Hemşirelerde Algılanan Kariyer Engelleri ve İş Tatmini Arasındaki İlişki

Yıl 2024, , 399 - 414, 30.08.2024

Arzu Bulut , Burçin Nur Özdemir

https://doi.org/10.38108/ouhcd.1263454

Öz

Amaç: Bu çalışmada hemşirelerin algılanan kariyer engelleri ve iş tatmin düzeylerini hemşirelerin kişisel ve mesleki özellikleri açısından değerlendirmek ve algılanan kariyer engellerinin, iş tatmini üzerindeki yordayıcı etkisinin incelenmesi amaçlanmıştır.
Yöntem: Bu çalışma tanımlayıcı-ilişki arayıcı ve kesitsel nitelikte bir araştırmadır. Araştırma Türkiye’nin büyükşehirlerinden birinde bulunan bir kamu hastanesinde Kasım 2022 ile Aralık 2022 tarihleri arasında 148 hemşire ile yürütülmüştür. Çalışma verileri Tanıtıcı Bilgi Formu, Hemşirelikte Kariyer Sorunları Ölçeği ve İş Tatmini Ölçeği kullanılarak yüz yüze toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsız gruplarda t testi, tek yönlü ANOVA analizi, Pearson korelasyon analizi ve çoklu doğrusal regresyon analizi kullanılmıştır.
Bulgular: İş tatmininin yordanmasına ilişkin çok değişkenli aşamalı regresyon analizi sonuçlarına göre hemşirelerin algılanan kariyer engelleri alt boyutlarından olan stres ve tükenme, hemşirelerin iş tatminini anlamlı düzeyde yordamaktadır. Stres ve tükenme ile iş tatmini arasında negatif bir ilişki vardır. Stres ve tükenme modelde tek başına iş tatmini toplam varyansın %54.6'sını açıklamaktadır (R2=0.298, F=61.955, p<0.001). Örgütsel baskı ve mesleki uyumsuzluk değişkenin modele eklenmesiyle iki değişken birlikte iş tatminindeki toplam varyansı %54.6’dan %56.3’e çıkarmıştır. Örgütsel baskı ve mesleki uyumsuzluk %1.9’luk varyans açıklama yüzdesi ile modele katkı sağlamıştır. Örgütsel baskı ve mesleki uyumsuzluk arttıkça, iş tatmini azalmıştır. Her iki değişkenin varyansa olan katkısının istatistiksel olarak anlamlı olduğu belirlenmiştir (R2=0.317, F(2, 145)= 33.694, p<0.001).
Sonuç: Çalışmada hemşirelerin algılanan kariyer engellerinden stres, tükenme, örgütsel baskı ve mesleki uyumsuzluk ile iş tatminini arasında negatif yönde anlamlı ilişki olduğu belirlenmiştir. Hemşirelerin kariyer engellerinin çözümü ile iş tatmin düzeyleri artırılabilir. Yöneticiler, hemşirelerin proaktif iş davranışlarının ve sezgisel karar vermenin kariyer yetkinliklerine yansıdığı iş beceri uygulamaları için uygun bir çalışma ortamı oluşturmalıdırlar.

Anahtar Kelimeler

İş tatmini, Kariyer, Hemşirelik, Kariyer engelleri

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Katılımcılara destekleri için teşekkür ederiz.

Relationship between Perceived Career Barriers and Job Satisfaction among Nurses

Öz

Objective: This study was conducted to evaluate the perceived career barriers and job satisfaction levels of nurses in terms of personal and professional characteristics of nurses and to examine the predictor effect of perceived career barriers on job satisfaction.
Methods: This study is a descriptive/correlational and cross-sectional design. The study was conducted in a public hospital in one of the metropolitan cities of Turkiye between November 2022 and December 2022 with 148 nurses. The data were collected face-to-face using Personal Information Form, Nursing Career Problems Scale, and Job Satisfaction Scale. Descriptive statistics, independent samples t-test, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis were used to analyze the data.
Results: The results of multivariate stepwise regression analysis for predicting job satisfaction, stress, and exhaustion, which are the sub-dimensions of nurses' perceived career barriers, significantly indicated nurses' job satisfaction. There is a negative relationship between stress and fatigue and job satisfaction. Stress and exhaustion alone explained 54.6% of the total variance of job satisfaction in the model (R2= 0.298, F(1, 146) =61.955, p<0.001). With the addition of the Organisational Pressure and Professional Dissonance variable to the model, the two variables together increased the total variance in job satisfaction from 54.6% to 56.3%. Organizational pressure and professional incompatibility contributed to the model with a variance explanation percentage of 1.9%. As organizational pressure and professional incompatibility increased, job satisfaction decreased. The contribution of both variables to the variance was statistically significant (R2= 0.317, F(2, 145)= 33.694, p< 0.001).
Conclusion: In this study, it was determined that there was a significant negative relationship between stress, exhaustion, organisational pressure and professional incompatibility and job satisfaction among the perceived career barriers of nurses. Job satisfaction levels of nurses can be increased by solving their career barriers. Managers should create a suitable working environment for nurses' proactive work behaviors and work skill practices in which intuitive decision-making is reflected in career competencies.

