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JOB SATISFACTION & RELATED FACTORS :
A QUESTIONNAIRE SURVEY OF HOSPITAL
NURSES : A CASE STUDY IN XYZ HOSPITAL

BY DR. SUGA...
OBJECTIVES
1.To determine the job satisfaction and other
related factors in the nurses working in
various departments of t...
METHODOLOGY
1.A questionnaire was designed which was
distributed among the nurses working in the
hospital followed by pers...
• Job satisfaction scale [ 15 variables]
• Organizational commitment scale [14
variables]
• Occupational stress scale [23 ...
JOB SATISFACTION SCALE
1= VERY DISSATISFIED
2= DISSATISFIED
3= CAN’T SAY
4= SATISFIED
5= 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...
ITEM

THE ATTENTION PAID TO

MEAN

S.D

2.83

0.913

4.10

0.481

3.90

0.403

3.01

0.930

3.93

0.740

2.67

0.606

3.40...
•There is a question mark on the physical condition in which the
nurses work. 40% of the nurses are either unsure about it...
•60% of the nurses are not satisfied or unsure with their
immediate manager.
Fre Percen Valid Cumula
que
t
Percent
tive
nc...
•Only 6.7% of the nurses are satisfied with the pay.
Frequ Percen Valid Cumula
ency
t
Percent
tive
Percent

1 VERY DISSATI...
•No nurse has any clue about promotion.
Freq Perce Valid Cumul
uenc
nt
Percen ative
y
t
Percen
t

1 VERY
DISSATISFIED

2

...
•73% of the nurses are not satisfied with the attention paid to
their suggestions.
Freq Perce Valid Cumul
uenc
nt
Perce at...
•Half of the nurses (50%) suffers from lack of job security
Frequ Percent Valid Cumula
ency
Percent
tive
Percent

1 VERY
D...
OVERALL JOB SATISFACTION OF 3.6, WITH
STANDARD DEVIATION OF 0.5
ORGANIZATIONAL
COMMITMENT SCALE
1 = STRONGLY DISAGREE
2= DISAGREE
3= CAN’T SAY
4= AGREE
5= STRONGLY AGREE
ITEM

MEAN

S.D

EFFORT : I am willing to put in a great deal of effort beyond
4.14

.516

4.07

.799

2.28

1.066

3.93

...
ITEM

PROUD : I am proud to tell others that I am part of this hospital

OTHER_HOSPITAL : I could just as well be working ...
ITEM
GAIN : There is not too much to be gained by sticking with this hospital
indefinitely

MEAN

S.D

2.03

1.085

2.97

...
OVERALL ORGANIZATIONAL COMMITMENT OF
3.5 WITH STANDARD DEVIATION OF 0.8
Less than 40% of the nurses do not agree that they share similar
values with the hospital
Freq Percen Valid Cumul
uenc
t
P...
However 87% of the nurses would talk to their friends as a great
organization to work for
Freq Perce Valid Cumul
uenc
nt
P...
Close to 95% of the nurses are willing to put extra effort to help the
hospital be successful
Frequ Percen Valid Cumula
en...
77% of the nurses unsure about hospital’s policies
Frequ Percen Valid Cumula
ency
t
Percent
tive
Percent

1 STRONGLY DISAG...
OCCUPATIONAL STRESS SCALE
1= NO PRESSURE
2= SLIGHT PRESSURE
3 = MODERATE PRESSURE
4= CONSIDERABLE PRESSI
ITEM

MEAN

S.D

TIME : Time pressures and deadlines

2.37

.890

WORKLOAD : Workload

3.23

.430

COMPETENCE : Tasks outs...
ITEM

MEAN

S.D

SENIOR_SUPPORT :Lack of support from senior staff

2.80

1.562

PRIVACY_LACK : Lack of privacy

2.07

.98...
ITEM

PARTICIPATION : Lack of participation in

MEAN

S.D

2.33

.884

DIFFICULT_PATIENTS :Difficult patients

2.67

.844
...
ITEM

MEAN

S.D

3.20

1.883

2.13

.681

TECHNOLOGY : Coping with new technology

1.33

.606

DEATH : Exposure to death

...
OVERALL STRESS = 2.5 WITH STANDARD DEVIATION OF
0.8
50% of the nurses complain of extreme pressure due to lack of job
security
Freq Perce Valid Cumul
uenc
nt
Percen ative
y
t...
77% of the nurses complaining of extreme pressure due to
staff shortage
Freq Perce Valid Cumul
uenc nt
Perce ative
y
nt
Pe...
53% of the nurses complain that dealing with relatives is an issue

