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提高南非豪登省公立医疗体系放射技师工作满意度的模型。

A model to enhance job satisfaction for radiographers in the public healthcare system in Gauteng province, South Africa.

机构信息

Department of Radiography, Gate 6, Ritson Campus, 11 Steve Biko Road, Durban 4001, South Africa.

Faculty of Health Science, Gate 6, Ritson Campus, 11 Steve Biko Road, Durban 4001, South Africa.

出版信息

Radiography (Lond). 2021 Feb;27(1):120-126. doi: 10.1016/j.radi.2020.07.005. Epub 2020 Jul 23.

DOI:10.1016/j.radi.2020.07.005
PMID:32713822
Abstract

INTRODUCTION

The World Health Organization seeks to address the maldistribution of healthcare professionals which results in inequitable services to underserved communities (World Health Organization (WHO), 2015). In South Africa, the underserved areas are the public sector hospitals and the rural areas. Radiographers, like other healthcare professionals, are also unequally distributed between the public and private sector hospitals, and between the rural and urban areas. Since one of the perceived factors for maldistribution is job satisfaction, it is essential to explore factors that contribute to job satisfaction/dissatisfaction amongst radiographers to develop a model to attract and retain radiographers in the public sector.

METHODS

The study used exploratory sequential mixed methods approach to explore job satisfaction amongst radiographers, employed by public tertiary hospitals in the Gauteng province, South Africa. In phase one of the study (qualitative), individual and focus group interviews were used to collect data, and in phase two (quantitative), a self-developed questionnaire was used. The data collected was analyzed in sequential order, where thematic analysis was performed for phase one of the study, and SPSS version 23 was used in phase two.

RESULTS

In phase one, five themes emerged, namely the influence of government policies on job satisfaction, lack of career pathing, poor remuneration, working conditions, and the role of the human resources department. In phase two, the Pearson's correlation test was performed which showed that there was a significant correlation of intent to leave, p = .005 with the following factors: government policy on Occupational Specific Dispensation (OSD) and Performance Management Development System (PMDS), working conditions, supervision, equipment and infrastructure, and poor remuneration.

CONCLUSION

Government policies, working conditions, and poor remuneration play a significant role in job satisfaction amongst radiographers employed by public tertiary hospitals in the Gauteng province.

IMPLICATIONS FOR PRACTICE

The proposed model could enhance job satisfaction for radiographers employed by the public sector hospitals and ultimately increase attraction and retention rates of radiographers for this sector.

摘要

简介

世界卫生组织(WHO)旨在解决医疗保健专业人员分布不均的问题,这种不均导致服务不足的社区得不到公平的服务(世界卫生组织(WHO),2015 年)。在南非,服务不足的地区是公共部门医院和农村地区。放射技师与其他医疗保健专业人员一样,在公共和私营部门医院以及城乡之间的分布也不均衡。由于分布不均的一个被认为的因素是工作满意度,因此有必要探讨影响放射技师工作满意度/不满度的因素,以便制定一个吸引和留住公共部门放射技师的模型。

方法

本研究采用探索性顺序混合方法,探讨了在南非豪登省公立三级医院工作的放射技师的工作满意度。在研究的第一阶段(定性),采用个人和焦点小组访谈收集数据,在第二阶段(定量),采用自行开发的问卷。收集的数据按顺序进行分析,其中第一阶段进行主题分析,第二阶段使用 SPSS 版本 23。

结果

在第一阶段,出现了五个主题,即政府政策对工作满意度的影响、缺乏职业发展道路、薪酬低、工作条件和人力资源部门的作用。在第二阶段,进行了 Pearson 相关性检验,结果显示,离职意向与政府关于职业特殊津贴(OSD)和绩效管理发展系统(PMDS)、工作条件、监督、设备和基础设施以及薪酬低的政策之间存在显著相关性,p=0.005。

结论

政府政策、工作条件和薪酬低是影响在豪登省公立三级医院工作的放射技师工作满意度的重要因素。

实践意义

拟议的模型可以提高公共部门医院放射技师的工作满意度,最终提高该部门放射技师的吸引力和留用率。

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