Anahtar Kelimeler

Job satisfaction, Career, career barriers of nurses, nursing

Proje Numarası

Yok

Kaynakça

• Aiken LH, Sloane DM, Clarke S, Poghosyan L, Cho E, You L ve ark. (2011). Importance of work environments on hospital outcomes in nine countries International Journal for Quality in Health Care, 23(4), 357–364. https://doi.org/10.1093/intqhc/mzr 022
• Akgöz S, Özçakir A, Kan I, Tombul ÖBBK, Altinsoy SYA, Sivrioğlu Y. (2005) The professional satisfaction of nurses employing in health, application and research center (suam) of Uludağ University Turkiye Klinikleri Journal Medical Ethics Law History, 13, 86–96.
• Akinwale OE, George OJ. (2020). Work environment and job satisfaction among nurses in government tertiary hospitals in Nigeria. Rajagiri Management Journal, 14(1), 71–92.
• Akter N, Akter MK, Turale S. (2019). Barriers to quality of work life among Bangladeshi nurses: a qualitative study. International Nursing Review, 66(3), 396–403.
• Alderson M, (2008). Work structure in the chronic care setting: possible conse-quences for Nurses’ Mental Health. Canadian Journal of Nursing Research Archives, 4(3), 160–178.
• Aloisio LD, Coughlin M, Squires, JE. (2021). Individual and organizational factors of nurses' job satisfaction in long-term care: A systematic review. International Journal of Nursing Studies, 123, 104073. https://doi.org/10.1016/j.ijnurstu.2021.104073
• Applebaum D, Fowler S, Fiedler N, Osinubi O, Robson M. (2010) The impact of environmental factors on nursing stress, job satisfaction, and turnover intention The Journal of Nursing Administration, 40(0), 323-328. https://doi/10.1097/NNA.0b013e3181e9393b
• Ares T. (2018). Role Transition after clinical nurse specialist education. Clinical Nurse Specialist, 32(2), 71-80. https://doi.org/10.1097/NUR.0000000000000 357
• Asif M, Jameel A, Hussain A, Hwang J, Sahito N. (2019). Linking transformational leadership with nurse-assessed adverse patient outcomes and the quality of care: assessing the role of job satisfaction and structural empowerment. International Journal of Environmental Research and Public Health, 16(13), 2381.
• Bai W, Xi HT, Zhu Q, Wang Z, Han L, Chen P ve ark. (2021). Changes in nursing students' career choices following the COVID-19 pandemic in China. Frontiers in Psychiatry, 12(2021), 1-8. https://doi.org/10.3389/fpsyt.2021.657021
• Bratt MM, Broome M, Kelber ST, Lostocco L. (2000) Influence of stress and nursing leadership on job satisfaction of pediatric intensive care unit nurses, American Journal of Critical Care, 386.
• Brayfield AH, Rothe HF. (1951). An ındex of job satisfaction, Journal of Applied Psychology, 5(5), 307-311. https://psycnet.apa.org/doi/10.1037/h0055 617
• Büyüköztürk, Ş. (2021). Sosyal Bilimler için Veri Analizi El Kitabı. 29. Baskı, Ankara:PEGEM Akademi.
• Cai CF, Zhou ZK, Yeh H, Hu J. (2011). Empowerment and its effects on clinical nurses in central China. International Nursing Review, 58(1), 138–144. https://doi.org/10.1111/j.1466-7657.2010.00848.x
• Caricati L, Sala RL, Marletta G, Pelosi G, Ampollini M, Fabbri A ve ark. (2014). Work climate, work values and professional commitment as predictors of job satisfaction in nurses, Journal of Nursing Management, 22(8), 984–994. https://doi.org/10.1111 /jonm.12079
• Chang HY, Huang TL, Won AMK, Ho LH, Juan YC, Chen ve ark. (2019). How career facilitators and barriers influence nurses’ professional turnover intention. Journal of Advanced Nursing, 75(12), 3577–3587. https://doi.org/10.1111/jan.14191
• Cleary M, Horsfall J, Muthulakshmi P, Happell B, Hunt GE. (2013). Career development: graduate nurse views. Journal of Clinical Nursing, 22(17-18), 2605–2613. https://doi.org/10.1111/jocn.12080
• Cohen J. (1988). Statistical Power Analysis for the Behavioral Sciences. 2th Edition, Hillsdale, NJ: Lawrence Earlbaum Associates.
