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JOB SATISFACTION & RELATED FACTORS : A QUESTIONNAIRE SURVEY OF HOSPITAL NURSES : A CASE STUDY IN XYZ HOSPITAL
BY DR. SUGATA PYNE, BHMS, MHATISS,MUMBAI2012-14
OBJECTIVES
1.To determine the job satisfaction and other related factors in the nurses working in various departments of the hospital
2. To identify the problem areas and recommend measures to overcome the same.
METHODOLOGY
1.A questionnaire was designed which was distributed among the nurses working in the hospital followed by personal interviews of sister-in-charges.
2.The various departments in which the survey was done- wards, OT, ICU, casualty.
3. Population size = 30 4.The data was analyzed using SPSS.
• Job satisfaction scale [ 15 variables]• Organizational commitment scale [14
variables]• Occupational stress scale [23 variables]• Professional commitment scale [10 variables]
JOB SATISFACTION SCALE1= VERY DISSATISFIED2= DISSATISFIED3= CAN’T SAY4= SATISFIED5= VERY SATISFIED
ITEM MEAN S.D
PHYSICAL CONDITION IN WHICH YOU WORK 2.98 1.066
FREEDOM TO CHOOSE YOUR OWN WORKING METHODS
3.93 .740
YOUR FELLOW WORKERS 4.57 .626
RECOGNITION YOU GET FOR GOOD WORK 3.60 .724
YOUR IMMEDIATE MANAGER 3.37 .765
AMOUNT OF RESPONSIBILITY YOU ARE GIVEN
3.80 .484
RATE OF PAY OF NURSES 2.60 .724
OPPORTUNITY TO USE YOUR ABILITIES 3.53 .973
ITEM MEAN S.D
THE ATTENTION PAID TO YOUR SUGGESTIONS
2.83 0.913
THE HOURS OF WORK 4.10 0.481
THE AMOUNT OF VARIETY IN YOUR JOB
3.90 0.403
YOUR JOB SECURITY 3.01 0.930
RELATIONS BETWEEN MANAGEMENT & STAFF
3.93 0.740
FUTURE CHANCE OF PROMOTION
2.67 0.606
THE WAY HOSPITAL IS MANAGED
3.40 0.563
•There is a question mark on the physical condition in which the
nurses work. 40% of the nurses are either unsure about it or dissatisfied with it.
Frequency
Percent Valid Percent
Cumulative
Percent
1 VERY DISSATISFIED 2 6.7 6.7 6.7
2 DISSATISFIED 1 3.3 3.3 10.0
3 CAN'T SAY 9 30.0 30.0 40.0
4 SATISFIED 12 40.0 40.0 80.0
5 VERY SATISFIED 6 20.0 20.0 100.0
Total 30 100.0 100.0
•60% of the nurses are not satisfied or unsure with their immediate manager.
Frequency
Percent
Valid Percent
Cumulative
Percent
2 DISSATISFIED 3 10.0 10.0 10.0
3 CAN'T SAY 15 50.0 50.0 60.0
4 SATISFIED 10 33.3 33.3 93.3
5 VERY SATISFIED 2 6.7 6.7 100.0
Total 30 100.0 100.0
•Only 6.7% of the nurses are satisfied with the pay.
Frequency
Percent
Valid Percent
Cumulative
Percent
1 VERY DISSATISFIED 2 6.7 6.7 6.7
2 DISSATISFIED 10 33.3 33.3 40.0
3 CAN'T SAY 16 53.3 53.3 93.3
4 SATISFIED 2 6.7 6.7 100.0
Total 30 100.0 100.0
•No nurse has any clue about promotion.
Frequenc
y
Percent
Valid Percen
t
Cumulative
Percent
1 VERY DISSATISFIED
2 6.7 6.7 6.7
2 DISSATISFIED 6 20.0 20.0 26.7
3 CAN'T SAY 22 73.3 73.3 100.0
Total 30 100.0 100.0
•73% of the nurses are not satisfied with the attention paid to their suggestions.
