School of Health Management, Southern Medical University, Guangzhou, China.
Department of Medical Dispute, Maternal and Child Health Hospital, Heyuan, China.
J Nurs Manag. 2022 Sep;30(6):2062-2073. doi: 10.1111/jonm.13663. Epub 2022 May 23.
This study aims to investigate the impact of occupational exposure on job satisfaction and overall happiness and to identify related factors of job satisfaction and overall happiness among physicians and nurses.
Occupational exposure against physicians and nurses has become one of the most serious public health issues worldwide.
A cross-sectional study was conducted among physicians and nurses from 14 public tertiary hospitals using purposive sampling. Propensity score matching was used to compare job satisfaction and overall happiness among physicians and nurses with and without occupational exposure. Furthermore, binary logistic regression analysis was used to identify and analyse the influencing factors of job satisfaction and overall happiness.
A total of 2139 physicians and nurses (55.59%) from 3791 participants had experienced occupational exposure hazards. Before matching, the job satisfaction and overall happiness among the physicians and nurses were 38.54% and 42.14%, respectively. Participants who experienced occupational exposure were more likely to develop job dissatisfaction (OR = 1.08, 95% confidence interval [CI]: 0.90-1.28) and overall unhappiness (OR = 1.24, 95% CI: 1.05-1.46) than those who did not. Participants' work experience, self-evaluated health status, satisfaction with the work environment, evaluation of doctor-patient relationship and stress were common factors affecting job satisfaction and overall happiness.
Our findings suggest that physicians and nurses who experience occupational exposure are more likely to develop job dissatisfaction and overall unhappiness, especially if they have shorter work experience and a tense or neutral relationship with patients.
It is necessary to pay attention to the occupational exposure. When physicians and nurses experience occupational exposure, managers could provide support to prevent job dissatisfaction and unhappiness.
本研究旨在探讨职业暴露对医生和护士工作满意度和整体幸福感的影响，并确定医生和护士工作满意度和整体幸福感的相关因素。
职业暴露已成为全球最严重的公共卫生问题之一。
采用整群抽样的方法，对 14 家公立医院的医生和护士进行横断面研究。采用倾向评分匹配比较有和无职业暴露的医生和护士的工作满意度和整体幸福感。此外，采用二元逻辑回归分析确定和分析工作满意度和整体幸福感的影响因素。
共有 3791 名参与者中有 2139 名（55.59%）经历过职业暴露危害。匹配前，医生和护士的工作满意度和整体幸福感分别为 38.54%和 42.14%。与无职业暴露的参与者相比，经历过职业暴露的参与者更容易出现工作不满（OR=1.08，95%置信区间[CI]：0.90-1.28）和整体不幸福（OR=1.24，95%CI：1.05-1.46）。参与者的工作经验、自我评估的健康状况、对工作环境的满意度、对医患关系的评价和压力是影响工作满意度和整体幸福感的常见因素。
我们的研究结果表明，经历职业暴露的医生和护士更容易出现工作不满和整体不幸福，尤其是工作经验较短、与患者关系紧张或中性的医生和护士。
护理管理需要重视职业暴露问题。当医生和护士经历职业暴露时，管理者可以提供支持，防止工作不满和不幸福。
