Influence of Professional Practice Environment and Burnout on Job Satisfaction among Nurses in Ghana
Professional Practice Environment
Keywords:
Professional Practice Environment, Burnout, Nurse, Job Satisfaction, Influence
Abstract
Background: Research on professional practice environment (PPE) is necessary in determining nursing job outcomes in every health organisation. Insight at the health care facilities can, however uncover key factors which induce burnout and its associated job dissatisfaction. The study investigated the influence of PPE and burnout on job satisfaction in the Ghanaian context.
Materials and Methods: A cross-sectional approach with a sample of 232 Registered Nurses completed a questionnaire measuring PPE, burnout and job satisfaction. Descriptive, Pearson Correlation and Multilinear Regression analysis were done.
Results: The findings revealed that nurses were generally satisfied with their PPE. Satisfaction with all aspects of their job were recorded except for pay/salary and standard of care given to patients. There were associations between PPE facets and job satisfaction. Multilinear models showed age of the nurse, years in nursing, staffing and resource adequacy, participation in hospital affairs, emotional exhaustion and personal accomplishment as predictors of nurses’ job satisfaction.
Conclusion: The findings suggest that healthy PPE and reduced burnout improve the job satisfaction of nurses.
Implications for Nursing Management: Health managers must ensure adequate nurses’ participation in hospital affairs and improvement in resource to reduce burnout and in effect enhance the overall PPE of nurses.
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References
[1] Y. Liu, Y. Aungsuroch, and J. Yunibhand, ‘Job satisfaction in nursing: a concept analysis study’, International. Nursing. Rev., volume. 63, no. 1, pp. 84–91, 2016. http://onlinelibrary.wiley.com/doi/10.1111/inr.12215/full
[2] H. K. Spence Laschinger, J. Zhu, and E. Read, ‘New nurses’ perceptions of professional practice behaviours, quality of care, job satisfaction and career retention’, Journal of Nursing Management, vol. 24, no. 5, pp. 656–665, 2016. DOI: 10.1111/jonm.12370
[3] F. A. Adzei and R. A. Atinga, ‘Motivation and retention of health workers in Ghana’s district hospitals: addressing the critical issues’, Journal of Health Organizational Management., vol. 26, no. 4, pp. 467–485, 2012. ISSN: 1477-7266
[4] R. C. Snow et al., ‘Key factors leading to reduced recruitment and retention of health professionals in remote areas of Ghana: a qualitative study and proposed policy solutions’, Human Resource Health, vol. 9, no. 1, p. 13, 2011. . DOI: 10.1186/1478-4491-9-13
[5] M. Bonenberger, M. Aikins, P. Akweongo, and K. Wyss, ‘The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study’, Human Resource Health, vol. 12, no. 1, p. 43, 2014. DOI: 10.1186/1478-4491-12-43
[6] M. Aberese-Ako, H. van Dijk, T. Gerrits, D. K. Arhinful, and I. A. Agyepong, ‘“Your health our concern, our health whose concern?”: perceptions of injustice in organizational relationships and processes and frontline health worker motivation in Ghana’, Health Policy Planning., vol. 29, no. suppl_2, pp. ii15–ii28, 2014. DOI: https://doi.org/10.1093/heapol/czu068
[7] B. J. Douri, ‘Workload and nursing care: A case study in some selected Hospitals in the Brong-Ahafo region of Ghana’, PhD Thesis, 2015. http://ir.knust.edu.gh/handle/123456789/7057
[8] I. A. Agyepong, P. Anafi, E. Asiamah, E. K. Ansah, D. A. Ashon, and C. Narh-Dometey, ‘Health worker (internal customer) satisfaction and motivation in the public sector in Ghana’, International Journal of Health Planning oManagement, vol. 19, no. 4, pp. 319–336, 2004. DOI: 10.1002/hpm.770
[9] A. A. Peprah and B. A. Atarah, ‘Assessing patient’s satisfaction using SERVQUAL model: A case of Sunyani Regional Hospital, Ghana’, International Journal of Business Social Research. IJBSR, vol. 4, no. 2, pp. 133–143, 2014. DOI: http://dx.doi.org/10.18533/ijbsr.v4i1.359
[10] S. P.-P. Choi, K. I. N. Cheung, and S. M.-C. Pang, ‘Attributes of nursing work environment as
predictors of registered nurses’ job satisfaction and intention to leave’, Journal of Nursing Management, vol. 21, no. 3, pp. 429–439, 2013 DOI: 10.1111/j.13652834.2012.01415.x
[11] ‘Ghana Statistical Service 2010 - Google Search’. https://www.google.com.gh/search?q=Ghana+ Health+Service+2014+Annual+Report&ie=utf-8&oe=utf-8&client=firefox-b&gfe_rd=cr&ei= _gRlWbiDBe7G8Aff_bfQBQ#q=Ghana+Statistical+Service+2010 (accessed Jul. 15, 2017).
