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PubMedDate not supplied

Nurses' satisfaction with their work situation.

Although job satisfaction is related to performance within the work setting, precise definitions and methods of measuring satisfaction are lacking, especially in medical settings. This article describes a two-year research project that investigated the concept of occupational satisfaction and methods of measuring this concept among in-and outpatient nurses. The Index of Work Satisfaction, a scale that measures relative importance of various components of satisfaction and attitudes toward the components, as well as an overall summary score, was developed. Methodology of the scale development, utilizing hospital nurses and nurses involved in a private group-practice setting, is described. Analysis of the responses from the nurses indicated that the scale measured occupational satifaction of nurses in both settings.

Attitude of Health Personnel↗

PubMed2026

Satisfaction with clinical practice environments among early-career health professionals in South Africa: Findings from the WiSDOM cohort study.

BACKGROUND: The work or practice environments of health professionals play a central role in their retention in the healthcare system and their ability to provide quality patient care. The aim of the study was to examine and compare the satisfaction of early-career health professionals in the WiSDOM (Wits longitudinal Study to Determine the Operation of the labour Market among its health professional graduates) study with their clinical practice environments (CPEs) in South Africa, and the factors influencing their satisfaction. METHODS: WiSDOM, a prospective longitudinal cohort study, consists of eight health professions: clinical associates, dentists, doctors, nurses, occupational therapists, oral hygienists, pharmacists, and physiotherapists. Every year we collect information on the cohort's involvement in direct patient care, their perceived workload, availability of medicines and equipment for patients in their care, and their satisfaction with the clinical practice environment (CPE).We used Stata®19 for analysis. We used panel linear regression to investigate factors associated with the cohort's satisfaction with their clinical practice environments from 2018 to 2024, and logistic regression to evaluate the association between CPE and intention to leave in 2024. RESULTS: In 2024, the mean age of the cohort was 30.9 (± 2.0), the majority were female (74.4%) and working in urban areas (92.7%). In 2024, 59.7% of the overall cohort reported a heavy workload compared to 69.2% in 2018. Over the follow-up period, reported problems with the availability of medicines or equipment were worse in the public sector and in rural areas, compared to the private sector and urban areas respectively.The cohort's satisfaction score with the CPE was 6.7 out of 10 in 2018 and 6.9 in 2024. The predictors of CPE were year of follow-up, health profession, employment sector, and geographic location. Nurses (β=-1.2; 95% CI -1.7, -0.7; p < 0.001), and pharmacists (β=-0.7; 95% CI -1.1, -0.4; p < 0.001) scored their CPE significantly lower compared to the other professional groups. Health professionals in the public sector (β=-1.1; 95% CI -1.3, -0.9; p < 0.001) and in rural areas (β=-0.6; 95% CI -0.9, -0.3; p < 0.001) were less satisfied with their CPE compared to those in the private sector and urban areas respectively. Dissatisfaction with the CPE was significantly associated with intention to leave the workplace and the profession. CONCLUSION: The study findings underscore the need for positive clinical practice environments for early-career health professionals in South Africa both as a health workforce and patient safety imperative.

South Africa↗

PubMed1976

Satisfaction with health services: some policy implications.

Although consumer satisfaction with health services is a frequently measured variable in health services research, the relevance of this variable for health policy is not always clear. The present paper suggests two criteria for specifying the relevance of satisfaction with health services for policy at the organizational level. First, it should be shown that consumer satisfaction is the result of organizational behaviors that are manipulable by policy. second, where he has a choice, it should be shown that satisfaction affects the organizationally relevant behavior of the consumer. Data are presented that support both criteria. Several suggestions are made for maximizing the policy relevance of future studies of satisfaction.

Appointments and Schedules↗

PubMedDate not supplied

Life satisfaction and occupational retirement: beyond the impact year.

