Factors causing dissatisfaction among nurses in the private hospital context

Abstract

Objective: to verify the nurse’s level of satisfaction and to identify the factors
causing dissatisfaction in the nurse’s work within the hospital service. Methods: an
exploratory study of mixed methods, conducted in a private hospital in a capital
of southern Brazil. Data collection took place between August and September 2017
with care nurses. At first, a job satisfaction scale was applied, which is divided into
five dimensions: satisfaction with co-workers; with pay; with leadership; with the
nature of the work; and with promotions. Later, those nurses whose scale result was
“dissatisfied” were invited to answer a semi-structured interview. The qualitative
data of the interviews were analyzed according to thematic-categorical content
analysis, using the MAXQDA© software for data organization. Results: forty nurses
participated in the research, of which 10 expressed dissatisfaction with inadequate
remuneration; with the lack of promotions and professional growth; with the
working arrangements; with the lack of professional recognition and appreciation;
with working outside the scope of employment; with the competitiveness and
disunity between professionals and the multidisciplinary team; and lack of
leadership. However, it was evidenced that working with what they like and the
friendships that are built with co-workers at work were satisfaction factors for
dissatisfied nurses. Conclusion: recognition of the nurses’ dissatisfaction factors may support the implementation of an institutional plan to change
the identified situation. Satisfied workers are more motivated and
produce better.