Frequenc
y
Percent
Valid Perce
nt
Cumulative Perce
nt
2 DISSATISFIED
14 46.7 46.7 46.7
3 CAN'T SAY 8 26.7 26.7 73.3
4 SATISFIED 7 23.3 23.3 96.7
5 VERY SATISFIED
1 3.3 3.3 100.0
Total 30 100.0 100.0
•Half of the nurses (50%) suffers from lack of job security
Frequency
Percent Valid Percent
Cumulative
Percent
1 VERY DISSATISFIED
1 3.3 3.3 3.3
3 CAN'T SAY 14 46.7 46.7 50.0
4 SATISFIED 14 46.7 46.7 96.7
5 VERY SATISFIED
1 3.3 3.3 100.0
Total 30 100.0 100.0
OVERALL JOB SATISFACTION OF 3.6, WITH STANDARD DEVIATION OF 0.5
ORGANIZATIONAL COMMITMENT SCALE
1 = STRONGLY DISAGREE2= DISAGREE3= CAN’T SAY4= AGREE5= STRONGLY AGREE
ITEM MEAN S.D
EFFORT : I am willing to put in a great deal of effort beyond
that normally expected in order to help this hospital be
successful
4.14 .516
GREAT_ORGANIZATION : I talk up this hospital to my friends
as a great organization to work for
4.07 .799
LOYALTY : I feel very little loyalty to this hospital 2.28 1.066
WORKING : I would accept almost any type of assignment in
order to keep working for this hospital
3.93 .704
VALUES : I find that my values and this hospital's values are
very similar
3.48 .911
ITEM MEAN S.D
PROUD : I am proud to tell others that I am part of this hospital 4.21 .620
OTHER_HOSPITAL : I could just as well be working for a different hospital as long as the type of work was similar
3.14 .915
HOSPITAL_INSPIRATION :This hospital really inspires the very best in me in the way of job performance
3.83 .759
PRESENT_CIRCUMSTANCES : It would take very little changes in my present circumstances to cause me to leave this hospital
3.17 1.513
EXTREMELY_GLAD : I am extremely glad that I chose this hospital to work over others I was considering at the time I joined
4.28 .960
ITEM MEAN S.D
GAIN : There is not too much to be gained by sticking with this hospital indefinitely
2.03 1.085
HOSPITAL_POLICIES : Often, I find it difficult to agree with this hospital's policies on important policies on important matters relating to its employees
2.97 .906
MISTAKE : Deciding to work for this hospital was a definite mistake on my part
1.90 1.047
HOSPITAL_FATE : I really care about the fate of this hospital .For me this is the best of all possible hospital for which to work
4.17 1.037
OVERALL ORGANIZATIONAL COMMITMENT OF 3.5 WITH STANDARD DEVIATION OF 0.8
Frequenc
y
Percent
Valid Percen
t
Cumulative
Percent
1 STRONGLY DISAGREE 2 6.7 6.7 6.7
2 DISAGREE 1 3.3 3.3 10.0
3 CAN'T SAY 8 26.7 26.7 36.7
4 AGREE 18 60.0 60.0 96.7
5 STRONGLY AGREE 1 3.3 3.3 100.0
Total 30 100.0 100.0
Less than 40% of the nurses do not agree that they share similar values with the hospital
Frequenc
y
Percent
Valid Percen
t
Cumulative
Percent
2 DISAGREE 2 6.7 6.7 6.7
3 CAN'T SAY 2 6.7 6.7 13.3
4 AGREE 18 60.0 60.0 73.3
5 STRONGLY AGREE
8 26.7 26.7 100.0
Total 30 100.0 100.0
However 87% of the nurses would talk to their friends as a great organization to work for
Frequency
Percent
Valid Percent
Cumulative
Percent
3 CAN'T SAY 2 6.7 6.7 6.7
4 AGREE 22 73.3 73.3 80.0
5 STRONGLY AGREE 6 20.0 20.0 100.0
Total 30 100.0 100.0
Close to 95% of the nurses are willing to put extra effort to help the hospital be successful
