job satisfaction of nurses and their productivity
TRANSCRIPT
JOB SATISFACTION OF NURSES AND THEIR PRODUCTIVITY
Presented by MBA(HM)MD DILNAWAZ
INTRODUCTION
• Job satisfaction is important in predicting systems stability, reduced turnover and worker motivation. If motivation is defined as the willingness to exert and maintain effort towards attaining organizational goals, then well-functioning systems should seek to boost factors such as morale and satisfaction, which predict motivation. A survey of ministries of health in 29 countries showed that low motivation was seen as the second most important health workforce problem after staff shortages .
Cont..• Job satisfaction is also an essential part of ensuring quality
care, as dissatisfied healthcare providers are likely to give poor quality and less efficient care. According to Tzeng (2002) there is evidence of a positive correlation between professional satisfaction and patient satisfaction.
OBJECTIVES
(i.) To determine the level of job satisfaction among nurses in the Hospital. (ii.) To measure the relationship between job satisfaction of nurses and their work Productivity.(iii.) To determine the factors influencing job satisfaction among nurses.
METHODOLOGY
•A structured self-administered questionnaire was used to
collect the primary data from the participants/nurses.
•Open, semi-structured interviews also was conducted.
DISCRIPTION AND DATA ANALYSISWork Environment Highly Dissatisfied Dissatisfied Neutral Satisfied Highly Satisfied
Nature of workWork load Hours of workWorking long shiftWork overtimeWorking of weekendNumber of weekendsWorking at nightWorking on holidayWorking schedulingVariety of hours requiredFlexibility at workJob stabilityEquipments Staffing adequacyNon-nurse staffing adieuRotation to other wardWorking at this wardWorking environmentSafety measuresFeeling of accomplishmentContribution in qualityNon-nursing dutiesVisiting hoursUniform
3.4%6.9%0.00%0.00%13.8%10.3%13.8%17.2%13.8%0.00%3.4%3.4%6.9%13.8%20.7%20.7%13.8%0.00%6.9%13.8% 0.00%3.4%10.3%20.7%0.00%
3.4%20.7%13.8%34.5%20.7%24.1%31%31%24.1%17.2%27.6%20.7%27.6%55.2%37.9%24.1%41.4%10.3%10.3%27.6% 10.3%0.00%24.1%20.7%13.8%
17.2%31%20.7%13.8%17.2%20.7%13.8%10.3%24.1%31%31%31%24.1%20.7%34.5%41.4%17.2%31%34.5%31% 34.5%37.9%24.1%31%24.1%
72.4%34.5%62.1%51.7%31%41.4%37.9%41.4%37.9%51.7%37.9%44.8%37.9%10.3%6.9%13.8%20.7%51.7%48.3%24.1% 51.7%58.6%41.4%27.6%51.7%
3.4%6.9%3.4%0.00%17.2%3.4%3.4%0.00%0.00%0.00%0.00%0.00%3.4%0.00%0.00%0.00%6.9%6.9%0.00%3.4% 3.4%0.00%0.00%0.00%10.3%
Cont..
Autonomy Highly Dissatisfied
Dissatisfied Neutral Satisfied Highly Satisfied
Areas of recognizingIndependent thinkingDecision makingControl in the work settingCont. over work condition.
