Meta-Analysis: Effects of Workload and Work Environment on Work Satisfaction in Health Personnel
DOI:
https://doi.org/10.26911/thejhpm.2023.08.03.03Abstract
Background: Job satisfaction is one of the important points to motivate and improve work efficiency, high job satisfaction can improve the performance of health workers and patient satisfaction. However, low job satisfaction results in fatigue and a tendency to increase the turnover of health workers which will exacerbate the condition of health facilities. The research objective was to analyze the effect of workload and work environment on job satisfaction in health workers.
Subjects and Method: This study is a meta-analysis with PICO. Population: health workers. Intervention: high workload and safe work environment. Comparison: low workload and unsafe work environment. Outcome: job satisfaction. The articles used in this study were obtained from three databases namely Google Scholar, Science Direct and Pubmed. The keywords used to search for articles are “Workload” OR “Job Overload” AND “Safe Work Environment” AND “Job Satisfaction” AND “Health Workers” AND “Multivariate”. The articles used were full text in English from 2012 to 2022. Articles were selected using the PRISMA flowchart and analyzed using the RevMan 5.3 application.
Results: A total of 17 cross-sectional study articles from Ethiopia, Switzerland, Israel, Belgium, China, Canada and Denmark. Based on the analysis, health workers with high workloads reduced job satisfaction 0.47 times compared to health workers with low workloads and this was statistically significant (aOR=0.47; 95% CI=0.24 to 0.92; p=0.030). Health workers with a safe work environment increased job satisfaction 2.75 times compared to health workers with an unsafe work environment and this was statistically significant (aOR=2.75; 95% CI=1.59 to 4.78; p=0.003).
Conclusion: High workload reduces job satisfaction in health personnel and a safe work environment increases job satisfaction in health personnel.
Keywords: workload, work environment, job satisfaction
Correspondence: Galuh Wulansari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: Galuhwulan61@gmail.com. Mobile: 085601548168.
References
Apriyanto P, Haryono S (2020). Pengaruh tekanan kerja, beban kerja dan lingkungan kerja terhadap intensi turnover: peran mediasi kepuasan kerja (Effect of work pressure, workload and work environment on turnover intention: the mediating role of job satisfaction). Manajemen Dewantara. 4(1):33–45. Doi: 10.-26460/-md.v4i1.7672.
Asegid A, Belachew T, Yimam E (2014). Factors influencing job satisfaction and anticipated turnover among nurses in sidama zone public health facilities, South Ethiopia. Nursing Research and Practice. 3(1):1–26. Doi: 10.1155/2014/909768.
Ayalew E, Workineh Y (2019). Job satisfaction and associated factors among nurses in Bahir Dar city administrative, North West Ethiopia, 2017. BMC Research Notes. 12(1):1–5. Doi: 10.1186/s1310401943634.
Azagew AW (2020). Nurse practitioners job satisfaction and associated factors among nurses working at the university of gondar specialized hospital : a cross- sectional survey study. Research Square. 1(10):1–18. Doi: 10.21203/rs.3.rs21796/v1.
Bekru ET, Cherie A, Anjulo AA (2017). Job satisfaction and determinant factors among midwives working at health facilities in Addis Ababa city, Ethiopia. PLoS ONE. 12(2):1–16. Doi: 10.1371/journal.pone.0172397.
Bogaert PV, Heusden DV, Slootmans S, Roosen I, Aken PV, Hans GH, Franck E (2018). Staff empowerment and engagement in a magnet® recognized and joint commission international accredited academic centre in Belgium: A cross-sectional survey. BMC Health Services Research. 18(1):1–12. Doi: 10.1186/s1291301835623.
Gebaba EM, Aman DH, Mannekulih HE (2020). Job satisfaction, engagement and associated factors among employees working at adama hospital medical college, Adama, Oromia Regional State, Ethiopia: institution based cross sectional study. David Publishing. 8(4): 290–306. Doi: 10.17265/23282185/2020.04.003.
Gedif G, Sisay Y, Alebel A, Belay YA (2018). Level of job satisfaction and associated factors among health care professionals working at university of gondar referral hospital, Northwest Ethiopia: a cross-sectional study. BMC Research Notes. 11(1):1–7. Doi: 10.1186/s1310401839180.
Geta A, Biks GA, Dellie E, Yazachew L (2021). Job satisfaction and associated factors among health professionals working at public and private hospitals in Bahir Dar City, Northwest Ethiopia: a comparative cross-sectional study. BioMed Research International. 10(11):678-688. Doi: 10.1155/2021/6632585.
Kagan I, Hendel T, Savitsky B (2021). Personal initiative and work environment as predictors of job satisfaction among nurses: cross-sectional study. BMC Nursing. 20(1): 1–10. Doi: 10.1186/s12912021006151.
