Journal List > J Korean Acad Nurs > v.48(1) > 1003294

Lee, Eo, and Lee: Development of Job Satisfaction Scale for Clinical Nurses

Abstract

Purpose

This study was performed to develop the Job Satisfaction Scale for Clinical Nurses (JSS-CN) and verify its validity and reliability.

Methods

A preliminary 42-item version of the JSS-CN was developed through literature reviews and in-depth interviews. The draft scale was developed using thirty-seven items selected following content validity evaluation. Finally, thirty-three items with response options on a 5-point Likert scale were selected based on internal consistency reliability and construct validity. Subsequently, the test-retest reliability and convergent validity of the JSS-CN were verified.

Results

Six factors, namely, recognition from the organization and professional achievement, personal maturation through the nursing profession, interpersonal interaction with respect and recognition, accomplishment of accountability as a nurse, display of professional competency, and stability and job worth, were identified, which explained 59.7% of the total variance. The JSS-CN's Cronbach's a for the total scale was .95, and the intra-class correlation coefficient was .90. The correlation coefficient between the scores of the JSS-CN and Slavitt's scale was .75, and that between the JSS-CN and job performance was .53.

Conclusion

Results showed that the JSS-CN has good reliability and validity. Therefore, it is concluded that the JSS-CN could be a useful tool for the measurement of the job satisfaction of clinical nurses in Korea.

References

1. Lu H, Barriball KL, Zhang X, While AE. Job satisfaction among hospital nurses revisited: A systematic review. International Journal of Nursing Studies. 2012; 49(8):1017–1038. https://doi.org/10.1016/j.ijnurstu.2011.11.009.
crossref
2. Moumtzoglou A. The Greek nurses’ job satisfaction scale: Development and psychometric assessment. Journal of Nursing Measurement. 2010; 18(1):60–69. https://doi.org/10.1891/1061-3749.18.1.60.
crossref
3. Adam A, Bond S. Hospital nurses’ job satisfaction, individual and organizational characteristics. Journal of Advanced Nursing. 2000; 32(3):536–543. https://doi.org/10.1046/j.1365-2648.2000.01513.x.
4. Fung-kam L. Job satisfaction and autonomy of Hong Kong registered nurses. Journal of Advanced Nursing. 1998; 27(2):355–363. https://doi.org/10.1046/j.1365-2648.1998.00527.x.
crossref
5. Song MS. The relationships between the empowerment, nursing performance, job satisfaction and turnover intention of long-term care hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2013; 14(5):2304–2314. https://doi.org/10.5762/KAIS.2013.14.5.2304.
6. Ahn SH. Analysis of studies on job satisfaction among Korean nurses. Journal of Korean Academy of Nursing Administration. 2000; 6(3):319–331.
7. Jeong GS, Jung MS. Job satisfaction among Korean nurses: A literature review. Journal of Muscle and Joint Health. 2013; 20(3):235–246. https://doi.org/10.5953/JMJH.2013.20.3.235.
crossref
8. Hayes B, Bonner A, Pryor J. Factors contributing to nurse job satisfaction in the acute hospital setting: A review of recent literature. Journal of Nursing Management. 2010; 18(7):804–814. https://doi.org/10.1111/j.1365-2834.2010.01131.x.
crossref
9. Blegen MA. Nurses’ job satisfaction: A meta-analysis of re- lated variables. Nursing Research. 1993; 42(1):36–41. https://doi.org/10.1097/00006199-199301000-00007.
10. Kim JH. Structural equation modeling for humor, job satisfaction, job stress and intention to turnover. Journal of Korean Academy of Nursing Administration. 2013; 19(2):265–272. https://doi.org/10.11111/jkana.2013.19.2.265.
crossref
11. Kwon KJ, Chu MS, Kim JA. The impact of nursing professionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Journal of Korean Academy of Nursing Administration. 2009; 15(2):182–192.
12. Do ES, Kim MY. Comparison of internal marketing, job satisfaction and customer orientation of nurses by size of medical care institution: Small-medium hospitals and general hospitals. Journal of Korean Academy of Nursing Administration. 2012; 18(1):56–66. https://doi.org/10.11111/jkana.2012.18.1.56.
crossref
13. Lee BS, Kang SR, Kim HO. Experience of job satisfaction in clinical nurses: Application of focus group methodology. Journal of Korean Academy of Nursing. 2007; 37(1):114–124. https://doi.org/10.4040/jkan.2007.37.1.114.
crossref
14. Slavitt DB, Stamps PL, Piedmont EB, Haase AM. Nurses’ satisfaction with their work situation. Nursing Research. 1978; 27(2):114–120.
crossref
15. Stamps PL, Piedmont EB, Slavitt DB, Haase AM. Measurement of work satisfaction among health professionals. Medical Care. 1978; 16(4):337–352.
crossref
16. Tourangeau AE, McGillis Hall L, Doran DM, Petch T. Measurement of nurse job satisfaction using the McCloskey/Mueller Satisfaction Scale. Nursing Research. 2006; 55(2):128–136.
crossref
17. Park SA, Yun SN. Measurement of job satisfaction of nurses and health workers in health centers. Journal of Korean Academy of Nursing. 1992; 22(3):316–324. https://doi.org/10.4040/jnas.1992.22.3.316.
crossref
18. Flynn D. Improving continence care: searching the evidence. Journal of Community Nursing. 2005; 19(3):18–25.
19. Lee EO, Im NY, Park HA, Lee IS, Kim JI. Nursing research and statistical analysis. 4th ed. Paju: Soomoonsa;2009. p. 572–578.
20. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986; 35(6):382–385. https://doi.org/10.1097/00006199-198611000-00017.
crossref
21. Nunnally JC Jr, Bernstein IH. Psychometric theory. 3rd ed. New York: McGraw-Hill;1994. p. 447–490.
22. Park JH. Organizational communication satisfaction and job satisfaction for nurses in hospital setting [master thesis]. Seoul: Ehwa Womans University;2003. p. 1–73.
23. Shin SC. Development of evaluation tool for hospital nurses [dissertation]. Daegu: Keimyung University;2002. p. 1–79.
24. Polit DF, Beck CT. The content validity index: Are you sure you know what’s being reported? Critique and recommenda- tions. Research in Nursing & Health. 2006; 29(5):489–497. https://doi.org/10.1002/nur.20147.
25. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology. 2007; 60(1):34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012.
crossref
26. Koo TK, Li MY. A guideline of selecting and reporting intra-class correlation coefficients for reliability research. Journal of Chiropractic Medicine. 2016; 15(2):155–163. https://doi.org/10.1016/j.jcm.2016.02.012.
crossref
27. Ko MS, Min S, Yeom YH, Yeun SH, Lee MA, Jung M, et al. Introduction of nursing. 3rd ed. Paju: Soomoonsa;2011. p. 65–117.
28. Mueller CW, McCloskey JC. Nurses’ job satisfaction: A proposed measure. Nursing Research. 1990; 39(2):113–117. https://doi.org/10.1097/00006199-199003000-00014.
29. Cowin L. The effects of nurses’ job satisfaction on retention: An Australian perspective. Journal of Nursing Administration. 2002; 32(5):283–291. https://doi.org/10.1097/00005110-200205000-00008.

