埃塞俄比亚东部哈勒里地区公共卫生机构医护人员的工作满意度及相关因素：一项横断面研究
Job satisfaction and associated factors among health care providers at public health institutions in Harari region, eastern Ethiopia: a cross-sectional study.
作者信息
Geleto Ayele, Baraki Negga, Atomsa Gudina Egata, Dessie Yadeta
机构信息
Department of Public Health, College of Health and Medical Sciences, Haramaya University, Haramaya, Harar, Ethiopia.
Department of Environmental Health Science, College of Health and Medical Sciences, Haramaya University, Haramaya, Harar, Ethiopia.
出版信息
BMC Res Notes. 2015 Sep 1;8:394. doi: 10.1186/s13104-015-1368-5.
BACKGROUND
Human factor is the primary resource of health care system. For optimal performance of health care system, the workforce needs to be satisfied with the job he/she is doing. This research was aimed to assess the level of job satisfaction and associated factors among health care providers at public health institutions in Harari region, Eastern Ethiopia.
METHOD
Health facility based cross-sectional study was conducted among 405 randomly selected health care providers in Harari regional state, Eastern Ethiopia. Data were collected by self-administered structured questionnaires. Epidata Version 3.1 was used for data entry and analysis was made with SPSS version 17. Level of job satisfaction was measured with a multi item scales derived from Wellness Council of America and Best Companies Group. The average/mean value was used as the cutoff point to determine whether the respondents were satisfied with their job or not. Multivariable logistic regression was used to analyze data and odds ratio with 95% CI at P ≤ 0.05 was used to identify associated factors with level of job satisfaction.
RESULTS
Less than half 179 (44.2%) of the respondents were satisfied with their job. Being midwifery in profession [AOR = 1.20; 95% CI (1.11-2.23)], age less than 35 years [AOR = 2.0; 95% CI (1.67-2.88)], having good attitude to stay in the same ward for longer period [AOR = 3.21; 95 % CI (1.33, 5.41)], and safe working environment [AOR = 4.61; 95% CI (3.33, 6.92)] were found were found to be associated with job satisfaction.
CONCLUSIONS
Less than half (44.2%) of the respondents were satisfied with their current job. Organizational management system, salary and payment and working environment were among factors that affects level of job satisfaction. Thus, regional health bureau and health facility administrators need to pay special attention to improve management system through the application of a health sector reform strategy.
背景
人力因素是医疗保健系统的主要资源。为使医疗保健系统发挥最佳效能，工作人员需要对自己所从事的工作感到满意。本研究旨在评估埃塞俄比亚东部哈勒尔地区公共卫生机构中医疗保健提供者的工作满意度水平及相关因素。
方法
在埃塞俄比亚东部哈勒尔地区随机选取405名医疗保健提供者进行基于卫生机构的横断面研究。通过自填式结构化问卷收集数据。使用Epidata 3.1进行数据录入，并用SPSS 17版进行分析。工作满意度水平采用源自美国健康委员会和最佳公司集团的多项目量表进行测量。以平均值作为判断受访者对工作是否满意的临界点。采用多变量逻辑回归分析数据，以P≤0.05时的比值比及95%置信区间来确定与工作满意度水平相关的因素。
结果
不到一半的受访者（179人，占44.2%）对工作感到满意。职业为助产士[AOR = 1.20；95%置信区间(1.11 - 2.23)]、年龄小于35岁[AOR = 2.0；95%置信区间(1.67 - 2.88)]、对在同一病房长期工作有良好态度[AOR = 3.21；95%置信区间(1.33, 5.41)]以及安全的工作环境[AOR = 4.61；95%置信区间(3.33, 6.92)]被发现与工作满意度相关。
结论
不到一半（44.%)的受访者对当前工作感到满意。组织管理系统、薪资待遇和工作环境是影响工作满意度水平的因素。因此，地区卫生局和卫生机构管理人员需要特别关注通过应用卫生部门改革战略来改善管理系统。
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