Klavina A, Lazarieva O, Mruga M, Skoropad KT, Rokutov S, Myndziv K. (2022). Association between competencies of biopsychosocial approach and job satisfaction of rehabilitation professionals in Ukraine. 10(11):1–9. Doi: 10.1186/s1291302208755z.
Li N, Wang Y, Yu DE, Xiao S, Liu Y (2020). Job satisfaction of staff in agencies for disease prevention and control in Hainan Province, China. JPMA. 70(3): 523–525. Doi: 10.5455/JPMA.5011.
Li T, Lei T, Sun F, Xie Z (2017). Determinants of village doctors’ job satisfaction under China’s health sector reform: A cross-sectional mixed methods study. IJEqH. 16(1):1–12. Doi: 10.1186/s1293901705608.
Macphee M, Dahinten VS, Havaei F (2017). The impact of heavy perceived nurse workloads on patient and nurse outcomes. Administrative Sciences. 7(1): 1–17. Doi: 10.3390/admsci7010007.
Manyazewal T, Matlakala MC (2017). Beyond patient care: The impact of healthcare reform on job satisfaction in the Ethiopian public healthcare sector. Human Resources for Health. 15(1): 1–9. Doi: 10.1186/s1296001701881.
Ntopi S, Chirwa E, Maluwa A (2020). Relationship between role stressors, job tasks and job satisfaction among health surveillance assistants in Malawi: a cross-sectional study. BMJ Open. 10(11):1–17. Doi: 10.1136/bmjopen2020037000.
Putri NP, Sriatmi A, Fatmasari EY (2018). Faktor-faktor yang berhubungan dengan kepuasan kerja perawat rawat inap rumah sakit umum daerah tugurejo Semarang (Factors related to job satis ZZfaction of inpatient nurses at the Tugurejo General Hospital, Semarang). Jurnal Kesehatan Masyarakat (e-Journal). 6(4):62-73. doi: 10.14710/jkm.v6i4.21356.
Riisgaard H, Sondergaard J, Munch M, Le JV, Ledderer L, Pedersen LB, Nexoe J (2017). Work motivation, task delegation and job satisfaction of general practice staff: A cross-sectional study. Family Practice. 34(2):188–193. Doi: 10.1093/fampra/cmw142.
Rizany I, Yakin R, Risnadi D, Adawiyah R, Khairul FM (2022). Faktor yang mempengaruhi kepuasan kerja perawat selama pandemi covid-19 di beberapa rumah sakit di Kalimatan Selatan (Factors influencing nurse job satisfaction during the Covid-19 pandemic in several hospitals in South Kalimantan). Jurnal Keperawatan Dan Kesehatan. 10(2): 1–7. Doi: 10.20527/jdk.v10i1.44.
Safitri LN, Astutik M (2019). Pengaruh beban kerja terhadap kepuasan kerja perawat dengan mediasi stress kerja (Effect of workload on nurse job satisfaction by mediating work stress). JMD. 2(1): 13–26. Doi: 10.26533/jmd.v2i1.344.
Said RM, El-Shafei DA (2021). Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during covid-19 pandemic in Zagazig City, Egypt. Environmental Science and Pollution Research. 28(7): 8791–8801. Doi: 10.1007/s1135602011235-8.
Sandra R, Sondari D (2017). Faktor-faktor yang berhubungan dengan kepuasan kerja perawat pelaksana di ruang rawat inap RSUD Solok (factors related to the job satisfaction of the implementing nurse in the inpatient room of Solok Hospital). Jurnal Ilmiah Ilmu-Ilmu Kesehatan. 15(3):148–155. Doi: 10.30595/medisains.v15i3.2079.
Schafer WLA, Van den Berg MJ, Groene-wegen PP (2020). The association between the workload of general practitioners and patient experiences with care: results of a cross-sectional study in 33 countries. Human Resources for Health. 18(1): 1–9. Doi: 10.1186/s12960020005209.
Schwendimann R, Dhaini S, Ausserhofer D, Engberg S, Zúñiga F (2016). Factors associated with high job satisfaction among care workers in Swiss nursing homes - A cross sectional survey study. BMC Nursing. 15(1): 1–10. Doi: 10.1186/s1291201601608.
Semachew A, Belachew T, Tesfaye T, Adinew YM (2017). Predictors of job satisfaction among nurses working in Ethiopian public hospitals, 2014: Institution-based cross-sectional study. Human Resources for Health. 15(1): 1–8. Doi: 10.1186/s1296001702045.
Temesgen K, Aycheh MW, Leshargie CT (2018). Job satisfaction and associated factors among health professionals working at Western Amhara Region, Ethiopia. HQLO. 16(1): 1–7. Doi: 10.1186/-s12955-018-0898-7.
