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

Ilea, Codrin Dan Nicolae; Daina, L.; Bungău, Simona; Ţiţ, Delia Mirela; Uivaroșan, Diana; Moleriu, Lavinia Cristina; Petre, Ion; Bungău, Constantin

doi:10.3390/su12030909

Cited by 12 publications

(8 citation statements)

References 19 publications

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“…It faces frequent changes at a high level; in the period 2011–2021 there were 14 Ministers of Health and frequent changes in the management of the National Health Insurance House [ 2 , 3 ]. Even if, in 2018, there were significant salary increases for the staff in the state health system, these did not lead to an increase in the level of motivation for all categories of employees as expected [ 2 , 4 ]. At the end of 2019, the health system was not prepared to face the pandemic that would follow [ 1 ].…”

Section: Introductionmentioning

confidence: 82%

The Motivation of Medical Staff and the Work Interestedness in the Context of the COVID-19 Pandemic, in a Tertiary Hospital in Romania

et al. 2023

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The purpose of this study was to evaluate the impact of the COVID-19 pandemic on the motivation and work interestedness of employees in a tertiary hospital located in the northwest of Romania. In the study, 2230 employee satisfaction questionnaires distributed during 2019–2021 in the Oradea Emergency County Clinical Hospital (CCEHO) were analyzed. The percentage of those who declare themselves motivated at the hospital level remains relatively constant, at around 75%. There were differences between staff categories. The percentage of those who evaluate work interestedness with the qualifier “high” decreased from 45.45% for the year 2019 to 41.78% for the year 2021. The degree of motivation and work interestedness showed a significant increase for TESA staff during the pandemic period compared to the year 2019. A non-significant statistical increase in the percentage of motivated staff was observed among physicians, auxiliary staff and the radiology department staff. The motivation of nurses and laboratory staff decreased, but statistically insignificantly. The COVID-19 pandemic brought statistically significant changes at the level of motivation of the hospital staff only for the administrative staff, and the work interestedness for physicians and nurses decreased statistically significantly, especially in the second year of the pandemic. Older staff with an average level of education are more likely to be unmotivated, as shown by the regression model.

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Section: Introductionmentioning

confidence: 82%

The Motivation of Medical Staff and the Work Interestedness in the Context of the COVID-19 Pandemic, in a Tertiary Hospital in Romania

et al. 2023

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“…In the first six months after the merger, wage increases related to working conditions were equalized; it should be mentioned that there were differences considering the fact that the legislation provides for the granting of increments between a minimum and a maximum, so that some employees registered a decrease in salary income. The salary increases initiated in the public health system in 2018 did not have the expected effects on the staff, not being correlated with an increase in the level of financial motivation for all categories of employees (OECD, 2019;Ilea et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The influence of the merger process between two tertiary hospitals in Romania on job satisfaction among staff

Ilea,

Daina,

Manole

et al. 2024

Front. Psychol.

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AimThe purpose of this study is to evaluate the influence of the merger process of two tertiary hospitals located in the northwest of Romania on the professional satisfaction among medical and non-medical staff and to develop a standardized satisfaction questionnaire for romanian hospitals.Methods1750 questionnaires distributed within County Clinical Emergency Hospital Bihor (CCEHBh) ten months and one year and four months after the merger process were analyzed.ResultsThe percentage of staff who declare themselves satisfied with their work one year and four months after the merger is 80.14%. It has a downward trend compared to the result measured 10 months after the merger (86.14%) (χ2 test, p < 0.01). The aspects that were rated with the lowest percentage as satisfactory were the possibility of promotion (41.89%) and job security (53.38%). A statistically significant decrease was also recorded in the assessment of career prospects (from 81.49% to 74.73%, χ2 test, p < 0.0001).ConclusionsEven if there was a decrease in job satisfaction between the two evaluated periods, we can state that the general level at the last measurement is a good one (4.07 out of a maximum of 5). There was no significant difference in job satisfaction 1 year and 4 months after the merger for staff in the merged unit (4.06) compared to staff in the absorbing unit (4.09). The questionnaire applied in 2023 is one that has proven validity and reliability, being a good starting point for creating a standardized questionnaire that could be implemented in the vast majority of hospitals in Romania. The application of the questionnaire at an interval of 3–6 months would highlight the result of the implemented measures and the trend of employee satisfaction within CCEHBh.

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“…Various barriers hinder the implementation of these exercise programs, and we will focus on a few encountered in our study. These include patients' willingness to participate, inequalities in access and availability of exercise facilities, and the need for more collaboration between obstetricians, cardiologists, and physiotherapists, possibly due to limited experience [51,52].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Medical Physical Training and a Structured Personalized Exercise Training Program on Hemodynamic Parameters and Arterial Stiffness in Pregnant Women

Petre,

Iurciuc,

Buleu

et al. 2024

Biomedicines

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Introduction: In developed countries, heart disease is the primary cause of maternal mortality during pregnancy. Arterial stiffness, an independent risk factor for atherosclerosis and a predictor of cardiovascular complications, can be assessed using the augmentation index (AIx) and pulse wave velocity (PWV). In this prospective study, we aimed to evaluate diverse hemodynamic parameters and arterial stiffness in pregnant women before and after participating in a structured, personalized exercise training program. Materials and methods: Forty healthy pregnant women, non-smokers, who agreed to participate daily for 12 weeks in a physical exercise training program under the supervision of a team made up of an obstetrician, a cardiologist, and a physiotherapist were included. Anthropometric characteristics, arterial function, and physical activity data were collected from the participants at two different time points: at the beginning of the exercise training program (T0) and at the end, after 12 weeks (T1). Results: Upon conducting a statistical analysis, it was discovered that there were noteworthy disparities (p = 0.05) in body mass index, brachial AIx, systolic blood pressure, and pulse pressure values between the two time points. The regression analysis for the AIx brachial values and the PWVao values from Trim II (T0) and Trim III (T1) showed major differences between these two time points; the association between the AIx brachial values in the second and third trimesters of pregnancy revealed a strong direct significant correlation (p < 0.001), and the correlation between the PWVao values in the second (T0) and third trimester (T1) of pregnancy was weak and insignificant (p = 0.12). Conclusions: The findings of our study indicate that a personalized exercise training program positively impacts the physical and psychological well-being of pregnant women, leading to a reduction in PWV.

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

Cited by 12 publications

References 19 publications

The Motivation of Medical Staff and the Work Interestedness in the Context of the COVID-19 Pandemic, in a Tertiary Hospital in Romania

The Motivation of Medical Staff and the Work Interestedness in the Context of the COVID-19 Pandemic, in a Tertiary Hospital in Romania

The influence of the merger process between two tertiary hospitals in Romania on job satisfaction among staff

The Impact of Medical Physical Training and a Structured Personalized Exercise Training Program on Hemodynamic Parameters and Arterial Stiffness in Pregnant Women

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