Radna motivacija i zadovoljstvo poslom zdravstvenih radnika u urbanim i ruralnim sredinama
Sažetak
Uvod/Cilj. Motivisani zdravstveni radnici, zadovoljni poslom, predstavljaju osnov uspeha savremenih zdravstvenih ustanova. Cilj rada bio je da se ispita da li postoji razlika u radnoj motivaciji i zadovoljstvu poslom između zdravstvenih radnika zaposlenih u urbanim i ruralnim sredinama centralne Srbije. Metode. Istraživanjem je obuhvaćeno 396 zdravstvenih radnika u urbanoj i 436 u ruralnoj sredini, zaposlenih u četiri zdravstvene ustanove, koje su izabrane metodom slučajnog izbora. U istraživanju je korišćen anonimni upitnik. U statističkoj analizi podataka korišćeni su χ2 test, Studentov t-test, Spirmanov koeficijent korelacije i logistička regresiona analiza. Rezultati. Zdravstveni radnici u urbanoj sredini bili su značajno motivisaniji i zadovoljniji poslom, nego u ruralnoj. U odnosu na faktore radne motivacije i zadovoljstvo poslom zdravstvenih radnika u urbanoj i ruralnoj sredini nije bilo značajne razlike u uslovima na radu i savremenosti opreme za rad, u vezi sa zadovoljstvom poslom ni u odnosu na visinu novčanog iznosa mesečne zarade. Zaključak. U cilju povećanja nivoa radne motivacije i zadovoljstva poslom zdravstvenih radnika zaposlenih u ruralnim sredinama, pored novčane zarade, potrebno je obezbediti bolju pomoć i podršku u radu od strane rukovodilaca, dodeljivati nagrade za dobro obavljen posao, unaprediti međuljudske odnose, omogućiti napredovanje i usavršavanje, poboljšati performanse rukovodilaca, obezbediti veću kooperativnost u radu, osigurati zaposlenje, omogućiti veći stepen samostalnosti u radu i sprovođenje stručnog nadzora nad radom zdravstvenih radnika.
Reference
Grujić V, Martinov-Cvejin M. Quality of health care. In: Kovačić L, Zaletel-Kragelj L, editors. Management in health care practice – a handbook for teachers, researchers and health professionals. Zagreb: Hans Jacobs Publishing Company; 2008. p. 55−66.
Agyepong IA, Anafi P, Asiamah E, Ansah E, Ashon D, Narh-Dometey C. Health worker (internal customer) satisfaction and motivation in the public sector in Ghana. Int J Health Plann Manage 2004; 19(4): 319−36.
Janus K, Amelung VE, Baker LC, Gaitanides M, Schwartz FW, Rundall TG. Job satisfaction and motivation among physicians in academic medical centers: insights from a cross-national study. J Health Polit Policy Law 2008; 33(6): 1133−67.
Greenberg J, Baron RA. Behavior in organizations: understanding and managing the human side of work. Englewood Cliffs, NJ: Prentice-Hall; 1995.
Nikić D, Aranđelović M, Nikolić M, Stanković A. Job satisfaction in health care workers. Acta Med Medianae 2008; 47(4): 9−12. (Serbian)
van den Berg TIJ, Alavinia SM, Bredt FJ, Lindeboom D, Elders LA, Burdorf A. The influence of psychosocial factors at work and life style on health and work ability among professional workers. Int Arch Occup Environ Health 2008; 81(8): 1029−36.
Bovier PA, Perneger TV. Predictors of work satisfaction among physicians. Eur J Public Health 2003; 13(4): 299-305.
Judge TA, Thoresen CJ, Bono JE, Patton GK. The job satisfaction – job performance relationship: a qualitative and quantitative review. Psychol Bull 2001; 127(3): 376−407.
Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med 2000; 15(2): 122−8.
Cole AM, Doescher M, Phillips WR, Ford P, Stevens NG. Satisfaction of family physicians working in community health centers. J Am Board Fam Med 2012; 25(4): 470−6.
Grembowski D, Ulrich CM, Paschane D, Diehr P, Katon W, Martin D, et al. Managed care and primary physician satisfaction. J Am Board Fam Pract 2003; 16(5): 383−93.
Sibbald B, Bojke C, Gravelle H. National survey of job satisfaction and retirement intentions among general practitioners in England. BMJ 2003; 326(7379): 22.
