Measuring professional satisfaction and nursing workload among nursing staff at a Greek Coronary Care Unit

Gouzou, Maria; Karanikola, Maria; Lemonidou, Chryssoula; Papathanassoglou, Elizabeth; Giannakopoulou, Margarita

doi:10.1590/S0080-6234201500000003

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Original Article • Rev. esc. enferm. USP 49 (spe) • Dec 2015 • https://doi.org/10.1590/S0080-6234201500000003 copy

Measuring professional satisfaction and nursing workload among nursing staff at a Greek Coronary Care Unit

Avaliação da satisfação profissional e carga laboral das equipes de enfermagem nas Unidades de Cuidados Coronarianos Gregas

Evaluación de la satisfacción profesional y de la carga laboral del personal de enfermería en las Unidades Griegas de Cuidados Coronarios

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To explore potential associations between nursing workload and professional satisfaction among nursing personnel (NP) in Greek Coronary Care Units (CCUs).

Method

A cross-sectional study was performed involving 66 members of the NP employed in 6 randomly selected Greek CCUs. Job satisfaction was assessed by the IWS and nursing workload by NAS, CNIS and TISS-28.

Results

The response rate was 77.6%. The reliability of the IWS was α=0.78 and the mean score 10.7 (±2.1, scale range: 0.5-39.7). The most highly valued component of satisfaction was “Pay”, followed by “Task requirements”, “Interaction”, “Professional status”, “Organizational policies” and “Autonomy”. NAS, CNIS and TISS-28 were negatively correlated (p≤0.04) with the following work components: “Autonomy”, “Professional status”, “Interaction” and “Task requirements”. Night shift work independently predicted the score of IWS.

Conclusion

The findings show low levels of job satisfaction, which are related with nursing workload and influenced by rotating shifts.

Nursing, Team; Coronary Care Unit; Workload; Job Satisfaction; Shift Work; Professional Autonomy

Variables	Frequency	Percentage
Male	18	27.3
Female	48	72.7
Single	26	39.4
Married	36	54.5
Divorced	4	6.1
Bachelor degree nurses (no MSc)	12	18.1
Associate degree nurses (no MSc)	37	56.1
Diploma degree nursing assistants	17	25.8
MSc degree	5	7.5
Associate degree nurses holding nursing specialty diploma	4	6.0
Urban Tertiary Hospital (Athens)	47	71.2
Rural Tertiary Hospital (Patra & Ioannina)	19	28.8
Full-time working pattern (40 hours/week)	64	97.0
Maternity time working pattern (30 hours/week)	2	3.0
Morning shift	8	12.2
Evening shift	2	3.0
Night shift	3	4.5
Round-the-clock shift	53	80.3
Auxiliary nurse position	17	25.8
Registered Nurse	39	59.1
Nurse in charge	9	13.6
Head nurse	1	1.5

IWS’s Component	Component weight coefficient - Part A	Ranking of relative importance - Part A
Pay	3.748	1
Task requirements	3.279	2
Interaction	3.199	3
Professional Status	2.882	4
Organizational policies	2.748	5
Autonomy	2.745	6

IWS’s component	Mean(SD)	Minimum	Maximum	Ranking of the degree of current Satisfaction - Part B (ranking of component mean score)
Professional Status	4.6 (0.9)	2.7	6.6	1
Interaction	4.4 (1.0)	2.5	7.0	2
Autonomy	3.7 (0.9)	1.8	5.8	3
Organizational policies	3.0 (1.0)	1.9	5.6	4
Task requirements	2.9 (1.3)	1.0	5.7	5
Pay	2.4 (1.6)	1.0	7.0	6
Total Index of Work Satisfaction	10.7 (2.1)	7.1	14.7

	IWS Components						Total IWS

	Task requirements		Organizational policies		Autonomy

	Mean(SD)	p	Mean(SD)	p	Mean(SD)	p	Mean(SD)	p
Hospital’s Location
Rural Tertiary Hospital	3.3(1.3)	0.079	3.1(1)	0.600	4.3(0.8)	0.001*	11.5(2.3)	0.050*
Urban Tertiary Hospital	2.7(1.2)		3(1)		3.5(0.8)		10.4(1.9)
Shift
Morning	3.9(0.9)	0.010**	4(0.9)	0.005**	4.4(0.9)	0.004**	12.3(1.8)	0.012**
Night	1.5(0.4)		2(0.2)		2.5(0.5)		8.5(0.5)
Round-the-clock	2.8(1.2)		2.9(1)		3.7(0.8)		10.6(2)
Ranking
Nurse assistant	2.6(1.2)	0.360	2.9(1)	0.355	3.2(0.9)	0.004**	10.2(2)	0.291
Registered nurse	2.9(1.3)		3(1.1)		3.8(0.8)		10.7(2.1)
Nurse in charge/Head nurse	3.3(1.1)		3.5(1)		4.3(0.8)		11.5(1.9)

Professional Satisfaction Components	Nursing Workload

	NAS score		CNIS score		TISS-28 score

	r	p	r	p	r	P
Pay	0.03	0.798	-0.08	0.515	-0.04	0.778
Professional status	-0.34	0.005	-0.31	0.011	-0.31	0.011
Interaction	-0.34	0.006	-0.31	0.010	-0.33	0.007
Task requirements	-0.25	0.040	-0.37	0.003	-0.33	0.007
Organizational policies	-0.13	0.284	-0.22	0.070	-0.17	0.161
Autonomy	-0.43	<0.001	-0.45	<0.001	-0.43	<0.001
Total Index of Work Satisfaction	-0.34	0.006	-0.44	<0.001	-0.39	0.001

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Correspondence Addressed to: Dr. Margarita Giannakopoulou. National & Kapodistrian University of Athens, Faculty of Nursing. 123, Papadiamantopoulou str, 11527 Athens, Greece.mgiannak@nurs.uoa.gr