• Cumbler E, Yirdaw E, Kneeland P, Pierce R, Rendon P, Herzke C ve ark. (2018). What is career success for academic hospitalists? A qualitative analysis of early-career faculty perspectives. Journal of Hospital Medicine, 13(6), 372–377. https://doi.org/10.12788 /jhm.2924
• Çavmak D, Atalay E, Söyler S. (2019). Hemşirelikte kariyer sorunları: Bir ölçek geliştirme çalışması, İşletme Araştırmaları Dergisi, 11(3), 1897–1910. https://doi.org/10.20491/isarder.2019.713
• Dall'Ora C, Griffiths P, Ball J, Simon M, Aiken LH. (2015). Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries, BMJ Open, 5(9), e008331, 1–7. https://doi.org/10.1136/bmjopen-2015-008331
• De Vos A, Van der Heijden BI. (2017). Current thinking on contemporary careers: the key roles of sustainable HRM and sustainability of careers, Current Opinion in Environmental Sustainability, 28, 41–50. https://doi.org/10.1016/j.cosust.2017.07.003
• Dursun B, Yılmaz İA, Pektaş K, Altay A. (2012). Üniversite öğrencilerinin kariyer seçimlerinin demografik özellikler açısından incelenmesi: Pınarhisar MYO örneği. Electronic Journal of Vocational Colleges, 2(2), 9–21.
• Dündar G. (2013). Kariyer Geliştirme. Sadullah ÖZ (Ed.) İnsan Kaynakları Yönetimi. İstanbul:
• Erdem R, Rahman S, Avcı L, Göktaş B, Şenoğlu B, Fırat G. (2008). Investigating job satisfaction and burnout levels of the persons working for the hospitals at city center of Elaziğ, Turkey, Journal of Applied Science Research, 4(2), 188–201.
• Erlingsdóttir G, Sandberg H. (2016). eHealth opportunities and challenges: a white paper. Lund: The Pufendorf Institute of Advanced Studies, Lund University, Sweden: MediaTryck, Lund.
• Gardulf A, Orton ML, Eriksson LE, Undén M, Arnetz B, Kajermo KN ve ark. (2008). Factors of importance for work satisfaction among nurses in a university hospital in Sweden, Scandinavian Journal of Caring Sciences, 22(2), 151–160. https://doi.org/10.1111 /j.1471-6712.2007.00504.x
• Gebregziabher D, Berhanie E, Berihu H, Belstie A, Teklay G. (2020). The relationship between job satisfaction and turnover intention among nurses in Axum comprehensive and specialized hospital Tigray, Ethiopia. BMC Nursing, 19, 1–8. https://doi.org/10.1186/s12912-020-00468-0
• Gürbüz S. (2017). İnsan Kaynakları Yönetimi Teori, Araştırma ve Uygulama. Ankara, Seçkin Yayıncılık. Haggstrom E, Skovdahl K, Flackman B, Kihlgren AL, Kihlgren M. (2004). To feel betrayed and to feel that you are betraying the older residents: caregivers’ experiences at a newly opened nursing home. J. Clin. Nurs. 13 (6), 687–696.
• Hair JF, Black WC, Babin B J, Anderson RE, Tatham RL. (2013). Multivariate Data Analysis: Pearson Education Limited.
• Han K, Trinkoff AM, Gurses AP. (2015). Work‐related factors, job satisfaction and intent to leave the current job among United States nurses, Journal of Clinical Nursing, 24(21-22), 3224–3232. https://doi.org/10. 1111/jocn.12987
• Haney T, Rutledge C. (2016). The Imposter Syndrome: unlocking the potential of CNS students Talk presented at: National Association of Clinical Nurse Specialists, Annual Conference; March 3, Philadelphia, PA
• Holland P, Allen B, Cooper B. (2012). What nurses want: analysis of the first national survey on nurses' attitudes to work and work conditions in Australia Melbourne: Monash University. Erişim Adresi: https://anmf.org.au/documents/reports/What_Nurses_Want_Report.pdf Erişim tarihi: 20.02.2023.
• Iheduru‐Anderson K. (2020). Barriers to career advancement in the nursing profession: Perceptions of Black nurses in the United States. In Nursing Forum, 55(4), 664–677. https://doi.org/10.1111/nuf.12483
