Using System Dynamics to Model the Interaction Among the Factors of Job Satisfaction, Productivity, and Quality of Service in the Health Industry

Journal of Systems Thinking in Practice

دوره 2، شماره 1 - شماره پیاپی 4، خرداد 2023، صفحه 93-117   

نوع مقاله: Research Article

شناسه دیجیتال (DOI): 10.22067/jstinp.2023.81106.1029

نویسندگان

Yahia Zare Mehrjerdi^* ؛ Tahereh Aliheidari

Department 1Department of Industrial engineering, Faculty of engineering, Yazd University, Yazd, Iran.

چکیده

Management in health organizations is always interested to know whether their employees are satisfied with the type of job that they are doing. The trend of job satisfaction is of great concern to all employers all around the industries. The health industry is one of those industries where job satisfaction plays a vital role in its performance and providing quality service to patients. Knowing that many studies have been done about job satisfaction in the health industry, only a few are paying attention to the dynamic impact of factors on each other, considering feedback loops for real modeling of the problem. This paper proposes a multi-stage model for evaluating job satisfaction by system dynamics in a big hospital in Iran. Firstly, key influenced factors of job satisfaction are listed based on the Job Descriptive Index. In the second stage, after designing influence diagramming, three scenarios are developed for examining the impacts of two crucial financial and nonfinancial rewards factors. Finally, we analyzed the result of the running flow diagram of each scenario. The results show that applying both financial and nonfinancial rewards simultaneously can increase job satisfaction and the organisation's income via applying one of them.

کلیدواژه‌ها

System dynamics؛ Job Satisfaction؛ Healthcare؛ Quality of service

مراجع

Acorn, L., 1991. Working in a boot camp. Corrections Today, 53(6), pp.112-115.

Acuña, S.T., Gómez, M. and Juristo, N., 2009. How do personality, team processes and task characteristics relate to job satisfaction and software quality?. Information and Software Technology, 51(3), pp.627-639. https://doi.org/10.1016/j.infsof.2008.08.006.

Adams, A. and Bond, S., 2000. Hospital nurses’ job satisfaction, individual and organizational characteristics. Journal of advanced nursing, 32(3), pp.536-543. https://doi.org/10.1046/j.1365-2648.2000.01513.x.

Aiken, L.H., Sermeus, W., Van den Heede, K., Sloane, D.M., Busse, R., McKee, M., Bruyneel, L., Rafferty, A.M., Griffiths, P., Moreno-Casbas, M.T. and Tishelman, C., 2012. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. Bmj, 344. https://doi.org/10.1136/bmj.e1717.

AlaviRad, A., Ghafoori, MA., Ghorashi, N., 2015. Compare the Effect of Health on Iranian Economic Growth and Vision Basin Countries. Tolooe Behdasht Journal, 13(3) pp. 136-146. [In Persian].

Arnold, H.J. and Feldman, D.C., 1982. A multivariate analysis of the determinants of job turnover. Journal of applied psychology, 67(3), p.350. https://doi.org/10.1037/0021-9010.67.3.350.

Asere, L. and Blumberga, A., 2015. Government and municipality owned building energy efficiency system dynamics modelling. Energy Procedia, 72, pp.180-187. https://doi.org/10.1016/j.egypro.2015.06.026.

Bowling, N.A. and Hammond, G.D., 2008. A meta-analytic examination of the construct validity of the Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale. journal of Vocational Behavior, 73(1), pp.63-77. https://doi.org/10.1016/j.jvb.2008.01.004.

Brayfield, A.H. and Rothe, H.F., 1951. An index of job satisfaction. Journal of applied psychology, 35(5), p.307. https://doi.org/10.1037/h0055617.

Brown, S.P. and Peterson, R.A., 1993. Antecedents and consequences of salesperson job satisfaction: Meta-analysis and assessment of causal effects. Journal of marketing research, 30(1), pp.63-77. https://doi.org/10.1177/002224379303000106.

Buciuniene, I., Blazeviciene, A. and Bliudziute, E., 2005. Health care reform and job satisfaction of primary health care physicians in Lithuania. BMC Family practice, 6(1), pp.1-6.

Cavanagh, S.J. and Coffin, D.A., 1992. Staff turnover among hospital nurses. Journal of advanced nursing, 17(11), pp.1369-1376. https://doi.org/10.1111/j.1365-2648.1992.tb01861.x.

Chen, H.C., Chu, C.I., Wang, Y.H. and Lin, L.C., 2008. Turnover factors revisited: a longitudinal study of Taiwan-based staff nurses. International journal of nursing studies, 45(2), pp.277-285. https://doi.org/10.1016/j.ijnurstu.2006.08.010.

