بررسی مقایسهای تمایل به ترک خدمت، فرسودگی و رضایت شغلی در پرستاران شاغل در بیمارستان‌های دانشگاه علوم پزشکی تهران قبل و بعد از اجرای طرح تحول نظام سلامت سال1395
محورهای موضوعی : -مدارک پزشکیراضیه کمیلی 1 , فرهاد ادهمی مقدم 2 , محمد صاحب الزمانی 3
1 - کارشناسی ارشد پرستاری، واحد علوم پزشکی تهران، دانشگاه آزاد اسلامی، تهران، ایران
2 - دانشیار، متخصص چشم، واحد علوم پزشکی تهران، دانشگاه آزاداسلامی، تهران، ایران
3 - دانشیار، گروه مدیریت آموزشی، واحد علوم پزشکی تهران، دانشگاه آزاداسلامی، تهران، ایران
کلید واژه: طرح تحول نظام سلامت, فرسودگی شغلی, رضایت شغلی, تمایل به ترک خدمت,
چکیده مقاله :
مقدمه: اجرای طرح تحول نظام سلامت و افزایش بارکاری بر روی همان تعداد پرستار، بی‌شک می‌تواند زمینه‌سازی برای نارضایتی و به دنبال آن فرسودگی شغلی و ترک شغل پرستاران را در پی داشته باشد. لذا این مطالعه با هدف بررسی مقایسهای تمایل به ترک خدمت، فرسودگی و رضایت شغلی پرستاران شاغل در بیمارستان‌های دانشگاه علوم پزشکی تهران قبل و بعد از اجرای طرح تحول نظام سلامت بوده است . روش پژوهش: این مطالعه توصیفی - مقایسهای به روش نمونه‌‌گیری سهمیه‌‌ای بر روی 362 پرستار شاغل در بیمارستان‌های دانشگاه علوم پزشکی تهران در سال 1395، انجام گرفته است. ابزار گردآوری داده‌ها پرسشنامه بودکه شامل مشخصات دموگرافیک، پرسشنامه‌های رضایت شغلی اسپکتور، فرسودگی شغلی ماسلاچ و تمایل به ترک خدمت نید بودند. یافته‌ها: رضایت شغلی پرستاران قبل و بعد از اجرای طرح (0/3917±3/12) و (0/3279±32/12)، فرسودگی شغلی (0/765+4/62) و (0/6374+4/61) و تمایل به ترک خدمت پرستاران (1/141+74/1) و (1/252+2/778) بود. نتایج آزمون تی زوجی تفاوت معناداری را در رضایت شغلی و تمایل به ترک خدمت پرستاران قبل و بعد از اجرای طرح نشان داده (p=0/000). آزمون تی زوجی تفاوت معناداری را در فرسودگی شغلی قبل و بعد از اجرای طرح نشان نداده است (p=0/848 ) . نتیجه‌گیری: نتایج بیانگر این می‌باشد، بعد از اجرای طرح تحول نظام سلامت، رضایت شغلی پرستاران کاهش، تمایل به ترک خدمت پرستاران افزایش و فرسودگی شغلی پرستاران ثابت بوده است.
Introduction: The implementation of the health care reform plan and the increase in workload on the same number of nurses can undoubtedly lead to dissatisfaction and Followed by job burnout and Leaving nurses Job. Therefore, this study was conducted with the aim of comparing the desire to quit serving, burnout and job satisfaction of nurses working in hospitals affiliated to Tehran University of Medical Sciences before and after the implementation of health system development plan. Methods: This Descriptive-comparative study was performed on 362 nurses working in hospitals affiliated to Tehran University of Medical Sciences in 1395. The data gathering tool was a questionnaire that included demographic characteristics, Spector's Job Satisfaction Questionnaire, Maslach Job Burnout, and need desire to quit serving. Results: The job satisfaction of nurses before and after the implementation of the plan (3.12+0.3917) and (2.98+0.3279), burnout (4.62+0.765) and (4.61+0.8374) And the desire to quit serving of nurses (3.26+1.141) & (2.778+1.252). The results of paired t-test showed a significant difference in job satisfaction and desire to quit serving of nurses before and after the implementation of the plan (p=0.0001). The Paired t-test did not show a significant difference in burnout before and after the implementation of the plan (p = 0.848). Conclusion: The results indicate that after implementing the health system reform plan, job satisfaction of nurses decreased, the desire to quit serving nurses has increased and nursing job burnout has been fixed.
