i-manager Publications

Nurses’ Job Dissatisfaction and Associated Factors at Public Sector Tertiary Care Hospital in Pakistan: A Qualitative Study

Shazia Bano*, Nousheen Akber Pradhan**, Narjis Rizvi***, Farid Midhet****

*-*** Community Health Sciences, Aga Khan University, Karachi, Pakistan.

**** Qassim University College of Medicine, Saudi Arabia.

Periodicity:May - July'2019
DOI : https://doi.org/10.26634/jnur.9.2.16352

Abstract

Nurses, the mainstay of the healthcare system, occupy a significant position at all tiers of health care. Inadequate number of nursing staff affects the quality of nursing care and also elevate the burden of workload on existing staff. This study aimed to assess factors influencing nurses' job satisfaction and retention in a public sector tertiary care hospital in Pakistan. An exploratory qualitative study was used to explore nurses' perception of job satisfaction at work. Study was carried out during July to September, 2016 at public sector tertiary care hospital of Pakistan using purposive sampling technique. Study participants were nurses, providing direct patient care and head nurses in 10 different units of hospital. Focus Group Discussions were conducted with staff nurses from eleven different clinical units. In-depth interviews with head nurses and Human Resource/Administration personnel. Human Resource policy related documents were also reviewed. Lack of career growth prospects and in-service education and trainings, professional discrimination between physicians and nurses, high work load and shortage of staff were the important factors indicated by participants for job dissatisfaction. Nurses also expect recognition for their work and respect from their co-workers. Job satisfaction among nurses can potentially increase quality of nursing care. The study highlighted the need to implement fair and equitable policies for nursing workforce at hospital. Simple measures for better management practices could significantly improve the working conditions and hence retention of nurses in the longer run.

Keywords

Career Opportunities, High Workload, In-Service Education And Training, Professional Discrimination

How to Cite this Article?

Bano, S., Pradhan, N. A., Rizvi, N., and Midhet, F. (2019). Nurses’ Job Dissatisfaction and Associated Factors at Public Sector Tertiary Care Hospital in Pakistan: A Qualitative Study. i-manager's Journal on Nursing, 9(2), 9-19. https://doi.org/10.26634/jnur.9.2.16352

References

[1]. Ahmad, A. (1999). Gender role orientation of husbands and work-family conflict of wives in dual-earner families. Pertanika Journal of Social Science and Humanities, 7(1), 1-9.

[2]. Barriball, K. L., While, A. E., & Norman, I. J. (1992). Continuing professional education for qualified nurses: A review of the literature. Journal of Advanced Nursing, 17(9), 1129-1140.

[3]. Brohi, N. A., Abdullah, M. M. B., Khan, A. M., Dahri, A. S., Ali, R., & Markhand, K. H. (2018). Communication quality, job clarity, supervisor support and job satisfaction among nurses in Pakistan: The moderating influence of fairness perception. International Journal of Academic Research in Business and Social Sciences, 8(5), 1-6.

[4]. Cangelosi, J. D., Markham, F. S., & Bounds, W. T. (1998). Factors related to nurse retention and turnover: An updated study. Health Marketing Quarterly, 15(3), 25-43.

[5]. Civil Establishment Code (ESTACODE). (n.d). Pakistan Public Administration Management Services Wing Establishment Division, Islamabd.

[6]. Drake, R. M. (2014). Job Satisfaction and Retention of Registered Nurses at a Small Rural Hospital in Southeastern United States. Nursing Thesis and Capstone Projects, 14.

[7]. Estryn-Behar, M., Van Der Heijden, B. I., Fry, C., & Hasselhorn, H. M. (2010). Longitudinal analysis of personal and work-related factors associated with turnover among nurses. Nursing Research, 59 (3), 166-177.

[8]. Fagin, C. M. (1992). Collaboration between nurses and physicians: No longer a choice. Academic Medicine: Journal of the Association of American Medical Colleges, 67(5), 295-303.

