Quality of work life and productivity among Iranian nurses
Nahid Dehghan Nayeri
Nursing and Midwifery Research Care Center, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Tahmineh Salehi
Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Ahmad Ali Asadi Noghabi
Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
PP: 106 - 118
Abstract
Nurses are amongst the employees whose lives are fully affected by the quality of work life (QWL) as a consequence of dynamic changes in work environment. Excessive workload and poor work conditions are focal issues in nursing. The QWL assessment is an important and basic effort to deal with this issue. Moreover, staff productivity is a worthy goal of organizations tending to grow. If the relationship between the QWL and productivity becomes apparent, managers can provide conditions for promoting the QWL for personnel to be productive. To our knowledge, these variables and their relationships have not been studied yet among Iranian nurses.
This descriptive study was carried out to investigate the relationship between the QWL and productivity among 360 clinical nurses working in the hospitals of Tehran University of Medical Sciences. Findings showed that the QWL is at a moderate level among 61.4% of the participants. Only 3.6% of the nurses reported that they were satisfied with their works. None of those who reported the productivity as low reported their work life quality to be desirable. Spearman-rho test showed a significant relationship between productivity and one's QWL (p < 0.001). Considering the results, managers should adopt appropriate policies to promote the QWL and productivity.
Keywords
quality of work life; productivity; clinical nurses
References
An, J. Y., Yom, Y. H., & Ruggiero, J. S. (2011). Organizational culture, quality of work life, and organizational effectiveness in Korean University Hospitals. Journal of Transcultural Nursing, 22, 22-30.
Baba, V. V., & Jamal, M. (1991). Routinization of job context and job content as related to employees' quality of working life: A study of Canadian nurses. Journal of Organizational Behavior, 12, 379-386.
Beaudoin, L. E., & Edgar, L. (2003). Hassles: Their importance to nurses' quality of work life. Nursing Economic$, 21, 106-113.
bo-Znadh, S. (1998). An exploration of selected staff and job characteristics and their relationship to quality of work life, among staff nurses in medical/surgical units in two tertiary care hospitals in Saudi Arabia. Thesis PhD, George Mason University, Virginia, VA.
Brooks, B. A., & Anderson, M. A. (2005). Defining quality of nursing work life. Nursing Economic$, 23, 319-326.
Brooks, B. A., Storfjell, J., Omoike, O., Ohlson, S., Stemler, I., Shaver, J., et al. (2007). Assessing the quality of nursing work life. Nursing Administration Quarterly, 31, 152-157.
Buchanan, J., & Thornthwaite, L. (2001). Paid work and parenting: Charting a new course for Australian families. Sydney: University of Sydney.
Carver, L. L. (2008). Organizational commitment and generational differences in nursing faculty. Unpublished doctoral dissertation, University of Nevada, Las Vegas, NV.
Cheung, F. Y. L., & Tang, C. S. K. (2009). Quality of work life as a mediator between emotional labor and work family interference. Journal of Business and Psychology, 24, 245-255.
Cole, D. C., Robson, L. S., Lemieux-Charles, L., McGuire, W., Sicotte, C., & Champagne, F. (2005). Quality of working life indicators in Canadian health care organizations: A tool for healthy, health care workplaces? Occupational Medicine, 55, 54-59.
D'Alessio, E., Magsalin, M., Neville, K. L., & Patten, C. (2010). Enhancing nursing's presence. Nursing Management, 41, 16-18.
Dargahi, H., Gharib, M., & Goodarzi, M. (2007). To assess work quality of life nurses who working in Tehran Medical Sciences Hospitals (in Persian). Hayat, 13, 13-21.
Davidson, A. (2010). Engagement and work group productivity. PhD, Capella University, Minneapolis, MN.
Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2000). A model of burnout and life satisfaction amongst nurses. Journal of Advanced Nursing, 32, 454-464.
Ferreira, M. M. F. (2007). Nurses organizational commitment: The discriminating power of gender. Nursing Administration Quarterly, 31, 61-67.
Fillion, L., Duval, S., Dumont, S., Gagnon, P., Tremblay, I., Bairati, I., et al. (2009). Impact of a meaning-centered intervention on job satisfaction and on quality of life among palliative care nurses. Psycho-Oncology, 18, 1300-1310.