1- Sadat Mousavi S, Movahedi Rad S. Survey of job satisfaction of nurses working in selected military hospitals in Tehran in 2014. Quarterly Journal of Nurses and Physicians in Razm, 2014; 5(2). [Persian]
2- Baum A, Kagan I. Job satisfaction and intent to leave among psychiatric nurses: closed versus open wards,Archives of Psychiatric Nursing, doi: 10.1016/j.apnu, 2015;03.
3- Hosseinpour M. Comparison of burnout and inclination to abandon service in pre-hospital and hospital emergency staff of Shiraz in 2013, Thesis dissertation, Tehran University of Medical Sciences ; 2014 [Persian].
4- Heinen M. Nurses intention to leave their profession: A cross sectional observational study in 10 European countries, international journal of nursing studies., 2013;50(2):174-184.
5- Atashzadeh ShF, Ashk T, Yaghmaei F, Alawi MH. Relationship between Demographic Characteristics and Moral Stress and the Intention of ICU Nurses to Stop, Journal of Medical Ethics and History, 2012; 5(7). [Persian]
6- Abbaszadeh A, Nazinevzar B, Fariba RM. Investigating the desire to leave the profession in clinical nurses: Quarterly Journal of Nursing Management, Second year, 2013;2(4). [Persian]
7- Atashzadeh ShF, Rasooli M, Zagheri TM. Nurses' Abandonment Process: A Qualitative Study, Qualitative Research Journal in Health Sciences, 2014; 3(1).[Persian]
8- Cable M. Investigating the Factors Affecting the Abandonment or Continuing Service of the Judicial Staff of Hamedan Province, Islamic Azad University, Shahrood Branch, Humanities University; 2014: 43. [Persian]
9- Haghdoost AA, Mehrolhassani MH, Khajehkazemi R, Fallah MS. Monitoring Indicators of Iranian Health System Reform Plan. Hakim, 2013;16(3): 171-81. [Persian]
10- Spector P. Measurement of Human Service Staff Satisfaction: Development of the Job Satisfaction Survey. American Journal of Community Psychology,1985;13(6): 693-713.
11- Mugli A,Habibi H, Ahmadi M,Habibi F. The Relationship between Job Satisfaction and Burnout among Nurses in Private and Governmental Hospitals of Shiraz in 2012, Quarterly Journal of Hospital, 2015; 4(3). [Persian]
12- E. Nwafor CU, Immanel E, Obi-Nwosu. Does nurses’ self-concept mediate the relationship between job satisfaction and burnout among Nigerian nurses, International Journal of Africa Nursing Sciences 3; 2015: 71–75.
13- Abbaszadeh A, Nazinevzar B.F, Roshanzadeh M. Investigating the desire to leave the profession in clinical nurses: Quarterly Journal of Nursing Management.2013; 2(4). [Persian].
14- AbuAlRub RN, Raeda El-Jardali Fadi, Jamal MPH,Diana Abu Al-Rub Nawzat, Exploring the Relationship between Work Environment, Job satisfaction, and Intent to Stay of Jordanian Nurses in Underserved areas, S0897-1897(15)00231-1 ,DOI: doi: 10.1016/j.apnr.2015.11.014 ,Reference: YAPNR 50755.
