Atefi Narges, Lim Abdullah Khatijah, Wong Li Ping, Mazlom Reza
Department of Nursing, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
J Nurs Manag. 2015 May;23(4):448-58. doi: 10.1111/jonm.12151. Epub 2013 Sep 19.
Job satisfaction is a critical factor in health care. Strong empirical evidence supports a causal relationship between job satisfaction, patient safety and quality of care.
To determine the level of nurses' job satisfaction and its associated factors.
A stratified random sample of 421 registered nurses working at a large hospital in Mashhad, Iran was surveyed.
The results showed that autonomy, task requirement and work interaction had scores higher than their respective median on the subscales. There were significant differences between demographic characteristics and the autonomy, task requirement, work interaction, salary, work condition, professional development, supportive nursing management, decision making, professional status subscales and mean total job satisfaction. In univariate analysis, young age, being female and being married were significantly associated with a higher level of job satisfaction. The adjusted R(2) for this model was 0.14, indicating that the model explained 14% of the variability. The regression model was highly significant, F (4298) = 13.194, P < 0.001.
The authors emphasise that the human resources policies and incentives need to be re-visited. Efforts undertaken to improve working conditions, supportive nursing management, improved professional status, professional development and increased salaries are some of the ways for nurse managers to improve job satisfaction.
工作满意度是医疗保健中的一个关键因素。有力的实证证据支持工作满意度、患者安全和护理质量之间的因果关系。
确定护士的工作满意度水平及其相关因素。
对伊朗马什哈德一家大型医院工作的421名注册护士进行分层随机抽样调查。
结果显示,在各子量表上,自主性、任务要求和工作互动得分高于各自的中位数。人口统计学特征与自主性、任务要求、工作互动、薪资、工作条件、职业发展、支持性护理管理、决策、职业地位子量表以及总体工作满意度均值之间存在显著差异。在单因素分析中,年轻、女性和已婚与较高水平的工作满意度显著相关。该模型的调整R²为0.14,表明该模型解释了14%的变异性。回归模型高度显著,F(4298)=13.194,P<0.001。
作者强调需要重新审视人力资源政策和激励措施。改善工作条件、支持性护理管理、提高职业地位、职业发展以及提高薪资等举措是护理管理者提高工作满意度的一些途径。