0.00%10.3%0.00%0.00%3.4%
24.1%24.1%51.7%48.3%41.4%
44.8%34.5%17.2%13.8%34.5%
31.0%31.0%31.0%34.5%17.2%
0.00%0.00%0.00%3.4%3.4%
Cont..Co-worker Highly
DissatisfiedDissatisfied Neutral Satisfied Highly
Satisfied
Team working Relationship with co-workerRelationship with physicianRelationship with supervisorsRelationship with head nurseRelationship with managerRelationship with patientsRelationship with director/CEO/MDRelationship with others(visitors)Co-worker support
3.4%10.3 6.9% 3.4% 10.3% 6.9% 0.00% 6.9% 6.9% 3.4%
10.3%0.00% 0.00% 10.3% 20.7% 24.1% 3.4% 20.7% 10.3% 6.9%
13.8%10.3% 17.2% 20.7% 13.8% 20.7% 17.2% 31.0% 34.5% 17.2%
58.6%62.1% 69.0% 51.7% 37.9% 41.4% 65.5% 34.5% 44.8% 69.0%
13.8%17.2% 6.9% 13.8% 17.2% 6.9% 13.8% 6.9% 3.4% 3.4%
Cont..Recognition Highly
DissatisfiedDissatisfied Neutral Satisfied Highly
Satisfied
Recognition receive from Peers doing my job Recognition receive from other professional groupRecog. receiv from General publicFrom Status of my position.From Supervisor From Family
0.00% 3.4% 6.9% 3.4%0.00%0.00%
17.2% 27.6% 17.2% 17.2%17.2%10.3%
34.5% 27.6% 17.2% 20.7%17.2%20.7%
44.8% 37.9% 44.8% 44.8%58.6%41.1%
3.4% 3.4% 13.8% 13.8%6.9%27.6%
Cont..Promotion Highly
DissatisfiedDissatisfied Neutral Satisfied Highly
Satisfied
Opportunities for on the job trainingAccess to training progm.for learning new thingsInteraction with nursing facultyCommittee membershipParticipation in nursing researchWriting and publishing papers, journals Clinical ladder(opportunities for improvement)Opportunities of continuing education
10.3% 17.2%13.8%24.1% 10.3% 20.7% 27.6% 20.7%
44.8% 44.8%17.2%31% 55.8% 37.9% 37.9% 13.8%
24.1% 10.3%27.6%20.7% 13.8% 24.1% 20.7% 37.9%
13.8% 20.7%37.9%20.7% 17.2% 13.8% 10.3% 24.1%
6.9% 6.9%3.4%3.4% 3.4% 3.4% 3.4% 3.4%
Cont..Supervision Highly
DissatisfiedDissatisfied Neutral Satisfied Highly
SatisfiedManagers Leadership styleParticipation in the policies and decision makingAwareness of the mission ,strategy and goals of the hospital. How the hospital handles staff ComplaintsFairness to the performance Appraisal system Caring from supervisors The amount of Job securityThe Reward system and packageWelfare issuesThe work unit’s Atmosphere The Quality of work condition Coordination in administrationSupporting nurses by the Administration in conflict situationResponse of administration to nurses needs ,demands Incentives of administration for nurses
13.8% 31.0% 20.7% 31.0% 31.0%31.0%20.7%31.0%27.6%6.9%10.3%20.7% 27.6% 27.6% 34.%
20.7% 27.6% 34.5% 31.0% 20.7%6.9%34.5%27.6%24.1%10.3%20.7%20.7% 10.3% 31.0% 20.7%
34.5% 20.7% 13.8% 13.8% 20.7%31.0%20.7%27.6%31.0%55.5%34.5%27.6% 34.5% 17.2% 24.1%
27.6% 17.2% 27.6% 20.7% 24.1%27.6%17.2%10.3%13.8%24.1%31.0%27.6% 20.7% 17.2% 17.2%
3.4% 3.4% 3.4% 3.4% 3.4%3.4%6.9%3.4%3.4%3.4%3.4%3.4% 6.9% 6.9% 3.4%
Cont..Pay Highly
DissatisfiedDissatisfied Neutral Satisfied Highly
Satisfied
Salary Bonuses Paid for overtimeFringe benefits Vacations Leisure activitiesOverall job satisfaction
20.7%31.0%37.9%27.6%34.5%34.5% 27.6%
27.6%37.9%31.0551.%37.9%44.8% 17.2%
17.2%20.7%20.7%10.3%20.7%13.8% 27.6%
31.0%6.9%6.9%6.9%3.4%3.4% 24.1%
3.4%3.4%3.4%3.4%3.4%3.4% 3.4%
Cont..Factors: salary and fringe benefits
Highly Dissatisfied
Dissatisfied Neutral Satisfied Highly Satisfied
Pay is satisfactoryEducation, experience are recognized & usedOpportunities exist for career advancementThe pay system rewards my years of experienceThe pay is adequate for shifts weekend & holidays Fringe benefits are knownEmployees are satisfied with fringe benefitsChild care servicesRetirement program is a strong one
17.2% 20.7% 31.0% 34.5% 27.6%34.5% 27.6%27.6% 34.5%
31.0% 27.6% 20.7% 31.0% 24.1%24.1% 37.9%44.8% 31.0%
24.1% 24.1% 27.6% 13.8% 27.6%24.1% 17.2%10.3% 17.2%
24.1% 24.1% 17.2% 17.2% 13.8%17.2% 13.8%17.2% 13.8%
3.4% 3.4% 3.4% 3.4% 3.4%0.00% 3.4%0.00% 3.4%
Cont..
