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Mutsonziwa GA, Mojab M, Katuwal M, Glew P. Influences of healthcare workers' behaviours towards infection prevention and control practices in the clinical setting: A systematic review. Nurs Open 2024; 11:e2132. [PMID: 38488425 PMCID: PMC10941556 DOI: 10.1002/nop2.2132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 02/17/2024] [Accepted: 02/21/2024] [Indexed: 03/18/2024] Open
Abstract
AIM To systematically evaluate empirical studies investigating the influences of healthcare workers' behaviours towards infection prevention and control practices in the Coronavirus clinical space, and to appraise and synthesise these findings. DESIGN A systematic review of the literature. METHODS The review used a five-step framework described by Khan et al. (Journal of the Royal Society of Medicine, 2003, 96 and 118) of Framing questions for a review; Identifying relevant work; Assessing the quality of studies; Summarising the evidence; and Interpreting the findings. Searches were conducted in CINHAL, MEDLINE, PsychINFO, Scopus, and Google Scholar databases to retrieve relevant peer-reviewed literature published in English between 2019 and 2023. Covidence and Joanna Briggs Quality appraisal tools were used for critical assessment. To improve transparent reporting, this review used a Synthesis Without Meta-analysis (SWiM) in systematic review guidelines, as informed by Campbell et al. (BMJ, 2020, 368). RESULTS Twenty studies were included in this review, identifying nine themes describing factors influencing HCWs' behaviours towards IPC practices in the coronavirus environment. The overarching influences emerged as knowledge-oriented, person-oriented, and environment-oriented. CONCLUSION Healthcare workers' responsibilities at point-of-care involve providing direct care to patients with highly transmissible infections and working in clinical settings that may be ill-designed for IPC practices, increasing the risk of transmission. Given the lack of a definitive solution to eradicate new mutant viruses and that IPC practices are the mainstay of prevention and control of transmissible, measures to improve are imperative. The identified HCWs' domains on behaviours towards IPC are critical in strategies to mitigate risks and further set an opportunity for developing an IPC model congruent with the rapid response required for HCWs during emerging or re-merging mutant virus outbreaks. This is significant, given that HCWs' preparedness with IPC practices at point-of-care is central to patient care, the workforce and community safety.
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Affiliation(s)
- Gift A. Mutsonziwa
- School of Nursing & MidwiferyWestern Sydney UniversitySydneyNew South WalesAustralia
| | - Marwa Mojab
- Western Sydney UniversitySydneyNew South WalesAustralia
| | - Megha Katuwal
- Western Sydney UniversitySydneyNew South WalesAustralia
| | - Paul Glew
- Western Sydney UniversitySydneyNew South WalesAustralia
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Panahi D, Pirposhteh EA, Moradi B, Poursadeqiyan M, Sahlabadi AS, Kavousi A. Effectiveness of educational intervention on reducing oxidative stress caused by occupational stress in nurses: A health promotion approach. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:273. [PMID: 36325207 PMCID: PMC9621363 DOI: 10.4103/jehp.jehp_1425_21] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 11/22/2021] [Indexed: 06/15/2023]
Abstract
BACKGROUND Nursing is one of the most stressful occupations. Educational intervention regarding stress management can play an important role in reducing occupational stress among nurses The present study aimed to determine the effectiveness of educational intervention on reducing oxidative stress caused by occupational stress in nurses: A health promotion approach in a hospital in western Iran. MATERIALS AND METHODS The present interventional study was performed in 2019 among 92 nurses working at the Kosar Hospital located in the city of Sanandaj in the country of Iran. Occupational stress was evaluated using the Osipow Occupational Stress Questionnaire. Oxidative stress was measured by taking blood samples and measuring the enzymatic activity of superoxide dismutase (SOD), malondialdehyde, and catalase (CAT) using SOD, malondialdehyde (MDA), and CAT kits. Educational intervention was carried out in the second stage. Three months after the intervention, data were taken again. RESULTS The results of the present study indicated that there was a significant difference in occupational stress between before and after the educational intervention (P < 0.05). A significant reduction in MDA (P = 0.038) and SOD (P = 0.048) was observed after educational intervention, but this was not the case for CAT (P = 0.592). There was no significant correlation between occupational stress with oxidative stress parameters before and after the educational intervention (P < 0.05). No significant difference in occupational stress was observed between men and women. Among the oxidative stress parameters under evaluation, MDA was higher among men compared to women and this was statistically significant. CONCLUSIONS Educational intervention regarding occupational stress is effective in reducing oxidative stress among nurses. The group meetings teach stress management to the participants and enable them to better manage their stress by utilizing their own capabilities. Thus, attention to this issue is vital in maintaining the mental and physical health of nurses and, in turn, improves the quality of care rendered.
