Predictors of job satisfaction among doctors, nurses and auxiliaries in Norwegian hospitals: relevance for micro unit cu

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BioMed Central

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Predictors of job satisfaction among doctors, nurses and auxiliaries in Norwegian hospitals: relevance for micro unit culture Unni Krogstad*1, Dag Hofoss2, Marijke Veenstra3 and Per Hjortdahl4 Address: 1Norwegian Knowledge Centre for the Health Services, Oslo, Norway, 2Helse Øst Centre for Health Services Research, Akershus University Hospital, Oslo, Norway, 3Rikshospitalet, University Hospital, Oslo, Norway and 4Department of General Practice and Community Medicine, University of Oslo, Oslo, Norway Email: Unni Krogstad* - [email protected]; Dag Hofoss - [email protected]; Marijke Veenstra - [email protected]; Per Hjortdahl - [email protected] * Corresponding author

Published: 17 February 2006 Human Resources for Health 2006, 4:3

doi:10.1186/1478-4491-4-3

Received: 22 July 2005 Accepted: 17 February 2006

This article is available from: http://www.human-resources-health.com/content/4/1/3 © 2006 Krogstad et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Objective: To explore what domains of work are important for job satisfaction among doctors, nurses and auxiliaries and to discuss differences between professional groups in the perspective of micro team culture. Design: Cross-sectional survey data from hospital staff working clinically at inpatient hospital wards in Norway in 2000. Measures: Linear regression models predicting job satisfaction for the three professions were compared. First, five domains of hospital work were examined for general job satisfaction. Based on the result of the first regression, five items concerning local leadership were explored in a second regression. Results: A total of 1814 doctors, nurses and auxiliaries working at 11 Norwegian hospitals responded (overall response rate: 65%). The only domain of work that significantly predicted high job satisfaction important for all groups was positive evaluation of local leadership. Both steps of analyses suggested that professional development is most important for doctors. For registered nurses, experiencing support and feedback from the nearest superior was the main explanatory variable for job satisfaction. Job satisfaction of auxiliaries was equally predicted by professional development and local leadership. The results are discussed and interpreted as reflections of cultural values, loyalties and motivation. Conclusion: The professional values of medicine, the organizational and holistic skills of nurses and the practical experience of auxiliaries should all be valued in the building of interdependent micro teams.

Background In recent years the link between hospital quality, organizational culture and management has received increasing attention in the United States of America [1-4] as well as

in Eur