Frequ
ency
Percen
t
Valid
Percent
Cumula
tive
Percent
1 STRONGLY DISAGREE 4 13.3 13.3 13.3
3 CAN'T SAY 19 63.3 63.3 76.7
4 AGREE 7 23.3 23.3 100.0
Total 30 100.0 100.0
77% of the nurses unsure about hospital’s policies
OCCUPATIONAL STRESS SCALE
1= NO PRESSURE2= SLIGHT PRESSURE3 = MODERATE PRESSURE4= CONSIDERABLE PRESSI
ITEM MEAN S.D
TIME : Time pressures and deadlines 2.37 .890
WORKLOAD : Workload 3.23 .430
COMPETENCE : Tasks outside my competence 2.17 .461
FLUCTUATIONS_WORKLOAD : Fluctuations in workload 3.07 .907
HIGH_EXPECTATIONS : Unrealistically high expectations by others of my role 2.13 .730
NEW_SITUATIONS : Coping with new situations 2.00 .910
UNCERTAINITY : Uncertainty about the degree or area of my responsibility 2.30 .877
ITEM MEAN S.D
SENIOR_SUPPORT :Lack of support from senior staff 2.80 1.562
PRIVACY_LACK : Lack of privacy 2.07 .980
RESOURCES : Shortage of essential resources 1.97 .928
SUPPORTING_QUALITY : Poor quality of supporting staff 2.30 1.022
UNSOCIAL_HOURS : Unsocial hours 1.03 .183
SPEACIALISED_TRAINING : Lack of specialized training for present work
2.53 1.383
ITEM MEAN S.D
PARTICIPATION : Lack of participation in planning and decision making
2.33 .884
DIFFICULT_PATIENTS :Difficult patients 2.67 .844
RELATIVES : Dealing with relatives 3.83 1.510
BEREAVEMENT : Bereavement counselling 3.03 1.326
ITEM MEAN S.D
EMPLOYMENT_SECURITY : Security of employment 3.20 1.883
SITUATION_INVOLVEMENT : Involvement with life and death situations
2.13 .681
TECHNOLOGY : Coping with new technology 1.33 .606
DEATH : Exposure to death 1.13 .434
STAFF_SHORTAGE : Staff shortage 4.50 1.042
WORKING_CONDITIONS :Poor physical working conditions
3.20 1.215
OVERALL STRESS = 2.5 WITH STANDARD DEVIATION OF 0.8
Frequenc
y
Percent
Valid Percen
t
Cumulative
Percent
1 NP 10 33.3 33.3 33.3
2 SP 4 13.3 13.3 46.7
3 MP 1 3.3 3.3 50.0
5 EP 15 50.0 50.0 100.0
Total 30 100.0 100.0
50% of the nurses complain of extreme pressure due to lack of job security
Frequenc
y
Percent
Valid Perce
nt
Cumulative Perce
nt
Valid
2 SP 4 13.3 13.3 13.3
4 CP 3 10.0 10.0 23.3
5 EP 23 76.7 76.7 100.0
Total 30 100.0 100.0
77% of the nurses complaining of extreme pressure due to staff shortage
Frequency
Percent Valid Percent
Cumulative
Percent
1 NP 3 10.0 10.0 10.0
2 SP 6 20.0 20.0 30.0
4 CP 5 16.7 16.7 46.7
5 EP 16 53.3 53.3 100.0
Total 30 100.0 100.0
53% of the nurses complain that dealing with relatives is an issue
Frequenc
y
Percent
Valid Perce
nt
Cumulative Perce
nt
1 NP 12 40.0 40.0 40.0
2 SP 1 3.3 3.3 43.3
4 CP 15 50.0 50.0 93.3
5 EP 2 6.7 6.7 100.0
Total 30 100.0 100.0
57% of the nurses reporting of considerable to extreme pressure due to lack of support from senior staff
PROFESSIONAL COMMITMENT SCALE
1= NEVER2= SELDOM3=SOMETIMES4=OFTEN5=ALWAYS
ITEM MEAN
IDENTIFY : `I am a person who identifies strongly with the nursing profession 4.93
IMPORTANT : I am a person who considers the nursing profession to be
important4.87
CRITICIZE : I am a person who criticizes the nursing profession 1.30
GLAD : I am a person who is glad to belong to the nursing profession 4.93
BELONG : I am a person who sees myself as belonging to the nursing profession 4.60
