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在埃塞俄比亚西北部巴赫达尔市的公立和私立医院工作的卫生专业人员的工作满意度及其相关因素:一项比较性横断面研究。

Job Satisfaction and Associated Factors among Health Professionals Working at Public and Private Hospitals in Bahir Dar City, Northwest Ethiopia: A Comparative Cross-Sectional Study.

机构信息

Bahir Dar City Administration, Amhara National Regional State, Bahir Dar, Ethiopia.

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Biomed Res Int. 2021 Aug 26;2021:6632585. doi: 10.1155/2021/6632585. eCollection 2021.

Abstract

INTRODUCTION

Job satisfaction is a pleasurable or positive emotional state resulting from evaluating one's job or job experiences. However, knowledge of workplace factors that either satisfy employees to keep working or dissatisfy them making them leave their jobs or working places is essential for decision-making. Thus, this study is aimed at assessing job satisfaction and associated factors among healthcare professionals working at public and private hospitals in Bahir Dar city, northwest Ethiopia.

METHODS

An institution-based comparative cross-sectional study design was conducted from 10 February 2020 to 29 May 2020. A total of 520 health professionals were selected from public and private health facilities using stratified systematic random sampling techniques. Data were collected using structured pretested self-administered questionnaires. A binary logistic regression model with Huber-White robust standard error was fitted to identify job satisfaction and associated factors among healthcare professionals working at public and private hospitals. A less than 0.05 value and an Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were considered to have a statistically significant association with the outcome variable.

RESULTS

The overall magnitude of job satisfaction was 55.2% (95% CI: 51.0, 59.4%). At public and private hospitals, the provider's satisfaction was 29.0% (95% CI: 23.2, 35.1%) and 81.23% (95% CI: 76.6, 85.8%), respectively. Working at private hospital (AOR: 8.89; 95% CI: 5.14, 15.35), pleasant nature of work (AOR:  1.82; 95% CI: 1.05, 3.15), autonomy (AOR: 2.37; 95% CI: 1.29, 4.33), adequate supportive supervision (AOR: 2.42; 95% CI: 1.33, 4.40), good reward and recognition (AOR: 3.04; 95% CI: 1.37, 6.75), and high normative commitment (AOR: 2.57; 95% CI: 1.48, 4.43) were factors affecting the overall job satisfaction of health professionals.

CONCLUSIONS

The magnitude of job satisfaction was relatively low in private and public hospital health professionals and severe among health professionals working in public hospitals. Healthcare policy-makers and hospital managers need to develop and institutionalize evidence-based satisfaction strategies considering the predictors of health professional's job satisfaction.

摘要

简介

工作满意度是一种愉快或积极的情绪状态,源于对工作或工作经历的评价。然而,了解既能满足员工使其继续工作,又能使其离职或离开工作场所的工作场所因素对于决策至关重要。因此,本研究旨在评估在埃塞俄比亚西北部巴赫达尔市公立和私立医院工作的医疗保健专业人员的工作满意度及其相关因素。

方法

这是一项 2020 年 2 月 10 日至 5 月 29 日进行的基于机构的比较性横断面研究设计。采用分层系统随机抽样技术,从公立和私立卫生机构中抽取了 520 名卫生专业人员。使用经过预测试的结构化自我管理问卷收集数据。采用具有 Huber-White 稳健标准误差的二元逻辑回归模型来确定公立和私立医院工作的医疗保健专业人员的工作满意度及其相关因素。小于 0.05 的 值和 95%置信区间 (CI) 的调整后比值比 (AOR) 被认为与因变量具有统计学显著关联。

结果

总体工作满意度为 55.2%(95%CI:51.0,59.4%)。在公立和私立医院,医生的满意度分别为 29.0%(95%CI:23.2,35.1%)和 81.23%(95%CI:76.6,85.8%)。在私立医院工作(AOR:8.89;95%CI:5.14,15.35)、工作性质愉快(AOR:1.82;95%CI:1.05,3.15)、自主权(AOR:2.37;95%CI:1.29,4.33)、充分的支持性监督(AOR:2.42;95%CI:1.33,4.40)、良好的奖励和认可(AOR:3.04;95%CI:1.37,6.75)和高度的规范承诺(AOR:2.57;95%CI:1.48,4.43)是影响卫生专业人员整体工作满意度的因素。

结论

私立和公立医院卫生专业人员的工作满意度水平相对较低,而公立医院卫生专业人员的工作满意度水平则较为严重。卫生保健政策制定者和医院管理人员需要制定和实施基于证据的满意度策略,考虑卫生专业人员工作满意度的预测因素。

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