Exploring the aftermath: Work demands, workplace violence, and job satisfaction among nurses in a public hospital in the post-COVID-19 era
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Keywords

COVID-19
Indonesia
job satisfaction
nurses
workplace violence
work demands

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Sulistyowati, D., Handiyani, H., Kurniawan, M. H., Syukrini, R. D., & Turyatiningsih. (2023). Exploring the aftermath: Work demands, workplace violence, and job satisfaction among nurses in a public hospital in the post-COVID-19 era . Belitung Nursing Journal, 9(5), 448–456. https://doi.org/10.33546/bnj.2731
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Accepted for publication: 2023-09-05
Peer reviewed: Yes

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Abstract

Background: Despite the shift from the COVID-19 pandemic to an endemic phase, many individuals, including nurses, may still be facing psychosocial challenges after enduring three years of the pandemic. Although the anticipation that psychosocial issues, such as work demand and workplace violence, have diminished and nurses’ job satisfaction has improved, there is a scarcity of studies in Indonesia investigating this matter.

Objective: This study aimed to 1) explore the current state of nurses’ work demands, workplace violence, and job satisfaction and 2) examine the relationships between work demands, workplace violence, and respondents’ characteristics with nurses’ job satisfaction.

Methods: The study employed a cross-sectional survey design involving 247 nurses from a regional general hospital in Jakarta, Indonesia. Simple random sampling was used to select the participants, and the Copenhagen Psychosocial Questionnaire (COPSOQ) III was used for data collection. Data were analyzed using multiple linear regression.

Results: The types of cognitive demands (M = 12.46, SD = 3.461), demands for hiding emotion (M = 11.66, SD = 3.554), and work pace (M = 9.87, SD = 2.847) scored an average close to or within the “sometimes/quite extensive” range on the scale. All types of workplace violence and conflicts occurred among nurses (Mean range = 1.21-2.57). Nurses perceived themselves as fairly satisfied with their job (M = 18.47, SD = 3.18). The results of the multiple linear regression indicated that nurses’ job satisfaction was predominantly influenced by workplace violence (β = -0.191), followed by the type of care unit (β = -0.167) and work demands (β = -0.126). These factors collectively accounted for 9.1% of the variance in the job satisfaction variable (R2 = 0.091, p <0.005)

Conclusion: Despite the decreasing number of COVID-19 cases, nurses still experience high work demands and continue to face workplace violence. These factors, as well as the type of care unit, influence nurses’ job satisfaction. Therefore, further actions need to be taken by hospital management to address these psychosocial conditions. It is recommended that future research explore the role of nurse managers in managing the psychosocial factors associated with these three factors.

https://doi.org/10.33546/bnj.2731
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Supporting Agencies

This research was funded by the Directorate of Research and Development, Universitas Indonesia, under HIBAH PUTI 2022 (Grant No. NKB-090/UN2.RST/HKP.05.00/2022)

Copyright

Copyright (c) 2023 Dita Sulistyowati, Hanny Handiyani, Moh Heri Kurniawan, Rahma Dwi Syukrini, Turyatiningsih

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The authors have no conflict of interest to declare.

Acknowledgment

The authors thank the hospital management that provided the research site and all the nurses who participated in this study.

Authors’ Contributions

DS, HH, MHK, and RDS planned the research concept and design. All authors contributed to the data collection process, drafted the manuscript, and provided input on manuscript content. All authors were responsible for the manuscript’s content and approved the final version of the article to be published.

Data Availability

The generated and analyzed datasets of this study are available in the corresponding author and accessible upon a reasonable request.

Declaration of Use of AI in Scientific Writing

Nothing to declare.


References

Adiba, M. N., & Pratama, A. P. (2021). Psychosocial risk amongst health care workers at type D general hospital in Indonesia amidst COVID-19 pandemic. The 3rd International Conference on Research in Management, Prague, Czech Republic. https://www.dpublication.com/wp-content/uploads/2021/08/M-312.pdf

American Association of Critical-Care Nurses. (2019). AACN position statement: Zero tolerance for bullying, incivility, and verbal abuse. https://www.aacn.org/policy-and-advocacy/aacn-position-statement-zero-tolerance

American Psychological Association. (2023). APA dictionary of psychology. In https://dictionary.apa.org/job-satisfaction

Arunanta, L. N. (2021). There were 8 cases of violence against nurses in 2020-2021, the perpetrators were civilians to officials [in Bahasa]. Detik News. https://news.detik.com/berita/d-5535953/ada-8-kasus-kekerasan-ke-perawat-di-2020-2021-pelakunya-sipil-hingga-pejabat

Baisa, Q. N. M., & Nilasari, B. M. (2022). Mediation role of work-life balance on the effect of job demand and workplace resources on nurse job satisfaction during the COVID-19 pandemic. Jurnal Aplikasi Manajemen, 20(3), 528-541. http://dx.doi.org/10.21776/ub.jam.2022.020.03.06

Burr, H., Berthelsen, H., Moncada, S., Nübling, M., Dupret, E., Demiral, Y., Oudyk, J., Kristensen, T. S., Llorens, C., Navarro, A., Lincke, H.-J., Bocéréan, C., Sahan, C., Smith, P., & Pohrt, A. (2019). The Third Version of the Copenhagen Psychosocial Questionnaire. Safety and Health at Work, 10(4), 482-503. https://doi.org/10.1016/j.shaw.2019.10.002

Chappell, D., & Di Martino, V. (2006). Violence at work (3rd ed.). Geneva: International Labour Organization.

