Journal List > J Korean Acad Nurs Adm > v.22(4) > 1051870

Kim and Park: Effects of Work Intensity and Physical Discomfort on Job Satisfaction in Clinical Nurses

Abstract

Purpose

The aim of this study was to investigate whether job satisfaction in clinical nurses was dependent on work intensity and whether physical discomfort mediated the relationships between these variables.

Methods

Structural equation modeling was used with a sample of 253 clinical nurses from four general hospitals. In the model, absolute work intensity, relative work intensity, and flexibility were considered as exogenous variables and physical discomfort as a mediating variable. Data were collected using self-report measures such as the Labor Intensity Questionnaire, the Rating of Perceived Exertion, and the Index of Job Satisfaction.

Results

The results of the structural equation modeling found that the higher scores on absolute and relative work intensity were positively associated with physical discomfort but only relative work intensity was significantly related to job satisfaction. Physical discomfort mediated the relationships between absolute work intensity and job satisfaction and between relative work intensity and job satisfaction. Among three kinds of work intensity, only relative work intensity had direct and indirect effects on job satisfaction.

Conclusion

The findings suggest that increase in relative work intensity might play an important role in decreasing job satisfaction in clinical nurses and a reasonable reward system considering relative work intensity could be necessary.

Figures and Tables

Figure 1

Conceptual framework.

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Figure 2

Standardized estimates of the final model.

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Table 1

Descriptive Values of the Variables (N=253)

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Table 2

Correlation among Variables (N=253)

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Table 3

Standardized Direct, Indirect, and Total Effects

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Notes

This article is a revision of the first author's master's thesis from Eulji University.

References

1. Ko JW, Yom YH. The role of social support in the relationship between job stress and job satisfaction/organizational commitment among hospital nurses. J Korean Acad Nurs. 2003; 33(2):265–274.
2. Yom YH. Analysis of burnout and job satisfaction among nurses based on the job demand-resource model. J Korean Acad Nurs. 2013; 43(1):114–122. DOI: 10.4040/jkan.2013.43.1.114.
3. Bong YS, So HS, You HS. A study on the relationship between job stress, self-efficacy and job satisfaction in nurses. J Korean Acad Nurs Adm. 2009; 15(3):425–433.
4. Yom YH, Kwon SB, Lee YY, Kwon EK, Ko JW. The determinants of job satisfaction of nurses: Focused on work rewards. J Korean Acad Nurs. 2009; 39(3):329–337. DOI: 10.4040/jkan.2009.39.3.329.
5. Lee JY, Nam HR. Effects of work environment, organizational culture and demands at work on emotional labor in nurses. J Korean Acad Nurs Adm. 2016; 22(2):119–128. DOI: 10.11111/jkana.2016.22.2.119.
6. Ko YK, Park BH. The relationship of the nursing work environment and nursing outcome among it's nurses and content analysis of nurses' workload. Korean J Hosp Manage. 2014; 19(1):54–67.
7. Lee SY, Oh EJ, Sung KM. The experiences of turnover intention in early stage nurses. J East West Nurs Res. 2013; 19(2):168–176.
8. Lee YS, Park JH. Measurement of the Nursing Staff Needed for Two Specialized Nursing units in a University Hospital. J Korean Acad Nurs. 1992; 22(4):589–603.
9. Kim EH, Park JH. Reliability and validity tests of patient classification system based on nursing intensity. J Korean Acad Nurs Adm. 2007; 13(1):5–16.
Kim IA. The association between perceived labor intensity, job stress and psychosocial well-being [dissertation]. Seoul: Hanyang University;2007. 1–143.
11. Shin WS, Kim HK. The impact of fatigue on the hotel cuisine, labor intensity and perceived job stress. Korean J Tourism Res. 2012; 26(6):221–239.
12. Song YH, GongYoo JO, Kim I, Choi W. The relationship between depressive symptoms, job stress and intensity of labor among security firm workers. Korean J Occup Environ Med. 2008; 20(4):283–294.
13. Kim I, Koh SB, Kim JS, Kang DM, Son M, Kim Y, et al. The relationship between musculoskeletal symptoms and job stress & intensity of labor among shipbuilding workers. Korean J Occup Environ Med. 2004; 16(4):401–412.
14. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002; 288(16):1987–1993. DOI: 10.1001/jama.288.16.1987.
15. Ryu T, Yun MH, Lim JH. Relationships of musculoskeletal disorder symptoms and perceived workload among hospital workers. J Ergon Soc Korea. 2012; 31(5):687–694. DOI: 10.5143/JESK.2012.31.5.687.
16. Kim YH, Kim YS, Ahn YH. Low Back Pain and Job Stress in Hospital Nurses. J Muscle Joint Health. 2007; 14(1):5–12.
17. Park JY, Kwon IS, Cho YC. Musculoskeletal Symptoms and Related Factor s among Nurses in a University Hospital. J Korea Acad Ind Coop Soc. 2011; 12(5):2163–2171.
18. Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB. The job demands-resources model of burnout. J Appl Psychol. 2001; 86(3):499–512. DOI: 10.10371/0021·9010.86.3.499.
19. Lee YS, Tae YS. The lived experience of the burnout of nurses working in oncology wards. Asian Oncol Nurs. 2012; 12(1):100–109. DOI: 10.5388/aon.2012.12.1.100.
20. Chen J, DAVIS LS, Davis KG, Pan W, Daraiseh NM. Physiological and behavioural response patterns at work among hospital nurses. J Nurs Manag. 2011; 19(1):57–68. DOI: 10.1111/j.1365-2834.2010.01210.x.
21. Lu JL. Organizational role stress indices affecting burnout among nurses. J Int Womens Stud. 2008; 9(3):63–78. http://vc.bridgew.edu/jiws/vol9/iss3/5.
22. Oh MO, Sung MH, Kim YW. Job stress, fatigue, job satisfaction and commitment to organization in emergency department nurses. J Korean Clin Nurs Res. 2011; 17(2):215–227.
23. Lee AK, Yeo JY, Jung S, Byun SS. Relations on communication competence, job-stress and job-satisfaction of clinical nurse. J Korea Contents Assoc. 2013; 13(12):299–308. DOI: 10.5392/JKCA.2013.13.12.299.
24. Schermelleh-Engel K, Moosbrugger H. Evaluation the fit of structural equation models: Tests and significance and descriptive goodness-of-fit measures. Meth Psychol Res Online. 2003; 8(2):22–74.
25. Kang DM, Shin YC, Son MA. The relationship between enhancing labor intensity and musculoskeletal diseases in Daewoo Shipbuilding Co., Ltd. Geoje: Daewoo Shipbuilding Labor Union;2002.
26. Borg G. Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med. 1970; 2(2):92–98.
27. Slavitt DB, Stamps PL, Piedmont EB, B-Hasse AM. Nurses' satisfaction with their work situation. Nurs Res. 1978; 27(2):114–120.
28. Park KO. A study of variables related to nursing productivity. J Korean Acad Nurs. 1994; 24(4):584–596.
29. Kim KJ. Human resource management system for nurses: Challenges and research directions. Korean J Health Serv Manag. 2012; 6(1):247–258.
30. Josten EJ, Thierry H. The effects of extended workdays on fatigue, health, performance and satisfaction in nursing. J Adv Nurs. 2003; 44(6):643–652. DOI: 10.1046/j.0309-2402.2003.02854.x.
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