Figure 1.
Process of the development of the JSS-CN.
jkan-48-12f1.tif
Table 1.
Item-CVI, Means, Internal Consistency and Test-retest Reliability of the JSS-CN (N=360)
Items Item CVI M±SD Corrected item to total correlation Cronbach’s alpha if the item was deleted
1. Patients trust me and depend on me. .93 3.46±0.60 .53 .95
2. I am recognized by the organization for my abilities. .98 3.27±0.59 .48 .95
3. I am able to demonstrate my excellence in professional abilities. .93 3.14±0.58 .50 .95
4. Superiors and colleagues understand me and encourage me. .98 3.63±0.59 .50 .95
5. I maintain close relations with my colleagues. .93 3.75±0.62 .48 .95
6. Nursing is a socially recognized profession. .84 3.34±0.78 .56 .95
7. The arrangement of time in service is reasonable. .78 2.86±0.78 .50 .95
8. The organization guarantees autonomy in performing the nursing job. .84 3.03±0.78 .54 .95
9. Patients appreciate my nursing care. .82 3.38±0.72 .57 .95
10. Superiors praise and acknowledge my job performance. 1.00 3.34±0.64 .52 .95
11. Colleagues or doctors who work together recognize my job performance. .91 3.25±0.73 .62 .94
12. My personality as a nursing professional has matured. .78 3.09±0.87 .65 .94
13. Tending to patients is difficult work but it helps build virtue. .91 3.46±0.85 .62 .94
14. I appreciate my occupation. .91 3.21±0.89 .69 .94
15. I am able to develop my confidence and courage through the nursing .89 3.18±0.82 .69 .94
   professional.
16. My competency as a professional nurse is improving. .98 3.32±0.73 .68 .94
17. I am playing an important role in recovering patients' health. .96 3.54±0.68 .52 .95
18. I am helping foster the development of nurses junior to me. .89 3.33±0.72 .56 .95
19. Working as a professional nurse is vitalizing. .89 2.88±0.91 .66 .94
20. I am doing my best as a professional nurse. 1.00 3.69±0.63 .58 .95
21. I am working with a sense of responsibility as a professional nurse. 1.00 3.83±0.63 .53 .95
22. I am aware of the values I pursue through the nursing profession. .91 3.19±0.76 .69 .94
23. It is good to have a certain income source. .80 3.60±0.68 .49 .95
24. It is good to have a stable job. .84 3.68±0.64 .55 .95
25. I am proud that my job is able to help others. 1.00 3.55±0.71 .67 .94
26. I am proud that I work in a good hospital. .82 2.96±0.80 .54 .95
27. I feel proud of myself when I observe successful seniors. .80 3.16±0.75 .56 .95
28. I play an important role in the organization. .82 3.07±0.66 .57 .95
29. I am respected by nurses who are junior to me. .84 3.07±0.60 .54 .95
30. The progressive future of nursing as a profession is guaranteed. .87 3.15±0.71 .57 .95
31. The job of a professional nurse fits my inclination. .87 3.13±0.78 .59 .94
32. My opinion is reflected in making important decisions. .82 3.14±0.63 .61 .94
33. I am able to exhibit my leadership in a nursing unit or organization. .80 3.10±0.69 .61 .94

