Kontakt X:X | DOI: 10.32725/kont.2026.045

Human resource management in healthcare facilities and healthcare employees' satisfactionSocial Sciences in Health - Original article

Lukáš Klarner ORCID..., Petr Řehoř ORCID..., Jaroslav Vrchota ORCID..., Monika Maříková * ORCID..., Jakub Rytíř
University of South Bohemia in České Budějovice, Faculty of Economics, Department of Management, České Budějovice, Czech Republic

Background: Identifying and understanding differences in job satisfaction among healthcare employees, along with how they connect to HR practices, are crucial components of the long-term sustainability of healthcare facilities.

Methods: The research data were collected in the spring of 2025 from healthcare sector employees. A total of 121 employees, across different genders, ages, and job positions, participated in the study. The research used a questionnaire survey to evaluate job satisfaction factors and HR practices. Several statistical methods were applied, including the Mann-Whitney U test, the Kruskal-Wallis test, post hoc analysis, and ordinal logistic regression.

Results: The results indicate that overall job satisfaction is relatively high. However, several problematic areas remain. These include workload, remuneration, and opportunities for career advancement. Statistically significant gender differences were found in satisfaction with salary, bonuses, and career advancement, with women reporting lower levels of satisfaction. Differences by job position were also identified in the perception of wages and bonuses, as well as in satisfaction with management. Nurses and non-medical healthcare staff exhibit higher levels of dissatisfaction.

Conclusion: The results show that employees' perceptions of job satisfaction and HR practices are influenced more by organizational factors than by demographic characteristics. Targeted support is therefore required. This paper provides a deeper understanding of employee satisfaction in healthcare and offers measures and practical implications for HR departments and for healthcare facility management.

Keywords: Employees; Healtcare; HR practices; Human Resource Management
Conflicts of interest:

The authors have no conflict of interest to declare.

Received: January 9, 2026; Revised: May 26, 2026; Accepted: June 23, 2026; Prepublished online: August 11, 2026 