• Jafari M, Habibi Houshmand B, Maher A. (2017). Relationship of occupational stress and quality of work life with turnover intention among the nurses of public and private hospitals in selected cities of Guilan Province, Iran, in 2016. Journal of Health Research in Community, 3(3), 12–24.
• Jantzen D. (2019). Refining nursing practice through workplace learning: A grounded theory. Journal of Clinical Nursing, 28(13-14), 2565–2576.
• Judge TA, Locke EA, Durham CC, Kluger AN. (1998). Dispositional effects on job and life satisfaction: the role of core evaluations, Journal of Applied Psychology, 83(1), 17–34. https://doi.org/10.1037/00 21-9010.83.1.17
• Jung YM, Yoo IY. (2022). Career education needs of Korean nursing students and professionals: A cross-sectional survey. Nurse Education Today, 108, 105209, 1–9. https://doi.org/10.1016/j.nedt.2021. 105209
• Kajermo KN, Undén M, Gardulf A, Eriksson LE, Orton ML, Arnetz BB ve ark. (2008). Predictors of nurses’ perceptions of barriers to research utilization. Journal of Nursing Management, 16(3), 305–314. https://doi.org/10.1111/j.1365-2834.2007.00770.x
• Karaca A, Durna Z. (2019). Patient satisfaction with the quality of nursing care. Nursing Open, 6(2), 535–545. https://doi.org/10.1002/nop2.237
• Karatuzla M. (2020). Türkiye’de kariyer planlama ve geliştirmeye dayalı hemşirelik araştırmalarının incelenmesi, Sağlık Hizmetleri ve Eğitimi Dergisi, 4(1), 8–13, https://doi.org/10.35333/JOHSE.2020. 189
• Kavanaugh J, Duffy JA, Lilly J. (2006). The relationship between job satisfaction and demographic variables for healthcare professionals. Management Research News, 29(6), 304–325. https://doi.org/10.1108/01409 170610683842
• Keser A, Bilir KBÖ. (2019). İş tatmini ölçeğinin Türkçe güvenilirlik ve geçerlilik çalışması, Kırklareli Üniversitesi Sosyal Bilimler Dergisi, 3(3), 229–239.
• Kline RB. (2015). Principles and Practice of Structural Equation Modeling. New York, Guilford Publications.
• Kožuchová M, Vargová A. (2015). Selected Factors Of Slovak Nurses Job Satısfactıon. Cent Eur J Nurs Midw 2015, 6(2), 260–266. https://doi.org/10.15452/ CEJNM.2015.06.0013
• Kuykendall JW, Marshburn DM, Poston CW, Mears A. (2014). Experienced nurses’ level of engagement, The Journal of Nursing Administration, 44(10), 546–551.
• Labrague LJ, De los Santos, JAA. (2020). Transition shock and newly graduated nurses' job outcomes and select patient outcomes: A cross‐sectional study. Journal of Nursing Management, 28(5), 1070–1079. https://doi.org/10.1111/jonm.13033
• Lampinen MS, Viitanen EA, Konu AI. (2015). Sense of community and job satisfaction among social and health care managers. Leadership in Health Services, 28(3), 228–244.
• Laschinger HKS, Grau AL, Finegan J, Wilk P. (2010). New graduate nurses’ experiences of bullying and burnout in hospital settings. Journal of Advanced Nursing, 66(12), 2732–2742. https://doi.org/10.1111/ j.1365-2648.2010.05420.x
• Leone C, Bruyneel L, Anderson JE, Murrells T, Dussault G, de Jesus ÉH ve ark. (2015). Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study. Health Policy, 119(12), 1584-1592. https://doi.org/10.1016/j.healthpol.2015.09.006
• Lin Y. (2017). Is this the right job for me and my children? turnover ıntention and parental correctional career endorsement among correctional officers in Taiwan, Asian Journal of Criminology, 12(3), 217–230. https://doi.org/10.1007/s11417-017-9243-z.
• Liu Y, Aungsuroch Y, Yunibhand J. (2016). Job satisfaction in nursing: a concept analysis study. International Nursing Review, 63(1), 84–91. http://dx.doi.org/10.1111/inr.12215
• Lu H, While AE, Louise Barriball K. (2007). A model of job satisfaction of nurses: a reflection of nurses’ working lives in Mainland China, Journal of Advanced Nursing, 58(5), 468–479. https://doi.org/10.1111/j.1365-2648.2007.04233.x
