A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South Africa

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...

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Main Authors: Brian Tawana, Nicolene E. Barkhuizen, Yvonne du Plessis
Format: Article
Language:English
Published: AOSIS 2019-11-01
Series:SA Journal of Human Resource Management
Subjects:
Online Access:https://sajhrm.co.za/index.php/sajhrm/article/view/1080
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author Brian Tawana
Nicolene E. Barkhuizen
Yvonne du Plessis
author_facet Brian Tawana
Nicolene E. Barkhuizen
Yvonne du Plessis
author_sort Brian Tawana
collection DOAJ
description 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.
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spelling doaj.art-6203ecf95fb447c4b088be29fc60fa332022-12-22T02:22:54ZengAOSISSA Journal of Human Resource Management1683-75842071-078X2019-11-01170e1e910.4102/sajhrm.v17i0.1080525A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South AfricaBrian Tawana0Nicolene E. Barkhuizen1Yvonne du Plessis2NWU Business School, North-West University, MahikengGlobal Innovative Forefront Talent Research Niche Area, North-West University, MahikengNWU Business School, North-West University, MahikengOrientation: 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.https://sajhrm.co.za/index.php/sajhrm/article/view/1080career developmentemployee satisfactionhealthcareretentionservice delivery
spellingShingle Brian Tawana
Nicolene E. Barkhuizen
Yvonne du Plessis
A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South Africa
SA Journal of Human Resource Management
career development
employee satisfaction
healthcare
retention
service delivery
title A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South Africa
title_full A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South Africa
title_fullStr A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South Africa
title_full_unstemmed A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South Africa
title_short A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South Africa
title_sort comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in kwazulu natal province south africa
topic career development
employee satisfaction
healthcare
retention
service delivery
url https://sajhrm.co.za/index.php/sajhrm/article/view/1080
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