Choi, P.-P., Lee, W.-M., Wong, S.-S., & Tiu, M.-H. (2022). Competencies of nurse managers as predictors of staff nurses’ job satisfaction and turnover intention. International Journal of Environmental Research and Public Health, 19(18), 11461. https://doi.org/10.3390/ijerph191811461

Chowdhury, S. R., Kabir, H., Mazumder, S., Akter, N., Chowdhury, M. R., & Hossain, A. (2022). Workplace violence, bullying, burnout, job satisfaction and their correlation with depression among Bangladeshi nurses: A cross-sectional survey during the COVID-19 pandemic. PloS One, 17(9), e0274965. https://doi.org/10.1371/journal.pone.0274965

Damopoli, R. F., Manampiring, A. E., & Doda, D. V. (2019). Hubungan kekerasan dengan stres kerja pada perawat unit gawat darurat dan intersive care Unit Rumah Sakit di Kota Bitung dan Kabupaten Minahasa Utara [The relationship between violence and work stress in emergency room nurses and hospital intensive care units in Bitung City and North Minahasa Regency]. KESMAS: Jurnal Kesehatan Masyarakat Universitas Sam Ratulangi, 8(3), 50-59.

De Lange, A. H., Taris, T. W., Kompie, M. A. J., Houtman, I. L. D., & Bongers, P. M. (2002). Effects of stable and changing demand-control histories on worker health. Scandinavian Journal of Work, Environment & Health, 28(2), 94-108.

de Vries, N., Boone, A., Godderis, L., Bouman, J., Szemik, S., Matranga, D., & de Winter, P. (2023). The race to retain healthcare workers: A systematic review on factors that impact retention of nurses and physicians in hospitals. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 60, 00469580231159318. https://doi.org/10.1177/00469580231159318

Eliyana, A., Susita, D., Aditya, V., & Anwar, A. (2021). Determining the effect of job satisfaction, work motivation, and work commitment on nurse performance amidst COVID-19 pandemic. Problems and Perspectives in Management, 19(4), 89-96. https://doi.org/10.21511/ppm.19(4).2021.08

Fadjarudin, M. (2021). PPNI calls acts of violence against nurses happened several times [in Bahasa]. Kelana Kota. https://www.suarasurabaya.net/kelanakota/2021/ppni-sebut-tindak-kekerasan-terhadap-perawat-sudah-beberapa-kali-terjadi/

Felicia, F., Sudibjo, N., & Harsanti, H. G. R. (2023). Impact of psychosocial risk on intention to leave work during COVID-19 in Indonesia: The mediatory roles of burnout syndrome and job satisfaction. Heliyon, 9(7), e17937. https://doi.org/10.1016/j.heliyon.2023.e17937

Ferdousi, S., & Rony, M. K. K. (2022). Combatting workplace violence against nurses in Bangladesh. Belitung Nursing Journal, 8(3), 275-276. https://doi.org/10.33546/bnj.2079

Fernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., & Ellwood, L. (2020). Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies, 111, 103637. https://doi.org/10.1016/j.ijnurstu.2020.103637

Flaskerud, J. H. (2023). Post-pandemic psychosocial issues. Issues in Mental Health Nursing, 44(2), 130-133. https://doi.org/10.1080/01612840.2022.2082224

Ginting, H., & Febriansyah, H. (2020). Copenhagen psychosocial questionnaire (COPSPQ) III omnibus survei faktor-faktor psikososial di tempat kerja [COPSPQ III omnibus survey of psychosocial factors at work] (1st ed.). Jakarta: Penerbit Prenadamedia Group.

Ginting, H., Febriansyah, H., Suryana, L. A., & Näring, G. r. (2019). Validating the Bahasa version of the Copenhagen Psychosocial Questionnaire III in Indonesia The 7th International Workshop on the Copenhagen Psychosocial Questionnaire - COPSOQ, Istanbul, Turkey. https://www.copsoq-network.org/assets/Uploads/H.-Ginting-Validation-of-the-Bahasa-version-of-the-Copenhagen-Psychosocial-Questionnaire-III-in-Indonesia.pdf

Goh, H. S., Hosier, S., & Zhang, H. (2022). Prevalence, antecedents, and consequences of workplace bullying among nurses—A summary of reviews. International Journal of Environmental Research and Public Health, 19(14), 8256. https://doi.org/10.3390/ijerph19148256

