Skip to main content
Top
Published in: Human Resources for Health 1/2021

Open Access 01-12-2021 | Research

Job satisfaction among Syrian healthcare workers in refugee health centres

Authors: Monica Zikusooka, Omur Cinar Elci, Habibe Özdemir

Published in: Human Resources for Health | Issue 1/2021

Login to get access

Abstract

Background

Achieving universal health coverage is subject to the availability, accessibility, acceptability, and quality of health workers. Countries that host refugees and migrants, such as Turkey, must strengthen the capacity of their health systems to increase access to services, especially for refugees and migrants. The Turkish Ministry of Health adapted Syrian refugee healthcare workers in the healthcare services to boost Syrian refugees’ access to healthcare. This study aimed to assess job satisfaction and the factors influencing job satisfaction among refugee physicians and nurses working in Refugee Healthcentres (RHCs) in Turkey.

Methods

A self-administered, cross-sectional survey targeted all Syrian physicians and nurses working in RHCs across Turkey. The short-form Minnesota Satisfaction Questionnaire(MSQ) was used to assess job satisfaction. In total, 555 nurse/midwives and 336 physicians responded, yielding a total response rate of 56.5%. Descriptive analyses and linear regression tests were conducted to determine the level of job satisfaction and to analyze determinant factors.

Results

Nurses/midwives reported the highest level of general job satisfaction, followed by specialist physicians and general physicians. Physicians who had worked as specialists in Syria but were now working as general physicians in Turkey had the lowest job satisfaction levels. Multiple regression analysis showed that professional status in Turkey, income, teamwork and team management were significantly associated with job satisfaction.

