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

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

By: Zaima Mat Yusuf and  Bit Lian Yee  
Open Access
|Dec 2023

Figures & Tables

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

ItemsLow, n (%)High, n (%)χ2P
The Manager Ability, Leadership, and Support of Staff (BPES-BTMALSS)
Education level 6.380.041*
  Secondary10 (50.0)10 (50.0)
  College/university51 (60.0)34 (40.0)
  Add-on renal certificate33 (30.0)77 (70.0)
  Staffs Foundations for Quality of Care (BPES-BSFQC)
Working experience 16.220.006*
  Less than 3 months1 (11.1)8 (88.9)
  3–6 months4 (30.8)9 (69.2)
  7–11 months11 (47.8)12 (52.2)
  1–3 years22 (44.0)28 (56.0)
  4–6 years24 (53.3)21 (46.7)
  > 6 years18 (24.0)57 (76.0)
Staff Participation in Haemodialysis Affairs (BPES-BSPHA)
Working experience 21.050.001*
  Less than 3 months1 (11.1)8 (88.9)
  3–6 months8 (61.5)5 (38.5)
  7–11 months9 (39.1)14 (60.9)
  1–3 years28 (56.0)22 (44.0)
  4–6 years33 (73.3)12 (26.7)
  > 6 years31 (41.3)44 (58.7)

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

ItemsSatisfaction Questionnaire (CSQ)χ2P
Low, n (%)High, n (%)
Staff Participation in Haemodialysis Affairs (BPES-BSPHA) 71.840.001*
  Low80 (72.7)30 (27.3)
  High16 (15.2)89 (84.8)
Staffs Foundations for Quality of Care (BPES-BSFQC) 47.480.001*
  Low60 (75.0)20 (25.0)
  High36 (26.7)99 (73.3)
The Manager Ability, Leadership, and Support of Staff (BPES-BTMALSS) 59.970.001*
  Low76 (71.0)31 (29.0)
  High20 (18.5)88 (81.5)
Staffing and Resource Adequacy (BPES-BSRA) 53.730.001*
  Low78 (67.8)37 (32.2)
  High18 (18.0)82 (82.0)
Staffs-Doctor Relations (BPES-BSDR) 82.170.001*
  Low79 (76.7)24 (23.3)
  High17 (15.2)95 (84.8)
Staff-Staff Relation (BPES-BSSR) 71.040.001*
  Low70 (78.7)19 (21.3)
  High26 (20.6)100 (79.4)
Perceived Stress Scale (OPSS) 3.490.062
  Low69 (49.3)71 (50.7)
  High27 (36.0)48 (64.0)

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

InstrumentMeanSD
PES-NWI:3.460.58
Staff Participation in Haemodialysis Affairs (BPES-BSPHA)3.330.65
Staffs Foundations for Quality of Care (BPES-BSFQC)3.490.59
Manager Ability, Leadership, and Support of Staff (BPES-BTMALSS)3.430.78
Staffing and Resource Adequacy (BPES-BSRA)3.330.70
Staffs-Doctor Relations (BPES-BSDR)3.590.80
Staff-Staff Relation (BPES-BSSR)3.630.86
SQ3.260.56
PSS2.840.63

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

IDPerceived Stress Scale (DPSS)MeanSDLevelRanking
H61In the last month how often you have been upset because of something that happened unexpectedly?2.870.86Moderate4
H62In the last month, how often have you felt that you were unable to control the important things in your life?2.670.96Moderate9
H63In the last month, how often have you felt nervous and stressed?2.890.98Moderate3
H64In the last month, how often have you felt confident about your ability to handle your personal problems?3.191.01Moderate1
H65In the last month, how often have you felt that things were going your way?3.010.92Moderate2
H66In the last month, how often have you found that you could not cope with all the things that you had to do?2.690.86Moderate8
H67In the last month, how often have you been able to control irritations in your life?2.840.97Moderate5
H68In the last month, how often have you felt that you were on top of things?2.840.91Moderate6
H69In the last month, how often have you been angered because of things that happened that were outside of your control?2.750.91Moderate7
H70In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?2.670.90Moderate10