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Affiliation(s)
- Davoud Panahi
- Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Elham Akhlaghi Pirposhteh
- Department of Occupational Health Engineering, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Bayan Moradi
- Department of Ergonomic, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Mohsen Poursadeqiyan
- Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
- Department of Occupational Health and Safety Engineering, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Ali Salehi Sahlabadi
- Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amir Kavousi
- Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Babazadeh M, Molavynejad S, Parhamnia Z, Boroun T. Interplay of occupational stress, sense of humor, and health status among nurses working at hospitals in Ahvaz. J Med Life 2021; 14:262-270. [PMID: 34104251 PMCID: PMC8169134 DOI: 10.25122/jml-2020-0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Sense of humor constitutes a part of everyday life and work and an indispensable part of healthcare. However, the relationship between sense of humor and nursing occupational health and stress is yet to be studied in Iran. This study aimed to analyze the interplay of demographic factors, occupational stress, sense of humor, and health status of nurses working at the hospitals affiliated with the Ahvaz Jundishapur University of Medical Sciences, Iran. In this descriptive-analytical study, the statistical population consisted of 203 nurses. Occupational stress was assessed using the Iranian version of the Effort-Reward-Imbalance (ERI) Questionnaire. The Sense of Humor Questionnaire (SHQ) and the Iranian version of the 12-item General Health Questionnaire (GHQ-12) were employed to assess the sense of humor and physio-psychological health, respectively. Data collected were analyzed using the Statistical Package for the Social Sciences (SPSS) software. 81% (n=164) of the participants had an “external effort” (E) and “reward” (R) ratio greater than 1, indicating very high occupational stress. 39% (n=79) nurses with high occupational stress displayed their commitment to the workplace. Approximately 42% (n=85) of nurses were suffering from health problems. The mean humor score of participants was 2.90±0.41. Major life events over the past 3 months (p<0.01), weekly working hours (p<0.01), high occupational stress (p<0.01), and sense of humor (p<0.01) were determined to be significant predictors of nurses' health problems. Decision-makers are recommended to reduce nursing working hours through work shift management in order to maintain nurses' health status and reduce their occupational stress. In addition, hospital directors should promote a sense of humor in hospital environments with the help of culture-building practices, comedy books, music CDs, and training courses.
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Affiliation(s)
- Mahbubeh Babazadeh
- Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Shahram Molavynejad
- Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Ziba Parhamnia
- Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Tahereh Boroun
- Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Fang L, Hsiao LP, Fang SH, Chen BC. Workplace bullying, personality traits and health among hospital nurses: The mediating effect of social support. J Clin Nurs 2021; 30:3590-3600. [PMID: 34114285 DOI: 10.1111/jocn.15881] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 03/30/2021] [Accepted: 05/07/2021] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES This study aimed to explore the status of nursing staff's workplace bullying, personality traits, social support and mental health, to find out the predictors of nursing staff's health, and to explore whether social support is a mediator to regulate the impact of workplace bullying on mental health. BACKGROUND Bullying could cause physical and psychological problems, and nursing workplace bullying causes not only health problems of nursing staff but also patient safety problems. "Workplace bullying" is a worthy topic to pay attention to. Only limited studies could be discovered about the mediating effects between workplace bullying and health. METHODS Cross-sectional and correlation designs were used. The STROBE was used as a checklist for this study. RESULTS The results showed that the frequency of poor sleep quality ≥3 days in recent 2 weeks (p < .001), external control personality traits (p = .016), workplace bullying (p < .001) and less social support (p = .001) were the main predictors of the health problems among nurses, and social support was the mediator between workplace bullying and health problems. CONCLUSION It is recommended that hospital managers should apply regular sleep-wake schedule by designing a biological clock-compliant shift in order to promote good sleep hygiene of the nurses. Providing educational programmes and building up policies to decrease workplace bullying and increase social supports are suggested. RELEVANCE TO CLINICAL PRACTICE Hospital managers should provide education and training related to the prevention of bullying and establish communication and consultation channels for the bullied. Nursing managers should also educate nurses to establish effective social networks with family, friends and colleagues to prevent health problems.