[12] G. H. Service, Ghana health service 2014 annual report. Ghana Health Service Accra, Ghana, 2015.
[13] T. Yamane, ‘Elementary sampling theory$\backslash$Taro Yamane’, 1967.
[14] E. T. Lake, ‘Development of the practice environment scale of the Nursing Work Index’, Research of Nursing Health, vol. 25, no. 3, pp. 176–188, 2002. DOI: 10.1002/nur.10032
[15] C. Maslach and S. E. Jackson, ‘The measurement of experienced burnout’, Journal of Organizational Behaviour, vol. 2, no. 2, pp. 99–113, 1981.
[16] M. Traynor and B. Wade, ‘The development of a measure of job satisfaction for use in monitoring the morale of community nurses in four trusts’, Journal of Advanced Nursing, vol. 18, no. 1, pp. 127–136, 1993. DOI: 10.1046/j.1365-2648.1993.18010127.x
[17] O. Numminen, E. Ruoppa, H. Leino-Kilpi, H. Isoaho, M. Hupli, and R. Meretoja, ‘Practice environment and its association with professional competence and work-related factors: perception of newly graduated nurses’, Journal of Nursing Management, vol. 24, no. 1, pp. E1–E11, 2016. DOI: 10.1111/jonm.12280
[18] N. Atefi, K. L. Abdullah, L. P. Wong, and R. Mazlom, ‘Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study’, International Nursing Revision, vol. 61, no. 3, pp. 352–360, 2014. DOI: 10.1111/inr.12112
[19] R. McSherry, P. Pearce, K. Grimwood, and W. McSherry, ‘The pivotal role of nurse managers, leaders and educators in enabling excellence in nursing care’, Journal Nursing Management, vol. 20, no. 1, pp. 7–19, 2012. DOI: 10.1111/j.1365-2834.2011.01349.x
[20] V. Matziou, E. Vlahioti, P. Perdikaris, T. Matziou, E. Megapanou, and K. Petsios, ‘Physician and
nursing perceptions concerning interprofessional communication and collaboration’, Journal of Interprofessional Care, vol. 28, no. 6, pp. 526–533, 2014, http://dx.doi.org/10.3109/13561820.2014.934338
[21] C. J. Tang, S. W. Chan, W. T. Zhou, and S. Y. Liaw, ‘Collaboration between hospital physicians and nurses: an integrated literature review’, International Nursing Revision, vol. 60, no. 3, pp. 291–302, 2013. DOI: 10.1111/inr.12034
[22] H. C. Klopper, S. K. Coetzee, R. Pretorius, and P. Bester, ‘Practice environment, job satisfaction and burnout of critical care nurses in South Africa’, Journal of Nursing Management, vol. 20, no. 5, pp. 685–695, 2012. DOI: 10.1111/j.1365-2834.2011.01350.x
[23] O. Numminen, E. Ruoppa, H. Leino-Kilpi, H. Isoaho, M. Hupli, and R. Meretoja, ‘Practice environment and its association with professional competence and work-related factors: perception of newly graduated nurses’, Journal of Nursing Management, vol. 24, no. 1, pp. E1–E11, 2016.
