Determinants of Nurses’ Job Satisfaction in Government Hospitals, Addis Ababa, Ethiopia, June 2010.
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Date
2010-06
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Addis Ababa University
Abstract
Introduction: Nurse‟s job sat isfact ion is a cornerstone for improving the qualit y of health care, patient satisfaction, staff morale, job competence, patient compliance, positive patient outcomes and its continuity of care; however, dissatisfaction leads to decreased productivity, efficiency,
and the quality of care, each of which raises costs to the health care system.
Objective: The main objective of this survey was to assess levels and determinants of nurses‟ job satisfact ion by using Herzberg‟s job motivator and hygiene factors in Addis Ababa government hospitals.
Methods: Institution based cross-sectional study was conducted from Nov to May 2010 on 300 nurses working in Addis Ababa government hospitals. Pre-tested and self administered questionnaire was used to collect data from six hospitals. Simple random and systematic sampling technique was employed in this study. The data was entered, cleaned and analyzed using SPSS version 15. Associations between dependent and independent variables assessed and presented using frequency, mean, standard deviation, student t-test, ANOVA, & Pearson‟s correlation test. Statistical significance was set at p-value < 0.05.
Results: Three hundred nurses responded from the sampled 314 respondents and composed a response rate of 95.5%.The majority 188 (63%) of nurses were dissatisfied with their job. Advanced age and work experience were related with nurses‟ job sat isfact ion. The overall mean
satisfaction score of hygiene and motivation factors were 3.54 (+0.96SD) and 3.35 (+0.09SD) respectively. Almost all determinants were positively and moderately correlated with job satisfaction, whereas compensation was negatively and strongly correlated with job satisfaction.
Conclusions: The majority of nurses were dissatisfied with their job. Advanced age and work experience were statist ically significant and associated with nurses‟ job sat isfaction. Almost all hygiene and motivation factors were positively and moderately correlated with nurses‟ job satisfaction. Hygiene factors were more important predictors of job satisfaction than motivation
factors in this study subjects. The study subjects were not satisfied with the compensation (salary) that they received for their work that they do.
Recommendations: Managers can use both hygienic & motivation determinants as a strategic tool to increase nurses‟ job sat isfact ion and they should also give priorit y and design appropriate mechanism to their young and low experienced nurses to improve level of their job satisfaction.
The factors contributing to nurses‟ dissat isfact ion with compensation (salary) should be further investigated and depending on the findings, alternative methods of reward need to be considered.
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Keywords
Determinants, Nursing job satisfaction