Lephalala R P, Ehlers V J, Oosthuizen M J
Department of Health Studies, University of South Africa.
Curationis. 2008 Sep;31(3):60-9. doi: 10.4102/curationis.v31i3.1040.
The quantitative descriptive survey used self-completion questionnaires to study factors influencing nurses' job satisfaction in selected private hospitals in England. Herzberg's Theory of Motivation was used to contextualise the results obtained from 85 completed questionnaires. In terms of Herzberg's Theory of Motivation, the most important extrinsic (hygiene) factor was no satisfaction with their salaries compared to nurses' salaries in other private hospitals in England, in the NHS and even at their own hospitals. However, most nurses were satisfied with the other extrinsic factors (organisation and administration policies, supervision and interpersonal relations). The most important intrinsic factors (motivators), influencing nurses' job satisfaction was their lack of satisfaction with promotions (including the fact that their qualifications were reportedly not considered for promotions), lack of advancement opportunities and being in dead-end jobs, and lack of involvement in decision- and policy-making activities. Nurses' levels of job satisfaction might be enhanced if promotion policies could be consistent, advancement opportunities implemented, qualifications considered for promotions, salary issues clarified, and if nurses could be involved in decision- and policy-making. Enhanced levels of job satisfaction could help to reduce turnover rates among registered nurses at the private hospitals in England that participated in this study.
这项定量描述性调查采用自填式问卷,以研究影响英格兰部分私立医院护士工作满意度的因素。运用赫兹伯格的激励理论来阐释从85份已完成问卷中获得的结果。根据赫兹伯格的激励理论,与英格兰其他私立医院、国民保健制度(NHS)乃至她们自己所在医院的护士薪资相比,最重要的外部(保健)因素是对自身薪资不满意。然而,大多数护士对其他外部因素(组织与管理政策、监督及人际关系)感到满意。影响护士工作满意度的最重要内部因素(激励因素)是她们对晋升不满意(包括据报道晋升时未考虑其资质)、缺乏晋升机会且处于没有发展前途的工作岗位,以及未参与决策和政策制定活动。如果晋升政策能够保持一致、落实晋升机会、在晋升时考虑资质、厘清薪资问题,并且护士能够参与决策和政策制定,那么护士的工作满意度水平可能会得到提高。提高工作满意度水平有助于降低参与本研究的英格兰私立医院注册护士的离职率。