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Human Resources for Health
Published in: Human Resources for Health 1/2018

Open Access 01-12-2018 | Research

The effects of workplace respect and violence on nurses’ job satisfaction in Ghana: a cross-sectional survey

Author: Isaac Mensah Boafo

Published in: Human Resources for Health | Issue 1/2018

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Abstract

Background

Studies have established the negative effects of workplace disrespect and violence on the personal and professional well-being of nurses. In spite of this, only a few have directly investigated the effects of these issues on nurses’ job satisfaction. In Africa, research on nurses’ job satisfaction continues to focus largely on economic factors. The aim of this paper was, therefore, to investigate the impact of the non-economic factors of workplace violence and respect on the job satisfaction levels of nurses in Ghana.

Methods

The study employed a cross-sectional questionnaire survey. It involved 592 qualified practising nurses working in public hospitals in Ghana. Data were collected between September 2013 and April 2014.

Results

The results showed that, overall, nurses were neither satisfied nor dissatisfied with their jobs (M = 3.19, SD = .54). More than half (52.7%) of the participants had been abused verbally, and 12% had been sexually harassed in the 12 months prior to the study. The majority of nurses, however, believed they were respected at the workplace (M = 3.77, SD = .70, Mode = 4). Multiple regression analyses showed that verbal abuse and perceived respect were statistically significant predictors of nurses’ job satisfaction. Nurses who experienced verbal abuse and low level of respect were more likely to report low job satisfaction scores.

