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 ANALYSIS
Work Environment Highly Dissatisfied Dissatisfied Neutral Satisfied Highly Satisfied

Nature of work 3.4% 3.4% 17.2% 72.4% 3.4%

Work load 6.9% 20.7% 31% 34.5% 6.9%
Hours of work 0.00% 13.8% 20.7% 62.1% 3.4%
Working long shift 0.00% 34.5% 13.8% 51.7% 0.00%
Work overtime 13.8% 20.7% 17.2% 31% 17.2%
Working of weekend 10.3% 24.1% 20.7% 41.4% 3.4%
Number of weekends 13.8% 31% 13.8% 37.9% 3.4%
Working at night 17.2% 31% 10.3% 41.4% 0.00%
Working on holiday 13.8% 24.1% 24.1% 37.9% 0.00%
Working scheduling 0.00% 17.2% 31% 51.7% 0.00%
Variety of hours required 3.4% 27.6% 31% 37.9% 0.00%
Flexibility at work 3.4% 20.7% 31% 44.8% 0.00%
Job stability 6.9% 27.6% 24.1% 37.9% 3.4%
Equipments 13.8% 55.2% 20.7% 10.3% 0.00%
Staffing adequacy 20.7% 37.9% 34.5% 6.9% 0.00%
Non-nurse staffing adieu 20.7% 24.1% 41.4% 13.8% 0.00%
Rotation to other ward 13.8% 41.4% 17.2% 20.7% 6.9%
Working at this ward 0.00% 10.3% 31% 51.7% 6.9%
Working environment 6.9% 10.3% 34.5% 48.3% 0.00%
Safety measures 13.8% 27.6% 31% 24.1% 3.4%
Feeling of accomplishment
Contribution in quality 0.00% 10.3% 34.5% 51.7% 3.4%
Non-nursing duties 3.4% 0.00% 37.9% 58.6% 0.00%
Visiting hours 10.3% 24.1% 24.1% 41.4% 0.00%
Uniform 20.7% 20.7% 31% 27.6% 0.00%
0.00% 13.8% 24.1% 51.7% 10.3%
Cont..

Autonomy Highly Dissatisfied Neutral Satisfied Highly

Dissatisfied Satisfied

Areas of recognizing 0.00% 24.1% 44.8% 31.0% 0.00%

Independent thinking 10.3% 24.1% 34.5% 31.0% 0.00%
Decision making 0.00% 51.7% 17.2% 31.0% 0.00%
Control in the work setting 0.00% 48.3% 13.8% 34.5% 3.4%
Cont. over work condition. 3.4% 41.4% 34.5% 17.2% 3.4%
Cont..
Co-worker Highly Dissatisfied Neutral Satisfied Highly
Dissatisfied Satisfied
Team working 3.4% 10.3% 13.8% 58.6% 13.8%
Relationship with co- 10.3 0.00% 10.3% 62.1% 17.2%
worker
Relationship with 6.9% 0.00% 17.2% 69.0% 6.9%
physician
Relationship with 3.4% 10.3% 20.7% 51.7% 13.8%
supervisors
Relationship with head 10.3% 20.7% 13.8% 37.9% 17.2%
nurse
Relationship with 6.9% 24.1% 20.7% 41.4% 6.9%
manager
Relationship with 0.00% 3.4% 17.2% 65.5% 13.8%
patients
Relationship with 6.9% 20.7% 31.0% 34.5% 6.9%
director/CEO/MD
Relationship with 6.9% 10.3% 34.5% 44.8% 3.4%
others(visitors)
Co-worker support 3.4% 6.9% 17.2% 69.0% 3.4%
Cont..
Recognition Highly Dissatisfied Neutral Satisfied Highly
Dissatisfied Satisfied