Cronbach’s Alpha item total=.95; Scale content validity index=.89; M±SD of items=3.30±0.44; Range of skewness of items=-0.52~0.12; Kurtosis of items=-0.40~0.78, Range of ceiling effects of items=0.3~11.4%; Range of floor effects of items=0.3~6.9%. Total test-retest correlation coefficient=.98; Intra-class correlation coefficient=.90.

CVI=Content validity index; M=Mean; SD=Standard deviation; JSS-CN=Job Satisfaction Scale for Clinical Nurses.

Table 2.
Factor Loadings of Items According to the Factors and Eigen Value (33 items) (N=360)
Factor Item Factor1 Factor2 Factor3 Factor4 Factor5 Factor6 Communality
1. Recognition from the organization Item 33 .71 .18 .17 .18 .25 −.10 .68
and professional achievement (9 Item 28 .65 .10 .13 .01 .35 .18 .60
items) Item 19 .62 .50 .17 .15 .06 −.04 .68
Item 29 .61 .14 .05 .16 .31 .04 .52
Item 32 .58 .13 .29 .15 .20 .14 .52
Item 30 .56 .21 .24 .19 −.10 .27 .53
Item 27 .53 .27 .31 −.03 −.04 .30 .54
Item 26 .52 .25 .23 .04 −.12 .40 .56
Item 22 .52 .45 .08 .12 .22 .29 .63
2. Personal maturation through the Item 14 .26 .78 .18 .16 .06 .12 .76
nursing profession (6 items) Item 13 .08 .73 .21 .14 .09 .27 .69
Item 15 .38 .69 .13 .12 .12 .15 .68
Item 12 .23 .61 .40 .17 .05 .07 .62
Item 16 .33 .52 .25 .36 .13 .03 .59
Item 31 .36 .44 −.01 .12 .32 .31 .53
3. Interpersonal interaction with Item 7 .23 .14 .66 .12 −.04 .13 .54
respect and recognition (8 items) Item 8 .30 .15 .62 .08 .05 .15 .52
Item 10 .14 .12 .58 −.02 .47 .12 .61
Item 5 .06 .10 .54 .44 .26 −.14 .58
Item 4 .08 .12 .50 .44 .30 −.13 .58
Item 9 .06 .29 .50 .07 .31 .35 .55
Item 6 .14 .30 .48 .24 .08 .20 .44
Item 11 .33 .31 .42 .09 .35 .04 .51
4. Accomplishment of accountability Item 21 .11 .12 .17 .72 .12 .29 .67
as a nurse (4 items) Item 20 .27 .14 .11 .72 .10 .21 .67
Item 17 .02 .27 .11 .67 .19 .21 .62
Item 18 .39 .26 .04 .50 .34 −.16 .61
5. Display of professional competency Item 2 .21 .06 .17 .16 .74 .10 .66
(3 items) Item 3 .25 .10 .04 .23 .70 .10 .63
Item 1 .01 .25 .27 .34 .53 .09 .54
6. Stability and job worth (3 items) Item 24 .10 .35 .11 .19 .15 .67 .65
Item 23 .22 .01 .13 .41 .11 .58 .59
Item 25 .22 .43 .22 .21 .18 .52 .62
Eigen value 4.41 4.05 3.23 3.01 2.72 2.20
% of Variance 13.3 12.3 9.9 9.3 8.2 6.7
Cumulative % 13.3 25.6 35.5 44.8 53.0 59.7
Table 3.
Final Descriptive Statistics and Reliability Estimates of the JSS-CN’s Factors (N=360)
Factors of the JSS-CN (Number of items) M±SD Skewness Kurtosis Cronbach’s α Intra-class correlation coefficient
Factor1 (9) 3.08±0.52 0.18 0.53 .88 .52
Factor2 (6) 3.23±0.64 −0.15 0.07 .87 .64
Factor3 (8) 3.33±0.48 −0.05 −0.04 .83 .78
Factor4 (4) 3.60±0.52 −0.09 0.01 .78 .81
Factor5 (3) 3.29±0.49 0.25 0.16 .76 .57
Factor6 (3) 3.61±0.55 −0.28 0.62 .74 .55
Total 3.30±0.44 0.13 0.42 .95 .90