Conclusion

It is concluded that non-financial strategies such as safe work environments which are devoid of workplace violence may enhance nurses’ job satisfaction levels. A policy of “zero tolerance” for violence and low tolerance for disrespect could be put in place to protect nurses and healthcare professionals in general.
Literature
1.
Hassmiller SB, Cozine M. Addressing the nurse shortage to improve the quality of patient care. Health Aff. 2006;25(1):268–74.CrossRef
2.
Oulton JA. The global nursing shortage: an overview of issues and actions. Policy, Politics, & Nursing Practice. 2006;7(3 suppl):34S–9S.CrossRef
3.
4.
Lu H, et al. Job satisfaction among hospital nurses revisited: a systematic review. Int J Nurs Stud. 2012;49(8):1017–38.CrossRefPubMed
5.
Samir N, et al. Nurses’ attitudes and reactions to workplace violence in obstetrics and gynaecology departments in Cairo hospitals. East Mediterr Health J. 2012;18(3):197–204.CrossRef
6.
De Gieter S, Hofmans J, Pepermans R. Revisiting the impact of job satisfaction and organizational commitment on nurse turnover intention: an individual differences analysis. Int J Nurs Stud. 2011;48(12):1562–9.CrossRefPubMed
7.
Bonenberger M, et al. The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study. Hum Resour Health. 2014;12:43.CrossRefPubMedPubMedCentral
8.
Hayes, B., A. Bonner, and C. Douglas, The levels of job satisfaction, stress and burnout in Australian and New Zealand haemodialysis nurses. 2013.
9.
Anarfi J, Quartey P, Agyei J. Key determinants of migration among health professionals in Ghana. Globalization and Poverty: Developtment Research Center on Migration; 2010. p. 3–18.
10.
Lu H, While AE, Barriball KL. Job satisfaction and its related factors: a questionnaire survey of hospital nurses in mainland China. Int J Nurs Stud. 2007;44(4):574–88.CrossRefPubMed
11.
Adams A, Bond S. Hospital nurses’ job satisfaction, individual and organizational characteristics. J Adv Nurs. 2000;32(3):536–43.CrossRefPubMed
12.
Cummings GG, et al. The relationship between nursing leadership and nurses’ job satisfaction in Canadian oncology work environments. J Nurs Manag. 2008;16(5):508–18.CrossRefPubMed
13.
Bjørk IT, et al. Job satisfaction in a Norwegian population of nurses: a questionnaire survey. Int J Nurs Stud. 2007;44(5):747–57.CrossRefPubMed
14.
15.
White MJ, White GB. Implicit and explicit occupational gender stereotypes. Sex Roles. 2006;55(3–4):259–66.CrossRef
16.
Zangaro GA, Soeken KL. A meta-analysis of studies of nurses’ job satisfaction. Research in nursing & health. 2007;30(4):445–58.CrossRef
17.
Tollison AC. Stereotype threat in male nurse-patient interactions. The University of Texas at Austin: Texas. 2013;
18.
Dekeyser Ganz F, Toren O. Israeli nurse practice environment characteristics, retention, and job satisfaction. Israel journal of health policy research. 2014;3(1):7.CrossRefPubMedPubMedCentral
19.
Coomber B, Louise Barriball K. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. Int J Nurs Stud. 2007;44(2):297–314.CrossRefPubMed
20.
Turner BS. Medical power and social knowledge. London: Sage; 1995.
21.
Upreti, P., A study to assess the level of job satisfaction among nursing personnel working at BPKIHS..(unpublished dissertation). BP Koirala institute of health sciences. 2008.
22.
Ayamolowo SJ, Irinoye O, Oladoyin MA. Job satisfaction and work environment of primary health care nurses in Ekiti state, Nigeria: an exploratory study. Int J Caring Sci. 2013;6:531–42.
23.
Hipwell AE, Tyler PA, Wilson CM. Sources of stress and dissatisfaction among nurses in four hospital environments. Br J Med Psychol. 2011;62(1):71–9.CrossRef
24.
Negussie N. Relationship between rewards and nurses’ work motivation in Addis Ababa hospitals. Ethiopian journal of health sciences. 2012;22(2)
25.
Mohite N, Shinde M, Gulavani A. Job satisfaction among nurses working at selected tertiary care hospitals. International Journal of Science and Research (IJSR). 2014;3:1006–112.
26.
ILO, ICN, WHO, & PSI. Workplace Violence in the Health Sector Country Case Study – Questionnaire. Geneva: WHO; 2003.
27.
AbuAlRub RF, Al-Asmar AH. Psychological violence in the workplace among Jordanian hospital nurses. J Transcult Nurs. 2014;25(1):6–14.CrossRefPubMed
28.
Albashtawy M. Workplace violence against nurses in emergency departments in Jordan. Int Nurs Rev. 2013;60(4):550–5.CrossRefPubMed
29.
Hanson GC, et al. Workplace violence against homecare workers and its relationship with workers health outcomes: a cross-sectional study. BMC Public Health. 2015;15(1):1–13.CrossRef
30.
Hinchberger PA. Violence against female student nurses in the workplace. Nurs Forum. 2009;44(1):37–46.CrossRefPubMed
31.
Lepping P, et al. Percentage prevalence of patient and visitor violence against staff in high-risk UK medical wards. Clinical medicine. 2013;13(6):543–6.CrossRefPubMed
32.
Boafo IM, Hancock P, Gringart E. Sources, incidence and effects of non-physical workplace violence against nurses in Ghana. Nursing Open. 2016;3(2):99–109.CrossRefPubMedPubMedCentral
33.
Miers, M., Gender Issues and Nursing Practice 2000, London: MacMillan.
34.
Boafo IM, Hancock P. Workplace violence against nurses: a cross-sectional descriptive study of Ghanaian nurses. SAGE Open. 2017;7(1)
35.
Franz S, et al. Aggression and violence against health care workers in Germany--a cross sectional retrospective survey. BMC Health Serv Res. 2010;10:51.CrossRefPubMedPubMedCentral
36.
Al-Omari H. Physical and verbal workplace violence against nurses in Jordan. Int Nurs Rev. 2015;62(1):111–8.CrossRefPubMed
37.