Recognition receive from 0.00% 17.2% 34.5% 44.8% 3.4%

Peers doing my job
Recognition receive from 3.4% 27.6% 27.6% 37.9% 3.4%
other professional group
Recog. receiv from General 6.9% 17.2% 17.2% 44.8% 13.8%
public
From Status of my position. 3.4% 17.2% 20.7% 44.8% 13.8%
From Supervisor 0.00% 17.2% 17.2% 58.6% 6.9%
From Family 0.00% 10.3% 20.7% 41.1% 27.6%
Cont..
Promotion Highly Dissatisfied Neutral Satisfied Highly
Dissatisfied Satisfied
Opportunities for on the job
training 10.3% 44.8% 24.1% 13.8% 6.9%
Access to training progm.for
learning new things 17.2% 44.8% 10.3% 20.7% 6.9%
Interaction with nursing faculty 13.8% 17.2% 27.6% 37.9% 3.4%
Committee membership 24.1% 31% 20.7% 20.7% 3.4%
Participation in nursing research
Writing and publishing papers, 10.3% 55.8% 13.8% 17.2% 3.4%
journals
Clinical ladder(opportunities for 20.7% 37.9% 24.1% 13.8% 3.4%
improvement)
Opportunities of continuing 27.6% 37.9% 20.7% 10.3% 3.4%
education
20.7% 13.8% 37.9% 24.1% 3.4%
Cont..
Supervision Highly Dissatisfied Neutral Satisfied Highly
Dissatisfied Satisfied
Managers Leadership style 13.8% 20.7% 34.5% 27.6% 3.4%
Participation in the policies and
decision making 31.0% 27.6% 20.7% 17.2% 3.4%
Awareness of the mission ,strategy
and goals of the hospital. 20.7% 34.5% 13.8% 27.6% 3.4%
How the hospital handles staff
Complaints 31.0% 31.0% 13.8% 20.7% 3.4%
Fairness to the performance
Appraisal system 31.0% 20.7% 20.7% 24.1% 3.4%
Caring from supervisors 31.0% 6.9% 31.0% 27.6% 3.4%
The amount of Job security 20.7% 34.5% 20.7% 17.2% 6.9%
The Reward system and package 31.0% 27.6% 27.6% 10.3% 3.4%
Welfare issues 27.6% 24.1% 31.0% 13.8% 3.4%
The work unit’s Atmosphere 6.9% 10.3% 55.5% 24.1% 3.4%
The Quality of work condition 10.3% 20.7% 34.5% 31.0% 3.4%
Coordination in administration 20.7% 20.7% 27.6% 27.6% 3.4%
Supporting nurses by the
Administration in conflict situation 27.6% 10.3% 34.5% 20.7% 6.9%
Response of administration to
nurses needs ,demands 27.6% 31.0% 17.2% 17.2% 6.9%
Incentives of administration for
nurses 34.% 20.7% 24.1% 17.2% 3.4%
Cont..
Pay Highly Dissatisfied Neutral Satisfied Highly
Dissatisfied Satisfied

Salary 20.7% 27.6% 17.2% 31.0% 3.4%

Bonuses 31.0% 37.9% 20.7% 6.9% 3.4%
Paid for overtime 37.9% 31.05 20.7% 6.9% 3.4%
Fringe benefits 27.6% 51.% 10.3% 6.9% 3.4%
Vacations 34.5% 37.9% 20.7% 3.4% 3.4%
Leisure activities 34.5% 44.8% 13.8% 3.4% 3.4%
Overall job
satisfaction 27.6% 17.2% 27.6% 24.1% 3.4%
Cont..
Factors: salary and fringe Highly Dissatisfied Neutral Satisfied Highly
benefits Dissatisfied Satisfied
Pay is satisfactory 17.2% 31.0% 24.1% 24.1% 3.4%
Education, experience are
recognized & used 20.7% 27.6% 24.1% 24.1% 3.4%
Opportunities exist for career
advancement 31.0% 20.7% 27.6% 17.2% 3.4%
The pay system rewards my
years of experience 34.5% 31.0% 13.8% 17.2% 3.4%
The pay is adequate for shifts
weekend & holidays 27.6% 24.1% 27.6% 13.8% 3.4%
Fringe benefits are known 34.5% 24.1% 24.1% 17.2% 0.00%
Employees are satisfied with
fringe benefits 27.6% 37.9% 17.2% 13.8% 3.4%
Child care services 27.6% 44.8% 10.3% 17.2% 0.00%
Retirement program is a strong
one 34.5% 31.0% 17.2% 13.8% 3.4%
Cont..
Factors: staffing, clerical work floating & Highly Dissatisfied Neutral Satisfied Highly
rotation Dissatisfied Satisfied

