Abstract:Background
Job satisfaction describes an employee’s motivation and/or feeling of satisfaction towards his/her work. Globally, healthcare professionals’ turnover and retention play a critical role in the delivery of essential health services. In Ghana, however, little has been done to ascertain job satisfaction levels among human resources for eye-health. The objective of this study therefore was to assess job satisfaction and its associated factors among optometrists in Ghana.
… Show more
“…In summary, our ndings are in line with previous studies, which all highlight the importance of workload on job satisfaction (31,45,46) . In addition, we further analyze the impact of three dimensions of workload on job satisfaction, and discussed the difference of this impact between urban and rural areas.…”
Section: Discussionsupporting
confidence: 93%
“…The empirical results show that longer working hours lead to a lower degree of job satisfaction. In previous studies, there is a similar conclusion, that is, working too long will reduce job satisfaction (30,31) .…”
Section: Working Hours and Job Satisfactionsupporting
Background
With the integration of urban and rural health insurance, the demand for health services from rural residents increases rapidly, which in turn, bring heavier workload for doctors from county public hospitals (CPHs). Meanwhile, township healthcare centers (THCs) are required to provide more additional public health services under the integration of public health and primary care, which also brings challenges for its doctors’ workload. As a result, Chinese rural doctors from both CPHs and THCs have to cope with heavier workload that may have an adverse effect on their job satisfaction. This study sought to investigate the association between the workload and their job satisfaction during the new healthcare reform in China.
Methods
A cross-sectional survey using mixed methods targeting Chinese rural doctors from both CPHs and THCs in three provinces of Gansu (the west province of China), Shanxi (the middle province of China), and Shandong (the east province of China) was conducted. Correlation analyses of three dimensions of workload and job satisfaction were performed. The association between workload and job satisfaction was estimated using discrete choice regression and the detail parts of workload were analyzed using qualitative data collected from interviews with some agency administrators and representatives from the respondents.
Results
Of the 849 rural doctors enrolled, 52.18% thought that the proportion of time spent on non-medical activities (PT) was too high; 78% reported that they worked more than 8 hours in a working day; up to 40% of rural doctors from county public hospitals (CPHs) reported unaffordable clinical visit number per day (CV), which was significantly higher than that from township healthcare centers (THCs). Both of the proportion of time on non-medical issues and working hours (WH) were significantly and negatively associated with the job satisfaction of rural doctors. However, the effects of clinical visit number were mixed, with a significantly negative association with the job satisfaction of doctors from CPHs rather than from THCs. Qualitative analysis indicated that non-medical activities constituted the main source of Chinese rural doctors workload, in terms of a performance assessment criteria for doctors from CPHs and public health services for doctors from THCs.
Conclusion
The workload, dominated by non-medical activities, working hour and clinical visit number, are non-negligible factors that negatively associated with Chinese rural doctors’ job satisfaction in the healthcare reform setting. The growing number of patients towards CPHs and the additional public health service imposed on the THC doctors were the main source for the workload that worsened rural doctors’ job satisfaction. Policy makers should consider some feasible measures to reduce non-medical activities for rural doctors so that they could dedicated their limited energy and time to the medical service.
“…In summary, our ndings are in line with previous studies, which all highlight the importance of workload on job satisfaction (31,45,46) . In addition, we further analyze the impact of three dimensions of workload on job satisfaction, and discussed the difference of this impact between urban and rural areas.…”
Section: Discussionsupporting
confidence: 93%
“…The empirical results show that longer working hours lead to a lower degree of job satisfaction. In previous studies, there is a similar conclusion, that is, working too long will reduce job satisfaction (30,31) .…”
Section: Working Hours and Job Satisfactionsupporting
Background
With the integration of urban and rural health insurance, the demand for health services from rural residents increases rapidly, which in turn, bring heavier workload for doctors from county public hospitals (CPHs). Meanwhile, township healthcare centers (THCs) are required to provide more additional public health services under the integration of public health and primary care, which also brings challenges for its doctors’ workload. As a result, Chinese rural doctors from both CPHs and THCs have to cope with heavier workload that may have an adverse effect on their job satisfaction. This study sought to investigate the association between the workload and their job satisfaction during the new healthcare reform in China.
Methods
A cross-sectional survey using mixed methods targeting Chinese rural doctors from both CPHs and THCs in three provinces of Gansu (the west province of China), Shanxi (the middle province of China), and Shandong (the east province of China) was conducted. Correlation analyses of three dimensions of workload and job satisfaction were performed. The association between workload and job satisfaction was estimated using discrete choice regression and the detail parts of workload were analyzed using qualitative data collected from interviews with some agency administrators and representatives from the respondents.