Conclusions

To maintain a high level of job satisfaction in refugee healthcare workers, human resources management should consider matching job placements with training specialization and support good leadership and good teamwork. Remuneration that accounts for the cost of living and non-financial incentives could also play a significant role in job satisfaction.
Literature
2.
go back to reference Bucken-Knapp G, Fakih Z, Spehar A. Talking about integration: the voices of Syrian refugees taking part in introduction programmes for integration into Swedish Society. Int Migr. 2019;57(2):221–34.CrossRef Bucken-Knapp G, Fakih Z, Spehar A. Talking about integration: the voices of Syrian refugees taking part in introduction programmes for integration into Swedish Society. Int Migr. 2019;57(2):221–34.CrossRef
3.
go back to reference Khan-Gökkaya S, Mösko M. Labour market integration of refugee health professionals in Germany: challenges and strategies. Int Migr. 2020;59:105–26.CrossRef Khan-Gökkaya S, Mösko M. Labour market integration of refugee health professionals in Germany: challenges and strategies. Int Migr. 2020;59:105–26.CrossRef
4.
go back to reference Jirovsky E, Hoffmann K, Maier M, Kutalek R. Why should I have come here—a qualitative investigation of migration reasons and experiences of health workers from sub-Saharan Africa in Austria. BMC Health Serv Res. 2015;15(1):1–12.CrossRef Jirovsky E, Hoffmann K, Maier M, Kutalek R. Why should I have come here—a qualitative investigation of migration reasons and experiences of health workers from sub-Saharan Africa in Austria. BMC Health Serv Res. 2015;15(1):1–12.CrossRef
5.
go back to reference Leblanc Y, Bourgeault IL, Neiterman E. Comparing approaches to integrating refugee and asylum-seeking healthcare professionals in Canada and the UK. Healthc Policy | Polit Santé. 2013;9(1):126–38.CrossRef Leblanc Y, Bourgeault IL, Neiterman E. Comparing approaches to integrating refugee and asylum-seeking healthcare professionals in Canada and the UK. Healthc Policy | Polit Santé. 2013;9(1):126–38.CrossRef
9.
go back to reference Kureshi S, Namak SY, Sahhar F, Mishori R. Supporting the integration of refugee and asylum seeking physicians into the US Health Care System. J Grad Med Educ. 2019;11(4):22–9.CrossRef Kureshi S, Namak SY, Sahhar F, Mishori R. Supporting the integration of refugee and asylum seeking physicians into the US Health Care System. J Grad Med Educ. 2019;11(4):22–9.CrossRef
11.
go back to reference Cohn S, Alenya J, Murray K, Bhugra D, De Guzman JSU. Experiences and expectations of refugee doctors: qualitative study. Br J Psychiatry. 2006;189:74–8.CrossRef Cohn S, Alenya J, Murray K, Bhugra D, De Guzman JSU. Experiences and expectations of refugee doctors: qualitative study. Br J Psychiatry. 2006;189:74–8.CrossRef
12.
go back to reference Butt MF, Salmon L, Mulamehic F, Hixon A, Moodambail AR, Gupta S. Integrating refugee healthcare professionals in the uk national health service: experience from a multi-agency collaboration. Adv Med Educ Pract. 2019;10:891–6.CrossRef Butt MF, Salmon L, Mulamehic F, Hixon A, Moodambail AR, Gupta S. Integrating refugee healthcare professionals in the uk national health service: experience from a multi-agency collaboration. Adv Med Educ Pract. 2019;10:891–6.CrossRef
16.
go back to reference Abubakar I, Aldridge RW, Devakumar D, Orcutt M, Burns R, Barreto ML, et al. The UCL–Lancet Commission on Migration and Health: the health of a world on the move. Lancet. 2018;392(10164):2606–54.CrossRef Abubakar I, Aldridge RW, Devakumar D, Orcutt M, Burns R, Barreto ML, et al. The UCL–Lancet Commission on Migration and Health: the health of a world on the move. Lancet. 2018;392(10164):2606–54.CrossRef
17.
go back to reference Hohn MD, Witte JC. Immigrants in health care—keeping Americans healthy through care and innovation. 2016;(June). file:///Users/nhoriebhest.pierre/Downloads/health_care_report_FINAL_20160629.pdf Hohn MD, Witte JC. Immigrants in health care—keeping Americans healthy through care and innovation. 2016;(June). file:///Users/nhoriebhest.pierre/Downloads/health_care_report_FINAL_20160629.pdf
18.
go back to reference Linzer M, Manwell LB, Williams ES, Bobula JA, Brown RL, Varkey AB, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med. 2009;151(1):28–36, W6–9. Linzer M, Manwell LB, Williams ES, Bobula JA, Brown RL, Varkey AB, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med. 2009;151(1):28–36, W6–9.
19.
go back to reference Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med. 2000;15(2):122–8.CrossRef Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med. 2000;15(2):122–8.CrossRef
20.
go back to reference Janicijevic I, Seke K, Djokovic A, Filipovic J. Healthcare workers satisfaction and patient satisfaction—where is the linkage? Hippokratia. 2013;17(2):157–62.PubMedPubMedCentral Janicijevic I, Seke K, Djokovic A, Filipovic J. Healthcare workers satisfaction and patient satisfaction—where is the linkage? Hippokratia. 2013;17(2):157–62.PubMedPubMedCentral
21.
go back to reference Kvist T, Voutilainen A, Mäntynen R, Vehviläinen-Julkunen K. The relationship between patients’ perceptions of care quality and three factors: nursing staff job satisfaction, organizational characteristics and patient age. BMC Health Serv Res. 2014;14(1):466.CrossRef Kvist T, Voutilainen A, Mäntynen R, Vehviläinen-Julkunen K. The relationship between patients’ perceptions of care quality and three factors: nursing staff job satisfaction, organizational characteristics and patient age. BMC Health Serv Res. 2014;14(1):466.CrossRef
23.
go back to reference DiMatteo MR, Sherbourne CD, Hays RD, Ordway L, Kravitz RL, McGlynn EA, et al. Physicians’ characteristics influence patients’ adherence to medical treatment: results from the medical outcomes study. Health Psychol. 1993;12(2):93–102.CrossRef DiMatteo MR, Sherbourne CD, Hays RD, Ordway L, Kravitz RL, McGlynn EA, et al. Physicians’ characteristics influence patients’ adherence to medical treatment: results from the medical outcomes study. Health Psychol. 1993;12(2):93–102.CrossRef
25.
