Nurse employment contracts in Chinese hospitals: impact of inequitable benefit structures on nurse and patient satisfaction

Shang, Jingjing; You, Liming; Ma, Chenjuan; Altares, Danielle; Sloane, Douglas M.; Aiken, Linda H.

doi:10.1186/1478-4491-12-1

Cited by 114 publications

(131 citation statements)

References 25 publications

(44 reference statements)

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“…As in Brazil, low wages and the insecurity of nursing employment contracts also occur in European countries (20) and Asia (21) . International studies (20)(21) show that low pay and little job security may be associated with overload of nursing workers, job dissatisfaction and intention to leave the job.…”

Section: Discussionmentioning

confidence: 99%

“…International studies (20)(21) show that low pay and little job security may be associated with overload of nursing workers, job dissatisfaction and intention to leave the job.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, for factors assessing suffering at work, such as Professional Exhaustion (items [18][19][20][21][22][23][24] and Lack of recognition (items 25-32), which are considered negative items, the analysis was performed at the following levels: above 4 = more negative and critical assessment; between 3.99 and 2.1 = moderate to critical evaluation; below 2.0 = less negative to satisfactory assessment.…”

Section: Methodsmentioning

confidence: 99%

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Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

Prestes

Beck

Magnago

et al. 2015

Rev. esc. enferm. USP

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Objective:To measure the pleasure and suffering indicators at work and relate them to the socio-demographic and employment characteristics of the nursing staff in a hemodialysis center in southern Brazil. Method: Quantitative research, with 46 workers. We used a self-completed form with demographic and labor data and the Pleasure and Suffering Indicators at Work Scale (PSIWS). We conducted a bivariate and correlation descriptive analysis with significance levels of 5% using the Epi-Info® and PredictiveAnalytics Software programs. Results: Freedom of Speech was considered critical; other factors were evaluated as satisfactory. The results revealed a possible association between sociodemographic characteristics and work, and pleasure and suffering indicators. There was a correlation between the factors evaluated. Conclusion: Despite the satisfactory evaluation, suffering is present in the studied context, expressed mainly by a lack of Freedom of Speech, with the need for interventions to prevent injury to the health of workers. DESCRIPTORSNursing; Renal Dyalisis; Burnout, Professional; Occupational Health; Job Satisfaction; Pleasure-Pain Principle. Pleasure-suffering indicators of nursing work in a hemodialysis nursing serviceIndicadores de prazer e sofrimento no trabalho da enfermagem em um serviço de hemodiálise Indicadores de placer y sufrimiento en el trabajo de la enfermería en un servicio de hemodiálisis INTRODUCTIONWork occupies a position of centrality in the lives of individuals, thus constituting a fundamental operator in the construction of the subject. Thus, work activity is a construction of meaning, the conquest of identity, continuity and historicizing of men (1) .In the same perspective, work activity can promote health with a pivotal role, or contribute to destabilization, leading the subject to imbalance, which reinforces the premise that work is never neutral with regards to workers' health (2) .This research is based on the theoretical framework of the psychodynamics of work, holding the dynamic relations between the labor organization and the employee's subjective processes as its object of study. In these relationships, suffering plays a key role that articulates health and pathology at the same time. Health implies dealing with impositions and pressures at work that cause psychological instability, while pathology is related to failures in the ways of coping with suffering (3) .Thus, on the one hand, suffering operates as a mobilizer of investments in the transformation of reality, and the possibility of transforming reality, and on the other it gives pleasure to the worker. Thus, experiences of pleasure and suffering are dialectical and inherent in all work settings (2) .In this perspective, work can be a health promoter when creativity is used to transform a situation of suffering, which positively affects the worker's identity since it increases their resistance to the risk of mental and somatic destabilization (3) .Nursing workers often forget to take care of themselves and the...

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Section: Discussionmentioning

confidence: 99%

“…International studies (20)(21) show that low pay and little job security may be associated with overload of nursing workers, job dissatisfaction and intention to leave the job.…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

Prestes

Beck

Magnago

et al. 2015

Rev. esc. enferm. USP

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“…The studies using this model indicate that the model has international relevance as they take place in multiple countries and represent different cultures (Brooks-Carthon et al . 2011, Shang et al . 2014).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of conceptual frameworks applicable to the study of isolation precautions effectiveness

Cohen

Shang

2015

Journal of Advanced Nursing

Self Cite

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Aims A discussion of conceptual frameworks applicable to the study of isolation precautions effectiveness according to Fawcett and DeSanto-Madeya’s (2013) evaluation technique and their relative merits and drawbacks for this purpose Background Isolation precautions are recommended to control infectious diseases with high morbidity and mortality, but effectiveness is not established due to numerous methodological challenges. These challenges, such as identifying empirical indicators and refining operational definitions, could be alleviated though use of an appropriate conceptual framework. Design Discussion paper Data Sources In mid-April 2014, the primary author searched five electronic, scientific literature databases for conceptual frameworks applicable to study isolation precautions, without limiting searches by publication date. Implications for Nursing By reviewing promising conceptual frameworks to support isolation precautions effectiveness research, this paper exemplifies the process to choose an appropriate conceptual framework for empirical research. Hence, researchers may build on these analyses to improve study design of empirical research in multiple disciplines, which may lead to improved research and practice. Conclusion Three frameworks were reviewed: the epidemiologic triad of disease, Donabedian’s healthcare quality framework and the Quality Health Outcomes model. Each has been used in nursing research to evaluate health outcomes and contains concepts relevant to nursing domains. Which framework can be most useful likely depends on whether the study question necessitates testing multiple interventions, concerns pathogen-specific characteristics and yields cross-sectional or longitudinal data. The Quality Health Outcomes model may be slightly preferred as it assumes reciprocal relationships, multi-level analysis and is sensitive to cultural inputs.

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“…Occupation of a contract-based position was associated with greater dissatisfaction with salary and benefits, and greater intention to leave the position. 57 Researchers report that the average salary of an entry-level nurse in some urban hospitals is comparable to that for a janitor. 58 China has slowly moved to upgrade the technical qualifications of its nursing workforce.…”

Section: Training Levelsmentioning

confidence: 98%

China’s Physician and Nurse Workforce

Burns¹

2017

China's Healthcare System and Reform

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Nurse employment contracts in Chinese hospitals: impact of inequitable benefit structures on nurse and patient satisfaction

Cited by 114 publications

References 25 publications

Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

Evaluation of conceptual frameworks applicable to the study of isolation precautions effectiveness

China’s Physician and Nurse Workforce

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