Health Management

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Browsing Health Management by Author "Hani Abdul Kareem Sammour"

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    Job Autonomy as Perceived by Physicians Working in Shifa Hospital
    (Al-Quds University, 2011-02-02) Hani Abdul Kareem Sammour; هاني عبد الكريم سمور
    Job Autonomy is a very important part of job enrichment. It promotes employee's empowerment which leads to improving trust, self-awareness and self efficiency; its application can promote motivation and satisfaction. Objective: The overall aim of this study is to assess the level of job autonomy among physicians working in Shifa Hospital and to determine the personal and organizational factors that may influence job autonomy. Methodology: A descriptive analytic cross sectional study was conducted among physicians working in Shifa Hospital using self-administered questionnaire. A total of 195 questionnaires were distributed to the study population using two stages sampling method (stratified then systematic) from the surgical, medical and maternity wards. A sum of 168 questionnaires were received with a response rate of 86%. The researcher used the SPSS for checking validity, processing and analyzing the data. Results: The mean level of job autonomy among physicians working in Shifa Hospital was 6.67 out of 10 and P-value < 0.05 ( the physicians' perception of job autonomy was 6.57, P-value 0.000, the level of technical autonomy was 7.13, P-value 0.000 and the level of administrative autonomy was 6.07 and P-value 0.563). There were no statistical significance differences in the level of job autonomy between departments (means were 6.87, 6.66 and 6.61 for maternity, medical and surgical departments respectively and the P-value 0.65). Certain personal factors were found to be statistically significant at P-value less than 0.05. Physicians who were highly skilled, working as head of departments, holding PHD degree, older than 40 years and experienced more than 15 years had elicited higher scores on the job autonomy scale than their counterparts with statistical significance differences at P-value less than 0.05. On the other hand, gender and department of work didn’t reflect in statistically significant differences among physicians as the P-value was higher than 0.05. The organizational factors that have been studied were found to be present at variable degrees and all of them were found to have a positive relationship with the level of autonomy at a statistical significant level. Teamwork was found to be present with the highest mean (7.55 and P-value 0.000) then the bureaucratic level of the structure (mean 7.23 and P-value 0.000) then job description at a mean 6.47 and P-value 0.000. Patient safety and accountability were present at a mean 6.14 and 6.05 respectively but not at a statistical significant level. Standardization was not adequately present (mean 5.74 and P-value 0.030). The organizational structure had the highest relationship with the job autonomy (r 0.550 and P-value 0.000) then teamwork (r 0.525 and P-value 0.000). The bureaucratic level had correlation coefficient 0.438 and P-value 0.000. Issues like having job description, patient safety, accountability and standardization had revealed controversial findings and require further exploration and investigations. Recommendation: The study provided a set of recommendations regarding promoting physicians’ autonomy, enhancing standardizations and clarifying roles and responsibilities. It is essential to increase physicians’ involvement in the organizational issues and the management of care to patients. .