Sustainable Management, Instable Legislation Regarding Wages, and Employee Satisfaction/Motivation in Two Romanian Hospitals

Codrin Dan Nicolae Ilea,Delia Mirela Tit,Ion Petre,Constantin Bungau,Izabella Petre,Lucia Georgeta Daina,Diana Uivarosan,Lavinia Moleriu,Simona Bungau

doi:10.3390/su12030909

Abstract

The aim of our study is to evaluate the employees’ level of satisfaction/motivation in two Romanian public hospitals in the context of numerous changes of the legislation concerning the level of payment of the employees working in the healthcare system, and to reveal the characteristics of a proper, sustainable management in this type of public healthcare unit. During 2015–2018, 4945 questionnaires were distributed to the staff of both hospitals, processed, and analyzed. In the Clinical County Emergency Hospital of Oradea, the analysis of the questionnaires showed a decrease in motivation (from 94.63% in 2017 to 79.14% in 2018). In the Timisoara County Clinical Emergency Hospital, for all the categories tested, there was a slight increase of the motivation. All the professional categories showed a degree of satisfaction with ascending evolution. Motivations of a different kind than the financial one, reinforced by the hospital’s management in recent years, have led to a general degree of employee satisfaction, 96.95% of them being satisfied that they work in the hospital. In the current unstable legislative context, financial motivation cannot be influenced by the management of public hospitals; therefore, the most appropriate measures that are needed must be geared towards increasing non-financial motivation.

Highlights

Durable management represents the junction of business and sustainability
This study aims to evaluate the level of satisfaction and motivation of the employees of both mentioned hospitals, in the context of the salary increases, and of the instability of the legislation in force regarding the remuneration of the personnel; it describes some conditions/characteristics that ensure an efficient and sustainable management in such a framework
Material incentives in the public health system are predominantly based on wages, but hospital employees benefit from protective equipment, service telephones, and some products or services provided free of charge under the legislation or collective labor agreement

Summary

Introduction

Durable management represents the junction of business and sustainability It can be defined as the conceptualization, accomplishment, and assessment of both socioeconomic and environmental durability—connected decisions and activities. There are various perspectives from which durable management and its integration can be evaluated These comprise tactical management, organizational evolution and transformation, replacement of agents and managers, organizational studying, durable organization, stakeholder commitment, durable business patterns, and business conditions for durability [2]. Both the environment from within the company and the external environment have an impact on the selection of persons or organizational units to be in charge of the durability management and the demand to be carefully noticed [2,3]

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