南非西北省护士的工作满意度水平：职业特定豁免后。
Level of job satisfaction amongst nurses in the North-West Province, South Africa: Post occupational specific dispensation.
作者信息
Khunou Sisinyana H, Davhana-Maselesele Mashudu
机构信息
School of Nursing, Faculty of Agriculture Science and Technology, North-West University, Mafikeng Campus.
出版信息
Curationis. 2016 Feb 25;39(1):1438. doi: 10.4102/curationis.v39i1.1438.
BACKGROUND
Job satisfaction and burnout have been recurring problems amongst nurses in the Republic of South Africa (RSA). As a result, nurses are still leaving the rural public sector in search of lucrative work at the urban and private sectors and in developed countries. Accordingly, Occupational Specific Dispensation (OSD) was introduced as a strategy to ircumvent the problem. However, since the implementation of OSD in 2007, there have been no studies conducted regarding the level of job satisfaction amongst nurses after the implementation of OSD in the North-West Province, especially because each province has its own challenges that are unique to the area.
OBJECTIVES
The study had two objectives: to describe the level of job satisfaction amongstprofessional and other category nurses (OCNs) at a public hospital in the North-West Provinceand describe the perceptions of nurses about OSD and their intention to continue working inthe hospital.
METHOD
A quantitative descriptive cross-sectional design was used. Stratified random sampling was used to select a sample of 92 professional nurses (PNs), 90 enrolled nurses and enrolled nursing assistants (Nursing Act 2005), which made a total of 182 participants. For the purpose of the study, the enrolled nurses and enrolled nursing assistants were referred to as OCNs. Data were collected using the Minnesota Satisfaction Questionnaire-short form and OSD statements and analysed with Statistical Package for Social Science (SPSS, version 18).
RESULTS
The majority of PNs (79.3%, n = 73) and OCNs (86.7%, n = 77) were dissatisfied with the working conditions and salary: PNs (80.4%, n = 74) and OCNs (87.8%, n = 79). The nurses mostly discredited the current state of the OSD implementation. Majority of the PNs (84%, n = 77) and OCNs (91%, n = 82) disagreed with the statement that 'level of job satisfaction has improved after the implementation of OSD'.
CONCLUSIONS
The National Department of Health should consider a holistic approach to address all work-related conditions for nurses in order to curb the attrition rates. Policy makers and unions should urgently review OSD for all categories of nurses.
背景
工作满意度和职业倦怠一直是南非共和国护士群体中反复出现的问题。因此，护士们仍在离开农村公共部门，前往城市和私营部门以及发达国家寻找待遇优厚的工作。相应地，职业特定补贴（OSD）作为一种策略被引入以解决这一问题。然而，自2007年实施职业特定补贴以来，尚未有关于西北省实施职业特定补贴后护士工作满意度水平的研究，特别是因为每个省份都有其自身独特的挑战。
目的
该研究有两个目的：描述西北省一家公立医院专业护士和其他类别护士（OCN）的工作满意度水平，并描述护士对职业特定补贴的看法以及他们继续在该医院工作的意愿。
方法
采用定量描述性横断面设计。使用分层随机抽样方法选取了92名专业护士（PN）、90名注册护士和注册护理助理（2005年《护理法》）作为样本，共计182名参与者。为了本研究的目的，注册护士和注册护理助理被称为OCN。使用明尼苏达满意度问卷简表和职业特定补贴声明收集数据，并使用社会科学统计软件包（SPSS，版本18）进行分析。
结果
大多数专业护士（79.3%，n = 73）和其他类别护士（86.7%，n = 77）对工作条件和薪资不满意：专业护士（80.4%，n = 74）和其他类别护士（87.8%，n = 79）。护士们大多对职业特定补贴的当前实施状况持怀疑态度。大多数专业护士（84%，n = 77）和其他类别护士（91%，n = 82）不同意“实施职业特定补贴后工作满意度有所提高”这一说法。
结论
国家卫生部应考虑采取整体方法来解决护士所有与工作相关的条件，以降低人员流失率。政策制定者和工会应紧急审查针对所有类别的护士的职业特定补贴。
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