Thanh Nguyen Duc, Anh Pham Quynh, Huyen Chang Pham Thi, Minh Nguyet Ha Thi, Xiem Chu Huyen, Hung Pham Van, Chau Le Bao
Department of Hospital Management, Health Management Training Institute, Hanoi University of Public Health, Hanoi, Vietnam.
Department of Health Organization and Management, Health Management Training Institute, Hanoi University of Public Health, Hanoi, Vietnam.
SAGE Open Med. 2024 Oct 31;12:20503121241292676. doi: 10.1177/20503121241292676. eCollection 2024.
Extensive scrutiny within organizational research has positioned job satisfaction as a pivotal factor contingent upon organizational contexts. Our study aimed to refine job satisfaction measurement tools for diverse healthcare settings using insights from a university hospital in Vietnam, enhancing the validity and applicability of these instruments.
The procedure for the contextualization of a job satisfaction measurement tool was established encompassing six key steps: (1) Developing, selecting, or modifying the questionnaire; (2) Assessing face validity; (3) Ensuring content validity; (4) Designing the research for field testing; (5) Assessing the tool reliability and validity; and (6) Assessing discriminant validity between two tools. This procedure served as the foundation for a cross-sectional study involving 216 healthcare staff at a university hospital in Vietnam.
The modified tool, comprising 35 items (6 fewer than the original 41-item reference tool), was derived through evaluations of face, content, and construct validity, conducted with 216 healthcare staff. The validity of the modified tool was subsequently confirmed through Confirmatory Factor Analysis, demonstrating favorable fit indices for the job satisfaction item, including a Chi-square/degrees of freedom ratio of 3.15, Comparative Fit Index of 0.86, Tucker Lewis Index of 0.85, and Root Mean Squared Error of Approximation of 0.1. Additionally, the modified tool exhibited a high Cronbach's alpha of 0.97, a good convergence ranged from 0.4 to 0.6 and a good divergence with the maximum shared variance values were lower than the corresponding average variance extracted values. The job satisfaction scores obtained using the modified tool surpassed significantly those of the original reference tool ( < 0.01), with percentages of 52.7% and 43.1%, respectively.
This contextualization procedure has been demonstrated to be both feasible, practical and yielded valid and reliable results, thus recommending its adoption in other healthcare settings along with further validation and adaptation, including rural settings.
组织研究中的广泛审视已将工作满意度定位为取决于组织环境的关键因素。我们的研究旨在利用越南一家大学医院的见解,为不同的医疗环境完善工作满意度测量工具,提高这些工具的有效性和适用性。
建立了工作满意度测量工具情境化的程序,包括六个关键步骤:(1)开发、选择或修改问卷;(2)评估表面效度;(3)确保内容效度;(4)设计现场测试研究;(5)评估工具的信度和效度;(6)评估两种工具之间的区分效度。该程序为一项横断面研究奠定了基础,该研究涉及越南一家大学医院的216名医护人员。
通过对216名医护人员进行表面效度、内容效度和结构效度评估,得出了修改后的工具,该工具包含35个项目(比原始的41项参考工具少6项)。修改后的工具的效度随后通过验证性因素分析得到证实,显示出工作满意度项目的良好拟合指数,包括卡方/自由度比为3.15、比较拟合指数为0.86、塔克·刘易斯指数为0.85以及近似均方根误差为0.1。此外,修改后的工具显示出较高的克朗巴哈系数0.97,良好的收敛范围为0.4至0.6,并且与最大共享方差值有良好的区分度,最大共享方差值低于相应的平均提取方差值。使用修改后的工具获得的工作满意度得分显著高于原始参考工具(<0.01),分别为52.7%和43.1%。
这种情境化程序已被证明是可行、实用的,并产生了有效和可靠的结果,因此建议在其他医疗环境中采用,并进行进一步的验证和调整,包括农村环境。