[9]. Guba, E. G., Lincoln, Y. S., & Denzin, N. K. (1994). Handbook of qualitative research. Califónia: Sage (pp. 105-117).

[10]. Hamid, S., Malik, A. U., Kamran, I., & Ramzan, M. (2014). Job satisfaction among nurses working in the private and public sectors: a qualitative study in tertiary care hospitals in Pakistan. Journal of Multidisciplinary Healthcare, 7, 25-35.

[11]. Khowaja, K., Merchant, R. J., & Hirani, D. (2005). Registered nurses perception of work satisfaction at a Tertiary Care University Hospital. Journal of Nursing Management, 13(1), 32-39.

[12]. Kingma, M. (2007). Nurses on the move: A global overview. Health Services Research, 42(3p2), 1281-1298.

[13]. Kramer, M., & Schmalenberg, C. (2003). Securing “good” nurse/physician relationships. Nursing Management, 34(7), 34-38.

[14]. Larson, E. (1999). The impact of physician-nurse interaction on patient care. Holistic Nursing Practice, 13(2), 38-46.

[15]. Laschinger, H. K. S., Finegan, J., & Wilk, P. (2009). New graduate burnout: The impact of professional practice environment, workplace civility, and empowerment. Nursing Economics, 27(6), 377-383.

[16]. License Practical Nursing Curriculum. (2013). (LPN-10). Pakistan Nursing Council.

[17]. McGrath, A., Reid, N., & Boore, J. (1989). Occupational stress in nursing. International Journal of Nursing Studies, 26(4), 343-358.

[18]. Milton, C. L. (2005). The ethics of respect in nursing. Nursing Science Quarterly, 18 (1), 20-23.

[19]. Mrayyan, M. (2006). Jordanian nurses' job satisfaction, patients' satisfaction and quality of nursing care. International Nursing Review, 53(3), 224-230.

[20]. Nishtar, S., Boerma, T., Amjad, S., Alam, A. Y., Khalid, F., ul Haq, I., & Mirza, Y. A. (2013). Pakistan's health system: th Performance and prospects after the 18 Constitutional Amendment. The Lancet, 381(9884), 2193-2206.

[21]. Poreddi, V., Konduru, R., & Math, S. B. (2012). Assessing the attitudes and perceptions towards nursing profession among nursing students. Nursing Journal of India, 103(1), 6-8.

[22]. Pradhan, N. A., Rizvi, N., Sami, N., & Gul, X. (2013). Insight into implementation of facility-based integrated management of childhood illness strategy in a rural district of Sindh, Pakistan. Global Health Action, 6(1), 20086.

[23]. Rudman, A., Omne-Pontén, M., Wallin, L., & Gustavsson, P. J. (2010). Monitoring the newly qualified nurses in Sweden: The Longitudinal Analysis of Nursing Education (LANE) study. Human Resources for Health, 8(1), 10.

[24]. Senior, K. (2010). Wanted: 2.4 million nurses, and that's just in India: World Health Organization. 88(5), 327-328.

[25]. Takase, M., Kershaw, E., & Burt, L. (2002). Does public image of nurses matter? Journal of Professional Nursing, 18(4), 196-205.

[26]. Webster, J., Flint, A., & Courtney, M. (2009). A new practice environment measure based on the reality and experiences of nurses working lives. Journal of Nursing Management, 17(1), 38-48.

[27]. World Health Organization. (2013). Global health workforce shortage to reach 12.9 million in coming decades. World Health Organization: Geneva, Switzerland.

[28]. Yar, S. M. (2017). In need of nurses. The International News.

If you have access to this article please login to view the article or kindly login to purchase the article

Single Article

	North Americas,UK, Middle East,Europe		India	Rest of world
	USD	EUR	INR	USD-ROW
Online	15	15

ADD TO CART

Options for accessing this content:

If you would like institutional access to this content, please recommend the title to your librarian.
If you already have i-manager's user account: Login above and proceed to purchase the article.
New Users: Please register, then proceed to purchase the article.