Turnover among nurses has been recognized as a frequent and enduring problem in healthcare worldwide. The widespread nursing shortage has reached the level of a healthcare crisis. The COVID-19 pandemic has illustrated the importance of understanding the contributing factors of nurse turnover, and more importantly how to mitigate the problem. Using cross-sectional survey data collected from 3370 newly licensed nurses working across 51 metropolitan areas within 35 U.S. states, we explore how role overload and work constraints can both diminish job satisfaction and increase turnover intentions of new nurses. Coworker support and work role centrality are identified as moderators of these relationships which show potential to mitigate these negative outcomes. This study highlights the importance of coworker support and work centrality in improving job satisfaction and subsequent turnover intentions among newly licensed nurses.

The purpose of this paper is to investigate Indian business manager’s perceptions of organizational values and their assessment of the relationship between ethical actions and success. The findings indicate that most Indian managers feel that they work for organizations with strong values, however, a significant number of those managers also felt that unethical behavior helps one to succeed. In addition, we found that neither the size of the firm nor whether the company was public or private, had an effect on perceptions of organizational values or feelings about the relationship between ethics and success. Overall, this research provides some new and unexplored insights as to the role ethics play in an Indian manager’s assessment of their organization, their personal feelings about ethics and professional achievement. and how these ethical perceptions compare with managers in businesses in China.

This study examines the impact of various ethical climate types, dependency factors, and ethical training on ethical optimism of purchasing professionals ( n = 151) in India. Instrumental and independence climate types had a significant negative impact on ethical optimism. Other climate types (professional, caring, rules, and efficiency) had no significant impact on ethical optimism. Among the dependency factors, while task uncertainty had a significant positive impact, monitoring had a significant negative impact on ethical optimism. None of the other factors significantly impacted ethical optimism.

Patient satisfaction has become an important measure of health care services and outcomes. The purpose of this empirical study was to investigate factors that impact the satisfaction of primary care physicians (PCPs) by patients of different races in the United States. This is an empirical analysis of the Center for Studying Health System Change's 2010 Health Tracking Household Survey. Correlation and regression analyses were done to examine the impact of various factors on PCP satisfaction of 12 472 American respondents. Whites were most satisfied with their PCPs, and Hispanics were least satisfied with their PCPs. Satisfaction with health care received in the last 12 months and the need to defer medical treatment due to financial issues had a significant impact on patients' satisfaction with PCPs across all races. General health status significantly impacted satisfaction with PCPs for African American and Hispanic respondents. Satisfaction with PCPs significantly varied among different races based on the type of their health insurance. Education negatively impacted PCP satisfaction of white and non-Hispanic respondents. Satisfaction with PCPs varies based on the race of patients. It can be impacted by a number of factors outside the control of the physician such as the general health of patients, type of insurance, and patients' need to defer medical treatment due to financial issues. The use of patient satisfaction surveys by health care administrators to measure organizational outcomes may have limited validity.

The purpose of this study was to examine factors that impact consumer satisfaction with health care. This is a secondary analysis of the Center for Studying Health System Change's 2010 Health Tracking Household Survey. Regression analysis was used to examine the impact of treatment issues, financial issues, family-related issues, sources of health care information, location, and demographics-related factors on satisfaction with health care. The study involved 12280 subjects, 56% of whom were very satisfied with their health care, whereas 66% were very satisfied with their primary care physician. Fourteen percent of the subjects had no health insurance; 34% of the subjects got their health care information from the Web. Satisfaction with primary care physician, general health status, promptness of visit to doctor, insurance type, medical cost per family, annual income, persons in family, health care information from friends, and age significantly impacted satisfaction with health care. The regression models accounted for 23% of the variance in health care satisfaction. Satisfaction with primary care physicians, health insurance, and general health status are the 3 most significant indicators of an individual's satisfaction with health care.

Job performance of employees has been a major area of study in human resources due to its important implications for organizational outcomes. This study examines the impact of job satisfaction, organizational commitment, ethical behavior, and emotional intelligence on the job performance of 236 employees in a Chinese state-owned steel company. The Chinese steel industry is the largest in the world and accounts for more than onethird of the world’s steel production. Regression results indicate that job satisfaction, organizational commitment, and emotional intelligence had a significant positive impact on job performance. Social desirability bias also impacted employees’ performance significantly. Self-reported ethical behavior and control variables (age, gender, education, and type of job) had no significant impact on job performance of the subjects. The study discusses how firms can use various human resource strategies to influence antecedents of job performance of Chinese employees.

The objective of this study was to examine factors impacting physicians' quality of care. This study used the Center for Studying Health System Change's 2008 Health Tracking Physician Survey data set consisting of 4720 physicians belonging to the American Medical Association. Regression analysis indicated that time with patient, career satisfaction, use of information technology for patient information, and income had a significant, positive impact on perception of high-quality care by physicians. Threat of malpractice lawsuits, percent revenue from Medicaid, and type of practice had a significant negative impact on perception of high-quality care by physicians. Among all the variables examined in our study, time with patient had the greatest impact on perception of high-quality care by physicians.