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Affiliation(s)
- Li Fang
- Department of Nursing, Fooyin University, Kaohsiung City, Taiwan, R.O.C
| | - Li-Ping Hsiao
- Department of Nursing, Pingtung Christian Hospital, Pingtung City, Taiwan, R.O.C
| | - Shu-Hui Fang
- Department of Foreign Languages, Fooyin University, Kaohsiung City, Taiwan, R.O.C
| | - Bao-Chen Chen
- Department of Nursing, Pingtung Christian Hospital, Pingtung City, Taiwan, R.O.C
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Al-Dossary R, Alamri M, Albaqawi H, Al Hosis K, Aljeldah M, Aljohan M, Aljohani K, Almadani N, Alrasheadi B, Falatah R, Almazan J. Awareness, Attitudes, Prevention, and Perceptions of COVID-19 Outbreak among Nurses in Saudi Arabia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E8269. [PMID: 33182352 PMCID: PMC7664870 DOI: 10.3390/ijerph17218269] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 11/03/2020] [Accepted: 11/03/2020] [Indexed: 02/06/2023]
Abstract
The newly discovered coronavirus (COVID-19) has become a pandemic, infecting thousands of people around the world. This study examines nurses' demographic information (age, gender, marital status, area of practice, total years of experience in the current hospital, work region, monthly salary, educational level, workplace, nationality, working hours per day, total nursing experience, and the respondents' main source of information on COVID-19), awareness, attitudes, prevention, and perceptions of COVID-19 during the outbreak in Saudi Arabia. A cross-sectional descriptive design of 500 nurses working at government and non-governmental hospitals in five regions in Saudi Arabia were selected using convenience sampling. The Kruskal-Wallis test was applied and the Mann-Whitney test was utilized as a post hoc test. The majority of nurses in this study, 96.85%, had excellent knowledge of COVID-19. Some (83.2%) of nurses reported significant prevention knowledge and treatment skills about COVID-19, while 7.6% had little knowledge about prevention. More than half of the nurses (60.4%) had high positive attitudes toward caring for COVID-19 patients. In conclusion, female nurses, married nurses, and bachelor's degree nurses had greater awareness, better attitude, and prevention clinical experience towards COVID-19. Meanwhile, non-Saudi nurses had higher self-reported awareness, positive attitudes, optimal prevention, and positive perceptions compared to Saudi nurses. This study provides baseline information immediately needed to enable health authorities to prioritize training programs that support nurses during the COVID-19 pandemic.