JSS-CN=Job satisfaction scale for clinical nurses; M=Mean; SD=Standard deviation.

Number of participants=28; Factor1=Recognition from the organization and professional achievement; Factor2=Personal maturation through the nursing profession; Factor3=Interpersonal interaction with respect and recognition; Factor4=Accomplishment of accountability as a nurse;

Factor5=Display of professional competency; Factor6=Stability and job worth.

Table 4.
Correlations between the scores of the JSS-CN, Slavitt's Job Satisfaction Scale and Work Performance (N=360)
Variables JSS-CN
Total r (p) Factor1 r (p) Factor2 r (p) Factor3 r (p) Factor4 r (p) Factor5 r (p) Factor6 r (p)
Slavitt’s job satisfaction††
   Total .75 (<.001) .74 (<.001) .65 (<.001) .61 (<.001) .47 (<.001) .41 (<.001) .53 (<.001)
   Relationship .64 (<.001) .55 (<.001) .49 (<.001) .64 (<.001) .50 (<.001) .41 (<.001) .44 (<.001)
   Work requirement .22 (<.001) .18 (.001) .16 (.002) .18 (.001) .25 (<.001) .12 (.020) .20 (<.001)
   Pay .35 (<.001) .46 (<.001) .36 (<.001) .24 (<.001) .12 (.022) .15 (.004) .06 (.261)
   Professional position .74 (<.001) .71 (<.001) .66 (<.001) .56 (<.001) .50 (<.001) .38 (<.001) .62 (<.001)
   Autonomy .36 (<.001) .40 (<.001) .30 (<.001) .27 (<.001) .16 (.003) .19 (<.001) .33 (<.001)
   Administration .46 (<.001) .48 (<.001) .41 (<.001) .37 (<.001) .19 (<.001) .25 (<.001) .34 (<.001)
Work performance
   Total .53 (<.001) .43 (<.001) .45 (<.001) .42 (<.001) .50 (<.001) .45 (<.001) .36 (<.001)
   Patients care .51 (<.001) .39 (<.001) .41 (<.001) .41 (<.001) .52 (<.001) .48 (<.001) .37 (<.001)
   Relationship .43 (<.001) .34 (<.001) .38 (<.001) .36 (<.001) .38 (<.001) .33 (<.001) .30 (<.001)
   Occupational ethics .27 (<.001) .18 (.001) .25 (<.001) .24 (<.001) .27 (<.001) .21 (<.001) .19 (<.001)
   Quality improvement .33 (<.001) .30 (<.001) .34 (<.001) .23 (<.001) .25 (<.001) .25 (<.001) .18 (<.001)
   Infection control .29 (<.001) .30 (<.001) .23 (<.001) .23 (<.001) .24 (<.001) .22 (<.001) .07 (.170)
   Work arrangement .42 (<.001) .35 (<.001) .37 (<.001) .38 (<.001) .38 (<.001) .32 (<.001) .21 (<.001)

JSS-CN=Job satisfaction scale for clinical nurses.

Factor1=Recognition from the organization and professional achievement; Factor2=Personal maturation through the nursing profession;

Factor3=Interpersonal interaction with respe professional competency; Factor6=Stability and job worth.

††Correlation between the total scores Slavitt’s job satisfaction and work performance=.41 (p<.001

TOOLS
Similar articles