This article examines three theoretical perspectives relative to the prediction of life satisfaction following retirement. Hypotheses derived from crisis, continuity, and consistency theories were systematically examined with regard to the pre- and post-retirement satisfaction scores of 114 male respondents (mean age 69 years). The data confirm one of four crisis hypotheses. Specifically, individuals underwent a decline in satisfaction with retirement. Similarly, only one of three continuity hypotheses was partially confirmed. A positive association obtained between safisfaction and orientational change in the voluntary association area. Contrary to the theory, however, respondents underwent a significant decline in satisfaction. Finally, only one of the consistency hypotheses was substantiated. In general, expectational disconfirmations relative to retirement did not result in lowered satisfaction.

Aged↗

PubMed2026

Effect of Music on Pain, Anxiety, and Satisfaction During Intrauterine Device Application: A Randomized Clinical Trial.

This randomized controlled trial aimed to determine the effect of music played during intrauterine device (IUD) insertion on perceived pain, state anxiety, and satisfaction levels. The study was conducted with 70 women who applied to a maternal and child health and family planning center and were randomly assigned to the intervention and control groups using simple randomization. Data were collected using a Demographic Information Form, the State-Trait Anxiety Inventory (STAI-I), and the Visual Analog Scale (VAS), as well as Bluetooth speakers and the musical piece Evgeny Grinko-Valse. Participants in the intervention group listened to music before and during the IUD insertion procedure, whereas the control group received routine care only. Data were analyzed using SPSS version 26 with appropriate descriptive and inferential statistical methods. Women in the music group had significantly lower perceived pain (p < 0.001) and state anxiety levels during the procedure (p = 0.022), and significantly higher satisfaction levels compared with the control group (p < 0.001). In addition, post-procedure state anxiety levels were positively correlated with pain intensity experienced during and after the procedure (r = 0.542 and r = 0.496, respectively; p < 0.001), and negatively correlated with procedural satisfaction (r = -0.652; p < 0.001). These findings suggest that listening to music during IUD insertion may help reduce pain and anxiety while potentially enhancing patient satisfaction. Trial Registration: NCT06215183.

Humans↗

PubMed1977

Physical environment and job satisfaction in a community mental health center.

Relocation of professional staff in a community mental health center provided a setting in which to evaluate the effects of physical environment on job satisfaction. Two mental health teams moved from an old, drab central clinic building to new satellite clinics while a third team remained in the old building. Relocated staff reported significant increase in satisfaction with physical surroundings as compared to staff that did not move. Furthermore, satisfaction with physical surroundings had some impact on overall satisfaction ratings. Physical surroundings in a community mental health center may be a mediating variable for staff morale and effectiveness.

Analysis of Variance↗

PubMed2026

Preoperative Carbohydrate Supplementation Reduces Thirst and Improves Patient Satisfaction Before Elective Cesarean Delivery: A Randomized Controlled Trial.

BACKGROUND & AIMS: Prolonged preoperative fasting is a major source of patient discomfort, particularly thirst, before elective cesarean delivery. This study aimed to evaluate whether preoperative carbohydrate (CHO) supplementation could alleviate these discomforts and improve patient satisfaction without compromising safety. METHODS: In this single-center randomized controlled trial, 262 women scheduled for elective cesarean delivery under neuraxial anesthesia were randomly allocated to either the CHO group (Group CHO, n = 131), which received 355 mL of an oral carbohydrate solution on the night before and the morning of surgery, or the control group (Group C, n = 131), which followed conventional fasting. The primary outcome was the thirst Numeric Rating Scale (NRS, 0-10) score measured immediately before surgery. Secondary outcomes included hunger NRS, satisfaction NRS, and maternal and neonatal safety parameters. RESULTS: Baseline characteristics were comparable between groups. Despite a longer preoperative fasting duration in Group CHO (9.25 ± 1.05 vs. 8.74 ± 0.97 h, P < 0.001), this group exhibited significantly lower thirst NRS scores (1.69 ± 0.90 vs. 4.02 ± 0.99, P < 0.001) and hunger NRS scores (1.25 ± 0.94 vs. 2.09 ± 0.82, P < 0.001), as well as higher satisfaction NRS scores (7.70 ± 0.69 vs. 5.69 ± 1.17, P < 0.001). Subgroup analyses confirmed consistent benefits of CHO supplementation across most patient characteristics. Further analyses suggested that the maximum effect on thirst reduction occurred at approximately 9.2 h of solid fasting; however, the interaction between fasting duration and treatment group was not statistically significant (P = 0.187). CONCLUSION: Preoperative carbohydrate supplementation effectively reduces thirst and hunger and improves patient satisfaction before elective cesarean delivery without increasing maternal or neonatal risk. The beneficial effects were consistent across varying fasting durations, with exploratory spline analyses suggested a potential peak effect around 9.2 h, though this was not statistically significant and should be interpreted cautiously. These findings support the incorporation of carbohydrate loading into enhanced recovery protocols. TRIAL REGISTRATION: China Clinical Trial Registry ChiCTR2500097956.

