Effort-Reward Imbalance, Job Satisfaction &; Self-rated Health among Healthcare Professionals in The Gambia

• Main Authors: Amadou Darboe, 戴柏文
• Other Authors: Hsien-Wen Kuo
• Format: Others
• Language: en_US
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/ah5gp4

碩士 === 國立陽明大學 === 公共衛生研究所 === 103 === Background: The effort-reward imbalance (ERI) model (Siegrist et al 1996) has been widely applied in assessing the influence of psychosocial work stress on health, job satisfaction and turnover intention. This thesis aims at investigating the associations between psychosocial work stress, Job Satisfaction (JS), Self-rated Health (SRH) and Intent to Leave (ITL) the public sector, among Healthcare Nurses (HCNs) and Environmental Health officers (EHOs) in the Gambia. Method: A health facility based cross-sectional study was conducted on a random sample of 287 healthcare professionals (201 HCNs and 86 EHOs). The 22-items ERI questionnaire was used to collect data on psychosocial factors in the ERI model. SRH, ITL and JS were assessed using structured questionnaires containing Likert scale items. Results: SRH and ITL were not significantly different among HCNs and EHOs. High Effor-Reward (ER) ratio was associated with an increased risk of poor SRH in both groups and with increased risk of reporting ITL among the nurses group only. High overcommitment (OC), was associated with an increased risk of reporting intent to leave among HCNs only. A synergistic (positive) interaction effect was observed between high ER ratio and high OC on SRH among EHOs and ITL among HCNs. Low JS was associated with poor SRH among the two groups and with ITL in nurses only. Finally, Job satisfaction partially mediated the association between ER ratio and ITL in nurses only. Conclusion: due to high ERI among the two groups especially the nursing group, it is necessary to modify working conditions through improving psychosocial work environment, such as reasonable allocation of resources to increase pay or rewards by the government