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Affiliation(s)
- Reem Al-Dossary
- Nursing Education Department Nursing College, Imam Abdulrahman bin Faisal University, Dammam 34221, Saudi Arabia;
| | - Majed Alamri
- Nursing Department, College of Applied Medical Sciences, University of Hafr Al Batin, Hafr Al Batin 39911, Saudi Arabia;
| | - Hamdan Albaqawi
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia;
| | - Khaled Al Hosis
- Department of Nursing Education, Nursing College, Qassim University, Buraidah 51452, Saudi Arabia;
| | - Mohammed Aljeldah
- Clinical Laboratory Science Department, College of Applied Medical Sciences, University of Hafr Al Batin, Hafr Al Batin 39911, Saudi Arabia;
| | - Mohammed Aljohan
- Nursing College, Taibah University, Al-Madinah 42362, Saudi Arabia;
| | - Khalid Aljohani
- Community Health Nursing, Department, Nursing College Taibah University, Al-Madinah 42356, Saudi Arabia;
| | - Noura Almadani
- Nursing Management & Education Department, Nursing College, Princess Nourah Bint Abdulrahman University, Riyadh 84428, Saudi Arabia;
| | - Bader Alrasheadi
- Nursing Department, College of Applied Medical Sciences, Majmaah University, Majmaah 11952, Saudi Arabia;
| | - Rawaih Falatah
- Nursing Administration & Education Department, College of Nursing, King Saud University, Riyadh 13253, Saudi Arabia;
| | - Joseph Almazan
- School of Medicine, Nazarbayev University, Nursultan 010000, Kazakhstan
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Ke YT, Hung CH. Factors that affect the health status of health care providers-A cross-sectional design. J Nurs Manag 2020; 28:1199-1206. [PMID: 32473069 DOI: 10.1111/jonm.13057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 05/15/2020] [Accepted: 05/22/2020] [Indexed: 11/30/2022]
Abstract
AIM To explore the factors that affect the health status of health care providers. BACKGROUND There is a lack of studies that address the stress, resilience, social support and health status of health care providers. METHODS Using a cross-sectional study design, 500 participants were recruited from three hospitals which were operated by one entity in southern Taiwan. Data were collected with structured questionnaires. A logistic regression analysis was performed to explore the factors that might affect the health status of health care providers. RESULTS Among the 500 health care providers, 345 were healthy and 155 were unhealthy. Health status was not significantly correlated with any demographic characteristics, but was significantly correlated with work stress, resilience and social support, with work stress being an important factor influencing the health status of health care providers. CONCLUSIONS Health care providers with health issues had higher work stress, less resilience and less social support than did healthy medical personnel. Moreover, work stress was the main factor affecting the health of health care providers. IMPLICATIONS FOR NURSING MANAGEMENT Hospital administrators should conduct a series of health management programmes to identify high-risk employees who might need assistance. Such programmes promoting healthy workplaces are necessary, as well as studies that examine the effectiveness of such strategies.
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Affiliation(s)
- Ya-Ting Ke
- Department of Nursing, Chi-Mei Medical Center, Tainan, Taiwan.,College of Humanities and Social Sciences, Southern Taiwan University of Science and Technology, Tainan, Taiwan
| | - Chich-Hsiu Hung
- School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
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Fang L, Hsiao LP, Fang SH, Chen BC. Associations of work stress and humor with health status in hospital nurses-A cross-sectional study. J Clin Nurs 2019; 28:3691-3699. [PMID: 31216385 DOI: 10.1111/jocn.14970] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2018] [Revised: 05/03/2019] [Accepted: 05/26/2019] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To analyse the relationship among hospital nurses' socio-demographic data, work stress, humor and health conditions, and to determine the predictors of nurses' health status. BACKGROUND Humor can decrease the feelings of helplessness, fear and anxiety, and that may result in the development of positive emotions, which might have a good impact on health. DESIGN This research applied cross-sectional designs and used structured questionnaires which included socio-demographic data, an Effort-Reward Imbalance questionnaire (ERI), humor and 12-item Chinese health questionnaires (CHQ). A total of 236 nurses in a regional hospital in Taiwan were recruited. SPSS was used for the data analysis in the study. The STROBE was chosen as a checklist for this study. RESULTS The results showed that the significant predictors of the participants' health were "whether experienced significant life events during the past 3 months," "the degree of work stress" and the level of "humor." CONCLUSIONS It is recommended that administrators pay attention to the cultivation of nursing staff's humor, such as providing nurses with musical CDs or humorous books and providing stress management training courses to nurses. RELEVANCE TO CLINICAL PRACTICE It is necessary for hospital managers to determine and deal with the causes of work stress to avoid the development of health problems in the nursing personnel. Furthermore, in order to develop stress-releasing strategies, it is necessary to provide nurses with stress management and resilience enhancement courses. Cultivating a humor competency of nurses is also recommended to alleviate the work stress.
