Effect of Job Specialization on the Hospital Stay and Job Satisfaction of ED Nurses

Abstract

Background:In recent decades, the increasing crowdedness of the emergency departments has posed various problems for patients and healthcare systems worldwide. These problems include prolonged hospital stay, patient dissatisfaction and nurse burnout or job dissatisfaction.Objectives:The aim of this study was to investigate the effect of emergency department (ED) nurses’ job specialization on their job satisfaction and the length of patient stay in the ED.Patients and Methods:This before-after quasi-experimental study was conducted from April to May 2014 at the Baqiyatallah Hospital, Tehran, Iran. Initially, 35 patients were recruited as controls and the length of their stay in the ED was measured in minutes via a chronometer; Moreover, nurses’ job satisfaction was evaluated using the Mohrman-Cooke-Mohrman job satisfaction scale. Then, a job specialization intervention was developed based on the stabilization model. After that, 35 new patients were recruited to the treatment group and received specialized care services. Accordingly, the length of their stay in the ED was measured. Moreover, the same nurses’ job satisfaction was re-evaluated after the study. The study intervention lasted one month. Data were analyzed using the SPSS software version 20 and statistical tests such as the Kolmogrov-Smirnov, the paired and the independent t, and chi-square tests.Results:There was a significant difference between the two groups of patients concerning the length of their stay in the ED (P < 0.001). Moreover, compared with the pretest readings, nurses had greater job satisfaction after the study (P < 0.001).Conclusions:The job specialization intervention can improve nurses’ satisfaction and relieve the crowdedness of the EDs.

Impact of servant leadership on intrinsic and extrinsic job satisfaction

“…IJS and extrinsic job satisfaction were measured using items adapted from the MCMJSS job satisfaction scale (Mohrman et al, 1977). This measure has been widely used in job satisfaction research (Emmanuel and Hassan, 2015;McKee, 1991;Shamsi et al, 2016;). The intrinsic factors were related to self-esteem/self-respect, personal growth and development, accomplishments, and expectations, whereas the extrinsic job satisfaction factors were related to respect and fair treatment, being informed, the amount of supervision received, and opportunity to participate in the methods, procedures and goals of the organization.…”

Satisfação profissional dos enfermeiros

“…No contexto de cuidados críticos, pela especificidade dos cuidados prestados, a especialização do enfermeiro surge como elemento importante para promover a qualidade, e com relação com a satisfação profissional: a especialização dos enfermeiros contribui para a sua satisfação profissional, e está ainda relacionada com a redução da permanência dos pacientes nos serviços de urgência, evitando a sobrelotação devido à proficiência e eficácia dos cuidados prestados (Shamsi et al, 2016).…”

“…A especialização dos enfermeiros é um fator que contribui para a satisfação profissional dos mesmos e está ainda associada à redução da permanência dos pacientes, contribuindo para a redução da sobrelotação nos serviços de urgência, devido à proficiência e eficácia dos cuidados prestados (Shamsi, Mahmoudi, Nir & Darzi, 2016).…”

The Satisfaction of Ischemic Heart Disease Patients With Nursing Care in Emergency Department

“…Patient satisfaction with hospital services and the balance between the perceived and expected care (Akhtari-Zavare et al 2010), are major principles that should be considered, especially in the emergency department. Besides, patient satisfaction evaluation has become increasingly important for healthcare organizations (Shamsi et al 2016;Sun et al 2004;Welch 2010); it can only be understood through individuals' expression of their inner perceptions (Johansson, Oleni & Fridlund 2002;Suhonen et al 2012).…”