Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Nursing, Mie University Graduate School of Medicine, Mie, Japan.
PLoS One. 2020 May 18;15(5):e0232336. doi: 10.1371/journal.pone.0232336. eCollection 2020.
As the Japanese population ages, the number of cancer patients will likely increase. Therefore, qualified cancer health care providers should be recruited and retained. Nurse job satisfaction is influenced by numerous factors and may affect staff turnover and patient outcomes.
To evaluate the job satisfaction of certified nurses and nurse specialists in Japanese cancer care and elucidate factors associated with job satisfaction.
Participants in this cross-sectional study comprised 200 certified nurse specialists and 1,472 certified nurses working in Japanese cancer care. A chi-square test and logistic regression analysis were conducted to identify job satisfaction factors.
Job satisfaction was present in 38.45% and 49.00% of certified nurses and nurse specialists, respectively. Certified nurses associated job satisfaction with cross-departmental activities (OR 2.24, p<0.001), positive evaluation from senior stuff (OR 4.58, p<0.001), appropriate staff allocation (OR 1.75, p<0.001), more than five years certified nurse experience (OR 1.91, p<0.001), and positive evaluation of the development of certified nurses (OR 2.13, p<0.01) and nurse specialists (OR 1.37, p<0.05). Low job satisfaction was associated with working on a ward (OR 0.51, p<0.001) and a capacity of more than 200 beds (OR 0.33, p = 0.00). Certified nurse specialists associated job satisfaction with palliative care team participation (OR 2.64, p<0.05), cross-sectional activities (OR 7.06, p<0.01), positive evaluation from senior stuff (OR 13.15, p<0.001), presence of certified nurses in radiation therapy (OR 2.91, p<0.05), positive certified nurse specialist development evaluation (OR 7.35, p<0.001), medical service fees (OR 3.78, p<0.01), and independent activities (OR 11.34, p<0.01).
We identified factors related to activities, facilities, and the cancer care team associated with job satisfaction of certified nurses and nurse specialists in Japanese cancer care. Suggestions are provided to enhance job satisfaction through Japan's Basic Plan to Promote Cancer Control, which may help hospital administrators retain nursing staff.
随着日本人口老龄化，癌症患者数量可能会增加。因此，应该招募和留住合格的癌症保健提供者。护士工作满意度受众多因素影响，并可能影响员工离职率和患者结局。
评估日本癌症护理中注册护士和专科护士的工作满意度，并阐明与工作满意度相关的因素。
本横断面研究的参与者包括 200 名注册护士专家和 1472 名在日本从事癌症护理的注册护士。采用卡方检验和逻辑回归分析来确定工作满意度的影响因素。
注册护士和专科护士的工作满意度分别为 38.45%和 49.00%。注册护士将工作满意度与跨部门活动（OR 2.24，p<0.001）、上级人员的积极评价（OR 4.58，p<0.001）、适当的人员配置（OR 1.75，p<0.001）、超过 5 年注册护士经验（OR 1.91，p<0.001）、对注册护士和专科护士发展的积极评价（OR 2.13，p<0.01 和 OR 1.37，p<0.05）相关联。低工作满意度与在病房工作（OR 0.51，p<0.001）和超过 200 张床位的容量（OR 0.33，p=0.00）相关。注册护士专家将工作满意度与姑息治疗团队参与（OR 2.64，p<0.05）、跨部门活动（OR 7.06，p<0.01）、上级人员的积极评价（OR 13.15，p<0.001）、放射治疗中有注册护士（OR 2.91，p<0.05）、对注册护士专家发展的积极评价（OR 7.35，p<0.001）、医疗服务费用（OR 3.78，p<0.01）和独立活动（OR 11.34，p<0.01）相关联。
我们确定了与日本癌症护理中注册护士和专科护士的活动、设施和癌症护理团队相关的工作满意度因素。本研究结果可为通过《日本癌症控制基本计划》提高护士工作满意度提供建议，这可能有助于医院管理者留住护理人员。