Demographic profile of respondents (N = 215)_

ItemFrequency (n)Percentage (%)Mean (SD)
Gender
  Female19188.8
  Male2411.2
Nationality
  Malaysia215100.0
Race
  Malay19188.8
  Chinese20.9
  Indian94.2
  Others136.0
Marital status
  Married15371.2
  Single6228.8
Education level
  Secondary209.3
  College/university8539.5
  Add-on renal certificate11051.2
Age (years) 2.6 (0.708)
  20–3010850.2
  31–408941.4
  41–50136.0
  ≥5052.3
Working experience 4.55 (1.426)
  Less than 3 months94.2
  3–6 months136.0
  7–11 months2310.7
  1–3 years5023.3
  4–6 years4520.9
  >6 years7534.9
Job title/position
  Unit manager/in-charge nurse2913.5
  Staff nurse13361.9
  Medical assistant2210.2
  Dialysis assistant2411.2
  Others73.3
Total215100.0

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

ItemsPerceived Stress Scale (OPSS)χ2P
Low, n (%)High, n (%)
Gender 1.160.281
  Female122 (63.9)69 (36.1)
  Male18 (75.0)6 (25.0)
Race 0.960.811
  Malay126 (66.0)65 (34.0)
  Chinese1 (50.0)1 (50.0)
  Indian6 (66.7)3 (33.3)
  Others7 (53.8)6 (46.2)
Marital status 0.190.665
  Married101 (66.0)52 (34.0)
  Single39 (62.9)23 (37.1)
Education level 7.270.026*
  Secondary18 (90.0)2 (10.0)
  College/university54 (63.5)31 (36.5)
  Add-on renal certificate68 (61.8)42 (38.2)
Age (years) 2.250.522
  20–3075 (69.4)33 (30.6)
  31–4053 (59.6)36 (40.4)
  41–509 (69.2)4 (30.8)
  503 (60.0)2 (40.0)
Working experience 1.820.874
  Less than 3 months6 (66.7)3 (33.3)
  3–6 months7 (53.8)6 (46.2)
  7–11 months13 (56.5)10 (43.5)
  1–3 years33 (66.0)17 (34.0)
  4–6 years31 (68.9)14 (31.1)
  >6 years50 (66.7)25 (33.3)
Job title/position 12.910.012*
  Unit manager/in-charge nurse15 (51.7)14 (48.3)
  Staff nurse82 (61.7)51 (38.3)
  Medical assistant16 (72.7)6 (27.3)
Dialysis assistant22 (91.7)2 (8.3)
  Others5 (71.4)2 (28.6)
Staff Participation in Haemodialysis Affairs (BPES-BSPHA) 1.570.211
  Low76 (69.1)34 (30.9)
  High64 (61.0)41 (39.0)
Staffs Foundations for Quality of Care (BPES-BSFQC) 0.740.389
  Low55 (68.8)25 (31.3)
  High85 (63.0)50 (37.0)
Manager Ability, Leadership, and Support of Staff (BPES-BTMALSS) 0.910.341
  Low73 (68.2)34 (31.8)
  High67 (62.0)41 (38.0)
Staffing and Resource Adequacy (BPES-BSRA) 1.400.238
  Low79 (68.7)36 (31.3)
  High61 (61.0)39 (39.0)
Staffs-Doctor Relations (BPES-BSDR) 0.310.580
  Low69 (67.0)34 (33.0)
  High71 (63.4)41 (36.6)
Staff-Staff Relations (BPES-BSSR) 0.350.552
  Low60 (67.4)29 (32.6)
  High80 (63.5)46 (36.5)
Satisfaction Questionnaire (CSQ) 3.490.062
  Low69 (71.9)27 (28.1)
  High71 (59.7)48 (40.3)
DOI: https://doi.org/10.2478/fon-2023-0052 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 481 - 492
Submitted on: Dec 17, 2022
Accepted on: Feb 7, 2023
Published on: Dec 18, 2023
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 Zaima Mat Yusuf, Bit Lian Yee, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.