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Job satisfaction and associated factors among healthcare staff: a cross-sectional study in Guangdong Province, China
  1. Yong Lu1,
  2. Xiao-Min Hu1,
  3. Xiao-Liang Huang2,
  4. Xiao-Dong Zhuang3,
  5. Pi Guo1,
  6. Li-Fen Feng2,
  7. Wei Hu2,
  8. Long Chen2,
  9. Yuan-Tao Hao1
  1. 1Department of Medical Statistics and Epidemiology, Guangdong Key Laboratory of Health Informatics, Health Information Research Center, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong, China
  2. 2Government Affairs Service Center of Health Department of Guangdong Province, Guangzhou, Guangdong, China
  3. 3Department of Cardiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
  1. Correspondence to Dr Xiao-Min Hu; huxiaom6{at} and Dr Xiao-Liang Huang; 688{at}


Objectives This cross-sectional study aimed to explore job satisfaction among healthcare staff in Guangdong following the health system reforms in 2009, and to investigate the association between job satisfaction and work stress, work–family conflict and doctor–patient relationship.

Design Cross-sectional survey.

Setting The Fifth National Health Service Survey was carried out in Guangdong, China.

Participants All participants in this study were healthcare staff including physicians, nurses and public health staff from hospitals, health service centres and health clinics. A total of 6583 questionnaires were distributed and collected. After excluding the incomplete questionnaires, 5845 questionnaires were included for the analysis.

Outcome measures Sociodemographic information and scores for evaluating job satisfaction, work stress, work–family conflict and doctor–patient relationship were obtained using the questionnaire developed by the National Health and Family Planning Commission of the People's Republic of China. To assess the significantly associated factors on job satisfaction of the healthcare staff in Guangdong, a binary logistic regression model was used.

Results Based on the 5845 valid responses of the healthcare staff who worked in Guangdong, the mean score of overall perception of job satisfaction was 3.99 on a scale of 1–6. Among the sociodemographic variables, occupation, educational background, professional status, years of service, annual income and night shift frequency significantly influenced the level of job satisfaction. Work stress, work–family conflict and doctor–patient relationship also had significant effect on job satisfaction.

Conclusions The overall job satisfaction exceeded slightly dissatisfied (score 3) and approached slightly satisfied (score 4). Measures to enhance job satisfaction include the reduction of workload, increase of welfare, maintaining moderate stress and balancing work–family conflict. Moreover, relevant laws should be issued to protect the healthcare staff from violent acts.

  • Job satisfaction
  • Regression
  • Factor analysis
  • nurses
  • physicians

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