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Affiliation(s)
- Li Fang
- Department of Nursing, Fooyin University, Kaohsiung City, Taiwan, R.O.C
| | - Li-Ping Hsiao
- Department of Nursing, Pingtung Christian Hospital, Pingtung, Taiwan
| | - Shu-Hui Fang
- Department of Foreign Languages, Fooyin University, Kaohsiung City, R.O.C
| | - Bao-Chen Chen
- Department of Nursing, Pingtung Christian Hospital, Pingtung, Taiwan
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Cheng SY, Lin PC, Chang YK, Lin YK, Lee PH, Chen SR. Sleep quality mediates the relationship between work-family conflicts and the self-perceived health status among hospital nurses. J Nurs Manag 2018; 27:381-387. [DOI: 10.1111/jonm.12694] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2018] [Revised: 06/04/2018] [Accepted: 07/03/2018] [Indexed: 01/17/2023]
Affiliation(s)
- Shun-Yi Cheng
- Nursing Department; Far Eastern Memorial Hospital; New Taipei City Taiwan
| | - Pi-Chu Lin
- Master Program in Long-Term Care, College of Nursing; Taipei Medical University; Taipei Taiwan
| | - Yu-Kai Chang
- Department of Physical Education; National Taiwan Normal University; Taipei Taiwan
| | - Yen-Kuang Lin
- Research Center of Biostatistics and, Taipei Medical University; Taipei Taiwan
| | - Pi-Hsia Lee
- School of Nursing, College of Nursing; Taipei Medical University; Taipei Taiwan
| | - Su-Ru Chen
- Post-Baccalaureate Program in Nursing; College of Nursing; Taipei Medical University; Taipei Taiwan
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Seo EY, Song JA, Hur MH, Lee MK, Lee MS. Effects of aroma mouthwash on stress level, xerostomia, and halitosis in healthy nurses: A non-randomized controlled clinical trial. Eur J Integr Med 2017. [DOI: 10.1016/j.eujim.2017.03.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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10
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Ha EH. Attitudes toward child rearing in female clinical nurses working in three shifts. Nurs Health Sci 2016; 18:416-424. [PMID: 27098460 DOI: 10.1111/nhs.12284] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Revised: 03/12/2016] [Accepted: 03/14/2016] [Indexed: 12/29/2022]
Abstract
The balance between child-rearing and work may be one of the most challenging issues facing female clinical nurses, particularly those who work in three shifts. This study aimed to identify attitudes toward child-rearing in this particular cohort, female clinical nurses working three shifts. Q methodology, a research method concerned with individuals' subjective points of view, was used. Thirty-five selected Q statements from 51 participants were divided into a normal distribution using a nine-point bipolar scale, and the collected data were analyzed using the QUANL program. Three discrete factors emerged: Factor I: child-rearing is natural work (child-rearing and work are separate); Factor II: child-rearing is hard work (child-rearing and work are in conflict); and Factor III: child-rearing requires help from someone (child-rearing and work are balanced). The subjective viewpoints of the three identified factors can be applied to develop diverse strategies to support child-rearing in female clinical nurses.
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Affiliation(s)
- Eun-Ho Ha
- Department of Nursing, Jungwon University, Chungbuk, South Korea
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Hsu HC, Wang PY, Lin LH, Shih WM, Lin MH. Exploring the Relationship Between Professional Commitment and Job Satisfaction Among Nurses. Workplace Health Saf 2015. [DOI: 10.1177/2165079915591400] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This cross-sectional study explored the relationship between professional commitment and job satisfaction among nurses. A total of 132 registered nurses were recruited from a hospital in northern Taiwan. A self-reported structured questionnaire was used to collect data. Findings revealed significant differences among nurses in willingness to make an effort and their marital status, appraisal in continuing their careers, job level, and goals and values related to working shifts. Significant differences were found between inner satisfaction and work sector and marital status. Nurses’ professional commitment was strongly related to job satisfaction; aspects of professional commitment explained 32% of the variance in job satisfaction. Study results may inform health care institutions about the importance of nurses’ job satisfaction and professional commitment so hospital administration can improve these aspects of organizational environment.
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Affiliation(s)
| | - Pao-Yu Wang
- St. Mary’s Junior College of Medicine, Nursing and Management
| | - Li-Hui Lin
- National Taipei University of Nursing and Health Sciences
| | | | - Mei-Hsiang Lin
- National Taipei University of Nursing and Health Sciences
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