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INTRODUCTION
Rationale
and research, which grants academic degrees (Seonghee & Boryung, 2008).
Amongst the workers of this type of institution, there exist two types of employees –
(staff). Most administrative assistant duties revolve around managing and distributing
information within an office. This generally includes answering phones, taking memos
and maintaining files. Administrative assistants may also be in charge of sending and
Boryung, 2008). With the institution getting bigger, more responsibilities and more
pressure are adding up to employees. Job satisfaction is one of the parameters that
managers are looking into to recognize the health of the organization in terms of the
man power. This study aims to look into the Job satisfaction of the administrative
supervision, fringe benefits, operating rules and procedures, co-workers and the
nature of work performed can affect job satisfaction of millennial employees which
investigate the degree of job satisfaction arises from the fact that a better
motivation that is directly associated with client satisfaction (Bhatnagar & Srivastava,
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2012). Hence, the problem on how many employees are satisfied in their jobs in
satisfaction as part of any management process (Isip, 2013; Angeles et al, 2015).
According to Usop et al (2013), there were three reasons on the importance of job
these values they will attempt to treat their employees honourably and with respect.
High level of job satisfaction could also be a sign of emotional wellness or mental
Human Resource (HR) and administration play major roles in the job satisfaction of
employees in health care facilities (Ohja and Sinha, 2016). HR policy is important for
all health care facilities as it is the guiding document for Human Resource
Management.
Pew Research Center declared that millennials are people born between 1981
and 1996 (Dimock, 2018). According to Putre (2013), millennials will make up the
majority of the workforce by 2025. Hospitals need to ramp up discussions about how
and phased retirements will be more and more appealing to both hospitals and
(Sweeney, 2006; Kotz, 2016; International Education Advisory Board, 2008). There
are many proliferations for the names of this generation but most of them arise from
the reaction of the individuals who describe and tries to understand them (Bickham et
and dependent on being connected online (Gladfelter & Friedman, 2014). Other traits
achieve and conventional (Monaco & Martin, 2007). Millennials have the ability to
conditions may cause millennials to be more compliant than people had speculated
they would be (Koch, 2009; George, 2008). According to the 2018 Deloitte Millennial
Survey which included participants from the Philippines, millennials don’t mind job-
hopping. The average is that 6 out of 10 will leave their current job in the next four
years. A recent global survey by the World Economic Forum found that
most millennials see the world as full of opportunities, and they trust themselves most
institutions on how to enhance their policies in order to attract and retain Millennials.
in need of improvement (Usop et al., 2013). There is an urgent need to conduct this
study in order for medical institutions to improve their HR policy. Literature on job
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satisfaction of Filipino employees are scarce, thus, this study is important to uncover
the different factors that affect job satisfaction in millennial employees in the
Philippines. This study will provide new knowledge in the aspect of job satisfaction of
will be crafted.
Research Objective
The main purpose of this study was to propose a policy to enhance the job
satisfaction of millennial employees on the basis of the result. It also aimed to attain
the following:
of:
1.1. opportunities and rewards;
1.2. Supervision;
1.3. fringe benefits;
1.4. operating rules and procedures;
1.5. co-workers; and
1.6. nature of work performed.
2. To determine the significant differences of job satisfaction of millennial
Hypothesis
(Presented in this section is the related literature review and related studies on
Job Satisfaction
response to an individual’s task and to the physical and social conditions of the
high levels of individual job performance. Among health care professionals, job
potential.
Since 1995, job satisfaction rate of employees has been falling. Most people
Gallup survey consisting more than 1 million participants, the turnover rate and job
dissatisfaction are often related to issues with immediate supervisors (Armour, 2014).
In the USA, one of the factors that will affect the retention of these employees is job
whether or not they like the job or individual aspects or facets of jobs, such as nature
depends on a number of factors, including the opportunity to use his skills and
talents, recognition for good work, development opportunities and the work
US employees reported that they are very satisfied while 51% reported that they
were somewhat satisfied in 2015. This is so far the highest level of satisfaction over
the last 10 years. In 2013, the trends of the increasing percentage of satisfied
employees have began. Forty-five percent (45%) of the employees indicated that
they somewhat satisfied while 40% indicated felt very satisfied with their
Withers (2002) stated that job satisfactions are consistent with prior job
satisfaction studies. In health sector particularly, the quality of patient care services
are directly related to employee’s satisfaction with their job. In cases of doctors, job
satisfaction is one of the most important factor because it can affect patient
suffer from physical and mental illness, and may discourage future medical students
from entering the field of medicine (Bhattacherjee et al, 2016). On the other hand, in
the preparation of the projected nursing shortage, job satisfaction and retention rates
institutions, different generations rated the job satisfaction concepts in the following
order from the most important to the least important: professional status, autonomy,
task requirements, and pay. Knowledge of this information will help health care
agencies and nurse administrators guide staff recruitment and retention efforts and
increase job satisfaction of nurses and can be applied to other medical staff also. The
lack of job satisfaction can affect not only the quality of patient care, but the staffs’
emotional, physical, and spiritual health. Furthermore, the lack of job satisfaction can
increase turnover rates which can escalate health care expenditures (Withers, 2002).