[24] A. W. Stimpfel, J. E. Rosen, and M. D. McHugh, ‘Understanding the role of the professional
practice environment on quality of care in Magnet® and non-Magnet hospitals’, Journal of Nursing Administration, vol. 44, no. 1, p. 10, 2014. doi: 10.1097/NNA.0000000000000015
[25] M. Roche, D. Diers, C. Duffield, and C. Catling-Paull, ‘Violence toward nurses, the work environment, and patient outcomes’, Journal of Nursing Scholarship, vol. 42, no. 1, pp. 13–22, 2010. DOI: 10.1111/j.1547-5069.2010.01348.x
[26] L. Wang, H. Tao, C. H. Ellenbecker, and X. Liu, ‘Job satisfaction, occupational commitment and
intent to stay among Chinese nurses: a cross-sectional questionnaire survey’, Journal of. Advanced Nursing, vol. 68, no. 3, pp. 539–549, 2012. DOI: 10.1111/j.13652648.2011.05755.x
[27] L. Zhang et al., ‘The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave’, Nursing Outlook, vol. 62, no. 2, pp. 128–137, 2014. https://doi.org/10.1016/j.outlook.2013.10.010
[28] B. J. Kalisch, H. Lee, and M. Rochman, ‘Nursing staff teamwork and job satisfaction’, Journal of Nursing Management, vol. 18, no. 8, pp. 938–947, 2010. DOI: 10.1111/j.13652834.2010.01153.x
[29] H. K. S. Laschinger, C. A. Wong, and A. L. Grau, ‘Authentic leadership, empowerment and burnout: a comparison in new graduates and experienced nurses’, Journal of Nursing Management, vol. 21, no. 3, pp. 541–552, 2013.
[30] P. Van Bogaert, T. Dilles, K. Wouters, and B. Van Rompaey, ‘Practice environment, work characteristics and levels of burnout as predictors of nurse reported job outcomes, quality of care and patient adverse events: a study across residential aged care services’, Open Journal of Nursing, vol. 4, no. 5, pp. 343–355, 2014. http://file.scirp.org/Html/21440270_45311.htm
[31] S. G. Toh, E. Ang, and M. K. Devi, ‘Systematic review on the relationship between the nursing
shortage and job satisfaction, stress and burnout levels among nurses in oncology/haematology settings’, International Journal of Evidence Based Healthcare., vol. 10, no. 2, pp. 126–141, 2012. DOI: 10.1111/j.1744-1609.2012.00271.x
[2] H. K. Spence Laschinger, J. Zhu, and E. Read, ‘New nurses’ perceptions of professional practice behaviours, quality of care, job satisfaction and career retention’, Journal of Nursing Management, vol. 24, no. 5, pp. 656–665, 2016. DOI: 10.1111/jonm.12370
[3] F. A. Adzei and R. A. Atinga, ‘Motivation and retention of health workers in Ghana’s district hospitals: addressing the critical issues’, Journal of Health Organizational Management., vol. 26, no. 4, pp. 467–485, 2012. ISSN: 1477-7266
[4] R. C. Snow et al., ‘Key factors leading to reduced recruitment and retention of health professionals in remote areas of Ghana: a qualitative study and proposed policy solutions’, Human Resource Health, vol. 9, no. 1, p. 13, 2011. . DOI: 10.1186/1478-4491-9-13
[5] M. Bonenberger, M. Aikins, P. Akweongo, and K. Wyss, ‘The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study’, Human Resource Health, vol. 12, no. 1, p. 43, 2014. DOI: 10.1186/1478-4491-12-43
[6] M. Aberese-Ako, H. van Dijk, T. Gerrits, D. K. Arhinful, and I. A. Agyepong, ‘“Your health our concern, our health whose concern?”: perceptions of injustice in organizational relationships and processes and frontline health worker motivation in Ghana’, Health Policy Planning., vol. 29, no. suppl_2, pp. ii15–ii28, 2014. DOI: https://doi.org/10.1093/heapol/czu068
[7] B. J. Douri, ‘Workload and nursing care: A case study in some selected Hospitals in the Brong-Ahafo region of Ghana’, PhD Thesis, 2015. http://ir.knust.edu.gh/handle/123456789/7057
