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Chapter II
REVIEW RELATED LITERATURE
Job satisfaction is a term used to describe how content an individual is with their job. It
is a relatively recent term since in previous centuries the jobs available to a particular
person were often predetermined by their parent's occupation. There are a variety of
factors that can influence a person's level of job satisfaction; these factors include the
level of pay and benefits, the perceived fairness of the promotion system within a
company, the quality of the working conditions, leadership and social relationships, and
the job itself (the variety of tasks involved, the interest and challenge the job generates,
and the clarity of the job description/requirements).
http://www.wordiq.com/definition/Job_satisfaction
According to Locke and Lathan (2009), job satisfaction can be defined as
positive feelings, which arise from opinion and evaluation of ones job or job
experience. On the other hand, Hirschfeld (2009) defines job satisfaction as the
level that a person would like his or her job. Thus job satisfaction is the
emotional reaction, which is brought about by the outcomes in comparison to
the expected outcomes from the employers or service receivers. This reaction
is influenced by the individualspeculiar needs, expectations and values.
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Job satisfaction is important in predicting systems stability, reduced turnover and
worker motivation. If motivation is defined as the willingness to exert and maintain
effort towards attaining organizational goals, then well-functioning systems should
seek to boost factors such as morale and satisfaction, which predict motivation. A
survey of ministries of health in 29 countries showed that low motivation was seen as
the second most important health workforce problem after staff shortages (Mathauer
et al, 2010).
Previous African studies have identified the most important human resources tools to
manage job satisfaction; these include materials, salary, training, the working
environment, supportive supervision and recognition (Mathauner et al, 2010). These
findings are relatively consistent with those of the Uganda Health Workforce Study,
where the effects of several job-related factors were evaluated to judge their relative
importance in predicting job satisfaction. In order of importance, the following were
the most significant contributors to overall satisfaction: job matched with workers
skills and experience, satisfaction with salary, satisfaction with supervisor,
manageable workload and job security (Uganda Ministry of Health, 2010).
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Early theory in worker satisfaction and motivation identified compensation as a
hygiene factor rather than a motivation factor. This means that basic salary
satisfaction must be present to maintain ongoing job satisfaction, but this by itself will
not provide satisfaction and increased amounts of salary will not contribute to an
increasing level of job satisfaction. However some research done in Africa suggests
that salary increases and other improvements in compensation, in the context of
highly inadequate pay and benefits, may indeed contribute to workforce retention
(Kober et al, 2011). Against this background, it is imperative to look at the definition
of job satisfaction as outlined by different authors.
Job satisfaction is described at this point as a pleasurable or positive emotional state
resulting from the appraisal of ones job or job experience. Job satisfaction results
from the perception that ones job fulfils or allows the fulfillment of ones own
important job values, providing that and to the degree that those values are congruent
with ones needs. According to Kreitner et al (2013) job satisfaction is an affective
and emotional response to various facets of ones job.
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According to Woods et al (2012), job satisfaction can be achieved when an employee
becomes one with the organization, performs to the best of their ability and shows
commitment; moreover, job satisfaction and performance are positively influenced by
rewards. Kreitner et al (2013) identified various factors influencing job satisfaction,
such as the need for management to create an environment that encourages employee
involvement and manages stress in the workplace.
In order to understand job satisfaction it is useful to distinguish morale and attitude,
and their relationship to job satisfaction (Locke, 2009).Morale can be defined as the
extent to which an individuals needs are satisfied and the extent to which an
individual perceives that satisfaction as stemming from the total job. Attitude can be
defined as an evaluation that predisposes a person to act in a certain way and includes
cognitive, affective and behavioural components.
According to Mayer and Botha (2009), in most South African companies there is a
low level of employee job satisfaction, resulting in a lack of commitment to
performance and the achievement of organizational goals. In South Africa, human
resource managers have job satisfaction and productivity at the top of their list of
concerns (Grobler et al, 2009). This implies that job satisfaction affects emp loyees
performance and commitment.