15- Jafar Jalal E, Joolai S, Hajibabaei F, Bahmani N .The Relationship between Nurses' Job Satisfaction with Negative Satisfaction from Nursing Services in Iranian Educational Centers, Nursing Researches, 2015;10: 34- 25. [Persian]
16- Sadeghi M, Ebrahimi H, Abbasi M.Relationship between ethical stress and burnout in clinical nurses in Shahrood, Nursing Research Journal, 2016;11(2):87-78.
17- Vander Doef M, Mbazzi FB, Verhoeven C.Job conditions, satisfaction, somatic complaints and Burnout among East African Nurses, Journal of Clinical Nursing, 2012; 21(3): 1763–1775.
18- Zhang L, You L, Liu K, Zheng J,Fang J, Lu M,et al .The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave, Nurs Outlook 62, 2014; 12(8): 137.
19- RaftopoulosV.CharalaA.TaliasM.The factors associated with the burnout syndrome and fatigue in cypriot nurses:a census report.BMS public health.2012;12:1471-2458
20- Nikabakht Nasrabadi A,Salari A, Hosseinpour M,Kani Nejad M. Survey of burnout and tendency to quit service and their relation in emergency department nursing staff, Nursing Research, 2014;9(3).[Persian]
21- Mohammadzadeh R, Mareim RF, Ashqali Farahani M, Bohrani N.Comparison of the tendency to quit serving nurses working in executive and non-managerial hospitals of organizational excellence project, Nursing care research center of Iran University of Medical Sciences (Iranian Journal of Nursing), 2014; 27(88): 55-46. [Persian]
22- Hariri Gh, Yaghmaei F, Zagheri T. M ,Shakeri N .A survey of some factors related to the desire to quit serving nurses working in educational hospitals affiliated to Shahid Beheshti University of Medical Sciences. Management of Health Promotion, 2012; 3: 27-17.
23- Altuntaş S.Factors affecting the job satisfaction levels and quit intentions of academic nurses , Nurse Education Today , http://dx.doi.org/10.1016/j.nedt.2013.07.002
24- Leineweber C, Singh ChH,Lindqvist R,Westerlund H, Runesdotter S, Smeds A, et al. Nurses’ practice environment and satisfaction with schedule flexibility is related to intention to leave due to dissatisfaction: A multi-country, multilevel study, International Journal of Nursing Studies, 2016; 58:47–58.
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1- Sadat Mousavi S, Movahedi Rad S. Survey of job satisfaction of nurses working in selected military hospitals in Tehran in 2014. Quarterly Journal of Nurses and Physicians in Razm, 2014; 5(2). [Persian]
2- Baum A, Kagan I. Job satisfaction and intent to leave among psychiatric nurses: closed versus open wards,Archives of Psychiatric Nursing, doi: 10.1016/j.apnu, 2015;03.
3- Hosseinpour M. Comparison of burnout and inclination to abandon service in pre-hospital and hospital emergency staff of Shiraz in 2013, Thesis dissertation, Tehran University of Medical Sciences ; 2014 [Persian].
4- Heinen M. Nurses intention to leave their profession: A cross sectional observational study in 10 European countries, international journal of nursing studies., 2013;50(2):174-184.
5- Atashzadeh ShF, Ashk T, Yaghmaei F, Alawi MH. Relationship between Demographic Characteristics and Moral Stress and the Intention of ICU Nurses to Stop, Journal of Medical Ethics and History, 2012; 5(7). [Persian]
6- Abbaszadeh A, Nazinevzar B, Fariba RM. Investigating the desire to leave the profession in clinical nurses: Quarterly Journal of Nursing Management, Second year, 2013;2(4). [Persian]
7- Atashzadeh ShF, Rasooli M, Zagheri TM. Nurses' Abandonment Process: A Qualitative Study, Qualitative Research Journal in Health Sciences, 2014; 3(1).[Persian]
8- Cable M. Investigating the Factors Affecting the Abandonment or Continuing Service of the Judicial Staff of Hamedan Province, Islamic Azad University, Shahrood Branch, Humanities University; 2014: 43. [Persian]
9- Haghdoost AA, Mehrolhassani MH, Khajehkazemi R, Fallah MS. Monitoring Indicators of Iranian Health System Reform Plan. Hakim, 2013;16(3): 171-81. [Persian]
10- Spector P. Measurement of Human Service Staff Satisfaction: Development of the Job Satisfaction Survey. American Journal of Community Psychology,1985;13(6): 693-713.