Humans↗

PubMed1977

Change in life satisfaction: a longitudinal study of persons aged 46-70.

Longitudinal analyses were performed on changes in life satisfaction among a sample of 378 community residents, aged 46-70. There were no significant changes in the mean life satisfaction scores for any age-sex cohort and no significant differences between the sexes, although there were some individual changes. Life satisfaction at the end of a 4-year-period was significantly related to initial levels of self-rated health, social actiivty, and sexual enjoyment. Attempts to predict residual change in life satisfaction by initial levels or by changes in these variables were largely unsuccessful.

Aged↗

PubMed1979

Age variations in the dimensionality of life satisfaction.

Paralleling the increasing importance of life satisfaction and related concepts in gerontological research has been an increase in the number and kind of operational measures of these concepts. In this context the present research suggests not only that life satisfaction is a multidimensional rather than a unidimensional construct but, of particular gerontological importance, the pattern of multidimensionality varies across age groups. The analysis is based upon a national sample of the adult population of the United States in which 12 different domains of life satisfaction were subjectively assessed by each respondent. Separate factor analyses were computed for each of seven age groups. The results clearly indicate that for every age group life satisfaction is a multidimensional construct. More importantly, the dimensionally differs substantially, across the age groups -- both in the number of factors derived and the domain-specific content of those factors.

Adolescent↗

PubMed1978

Work settings and job satisfaction: a study of primary care physicians and paramedical personnel.

This paper examines job satisfaction of primary care physicians and paramedical personnel in traditional office practices and in modern medical organizations. A series of two-way analyses of variance using work settings and occupational level as independent variables showed consistent effects of setting on job satisfaction. In modern organizational settings satisfaction with the work activity, with coworkers, and with income was lower than in traditional practices. Only with respect to income, were physicians, on the average, more satisfied than paramedical workers. The relationships between job satisfaction and the variety and complexity of work as well as ownership of work settings are analyzed and discussed.

Allied Health Personnel↗

PubMed1979

Interaction exchange structure and patient satisfaction with medical interviews.

The verbal interaction between patients and physicians in 52 initial interviews in a university hospital screening clinic was studied using a new discourse coding system. Factor analysis of category frequencies showed that each interview segment, medical history, physical examination, and conclusion, consisted mainly of two or three types of verbal exchange. Patient satisfaction with the interviews, assessed with a questionnaire that yields separate scores for satisfaction with cognitive and affective aspects, was found to be associated with exchanges involving the transmission of information in particular interview segments. Affective satisfaction was associated with transmission of information from patient to physician in "exposition" exchanges during the medical history, in which patients told their story in their own words. Cognitive satisfaction was associated with transmission of information from physician to patient in "feedback" exchanges during the conclusion segment, in which physicians gave patients information about illness and treatment.

Adolescent↗

PubMedDate not supplied

The relative effects of health and income on life satisfaction.

The relative effects of health and income on life satisfaction were analyzed using data collected in three recent national surveys. Financial situation was a slightly stronger predictor of life satisfaction for persons under age sixty-five, whereas health condition had a stronger impact on the life satisfaction of persons over age sixty-four. An attempt was made to quantify the relative impact of health and income on life satisfaction through an analysis of conjoint influence with contingency tables.

Adult↗

PubMed1979

Conceptual style and life satisfaction following spinal cord injury.