Download citation

References

  1. Akbari M, Bagheri A, Fathollahi A, Darvish M (2020). Job satisfaction among nurses in Iran: does gender matter? J Multidiscip Healthc 13: 71-78. DOI: 10.2147/jmdh.s215288. Go to original source...
  2. Alharbi KMS, Aloyuni SAS (2023). The importance of training and development of employees in improving the quality of health services. Int J Health Sci 7(S1): 2190-2201. DOI: 0.53730/ijhs.v7ns1.14473. Go to original source...
  3. Alkan E, Cushen-Brewster N, Anyanwu P (2024). Organisational factors associated with healthcare workforce development, recruitment, and retention in the United Kingdom: a systematic review. BMC Nurs 23(1): 604. DOI: 10.1186/s12912-024-02216-0. Go to original source...
  4. Amirrudin M, Nasution K, Supahar S (2020). Effect of Variability on Cronbach Alpha Reliability in Research Practice. Jurnal Matematika, Statistika dan Komputasi 17(2): 223-230. DOI: 10.20956/jmsk.v17i2.11655. Go to original source...
  5. Bumbach MD, Harman JS, Lucero R, Cimiotti JP, Felber Neff D (2020). Gender differences in nurse practitioners: job satisfaction and patterns of care. J Am Assoc Nurse Pract 32(2): 138-144. DOI: 10.1097/jxx.0000000000000207. Go to original source... Go to PubMed...
  6. Cantarelli P, Vainieri M, Seghieri C (2023). The management of healthcare employees' job satisfaction: optimization analyses from a series of large-scale surveys. BMC Health Serv Res 23(1): 428. DOI: 10.1186/s12913-023-09426-3. Go to original source... Go to PubMed...
  7. Cunningham R, Westover J, Harvey J (2022). Drivers of job satisfaction among healthcare professionals: a quantitative review. Int J Healthc Manag 16(4): 534-542. DOI: 10.1080/20479700.2022.2126671. Go to original source...
  8. Duru DC, Hammoud MS (2021). Identifying effective retention strategies for front-line nurses. Nurs Manag 29(1): 17-24. DOI: 10.7748/nm.2021.e1971. Go to original source... Go to PubMed...
  9. El Mouaddib H, Sebbani M, Mansouri A, Adarmouch L, Amine M (2023). Job satisfaction of primary healthcare professionals (public sector): A cross-sectional study inMorocco. Heliyon 9(9): e20357. DOI: 10.1016/j.heliyon.2023.e20357. Go to original source... Go to PubMed...
  10. French B, Shotwell MS (2022). Regression Models for Ordinal Outcomes. J Am Med Assoc 328(8): 772. DOI: 10.1001/jama.2022.12104. Go to original source... Go to PubMed...
  11. Garg DM, Dhull DH, Kalluri DN, Agrawal S (2024). Understanding Sample Size Determination In Research: A Practical Guide. Educ Adm Theory Pract 30(5): 6040. DOI: 10.53555/kuey.v30i5.6040. Go to original source...
  12. Jo H, Shin D (2025). The impact of recognition, fairness, and leadership on employee outcomes: A large-scale multi-group analysis. PLoS One 20(1): e0312951. DOI: 10.1371/journal.pone.0312951. Go to original source... Go to PubMed...
  13. Johnson RW (2022). Alternate Forms of the One-Way ANOVA F and Kruskal-Wallis Test Statistics. J Stat Data Sci Educ 30(1): 82-85. DOI: 10.1080/26939169.2021.2025177. Go to original source...
  14. Koehler T, Olds D (2021). Generational Differences in Nurses' Intention to Leave. West J Nurs Res 44(5): 446-455. DOI: 10.1177/0193945921999608. Go to original source... Go to PubMed...
  15. Kumar TK (2024). Dynamic interactions: The synergy between organizational behaviour and HRM. Educ Adm Theory Pract 30(4): 9987-9992. DOI: 10.53555/kuey.v30i4.6133. Go to original source...
  16. Midway S, Robertson M, Flinn S, Kaller M (2020). Comparing multiple comparisons: practical guidance for choosing the best multiple comparisons test. PeerJ 8: e10387. DOI: 10.7717/peerj.10387. Go to original source... Go to PubMed...
  17. Moreno-Martínez M, Sánchez-Martínez I (2025). The Associated Factors of Work Engagement, Work Overload, Work Satisfaction, and Emotional Exhaustion and Their Effect on Healthcare Workers: A Cross-Sectional Study. Healthcare 13(2): 162. DOI: 10.3390/healthcare13020162. Go to original source...
  18. Ocean N, Meyer C (2023). Satisfaction and attrition in the UK healthcare sector over the past decade. PLoS One 18(4): e0284516. DOI: 10.1371/journal.pone.0284516. Go to original source... Go to PubMed...
  19. Park S, Xu J, Smith FS, Otani K (2020). What Factors Affect Patient Perceptions on Their Hospital Experience? Hosp Top 98(3): 127-134. DOI: 10.1080/00185868.2020.1796554. Go to original source...
  20. Peng J, Wu WH, Doolan G, Choudhury N, Mehta P, Khatun A, et al. (2022). Marital Status and Gender Differences as Key Determinants of COVID-19 Impact on Wellbeing, Job Satisfaction and Resilience in Health Care Workers and Staff Working in Academia in the UK During the First Wave of the Pandemic. Front Public Health 10: 928107. DOI: 10.3389/fpubh.2022.928107. Go to original source... Go to PubMed...
  21. Ramli AH (2019). Work Environment, Job Satisfaction and Employee Performance in Health Services. Bus Entrep Rev 19(1): 29-42. DOI: 10.25105/ber.v19i1.5343. Go to original source...
  22. Ravid DM, Costanza DP, Romero MR (2024). Generational differences at work? A meta-analysis and qualitative investigation. J Organ Behav 46(1): 43-65. DOI: 10.1002/job.2827. Go to original source...
  23. Sanner-Stiehr E, Stevanin S, Mikkonen S, Kvist T (2021). Job satisfaction and generational nursing characteristics among registered nurses in the United States, Italy and Finland: Results of a survey study. J Nurs Manag 29(8): 2364-2373. DOI: 10.1111/jonm.13397. Go to original source...
  24. Schober P, Vetter TR (2020). Nonparametric Statistical Methods in Medical Research. Anesth Analg 131(6): 1862-1863. DOI: 10.1213/ane.0000000000005101. Go to original source...
  25. Shaikh UT (2025). A Study on Employee Retention: An Important Factor for Organisation Growth in Healthcare Sector. Int J Sci Res Eng Manag 9(2): 1-9. DOI: 10.55041/ijsrem41920. Go to original source...
  26. Souisa N, Macpal SJ, Biay A (2025). The Influence of Workload and Motivation on Employee Performance through Job Satisfaction. Indones J Econ Rev 5(1): 23-32. DOI: 10.59431/ijer.v5i1.509. Go to original source...
  27. Surji KM, Sourchi SM (2020). The Essential Role of Human Resources Management in Healthcare and Its Impact On Facilitating Optimal Healthcare Services. Qalaai Zanist Sci J 5(2): 1166-1188. DOI: 10.25212/lfu.qzj.5.2.35. Go to original source...
  28. Sutanto M, Purwati WD, Pamungkas RA (2023). Increasing Retention of Nurses in Hospital Through Compensation Strategies. Int J Nurs Health Serv 6(3): 191-196. DOI: 10.35654/ijnhs.v6i3.727. Go to original source...
  29. Tan SHE, Chin GF (2023). Generational effect on nurses' work values, engagement, and satisfaction in an acute hospital. BMC Nurs 22(1): 88. DOI: 10.1186/s12912-023-01256-2. Go to original source... Go to PubMed...
  30. Tanujaya B, Prahmana RCI, Mumu J (2022). Likert Scale in Social Sciences Research: Problems and Difficulties. FWU J Soc Sci 16(4): 89-101. DOI: 10.51709/19951272/winter2022/7. Go to original source...
  31. Uhm T, Yi S (2021). A comparison of normality testing methods by empirical power and distribution of P-values. Commun Stat B: Simul Comput 52(9): 1-14. DOI: 10.1080/03610918.2021.1963450. Go to original source...
  32. Van der Broeck A, Ferris DL, Chang CH, Rosen CC (2016). A Review of Self-Determination Theory's Basic Psychological Needs at Work. J Manag 42(5): 1195-1229. DOI: 10.1177/0149206316632058. Go to original source...
  33. Wahyuhadi J, Hidayah N, Aini Q (2023). Remuneration, Job Satisfaction, and Performance of Health Workers During the COVID-19 Pandemic Period at the Dr. Soetomo Hospital Surabaya, Indonesia. Psychol Res Behav Manag 16: 701-711. DOI: 10.2147/prbm.s396717. Go to original source...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.