Working Conditions, Work Environment, Recognition, and Job Satisfaction Among Nurses

Nurse retention remains a major challenge for healthcare organizations, making it essential to understand the organizational factors associated with nurses' job satisfaction. This study examined the levels of working conditions, work environment, recognition, and job satisfaction among nurses in selected hospitals in Northern Mindanao, Philippines. Specifically, it assessed the levels of these organizational factors, determined job satisfaction levels, examined their relationships with job satisfaction, and identified predictors of job satisfaction. A descriptive-correlational research design was employed, involving 174 registered nurses selected through simple random sampling from four hospitals. Data were collected using a researcher-developed questionnaire and analyzed using descriptive statistics, Spearman's rank-order correlation, and multiple linear regression. The findings revealed that nurses generally perceived their working conditions (M = 3.42), work environment (M = 3.72), recognition (M = 3.42), and job satisfaction (M = 3.52) as high. Among the dimensions of the independent variables, educational opportunity demonstrated a statistically significant positive relationship with job satisfaction (ρ = 0.155, p = .041), whereas the remaining dimensions showed no statistically significant relationships. Multiple regression analysis indicated that the combined dimensions of working conditions, work environment, and recognition did not significantly predict job satisfaction (R² = .073, F = 1.288, p = .241), suggesting that other organizational and individual factors may contribute to nurses' job satisfaction. The study concludes that although nurses generally reported favorable perceptions of their workplace and high job satisfaction, strengthening educational and professional development opportunities may further enhance job satisfaction. Future studies should examine additional organizational and personal factors that may better explain variations in nurses' job satisfaction and retention.

Job Satisfaction, work environment, working conditions, nurse retention, recognition

1. Kahn WA. Psychological conditions of personal engagement and disengagement at work. Acad Manage J. 1990;33(4):692-724. [Google Scholar] [Crossref]

2. 2.Al Ahmari R, Qannass SA, Govallen P, Moorkan N, Homoud Z. The impact of nurses recognition and empowerment related to nurses job satisfaction at KFSH-D. Open J Nurs. 2023;13(2):81-94. doi:10.4236/ojn.2023.132006. [Google Scholar] [Crossref]

3. Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross-sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012;344:e1717. doi:10.1136/bmj.e1717. [Google Scholar] [Crossref]

4. Bakker AB, Demerouti E. The Job Demands-Resources model: state of the art. J Manag Psychol. 2007;22(3):309-328. doi:10.1108/02683940710733115. [Google Scholar] [Crossref]

5. Boudreau C, Rhéaume A. Impact of the work environment on nurse outcomes: a mediation analysis. West J Nurs Res. 2024;46(3):210-218. doi:10.1177/01939459241230369. [Google Scholar] [Crossref]

6. Caruso CC, Dick RB, Hitchcock EM, Russo JM, Schmit JM,. Overtine and Extended Work Shifts: Recent Findings on Illnesses, Injuries, and Health Behaviors. National Institute for Occupational Safety and Health, 49 pdf pages. 2004. Available from: https://stacks.cdc.gov/view/cdc/11308 [Google Scholar] [Crossref]

7. Cocchi RC. “Forty-five Sample Questions for Employee Satisfaction Survey. hrmorning.com. 2023. Available from: https://www.hrmorning.com/articles/employee-satisfaction-survey/ [Google Scholar] [Crossref]

8. Dall’Ora C, Griffiths P, Ball J, Simon M, Aiken LH. Association of 12-hour shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open. 2015;5(9):e008331. doi:10.1136/bmjopen-2015-008331. [Google Scholar] [Crossref]

9. Etikan I, Bala K. Sampling and sampling methods. MedCrave. 2017. doi:10.15406/bbij.2017.05.00149. [Google Scholar] [Crossref]

10. F. Polit D, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice, 10th Edition (10th Edition). Wolters Kluwer Health. 2015. [Google Scholar] [Crossref]