The staffing philosophy is fair 13.8% 13.8% 51.7% 13.8% 6.9%

A float Pool covers absences and
supplement staffing 10.3% 20.7% 34.5% 20.7% 6.9%
Nurses have input into staffing policies
and procedures 10.3% 20.7% 48.3% 17.2% 3.4%
Opportunities exist for flexible work
schedules 0.00% 34.5% 34.5% 27.6% 3.4%
Clericals duty are performed by clerical
personnel 27.6% 13.8% 27.6% 27.6% 3.4%
Appropriate activities are performed by
other departments such as pharmacy 24.1% 20.7% 27.6% 20.7% 6.9%
,laboratory, dietary
Cont..
Factors: Public relation Highly Dissatisfied Neutral Satisfied Highly
Dissatisfied Satisfied

Nurses serve on all organizational committees 6.9% 20.7% 37.9% 27.6% 6.9%
Administrators promote cooperative
interdisciplinary committees 3.4% 44.8% 27.6% 20.7% 3.4%
Nurses spend their time taking care of patients 0.00% 17.2% 20.7% 55.2% 6.9%
Nurses make decisions about patients care 3.4% 13.8% 17.2% 58.6% 6.9%
Nurses participate in nursing management 3.4% 17.2% 13.8% 55.2% 10.3%
Nurses are recognized and rewarded for nursing
excellence 13.8% 24.1% 31.0% 27.6% 3.4%
Nurses participate in quality assurance 6.9% 27.6% 27.6% 31.0% 6.9%
Nurses receive awards for merit 31.0% 31.0% 17.2% 13.8% 6.9%
The communication system is informative
,provides for clinical nursing input, and gives 6.9% 24.1% 37.9% 24.1% 6.9%
feedback
Job vacancies are posted 24.1% 31.0% 20.7% 20.7% 3.4%
Nurses participate in public relation function 10.3% 48.3% 13.8% 24.1% 3.4%
Cont..
Factors : Staff development Highly Dissatisfied Neutral Satisfied Highly
Dissatisfied Satisfied

A career development program exist 27.6% 34.5% 13.8% 20.7% 3.4%

Good opportunities for continuing
education are available 20.7% 48.3% 6.9% 20.7% 3.4%
A good orientation program is in force 24.1% 34.5% 24.1% 13.8% 3.4%
Personnel are reimbursed for staff 27.6% 37.9% 13.8% 17.2% 3.4%
development activities 24.1% 31.0% 17.2% 20.7% 6.9%
Refresher courses are available
Staff development programs are marketed 13.8% 34.5% 24.1% 24.1% 3.4%
Incompetent nurses are identified and
handled appropriately 17.2% 37.9% 17.2% 20.7% 6.9%
Good leadership training courses are
available 13.8% 41.4% 17.2% 20.7% 6.9%
Nurses participate in staff development
planning 3.4% 44.8% 27.6% 20.7% 3.4%
Cont..
Factors : Administration support Highly Dissatisfied Neutral Satisfied Highly
Dissatisfied Satisfied
Nurses can follow through on
beliefs and values 0.00% 20.7% 31.0% 31.0% 17.2%
Nurses are not subjected to
punitive action by supervisors 3.4% 20.7% 48.3% 20.7% 3.4%
Productivity standards are known 10.3% 37.9% 31.0% 17.2% 3.4%
Employees have access to senior
management 13.8% 24.1% 24.1% 37.9% 0.00%
Nursing service and nursing
education are in harmony 10.3% 27.6% 27.6% 31.0% 3.4%
Patient safety is emphasized 6.9% 27.6% 27.6% 34.5% 3.4%
An up to date nursing
management Information system 17.2% 37.9% 13.8% 27.6% 3.4%
is available
Manager are visible to nursing 20.7% 27.6% 20.7% 27.6% 3.4%
staff and patients
 REFERENCES

• (1) European Commission (2002). Employment Europe.