• Lu H, Zhao Y, While A. (2019). Job satisfaction among hospital nurses: A literature review. International Journal of Nursing Studies, 94, 21–31. https://doi.org/10.1016/j.ijnurstu.2019.01.011
• Marques-Quinteiro P, Vargas R, Eifler N, Curral L. (2019). Employee adaptive performance and job satisfaction during organizational crisis: the role of self-leadership. European Journal of Work and Organizational Psychology, 28(1), 85–100. https://doi.org/10.1080/1359432X.2018.1551882
• Masum AKM, Azad MAK, Hoque KE, Beh LS, Wanke P, Arslan Ö. (2016). Job satisfaction and intention to quit: an empirical analysis of nurses in Turkey, PeerJ, 4, e1896. https://doi.org/10.7717/peerj.1896
• Mlambo M, Silén C, McGrath C. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC Nurs 20, 62 (2021). https://doi.org/10.1186/s12912-021-00579-2
• Mohammed RR, Abdel Waha EA, El-Sayed RI. (2020). Factors Influencing Career Development among Nursing Staff at Port-Said Governmental Hospitals. Port Said Scientific Journal of Nursing, 7(1), 191-211. https://doi.org/10.21608/PSSJN.2020.29897.10 26
• Mrayyan MT. (2006). Jordanian nurses’ job satisfaction, patients’ satisfaction and quality of nursing care, International Nursing Review, 53(3), 224–230. https://doi.org/10.1111/j.1466-7657.2006.00439.x
• Odendaal WA, Anstey Watkins J, Leon N, Goudge J, Griffiths F, Tomlinson M ve ark. (2020). Health workers’ perceptions and experiences of using mHealth technologies to deliver primary healthcare services: a qualitative evidence synthesis. Cochrane Database of Systematic Reviews, (3), 1–120. https://doi.org/10.1002/14651858.cd011942.pub2
• Oyetunde MO, Oluwafunke KI. (2015). Professional development and career pathway in nursing. Int J Sci, 4(6), 92–104.
• Pagano RR. (2009). Understanding Statistics in the Behavioral Sciences. Belmont, Wadsworth Cengage Learning, 267–77.
• Pallant J. (2007). SPSS Survival Manual: A Step-By-Step Guide to Data Analysis Using SPSS Version 15. (3 ed), Maidenhead: Open University Press.
• Price S, Reichert C. (2017). The importance of continuing professional development to career satisfaction and patient care: meeting the needs of novice to mid- to late-career nurses throughout their career Span. Administrative Sciences, 7(2), 1–17. https://doi.org/10.3390/admsci7020017
• Raeissi P, Rajabi MR, Ahmadizadeh E, Rajabkhah K, and Kakemam E. (2019). Quality of work life and factors associated with it among nurses in public hospitals, Iran. Journal of the Egyptian Public Health Association, 94, 1–8. https://doi.org/10.1186/s42506-019-0029-2
• Ramawickrama J, Opatha H, PushpaKumar M.D. (2017). Quality of work life, job satisfaction, and the facets of the relationship between the two constructs. International Business Research, 10(4), 167–182.
• Rasool SF, Wang M, Zhang, Samma M. (2020). Sustainable work performance: the roles of workplace violence and occupational stress. International Journal of Environmental Research and Public Health, 17(3), 912. https://doi.org/10.339i0/jerph 17030912
• Rudman A, Gustavsson P, Hultell D. (2014). A prospective study of nurses’ intentions to leave the profession during their first five years of practice in Sweden. International journal of nursing studies, 51(4), 612–624. https://doi.org/10.1016/j.ijnurstu .2013.09
• Sabancıogullari S, Dogan S. (2015). Effects of the professional identity development programme on the professional identity, job satisfaction and burnout levels of nurses: A pilot study, International Journal of Nursing Practice, 21(6), 847–857. https://doi.org/10.1111/ijn.12330
• Saini SK, Singh C. (2005). Job satisfaction among nursing personnel (16PT LC Bold), Nursing Midwifery Research Journal, 1(2), 64-69. https://doi.org/10.1177/0974150X20050203