Çelik Y, Çelik SŞ. Sexual harassment against nurses in Turkey. J Nurs Scholarsh. 2007;39(2):200–6.CrossRefPubMed
38.
Gacki-Smith J, et al. Violence against nurses working in US emergency departments. J Nurs Adm. 2009;39(7/8):340–9.CrossRefPubMed
39.
Nachreiner NM, et al. Difference in work-related violence by nurse license type. J Prof Nurs. 2007;23(5):290–300.CrossRefPubMed
40.
Yaktin US, Azoury NB-R, Doumit MA. Personal characteristics and job satisfaction among nurses in Lebanon. J Nurs Adm. 2003;33(7/8):384–90.CrossRefPubMed
41.
Addae S. The evolution of modern medicine in a developing country: Ghana 1880–1960. Durham: Academic Press; 1996.
42.
Laschinger HKS. Hospital nurses’ perceptions of respect and organizational justice. J Nurs Adm. 2004;34(7–8):354–64.CrossRef
43.
Kangas S, Kee CC, McKee-Waddle R. Organizational factors, nurses’ job satisfaction, and patient satisfaction with nursing care. J Nurs Adm. 1999;29(1):32–42.CrossRefPubMed
44.
Barrett L, Yates P. Oncology/haematology nurses: a study of job satisfaction, burnout, and intention to leave the specialty. Aust Health Rev. 2002;25(3):109–21.CrossRefPubMed
45.
Larrabee JH, et al. Predicting registered nurse job satisfaction and intent to leave. J Nurs Adm. 2003;33(5):271–83.CrossRefPubMed
46.
Usmani S, Jamal S. Impact of distributive justice, procedural justice, interactional justice, temporal justice, spatial justice on job satisfaction of banking employees. Review of Integrative Business and Economics Research. 2013;2(1):351–85.
47.
Al-Zu’bi HA. A study of relationship between organizational justice and job satisfaction. International Journal of Business and Management. 2010;5(12):102.
48.
Thomas P, Nagalingappa DG. Consequences of perceived organizational justice: an empirical study of white-collar employees. Journal of Arts, Science & Commerce. 2013;3(2):54–63.
49.
Cotter DA, Hermsen JM, Vanneman R. The effects of occupational gender segregation across race. Sociol Q. 2003;44(1):17–36.CrossRef
50.
Purcell D, MacArthur KR, Samblanet S. Gender and the glass ceiling at work. Sociol Compass. 2010;4(9):705–17.CrossRef
51.
Rosenstein AH. Nurse-physician relationships: impact on nurse satisfaction and retention. AJN The American Journal of Nursing. 2002;102(6):26–34.CrossRefPubMed
52.
53.
Gamarnikow E. Sexual division of labour: the case of nursing. In: Kuhn A, Wolpe A, editors. Feminism and materialism: women and modes of production; 1978. p. 96–123.
54.
Ghana Statistical Service (GSS). 2010 Population & Housing Census: summary report of final results. Accra: Ghana Statistical Service; 2012.
55.
Leape LL, et al. Perspective: a culture of respect, part 1: the nature and causes of disrespectful behavior by physicians. Acad Med. 2012;87(7):845–52.CrossRefPubMed
56.
Ezzat HA, Lashin O. Violence on hospital nurses and job satisfaction. The new Egyptian Journal of Medicine. 2005;32(6):7–16.
57.
Pillinger J. Quality health care and workers on the move: Ghana National Report. Ferney-Voltaire: Public Services International, International Migration and Women Health and Social Care Workers Programme; 2011.
58.
WHO. Global strategy on human resources for health: workforce 2030. Geneva: WHO; 2016.
59.
Greenberg J. Setting the justice agenda: seven unanswered questions about “what, why, and how”. J Vocat Behav. 2001;58(2):210–9.CrossRef
60.
Nagy MS. Using a single-item approach to measure facet job satisfaction. J Occup Organ Psychol. 2002;75(1):77–86.CrossRef
61.
Siegrist J. Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol. 1996;1(1):27.CrossRefPubMed
62.
Mrayyan MT. Jordanian nurses’ job satisfaction and intent to stay: comparing teaching and non-teaching hospitals. J Prof Nurs. 2007;23(3):125–36.CrossRefPubMed
63.
Boafo, I.M., P. Hancock, and E. Gringart, Sources, incidence and effects of non-physical workplace violence against nurses in Ghana. Nursing open, 2016.
64.
Pallant J. SPSS survival manual. London: McGraw-Hill Education; 2013.
65.
Mrayyan MT. Jordanian nurses’ job satisfaction, patients’ satisfaction and quality of nursing care. Int Nurs Rev. 2006;53(3):224–30.CrossRefPubMed
66.
Budin WC, et al. Verbal abuse from nurse colleagues and work environment of early career registered nurses. J Nurs Scholarsh. 2013;45(3):308–16.CrossRefPubMed
67.
Gerberich SG, et al. An epidemiological study of the magnitude and consequences of work related violence: the Minnesota nurses’ study. Occupational & Environmental Medicine. 2004;61(6):495–503.CrossRef
68.
Harris B, Leather P. Levels and consequences of exposure to service user violence: evidence from a sample of UK social care staff. Br J Soc Work. 2011:1–19.
69.
Purpora C, Blegen MA. Job satisfaction and horizontal violence in hospital staff registered nurses: the mediating role of peer relationships. J Clin Nurs. 2015;24(15–16):2286–94.CrossRefPubMed
70.
Al-Dossary R, Vail J, Macfarlane F. Job satisfaction of nurses in a Saudi Arabian university teaching hospital: a cross-sectional study. Int Nurs Rev. 2012;59(3):424–30.CrossRefPubMed
71.
Ham J. The relation among nurses’ experience of verbal abuse, social support and their turnover intention, Unpublished master’s thesis. Suwon: Ajou University; 2013.
72.
Sarpong PA. Ghana in retrospect. Tema: Ghana Publishing Corporation; 1974.
Metadata
Title
The effects of workplace respect and violence on nurses’ job satisfaction in Ghana: a cross-sectional survey
Author
Isaac Mensah Boafo
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2018
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-018-0269-9

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