Coomber, B. and Barriball, K.L., 2007. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International journal of nursing studies, 44(2), pp.297-314. https://doi.org/10.1016/j.ijnurstu.2006.02.004.

Cui, B. and Han, R., 2008, June. Modeling of dimensional errors in slender bar turning using artificial neural networks. In 2008 7th World Congress on Intelligent Control and Automation (pp. 6053-6056). IEEE. 10.1109/WCICA.2008.4592861.

Das, S. and Baby, P., 2014. Correlation between organizational stress and job satisfaction among registered nurses in selected hospital. Asian Journal of Nursing Education and Research, 4(1), pp.45-49.

Davies M.A., 2001. Perceived workplace empowerment, job tension, job satisfaction of linical educators in hospital settings: testing Kanter’s theory. (Master's thesis). University of Western Ontario, London, Ontario.

Faezipour, M. and Ferreira, S., 2013. A system dynamics perspective of patient satisfaction in healthcare. Procedia Computer Science, 16, pp.148-156. https://doi.org/10.1016/j.procs.2013.01.016.

Fain, J.A., 1987. Perceived role conflict, role ambiguity, and job satisfaction among nurse educators. Journal of Nursing Education, 26(6), pp.233-238. https://doi.org/10.3928/0148-4834-19870601-06.

Faregh F, Zare Mehrjardi Y. 2014. Identifying effective factors on the promotion of therapeutic tourism industry using systemic approach. In: National conference on national tourism, national capital and future perspectives, pp 1–15.

Fletcher, C.E., 2001. Hospital RNs’ job satisfactions and dissatisfactions. JONA: The Journal of Nursing Administration, 31(6), pp.324-331.

Forrester, J.W., 1968. Industrial dynamics—after the first decade. Management science, 14(7), pp.398-415. https://doi.org/10.1287/mnsc.14.7.398.

Gaither, C.A., 2009. Job satisfaction and intention to leave the profession: should we care?. Research in Social & Administrative Pharmacy, 5(2), 91–93. https://doi.org/10.1016/j.sapharm.2009.04.001.

Georgiadis, P., Vlachos, D. and Iakovou, E., 2005. A system dynamics modeling framework for the strategic supply chain management of food chains. Journal of food engineering, 70(3), pp.351-364. https://doi.org/10.1016/j.jfoodeng.2004.06.030.

Gigantesco, A., Picardi, A., Chiaia, E., Balbi, A. and Morosini, P., 2003. Brief report: job satisfaction among mental health professionals in Rome, Italy. Community Mental Health Journal, 39, pp.349-355. https://doi.org/10.1023/A:1024076209376.

Gruneberg, M.M. 1976. Job Satisfaction—A Reader. Macmillan Press, London.

Gui, L., Barriball, K.L. and While, A.E., 2009. Job satisfaction of nurse teachers: A literature review. Part II: Effects and related factors. Nurse Education Today, 29(5), pp.477-487. https://doi.org/10.1016/j.nedt.2008.11.003.

Gupta, Y.P. and Gupta, M.C., 1990. A process model to study the impact of role variables on turnover intentions of information systems personnel. Computers in Industry, 15(3), pp.211-238. https://doi.org/10.1016/0166-3615(90)90021-G.

Heidari, H., Faaljou, H., Nazariyan, E. and Mohammadzadeh, Y., 2013. Social capital, health capital and economic growth in the middle east countries. Quarterly Journal of Economic Growth and Development Research, 3(11), pp.74-57.

Herzberg, F., Mausner, B. and Snyderman, B.B., 1959. The Motivation to Work, 2nd Edn New York. NY: John Wiley & Sons.

Holland, C.B., 1992. The influence of job satisfaction and organizational commitment on intention to leave of nurse educators. Louisiana State University and Agricultural & Mechanical College.

Holmström, P. and Elf, M., 2004, July. Staff retention and job satisfaction at a hospital clinic–a Case study. In 22nd International Conference of the System Dynamics Society, University of Oxford, July (pp. 25-29).

Ivancevich, J.M. 2007. Human Resource Management. 10th ed. New York: McGraw-Hill.

Kennerly, S.M., 1989. Leadership behavior and organizational characteristics: Implications for faculty satisfaction. Journal of Nursing Education, 28(5), pp.198-202. https://doi.org/10.3928/0148-4834-19890501-04.

Krogstad, U., Hofoss, D., Veenstra, M. and Hjortdahl, P., 2006. Predictors of job satisfaction among doctors, nurses and auxiliaries in Norwegian hospitals: relevance for micro unit culture. Human resources for health, 4(1), pp.1-8. https://doi.org/10.1186/1478-4491-4-3.

