Majority of doctors working at these teaching hospitals of Karachi had poor satisfaction level for workplace characteristics and higher levels of job stress. This suggests that immediate steps should be taken for their control and management. This study invites further research to explore, implement and evaluate intervention strategies for prevention of stress and improvement in job satisfaction.
医生的工作不满意和压力会影响医疗保健质量。我们评估了卡拉奇三家教学医院医生对工作场所特征的满意度水平和工作压力。
2002年5月至6月进行了邮寄调查。通过李克特量表(1 = 非常低至5 = 非常高)询问并分级对工作场所特征的满意度和压力。还询问了其对他们生活的影响。为了按医生性别计算工作满意度和压力得分的均值差异,使用了卡方检验和95%置信区间(CI)的t检验。在方便接触的270名医生中,189名(70%)做出了回应,182份问卷被认为完整可供分析。
大多数(68%)医生对其工作不满意。总体而言,工作场所特征的满意度平均得分较低。薪酬和福利得分最低,为2.12(标准误0.8),安全保障为2.15(标准误0.8),工作量为2.69(标准误0.9)。与男性医生相比,女性医生对工作量(平均工作满意度得分差异 = 0.60;95%CI,0.24 - 0.97)、与同事的关系(平均工作满意度得分差异 = 0.49:95%CI,0.11 - 0.87)和自主权(平均工作满意度得分差异 = 0.45;95%CI,0.07 - 0.82)的满意度明显较低。总体而言,48%的医生将工作压力评为高至非常高的水平。
在卡拉奇这些教学医院工作的大多数医生对工作场所特征的满意度较低,工作压力水平较高。这表明应立即采取措施对其进行控制和管理。本研究呼吁进一步开展研究,以探索、实施和评估预防压力及提高工作满意度的干预策略。