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Impact of work environment on job satisfaction and stress among hemodialysis staff in Klang Valley

Zaima Mat Yusuf
Zaima Mat Yusuf
 y 
Bit Lian Yee
Bit Lian Yee
   | 18 dic 2023
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Article Category: Original Article
Publicado en línea: 18 dic 2023
Páginas: 481 - 492
Recibido: 17 dic 2022
Aceptado: 07 feb 2023
DOI: https://doi.org/10.2478/fon-2023-0052
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© 2023 Zaima Mat Yusuf et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Chi-square correlation test between the mean scores of demographic data and PES 3 subscale of PES.

Items Low, n (%) High, n (%) χ2 P
The Manager Ability, Leadership, and Support of Staff (BPES-BTMALSS)
Education level 6.38 0.041*
  Secondary 10 (50.0) 10 (50.0)
  College/university 51 (60.0) 34 (40.0)
  Add-on renal certificate 33 (30.0) 77 (70.0)
  Staffs Foundations for Quality of Care (BPES-BSFQC)
Working experience 16.22 0.006*
  Less than 3 months 1 (11.1) 8 (88.9)
  3–6 months 4 (30.8) 9 (69.2)
  7–11 months 11 (47.8) 12 (52.2)
  1–3 years 22 (44.0) 28 (56.0)
  4–6 years 24 (53.3) 21 (46.7)
  > 6 years 18 (24.0) 57 (76.0)
Staff Participation in Haemodialysis Affairs (BPES-BSPHA)
Working experience 21.05 0.001*
  Less than 3 months 1 (11.1) 8 (88.9)
  3–6 months 8 (61.5) 5 (38.5)
  7–11 months 9 (39.1) 14 (60.9)
  1–3 years 28 (56.0) 22 (44.0)
  4–6 years 33 (73.3) 12 (26.7)
  > 6 years 31 (41.3) 44 (58.7)

Correlation of PES and MSQ (chi-square test).

Items Satisfaction Questionnaire (CSQ) χ2 P
Low, n (%) High, n (%)
Staff Participation in Haemodialysis Affairs (BPES-BSPHA) 71.84 0.001*
  Low 80 (72.7) 30 (27.3)
  High 16 (15.2) 89 (84.8)
Staffs Foundations for Quality of Care (BPES-BSFQC) 47.48 0.001*
  Low 60 (75.0) 20 (25.0)
  High 36 (26.7) 99 (73.3)
The Manager Ability, Leadership, and Support of Staff (BPES-BTMALSS) 59.97 0.001*
  Low 76 (71.0) 31 (29.0)
  High 20 (18.5) 88 (81.5)
Staffing and Resource Adequacy (BPES-BSRA) 53.73 0.001*
  Low 78 (67.8) 37 (32.2)
  High 18 (18.0) 82 (82.0)
Staffs-Doctor Relations (BPES-BSDR) 82.17 0.001*
  Low 79 (76.7) 24 (23.3)
  High 17 (15.2) 95 (84.8)
Staff-Staff Relation (BPES-BSSR) 71.04 0.001*
  Low 70 (78.7) 19 (21.3)
  High 26 (20.6) 100 (79.4)
Perceived Stress Scale (OPSS) 3.49 0.062
  Low 69 (49.3) 71 (50.7)
  High 27 (36.0) 48 (64.0)

Means and SDs of the PES-NWI, MSQ, and PSS-10 (N = 215).

Instrument Mean SD
PES-NWI: 3.46 0.58
Staff Participation in Haemodialysis Affairs (BPES-BSPHA) 3.33 0.65
Staffs Foundations for Quality of Care (BPES-BSFQC) 3.49 0.59
Manager Ability, Leadership, and Support of Staff (BPES-BTMALSS) 3.43 0.78
Staffing and Resource Adequacy (BPES-BSRA) 3.33 0.70
Staffs-Doctor Relations (BPES-BSDR) 3.59 0.80
Staff-Staff Relation (BPES-BSSR) 3.63 0.86
SQ 3.26 0.56
PSS 2.84 0.63

Mean, level, and ranking PSS (N = 215).

ID Perceived Stress Scale (DPSS) Mean SD Level Ranking
H61 In the last month how often you have been upset because of something that happened unexpectedly? 2.87 0.86 Moderate 4
H62 In the last month, how often have you felt that you were unable to control the important things in your life? 2.67 0.96 Moderate 9
H63 In the last month, how often have you felt nervous and stressed? 2.89 0.98 Moderate 3
H64 In the last month, how often have you felt confident about your ability to handle your personal problems? 3.19 1.01 Moderate 1
H65 In the last month, how often have you felt that things were going your way? 3.01 0.92 Moderate 2
H66 In the last month, how often have you found that you could not cope with all the things that you had to do? 2.69 0.86 Moderate 8
H67 In the last month, how often have you been able to control irritations in your life? 2.84 0.97 Moderate 5
H68 In the last month, how often have you felt that you were on top of things? 2.84 0.91 Moderate 6
H69 In the last month, how often have you been angered because of things that happened that were outside of your control? 2.75 0.91 Moderate 7
H70 In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? 2.67 0.90 Moderate 10

Demographic profile of respondents (N = 215).