11. Geiger-Brown J, Rogers VE, Trinkoff AM, Kane RL, Bausell RB, Scharf SM. Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses. Chronobiol Int. 2012;29(2):211-219. doi:10.3109/07420528.2011.645752. [Google Scholar] [Crossref]

12. Greenhaus J, D. Allen T. Work-Family Balance: A review and extension of the literature. Handbook of Occupational Health. 2011. Available from: https://www.researchgate.net/publication/259280583_Work-Family_Balance_A_Review_and_Extension_of_the_Literature [Google Scholar] [Crossref]

13. Hayes BBA, Douglas C. Job satisfaction in haemodialysis nurses: Results from a two-country study. QUT ePrints. 2012. Available from: https://eprints.qut.edu.au/55323/ [Google Scholar] [Crossref]

14. Ishtiaq M. Book Review Creswell, J. W. (2014). Research Design: Qualitative, Quantitative and Mixed Methods Approaches (4th ed.). Thousand Oaks, CA: Sage. English Language Teaching. 2019;12(5):40. doi:10.5539/elt.v12n5p40. [Google Scholar] [Crossref]

15. Kain J, Jex S. Karasek’s (1979) job demands-control model: A summary of current issues and recommendations for future research. In Research in occupational stress and well-being (pp. 237–268). 2010. doi:10.1108/s1479-3555(2010)0000008009. [Google Scholar] [Crossref]

16. Kinne A. “Twenty-Four Employee Survey Questions about work Environment.” www.workhuman.com. 2024. Available from: https://www.workhuman.com/blog/employee-survey-questions-work-environment/ [Google Scholar] [Crossref]

17. L Cowden T, G. Cummings G. Testing a theoretical model of clinical nurses’ intent to stay. NIH PubMed. 2015. doi:10.1097/hmr.0000000000000008. [Google Scholar] [Crossref]

18. Laschinger HKS, Wong CA, Grau AL, Read EA, Stam LMP. The influence of leadership practices and empowerment on Canadian nurse manager outcomes. J Nurs Manag. 2012;20(7):877-888. doi:10.1111/j.1365-2834.2011.01307.x. [Google Scholar] [Crossref]

19. Leiter MP, Maslach C. Nurse turnover: the mediating role of burnout. J Nurs Manag. 2009;17(3):331-339. doi:10.1111/j.1365-2834.2009.01004.x. [Google Scholar] [Crossref]

20. Liu W, Zhao S, Shi L, Zhang Z, Liu X, Li L, et al. Workplace violence, job satisfaction, burnout, perceived organisational support and their effects on turnover intention among Chinese nurses in tertiary hospitals: a cross-sectional study. BMJ Open. 2018;8(6):e019525. doi:10.1136/bmjopen-2017-019525. [Google Scholar] [Crossref]

21. Lundberg C, Gudmundson A, Andersson TD. Herzberg’s two-factor theory of work motivation tested empirically on seasonal workers in hospitality and tourism. Tour Manag. 2009;30(6):890-899. doi:10.1016/j.tourman.2008.12.003. [Google Scholar] [Crossref]

22. M. Bass. B. Leadership and performance beyond expectations. Volume25, Issue3 Autumn (Fall) 1986, Pages 481-484. Object Identifier (DOI) 1985. doi:10.1002/hrm.3930250310digital. Available from: https://onlinelibrary.wiley.com/, [Google Scholar] [Crossref]

23. Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103-111. doi:10.1002/wps.20311. [Google Scholar] [Crossref]

24. Ovington T. Top 45 Employee satisfaction Survey questions. Digital Adoption. 2023. Available from: https://www.digital-adoption.com/employee-satisfaction-survey-questions/ [Google Scholar] [Crossref]

25. Price SLHLMAJE, Peter E. Choosing nursing as a career: a narrative analysis of millennial nurses’ career choice of virtue. Nursing Inquiry. 2013;20(4):305–316. doi:10.1111/nin.12027. [Google Scholar] [Crossref]

