Nursing labor supply in Iran: a survey in Shiraz public hospitals in 2022.

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES
Ali Keshavarzi, Sajad Delavari, Farhad Lotfi, Zahra Goudarzi, Faezeh Bashiri, Mohsen Bayati
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Abstract

Background: The labor supply of nurses, as one of the main healthcare workers, is an important issue in health human resources planning in all health systems. Finding the factors affecting it, could help policymakers to solve the shortage of nursing work supply. The present study aimed to investigating the quantity and factors affecting the nurses' labor supply in Iran.

Method: In this cross-sectional study, a sample of 598 nurses working in public hospitals of Shiraz (Iran) were selected via proportionate stratified random sampling method. The required data was collected using a structured questionnaire which asked working hours and other related factors. To analyze the data, descriptive statistics, univariate analysis and multivariate linear regression were performed using STATA 15. The multivariate labor supply model was estimated separately for married and single nurses.  RESULTS: The average weekly working hours of nurses was 54.65 h in all medical centers and 50.28 h in the main hospital. The regression results showed that the labor supply of nurses with work experience (β = - 0.368, P = 0.014), satisfaction with work shift arrangement (β = - 2.473, P = 0.001), income between 60-89 million rial (β = - 14.046, P = 0.002), income between  90-119 million rial(β = - 12.073, P = 0.012), and working in the emergency department (β = - 5.043, P = 0.017) had negative and significant relationship; But there was a positive and significant relationship with satisfaction of the work environment (β = 1.86, P = 0.011), workload at work (β = 1.951, P = 0.023) and employment status (contractual employees) (β = 4.704, P = 0.004).

Conclusion: The labor supply function of nurses is affected by demographic, economic and non-economic factors. The most contributing factors were related to non-economic variables. It seems that the non-financial cost and benefits related to the job as well as internal factors have more important role on the nurses' labor supply.

伊朗的护理劳动力供应:2022 年设拉子公立医院调查。
背景:护士作为主要的医护人员之一,其劳动力供应是所有卫生系统卫生人力资源规划中的一个重要问题。找到影响护士劳动力供应的因素,有助于决策者解决护士劳动力供应短缺的问题。本研究旨在调查伊朗护士劳动力供应的数量和影响因素:在这项横断面研究中,通过按比例分层随机抽样法选取了在伊朗设拉子市公立医院工作的 598 名护士作为样本。所需的数据是通过结构化问卷收集的,其中询问了工作时间和其他相关因素。在分析数据时,使用 STATA 15 进行了描述性统计、单变量分析和多变量线性回归。对已婚和单身护士的多变量劳动力供应模型分别进行了估计。 结果:所有医疗中心的护士每周平均工作时间为 54.65 小时,大医院为 50.28 小时。回归结果显示,工作经验(β = - 0.368,P = 0.014)、对工作班次安排的满意度(β = - 2.473,P = 0.001)、收入在 6000-8900 万里亚尔之间(β = - 14.046,P = 0.002)、收入在 9000-11900 万里亚尔之间(β = - 12.073,P = 0.012)、在急诊科工作(β = - 5.043,P = 0.017)呈显著负相关;但与工作环境满意度(β = 1.86,P = 0.011)、工作工作量(β = 1.951,P = 0.023)、就业状态(合同制员工)(β = 4.704,P = 0.004)呈显著正相关:护士的劳动力供给功能受到人口、经济和非经济因素的影响。非经济变量是影响最大的因素。似乎与工作相关的非经济成本和福利以及内部因素对护士的劳动力供给具有更重要的作用。
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来源期刊
Cost Effectiveness and Resource Allocation
Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
4.30%
发文量
59
审稿时长
34 weeks
期刊介绍: Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.
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