Nurses’ Work Environment Characteristics and Job Satisfaction: Evidence from Georgia

  • Tengiz Verulava School Public Health, Ilia State University G. Chapidze Emergency Cardiology Center
  • Revaz Jorbenadze Tbilisi State University. G. Chapidze Emergency Cardiology Center
  • Beka Dangadze School Public Health Ilia State University
  • Leila Karimi La Trobe University, School of Psychology and Public Health
Keywords: Nurses, nursing work environment, job satisfaction, workforce issues, Georgia

Abstract

Introduction: The health care system and health care service delivery is essentially dependent on the number of medical staff working in the network, their level of education, work environment and job satisfaction. There is a shortage of nurses’ in Georgia, which has an adverse effect on the health care system and patient care outcomes. The aim of this study is to measure the work environment characteristics, job satisfaction and to evaluate the association between these variables. Methods: The quantitative research method was used. The Work Environment Scale and a Job Satisfaction Questionnaire were administered. Descriptive statistics were used to describe the sample and results of the questionnaires. Results: The majority of nurse’s reported lower levels of job satisfaction, work environment characteristics. Discussion: The nurse shortage is caused by a variety of reasons, including the inability of the health care system to keep nurses in a workplace. Due to the economic situation, nurses' annual salary is very low. The hospitals are trying to reduce the number of nurses or not to hire additional nurses due to economic reasons. Nurses have less will to work with the existing working conditions. Policy makers should address many issues: improving recruitment, retention and return in order to keep or increase already few number of nurses. The development of programs to improve the nurse practice environment, especially staffing and resources, could improve nurse retention and thereby slow down the nursing shortage.

Author Biography

Tengiz Verulava, School Public Health, Ilia State University G. Chapidze Emergency Cardiology Center
Tengiz Verulava Head of School of Public Health Full Time Professor, PhD

References

World Health Organization. The world health report: working together for health, Geneva, 2006.

Verulava, T., Kalandadze, T. 2001. Health Care System in Georgia. Metsniereba. Tbilisi.

Verulava, T., Maglakelidze, T.Health Financing Policy in the South Caucasus: Georgia, Armenia, Azerbaijan. Bulletin of the Georgian National Academy of Sciences, 2017;11: 143-50.

Ministry of Labour, Health and Social Affairs. Georgia Health System Performance Assessment. Tbilisi. 2013; 12-20

Gzirishvili D. Independent Georgia - Social and Health Protection Systems. Analytical Review. Open Society Georgia Foundation. Tbilisi. 2012; 21-43.

Verulava T, Jorbenadze R, Barkalaia T. Introduction of universal health program in Georgia: Problems and Perspectives. Georgian Med News, 2017; 262: 116-20.

Buchan J, Aiken L: Solving nursing shortages: a common priority. J Clin Nurs 2008, 17:3262–8.

Verulava, T., Jincharadze, N., Jorbenadze, R. (2017). Role of Primary Health Care in Re-hospitalization of Patients with Heart Failure. Georgian Medical News, 264: 135-9.

Verulava, T., Gabuldani, M. (2015). Accessibility of Urgent Neurosurgery Diseases by the State Universal Healthcare Program in Georgia (country). Gazi Medical Journal, Vol 26: 42-5.

Verulava, T., Sibashvili, N. (2015). Accessibility to Psychiatric Services in Georgia. Journal of Psychiatry: Open Access, 18: 1-5.

Kane RL, Shamliyan TA, Mueller C, Duval S, Wilt TJ. The association of registered nurse staffing levels and patient outcomes: systematic review and meta analysis. Medical Care 2007;45:1195–204.

Aiken LH, Clarke SP, Sloane DM, Lake ET, Silber JH, Sochalski J. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of American Medical Association 2002a; 288:1987–93.

Kovner C, Gergen J. Nurse staffing levels and adverse events following surgery in US hospitals. Image: Journal of Nursing Scholarship 1998;30:315–21.

Stanton, M. Hospital Nurse Staffing and Quality of Care. AHRQ, MD, USA: Agency for Health Research and Quality. Research into Action, Issue 14; 2004.

Organisation for Economic Co-operation and Development (OECD) Towards High Performing Health Systems. Paris: OECD; 2004. p. 59.

Canadian Institute of Health Information (CIHI) Bringing the Future in Focus: Projecting RN Retirement in Canada.Canada: Canadian Institute of Health Information; 2003.

Coomber B, Bariball KL. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. Int J Nurs Stud 2007, 44:297–314

Buchan J, Aiken L. Solving nursing shortages: a common priority. J Clin Nurs, 2008; 17:3262–8.

Kramer M. The magnet hospitals: excellence revised. J Nurs Admin, 1990, 20:35–44.

McClure ML. Magnet hospitals insights and issues. Nurs Admin Q, 2005, 29:198–201.

Lake ET: Development of the practice environment scale of the nursing work index. Res Nurs Health, 2002, 25:176-88

Twigg D, McCullough K. Nurse retention: a review of strategies to create and enhance positive practice environments in clinical settings. Int J Nurs Stud, 2014; 51:85–92.

El-Jardali F, Alameddine M, Dumit N, Dimassi H, Jamal D, Maalouf S: Nurses’ work environment and intent to leave in Lebanese hospitals: implications for policy and practice. Int J Nurs Stud; 2011, 48:204-14.

Levatak L, Buck R. Factors influencing work productivity and intent to stay in nursing. Nurs Econ 2008, 26:159-65.

Warshawsky NE, Havens DS: Global use of the practice environment scale of the nursing work index. Nurs Res 2011, 60:17–31.

Lu H, Barriball KL, Zhang X, While AE. Job satisfaction among hospital nurses revisted: a systematic review. Int J Nurs Stud 2012, 49.

Currie EJ, Carr Hill RA: What are the reasons for high turnover in nursing? A discussion of presumed causal factors and remides. Int J Nurs Stud; 2012, 49.

Nirel N, Yair Y, Smuel H, Riba S, Reicher S, Toren O. Registered nurses in Israel. Work force-patterns and goals. Jerusalem, Israel: Meyers-Joint Brookdale Institute of Health Policy Research; 2010:47.

Aiken LH, Patrician PA: Measuring organizational traits of hospitals: the revised nursing work index. Nurs Res 2000, 49:146–53.

Joyce J, Crookes P: Developing a tool to measure ‘magnetism’ in Australian nursing environments. Aust J Adv Nurs 2007, 25:17–23.

Zurmehly F, Martin PA, Fitzpatrick JJ: Registered nurse empowerment and intent to leave current position and/or the profession. J Nurs Mgmt 2009, 17:383–91.

Fitzpatrick JJ, Campo TM, Lavandero R: Critical care staff nurses empowerment, certification and intent to leave. Crit Care Nurs 2011, 31:e12–e217.

Ujarine AS, Zrinyi M, Toth H, Zekanyne IR, Szogedi I, Betlehem J. Intent to stay in nursing: internal and external migration in Hungary. J Clin Nurs, 2011, 20:882–91.

Published
2017-12-22
Section
Original Research