The major purpose of this study was to explore the relationship between conceptual style and life satisfaction following a physical loss. It was predicted that conceptual abstractness is positively associated with life satisfaction. Fifty-four men between the ages of 18 and 41 who were paraplegic or quadriplegic, because of a spinal cord injury that occurred at least 18 months prior to the interview, were asked to complete questionnaires designed to measure their conceptual styles and their satisfaction with various aspects of their lives. The data suggest that: the respondents were generally satisfied with life; dissatisfaction was frequently greatest in family and other intimate relationships; and physical trauma may trigger changes in conceptual style in the direction of greater complexity and abstractness. The predicted positive association between conceptual abstractness and life satisfaction was supported in several instances by the data.

Adolescent↗

PubMed1979

Changes in feelings of job satisfaction among alcoholics induced by their employer to seek treatment.

Four hundred eighty-eight alcoholics who had been referred by their employers for treatment were included in the study. Data were collected on various aspects of their feelings of job satisfaction when they entered treatment and three, six and 12 months after they had completed the residential phase of treatment and had returned to work. Questions which related to satisfaction with productivity rather than to enjoyment of the work environment and of co-workers had the highest scores (indicating lowest satisfaction) at admission, and showed the greatest change over time. Improvement in job satisfaction over the follow-up year was directly related to positive change in drinking behavior.

Adult↗

PubMed1979

Cross-organizational job satisfactions of technician-level staff members.

Job satisfactions of technicians were assessed in three medium to large public residential facilities using the Job Descriptive Index. Technicians in a fourth, much smaller facility provided separate reliability and validity data on the Job Descriptive Index. In general, the job satisfactions of technicians as measured by this scale were lower than those of workers in industrial settings, particularly with respect to pay. Correlational analyses revealed no significant relationship between client characteristics and satisfaction scores. Staffing patterns did, however, affect technician satisfactions in several areas.

Humans↗

PubMedDate not supplied

[Communication between inhabitants of homes for the aged. Intra- and extramural orientation and differential relationships to life satisfaction and self-experienced abilities to establish human contacts].

To correct stereotyped images of global deficits concerning social life in homes for the aged, we present facts about different aspects of social life in three such homes in Hamburg and analyze the differential relations of these variables to life-satisfaction. By reconstructing the preceding day with the aged subjects, we were able to provide relatively precise behavioral measures of social contact. Per day in the average 3 to 5 hours of the up to 15 hours waking-time were spent with social contacts. These behavioral measures draw a quite differentiated picture of the institutions, which corresponds less to the image, usually ascribed to the specific housing categories, but seems to be more influenced by certain aspects of their social and physical environment. Interesting relations between social behavior and life-satisfaction show up in our population of aged people. While correlations between life-satisfaction and realized contacts with different kinds of partners (eg. friends, relatives, neighbors) are neglectible, the amount of group-contact--either selfinitiated or offered by the administration--shows consistent and rather close connections to different measures of life-satisfaction. If these results could be replicated in consecutive studies, they would imply important practical consequences.

Homes for the Aged↗

PubMed1976

Service unit management and nurses' satisfaction.

Nurses' satisfaction was compared in 55 patient units, 32 with service unit management (SUM) and 23 without. Satisfaction of licensed practical nurses was unrelated to SUM, but intrinsic task satisfaction of registered nurses (and of head nurses, who were considered separately) was positively related to the presence of SUM. Transfer of nonprofessional tasks out of nursing and reduction of tension arising from reduced responsibility of nurses for coordinating activities with ancillary departments are possible explanations for the positive relation between the presence of SUM and professional nurses' satisfaction.

Hospital Units↗

PubMed1979

Inflatable penile prosthesis: follow-up study of patient-partner satisfaction.

The surgical success rates using implantable penile prostheses are well documented, although follow-up on their functional success is required. In this study of 175 patients with an inflatable penile prosthesis, patients and their partners were evaluated as to patient-partner satisfaction, levels of satisfaction, causes of dissatisfaction, frequency of intercouse, and over-all acceptance of the device by patient and partner. The initial satisfaction rates of 79 per cent were significantly improved to 89 per cent after management of specific unrecognized complications. The high levels of satisfaction found in this study continue to support our guidelines for device selection and implantation.

Coitus↗