Yasushi Kudo

Association between Intention to Stay on the Job and Job Satisfaction among Japanese Nurses in Small and Medium-sized Private Hospitals

Association between Intention to Stay on the Job and Job Satisfaction among Japanese Nurses in Small and Medium‐sized Private Hospitals: Yasushi Kudo, et al. Department of Preventive Medicine and Public Health, Kitasato University School of Medicine—In order to examine the relationship between the intention to stay on the job and job satisfaction among Japanese nurses, and to obtain clues for preventing turnover, we conducted a questionnaire survey. The subjects involved in the survey included 625 female nurses (registered nurses, licensed practical nurses and assistant nurses) working in 4 small and medium‐sized private hospitals, excluding directors of nursing. Of the 625 questionnaires distributed, 556 (89.0%) were returned. After excluding the questionnaires with missing values, 480 questionnaires were analyzed (effective response rate, 76.8%). The average age of the respondents was 32.8 yr (range: 20–65). The content of the questionnaire was nurse attributes, job satisfaction (30 items) and intention to stay on the job. For job satisfaction, factor analysis (principal factor method and promax rotation) was performed, and factors with an eigenvalue of ≥1 were extracted. Six factors were extracted by factor analysis. These factors were interpreted as “Work as specialists” (1st factor), “Relationship with superiors” (2nd factor), “Comfortable life” (3rd factor), “Relationship among nurses” (4th factor), “Communication with physicians” (5th factor) and “Working conditions” (6th factor). The factor scores were calculated and used as a scale for the evaluation of job satisfaction. To investigate the factors associated with intention to stay on the job among nurses, the standard partial regression coefficient was computed by multiple linear regression analysis, with intention to stay on the job as the dependent variable, and nurse attributes and job satisfaction (factor scores) as independent variables. Various factors including the organizational culture of each hospital may affect the relationship between job satisfaction and the intention to stay on the job. In order to adjust for these factors, differences among hospitals were included in the statistical model as independent variables. The result of the multiple regression analysis suggests that the intention to stay on the job was higher among nurses who were older and more satisfied with work as specialists (1st factor) and working conditions (6th factor).

Factors associated with turnover interntion among nurses in small and medium-sized medical institutions

ObjectivesThe objective of this study was to evaluate factors associated with turnover intention among nurses in small and medium-sized medical institutions.MethodsA self-administered questionaire survey was performed in 293 registered nurses, licensed practical nurses, and assistant nurses working full-time in various medical institutions. Multiple linear regression analysis was conducted, with turnover intention as the dependent variable, and nurses’ basic attributes and job satisfaction as independent variables.ResultsAs for nurses’ basic attributes, turnover intention was significantly associated with registered nurses, younger nurses and those with low satisfaction with sleep. As for nurses’ job satisfaction, the number of nurses with turnover intention was significantly higher for those with low satisfaction with salary, low satisfaction with welfare, poor implementation of fair salary raise and poor cooperation among nurses.ConclusionTurnover intention may be reduced by the enhancement of trust in the organization, giving appropriate advice to young nurses and registered nurses, and developing measures for addressing sleep disorders.

Factors Associated with Satisfaction among Participants in a Periodical Worksite Health Check-Up in Japan

Factors Associated with Satisfaction among Participants in a Periodical Worksite Health Check‐Up in Japan: Yasushi Kudo, et al. Department of Preventive Medicine and Public Health, Kitasato University School of Medicine—To improve the satisfaction of people who had periodical worksite health check‐ups, we conducted a questionnaire survey. It is possible that a portion of the health check‐up participants who have a medical history of serious disease may have different expectations of periodical health check‐ups compared to healthy individuals. We conducted the analysis by dividing the participants into three groups: those with a medical history of serious disease, those without a medical history of serious disease, and the whole group of those with and without a medical history of serious disease. There were 50 individuals with a medical history of serious disease and 226 without a medical history of serious disease. There were 231 males and 45 females. The average age was 40.3 yr (range: 21–64). To investigate the factors that influence overall satisfaction, we conducted multiple linear regression analysis by a stepwise method, with overall satisfaction as a dependent variable, and attributes of health check‐up participants, factors related to the physician, factors related to the examination, and indirect factors such as waiting time as independent variables. The selective criterion for the variables was that the p value was less than 0.05, but sex and age were always included in the final model as independent variables because they might be confounding factors. In the whole group of those with and without a medical history of serious disease, overall satisfaction was significantly associated with the technical level of the person in charge of the examinations, the explanation of the person in charge of the examinations, the time spent for examination, the content of the interview with physicians and interview time with physicians. In the group with a serious disease medical history, overall satisfaction was significantly associated with the explanation of the person in charge of the examinations and interview time with physicians. In the group without a serious disease medical history, overall satisfaction was significantly associated with age, the technical level of the person in charge of the examinations, the time spent for examinations, the content of the interview with physicians and interview time with physicians.