Orientation: The South African healthcare industry is facing significant challenges to retain quality healthcare professionals to deliver services in rural areas. Research purpose: The main purpose of this study was to compare the antecedents and consequences of employee satisfaction for healthcare professionals in urban and rural areas to establish if there are distinguishing factors that can better inform human resource (HR) management to improve job satisfaction and service delivery. KwaZulu-Natal province was chosen because of its number and proximity of rural and urban healthcare facilities. Motivation for the study: A holistic perspective, focusing on both urban and rural South African settings, on how the healthcare sector can retain healthcare workers through employee satisfaction and service delivery is lacking. Research approach/design and method: The research design for the study is a mixed-method sequential design. A quantitative survey using a structured questionnaire inclusive of the constructs such as work environment, work satisfaction, job satisfaction, employee retention and service quality was administered to a sample of urban and rural healthcare professionals in KwaZulu-Natal ( N = 405). In addition, the researchers conducted three focus group discussions ( N = 28). Main findings: The quantitative results showed that urban and rural sample groups differed significantly in terms of their satisfaction with work duties, compensation, career development, service delivery and turnover intentions. Communalism was found to play a major role in retention and quality of service delivery of healthcare professionals in rural settings. Practical/managerial implications: The findings of this study require from management to understand the differential factors between urban and rural settings in service quality and staff retention. Human resource practitioners are encouraged to understand the differentiators of job satisfaction and service delivery in an urban and rural context and develop conducive work environments that allow healthcare workers to execute their tasks effectively. Contribution/value-add: This study provides a unique perspective of the antecedents and outcomes of employee satisfaction for both urban and rural healthcare sector workers and indicates that context is important.

中文翻译：

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南非夸祖鲁-纳塔尔省城乡医护人员的满意度前因和后果的比较分析

方向：南非医疗保健行业在保持优质医疗保健专业人员以在农村地区提供服务方面面临着巨大挑战。研究目的：本研究的主要目的是比较员工满意度对城乡医疗专业人员的影响因素和前因，以确定是否存在可以更好地指导人力资源管理以提高工作满意度和服务水平的区别因素。交货。选择夸祖鲁-纳塔尔省是因为其农村和城市医疗设施的数量和距离。研究的动机：缺乏以南非城市和农村为重点的整体视角，即缺乏医疗保健部门如何通过员工满意度和服务提供来留住医护人员的整体观点。研究方法/设计和方法：研究的研究设计是混合方法顺序设计。在夸祖鲁-纳塔尔省（N = 405），对包括城乡医疗保健专业人员在内的结构化问卷进行了定量调查，包括工作环境，工作满意度，工作满意度，员工保留率和服务质量等结构。此外，研究人员进行了三个焦点小组讨论（N = 28）。主要发现：定量结果表明，城市和农村样本组在对工作职责，薪酬，职业发展，服务提供和离职意向的满意度方面存在显着差异。发现社区主义在农村地区医疗专业人员的保留和服务质量中起着重要作用。实际/管理方面的影响：这项研究的结果要求管理层从中了解城乡环境在服务质量和员工保留方面的差异性因素。鼓励人力资源从业人员了解城市和乡村环境下工作满意度和服务提供的差异，并开发有利的工作环境，使医护人员能够有效地执行任务。贡献/增值：这项研究为城市和农村医疗保健部门的员工提供了满足员工满意度的前提和结果的独特视角，并指出背景非常重要。鼓励人力资源从业人员了解城市和乡村环境下工作满意度和服务提供的差异，并开发有利的工作环境，使医护人员能够有效地执行任务。贡献/增值：这项研究为城市和农村医疗保健部门的员工提供了满足员工满意度的前提和结果的独特视角，并指出背景非常重要。鼓励人力资源从业人员了解城市和乡村环境下工作满意度和服务提供的差异，并开发有利的工作环境，使医护人员能够有效地执行任务。贡献/增值：这项研究为城市和农村医疗保健部门的员工提供了满足员工满意度的前提和结果的独特视角，并指出背景非常重要。