Hall, L. M. (2003). Nursing intellectual capital: A theoretical approach for analyzing nursing productivity. Nursing Economic$, 21, 14-19.
Hall, L. M. G., Doran, D., & Pink, G. H. (2004). Nurse staffing models, nursing hours, and patient safety outcomes. Journal of Nursing Administration, 34, 41-45.
Harwood, L., Ridley, J., Wilson, B., & Laschinger, H. K. (2010). Occupational burnout, retention and health outcomes in nephrology nurses. CANNT journal = Journal ACITN, 20, 18-23.
Heponiemi, T., Elovainio, M., Laine, J., Pekkarinen, L., Eccles, M., Noro, A., et al. (2007). Productivity and employees' organizational justice perceptions in long-term care for the elderly. Research in Nursing & Health, 30, 498-507.
Hofstede, G. H., & Hofstede, G. (1984). Culture's consequences: International differences in work-related values. Thousand Oaks, CA: Sage.
Holcomb, B. R., Hoffart, N., & Fox, M. H. (2002). Defining and measuring nursing productivity: A concept analysis and pilot study. Journal of Advanced Nursing, 38, 378-386.
Hsu, M. Y., & Kernohan, G. (2006). Dimensions of hospital nurses' quality of working life. Journal of Advanced Nursing, 54, 120-131.
Iliopoulou, K. K., & While, A. E. (2010). Professional autonomy and job satisfaction: Survey of critical care nurses in mainland Greece. Journal of Advanced Nursing, 66(11), 2520-2531.
Iseminger, K., Levitt, F., & Kirk, L. (2009). Healing during existential moments: The 'art' of nursing presence. Nursing Clinics of North America, 44, 447-459.
Kalliath, T., & Morris, R. (2002). Job satisfaction among nurses: A predictor of burnout levels. Journal of Nursing Administration, 32, 648-654.
Korunka, C., Hoonakker, P., & Carayon, P. (2008). Quality of working life and turnover intention in information technology work. Human Factors and Ergonomics in Manufacturing & Service Industries, 18, 409-423.
Krueger, P., Brazil, K., Lohfeld, L., Edward, H. G., Lewis, D., & Tjam, E. (2002). Organization specific predictors of job satisfaction: Findings from a Canadian multi-site quality of work life cross-sectional survey. BMC Health Services Research, 2, 6.
Lacey, S. R., Teasley, S. L., Henion, J. S., Cox, K. S., Bonura, A., & Brown, J. (2008). Enhancing the work environment of staff nurses using targeted interventions of support. Journal of Nursing Administration, 38, 336-340.
Lambert, V. A., Lambert, C. E., & Yamase, H. (2003). Psychological hardiness, workplace stress and related stress reduction strategies. Nursing & Health Sciences, 5, 181-184.
Laschinger, H. K., Finegan, J., Shamian, J., & Almost, J. (2001). Testing Karasek's demands-control model in restructured healthcare settings: Effects of job strain on staff nurses' quality of work life. The Journal of Nursing Administration, 31, 233-243.
Lees, M., & Kearns, S. (2005). Improving work life quality: A diagnostic approach model. Healthcare quality. Retrieved from: http://www.longwoods.com/content/17726
Lewis, D., Brazil, K., Krueger, P., Lohfeld, L., & Tjam, E. (2001). Extrinsic and intrinsic determinants of quality of work life. Leadership in Health Services, 14, 9-15.
LoBiondo-Wood, G., & Haber, J. (2009). Nursing research: Methods and critical appraisal for evidence-based practice. 7th Edition . St. Louis: Mosby.
MacPhee, M., Ellis, J., & Sanchez, M. C. A. (2006). Nurse staffing and patient safety. The Canadian Nurse, 102, 18-23.
Melnechenko, K. L. (2003). To make a difference: Nursing presence. Nursing Forum, 38(2), 18-24.
Merriam-Webster Dictionary. (2005). Merriam- Webster online. Retrieved June 7, 2005, from http://www.merriam-webster.com
Moody, R. C. (2004). Nurse productivity measures for the 21st century. Health Care Management Review, 29, 98-106.
Morris, R., MacNeela, P., Scott, A., Treacy, P., & Hyde, A. (2007). Reconsidering the conceptualization of nursing workload: Literature review. Journal of Advanced Nursing, 57, 463-471.