Kuhlen, R.G., 1963. Needs, perceived need satisfaction opportunities and satisfaction with occupation. Journal of Applied Psychology, 47(1), p.56.

Larrabee, J.H., Janney, M.A., Ostrow, C.L., Withrow, M.L., Hobbs, G.R. and Burant, C., 2003. Predicting registered nurse job satisfaction and intent to leave. JONA: The Journal of Nursing Administration, 33(5), pp.271-283.

Laszlo, E., 1972. The relevance of general systems theory. New York: George Braziller. Inc., l972.

Lee, H.Y., Park, S.E., Park, E.C., Hahm, M.I. and Cho, W.H., 2008. Job satisfaction and trust in Health Insurance Review Agency among Korean physicians. Health policy, 87(2), pp.249-257. https://doi.org/10.1016/j.healthpol.2007.12.011.

Locke, E.A., 1969. What is job satisfaction?. Organizational behavior and human performance, 4(4), pp.309-336. https://doi.org/10.1016/0030-5073(69)90013-0.

Lu, H., While, A.E. and Barriball, K.L., 2005. Job satisfaction among nurses: a literature review. International journal of nursing studies, 42(2), pp.211-227. https://doi.org/10.1016/j.ijnurstu.2004.09.003.

Lu, H., While, A.E. and Barriball, K.L., 2007. Job satisfaction and its related factors: a questionnaire survey of hospital nurses in Mainland China. International journal of nursing studies, 44(4), pp.574-588. https://doi.org/10.1016/j.ijnurstu.2006.07.007.

Lu, K.Y., Lin, P.L., Wu, C.M., Hsieh, Y.L. and Chang, Y.Y., 2002. The relationships among turnover intentions, professional commitment, and job satisfaction of hospital nurses. Journal of Professional Nursing, 18(4), pp.214-219. https://doi.org/10.1053/jpnu.2002.127573.

Lutgen-Sandvik, P., Riforgiate, S. and Fletcher, C., 2011. Work as a source of positive emotional experiences and the discourses informing positive assessment. Western Journal of Communication, 75(1), pp.2-27. https://doi.org/10.1080/10570314.2010.536963.

Marriner, A. and Craigie, D., 1977. Job satisfaction and mobility of nursing educators: In baccalaureate and higher degree programs in the west. Nursing research, 26(5), pp.349-360.

Megel, M.E., Langston, N.F. and Creswell, J.W., 1988. Scholarly productivity: A survey of nursing faculty researchers. Journal of Professional Nursing, 4(1), pp.45-54. https://doi.org/10.1016/S8755-7223(88)80073-5.

Mella, P. and Gazzola, P., 2019. Improving managers’ intelligence through Systems Thinking. Kybernetes, 48(1), pp.58-78. https://doi.org/10.1108/K-08-2017-0308.

Mella, P., 2012. Systems thinking: intelligence in action (Vol. 2). Springer Science & Business Media. New York and Berlin.

Mengistu, M.M. and Bali, A.G., 2015. Factors associated to job satisfaction among healthcare workers at public hospitals of west Shoa zone, Oromia regional state, Ethiopia: a cross sectional study. Science Journal of Public Health, 3(2), pp.161-167. https://doi.org/10.11648/j.sjph.20150302.12.

Moody, N.B., 1996. Nurse faculty job satisfaction: A national survey. Journal of Professional Nursing, 12(5), pp.277-288. https://doi.org/10.1016/S8755-7223(96)80007-X.

Moubed, M. and Mehrjerdi, Y.Z., 2014. Joyful organisation: a system thinking approach. International Journal of Happiness and Development, 1(4), pp.369-383. https://doi.org/10.1504/IJHD.2014.066131.

Mueller, C.W. and McCloskey, J.C., 1990. Nurses' job satisfaction: A proposed measure. Nursing research, 39(2), pp.113-116.

Mutuc JES.,1994 Investigating the Dynamics of Employee Prediction. International System Dynamics Confrece.

Najafi, V., Honarvar, M., Zare Mehrjerdi, Y. and Sadat, S., 2019. Exploring the role of lean thinking in sustainability of healthcare supply chain with system dynamics approach. Department of Industrial Engineering, Yazd University, Iran.

Namasivayam, K. and Zhao, X., 2007. An investigation of the moderating effects of organizational commitment on the relationships between work–family conflict and job satisfaction among hospitality employees in India. Tourism management, 28(5), pp.1212-1223. https://doi.org/10.1016/j.tourman.2006.09.021.

