Gigantesco Antonella, Mirabella F, Bonaviri Giuseppina, Morosini P
Istituto Superiore di Sanità, Centro di Epidemiologia, Sorveglianza e Promozione della salute, Roma.
Med Lav. 2004 Nov-Dec;95(6):431-40.
Validation and first use of a self-completed questionnaire to assess opinion on working conditions in health professionals.
The questionnaire consisted of 40 items. It was developed via review of the literature and two focus groups. A reliability test-retest study was performed on 45 health professionals with different roles. Factorial validity and internal consistency of each derived subscale were evaluated on a wide sample of 514 professionals. In addition, the opinion of the health care professionals was evaluated and possible relationships were tested between total and subscale scores and the following variables: age, sex, professional role and years in the job.
Weighted kappa was higher than 0.60 for 95% of the items, higher than 0.70 for 43% and higher than 0.80 for 20%. Factor analysis revealed that six factors--work content and organisation, physical fatigue, relationships, mental stress, hours of work, and physical environment--explained 57% of total variance. Cronbach's alpha coefficient of the subscales ranged from 0.70 to 0.91. Low levels of satisfaction in dfferent job aspects were found among general hospital staff. They were particularly dissatisfied with personal growth and development, fairness in incentives, dissemination of information, environment, support of new ideas and skills, career opportunities. In particular, satisfaction differed among the various professional roles.
The questionnaire was found reliable and had a coherent factor structure, with six factors or subscales that showed good internal consistency. This questionnaire may be useful to assess satisfaction with work in health care staff. The preliminary results of its use suggest that satisfaction with different aspects of work is low.
验证并首次使用一份自我填写的问卷来评估卫生专业人员对工作条件的看法。
该问卷包含40个项目。它是通过文献综述和两个焦点小组开发的。对45名担任不同角色的卫生专业人员进行了重测信度研究。在514名专业人员的广泛样本上评估了每个衍生子量表的因子效度和内部一致性。此外，还评估了卫生保健专业人员的意见，并测试了总分和子量表得分与以下变量之间的可能关系：年龄、性别、专业角色和工作年限。
95%的项目加权kappa高于0.60，43%高于0.70，20%高于0.80。因子分析显示，六个因素——工作内容与组织、身体疲劳、人际关系、精神压力、工作时间和物理环境——解释了总方差的57%。子量表的克朗巴赫α系数范围为0.70至0.91。综合医院工作人员在不同工作方面的满意度较低。他们对个人成长与发展、激励公平性、信息传播、环境、新思想和技能的支持、职业机会尤其不满。特别是，不同专业角色之间的满意度存在差异。
该问卷被发现具有可靠性且具有连贯的因子结构，有六个因素或子量表显示出良好的内部一致性。这份问卷可能有助于评估医护人员对工作的满意度。其使用的初步结果表明，对工作不同方面的满意度较低。
