Department of Public Relation and Communication, Ethiopian Ministry of Health, Addis Ababa, Ethiopia.
Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
PLoS One. 2022 Jun 7;17(6):e0269540. doi: 10.1371/journal.pone.0269540. eCollection 2022.
Job dissatisfaction issues and health workers' intention to leave is an increasing problem that threatens the function of the health care sector worldwide, especially in developing countries, including Ethiopia. As part of future evidence, this study was intended to assess nurses' job satisfaction and intention to leave their current work and its associated factors in federal public hospitals in Addis Ababa, Ethiopia.
An institutional based cross-sectional study design was used to conduct the study. A simple random sampling technique was employed to select 408 nurses from selected federal hospitals in Ethiopia. Self-administered questionnaire was used to collect the data. Logistic regression was employed to identify the predictor variables with consideration of statistical significance at P <0.05 adjusted odds ratios calculated at 95% CIs.
The magnitudes of job satisfaction and intention to leave their current job among nurses in this study were 47.7% and 80.6%, respectively. Salary is imbalanced with demands [AOR = 2.85 (1.24, 6.57)], managers who have no personal plan for developing skills [AOR = 3.74 (1.58, 8.87)], stressful jobs [AOR = 0.28 (0.11, 0.71)], health problems are a reason for having thoughts about changing jobs [AOR = 3.02 (1.17, 7.79)], and a lack of development [AOR = 4.13 (1.51, 11.3)] were identified as determinant factors for intention to leave.
The overall intention to leave their current job among nurses working in selected federal hospitals in Ethiopia was high. The government of Ethiopia should balance the salary of nurses with the current market level. Hospital leaders should plan the way nurses develop their educational and job carrier levels.
工作不满和卫生工作者离职意愿是一个日益严重的问题，威胁着全球医疗保健部门的功能，特别是在包括埃塞俄比亚在内的发展中国家。作为未来证据的一部分，本研究旨在评估埃塞俄比亚亚的斯亚贝巴联邦公立医院护士的工作满意度和离职意愿及其相关因素。
本研究采用基于机构的横断面研究设计。采用简单随机抽样技术从选定的联邦医院中抽取 408 名护士。使用自填式问卷收集数据。采用逻辑回归来确定预测变量，并考虑到 P<0.05 的统计学意义，调整后的优势比计算在 95%置信区间内。
本研究中护士的工作满意度和离职意愿的程度分别为 47.7%和 80.6%。工资与需求不平衡[比值比（OR）=2.85（1.24，6.57）]、没有个人技能发展计划的管理人员[OR=3.74（1.58，8.87）]、压力大的工作[OR=0.28（0.11，0.71）]、健康问题是换工作的原因[OR=3.02（1.17，7.79）]和缺乏发展[OR=4.13（1.51，11.3）]被确定为离职意愿的决定因素。
在埃塞俄比亚选定联邦医院工作的护士总体离职意愿较高。埃塞俄比亚政府应平衡护士的工资与当前市场水平。医院领导应规划护士发展教育和职业道路的方式。