This study investigated factors impacting career satisfaction among pediatricians. The study used data from the 2008 Health Tracking Physician Survey, conducted by the Center for Studying Health System Change. The 2008 Health Tracking Physician Survey data set consisted of 4720 physicians who were members of the American Medical Association. Among the respondents, 427 identified themselves as pediatricians. Results indicated more than 52% of pediatricians were very satisfied with their careers in medicine. Nearly 35% of pediatricians were older than 48 years. Approximately 48% were male, and 67% were of white race. The average respondent worked 45 hours per week in medically related activities. Regression analysis indicated the following had a significant impact on pediatrician career satisfaction: inadequate time with patients, patient noncompliance, and delayed reports from other physicians and facilities. Number of hours worked per week and worry over potential malpractice suits also had a significant impact on career satisfaction of pediatricians.

This research uses structural equation modeling (SEM) to examine the direct and indirect relationships among caring climate, job satisfaction, organizational commitment, and job performance of 476 employees working in a Chinese insurance company. The SEM result showed that caring climate had a significant direct impact on job satisfaction, organizational command, and job performance. Caring climate also had a significant indirect impact on organizational commitment through the mediating role of job satisfaction, and on job performance through the mediating role of job satisfaction and organizational commitment. In addition, job satisfaction had significant direct impact on organizational commitment, through which it also had a significant indirect impact on job performance. Finally, organizational commitment had a significant direct impact on job performance.

A study was undertaken to examine various factors that impact career satisfaction of hospitality. This study used data collected by the Center for Studying Health System Change's 2008 Health Tracking Physician survey. The 2008 HTP data set consisted of 4720 physicians belonging to the American Medical Association, of which 206 identified themselves as hospitalists. Results suggested that 41% of hospitalists were very satisfied with their careers in medicine. More than 26% of the hospitalists were 53 years or older. Seven of 10 hospitalists were men, whereas more than 55% were white. In addition, an average respondent earned between $150 000 and $200 000. Nearly 36% of the hospitalists in the study specialized in internal medicine. Regression analysis indicates that high-quality care had a highly significant impact on career satisfaction of hospitalists (P ≤ .00). In addition, formal written guidelines (P ≤ .07), gender (P ≤ .06), and white race (P ≤ .07) also had a significant impact on career satisfaction of hospitalists. It was concluded that perceived quality of care, presence of formal written guidelines, gender, and race were major predictors of career satisfaction of hospitalists.

This study examines the impact of various ethical climate types and job satisfaction on organizational commitment of 144 employees working at a Chinese private construction company. Both caring and independence climate types had a significant positive impact on organizational commitment. Instrumental climate had a significant negative impact on organizational commitment. Other climate types (professional, rules, and efficiency) had no significant impact on organizational commitment. Overall job satisfaction had a significant positive impact on organizational commitment. Overclaiming was significantly correlated with organizational commitment, caring climate, rules climate, and job satisfaction.

This study examines factors impacting ethical behavior of 208 employees of a Chinese state-owned steel company. Only rules climate had a significant impact on ethical behavior of respondents. Other ethical climate types such as professional, caring, instrumental, independence, and efficiency did not impact ethical behavior of respondents. Ethical behavior of peers, ethical behavior of successful managers, and overclaiming had a significant impact on ethical behavior of subjects.

This study examines ethical misconduct of 193 business students in four universities in the United States. In addition to self-reported ethical behavior, two dimensions of emotional intelligence (self-emotions appraisal and others emotions appraisal) significantly impacted student misconduct. None of the other dimensions of emotional intelligence were significant. Grade Point Average (GPA), religiosity, non-business ethics course, sex, graduate status, university, and over claiming did not impact student misconduct. Implications of the results of the study for business schools and industry professionals are discussed.

This research examines the impact of various factors on the use of IT in clinical practice, prescriptions, and patient information. This was done using a national sample of 3425 physicians who worked in a solo or group practice in the United States. Besides the extent of use of electronic medical records by physicians and number of physicians in practice, none of the other factors consistently impacted the use of IT in clinical practice, prescriptions, and patient information, respectively. The results of this study highlight the need to develop specific strategies to increase the use of information technology in healthcare.

The purpose of this research was to investigate gender-related differences among medical school faculty in a variety of areas such as information technology, medical malpractice, compensation, patient care, and carrier satisfaction. The Center for Studying Health System Change's 2008 Health Tracking Physician survey data consisting of 326 medical school faculty belonging to the American Medical Association were used in this study. t Tests indicate that female physicians practicing in medical schools were younger, had less experience, reported lower compensation, and were more likely to be primary care physicians. Male medical school physicians were significantly more concerned about being involved in a malpractice lawsuit. They reported a significantly higher percentage on income based on productivity-related factors. Male physicians also reported getting a significantly higher level of goods and services from drug companies. They also provided more hours of medical service for no or reduced fee in the previous month and higher levels of career satisfaction. Implications of this research are discussed.

