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肯尼亚医护人员的工作氛围与工作满意度:一项探索性研究。

Working Atmosphere and Job Satisfaction of Health Care Staff in Kenya: An Exploratory Study.

作者信息

Goetz Katja, Marx Michael, Marx Irmgard, Brodowski Marc, Nafula Maureen, Prytherch Helen, Omogi Awour Irene K E, Szecsenyi Joachim

机构信息

Department of General Practice and Health Services Research, University of Heidelberg, Vossstrasse 2, 69115 Heidelberg, Germany.

Evaplan at the University Hospital of Heidelberg, Ringstrasse 19b, 69115 Heidelberg, Germany.

出版信息

Biomed Res Int. 2015;2015:256205. doi: 10.1155/2015/256205. Epub 2015 Oct 4.

Abstract

BACKGROUND

Job satisfaction and working atmosphere are important for optimal health care delivery. The study aimed to document working atmosphere and job satisfaction of health care professionals in Kenya and to explore associations between job satisfaction, staff characteristics, and working atmosphere.

METHODS

Data from the integrated quality management system (IQMS) for the health sector in Kenya were used. Job satisfaction was measured with 10 items and with additional 5 items adapted to job situation in Kenya. Working atmosphere was measured with 13 item questionnaire. A stepwise linear regression analysis was performed with overall job satisfaction and working atmosphere, aspects of job satisfaction, and individual characteristics.

RESULTS

Out of 832 questionnaires handed out, 435 questionnaires were completed (response rate: 52.3%). Health care staff indicated high commitment to provide quality services and low levels regarding the adequacy and functionality of equipment at their work station. The aspect "support of the ministry of health" (β = 0.577) showed the highest score of explained variance (32.9%) regarding overall job satisfaction.

CONCLUSIONS

IQMS which also evaluates job satisfaction and working atmosphere of health care staff provides a good opportunity for strengthening the recruitment and retention of health care staff as well as improving the provision of good quality of care.

摘要

背景

工作满意度和工作氛围对于优化医疗服务至关重要。本研究旨在记录肯尼亚医疗保健专业人员的工作氛围和工作满意度,并探讨工作满意度、员工特征和工作氛围之间的关联。

方法

使用了肯尼亚卫生部门综合质量管理系统(IQMS)的数据。通过10个项目以及另外5个根据肯尼亚工作情况调整的项目来衡量工作满意度。用一份包含13个项目的问卷来衡量工作氛围。对总体工作满意度和工作氛围、工作满意度的各个方面以及个人特征进行逐步线性回归分析。

结果

在发放的832份问卷中,435份问卷被完成(回复率:52.3%)。医疗保健人员表示有很高的意愿提供优质服务,但对其工作场所设备的充足性和功能性评价较低。“卫生部的支持”这一方面(β = 0.577)在总体工作满意度方面显示出最高的解释方差得分(32.9%)。

结论

综合质量管理系统还评估医疗保健人员的工作满意度和工作氛围,这为加强医疗保健人员的招聘和留用以及改善优质护理服务的提供提供了一个很好的机会。

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