Nayeri, N. D., Nazari, A. A., Salsali, M., Ahmadi, F., & Hajbaghery, M. A. (2006). Iranian staff nurses' views of their productivity and management factors improving and impeding it: A qualitative study. Nursing & Health Sciences, 8, 51-56.
Nayeri, N. D., Negarandeh, R., Vaismoradi, M., Ahmadi, F., & Faghihzadeh, S. (2009). Burnout and productivity among Iranian nurses. Nursing & Health Sciences, 11, 263-270.
Neese-Smith, D. K. (2001). Staff nurse views of their productivity and non-productivity. Health Care Management Review, 26, 7-19.
Ortiz, J., Wan, T. T. H., Meemon, N., Paek, S. C., & Agiro, A. (2010). Contextual correlates of rural health clinics' efficiency: Analysis of nurse practitioners' contributions. Nursing Economics, 26, 237-244.
Osterman, P. L. C., Schwartz Barcott, D., & Asselin, M. E. (2010). An exploratory study of nurses' presence in daily care on an oncology unit. Nursing Forum, 45(3), 197-205.
Oxford Dictionary. (2004). Oxford English dictionary online. Mount Royal College Library, Calgary, Canada, p. 14.
Polit, D. F., & Beck, C. T. (2011). Nursing research: Generating and assessing evidence for nursing practice. 9th Edition. Philadelphia: Lippincott William and Wilkins.
Rahimaghaee, F., Nayeri, D., & Mohammadi, E. (2011). Iranian nurses perceptions of their professional growth and development. OJIN: The Online Journal of Issues in Nursing, 16.
Rethinam, G. S., & Ismail, M. (2008). Constructs of quality of work life: A perspective of information and technology professionals. European Journal of Social Sciences, 7, 58-70.
Rosser, V. J., & Javinar, J. M. (2003). Midlevel student affairs leaders' intentions to leave. Journal of College Student Development, 44, 813-830.
Sale, J. E. M., & Smoke, M. (2007). Measuring quality of work-life: A participatory approach in a Canadian cancer center. Journal of Cancer Education, 22, 62-66.
Schouteten, R. (2004). Group work in a Dutch home care organization: Does it improve the quality of working life? The International Journal of Health Planning and Management, 19, 179-194.
Sellgren, S., Ekvall, G. R., & Tomson, G. R. (2006). Leadership styles in nursing management: Preferred and perceived. Journal of Nursing Management, 14, 348-355.
Sendrich, K. (2003, January). Putting the emphasis on employees as an award. Winning employer. Baptist Health Care has distant memories of the workplace shortage. Trustee, 6-10.
Sirgy, M. J., Efraty, D., Siegel, P., & Lee, D. J. (2001). A new measure of quality of work life (QWL) based on need satisfaction and spill over theories. Social Indicators Research, 55, 241-302.
Soltani, I. (2007). Human resource productivity (in Persian). Tehran: Arkan.
Strachota, E., Normandin, P., O'Brien, N., Clary, M., & Krukow, B. (2003). Reasons registered nurses leave or change employment status. Journal of Nursing Administration, 33, 111-117.
Telford, P. (2004). Quality of work life: A leadership imperative: One staff nurse's perspective reinforces how quality of work life and leadership relate to and impact on each other in restructuring nursing work environments. The Canadian Nurse, 100, 10.
Thompson, P., & Stanowski, A. (2009). Maximizing nursing productivity the benefits of improved collaboration between nursing and support services. Healthcare Financial Management: Journal of the Healthcare Financial Management Association, 63, 76-80, 82, 85.
Traynor, M., Boland, M., & Buus, N. (2010). Autonomy, evidence and intuition: Nurses and decision-making. Journal of Advanced Nursing, 66(7), 1584-1591.
Vagharseyyedin, S. A., Vanaki, Z., & Mohammadi, E. (2010). The nature nursing quality of work life: An integrative review of literature. Western Journal of Nursing Research. Accessed August 18, 2010 [Epub a head of point].
Van Laar, D., Edwards, J. A., & Easton, S. (2007). The Work-related quality of life scale for healthcare workers. Journal of Advanced Nursing, 60, 325-333.
Varjus, S. L., Leino Kilpi, H., & Suominen, T. (2010). Professional autonomy of nurses in hospital settings - Review of the literature. Scandinavian Journal of Caring Sciences, 25(1), 201-207.
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