Lu Yong, Hu Xiao-Min, Huang Xiao-Liang, Zhuang Xiao-Dong, Guo Pi, Feng Li-Fen, Hu Wei, Chen Long, Hao Yuan-Tao
Department of Medical Statistics and Epidemiology, Guangdong Key Laboratory of Health Informatics, Health Information Research Center, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Government Affairs Service Center of Health Department of Guangdong Province, Guangzhou, Guangdong, China.
BMJ Open. 2016 Jul 19;6(7):e011388. doi: 10.1136/bmjopen-2016-011388.
This cross-sectional study aimed to explore job satisfaction among healthcare staff in Guangdong following the health system reforms in 2009, and to investigate the association between job satisfaction and work stress, work-family conflict and doctor-patient relationship.
Cross-sectional survey.
The Fifth National Health Service Survey was carried out in Guangdong, China.
All participants in this study were healthcare staff including physicians, nurses and public health staff from hospitals, health service centres and health clinics. A total of 6583 questionnaires were distributed and collected. After excluding the incomplete questionnaires, 5845 questionnaires were included for the analysis.
Sociodemographic information and scores for evaluating job satisfaction, work stress, work-family conflict and doctor-patient relationship were obtained using the questionnaire developed by the National Health and Family Planning Commission of the People's Republic of China. To assess the significantly associated factors on job satisfaction of the healthcare staff in Guangdong, a binary logistic regression model was used.
Based on the 5845 valid responses of the healthcare staff who worked in Guangdong, the mean score of overall perception of job satisfaction was 3.99 on a scale of 1-6. Among the sociodemographic variables, occupation, educational background, professional status, years of service, annual income and night shift frequency significantly influenced the level of job satisfaction. Work stress, work-family conflict and doctor-patient relationship also had significant effect on job satisfaction.
The overall job satisfaction exceeded slightly dissatisfied (score 3) and approached slightly satisfied (score 4). Measures to enhance job satisfaction include the reduction of workload, increase of welfare, maintaining moderate stress and balancing work-family conflict. Moreover, relevant laws should be issued to protect the healthcare staff from violent acts.
本横断面研究旨在探讨2009年医疗体制改革后广东医护人员的工作满意度，并调查工作满意度与工作压力、工作-家庭冲突及医患关系之间的关联。
横断面调查。
在中国广东开展第五次国家卫生服务调查。
本研究的所有参与者均为医护人员，包括来自医院、卫生服务中心和诊所的医生、护士及公共卫生人员。共发放并收集6583份问卷。排除不完整问卷后，纳入5845份问卷进行分析。
使用中华人民共和国国家卫生和计划生育委员会编制的问卷获取社会人口学信息以及评估工作满意度、工作压力、工作-家庭冲突和医患关系的得分。为评估影响广东医护人员工作满意度的显著相关因素，采用二元逻辑回归模型。
基于在广东工作的5845名医护人员的有效回复，工作满意度总体感知的平均得分为3.99（满分6分）。在社会人口学变量中，职业、教育背景、专业职称、工作年限、年收入和夜班频率显著影响工作满意度水平。工作压力、工作-家庭冲突和医患关系也对工作满意度有显著影响。
总体工作满意度略高于“不满意”（3分），接近“有点满意”（4分）。提高工作满意度的措施包括减轻工作量、增加福利、保持适度压力以及平衡工作-家庭冲突。此外，应出台相关法律保护医护人员免受暴力行为侵害。
