Influences of Physical Symptoms, Sleep Quality, Fatigue and Health Promoting Behaviors on Job Satisfaction of Shift Nurses

Background: This study aimed to identify the relationship between physical symptoms, sleep quality, fatigue, health promoting behaviors, and job satisfaction of shift nurses, and to identify health-related factors affecting job satisfaction. Methods: A cross-sectional descriptive study was conducted on 97 nurses working in shifts at a tertiary general hospital in Seoul. Stepwise regression was performed to identify the effect of physical symptoms, sleep quality, fatigue and health promoting behaviors on job satisfaction. Results: Job satisfaction revealed a significant correlation with fatigue (r=−.39, p<.001) and health promoting behaviors (r=.40, p<.001). After identifying health-related factors of job satisfaction, health promoting behaviors (β=0.30, p=.001), fatigue (β=−0.33, p<.001), and clinical career (β=0.24, p=.007) were concluded to be significant variables affecting job satisfaction. Conclusions: To increase job satisfaction of shift nurses, an institutional framework that can improve the working environment in hospitals should be constructed to reduce nurses’ work-related fatigue and encourage nurses to actively participate in health promoting behaviors, and work longer in hospital.