Habibzadeh, H., Namadi, F., & Mahdi‐Akhgar, M. (2023). Nurse‐to‐nurse horizontal violence during the covid‐19 pandemic and its impact on turnover intention: A cross‐sectional study. Nursing Open, 10(4), 2631-2637. https://doi.org/10.1002/nop2.1523

Hanum, A. L., Hu, Q., Wei, W., Zhou, H., & Ma, F. (2023). Professional identity, job satisfaction, and intention to stay among clinical nurses during the prolonged COVID‐19 pandemic: A mediation analysis. Japan Journal of Nursing Science, 20(2), e12515. https://doi.org/10.1111/jjns.12515

Indonesian Ministry of Health (2017). Regulation of the Minister of Health of the Republic of Indonesia number 40 of 2017 concerning the development of clinical nurse professional career paths. Jakarta: Indonesian Ministry of Health

Indonesian Ministry of Health. (2023). Situation development of emerging infectious diseases [in Bahasa]. https://infeksiemerging.kemkes.go.id

International Labour Office (ILO), International Council of Nurses (ICN), World Health Organization (WHO), & Public Services International (PSI). (2002). Framework guidelines for addressing workplace violence in the health sector. Geneva: International Labour Office. https://www.who.int/publications/i/item/9221134466

Janíková, E., Zeleníková, R., Jarošová, D., Plevová, I., & Mynaříková, E. (2021). Work environment assessment instruments used in nursing. KONTAKT-Journal of Nursing & Social Sciences related to Health & Illness, 23(4), 263–269. https://doi.org/10.32725/kont.2021.041

Johnson, A. H., & Benham‐Hutchins, M. (2020). The influence of bullying on nursing practice errors: a systematic review. AORN Journal, 111(2), 199-210. https://doi.org/10.1002/aorn.12923

Karasek Jr, R. A. (1979). Job demands, job decision latitude, and mental strain: Implications for job redesign. Administrative Science Quarterly, 24(2), 285-308. https://doi.org/10.2307/2392498

Kompier, M. (2003). Job design and well-being. In M. J. Schabracq, J. A. M. Winnubst, & C. L. Cooper (Eds.), The handbook of work and health psychology (Vol. 2, pp. 429-454). Wiley Online Library. https://doi.org/10.1002/0470013400.ch20

Kristensen, T. S., Hannerz, H., Høgh, A., & Borg, V. (2005). The Copenhagen Psychosocial Questionnaire-a tool for the assessment and improvement of the psychosocial work environment. Scandinavian Journal of Work, Environment & Health, 31(6), 438-449.

Labrague, L. J., & de Los Santos, J. A. A. (2021). Fear of Covid‐19, psychological distress, work satisfaction and turnover intention among frontline nurses. Journal of Nursing Management, 29(3), 395-403. https://doi.org/10.1111/jonm.13168

Malinowska Lipien, I., Wadas, T., Gabrys, T., Kozka, M., Gniadek, A., Brzostek, T., & Squires, A. (2022). Evaluating Polish nurses’ working conditions and patient safety during the COVID‐19 pandemic. International Nursing Review, 69(2), 239-248. https://doi.org/10.1111/inr.12724

Piotrowski, A., Sygit-Kowalkowska, E., Boe, O., & Rawat, S. (2022). Resilience, occupational stress, job satisfaction, and intention to leave the organization among nurses and midwives during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(11), 6826. https://doi.org/10.3390/ijerph19116826

Ribeiro, O. M. P. L., Coimbra, V. M. O., Pereira, S. C. d. A., Faria, A. d. C. A., Teles, P. J. F. C., & Rocha, C. G. d. (2022). Impact of COVID-19 on the environments of professional nursing practice and nurses’ job satisfaction. International Journal of Environmental Research and Public Health, 19(24), 16908. https://doi.org/10.3390/ijerph192416908

Said, R. M., & El-Shafei, D. A. (2021). Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt. Environmental Science and Pollution Research, 28, 8791-8801. https://doi.org/10.1007/s11356-020-11235-8

World Health Organization. (2023). WHO Coronavirus (COVID-19) dashboard with vaccination data. https://covid19.who.int

Yosep, I., Mediani, H., & Lindayani, L. (2021). Mental health nurses in Indonesia: A cross-sectional survey of workplace violence and its associated factors. Pacific Rim International Journal of Nursing Research, 25(4), 614-625.

Zahra, A. N., & Feng, J.-Y. (2018). Workplace violence against nurses in Indonesian emergency departments. Enfermería Clínica, 28, 184-190. https://doi.org/10.1016/S1130-8621(18)30064-0

Zhang, S. X., Huang, H., & Wei, F. (2020). Geographical distance to the epicenter of Covid-19 predicts the burnout of the working population: Ripple effect or typhoon eye effect? Psychiatry Research, 288, 112998. https://doi.org/10.1016/j.psychres.2020.112998

Zulfan, M., Syarif, H., & Wardani, E. (2022). Determinants of verbal abuse among nurses at a government-owned general hospital in Indonesia. International Journal of Nursing Education, 14(2), 151-158. https://doi.org/10.37506/ijone.v14i2.18007


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