Frequ Percent
Valid Cumulati
ency
Percent
ve
Percent
1...
57% of the nurses reporting of considerable to extreme pressure
due to lack of support from senior staff
Freq Perce Valid ...
PROFESSIONAL COMMITMENT SCALE
1= NEVER
2= SELDOM
3=SOMETIMES
4=OFTEN
5=ALWAYS
ITEM

IDENTIFY : `I am a person who identifies strongly with the nursing profession
IMPORTANT : I am a person who consider...
PROFESSIONAL COMMITMENT OF 3.4
WITH STANDARD DEVIATION OF 1.8
100% nurses strongly identifies with the nursing profession

Freque Percent
ncy

3 SMT

Valid
Percent

Cumulati
ve
Percent...
100% nurses considers nursing profession to be important

Frequ Percent
Valid Cumulati
ency
Percent
ve
Percent

3 SMT

2

...
90% of the nurses sees themselves to belong to the nursing
profession

Freque Percent
Valid Cumulati
ncy
Percent
ve
Percen...
83% of the nurses never criticizes the nursing profession

Freque Percent
ncy

1N

Valid Cumulati
Percent
ve
Percent

25

...
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 H...
APPLICATION OF MASLOW’S HIERARCHY OF NEEDS

Realization of full potential

Self esteem confidence achievement

Friendship,...
SELF ESTEEM THROUGH
STRENGTH

EXPANSION OF SPHERES OF RESPONSIBILITY
RECOGNITION
CONSULTATION

SELF ESTEEM THROUGH
ACHIEVE...
SELF ESTEEM THROUGH MASTERY

TEACHING
PREPARING STRATEGIC
OBJECTIVES

SELF ESTEEM THROUGH CONFIDENCE

CONFIDENT IN WORK/BE...
A mild increase in pay will really work.

Improvement in food quality
The immediate manager can try to be a better boss...
Sluice room and store room in each floor
Color coded linen for each floor

Have fixed visiting hours
Permanent securit...
Nurse satisfaction survey
Nurse satisfaction survey
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A SURVEY OF JOB SATISFACTION & RELATED FACTORS AMONG HOSPITAL NURSES

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Transcript of "Nurse satisfaction survey"