Item Frequency (n) Percentage (%) Mean (SD)
Gender
  Female 191 88.8
  Male 24 11.2
Nationality
  Malaysia 215 100.0
Race
  Malay 191 88.8
  Chinese 2 0.9
  Indian 9 4.2
  Others 13 6.0
Marital status
  Married 153 71.2
  Single 62 28.8
Education level
  Secondary 20 9.3
  College/university 85 39.5
  Add-on renal certificate 110 51.2
Age (years) 2.6 (0.708)
  20–30 108 50.2
  31–40 89 41.4
  41–50 13 6.0
  ≥50 5 2.3
Working experience 4.55 (1.426)
  Less than 3 months 9 4.2
  3–6 months 13 6.0
  7–11 months 23 10.7
  1–3 years 50 23.3
  4–6 years 45 20.9
  >6 years 75 34.9
Job title/position
  Unit manager/in-charge nurse 29 13.5
  Staff nurse 133 61.9
  Medical assistant 22 10.2
  Dialysis assistant 24 11.2
  Others 7 3.3
Total 215 100.0

Correlation of education level, job title, and perceived stress (chi-square test) (N = 215).

Items Perceived Stress Scale (OPSS) χ2 P
Low, n (%) High, n (%)
Gender 1.16 0.281
  Female 122 (63.9) 69 (36.1)
  Male 18 (75.0) 6 (25.0)
Race 0.96 0.811
  Malay 126 (66.0) 65 (34.0)
  Chinese 1 (50.0) 1 (50.0)
  Indian 6 (66.7) 3 (33.3)
  Others 7 (53.8) 6 (46.2)
Marital status 0.19 0.665
  Married 101 (66.0) 52 (34.0)
  Single 39 (62.9) 23 (37.1)
Education level 7.27 0.026*
  Secondary 18 (90.0) 2 (10.0)
  College/university 54 (63.5) 31 (36.5)
  Add-on renal certificate 68 (61.8) 42 (38.2)
Age (years) 2.25 0.522
  20–30 75 (69.4) 33 (30.6)
  31–40 53 (59.6) 36 (40.4)
  41–50 9 (69.2) 4 (30.8)
  50 3 (60.0) 2 (40.0)
Working experience 1.82 0.874
  Less than 3 months 6 (66.7) 3 (33.3)
  3–6 months 7 (53.8) 6 (46.2)
  7–11 months 13 (56.5) 10 (43.5)
  1–3 years 33 (66.0) 17 (34.0)
  4–6 years 31 (68.9) 14 (31.1)
  >6 years 50 (66.7) 25 (33.3)
Job title/position 12.91 0.012*
  Unit manager/in-charge nurse 15 (51.7) 14 (48.3)
  Staff nurse 82 (61.7) 51 (38.3)
  Medical assistant 16 (72.7) 6 (27.3)
Dialysis assistant 22 (91.7) 2 (8.3)
  Others 5 (71.4) 2 (28.6)
Staff Participation in Haemodialysis Affairs (BPES-BSPHA) 1.57 0.211
  Low 76 (69.1) 34 (30.9)
  High 64 (61.0) 41 (39.0)
Staffs Foundations for Quality of Care (BPES-BSFQC) 0.74 0.389
  Low 55 (68.8) 25 (31.3)
  High 85 (63.0) 50 (37.0)
Manager Ability, Leadership, and Support of Staff (BPES-BTMALSS) 0.91 0.341
  Low 73 (68.2) 34 (31.8)
  High 67 (62.0) 41 (38.0)
Staffing and Resource Adequacy (BPES-BSRA) 1.40 0.238
  Low 79 (68.7) 36 (31.3)
  High 61 (61.0) 39 (39.0)
Staffs-Doctor Relations (BPES-BSDR) 0.31 0.580
  Low 69 (67.0) 34 (33.0)
  High 71 (63.4) 41 (36.6)
Staff-Staff Relations (BPES-BSSR) 0.35 0.552
  Low 60 (67.4) 29 (32.6)
  High 80 (63.5) 46 (36.5)
Satisfaction Questionnaire (CSQ) 3.49 0.062
  Low 69 (71.9) 27 (28.1)
  High 71 (59.7) 48 (40.3)
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