Hospital organizational environment and staff satisfaction in China: A large‐scale survey

Abstract

The aims of the study are to explore the satisfaction of health-care staff in Chinese public hospitals with different aspects of their organizational environment and to identify factors affecting this satisfaction. The satisfaction of hospital staff members with organizational environment could be associated with the quality of patient care and patients' satisfaction. The design of the study is in the form of a survey. A questionnaire survey was performed from April to November 2008 to collect demographic characteristics of hospital staff members and analyse which organizational environment factors (hospital security policy and professional care, environmental security, safety of operations and management of human resources) influence staff satisfaction. Hospital members' satisfaction scores were high for hospital security policy and professional care but lower for safety of operations, the security of the environment and management of the human resources (lowest). Multivariate analysis identified that hospital size (large hospitals scoring highest), department (non-clinical department such as administrative or logistics department), professional title (student), position (administration) and years of employment (<3 years) were independently positively associated with overall satisfaction with organizational environment (P < 0.05). These results indicated that in China, hospital staff members were mostly dissatisfied with the administration and management of human resources. The organizational environment of hospitals should be improved to improve staff satisfaction.

Prevalence of Percutaneous Injuries and Associated Factors Among a Sample of Midwives in Hunan Province, China

“…This result has not been described previously and is surprising, considering that smaller hospitals are more likely to be in remote and/or poorer areas that lack protective equipment, occupational injuries inspections, and protective measures, especially in economically challenged areas (Bacon & Mark, 2009;Cai et al, 2016). Generally, larger hospitals are often specialized centers and have more experienced personnel, more regular in-service training, and higher levels of senior management support for safety programs, thereby decreasing the incidence of percutaneous injuries (Cai et al, 2016;Yoshikawa et al, 2013). Some studies demonstrate that midwives in smaller hospitals may be at a greater risk of experiencing percutaneous injuries (Cai et al, 2016;Cao, 2013).…”

“…Generally, larger hospitals are often specialized centers and have more experienced personnel, more regular in-service training, and higher levels of senior management support for safety programs, thereby decreasing the incidence of percutaneous injuries (Cai et al, 2016;Yoshikawa et al, 2013). Some studies demonstrate that midwives in smaller hospitals may be at a greater risk of experiencing percutaneous injuries (Cai et al, 2016;Cao, 2013). We did not obtain evidence on this specific finding, but we perceived that hospitals with ≥400 beds have considerably higher risk in maternity than those with lesser bed capacity, and midwives deal more frequently with their tasks, thereby having a higher chance of exposure.…”

Satisfaction survey among primary health care outpatients in the backward region: an empirical study from rural Western China

“…Some researchers had explored the outpatient satisfaction and factors affecting Chinese patients’ satisfaction, mostly from developed provinces or tertiary hospitals, performing descriptive analysis and satisfaction ratings survey. 17 , 18 Questionnaire is a commonly used satisfaction survey instrument. As reported in studies conducting univariate or regression analysis, factors, including hospital environment, medical facility, service attitude, patients’ involvement in decision making, doctors and nurses’ proficient skills, effective communication between patients and doctors, disease severity, medical cost, waiting time, and service time were associated with Chinese outpatients’ satisfaction in advanced areas or tertiary hospitals.…”

Driving Health Technologies Towards Performance: A Contextualization Within the Hospital Sector

“…Customers' (whether internal staff or external patients) satisfaction is a priority for hospitals. This holds true in reference to patients, who have the choice of whether to keep using the services of that hospital or not on the basis of the overall quality of the services they perceive (Chen et al, 2020), as well as to staff, which has the power to decide where to work and how much effort to put in its work (Cai et al, 2016).…”