difference between the job satisfaction of employees from the developed and
developing countries. Only a quarter of doctors were dissatisfied doctors from ten
nations of the European Union while in Karachi and Sri Lanka, 32% and 43.6% of
doctors were dissatisfied respectively. This can be attributed with the difference
between perks and privileges in the developed and developing countries. Also,
several predictors like age, gender, length of service, specialties, and post graduate
relationship to job expectations and satisfaction, now that there is a large number of
therefore necessary to know the factors that affect job satisfaction of millennials.
that fosters professional skills growth (Linden, 2015). Eighty-eight percent (88%) of
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Baby Boomers did (SHRM, 2016). Millennials want to be provided opportunities for
achieving promotions (Linden, 2015). While the health care workforce is increasingly
positions. Deising (2016) stated that though millennials increasingly fill the workforce,
they are not coping up with the health care leadership ranks pave of the previous
generations. Roles in health care are so specialized that moving upward can be hard.
Nonetheless, large health care organizations, offer nonclinical roles that have more
room for advancement than clinical ones. This is why millennials with clinical
backgrounds often are taking non-traditional career paths (Mayo Clinic, 2017).
Armour (2014) stated that this could be the cause why millennials to hop on different
jobs. They might feel that they are not moving up quickly as it should be.
used to constant praise and positive reinforcement, they expect it to continue in the
2013 showed that half of the respondents have leadership positions. Another Deloitte
Millennial survey (2016) found that two out of three respondents said they would
leave their jobs by 2020 and this may be attributed by companies not exerting effort
Fringe benefits. Results from a survey projected that the job satisfaction of
Operating rules and procedures. Millennials grew up in the age of the internet
and other gadgets. Because of this, they expect to have integrated, interconnected
(Linden 2015). Health systems that form strong bonds with their millennial employees
stand a better chance of keeping them. According to Deising (2016), embracing the
values of the millennials can help. A study conducted by Krischke (2018) showed that
millennials will enthusiastically work 60-80 hours a week if they feel they are part of a
team and that they matter. Even when the pay and working hours is terrible,
Armour (2014), Cerf (2017) and Jakucs (2018) concluded that coworkers’
satisfaction depends on the confidence his or her coworkers have on the employees’
with coworkers.
work of medical employees in hospital practice has expanded in the past decade.
resource cutbacks and personnel shortages also affect working conditions. Job
demands and job control have been reported to have several interactive effects on
employee wellbeing and health in specific occupational groups. A level of high control
Millennials
Economics, 2015). According to Myers and Sadaghiani (2010), millennials are those
individuals born between 1979 and 1994, while according to Deising (2016),
millennials are individuals born between 1982 and 2000. The latest from Pew
Research Center (2018) officially declared that anyone born between 1981 and 1996
(ages 22 to 37 in 2018) will be considered a Millennial, and anyone born from 1997
onward will be part of a new generation (Dimock, 2018). They are characterized by
Deising (2016) showed that millennials eye for perfectionism, transparency, rules and
emotional stability, and less self-reliance, while setting high expectations. Although
researchers have found several positive traits as well (Hanus, 2016) – loyalty to
themselves, family, friends and communities, believe in the power of their voice to
Also, this generation is all out especially when there’s a need to put forth extra effort
in providing support for a particular cause. This is due to the assumption that they
have a wide understanding on the huge impact that can occur from supporting that
cause (Lowes, 2015). As compared to the past generations, millennials are seen to
accept diversity more and look at problems and opportunities from a fresh
Millennials will account for half of the workforce by 2020 and 75% by 2030. It
is certain that the diversity among millennials, their expectation, beliefs and culture
will have an impact on the workplace including the healthcare industry (AMN
A study conducted by Myers and Sadaghiani (2010) showed that they have an
advantage when working in teams. They are seen to work well in teams, motivated to
an institution (Lowes, 2015). Lowes (2015) included that millennials are typically
Myers and Sadaghiani (2010) stated that due to the negative stereotype
organization, and how they will develop relationships with other members is not
impossible.
