Abstract
As the Japanese population ages, the number of cancer patients will likely increase. Therefore, qualified cancer health care providers should be recruited and retained. Nurse job satisfaction is influenced by numerous factors and may affect staff turnover and patient outcomes. To evaluate the job satisfaction of certified nurses and nurse specialists in Japanese cancer care and elucidate factors associated with job satisfaction. Participants in this cross-sectional study comprised 200 certified nurse specialists and 1,472 certified nurses working in Japanese cancer care. A chi-square test and logistic regression analysis were conducted to identify job satisfaction factors. Job satisfaction was present in 38.45% and 49.00% of certified nurses and nurse specialists, respectively. Certified nurses associated job satisfaction with cross-departmental activities (OR 2.24, p<0.001), positive evaluation from senior stuff (OR 4.58, p<0.001), appropriate staff allocation (OR 1.75, p<0.001), more than five years certified nurse experience (OR 1.91, p<0.001), and positive evaluation of the development of certified nurses (OR 2.13, p<0.01) and nurse specialists (OR 1.37, p<0.05). Low job satisfaction was associated with working on a ward (OR 0.51, p<0.001) and a capacity of more than 200 beds (OR 0.33, p = 0.00). Certified nurse specialists associated job satisfaction with palliative care team participation (OR 2.64, p<0.05), cross-sectional activities (OR 7.06, p<0.01), positive evaluation from senior stuff (OR 13.15, p<0.001), presence of certified nurses in radiation therapy (OR 2.91, p<0.05), positive certified nurse specialist development evaluation (OR 7.35, p<0.001), medical service fees (OR 3.78, p<0.01), and independent activities (OR 11.34, p<0.01). We identified factors related to activities, facilities, and the cancer care team associated with job satisfaction of certified nurses and nurse specialists in Japanese cancer care. Suggestions are provided to enhance job satisfaction through Japan's Basic Plan to Promote Cancer Control, which may help hospital administrators retain nursing staff.
Highlights
With the aging of the global population, the number of cancer patients and cancer-related deaths in Japan is expected to increase [1]
Job satisfaction was present in 38.45% and 49.00% of certified nurses and nurse specialists, respectively
We identified factors related to activities, facilities, and the cancer care team associated with job satisfaction of certified nurses and nurse specialists in Japanese cancer care
Summary
With the aging of the global population, the number of cancer patients and cancer-related deaths in Japan is expected to increase [1]. To provide high-quality medical services and optimally support cancer patients and their families, the Basic Plan to Promote Cancer Control Programs was adopted by the Japanese national health care system. It suggests a collaborative approach involving multiple healthcare professionals. A certified nurse specialist (CNS) is a nurse who participates in clinical practice, consultation, coordination of activities, ethical management, education, and research; has at least five years of nursing experience; and has obtained certification after completing a master’s degree at a graduate school Through their job activities, CNSs aim to improve the quality of medical care, propose policies, and work to maintain and improve patient health [2]. Nurse job satisfaction is influenced by numerous factors and may affect staff turnover and patient outcomes
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