Job satisfaction and associated factors among psychiatric nurses in tertiary psychiatric hospitals: Results from a nationwide cross‐sectional study. (6th November 2019)

• Record Type: Journal Article
• Authors: Zhou, Huixuan; Jiang, Feng; Rakofsky, Jeffrey; Hu, Linlin; Liu, Tingfang; Wu, Shichao; Liu, Huanzhong; Liu, Yuanli; Tang, Yi‐lang
• Is Part Of: Journal of advanced nursing. Volume 75:Number 12(2019)
• Page Start: 3619
• Page End: 3630
• Publication Date: 2019-11-06
• Subjects: China -- job satisfaction -- nurse–patient relationships -- nurse–physician relationships -- psychiatric nursing; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14202
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aims: To investigate the job satisfaction among psychiatric nurses in China and to explore its associated factors. Design: A cross‐sectional survey among a nationwide sample from 32 tertiary psychiatric hospitals in 29 provincial capitals in China. Methods: Nurses ( N = 9.907) were targeted for this survey in December 2017. In all, 8, 493 responded (response rate = 85.7%) and 7, 881 (79.5%) were included in the analysis. An online questionnaire was used to collect demographics and factors related to the work environment. The short version of the Minnesota Satisfaction Questionnaire was used to assess job satisfaction. Multilevel regression was used to examine the association between job satisfaction and these factors. Results: The mean job satisfaction score was 73.7. The multiple regression analysis indicated that self‐rated health, monthly income, medical liability insurance coverage, perceived respect from patients, social recognition, nurse–physician collaboration, and trust were significantly associated with higher job satisfaction scores, while age, work hours, and directly experiencing patient‐initiated violence were negatively associated with job satisfaction ( p < .05). Conclusion: Overall, Chinese psychiatric nurses are closer to satisfied than neutral and some demographics and factors related to stressful work environments were associated with nurses' job satisfaction scores. Impact: This study examined factors associated with the job satisfaction of Chinese psychiatric nurses in a nationwide sample and indicated that to improve nurses' job satisfaction, the government and hospital administrators could consider ways to promote nurses' personal health and to modify the stressful work environments, such as improving income, reducing work hours, promoting the psychiatric nursing specialty in ways that increase the public's respect for it, increasing awareness of medical liability insurance coverage, and protecting nurses from patients' violence. Abstract : 目的: 调查我国精神科护士的工作满意度, 并探究其相关因素。 设计: 对全国19个省会城市32所三级精神病院进行横断面调查。 方法: 本次调查在2017年12月进行, 护士(N = 9.907)为本次调查对象。在所有调查对象中, 有8493名护士回复(回复率= 85.7%), 其中7881 人(79.5%)被纳入了分析。我们使用了在线问卷手机人口统计数据以及与工作环境相关的因素。我们采用了明尼苏达州满意度调查问卷的简要版本以评估工作满意度, 并使用了多水平回归以检验工作满意度与这些因素之间的关联。 结果: 平均工作满意度为73.7分。多元回归分析法表明自我评估的健康水平、每月收入、医疗责任保险范围、感知到的患者的尊重、社会认可、医护合作和信任度与更高的工作满意度分数显著相关, 而年龄、工作时长以及直接经历患者暴力则与工作满意度呈负相关( p < .05)。 结论: 总的来说, 中国精神科护士的工作满意度中等偏上, 与紧张的工作环境相关的因素以及人口统计数据与护士的工作满意度相关。 影响: 本研究在全国范围内调查了与中国精神科护士工作满意度相关的因素, 本研究表明, 为了提高护士的工作满意度, 政府和医院管理者可以考虑采取措施改善护士个人健康并改变紧张的工作环境, 例如提高收入, 减少工作时间, 提升公众对精神科护理专业的尊重, 提高医疗责任保险覆盖意识, 并保护护士免受患者伤害。