Objective: The effort–reward imbalance(ERI) model claims that work that has the characteristics of high effort and low reward has a mutual defect between input and output and this imbalance may result in sustained an...Objective: The effort–reward imbalance(ERI) model claims that work that has the characteristics of high effort and low reward has a mutual defect between input and output and this imbalance may result in sustained and long-lasting results. This study aimed to investigate the relationship between the intention to leave the profession(ILP) and ERI and job satisfaction among the medical staff in Qom Province.Methods: A descriptive-correlative study was conducted on 202 medical staff in Qom Province based on random sampling in 2018. Demographics checklist, standard ILP, job satisfaction, and Siegrist’s ERI questionnaires were used for data collection. The chisquared test, independent t-test, and one-way Analyses of Variance(ANOVA) were used to analyze data.Results: The mean age of employees was 32.04 ± 7.9 years, and 165(87.1%) of the employees were women. The results showed that the medical staff was willing to leave their profession at a moderate level(40.7 ± 10.3). There was no significant relationship between demographics and ILP. Nevertheless, a significant and inverse relationship was observed between ERI(r:0.318, P < 0.01) and ILP(r: 0.197, P < 0.01). Leave the profession(LP) had a negative correlation with the dimensions of job descriptive index(JDI) such as job, manager, coworker and wage score(P < 0.01, r:-0.147, r:-0.262, r:-0.292, r:-0.271, r:-0.396).Conclusions: According to the results, managers need to make sure that their working staff is rewarded as they deserve. According to the results, managers need to ensure that the reward factor is observed for the staff, while an ERI imbalance may contribute to ILP of the staff. On the other hand, it leads to job satisfaction.展开更多
Background:In the context of a growing appreciation for the wellbeing of the health workforce as the foundation of high-quality,sustainable health systems,this paper presents findings from two complementary studies to...Background:In the context of a growing appreciation for the wellbeing of the health workforce as the foundation of high-quality,sustainable health systems,this paper presents findings from two complementary studies to explore occupational stress and professional quality of life among health workers that were conducted in preparation for a task-shifting intervention to improve antenatal mental health services in Cape Town.Methods:This mixed-methods,cross-sectional study was conducted in public sector Midwife Obstetric Units and associated Non-Profit Organisations in Cape Town.Semi-structured interviews and a quantitative survey were conducted among facility-and community-based professional and lay health workers.The survey included demographic as well as effort-reward imbalance(ERI)and professional quality of life(PROQOL)questionnaires to examine overall levels of work-related psychosocial stress and professional quality of life,as well as differences between lay and professional health workers.Qualitative data was analysed using a thematic content analysis approach.Quantitative data was analysed using STATA 12.Results:Findings from 37 qualitative interviews highlighted the difficult working conditions and often limited reward and support structures experienced by health workers.Corroborating these findings,our quantitative survey of 165 professional and lay health workers revealed that most health workers experienced a mismatch between efforts spent and rewards gained at work(61.1%of professional and 70.2%of lay health workers;p=0.302).There were few statistically significant differences in ERI and PROQOL scores between professional and lay health workers.Although Compassion Satisfaction was high for all health worker groups,lay health workers also showed elevated levels of burnout and compassion fatigue,with community-based health workers particularly affected.Conclusions:Findings of this study add to the existing evidence base on adverse working conditions faced by South African public-sector health workers that should be taken into consideration as national and local governments seek to‘re-engineer’South Africa’s Primary Health Care system.Furthermore,they also highlight the importance of taking into consideration the wellbeing of health workers themselves to develop interventions that can sustainably foster resilient and high-quality health systems.展开更多
基金supported financially by Qom university of medical sciences
文摘Objective: The effort–reward imbalance(ERI) model claims that work that has the characteristics of high effort and low reward has a mutual defect between input and output and this imbalance may result in sustained and long-lasting results. This study aimed to investigate the relationship between the intention to leave the profession(ILP) and ERI and job satisfaction among the medical staff in Qom Province.Methods: A descriptive-correlative study was conducted on 202 medical staff in Qom Province based on random sampling in 2018. Demographics checklist, standard ILP, job satisfaction, and Siegrist’s ERI questionnaires were used for data collection. The chisquared test, independent t-test, and one-way Analyses of Variance(ANOVA) were used to analyze data.Results: The mean age of employees was 32.04 ± 7.9 years, and 165(87.1%) of the employees were women. The results showed that the medical staff was willing to leave their profession at a moderate level(40.7 ± 10.3). There was no significant relationship between demographics and ILP. Nevertheless, a significant and inverse relationship was observed between ERI(r:0.318, P < 0.01) and ILP(r: 0.197, P < 0.01). Leave the profession(LP) had a negative correlation with the dimensions of job descriptive index(JDI) such as job, manager, coworker and wage score(P < 0.01, r:-0.147, r:-0.262, r:-0.292, r:-0.271, r:-0.396).Conclusions: According to the results, managers need to make sure that their working staff is rewarded as they deserve. According to the results, managers need to ensure that the reward factor is observed for the staff, while an ERI imbalance may contribute to ILP of the staff. On the other hand, it leads to job satisfaction.
基金funded by the National Institute for Health Research(NIHR)Global Health Research Unit on Health System Strengthening in Sub-Saharan Africa,King’s College London(GHRU 16/136/54)using UK aid from the UK Government to support global health research。
文摘Background:In the context of a growing appreciation for the wellbeing of the health workforce as the foundation of high-quality,sustainable health systems,this paper presents findings from two complementary studies to explore occupational stress and professional quality of life among health workers that were conducted in preparation for a task-shifting intervention to improve antenatal mental health services in Cape Town.Methods:This mixed-methods,cross-sectional study was conducted in public sector Midwife Obstetric Units and associated Non-Profit Organisations in Cape Town.Semi-structured interviews and a quantitative survey were conducted among facility-and community-based professional and lay health workers.The survey included demographic as well as effort-reward imbalance(ERI)and professional quality of life(PROQOL)questionnaires to examine overall levels of work-related psychosocial stress and professional quality of life,as well as differences between lay and professional health workers.Qualitative data was analysed using a thematic content analysis approach.Quantitative data was analysed using STATA 12.Results:Findings from 37 qualitative interviews highlighted the difficult working conditions and often limited reward and support structures experienced by health workers.Corroborating these findings,our quantitative survey of 165 professional and lay health workers revealed that most health workers experienced a mismatch between efforts spent and rewards gained at work(61.1%of professional and 70.2%of lay health workers;p=0.302).There were few statistically significant differences in ERI and PROQOL scores between professional and lay health workers.Although Compassion Satisfaction was high for all health worker groups,lay health workers also showed elevated levels of burnout and compassion fatigue,with community-based health workers particularly affected.Conclusions:Findings of this study add to the existing evidence base on adverse working conditions faced by South African public-sector health workers that should be taken into consideration as national and local governments seek to‘re-engineer’South Africa’s Primary Health Care system.Furthermore,they also highlight the importance of taking into consideration the wellbeing of health workers themselves to develop interventions that can sustainably foster resilient and high-quality health systems.