Buciuniene I, Blazeviciene A, Bliudziute E. Health care reform and job satisfaction of primary health care physicians in Lithuania. BMC Fam Pract 2005; 6: 10.
Campbell N, McAllister L, Eley D. The influence of motivation in recruitment and retention of rural and remote allied health professionals: a literature review. Rural Remote Health 2012; 12: 1900.
Ulmer B, Harris M. Australian GPs are satisfied with their job: even more so in rural areas. Fam Pract 2002; 19(3): 300−3.
Reed AJ, Schmitz D, Baker E, Nukui A, Epperly T. Association of "grit" and satisfaction in rural and nonrural doctors. J Am Board Fam Med 2012; 25(6): 832−9.
Jovanović-Božinov M, Živković M, Cvetkovski T. Organizational behavior. Belgrade: Megatrend University of Applied Sciences; 2003. (Serbian)
West E. Management matters: the link between hospital organisation and quality of patient care. Qual Health Care 2001; 10(1): 40−8.
Mathauer I, Imhoff I. Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Hum Resour Health 2006; 4: 24.
Dieleman M, Toonen J, Touré H, Martineau T. The match between motivation and performance management of health sector workers in Mali. Hum Resour Health 2006; 4: 2.
Jayasuriya R, Whittaker M, Halim G, Matineau T. Rural health workers and their work environment: the role of inter-personal factors on job satisfaction of nurses in rural Papua New Guinea. BMC Health Serv Res 2012; 12: 156.
Lorber M, Skela-Savič B. Job satisfaction of nurses and identifying factors of job satisfaction in Slovenian Hospitals. Croat Med J 2012; 53(3): 263−70.
Rakić S. Work motivation of employees of the Clinical Center of Banja Luka and contributions to its improvement [dissertation]. Banja Luka: Pan-European University "Aperion"; 2010. (Serbian)
Mladenović V, Marković Z. Emotional profile and job satisfaction of the health care workers. Newsletter for the clinical psychiatry, psychology and borderline disciplines Engrami 2011; 33(2): 5−17. (Serbian)
Shi L, Song K, Rane S, Sun X, Li H, Meng Q. Factors associated with job satisfaction by Chinese primary care providers. Prim Health Care Res Dev 2014; 15(1): 46−57.
Nešković A, Janković S, Paunović M, Matijević D, Marčetić Lj. Satisfaction of employees in primary care facilities and hospitals in Belgrade. Zdravstvena zaštita 2007; 36(2): 13−33. (Serbian)
Department of Public Health Valjevo. Customer satisfaction with health care providers and job satisfaction in health facilities in the Kolubara District. Valjevo: Department of Public Health; 2012. (Serbian)
Korać V, Horozović V, Savković S, Stojanović N, Stanković L, Tomašević S. Analysis of satisfaction surveys of employees in state health institutions of the Republic of Serbia 2013. Belgrade: Institute of Public Health of Serbia "Dr Milan Jovanovic Batut"; 2014. (Serbian)
Lorber M, Skela-Savič B. Perceptions of managerial competencies, style, and characteristics among professionals in nursing. Croat Med J 2011; 52(2): 198−204.
Skela-Savič B, Pagon M. Relationship between nurses and physicians in terms of organizational culture: who is responsible for subordination of nurses? Croat Med J 2008; 49(3): 334−43.
Mrduljaš-Đujić N, Kuzmanić M, Kardum G, Rumboldt M. Job satisfaction among medical doctors in one of the countries in transition: experiences from Croatia. Coll Antropol 2010; 34(3): 813−8.
Ašćerić T. Motivation and behaviour modification of health workers [graduate/specialist thesis]. Banja Luka: Pan-European University "Aperion"; 2008. (Serbian)
Mihailović D. Motivation for work: the methods and techniques of measurement. Belgrade: Yugoslav Institute for Labor Productivity; 1985. (Serbian)
Chirdan OO, Akosu JT, Ejembi CL, Bassi AP, Zoakah AI. Perceptions of working conditions amongst health workers in state-owned facilities in northeastern Nigeria. Ann Afr Med 2009; 8(4): 243−9.
Grujičić M. Motivation and job satisfaction of health workers in Central Serbia [master thesis]. Belgrade: Medical Faculty and Faculty of Organizational Sciences; 2011. (Serbian)