[8] I. A. Agyepong, P. Anafi, E. Asiamah, E. K. Ansah, D. A. Ashon, and C. Narh-Dometey, ‘Health worker (internal customer) satisfaction and motivation in the public sector in Ghana’, International Journal of Health Planning oManagement, vol. 19, no. 4, pp. 319–336, 2004. DOI: 10.1002/hpm.770
[9] A. A. Peprah and B. A. Atarah, ‘Assessing patient’s satisfaction using SERVQUAL model: A case of Sunyani Regional Hospital, Ghana’, International Journal of Business Social Research. IJBSR, vol. 4, no. 2, pp. 133–143, 2014. DOI: http://dx.doi.org/10.18533/ijbsr.v4i1.359
[10] S. P.-P. Choi, K. I. N. Cheung, and S. M.-C. Pang, ‘Attributes of nursing work environment as
predictors of registered nurses’ job satisfaction and intention to leave’, Journal of Nursing Management, vol. 21, no. 3, pp. 429–439, 2013 DOI: 10.1111/j.13652834.2012.01415.x
[11] ‘Ghana Statistical Service 2010 - Google Search’. https://www.google.com.gh/search?q=Ghana+ Health+Service+2014+Annual+Report&ie=utf-8&oe=utf-8&client=firefox-b&gfe_rd=cr&ei= _gRlWbiDBe7G8Aff_bfQBQ#q=Ghana+Statistical+Service+2010 (accessed Jul. 15, 2017).
[12] G. H. Service, Ghana health service 2014 annual report. Ghana Health Service Accra, Ghana, 2015.
[13] T. Yamane, ‘Elementary sampling theory$\backslash$Taro Yamane’, 1967.
[14] E. T. Lake, ‘Development of the practice environment scale of the Nursing Work Index’, Research of Nursing Health, vol. 25, no. 3, pp. 176–188, 2002. DOI: 10.1002/nur.10032
[15] C. Maslach and S. E. Jackson, ‘The measurement of experienced burnout’, Journal of Organizational Behaviour, vol. 2, no. 2, pp. 99–113, 1981.
[16] M. Traynor and B. Wade, ‘The development of a measure of job satisfaction for use in monitoring the morale of community nurses in four trusts’, Journal of Advanced Nursing, vol. 18, no. 1, pp. 127–136, 1993. DOI: 10.1046/j.1365-2648.1993.18010127.x
[17] O. Numminen, E. Ruoppa, H. Leino-Kilpi, H. Isoaho, M. Hupli, and R. Meretoja, ‘Practice environment and its association with professional competence and work-related factors: perception of newly graduated nurses’, Journal of Nursing Management, vol. 24, no. 1, pp. E1–E11, 2016. DOI: 10.1111/jonm.12280
[18] N. Atefi, K. L. Abdullah, L. P. Wong, and R. Mazlom, ‘Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study’, International Nursing Revision, vol. 61, no. 3, pp. 352–360, 2014. DOI: 10.1111/inr.12112
[19] R. McSherry, P. Pearce, K. Grimwood, and W. McSherry, ‘The pivotal role of nurse managers, leaders and educators in enabling excellence in nursing care’, Journal Nursing Management, vol. 20, no. 1, pp. 7–19, 2012. DOI: 10.1111/j.1365-2834.2011.01349.x
[20] V. Matziou, E. Vlahioti, P. Perdikaris, T. Matziou, E. Megapanou, and K. Petsios, ‘Physician and
nursing perceptions concerning interprofessional communication and collaboration’, Journal of Interprofessional Care, vol. 28, no. 6, pp. 526–533, 2014, http://dx.doi.org/10.3109/13561820.2014.934338
[21] C. J. Tang, S. W. Chan, W. T. Zhou, and S. Y. Liaw, ‘Collaboration between hospital physicians and nurses: an integrated literature review’, International Nursing Revision, vol. 60, no. 3, pp. 291–302, 2013. DOI: 10.1111/inr.12034
[22] H. C. Klopper, S. K. Coetzee, R. Pretorius, and P. Bester, ‘Practice environment, job satisfaction and burnout of critical care nurses in South Africa’, Journal of Nursing Management, vol. 20, no. 5, pp. 685–695, 2012. DOI: 10.1111/j.1365-2834.2011.01350.x
[23] O. Numminen, E. Ruoppa, H. Leino-Kilpi, H. Isoaho, M. Hupli, and R. Meretoja, ‘Practice environment and its association with professional competence and work-related factors: perception of newly graduated nurses’, Journal of Nursing Management, vol. 24, no. 1, pp. E1–E11, 2016.