go back to reference Domagała A, Bała MM, Storman D, Peña-Sánchez JN, Świerz MJ, Kaczmarczyk M, et al. Factors associated with satisfaction of hospital physicians: a systematic review on european data. Int J Environ Res Public Health. 2018;15(11):2546.CrossRef Domagała A, Bała MM, Storman D, Peña-Sánchez JN, Świerz MJ, Kaczmarczyk M, et al. Factors associated with satisfaction of hospital physicians: a systematic review on european data. Int J Environ Res Public Health. 2018;15(11):2546.CrossRef
26.
go back to reference Van Bogaert P, Timmermans O, Weeks SM, van Heusden D, Wouters K, Franck E. Nursing unit teams matter: impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events—a cross-sectional survey. Int J Nurs Stud. 2014;51(8):1123–34. https://doi.org/10.1016/j.ijnurstu.2013.12.009.CrossRefPubMed Van Bogaert P, Timmermans O, Weeks SM, van Heusden D, Wouters K, Franck E. Nursing unit teams matter: impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events—a cross-sectional survey. Int J Nurs Stud. 2014;51(8):1123–34. https://​doi.​org/​10.​1016/​j.​ijnurstu.​2013.​12.​009.CrossRefPubMed
27.
go back to reference Lu H, Zhao Y, While A. Job satisfaction among hospital nurses: a literature review. Int J Nurs Stud. 2019;94:21–31.CrossRef Lu H, Zhao Y, While A. Job satisfaction among hospital nurses: a literature review. Int J Nurs Stud. 2019;94:21–31.CrossRef
28.
go back to reference Doede M. Race as a predictor of job satisfaction and turnover in US nurses. J Nurs Manag. 2017;25(3):207–14.CrossRef Doede M. Race as a predictor of job satisfaction and turnover in US nurses. J Nurs Manag. 2017;25(3):207–14.CrossRef
29.
go back to reference Carthon JMB, Travers JL, Hounshell D, Udoeyo I, Chittams J. Disparities in nurse job dissatisfaction and intent to leave: implications for retaining a diverse workforce. J Nurs Adm. 2021;51(6):310–7.CrossRef Carthon JMB, Travers JL, Hounshell D, Udoeyo I, Chittams J. Disparities in nurse job dissatisfaction and intent to leave: implications for retaining a diverse workforce. J Nurs Adm. 2021;51(6):310–7.CrossRef
30.
go back to reference Gebregziabher D, Berhanie E, Berihu H, Belstie A, Teklay G. The relationship between job satisfaction and turnover intention among nurses in Axum comprehensive and specialized hospital Tigray, Ethiopia. BMC Nurs. 2020;19(1):1–8.CrossRef Gebregziabher D, Berhanie E, Berihu H, Belstie A, Teklay G. The relationship between job satisfaction and turnover intention among nurses in Axum comprehensive and specialized hospital Tigray, Ethiopia. BMC Nurs. 2020;19(1):1–8.CrossRef
33.
go back to reference Mathauer I, Imhoff I. Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Hum Resour Health. 2006;4:1–17.CrossRef Mathauer I, Imhoff I. Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Hum Resour Health. 2006;4:1–17.CrossRef
34.
go back to reference Khunou SH, Davhana-Maselesele M. Level of job satisfaction amongst nurses in the North-West Province, South Africa: post occupational specific dispensation. Curationis. 2016;39(1):1438.CrossRef Khunou SH, Davhana-Maselesele M. Level of job satisfaction amongst nurses in the North-West Province, South Africa: post occupational specific dispensation. Curationis. 2016;39(1):1438.CrossRef
35.
go back to reference Lambrou P, Kontodimopoulos N, Niakas D. Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital. Hum Resour Health. 2010;8:1–9.CrossRef Lambrou P, Kontodimopoulos N, Niakas D. Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital. Hum Resour Health. 2010;8:1–9.CrossRef
36.
go back to reference Janus K, Amelung VE, Gaitanides M, Schwartz FW. German physicians “on strike”—shedding light on the roots of physician dissatisfaction. Health Policy (New York). 2007;82(3):357–65.CrossRef Janus K, Amelung VE, Gaitanides M, Schwartz FW. German physicians “on strike”—shedding light on the roots of physician dissatisfaction. Health Policy (New York). 2007;82(3):357–65.CrossRef
38.
go back to reference Peña-Sánchez JN, Lepnurm R, Morales-Asencio JM, Delgado A, Domagała A, Górkiewicz M. Factors identified with higher levels of career satisfaction of physicians in Andalusia, Spain. Health Psychol Res. 2014;2(2):1527.CrossRef Peña-Sánchez JN, Lepnurm R, Morales-Asencio JM, Delgado A, Domagała A, Górkiewicz M. Factors identified with higher levels of career satisfaction of physicians in Andalusia, Spain. Health Psychol Res. 2014;2(2):1527.CrossRef
39.
go back to reference Chang W, Ma J, Chiu H, Lin K, Lee P. Job satisfaction and perceptions of quality of patient care, collaboration and teamwork in acute care hospitals. J Nurs Manag. 2009;65(9):19461955. Chang W, Ma J, Chiu H, Lin K, Lee P. Job satisfaction and perceptions of quality of patient care, collaboration and teamwork in acute care hospitals. J Nurs Manag. 2009;65(9):19461955.
41.
go back to reference Pearson A, Pallas L, Thomson D, Doucette E, Tucker D, Wiechula R, et al. Systematic review of evidence on the impact of nursing workload and staffing on establishing healthy work environments. Int J Evid Based Healthc. 2004;4(4):337–84. Pearson A, Pallas L, Thomson D, Doucette E, Tucker D, Wiechula R, et al. Systematic review of evidence on the impact of nursing workload and staffing on establishing healthy work environments. Int J Evid Based Healthc. 2004;4(4):337–84.
42.
go back to reference Williams ES, Rondeau KV, Xiao Q, Francescutti LH. Heavy physician workloads: impact on physician attitudes and outcomes. Health Serv Manag Res. 2007;20(4):261–9.CrossRef Williams ES, Rondeau KV, Xiao Q, Francescutti LH. Heavy physician workloads: impact on physician attitudes and outcomes. Health Serv Manag Res. 2007;20(4):261–9.CrossRef
43.
go back to reference Semachew A, Belachew T, Tesfaye T, Adinew YM. Predictors of job satisfaction among nurses working in Ethiopian public hospitals, 2014: Institution-based cross-sectional study. Hum Resour Health. 2017;15(1):1–8.CrossRef Semachew A, Belachew T, Tesfaye T, Adinew YM. Predictors of job satisfaction among nurses working in Ethiopian public hospitals, 2014: Institution-based cross-sectional study. Hum Resour Health. 2017;15(1):1–8.CrossRef
Metadata
Title
Job satisfaction among Syrian healthcare workers in refugee health centres
Authors
Monica Zikusooka
Omur Cinar Elci
Habibe Özdemir
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2021
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-021-00685-x

Other articles of this Issue 1/2021

Human Resources for Health 1/2021 Go to the issue