Back to table of contents Previous article Next article LettersFull AccessAssessing the Career Satisfaction of PsychiatristsSidney Weissman, M.D.Sidney WeissmanSearch for more papers by this author, M.D.Published Online:1 Oct 2011https://doi.org/10.1176/ps.62.10.pss6210_1233aAboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail To the Editor: In their article in the September issue, Dr. DeMello and Dr. Deshpande (1) discuss various factors that they believe have an impact on the career satisfaction of psychiatrists. They argue that increasing the career satisfaction of practicing psychiatrists could have a positive impact on recruiting more psychiatrists. Most people who study the recruitment of medical students into various medical specialties would concur that the satisfaction of current practitioners has a significant impact on the career choices of medical students.The authors' analysis of survey data pointed to a number of areas of dissatisfaction among psychiatrists. However, before examination of their findings, the reliability of their data must be addressed. Their analysis was based on questionnaires completed by 314 psychiatrists who participated in a national survey of a stratified sample of 10,250 physicians of all specialties. A total of 4,720 physicians returned the questionnaire, and of these 314 were psychiatrists. To assess whether this sample is representative of the 52,000 U.S. psychiatrists, one would need to know how many questionnaires were sent to psychiatrists and what methods were used to determine whether respondents were similar to nonrespondents. Because the authors did not provide this information, the reliability of the data—and the findings—cannot be assessed.In addition, the authors assert that if older psychiatrists would see more patients rather than cutting back, this would have a positive effect on increasing the availability of psychiatric services. However, this may be of limited help in addressing the shortage of psychiatrists. The authors also argue that psychiatrists are remaining in practice rather than retiring “because they cannot afford to retire.” No data are offered to support this contention. The psychiatrists I know who are 65 or older continue to practice because of the satisfaction that they receive from their work.Strikingly, the authors do not address the fact that many younger physicians do not work as many hours as physicians did some years ago and as their senior colleagues continue to do. The reduction in work hours contributes to the shortage of psychiatrists. On the other hand, a new psychiatrist who engages primarily in a medication management practice sees in a week many more patients than a psychiatrist did 30 or 40 years ago, when psychotherapy was the primary treatment modality. The increased number of patients seen by new psychiatrists would serve to mitigate the shortage of psychiatrists.The authors report that psychiatrists are concerned about malpractice, which is described as if it is a unique cause of dissatisfaction. But concerns about malpractice have an impact on all physicians. In an August 17, 2011, New York Times blog, David Leonhart (2) reviewed malpractice claims for all specialties on the basis of research reported in the New England Journal of Medicine. Psychiatrists had the lowest number of claims made against them, at 2.6% per year. An even smaller percentage paid a claim.Meaningful data are needed to assess the current satisfaction of American psychiatrists. We must work to understand factors that lead to career satisfaction and develop strategies to enhance the recruitment of psychiatrists.Dr. Weissman is professor of clinical psychiatry at the Feinberg School of Medicine, Northwestern University, Chicago.References1 DeMello JP , Deshpande SP : Career satisfaction of psychiatrists. Psychiatric Services 62:1013–1018, 2011 Link, Google Scholar2 Leonhart D : Malpractice anxiety. New York Times, Aug 17, p 201. Available at blogs.nytimes.com/2011/08/17/malpractice-anxiety/?ref=economicscene Google Scholar FiguresReferencesCited byDetailsCited ByNone Volume 62Issue 10 October 2011Pages 1233-1234 Metrics PDF download History Published online 1 October 2011 Published in print 1 October 2011

Objective: To examine the factors that impact career satisfaction for various surgical specialties.Background: An acute shortage of surgeons is anticipated in the future. Career dissatisfaction can make this already difficult situation worse. It is important to understand and address factors that influence career satisfaction of surgeons to prolong tenure of existing surgeons and understand anticipated needs of future surgeons.Methods: The Center for Studying Health System Change 2008 Health Tracking Physician Survey data were used in this study. Regression analysis was done to examine the impact of various practice-related factors, compensation-related factors, practice location, extent of minority patient, and various demographics on career satisfaction of various surgical specialties (n = 762).Results: Among practice related factors, although threat of malpractice had a significant negative impact on career satisfaction, ability to provide quality care to patients and time with patients had a significant positive impact on career satisfaction of surgical specialists. Among compensation related factors, income and financial incentives to expand services had a significant positive impact on career satisfaction. Among practice location factors, those who primarily worked in medical schools were significantly more satisfied with their careers than others. Among minority factors, those treating a large proportion of Hispanic patients were significantly less likely to be satisfied with their careers.Conclusions: Ability to provide quality care, time with patients, income, and financial incentives had a significant positive impact on career satisfaction. Similarly, threat of malpractice and high proportion of Hispanic patients had a negative impact on career satisfaction.