Management and Healthcare Laboratory, Institute of Management and L'EMbeDS, Sant'Anna School of Advanced Studies, Piazza Martiri Della Libertà 33, Pisa, 56127, Italy.
BMC Health Serv Res. 2023 May 3;23(1):428. doi: 10.1186/s12913-023-09426-3.
Measuring employees' satisfaction with their jobs and working environment have become increasingly common worldwide. Healthcare organizations are not extraneous to the irreversible trend of measuring employee perceptions to boost performance and improve service provision. Considering the multiplicity of aspects associated with job satisfaction, it is important to provide managers with a method for assessing which elements may carry key relevance. Our study identifies the mix of factors that are associated with an improvement of public healthcare professionals' job satisfaction related to unit, organization, and regional government. Investigating employees' satisfaction and perception about organizational climate with different governance level seems essential in light of extant evidence showing the interconnection as well as the uniqueness of each governance layer in enhancing or threatening motivation and satisfaction.
This study investigates the correlates of job satisfaction among 73,441 employees in healthcare regional governments in Italy. Across four cross sectional surveys in different healthcare systems, we use an optimization model to identify the most efficient combination of factors that is associated with an increase in employees' satisfaction at three levels, namely one's unit, organization, and regional healthcare system.
Findings show that environmental characteristics, organizational management practices, and team coordination mechanisms correlates with professionals' satisfaction. Optimization analyses reveal that improving the planning of activities and tasks in the unit, a sense of being part of a team, and supervisor's managerial competences correlate with a higher satisfaction to work for one's unit. Improving how managers do their job tend to be associated with more satisfaction to work for the organization.
The study unveils commonalities and differences of personnel administration and management across public healthcare systems and provides insights on the role that several layers of governance have in depicting human resource management strategies.
测量员工对工作和工作环境的满意度在全球范围内变得越来越普遍。医疗保健组织也不能置身于衡量员工看法以提高绩效和改善服务提供的不可逆转趋势之外。考虑到与工作满意度相关的方面的多样性，为管理者提供一种评估哪些因素可能具有关键相关性的方法非常重要。我们的研究确定了与单位、组织和地区政府相关的公共医疗保健专业人员工作满意度提高相关的因素组合。考虑到现有证据表明，每个治理层在增强或威胁动机和满意度方面的相互关联以及独特性，调查员工对不同治理水平的组织氛围的满意度和看法似乎至关重要。
本研究调查了意大利医疗保健地区政府 73441 名员工的工作满意度相关因素。在四个不同医疗保健系统的横断面调查中，我们使用优化模型来确定与员工在三个层面（即单位、组织和地区医疗保健系统）满意度提高相关的最有效因素组合。
研究结果表明，环境特征、组织管理实践和团队协调机制与专业人员的满意度相关。优化分析表明，改善单位内活动和任务的规划、团队归属感以及主管的管理能力与对单位工作的更高满意度相关。改善经理的工作方式往往与对组织工作的更高满意度相关。
该研究揭示了公共医疗保健系统中人事管理和管理的共性和差异，并提供了关于几个治理层在描绘人力资源管理策略方面的作用的见解。
