Μάτζιου Βασιλική, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Γιαννακοπούλου Μαργαρίτα ,Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Καϊτελίδου Δάφνη ,Αναπληρώτρια Καθηγήτρια, Νοσηλευτικής ΕΚΠΑ
Μπελλάλη Θάλεια ,Καθηγήτρια Τμήματος Νοσηλευτικής, Διεθνές Πανεπιστήμιο Ελλάδος
Κατσούλας Θεόδωρος ,Καθηγητής ,Τμήματος Νοσηλευτικής ΕΚΠΑ
Περδικάρης Παντελής ,Επίκουρος Καθηγητής ,Τμήματος Νοσηλευτικής Πανεπιστημίου Πελοποννήσου
Μιχόπουλος Αλέξανδρος ,Επίκουρος Καθηγητής Τμήματος Νοσηλευτικής Πανεπιστήμιο Πελοποννήσου
Introduction: It is known working in an ICU environment causes stress to nurses with implications in their satisfaction and their overall health.
Aim: The aim of this study was to assess the level of job satisfaction and health status of the nurses working in Adult ICUs and Pediatric ICUs.
Methods: For the needs of the present study, a quantitative cross-sectional research was conducted, to record the levels of satisfaction and health status of Adults and Pediatric ICUs nurses and to assess the relationship between job satisfaction and health status. The research population was selected using a sample of convenience and it consists of 45 Pediatric ICUs nurses and 105 Adults ICUs nurses. To assess the quality of nurses’ general health, the General Health Questionnaire (GHQ- 28) was used. Subsequently, the level of the nurses’ professional satisfaction will be investigated through the Stamps Index of Work Satisfaction (IWS). The statistical analysis of the empirical data was performed using the software package IBM SPSS 25.0 for Windows. The level of statistical significance used (value a), in all statistical tests, was set to be equal to 0.05 (value p <0.05 was considered as statistically significant).
Results: The analysis showed that nurses have moderate to high satisfaction from interpersonal relationships (M=4.74, SD=0.80) while they show moderate satisfaction from the professional prestige given to them by their work (M=4.22, SD=0.81) and autonomy in their workplace (M=3.85, SD=0.69). On the contrary, nurses expressed moderate to low level satisfaction with their duties (M=3.23, TA=0.78) and the organizational policy of the hospital (M=3.02, SD=0.86). Finally, they declared a low level of satisfaction with their salaries (M=2.05, SD=0.92). The mean value for overall satisfaction was found to be 3.65 (SD=0.51) and is an indication that nurses in ICUs show a moderate level of satisfaction. Moreover, the findings of the analysis showed that women were more satisfied than men with their salaries, the prestige given to them by their profession and their duties. An analysis based on the t-test and Mann-Whitney tests for two independent samples showed a statistically significant difference in terms of working hours (breakfast or cycle) in satisfaction with autonomy (U=474, p=0.014). Nurses who worked circular schedule had low satisfaction with the autonomy in their workplace, compared to nurses who worked only morning shifts. In addition, nurses with supervising duties express a higher level of satisfaction and autonomy in their workplace compared to other nurses. χ2(2) =8.445, p=0.015. The analysis based on Pearson’s and Spearman correlation coefficient indices showed a statistically significant negative and weak correlation between the number of hours nurses worked over the weekend and their satisfaction with autonomy in their workplace. More specifically, it was observed that increased working hours at the weekend are correlated with reduced levels of satisfaction from autonomy. From the findings of the comparisons between Pediatric ICU and Adults ICU is concluded that nurses who worked in Adults ICUs (ΜΤ=3.76, ΤΑ=0.49) were more satisfied than nurses who worked in Pediatric ICUs. (ΜΤ=3.60, ΤΑ=0.51). The overall results regarding nurses’ health showed that they do not have negative physical symptoms (M=7.5, SD=4.4), anxiety/insomnia (M=8.0, SD=5.0), social dysfunction (M=7.2, SD=2.6) while showing low levels of depressive emotions (M=1.7, SD=3.2). Finally, the overall mean value for nurses’ general health was 24.4 (SD=12.3) indicating that nurses have particularly good health condition, as a lower value on the GHQ-28 scale is an indication of a better state of health. From the comparison of the health status of nurses between in Adults ICUs and Pediatric ICUs it was observed that nurses who worked in Pediatric ICUs (ΜΤ=8.5, ΤΑ=4.5) showed more symptoms of anxiety and insomnia compared to nurses who worked in Adults ICUs. Also, nurses who worked in Pediatric ICUs (ΜΤ=7.5, ΤΑ=2.6) have more problems with social dysfunction in comparison with nurses who worked in Adults ICUs (ΜΤ=6.7, ΤΑ=2.6).On the contrary nurses who worked in Pediatric ICUs (ΜΤ=1.5, ΤΑ=3.4) showed less depressive symptoms in comparison with nurses who worked in Adults ICUs (ΜΤ=2.2 ΤΑ=2.9). Finally, there was no statistically significant difference between nurses who worked in Adults ICUs and Pediatric ICUs in terms of their overall level of health.
Conclusion: In conclusion, it emerged that Adults and Pediatric ICUs nurses show a moderate level of job satisfaction, while the determining factors of these levels are the level of their salaries, the organizational policy of hospitals and ICUs and the inadequate definition of their duties and roles. It also turned out that nurses are satisfied with the interpersonal relationships in their workplace, as well as with the prestige and importance of their profession, while they do not face significant problems in their physical health. In general, reduced job satisfaction is detrimental to the health of ICUs nurses, while improving conditions such as salaries, organizing and defining nurses’ duties can improve their health and overall well-being.