• http://www.eurofound.europa.eu/eiro/2002/10/feature/eu0210204f.htm.
• 19/11/13
• (2) Tzeng, H.M. (2002). The influence of nurses’ working motivation and job
• Satisfaction on intention to quit: An empirical investigation in Taiwan.
• International Journal of Nursing Studies, Vol. 39: 867-878.
• 19/11/13
• (3) Uganda Ministry of Health (2007). Uganda Health Workforce Study:
• Satisfaction and Intent to stay Among Current Health Workers. SAID-
• funded Capacity Project.
• 19/11/13
• (4) Kober, K. & Van Damme, W. (2006) Public sector nurses in Swaziland: Can
• the downturn be reversed? Human Resources for Health, Vol. 4: 13.47
• 19/11/13
• (5) Hollyforde, S. & Whiddett, S. (2002). The Motivation Handbook. London:
• CIPD.
• 19/11/13
•
• (6) Krietner, R., Kinicki, A. & Buelens, M. (2002). Organizational Behaviour.
• Second Edition. Berkshire: McGraw-Hill.
• 19/11/13
•
•
•
•
•
• (8) Locke, E. (1983). The nature and causes of job satisfaction. In Handbook of
• Industrial and Organizational Psychology. New York: J.Wiley & Sons.
• (7) Wood, G., Yaacob, A., & Morris, D. (2004). Attitude towards pay &
• promotion in the Malaysian higher education sector. Employee Relations,
• Vol.26, No. 2: 137-150.
• 20/11/13
•
• 20/11/13
• (9) Mayer, M. & Botha, E. (2004). Organizational Development and
• Transformation in South Africa. Second Edition. Durban: Lexis Nexis
• Butterworth.
• 20/11/13
• (10) Goblar, P.A., Warnich, S., Carrel, M.R., Elbert, N.F. & Hatfield, R.D. (2002).
• Human Resources Management in South Africa, Second Edition. London:
• Thomson Learning.
• 20/11/13
• (11) Greenberg, J., Baron, R.A. (1997). Behaviour in organizations: understanding
• the human side of work.7th Edition.Canada: Prentice-Hall.
• 20/11/13
• (12) Vroom, V. (1964). Motivation & Management Expectancy Theory.
• 20/11/13
• (13) Daft, R.L. & Noël, R.A (2001). Organizational Behaviour, South-Western
• Publishing: New York.
• 20/11/13
• (14). Adams, A. & Bond, S. (2000). Hospital nurses’ job satisfaction: Individual and
• organizational characteristics, Journal of Advanced Nursing, 33: 536-543.
• Date 21/11 /13
• (15) Ayers, K. (2005). Creating a responsible workplace, Human Resources
• Magazine. Date 21/11/13
•
• (16) Collins, K., Jones, M.L., McDonnell, A., Read, S., Jones, R. & Cameron, A.
• (2000). Do new roles contribute to job satisfaction and retention of staff in
• nursing and professions allied to medicine? Journal of Nursing Management,
• Vol. 8:3-12. Date 21/11/13
•
• http://findarticles.com/p/articles/mi_m3495/is_2_50/ai_n11841926
• Date 21/11/13
• http://www.eurofound.europa.eu/eiro/2002/10/feature/eu0210204f.htm
• Date 21/11/13.
• http://www.who.int/hrh/migration/background_paper.pdf Mayer,
• Date 21/11/13
 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 .