• Schwepker CH, Schultz RJ. (2015). Influence of the ethical servant leader and ethical climate on customer value enhancing sales performance. Journal of Personal Selling & Sales Management, 35(2), 93-107. https://doi.org/10.1080/08853134.2015.1010537
• Schwepker Jr, C. H. (2017). Psychological ethical climate, leader–member exchange and commitment to superior customer value: influencing salespeople’s unethical intent and sales performance. Journal of Personal Selling & Sales Management, 37(1), 72-87. https://doi.org/10.1080/08853134.2016.1272054
• Sevinç E, Sabuncu N. (2018). Kariyer planlama ve geliştirme uygulamalarına ilişkin bir özel hastanede çalışan hemşirelerin görüşleri. IGUSABDER, 6, 585–606.
• Solberg VS, Good GE, Nord D, Holm C, Hohner R, Zima N ve ark. (1994). On the path to career agency: Construct and discriminant validation of the Career Self-Efficacy Inventory. Journal of Career Assessment, 2, 111–123. https://doi.org/10.1177/106 907279400200202
• Tabachnick, BG, Fidell, LS. (2007). Using Multivariate Statistics. 5th Edition, Boston, Pearson Education.
• Tak J, Lee K. (2003). Development of Korean career indecision inventory. Journal of Career Assessment 11(3): 328–345. https://doi.org/10.1177/1069072703 254503
• TDK (Türk Dil Kurumu) (2023) Türk Dil Kurumu Sözlük. Erişim Adresi: https://sozluk.gov.tr/ Erişim Tarihi: 10.07.2023.
• Utriainen K, Kyngäs H. (2009). Hospital nurses' job satisfaction: a literature review. Journal of nursing management, 17(8), 1002–1010.https://doi.org/ 10.1111/j.1365-2834.2009.01028.x
• Veth KN, Van der Heijden BI, Korzilius HP, De Lange AH, Eman BJ. (2018). Bridge over an aging population: Examining longitudinal relations among human resource management, social support, and employee outcomes among bridge workers, Frontiers in Psychology, 9, 574. https://doi.org/10.3389/fpsyg. 2018.00574
• Wang Y, Zhang L, Tian S, Wu J. Lu J, Wang F, Wang Z. (2019). The relationship between work environment and career success among nurses with a master's or doctoral degree: A national cross-sectional study, International Journal of Nursing Practice, 25(4), 1–8. e12743. https://doi.org/10.1111/ijn.12743
• Watts LL, Frame MC, Moffett RG, Van Hein JL, Hein M. (2015). The relationship between gender, perceived career barriers, and occupational aspirations. Journal of Applied Social Psychology, 45(1), 10–22. https://doi.org/10.1111/jasp.12271
• Weman K, Kihlgren M, Fagerberg I. (2004). Older people living in nursing homes or other community care facilities: registered Nurses’ views of their working situation and co-operation with family members. J. Clin. Nurs. 13 (5), 617–626.
• Wild P, Parsons V, Dietz E. (2006). Nurse practitioner’s characteristics and job satisfaction, Journal of the
• American Academy of Nurse Practitioners, 18(11), 544-549.https://doi.org/10.1111/j.1745-7599.2006.00 173.x World Health Organization (WHO) (2020). Draft global strategy on digital health 2020–2025. World Health Organisation. Erişim Adresi: https://www.who.int/ docs/default-source/documents/gs4dhdaa2a9f352b04 45bafbc79ca799dce4d.pdf. Erişim Tarihi: 27.10.2023
• Yılmazel G. (2013). Mobbing, job satisfaction and affecting factors in the nurse, Turkiye Clinics Journal of Nursing Science, 5(2), 55–63.
• Yoon S, Kim YA. (2022). A Meta-analysis of factors related to job satisfaction: focused on Korean nurses. Iranian Journal of Public Health, 51(5), 978. https://doi.org/10.18502%2Fijph.v51i5.9413
• Zamanzadeh V, Valizadeh, L, Praskova A, Ghahramanian A, Rassouli M, Asghari E. (2019). Reaching for the stars: Iranian nurses' perceptions of career success. International Nursing Review, 66(1), 78–86. https://doi.org/10.1111/inr.124600
• Zar RG. (2017). Understanding the relationship between HRM practices and organization performance in HDFC bank. Archives of Business Research, 5(3), 53–69. https://doi.org/10.14738/abr.53.2832