Nolan, M., Nolan, J. and Grant, G., 1995. Maintaining nurses' job satisfaction and morale. British Journal of Nursing, 4(19), pp.1149-1154. https://doi.org/10.12968/bjon.1995.4.19.1149.

Otto, P. and Simon, M., 2008. Dynamic perspectives on social characteristics and sustainability in online community networks. System Dynamics Review: The Journal of the System Dynamics Society, 24(3), pp.321-347. https://doi.org/10.1002/sdr.403.

Plawecki, J.A. and Plawecki, H.M., 1976. Factors that influence attraction and retention of qualified nurse educators. Nursing Research, 25(2), pp.133-135.

Price, J.L., 2001. Reflections on the determinants of voluntary turnover. International Journal of manpower. 22(7),pp. 600-624. https://doi.org/10.1108/EUM0000000006233.

Shader, K., Broome, M.E., Broome, C.D., West, M.E. and Nash, M., 2001. Factors influencing satisfaction and anticipated turnover for nurses in an academic medical center. JONA: The Journal of Nursing Administration, 31(4), pp.210-216.

Shieh, H.L., Mills, M.E. and Waltz, C.F., 2001. Academic leadership style predictors for nursing faculty job satisfaction in Taiwan. Journal of Nursing Education, 40(5), pp.203-209. https://doi.org/10.3928/0148-4834-20010501-05.

Smith, P.C., 1969. The measurement of satisfaction in work and retirement: A strategy for the study of attitudes. Rand McNally, Chicago.

Snarr, C.E. and Krochalk, P.C., 1996. Job satisfaction and organizational characteristics: Results of a nationwide survey of baccalaureate nursing faculty in the United States. Journal of Advanced Nursing, 24(2), pp.405-412. https://doi.org/10.1046/j.1365-2648.1996.19725.x.

Stone, R.J., Cox, A. and Gavin, M., 2020. Human resource management. John Wiley & Sons.

Tegegne, W.A., Moyle, B.D. and Becken, S., 2018. A qualitative system dynamics approach to understanding destination image. Journal of destination marketing & management, 8, pp.14-22. https://doi.org/10.1016/j.jdmm.2016.09.001.

Tett, R.P. and Meyer, J.P., 1993. Job satisfaction, organizational commitment, turnover intention, and turnover: path analyses based on meta‐analytic findings. Personnel psychology, 46(2), pp.259-293. https://doi.org/10.1111/j.1744-6570.1993.tb00874.x.

Tzeng, H.M., Ketefian, S. and Redman, R.W., 2002. Relationship of nurses’ assessment of organizational culture, job satisfaction, and patient satisfaction with nursing care. International journal of nursing studies, 39(1), pp.79-84. https://doi.org/10.1016/S0020-7489(00)00121-8.

Wang, G. and Netemyer, R.G., 2002. The effects of job autonomy, customer demandingness, and trait competitiveness on salesperson learning, self-efficacy, and performance. Journal of the Academy of Marketing Science, 30, pp.217-228. https://doi.org/10.1177/0092070302303003.

Wolstenholme, E.F. and Coyle, R.G., 1983. The development of system dynamics as a methodology for system description and qualitative analysis. Journal of the Operational Research Society, 34(7), pp.569-581. https://doi.org/10.1057/jors.1983.137.

Yin, J.C.T. and Yang, K.P.A., 2002. Nursing turnover in Taiwan: a meta-analysis of related factors. International journal of nursing studies, 39(6), pp.573-581. https://doi.org/10.1016/S0020-7489(01)00018-9.

Zare Mehrjerdi Y., 2012. A system dynamics approach to healthcare cost control. International journal of industrial engineering and production rsearch. 23(3), pp.175–185.

Zare Mehrjerdi, Y. & Moubed, M., 2023. Joyful Organization: Simulation and Analysis, Journal of Decision making: Theory and Applications,1.

Zare Mehrjerdi, Y., 2013. A dynamic systems approach to weight related health problems. International Journal of Quality & Reliability Management, 30(5), pp.571-589. https://doi.org/10.1108/02656711311315512.

Zare Mehrjerdi, Y., Alemzadeh, R. and Hajimoradi, A., 2020. Dynamic analysis of health-related factors with its impacts on economic growth. SN Applied Sciences, 2, pp.1-17. https://doi.org/10.1007/s42452-020-03203-1.

ZARE, M.Y. and ALIHEIDARY, T., 2014. System Dynamics and Artificial Neural Network Integration: A Tool to Valuate the Level of Job Satisfaction in Services. International journal of industrial engineering and production rsearch, 25(1), pp.13-26. http://ijiepr.iust.ac.ir/article-1-282-en.html.