26. Quismorio E. Is this safe: Robes air concern over lopsided nurse-to-patient ratio. Manila Bulletin. 2023. [Google Scholar] [Crossref]

27. Robertson F. Herzberg’s Two-Factor Theory. Simply Psychology, 173–176. 2016. doi:10.4324/9781315585697-24. [Google Scholar] [Crossref]

28. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist. 2000;55(1):68–78. doi:10.1037/0003-066x.55.1.68. [Google Scholar] [Crossref]

29. Sappington J, Kelley JH. Modeling and Role-Modeling Theory. Journal of Holistic Nursing. 1996;14(2):130–141. doi:10.1177/089801019601400205. [Google Scholar] [Crossref]

30. Shanafelt TDDLN, West CP. Addressing Physician Burnout—The Way forward. Obstetrical & Gynecological Survey. 2017;72(8):462–463. doi:10.1097/01.ogx.0000521915.77729.ed. [Google Scholar] [Crossref]

31. Shanafelt TRJ, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133. doi:10.1001/jama.2020.5893. [Google Scholar] [Crossref]

32. Somers MJ. The combined influence of affective, continuance and normative commitment on employee withdrawal. Journal of Vocational Behavior. 2008;74(1):75–81. doi:10.1016/j.jvb.2008.10.006. [Google Scholar] [Crossref]

33. Spector P. Job Satisfaction: Application, assessment, causes, and consequences. Sage Academic Books. 2012. doi:10.4135/9781452231549. [Google Scholar] [Crossref]

34. T. Lake E. Practice Environment scale of the Nursing Work Index. Research in Nursing & Health, 2002, 25, 176–188. 2002. Available from: https://psycnet.apa.org/doi/10.1037/t32232-000 [Google Scholar] [Crossref]

35. Tourangeau ACLLHKS, Pachis J. Relationships among leadership practices, work environments, staff communication and outcomes in long-term care. Journal of Nursing Management. 2010;18(8):1060–1072. doi:10.1111/j.1365-2834.2010.01125.x. [Google Scholar] [Crossref]

36. Tourangeau AE, Cummings G, Cranley LA, Ferron EM, Harvey S. Determinants of hospital nurse intention to remain employed: broadening our understanding. J Adv Nurs. 2010;66(1):22-32. doi:10.1111/j.1365-2648.2009.05190.x. [Google Scholar] [Crossref]

37. Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse burnout and patient satisfaction. Med Care. 2004;42(2 Suppl):II57-II66. doi:10.1097/01.mlr.0000109126.50398.5a. [Google Scholar] [Crossref]

38. Warr P. Work, happiness, and unhappiness. In Psychology Press eBooks. 2011. doi:10.4324/9780203936856. [Google Scholar] [Crossref]

39. Wells C, Ballentine C. “People Keep Quitting their Jobs even as Recession Fears Amount. Bloomberg.com. Wells, C., & Ballentine, C. (2022b). People Keep Quitting Their Jobs Even as Recession Fears Mount. Bloomberg. https://finurah.com/2022/06/30/people-keep-quitting-their-jobs-even-as-recession-fears-mount/ 2022. Available from: https://www.bloomberg.com/news/articles/2022-06-06/how-to-quit-my-job-employees-are-leaving-even-as-recession-threats-loom [Google Scholar] [Crossref]

40. World Health Organization [WHO]. Keep health workers safe to keep patients safe: WHO. 2020. Available from: https://www.who.int/news/item/17-09-2020-keep-health-workers-safe-to-keep-patients-safe-who [Google Scholar] [Crossref]

41. Yousaf S. Dissection of Herzberg’s Two-Factor Theory to Predict Job Satisfaction: Empirical Evidence from the Telecommunication Industry of Pakistan. Lahore Journal of Business. 2019;8(2):85–128. doi:10.35536/ljb.2019.v8.v2.a4. [Google Scholar] [Crossref]

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