nurse satisfaction survey

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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, MHA TISS,MUMBAI 2012-14

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A SURVEY OF JOB SATISFACTION & RELATED FACTORS AMONG HOSPITAL NURSES

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Page 2: Nurse satisfaction survey

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.

Page 3: Nurse satisfaction survey

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.

Page 4: Nurse satisfaction survey

• Job satisfaction scale [ 15 variables]• Organizational commitment scale [14

variables]• Occupational stress scale [23 variables]• Professional commitment scale [10 variables]

Page 6: Nurse satisfaction survey

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

Page 7: Nurse satisfaction survey

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

Page 8: Nurse satisfaction survey

•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

Page 9: Nurse satisfaction survey

•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

Page 10: Nurse satisfaction survey

•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

Page 11: Nurse satisfaction survey

•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

Page 12: Nurse satisfaction survey

•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

Page 13: Nurse satisfaction survey

•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

Page 14: Nurse satisfaction survey

OVERALL JOB SATISFACTION OF 3.6, WITH STANDARD DEVIATION OF 0.5

Page 16: Nurse satisfaction survey

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

Page 17: Nurse satisfaction survey

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

Page 18: Nurse satisfaction survey

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

Page 19: Nurse satisfaction survey

OVERALL ORGANIZATIONAL COMMITMENT OF 3.5 WITH STANDARD DEVIATION OF 0.8

Page 20: Nurse satisfaction survey

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

Page 21: Nurse satisfaction survey

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

Page 22: Nurse satisfaction survey

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

Page 23: Nurse satisfaction survey

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

Page 24: Nurse satisfaction survey

OCCUPATIONAL STRESS SCALE

1= NO PRESSURE2= SLIGHT PRESSURE3 = MODERATE PRESSURE4= CONSIDERABLE PRESSI

Page 25: Nurse satisfaction survey

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

Page 26: Nurse satisfaction survey

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

Page 27: Nurse satisfaction survey

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

Page 28: Nurse satisfaction survey

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

Page 29: Nurse satisfaction survey

OVERALL STRESS = 2.5 WITH STANDARD DEVIATION OF 0.8

Page 30: Nurse satisfaction survey

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

Page 31: Nurse satisfaction survey

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

Page 32: Nurse satisfaction survey

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

Page 33: Nurse satisfaction survey

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

Page 34: Nurse satisfaction survey

PROFESSIONAL COMMITMENT SCALE

1= NEVER2= SELDOM3=SOMETIMES4=OFTEN5=ALWAYS

Page 35: Nurse satisfaction survey

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

Page 36: Nurse satisfaction survey

PROFESSIONAL COMMITMENT OF 3.4 WITH STANDARD DEVIATION OF 1.8

Page 37: Nurse satisfaction survey

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

Page 38: Nurse satisfaction survey

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

Page 39: Nurse satisfaction survey

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

Page 40: Nurse satisfaction survey

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

Page 41: Nurse satisfaction survey

RECOMMENDATIONS

Page 42: Nurse satisfaction survey

ADDRESSING NURSING SHORTAGE THROUGH RE ALLOCATION OF NURSES WORKING IN THE HOSPITAL

Page 44: Nurse satisfaction survey

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!!!!!

Page 45: Nurse satisfaction survey

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

Page 46: Nurse satisfaction survey

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

Page 47: Nurse satisfaction survey

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

Page 48: Nurse satisfaction survey

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

Page 49: Nurse satisfaction survey

Sluice room and store room in each floor

Color coded linen for each floor

Have fixed visiting hours

Permanent security staff in each floor

Page 50: Nurse satisfaction survey

Suga

ta.