scholarly journals Is there any relationship between role stressors, job tasks, and job satisfaction among Health Surveillance Assistants in Malawi? A cross-sectional study

2020 ◽  
Author(s):  
Simon Willard Ntopi ◽  
Ellen Chirwa ◽  
Alfred Maluwa

Abstract Background: Health Surveillance Assistants (HSAs) are community-based health workers in Malawi, responsible for health services delivery at the community level. They are reported to be overloaded in their work, and anecdotal evidence suggests they are stressed. The purpose of this study was to explore the role stressors among the HSAs with the view to identify factors for role stressors and suggest some measures for the effective management of the HSAs to alleviate the problem of role stressors. Methods: A descriptive cross-sectional study design and multistage stage sampling were used in this study. Data were collected from 430 HSAs from the districts of Mangochi, Lilongwe and Mzimba. A self-administered questionnaire was hand delivered to a total of 455 HSAs with a response rate of 94.5%. The data collected were analyzed with the aid of the computer software package Statistical Package for the Social Sciences (SPSS) version 23. Statistics used for the analysis included: Mean, Standard Deviation, correlations and principal component analysis (PCA). Results: The key findings of this study are that role ambiguity ( r = -.238, P< 0.001) and role overload ( r =-.159, P< 0.01) were significantly negatively related to job satisfaction, while role conflict ( r = -.004, P= 0.472) was insignificantly related to job satisfaction. Additionally, the HSAs curative role was negatively related to role ambiguity ( r = -.108, P= 0.013) and positively related to role conflict ( r = .118, P= 0.008) and role overload ( r = .105, P= 0.015) while the HSAs overall preventive task was positively related to role overload. Conclusion: Since the HSAs clinical tasks were significantly related to all role stressors there is need by the government of Malawi to design strategies to control the role stressors to ensure increased job performance and job satisfaction among HSAs. Keywords : Relationship, role ambiguity, role conflict, role overload, job satisfaction, role stressors

2020 ◽  
Author(s):  
Simon Ntopi ◽  
Ellen Chirwa ◽  
Alfred Maluwa

Abstract Background: Health Surveillance Assistants (HSAs) are community-based health workers in Malawi, responsible for health services delivery at the community level. The prevalence of high role stressors among health surveillance assistants (HSAs) is a very important issue to strengthen the delivery of the essential health package at the community level; however, data on the prevalence of these role stressors to help understand more about the role stressors among HSAs is unavailable. This study aimed to investigate the prevalence of role stressors and its associated factors among HSAs. Methods: A cross-sectional study design was used in this study to collect data from January 2017 to December 2017. Data were collected from 430 HSAs from the districts of Mangochi, Lilongwe and Mzimba using a self-administered structured questionnaire was hand delivered to a total of 455 HSAs (response rate of 94.5%). Role ambiguity and role conflict was measured using a 13-item Rizzo et al. role conflict and ambiguity (RCA) scale; role overload was measured using a 9-item Reilly role overload scale and the job tasks for HSAs were measured using Burgal et al. modified version of the task inventory scale. Factors for role stressors were analyzed using the principal component analysis (PCA) and multiple linear regression model. Results: Of the respondents 3% had high risk for RA, 51.20% RC and 49% RO. Role stressors are prevalent among HSAs in Malawi. HSAs who were resident in rural areas, female, and performing additional clinical roles experienced significant levels of role stressors. Interestingly, no statistically significant associations were found between role stressors and the years at service post, age and the district of work. Conclusion: This is the first study of occupational role stressors in Malawi. Role stressors are prevalent among HSAs. Interventions aimed at improving supervision, training and task regulation by an independent regulatory body may support to reduce role stressors among HSAs. Keywords : health surveillance assistants, role ambiguity, role conflict, role overload, role stressors


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037000
Author(s):  
Simon Ntopi ◽  
Ellen Chirwa ◽  
Alfred Maluwa

ObjectivesThe objective of this study was to investigate the role stressors, sociodemographic characteristics and job tasks of health surveillance assistants (HSAs) and to explore major predictors of role stressors and job satisfaction of HSAs in Malawi.SettingData were collected from health centres and hospitals of three Malawi districts of Mangochi, Lilongwe and Mzimba.ParticipantsRespondents were 430 HSAs. 50.20% of them were male, while 49.8% were female.DesignA cross-sectional study of the observational correlational design was carried out.Main outcome measuresRespondents perceptions of job tasks, role stressors and job satisfaction.ResultsThe key findings of this study were role ambiguity and role overload were significantly negatively related to job satisfaction, while role conflict was insignificantly related to job satisfaction. Additionally, the clinical tasks of the HSAs and some of the sociodemographic variables were associated with the role stressors and job satisfaction of the HSAs in Malawi.ConclusionsSince the HSAs clinical tasks were significantly related to all role stressors, there is need by the government of Malawi to design strategies to control the role stressors to ensure increased job performance and job satisfaction among HSAs. Furthermore, studies may be required in the future to assist government to control role stressors among HSAs in Malawi.


2017 ◽  
Vol 135 (6) ◽  
pp. 541-547
Author(s):  
Erika Morganna Neves de Araujo ◽  
Marcia Teles de Oliveira Gouveia ◽  
Dixis Figueroa Pedraza

2019 ◽  
Vol 22 (3-4) ◽  
pp. 127-139 ◽  
Author(s):  
Andrés Daniel Gallego-Ardila ◽  
Ángela María Pinzón-Rondón ◽  
Amparo Susana Mogollón-Pérez ◽  
Carol Ximena Cardozo ◽  
Ingrid Vargas ◽  
...  

Introduction Care coordination is a priority concern for healthcare systems. In Colombia, there is a lack of information on the topic. This study analysed how doctors of two Bogotá’s public healthcare networks perceived coordination between healthcare levels and what factors are associated with their perception. Methods A cross-sectional study using the COORDENA-CO questionnaire to a sample of 363 doctors (network-1 = 181; network-2 = 182) in 2015. The questionnaire asks about types and dimensions of care coordination: information and clinical management, with items in a Likert scale, as well as conditions regarding health system, organisational and doctors’ conditions. Descriptive statistics and logistic regression analysis were performed. Results The doctors’ perception of a high level of coordination did not exceed 25.4%. On coordination of information, limited transfer of clinical information was found. Concerning clinical management, there were limited care coherence, deficits in patient follow-up and lengthy waiting times for specialised care. A high perception of coordination were associated with being female, being over 50 years old, being a specialist, having less than one year’s working experience, working less than 20 h per week at the centre, forming part of network-1, having time available for performing coordination tasks, having job satisfaction and not identifying limitations imposed by healthcare insurers. Discussion There was limited perception of coordination, in its different dimensions and types with some differences between networks. The results support the importance of guaranteeing job satisfaction, ensuring sufficient time to coordination-related activities and intervening in the restrictions imposed by healthcare insurers to improve care coordination.


2020 ◽  
Vol 5 (11) ◽  
pp. 209-216
Author(s):  
Muhamad Saufiyudin Omar ◽  
Siti Fatimah Abdul Aziz ◽  
Nurasyikin Mohd Salleh

Satisfied employees are crucial in developing a successful organization. The purpose of this study is to identify the factors that affect job satisfaction among polytechnic academic employees in Malaysia. A cross-sectional study was employed and stratified random sampling was used to collect the data. A total of 130 respondents answered the questionnaires. The results revealed that job security, salary and working conditions had significant and positive influence on job satisfaction among polytechnic academic employees. Hence, strengthening the factors of job security, salary and working conditions among the polytechnic academic employees is critically important to ensure the employees are satisfied which will then lead towards a successful polytechnic.


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