Scholars in 2015 participated by more than 18,000 students ages 15-29, 40% of the
about 155,000 physicians, or 15% of the total, are under age 35, while about 25% of
According to Doherty (2016), hiring millennials into the healthcare workplace and the
relationship between job satisfaction and age and gender of the respondents. To
rules and procedures, co-workers and the nature of work performed can affect job
improve themselves or be promoted and receive recognition and rewards for their
good performance, their job satisfaction levels are high (Linden, 2015; SHRM, 2016;
Deising, 2016; Mayo Clinic, 2017; Armour, 2014; Medical Economics, 2015).
leaders, their job satisfaction is relatively higher than those who remain in lower
determining job satisfaction (SHRM, 2016). According to Hopkins (2018), these fringe
minimis fringe benefits such as birthday or holiday gifts, event tickets, traditional
awards (such as a retirement gift), and coffee and soft drinks (both on-site and off-
site, including business trips and company functions). The operating rules and
procedures can affect job satisfaction such as the more convenient the rules and
procedures in the medical institution, the higher the level of their job satisfaction
(AMN Healthcare, 2018). Coworkers play a major role in job satisfaction. Coworkers’
satisfaction depends on the confidence his or her coworkers have on the employees’
with co-workers (Linden 2015; Deising, 2016; Krischke 2018; Armour, 2014; Cerf,
2017 and Jakucs 2018; Kinzl et al., 2005). Lastly, the nature of work performed can
affect job satisfaction. The easier the nature of work performed, the higher the job
Sex and age of employees have influenced each of the indicators mentioned
above which implies their level of job satisfaction. As people aged, their job
satisfaction increased (Dobrow Riza et al., 2015; Davies et al., 2017) while females
have higher job satisfaction than their male colleagues (Huang & Gamble, 2015;
Theoretical Framework
Review (Maslow, 1954). Maslow subsequently extended the idea to include his
observations of humans' innate curiosity. His theories parallel many other theories of
through which human motivations generally move. The goal of Maslow's Theory is to
attain the fifth level or stage: self-actualization needs. The hierarchy remains a very
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into his ERG theory (Existence, Relatedness and Growth) Alderfer (1969). The
physiological and safety needs. The second group of needs is those of relatedness –
the desire people have for maintaining important interpersonal relationships. These
social and status desires require interaction with others if they are to be satisfied, and
they align with Maslow's social need and the external component of Maslow's esteem
classification. Finally, Alderfer isolates growth needs: an intrinsic desire for personal
development. These include the intrinsic component from Maslow's esteem category
lower order needs (Physiological and Safety) into the Existence category. He fit
Maslow's interpersonal love and esteem needs into the Relatedness category. The
also proposed a regression theory to go along with the ERG theory. He said that
when needs in a higher category are not met then individuals redouble the efforts
not met then individuals will invest more effort in the relatedness category in the
lower-order needs at work; for example, those needs associated with minimum salary
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levels or safe and pleasant working conditions. Rather, individuals look for the
recognition, responsibility, advancement, and the nature of the work itself. This
on the notion that the presence of one set of job characteristics or incentives leads to
worker satisfaction at work, while another and separate set of job characteristics
continuum with one increasing as the other diminishes, but are independent
phenomena. This theory suggests that to improve job attitudes and productivity,
administrators must recognize and attend to both sets of characteristics and not
2015).
Conceptual Framework
variable for the study is the job satisfaction of the millennial employees. Job
satisfaction has indicators including opportunities and rewards (Linden, 2015; SHRM,
2016; Deising, 2016; Mayo Clinic, 2017; Armour, 2014; Medical Economics, 2015),
supervision (Deloitte Millennial survey, 2016; AMN Healthcare, 2018), fringe benefits
(SHRM, 2016; Hopkins 2018), operating rules and procedures (AMN Healthcare,
2018), coworkers (Linden 2015; Deising, 2016; Krischke 2018; Armour, 2014; Cerf,
2017 and Jakucs 2018; Kinzl et al., 2005) and the nature of work performed (Kinzl,
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2005). Moderating variables include sex and age of employees (Dobrow Riza et al.,
2015; Davies et al., 2017; Huang & Gamble, 2015; Cottingham et al., 2015).