ANNOYED : I am a person who is annoyed to say that I am a member of the
nursing profession1.13
HIDE : I am a person who tries to hide belonging to the nursing profession 1.13
STRONG_TIES : I am a person who feels strong ties with other members of the
nursing profession4.33
PROFESSIONAL COMMITMENT OF 3.4 WITH STANDARD DEVIATION OF 1.8
Frequency
Percent Valid Percent
Cumulative
Percent
V
a
l
i
d
3 SMT 1 3.3 3.3 3.3
5 A 29 96.7 96.7 100.0
Total 30 100.0 100.0
100% nurses strongly identifies with the nursing profession
Frequency
Percent Valid Percent
Cumulative
Percent
3 SMT 2 6.7 6.7 6.7
5 A 28 93.3 93.3 100.0
Total 30 100.0 100.0
100% nurses considers nursing profession to be important
Frequency
Percent Valid Percent
Cumulative
Percent
1 N 3 10.0 10.0 10.0
5 A 27 90.0 90.0 100.0
Total 30 100.0 100.0
90% of the nurses sees themselves to belong to the nursing profession
Frequency
Percent Valid Percent
Cumulative
Percent
1 N 25 83.3 83.3 83.3
2 SLD 1 3.3 3.3 86.7
3 SMT 4 13.3 13.3 100.0
Total 30 100.0 100.0
83% of the nurses never criticizes the nursing profession
RECOMMENDATIONS
ADDRESSING NURSING SHORTAGE THROUGH RE ALLOCATION OF NURSES WORKING IN THE HOSPITAL
2ND FLOOR ON 4.9.2013
EACH NURSE WORKING 8 HOURS A DAY
10 PATIENTS : 3 MOBILE , 4 PARTIALLY MOBILE , 3 IMMOBILE
NURSING HOURS REQUIRED = (7.24 *3) + (3.08*4) + (2.07*3) = 40.25 HOURS
NUMBER OF NURSES REQUIRED TO FILL THE NURSING HOURS = 40.25/8 = 5 APPROX.
PROVISION OF DAY OFF, CASUAL LEAVE, EARNED LEAVE AND OTHER PERMITTED HOLIDAYS = 97 DAYS/YEAR [45 SUNDAYS, 28 PL, 7 SL, 7 CL, 10 PUBLIC HOLIDAYS]
TO MEET LEAVE VACANCIES EXTRA NURSE REQUIRED = (97/365)*(40.25/8)=1.3
TOTAL 5 + 1.3 = 6.3 APPROX.
5 NURSES ALREADY WORKING IN THE FLOOR!!!!!
APPLICATION OF MASLOW’S HIERARCHY OF NEEDS
Pay , food, shelter, snacks room
Job security, relatives harrasssment
Friendship, intimacy family
Self esteem confidence achievement
Realization of full potential
SELF ESTEEM THROUGH STRENGTH
SELF ESTEEM THROUGH ACHIEVEMENT OF GOALS
SELF ESTEEM THROUGH ADEQUACY
EXPANSION OF SPHERES OF RESPONSIBILITYRECOGNITIONCONSULTATION
CERTIFICATION/ADVANCED DEGREE/ COMPUTER SKILLSPROMOTION
HAS ADEQUATE TIME FOR FAMILYHAS TIME TO ASSESS, PLAN & GIVE GOOD CAREHAS TIME FOR UPDATING KNOWLEDGE & SKILLS
SELF ESTEEM THROUGH MASTERYTEACHINGPREPARING STRATEGIC OBJECTIVES
SELF ESTEEM THROUGH CONFIDENCE CONFIDENT IN WORK/BETTER THAN SOMEONE
SELF ESTEEM THROUGH INDEPENDENCEFREEDOM TO MANAGE CARE OF THEIR PATIENTS
A mild increase in pay will really work.
Improvement in food quality
The immediate manager can try to be a better boss BOSSING AROUND.pdf
Establishing a system of promotion for nurses BASIC CLINICAL LADDER MODEL.pdf
More attention to be paid to the suggestions of the nurses.
Dealing with relatives is problematic for many nurses. There should be a strict protocol of visitors.
A self esteem enhancement exercise for nurses SELF ESTEEM IMPROVING TOOL.pdf
Goal setting GOAL WORKSHEET.pdf
Teaching techniques to improve job security
Sluice room and store room in each floor
Color coded linen for each floor
Have fixed visiting hours
Permanent security staff in each floor
Suga
ta.