Poor job conditions and limited resources are reducing job satisfaction and motivation among nurses in low-income countries, which may affect the quality of services and attrition rates. The objective of this study was to examine job satisfaction, motivation and associated factors among nurses working in the public health facilities of Ethiopia, with the aim of improving performance and productivity in the health care system. The study employed a cross-sectional two-stage cluster sampling design. From a random sample of 125 health facilities, 424 nurses were randomly selected for face-to-face interviews in all regions of Ethiopia. Nurses responded to questions about their overall job satisfaction and job conditions, including items related to intrinsic and extrinsic motivation, using a 5-point Likert scale. Multilevel analysis was performed to adjust for different clustering effects. Satisfaction levels (percent of respondents who were satisfied) were calculated for individual items, and composite mean scores (range: 1–5) were calculated for motivational factors. Adjusted odds ratios were computed to examine the association of these factors with overall job satisfaction. Overall, 60.8% of nurses expressed satisfaction with their job. Composite mean scores for intrinsic and extrinsic motivational factors were 3.5 and 3.0, respectively. Job satisfaction levels were significantly higher for female nurses (65.6%, p = 0.04), those older than 29 years (67.8%, p = 0.048) and had over 10 years work experiences (68.8%, p = 0.007). Satisfaction with remuneration (AOR = 2.04, 95% CI = 1.36, 3.06), recognition (AOR = 2.21; 95% CI = 1.38, 3.53), professional advancement (AOR = 1.54; 95% CI = 1.06, 2.29), features of the work itself (AOR = 1.65; 95% CI = 1.20, 2.91) and nurses’ work experiences from 5 to 10 years (AOR = 0.37, 95% CI = 0.17, 0.79) were significantly associated with overall job satisfaction after controlling for other predictors. The study findings are signals for the Ministry of Health to strengthen the human resource management system and practices to improve nurses’ overall job satisfaction and motivation, especially among nurses with 5 to 10 years of experience on the job. Expanded recognition systems and opportunities for advancement are required to increase nurses’ job satisfaction and motivation. Equitable salary and fringe benefits are also needed to reduce their dissatisfaction with the job.

中文翻译：

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了解埃塞俄比亚公共卫生机构护士的工作满意度和积极性：一项横断面研究

恶劣的工作条件和有限的资源正在降低低收入国家护士的工作满意度和积极性，这可能会影响服务质量和离职率。本研究的目的是检查在埃塞俄比亚公共卫生机构工作的护士的工作满意度、动机和相关因素，目的是提高医疗保健系统的绩效和生产力。该研究采用横断面两阶段整群抽样设计。从 125 家卫生机构的随机样本中，随机抽取 424 名护士在埃塞俄比亚所有地区进行面对面访谈。护士使用李克特 5 点量表回答有关其整体工作满意度和工作条件的问题，包括与内在和外在动机相关的项目。进行多级分析以调整不同的聚类效果。计算单个项目的满意度（满意的受访者百分比），并计算动机因素的综合平均分数（范围：1-5）。计算调整后的优势比以检查这些因素与整体工作满意度的关联。总体而言，60.8% 的护士对自己的工作表示满意。内在和外在动机因素的综合平均得分分别为 3.5 和 3.0。女护士 (65.6%, p = 0.04)、29 岁以上 (67.8%, p = 0.048) 和 10 年以上工作经验 (68.8%, p = 0.007) 的工作满意度显着较高。对薪酬的满意度（AOR = 2.04, 95% CI = 1.36, 3.06），认可度（AOR = 2.21; 95% CI = 1.38, 3.53），专业进步 (AOR = 1.54; 95% CI = 1.06, 2.29)，工作本身的特点 (AOR = 1.65; 95% CI = 1.20, 2.91) 和护士 5 至 10 年的工作经验 (AOR = 0.37, 95 % CI = 0.17, 0.79）在控制其他预测因素后与总体工作满意度显着相关。研究结果是卫生部加强人力资源管理系统和实践以提高护士的整体工作满意度和积极性的信号，特别是在具有 5 至 10 年工作经验的护士中。需要扩大认可系统和晋升机会，以提高护士的工作满意度和积极性。还需要公平的工资和附带福利，以减少他们对工作的不满。工作本身的特征（AOR = 1.65；95% CI = 1.20, 2.91）和护士 5 至 10 年的工作经验（AOR = 0.37, 95% CI = 0.17, 0.79）与控制后的总体工作满意度显着相关对于其他预测器。研究结果是卫生部加强人力资源管理系统和实践以提高护士的整体工作满意度和积极性的信号，特别是在具有 5 至 10 年工作经验的护士中。需要扩大认可系统和晋升机会，以提高护士的工作满意度和积极性。还需要公平的工资和附带福利，以减少他们对工作的不满。工作本身的特征（AOR = 1.65；95% CI = 1.20, 2.91）和护士 5 至 10 年的工作经验（AOR = 0.37, 95% CI = 0.17, 0.79）与控制后的总体工作满意度显着相关对于其他预测器。研究结果是卫生部加强人力资源管理系统和实践以提高护士的整体工作满意度和积极性的信号，特别是在具有 5 至 10 年工作经验的护士中。需要扩大认可系统和晋升机会，以提高护士的工作满意度和积极性。还需要公平的工资和附带福利，以减少他们对工作的不满。79）在控制其他预测因素后与整体工作满意度显着相关。研究结果是卫生部加强人力资源管理系统和实践以提高护士的整体工作满意度和积极性的信号，特别是在具有 5 至 10 年工作经验的护士中。需要扩大认可系统和晋升机会，以提高护士的工作满意度和积极性。还需要公平的工资和附带福利，以减少他们对工作的不满。79）在控制其他预测因素后与整体工作满意度显着相关。研究结果是卫生部加强人力资源管理系统和实践以提高护士的整体工作满意度和积极性的信号，特别是在具有 5 至 10 年工作经验的护士中。需要扩大认可系统和晋升机会，以提高护士的工作满意度和积极性。还需要公平的工资和附带福利，以减少他们对工作的不满。尤其是在具有 5 到 10 年工作经验的护士中。需要扩大认可系统和晋升机会，以提高护士的工作满意度和积极性。还需要公平的工资和附带福利，以减少他们对工作的不满。尤其是在具有 5 到 10 年工作经验的护士中。需要扩大认可系统和晋升机会，以提高护士的工作满意度和积极性。还需要公平的工资和附带福利，以减少他们对工作的不满。