[24] A. W. Stimpfel, J. E. Rosen, and M. D. McHugh, ‘Understanding the role of the professional
practice environment on quality of care in Magnet® and non-Magnet hospitals’, Journal of Nursing Administration, vol. 44, no. 1, p. 10, 2014. doi: 10.1097/NNA.0000000000000015
[25] M. Roche, D. Diers, C. Duffield, and C. Catling-Paull, ‘Violence toward nurses, the work environment, and patient outcomes’, Journal of Nursing Scholarship, vol. 42, no. 1, pp. 13–22, 2010. DOI: 10.1111/j.1547-5069.2010.01348.x
[26] L. Wang, H. Tao, C. H. Ellenbecker, and X. Liu, ‘Job satisfaction, occupational commitment and
intent to stay among Chinese nurses: a cross-sectional questionnaire survey’, Journal of. Advanced Nursing, vol. 68, no. 3, pp. 539–549, 2012. DOI: 10.1111/j.13652648.2011.05755.x
[27] L. Zhang et al., ‘The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave’, Nursing Outlook, vol. 62, no. 2, pp. 128–137, 2014. https://doi.org/10.1016/j.outlook.2013.10.010
[28] B. J. Kalisch, H. Lee, and M. Rochman, ‘Nursing staff teamwork and job satisfaction’, Journal of Nursing Management, vol. 18, no. 8, pp. 938–947, 2010. DOI: 10.1111/j.13652834.2010.01153.x
[29] H. K. S. Laschinger, C. A. Wong, and A. L. Grau, ‘Authentic leadership, empowerment and burnout: a comparison in new graduates and experienced nurses’, Journal of Nursing Management, vol. 21, no. 3, pp. 541–552, 2013.
[30] P. Van Bogaert, T. Dilles, K. Wouters, and B. Van Rompaey, ‘Practice environment, work characteristics and levels of burnout as predictors of nurse reported job outcomes, quality of care and patient adverse events: a study across residential aged care services’, Open Journal of Nursing, vol. 4, no. 5, pp. 343–355, 2014. http://file.scirp.org/Html/21440270_45311.htm
[31] S. G. Toh, E. Ang, and M. K. Devi, ‘Systematic review on the relationship between the nursing
shortage and job satisfaction, stress and burnout levels among nurses in oncology/haematology settings’, International Journal of Evidence Based Healthcare., vol. 10, no. 2, pp. 126–141, 2012. DOI: 10.1111/j.1744-1609.2012.00271.x
Published
2020-06-01
How to Cite
Poku, C. A., Donkor, E., & Naab, F. (2020). Influence of Professional Practice Environment and Burnout on Job Satisfaction among Nurses in Ghana: Professional Practice Environment. IJRDO -JOURNAL OF HEALTH SCIENCES AND NURSING, 5(5), 07-18. https://doi.org/10.53555/hsn.v5i5.3690
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