Wang Shiqian, Li Lin, Liu Chao, Huang Lizhen, Chuang Yen-Ching, Jin Yanjun
Business School, Dongguan City University, Dongguan, China.
Institute for Hospital Management, Tsinghua University, Shenzhen Campus, Shenzhen, China.
Heliyon. 2023 Mar 21;9(3):e14721. doi: 10.1016/j.heliyon.2023.e14721. eCollection 2023 Mar.
A decision analysis model was constructed to explore the key factors affecting the job satisfaction of hospital nurses and to analyze the key satisfaction gaps in the case hospital.
In China, medical institutions are facing greater pressure and challenges in the normalization of epidemic prevention and control. Nurses play a critical role in the delivery of medical care services. Past studies have shown that improving job satisfaction among hospital nurses is important for both reducing nurse turnover and improving the quality of care.
McCloskey/Mueller satisfaction scale (MMSS-31) was used to survey 25 nursing specialists in a case hospital in Zhejiang. Then, the Consistent Fuzzy Preference Relation (CFPR) method was used to analyze the degree of importance of dimensions and corresponding sub-criteria. Finally, the importance-performance analysis method was applied to identify critical satisfaction gaps for the case hospital.
In terms of local weight for dimensions, "Control/Responsibility ( )" "Praise/Recognition ( )" "Extrinsic Rewards ( )" are the top three key factors for nurses' work environment satisfaction in the case of a hospital. In addition, the sub-criteria "Salary ( )", "Benefits ( )", "Child care ( )", "Recognition-peers ( )", "Encouragement/feedback ( )", and "Decision making ( )" are the key factors for improving clinical nursing satisfaction in the case hospital.
The issues that nurses care about but for which they have not attained expectations mainly involved extrinsic rewards, recognition/encouragement and control over their working process. The findings of this study could offer an academic reference for management and remind them to consider the above factors in exploring future reform, further improving nurses' job satisfaction and motivating them to provide better nursing services.
构建决策分析模型，以探究影响医院护士工作满意度的关键因素，并分析案例医院的关键满意度差距。
在中国，医疗机构在常态化疫情防控中面临着更大的压力和挑战。护士在医疗服务提供中发挥着关键作用。过去的研究表明，提高医院护士的工作满意度对于减少护士流失和提高护理质量都很重要。
采用麦克洛斯基/米勒满意度量表（MMSS - 31）对浙江一家案例医院的25名护理专家进行调查。然后，运用一致性模糊偏好关系（CFPR）方法分析各维度及相应子标准的重要程度。最后，应用重要性 - 绩效分析方法确定案例医院的关键满意度差距。
就各维度的局部权重而言，在某医院的情况下，“控制/责任（ ）”“表扬/认可（ ）”“外部奖励（ ）”是护士工作环境满意度的前三大关键因素。此外，子标准“薪资（ ）”“福利（ ）”“儿童保育（ ）”“同事认可（ ）”“鼓励/反馈（ ）”以及“决策制定（ ）”是提高案例医院临床护理满意度的关键因素。
护士关心但未达期望的问题主要涉及外部奖励、认可/鼓励以及对工作过程的控制。本研究结果可为管理提供学术参考，并提醒其在探索未来改革时考虑上述因素，进一步提高护士工作满意度，激励他们提供更好的护理服务。