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It is therefore imperative that managers pay special attention to employees attitudes
as job satisfaction can decline more quickly than it develops. Managers need to be
proactive in improving and maintaining employees life satisfaction and not only
satisfaction in the work environment as job satisfaction is part of life satisfaction,
meaning an individuals life outside work may have an influence on ones feelings on
the job(Staw,2011).
In a situation where a nurse is not satisfied with their work, this means that
the nurse is not committed to her job. These two terms are closely related and
go hand in hand since the factors influencing job satisfaction are similar to
those affecting nursing commitment. In that case nursing commitment to a
registered nurse according to Zwol (2009) involves establishing, maintaining
and improving the quality of health care in nursing either individually or
collectively. It is an act of committing to a charge or trust act of referring a
matter to a legislative committee, it is an agreement or a pledge to do
something in the future or the state of being obligated or being emotional. For
many of the Christians nursing commitment is all about love of God and love
for one another. (Zwol 2009.)
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Commitment puts into to consideration the past and the present and is
directed towards the future. Nursing commitment goes hand in hand with the
quality of nursing care provided. For commitment to move from nursing care
to caring nursing it requires accountability creativity and attitude.
Accountability involves telling the patient your name, the role you play and
your expectations from the patient. Creativity involves taking care of patients
needs. Ensuring that they are met at the right time and the patient is satisfied
despite limited resources. Attitude comes about in that despite being tired,
overwhelmed and burned out the nurse have to do their duties well.
(Henderson 2010.)
http://www.theseus.fi/bitstream/handle/10024/68085/Wanjohi_Nelius.pdf?sequence=1
Stress is as normal as the nature of the resistance of life (Sullivan, & Decker,
2009), people have been faced with the situations or events from daily life which
created stress, tensions. Huber (2009) proposed that nursing work is one of the most
stressful and challenging. Moreover, the nurses always have faced special, complex
situation, and requirement to hand emergency events.
Job stress can be accumulated with day-to-day, and if it is not resolved or
adapt, it will evolve too high and consequences will lead to burnout occurs, decrease
individual productivity (Huber, 2009), this is really very dangerous if a sufficient
amount of stress it would create momentum in the process of working, and conversely
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(Adeb-Saeedi, 2009; Sullivan & Decker, 2009). Symptoms of stress impact on the
organizations, these express majors on the job such as leading to job dissatisfaction,
high absenteeism, as well as labor turnover, poor quality control (Cooper & Marshall,
2010 cited in Sadri & Marcoulides, 2010). Here are some valid evidences that stress
impacts on health of humans. Therefore, studies on job stress is needed and including
its levels.
Chen, Lin, Wang, and Hou (2009) were performed the study on 121 nurses
working at seven hospitals in Yunlin and Chiayi Counties to determine the stressors,
the stress coping strategies, and the job satisfaction. They found that stress level and
frequency perception of nurses was significantly related to the type of hospital; the
most intense stressor perceived by nurses was patient safety. They noticed that
differences in working environment and administrative management can receive job
satisfaction and job stress differently. Besides, they also found that nurse older than
40 years and who had worked for more than 20 years perceived more stress than
others; nurses who were single or had no children more frequently adapt difficultly
with stress than the others; nurses with monthly salaries less than NT$30,000 (950
USD) perceived lower satisfaction than others. Furthermore, those employed in their
present hospital for more than 20 years perceived higher self-esteem satisfaction than
those employed in their present hospital for less than 5 years.
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Hamidi and Eivazi (2010) determine the levels of employees job stress and
in urban health centers in Hamadan, Iran. They surveyed 120 employees. The result
showed that the participants in all of the health centers were at moderate level of
stress. There was a positive correlation between performance and the midlevel of
employees stress was found.
The results of a study by Christina and Konstantinos (2009) support the
above findings. Christina and Konstantinos explored nurses job stress in Greek
registered mental health and assistant nurses. They survey 85 register mental health
and assistant nurses working in six acute psychiatric wards. The results reported that
nurses experienced moderate level of stress and overall were satisfied with their job.
http://digital_collect.lib.buu.ac.th/dcms/files/51913194/chapter2.pdf
The Roy Adaptation Model (Roy, 1976) is a theory used nationally and
internationally in nursing practice that addressed the relationship between people and
the environment. Sister Callista Roy defined nursing as the science and practice that
expanded adaptive abilities and enhanced person and environmental transformation.
