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埃塞俄比亚卫生专业人员的工作满意度及相关因素:系统评价与荟萃分析

Health Professionals Job Satisfaction and Associated Factors in Ethiopia: A Systematic Review and Meta-analysis.

作者信息

Tenaw Zelalem, Siyoum Melese, Tsegaye Berhan, Werba Tehsale Biku, Bitew Zebenay Workneh

机构信息

Hawassa University, Hawassa, Ethiopia.

St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

出版信息

Health Serv Res Manag Epidemiol. 2021 Nov 20;8:23333928211046484. doi: 10.1177/23333928211046484. eCollection 2021 Jan-Dec.

DOI:10.1177/23333928211046484
PMID:34820476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8606927/
Abstract

BACKGROUND

Health professionals' job satisfaction is crucial for health professionals' life which determines health care service quality. This study aimed to estimate pooled prevalence of job satisfaction of health professionals and associated factors in Ethiopia.

METHODS

Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) was followed to prepare this study. Studies were searched from PubMed (EBSCOhost), Directory of open access journals (DOAJ), Global health, African Index Medicus, IRIS (WHO digital publication), African Journals Online (AJOL), Google Scholar, and Google. Random-effect model was used to estimate the pooled prevalence of job satisfaction and associated factors. Heterogeneity was assessed using test statistics. Publication bias was checked using funnel plot, Egger's regression test, and sensitivity analysis.

RESULT

The pooled prevalence of health professionals' job satisfaction was computed from 35 studies, and it was 46.68% (95%, confidence interval (CI): 41.82, 51.54,  = 95.8%). Specifically, job satisfaction was 57.56%, 48.80%, 48.57%, 48.48%, 44.56%, 39.20%, and 16.5% among pharmacy professionals, health officers, midwives, nurses, anesthetists, physicians, and health extension workers, respectively. Secured working environment (pooled odds ratio [POR] = 6.50, 95% CI: 3.41-9.58) coworkers relationship (POR = 5.14, 95% CI: 1.27, 9.02), good relationship with supervisors (POR = 5.86, 95% CI: 2.56-9.16) and having bachelor's degree (POR = 2.52, 95% CI: 1.31, 3.72) were significantly associated with job satisfaction.

CONCLUSION

Job satisfaction among Ethiopian health professionals is considerably low. Secured working environment, positive relationships among staff, and having a bachelor's enhanced the job satisfaction. Designing strategies to improve safety in the work environment and improved communication among workers could improve job satisfaction.

摘要

背景

卫生专业人员的工作满意度对其生活至关重要,而这又决定了医疗服务质量。本研究旨在估计埃塞俄比亚卫生专业人员工作满意度及相关因素的合并患病率。

方法

本研究遵循系统评价和Meta分析的首选报告项目(PRISMA)。从PubMed(EBSCOhost)、开放获取期刊目录(DOAJ)、全球卫生、非洲医学索引、IRIS(世界卫生组织数字出版物)、非洲期刊在线(AJOL)、谷歌学术和谷歌搜索相关研究。采用随机效应模型估计工作满意度及相关因素的合并患病率。使用检验统计量评估异质性。通过漏斗图、Egger回归检验和敏感性分析检查发表偏倚。

结果

从35项研究中计算出卫生专业人员工作满意度的合并患病率为46.68%(95%置信区间(CI):41.82,51.54, = 95.8%)。具体而言,药剂师、卫生官员、助产士、护士、麻醉师、医生和卫生推广工作者的工作满意度分别为57.56%、48.80%、48.57%、48.48%、44.56%、39.20%和16.5%。安全的工作环境(合并比值比[POR] = 6.50,95% CI:3.41 - 9.58)、同事关系(POR = 5.14,95% CI:1.27,9.02)、与上级的良好关系(POR = 5.86,95% CI:2.56 - 9.16)以及拥有学士学位(POR = 2.52,95% CI:1.31,3.72)与工作满意度显著相关。

结论

埃塞俄比亚卫生专业人员的工作满意度相当低。安全的工作环境、员工之间的积极关系以及拥有学士学位可提高工作满意度。设计改善工作环境安全性的策略并改善员工之间的沟通可提高工作满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/e1ab70452bf7/10.1177_23333928211046484-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/e7b994d9434d/10.1177_23333928211046484-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/86bfde5ff315/10.1177_23333928211046484-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/5ef492b8f70c/10.1177_23333928211046484-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/b89e70f0c4e0/10.1177_23333928211046484-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/293c79641639/10.1177_23333928211046484-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/e1ab70452bf7/10.1177_23333928211046484-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/e7b994d9434d/10.1177_23333928211046484-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/86bfde5ff315/10.1177_23333928211046484-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/5ef492b8f70c/10.1177_23333928211046484-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/b89e70f0c4e0/10.1177_23333928211046484-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/293c79641639/10.1177_23333928211046484-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b3/8606927/e1ab70452bf7/10.1177_23333928211046484-fig6.jpg

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