  1. 1. JOB SATISFACTION & RELATED FACTORS : A QUESTIONNAIRE SURVEY OF HOSPITAL NURSES : A CASE STUDY IN XYZ HOSPITAL BY DR. SUGATA PYNE, BHMS, MHA TISS,MUMBAI 2012-14
  2. 2. 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.
  3. 3. METHODOLOGY 1.A questionnaire was designed which was distributed among the nurses working in the hospital followed by personal interviews of sisterin-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.
  4. 4. • Job satisfaction scale [ 15 variables] • Organizational commitment scale [14 variables] • Occupational stress scale [23 variables] • Professional commitment scale [10 variables]
  5. 5. JOB SATISFACTION SCALE 1= VERY DISSATISFIED 2= DISSATISFIED 3= CAN’T SAY 4= SATISFIED 5= VERY SATISFIED
  6. 6. 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
  7. 7. ITEM THE ATTENTION PAID TO MEAN S.D 2.83 0.913 4.10 0.481 3.90 0.403 3.01 0.930 3.93 0.740 2.67 0.606 3.40 0.563 YOUR SUGGESTIONS THE HOURS OF WORK THE AMOUNT OF VARIETY IN YOUR JOB YOUR JOB SECURITY RELATIONS BETWEEN MANAGEMENT & STAFF FUTURE CHANCE OF PROMOTION THE WAY HOSPITAL IS MANAGED
  8. 8. •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. Frequ Percent Valid Cumulat ency Percent ive 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 6 20.0 20.0 100.0 30 100.0 100.0 5 VERY SATISFIED Total
  9. 9. •60% of the nurses are not satisfied or unsure with their immediate manager. Fre Percen Valid Cumula que t Percent tive ncy 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 2 6.7 6.7 100.0 30 100.0 100.0 5 VERY SATISFIED Total
  10. 10. •Only 6.7% of the nurses are satisfied with the pay. Frequ Percen Valid Cumula ency t Percent tive 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 30 100.0 100.0 Total
  11. 11. •No nurse has any clue about promotion. Freq Perce Valid Cumul uenc nt Percen ative y t Percen t 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
  12. 12. •73% of the nurses are not satisfied with the attention paid to their suggestions. Freq Perce Valid Cumul uenc nt Perce ative y nt 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 30 100.0 100.0 Total
  13. 13. •Half of the nurses (50%) suffers from lack of job security Frequ Percent Valid Cumula ency Percent tive Percent 1 VERY DISSATISFI ED 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 1 3.3 3.3 100.0 30 100.0 100.0 5 VERY SATISFIED Total
  14. 14. OVERALL JOB SATISFACTION OF 3.6, WITH STANDARD DEVIATION OF 0.5
  15. 15. ORGANIZATIONAL COMMITMENT SCALE 1 = STRONGLY DISAGREE 2= DISAGREE 3= CAN’T SAY 4= AGREE 5= STRONGLY AGREE
  16. 16. ITEM MEAN S.D EFFORT : I am willing to put in a great deal of effort beyond 4.14 .516 4.07 .799 2.28 1.066 3.93 .704 3.48 that normally expected in order to help this hospital be .911 successful GREAT_ORGANIZATION : I talk up this hospital to my friends as a great organization to work for LOYALTY : I feel very little loyalty to this hospital WORKING : I would accept almost any type of assignment in order to keep working for this hospital VALUES : I find that my values and this hospital's values are very similar
  17. 17. ITEM PROUD : I am proud to tell others that I am part of this hospital OTHER_HOSPITAL : I could just as well be working for a different hospital as long as the type of work was similar HOSPITAL_INSPIRATION :This hospital really inspires the very best in me in the way of job performance PRESENT_CIRCUMSTANCES : It would take very little changes in my present circumstances to cause me to leave this hospital EXTREMELY_GLAD : I am extremely glad that I chose this hospital to work over others I was considering at the time I joined MEAN S.D 4.21 .620 3.14 .915 3.83 .759 3.17 1.513 4.28 .960
  18. 18. ITEM GAIN : There is not too much to be gained by sticking with this hospital indefinitely MEAN S.D 2.03 1.085 2.97 .906 1.90 1.047 4.17 1.037 HOSPITAL_POLICIES : Often, I find it difficult to agree with this hospital's policies on important policies on important matters relating to its employees MISTAKE : Deciding to work for this hospital was a definite mistake on my part 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
  19. 19. OVERALL ORGANIZATIONAL COMMITMENT OF 3.5 WITH STANDARD DEVIATION OF 0.8
  20. 20. Less than 40% of the nurses do not agree that they share similar values with the hospital Freq Percen Valid Cumul uenc t Percen ative y t Percen t 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 18 60.0 60.0 96.7 1 3.3 3.3 100.0 30 100.0 100.0 4 AGREE 5 STRONGLY AGREE Total
  21. 21. However 87% of the nurses would talk to their friends as a great organization to work for Freq Perce Valid Cumul uenc nt Percen ative y t Percen t 2 DISAGREE 2 6.7 6.7 6.7 3 CAN'T SAY 2 6.7 6.7 13.3 18 60.0 60.0 73.3 8 26.7 26.7 100.0 30 100.0 100.0 4 AGREE 5 STRONGLY AGREE Total