Factors: staffing, clerical work floating & rotation
Highly Dissatisfied
Dissatisfied Neutral Satisfied Highly Satisfied
The staffing philosophy is fairA float Pool covers absences and supplement staffing Nurses have input into staffing policies and proceduresOpportunities exist for flexible work schedulesClericals duty are performed by clerical personnelAppropriate activities are performed by other departments such as pharmacy ,laboratory, dietary
13.8% 10.3% 10.3% 0.00% 27.6% 24.1%
13.8% 20.7% 20.7% 34.5% 13.8% 20.7%
51.7% 34.5% 48.3% 34.5% 27.6% 27.6%
13.8% 20.7% 17.2% 27.6% 27.6% 20.7%
6.9% 6.9% 3.4% 3.4% 3.4% 6.9%
Cont..Factors: Public relation Highly
DissatisfiedDissatisfied Neutral Satisfied Highly
Satisfied
Nurses serve on all organizational committeesAdministrators promote cooperative interdisciplinary committeesNurses spend their time taking care of patientsNurses make decisions about patients careNurses participate in nursing managementNurses are recognized and rewarded for nursing excellence Nurses participate in quality assuranceNurses receive awards for meritThe communication system is informative ,provides for clinical nursing input, and gives feedback Job vacancies are postedNurses participate in public relation function
6.9% 3.4%0.00% 3.4%3.4% 13.8%6.9%31.0% 6.9% 24.1% 10.3%
20.7% 44.8% 17.2%13.8%17.2% 24.1%27.6%31.0% 24.1% 31.0%48.3%
37.9% 27.6%20.7%17.2%13.8% 31.0%27.6%17.2% 37.9% 20.7%13.8%
27.6% 20.7%55.2%58.6%55.2% 27.6%31.0%13.8% 24.1% 20.7%24.1%
6.9% 3.4%6.9%6.9%10.3% 3.4%6.9%6.9% 6.9% 3.4%3.4%
Cont..Factors : Staff development Highly
DissatisfiedDissatisfied Neutral Satisfied Highly
Satisfied
A career development program existGood opportunities for continuing education are availableA good orientation program is in forcePersonnel are reimbursed for staff development activitiesRefresher courses are available Staff development programs are marketed Incompetent nurses are identified and handled appropriatelyGood leadership training courses are availableNurses participate in staff development planning
27.6%
20.7%24.1% 27.6%24.1% 13.8% 17.2% 13.8% 3.4%
34.5%
48.3%34.5%37.9%31.0% 34.5% 37.9% 41.4% 44.8%
13.8%
6.9%24.1%13.8%17.2% 24.1% 17.2% 17.2% 27.6%
20.7%
20.7%13.8%17.2%20.7% 24.1% 20.7% 20.7% 20.7%
3.4%
3.4%3.4%3.4%6.9% 3.4% 6.9% 6.9% 3.4%
Cont..Factors : Administration support Highly
DissatisfiedDissatisfied Neutral Satisfied Highly
Satisfied
Nurses can follow through on beliefs and valuesNurses are not subjected to punitive action by supervisors Productivity standards are knownEmployees have access to senior managementNursing service and nursing education are in harmony Patient safety is emphasizedAn up to date nursing management Information system is availableManager are visible to nursing staff and patients
0.00% 3.4%10.3% 13.8% 10.3%6.9% 17.2% 20.7%
20.7% 20.7%37.9% 24.1% 27.6%27.6% 37.9% 27.6%
31.0% 48.3%31.0% 24.1% 27.6%27.6% 13.8% 20.7%
31.0% 20.7%17.2% 37.9% 31.0%34.5% 27.6% 27.6%
17.2% 3.4%3.4% 0.00% 3.4%3.4% 3.4% 3.4%
REFERENCES
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CONCLUSION
• Conclusion of the study (job satisfaction of nurses and their productivity) is that the level of job
satisfaction of the nurses depends on many things e.g. - Salary , Nature of work ,Work load ,Working long
shift ,Work overtime , Working at night ,Working on holidays , career development program , etc. Overall
job satisfaction of nurses were in this study 27.6% highly dissatisfied ,17.2% dissatisfied , 27.6% neutral
and 24.1% satisfied , 3.4% were satisfied . Paid for overtime -37.9% highly dissatisfied , 31.05%
dissatisfied , 20.7% neutral and 6.9% were satisfied , 3.4% highly satisfied . Salary(pay) 20.7% nurses were
highly dissatisfied with salary ,27.6% nurses were dissatisfied ,17.2% nurses were neutral ,31% nurses
were satisfied with the salary and 3.4% nurses were highly satisfied . so job satisfaction of nurses should
not be ignored because quality of care , efficiency , effectiveness , and finally the productivity depends on
the level of job satisfaction of nurses , patient satisfaction also depends on the job satisfaction of nurses .
•