Results
Of the 849 rural doctors enrolled, 52.18% thought that the proportion of time spent on non-medical activities (PT) was too high; 78% reported that they worked more than 8 hours in a working day; up to 40% of rural doctors from county public hospitals (CPHs) reported unaffordable clinical visit number per day (CV), which was significantly higher than that from township healthcare centers (THCs). Both of the proportion of time on non-medical issues and working hours (WH) were significantly and negatively associated with the job satisfaction of rural doctors. However, the effects of clinical visit number were mixed, with a significantly negative association with the job satisfaction of doctors from CPHs rather than from THCs. Qualitative analysis indicated that non-medical activities constituted the main source of Chinese rural doctors workload, in terms of a performance assessment criteria for doctors from CPHs and public health services for doctors from THCs.
Conclusion
The workload, dominated by non-medical activities, working hour and clinical visit number, are non-negligible factors that negatively associated with Chinese rural doctors’ job satisfaction in the healthcare reform setting. The growing number of patients towards CPHs and the additional public health service imposed on the THC doctors were the main source for the workload that worsened rural doctors’ job satisfaction. Policy makers should consider some feasible measures to reduce non-medical activities for rural doctors so that they could dedicated their limited energy and time to the medical service.
“…The job satisfaction of nurses affects work efficiency, nursing care quality, staff stability, and patient satisfaction (Dilig-Ruiz et al, 2018). Many factors may influence the job satisfaction of nurses, with the most common ones being salary, extrinsic benefits, recognition and promotion, patient-nurse relationship, peer relationships, work environment, supervision, and career development (Akuffo et al, 2021; Wang et al, 2017). In addition, the job satisfaction of nurses may also be influenced by personality traits, including self-esteem, optimism, self-efficacy, negative affectivity, and proactive personality (Chang et al, 2010).…”
The factors affecting nursing job satisfaction and burnout have been widely studied, but the research results vary in nations with different cultures and organization schemes. The healthcare system of Macao is unique, which tends to be a combination of that of Chinese and Portuguese. This study aimed to assess the factors influencing job satisfaction and burnout and to investigate their associations with demographic characteristics. This descriptive cross-sectional study was conducted among 345 randomly selected nurses registered with the Health Bureau of Macao Special Administrative Region who agreed to participate in this study voluntarily. This study employed two questionnaires using eight subscales (28 items) and five subscales (49 items) to describe job satisfaction and burnout, respectively. The demographic variables of age, highest education level, monthly income, type of working organization, and role were associated with job satisfaction. Whereas marital status was the only demographic variable associated with burnout. Professional development opportunities and childcare support were the main reasons for job dissatisfaction and coping strategies was the major issue for burnout. No significant correlation was found between job satisfaction and burnout. Health organizations may provide solutions focusing on these factors to enhance the job satisfaction of nurses and reduce burnout.
“…Visual impairment (VI) is a significant public health issue around the world because it has a detrimental impact on a person’s psychosocial and economic well-being, as well as the well-being of their family, community, and the country as a whole [ 1 , 2 ]. In children, this leads to lifelong consequences, including a lower level of educational achievement [ 3 ].…”
Background: Visual impairment (VI) is a public health problem that can affect an individual’s social wellbeing. The study aims to determine the distribution and causes of vision impairment (VI) and blindness among patients at Nigerian Army Eye Centre Lagos, Nigeria. Method: An institutional cross-sectional study was conducted, and a systematic random sampling technique was used to enrol study participants from their medical records. Information about their demography, presenting visual acuity (VA), best corrected visual acuity and cause of VI and blindness, were retrieved. Result: A total of five hundred (500) medical records of patients aged from 4 to 96 years, with a mean age of 54.07 ± 21.43 years, were considered for the study. Among the participants, more than half were males (51.2%) and ≥60 years (53.0%). A large (47.2%) proportion of the patients had moderate VI at the time of presentation, followed by blindness (22.0%). The major cause of blindness was cataract, while glaucoma and refractive error were the major causes of VI. Blindness and VI were significantly associated with the type of VI before and after the provision of intervention (p < 0.05) across different age groups (children, youths, adults, elderly) with an adjusted p < 0.003 after an intervention. Conclusions: Cataracts, glaucoma and uncorrected refractive error (URE) were the major causes of VI and blindness in Lagos State. VI was more prevalent in males than females; however, there was no significant difference between the two proportions. The prevalence of VI among age groups was more significant for those 60 years and above. Early screening for the detection and management of cataract, URE and glaucoma is highly advised to reduce the burden of VI.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.