11- Mugli A,Habibi H, Ahmadi M,Habibi F. The Relationship between Job Satisfaction and Burnout among Nurses in Private and Governmental Hospitals of Shiraz in 2012, Quarterly Journal of Hospital, 2015; 4(3). [Persian]
12- E. Nwafor CU, Immanel E, Obi-Nwosu. Does nurses’ self-concept mediate the relationship between job satisfaction and burnout among Nigerian nurses, International Journal of Africa Nursing Sciences 3; 2015: 71–75.
13- Abbaszadeh A, Nazinevzar B.F, Roshanzadeh M. Investigating the desire to leave the profession in clinical nurses: Quarterly Journal of Nursing Management.2013; 2(4). [Persian].
14- AbuAlRub RN, Raeda El-Jardali Fadi, Jamal MPH,Diana Abu Al-Rub Nawzat, Exploring the Relationship between Work Environment, Job satisfaction, and Intent to Stay of Jordanian Nurses in Underserved areas, S0897-1897(15)00231-1 ,DOI: doi: 10.1016/j.apnr.2015.11.014 ,Reference: YAPNR 50755.
15- Jafar Jalal E, Joolai S, Hajibabaei F, Bahmani N .The Relationship between Nurses' Job Satisfaction with Negative Satisfaction from Nursing Services in Iranian Educational Centers, Nursing Researches, 2015;10: 34- 25. [Persian]
16- Sadeghi M, Ebrahimi H, Abbasi M.Relationship between ethical stress and burnout in clinical nurses in Shahrood, Nursing Research Journal, 2016;11(2):87-78.
17- Vander Doef M, Mbazzi FB, Verhoeven C.Job conditions, satisfaction, somatic complaints and Burnout among East African Nurses, Journal of Clinical Nursing, 2012; 21(3): 1763–1775.
18- Zhang L, You L, Liu K, Zheng J,Fang J, Lu M,et al .The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave, Nurs Outlook 62, 2014; 12(8): 137.
19- RaftopoulosV.CharalaA.TaliasM.The factors associated with the burnout syndrome and fatigue in cypriot nurses:a census report.BMS public health.2012;12:1471-2458
20- Nikabakht Nasrabadi A,Salari A, Hosseinpour M,Kani Nejad M. Survey of burnout and tendency to quit service and their relation in emergency department nursing staff, Nursing Research, 2014;9(3).[Persian]
21- Mohammadzadeh R, Mareim RF, Ashqali Farahani M, Bohrani N.Comparison of the tendency to quit serving nurses working in executive and non-managerial hospitals of organizational excellence project, Nursing care research center of Iran University of Medical Sciences (Iranian Journal of Nursing), 2014; 27(88): 55-46. [Persian]
22- Hariri Gh, Yaghmaei F, Zagheri T. M ,Shakeri N .A survey of some factors related to the desire to quit serving nurses working in educational hospitals affiliated to Shahid Beheshti University of Medical Sciences. Management of Health Promotion, 2012; 3: 27-17.
23- Altuntaş S.Factors affecting the job satisfaction levels and quit intentions of academic nurses , Nurse Education Today , http://dx.doi.org/10.1016/j.nedt.2013.07.002
24- Leineweber C, Singh ChH,Lindqvist R,Westerlund H, Runesdotter S, Smeds A, et al. Nurses’ practice environment and satisfaction with schedule flexibility is related to intention to leave due to dissatisfaction: A multi-country, multilevel study, International Journal of Nursing Studies, 2016; 58:47–58.
