Employee Job Satisfaction

Dynamic change characterizes the American health care delivery environment in the 1990s. Within such an environment, institutional care providers in particular must develop and implement new and effective strategies if they are to remain viable entities.

The changes in the health care delivery environment result from a combination of factors (increasing costs of health care, changing societal values, advances in treatment therapies, changing demographics, and many others). Cost is a major factor involved in changes in the delivery of health care services. It

is, therefore, imperative for health care delivery organizations to develop procedures that will lead to more effective and more efficient operations. The improvement of quality in all aspects of a health care institution's activities has been linked to this goal (Cleverly and Harvey, 1992, p. 40).

When health care delivery and support organizations implement changes designed to lead to more effective and more efficient operations, the human resource complement in the health

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pp. 68, 3472). Maslow (1954, pp. 97101) dealt with job satisfaction through a motivation theorythe hierarchy of needs. The hierarchy divided human needs into higher and lower orders. The lower order needs are primary, such as food, shelter, sex, and physical security, while the higher order needs involve love for other and selfactualization. When the lower order needs are absent in the life of an individual, the satisfaction of those needs become the center of the individual's life. In most modern societies, however, the primary needs are satisfied. Thus, real motivationespecially within organizational structuresresults from individual desires to satisfy their higher order needs (Maslow, 1966, p. 189). Maslow (1954, p. 97) recognized the significance of lower order needs as motivators, yet contended that, in modern societies, these needs were generally met. Thus, it was Maslow's contention that other means had to be employed to motivate individual within organizational structures. Specifically, factors had to be introduced that would enhance an individual's opportunity to attain selfactualization. Frederick Herzberg (1959, p. 160) developed a theory of job satisfaction that was also based in the concept of mot
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Approximate Word count = 3906
Approximate Pages = 16 (250 words per page)

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