She identified nursing activities as the assessment of behavior and the stimuli that
influenced adaptation. Nursing judgments were based on this assessment, and
interventions were planned to manage the stimuli (Alligood & Tomey, 2010).
Environment was all the conditions, circumstances, and influences surrounding and
affecting the development and behavior of persons or groups, with particular
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consideration of the mutuality of person and earth resources that includes focal,
contextual, and residual stimuli (Roy &Andrews, 2010, p. 81). Roys model can be
applied to all nursing practice settings because it primarily addresses the person-
environment adaptation of the patient. Roys propositions indirectly guided this study,
which focused on the intersection between nurses and the work environment.
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SYNTHESIS
Satisfaction with ones profession can affect not only motivation at work but also
career decisions, personal health and how one relates with others. The literature shows
that what contributes to job satisfaction or dissatisfaction is not only the nature of the
job but also the expectation of what an individual perceives the job should provide.
Health workers are at great risk of job dissatisfaction generally compared to
professionals in other types of organizations. Low job satisfaction impacts on staff
turnover and absenteeism, which could reduce the efficiency of health services.
Factors influencing job satisfaction vary in nature as there are personal factors and
expectations involved, which tend to generate exceptions, therefore generalizations
are risky. The future of the healthcare work environment poses significant challenges
for employers and employees. The implication for managers is that if healthcare
facilities desire to attract and retain healthcare professionals, they will need to find
ways to cater for intrinsic job satisfaction factors as well as additional benefits.
Job satisfaction among healthcare professionals is an important predictor of individual
well-being, general life satisfaction and job performance. Job satisfaction is an
important factor in patient care, and there is also evidence to suggest that a high level
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of job satisfaction results in good patient outcomes and health systems outcomes. Job
satisfaction is a complex set of interrelationships of roles, responsibilities, tasks,
interaction, rewards and incentives. The reviewed literature indicates low levels of
general satisfaction among healthcare professionals. Dissatisfaction with autonomy in
clinical decision-making, systems roles, and the amount of time spent with patients
and poor salaries were some of the problems identified. What follows looks at some
of these factors one by one.
Numerous studies conducted among healthcare professionals point to the importance
of interpersonal relationships in job satisfaction, and show that they lead to increased
patient safety, improved quality of care and greater patient satisfaction. Highly
functioning teams have also been shown to offer great support to inexperienced staff.
Specifically within healthcare, there has been a growing need to improve teamwork.
Introducing team-building activities has resulted in stronger interpersonal;
relationships, improved staff communication, understanding and clarity of roles as
well as greater job satisfaction.
Time is a subjective experience despite the fact that it can be measured. While the
quality of time is of great importance so is quantity. Literature shows that perceived
time pressure is associated with low job satisfaction among healthcare professionals.
Dissatisfaction about time pressure expressed by healthcare professionals may
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indicate concerns about autonomy.The literature suggests that the ability of an
organization to support and deliver quality patient care is important to healthcare
professionals job satisfaction. Organizational factors such as autonomy, teamwork,
management support, workload and staffing levels have a great influence on job
satisfaction because they impact on the delivery of quality patient care.
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REFERENCE
http://policyresearch.limpopo.gov.za/bitstream/handle/123456789/708/FACTORS%20IN
FLUENCING%20JOB%20SATISFACTION%20AMONG%20HEALTHCARE%20PROFE
SSIONALS%20AT%20SOUTH%20RAND%20HOSPITAL.pdf?sequence=1
http://www.wordiq.com/definition/Job_satisfaction
http://digital_collect.lib.buu.ac.th/dcms/files/51913194/chapter2.pdf
http://www.theseus.fi/bitstream/handle/10024/68085/Wanjohi_Nelius.pdf?sequence=1
http://www.wordiq.com/definition/Job_satisfactionhttp://digital_collect.lib.buu.ac.th/dcms/files/51913194/chapter2.pdfhttp://digital_collect.lib.buu.ac.th/dcms/files/51913194/chapter2.pdfhttp://www.wordiq.com/definition/Job_satisfaction