  22. 22. Close to 95% of the nurses are willing to put extra effort to help the hospital be successful Frequ Percen Valid Cumula ency t Percent tive Percent 3 CAN'T SAY 4 AGREE 5 STRONGLY AGREE Total 2 6.7 6.7 6.7 22 73.3 73.3 80.0 6 20.0 20.0 100.0 30 100.0 100.0
  23. 23. 77% of the nurses unsure about hospital’s policies Frequ Percen Valid Cumula ency t Percent tive Percent 1 STRONGLY DISAGREE 3 CAN'T SAY 4 AGREE Total 4 13.3 13.3 13.3 19 63.3 63.3 76.7 7 23.3 23.3 100.0 30 100.0 100.0
  24. 24. OCCUPATIONAL STRESS SCALE 1= NO PRESSURE 2= SLIGHT PRESSURE 3 = MODERATE PRESSURE 4= CONSIDERABLE PRESSI
  25. 25. 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
  26. 26. 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 2.53 1.383 SPEACIALISED_TRAINING : Lack of specialized training for present work
  27. 27. ITEM PARTICIPATION : Lack of participation in MEAN S.D 2.33 .884 DIFFICULT_PATIENTS :Difficult patients 2.67 .844 RELATIVES : Dealing with relatives 3.83 1.510 3.03 1.326 planning and decision making BEREAVEMENT : Bereavement counselling
  28. 28. ITEM MEAN S.D 3.20 1.883 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 3.20 1.215 EMPLOYMENT_SECURITY : Security of employment SITUATION_INVOLVEMENT : Involvement with life and death situations WORKING_CONDITIONS :Poor physical working conditions
  29. 29. OVERALL STRESS = 2.5 WITH STANDARD DEVIATION OF 0.8
  30. 30. 50% of the nurses complain of extreme pressure due to lack of job security Freq Perce Valid Cumul uenc nt Percen ative y t Percen t 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
  31. 31. 77% of the nurses complaining of extreme pressure due to staff shortage Freq Perce Valid Cumul uenc nt Perce ative y nt Perce nt 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 Valid
  32. 32. 53% of the nurses complain that dealing with relatives is an issue Frequ Percent Valid Cumulati ency Percent ve 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
  33. 33. 57% of the nurses reporting of considerable to extreme pressure due to lack of support from senior staff Freq Perce Valid Cumul uenc nt Perce ative y nt 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 30 100.0 100.0 Total
  34. 34. PROFESSIONAL COMMITMENT SCALE 1= NEVER 2= SELDOM 3=SOMETIMES 4=OFTEN 5=ALWAYS
  35. 35. ITEM IDENTIFY : `I am a person who identifies strongly with the nursing profession IMPORTANT : I am a person who considers the nursing profession to be important MEAN 4.93 4.87 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 profession HIDE : I am a person who tries to hide belonging to the nursing profession STRONG_TIES : I am a person who feels strong ties with other members of the nursing profession 1.13 1.13 4.33
  36. 36. PROFESSIONAL COMMITMENT OF 3.4 WITH STANDARD DEVIATION OF 1.8
  37. 37. 100% nurses strongly identifies with the nursing profession Freque Percent ncy 3 SMT Valid Percent Cumulati ve Percent 1 3.3 3.3 3.3 A 29 96.7 96.7 100.0 Total 30 100.0 100.0 V a l5 i d
  38. 38. 100% nurses considers nursing profession to be important Frequ Percent Valid Cumulati ency Percent ve Percent 3 SMT 2 6.7 6.7 6.7 5A 28 93.3 93.3 100.0 Total 30 100.0 100.0
  39. 39. 90% of the nurses sees themselves to belong to the nursing profession Freque Percent Valid Cumulati ncy Percent ve Percent 1N 3 10.0 10.0 10.0 5A 27 90.0 90.0 100.0 Total 30 100.0 100.0
  40. 40. 83% of the nurses never criticizes the nursing profession Freque Percent ncy 1N Valid Cumulati Percent ve Percent 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
  41. 41. RECOMMENDATIONS
  42. 42. ADDRESSING NURSING SHORTAGE THROUGH RE ALLOCATION OF NURSES WORKING IN THE HOSPITAL
  43. 43. 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!!!!!
  44. 44. APPLICATION OF MASLOW’S HIERARCHY OF NEEDS Realization of full potential Self esteem confidence achievement Friendship, intimacy family Job security, relatives harrasssment Pay , food, shelter, snacks room
  45. 45. SELF ESTEEM THROUGH STRENGTH EXPANSION OF SPHERES OF RESPONSIBILITY RECOGNITION CONSULTATION SELF ESTEEM THROUGH ACHIEVEMENT OF GOALS CERTIFICATION/ADVANCED DEGREE/ COMPUTER SKILLS PROMOTION SELF ESTEEM THROUGH ADEQUACY HAS ADEQUATE TIME FOR FAMILY HAS TIME TO ASSESS, PLAN & GIVE GOOD CARE HAS TIME FOR UPDATING KNOWLEDGE & SKILLS
  46. 46. SELF ESTEEM THROUGH MASTERY TEACHING PREPARING STRATEGIC OBJECTIVES SELF ESTEEM THROUGH CONFIDENCE CONFIDENT IN WORK/BETTER THAN SOMEONE SELF ESTEEM THROUGH INDEPENDENCE FREEDOM TO MANAGE CARE OF THEIR PATIENTS
  47. 47. 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
  48. 48. Sluice room and store room in each floor Color coded linen for each floor Have fixed visiting hours Permanent security staff in each floor
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