achievements (Linden, 2015; SHRM, 2016; Deising, 2016; Mayo Clinic, 2017;
Fringe benefits are extra benefits supplementing an employee's salary, for example,
a company car, subsidized meals, health insurance, etc. (SHRM, 2016; Hopkins
2018). Operating rules and procedures defined as a rule that defines or constrains
some aspect of medical institution and always resolves to either true or false. These
rules are intended to assert the structure or to control or influence the behavior of the
company. They describe the operations, definitions and constraints that apply to an
computing systems in an organization, and are put in place to help the organization
achieve its goals (AMN Healthcare, 2018). Coworkers refer to the interrelationship of
employees among themselves in the medical institution where they belong (Linden
2015; Deising, 2016; Krischke 2018; Armour, 2014; Cerf, 2017 and Jakucs 2018;
Kinzl et al., 2005) while the nature of work performed means their duties and
responsibilities including other tasks assigned to them while they are working in
INPUT OUTPUT
Job Satisfaction of
Millennial Employees
Policy Enhancement
MODERATOR VARIABLE
Sex
Age
For the first time in several years, the number of employees who say they are
satisfied with their current job took a big jump, rising from 81% in 2013 to 88% in
2016, according to the Employee Job Satisfaction and Engagement Report by the
Society for Human Resource Management (SHRM, 2016). Most organizations strive
for employee satisfaction, but not all attain this goal. That’s why it’s important for
human resources professionals to know more about the factors that can increase
employee satisfaction, and how it fits into a company’s overall success. There is little
doubt that great employees are an organization’s number one resource. Keeping
workers happy helps strengthen a company in many ways, including: (1) Lower
easier to recruit quality talent and save money. The bottom line: satisfied employees
are typically much less likely to leave. (2) Higher Productivity – Irrespective of job title
and pay grade, employees who report high job satisfaction tend to achieve higher
productivity. (3) Increased Profits – Keeping employees safe and satisfied can lead to
higher sales, lower costs and a stronger bottom line. (4) Loyalty – When employees
feel the company has their best interests at heart, they often support its mission and
work hard to help achieve its objectives. And, they may be more likely to tell their
The beneficiaries of this study are the employers of medical institutions. This
study will help them understand where millennial employees are coming from by
looking at their context: what kind of world they grew in, what values they prioritize
and what levels of job satisfaction in their affiliated medical institutions. Hence, this
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study is significant because this will serve as the basis for policy enhancement in
medical institutions by improving the human resources which are composed mainly
by Millennials.
Definition of Terms
Millennials. In this study refers to an individual born between 1981 and 1996
their job, whether or not they like the job or individual aspects or facets of jobs, such
and increase to the attractiveness of the company for the future employees to be part
of the organization.
that offers academic and medical services that is managed by college instructors,
medical doctors who teaches college students and as well as practicing their
Chapter 2
METHOD
Presented in this section are the discussion on the study research design,
Research Design
degree of association between the variables (Gomez and Gomez, 1984). Descriptive
research is a study designed to depict the participants in an accurate way. The data
will be collected using questionnaire. It is quantitative considering that the study will
use a structured and standardized research instruments in collecting its data, the
groups in an attempt to extract an assumption about them. The researcher will seek
comparative since it manipulate the independent variable to assess and explain its
Thematic analysis will be done based on the results of the survey to make
institution. These methods of research are appropriate for this study because its
the dependent variable as well as the influence of the dependent variable to the
Research Locale
The findings of the study will be specific to the context of medical institution of
Davao city. The possibility for the general applicability of the findings will be limited by
the scope, and the sample, accordingly, even though there could be common
features, the findings may not have general applicability to other systems.
The study will be conducted in a selected Medical Institution. It is the first and
oldest medical school in the Davao Region. It has approximately 200 employees,
including both rank-and-file and managerial positions. The location of the conduct of
the study is in Davao City, Philippines. It has a total land area of 244,000 hectares
which make it as the largest city in the country and composed of 182 barangays.
Davao city is among those progressive cities in the Philippines (Davao City, 2017).
shore of Davao golf, opposite to Samal Island. Figure 2 shows the map of the
Philippines consisting of seven regions in which the Davao City is located in Region
XI.
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The respondents in this study include employees born in 1981 up to 1996 who
are currently working in a medical institution in Davao City. Only probationary and
recruited for the survey. The sampling technique will be purposive sampling which is
the objective of the study. Purposive sampling is also known as judgmental, selective,
alpha which is a measure of internal consistency that is, how closely related a set of
value for alpha does not imply that the measure is unidimensional. A total of 20
Inclusion criteria: employees who are born between 1981 to 1996 Exclusion
criteria: employees born before 1981 or after 1996 and employees who will not
Research Instrument
The Job Training and Job Satisfaction Survey by Schmidt (2004) from East
Carolina University will be adopted. This tool was developed based on the Job
Satisfaction Survey by Paul Spector. Although the modified Job Satisfaction Survey
consists of 38 items and 5 facet scales, with subscales for opportunities and rewards,
supervision, fringe benefits, operating rules and procedures, co-workers, and the
After the validation and approval of the researcher’s adviser, the questionnaire will be
Data Collection
medical institution will be secured. Then, clearance will be sought from the Ethics
A list of all the probationary and regular employees (tenured or not) will be
obtained from the Human Resource Office of the medical institution. Personnel not
born between 1981 up to 1996 will be excluded from the list. This sampling list will be
clustered into offices and departments. Three departments will be chosen in random
from the offices. All qualified employees from the chosen departments will be
recruited for the study. All employees who give their consent to join the survey will
answer the Job Training and Job Satisfaction Survey. The subjects will choose from a
5-point Likert scale (strongly disagree [1pt], disagree [2pts], undecided [3pts], agree
[4pts], strongly agree [5pts], to answer the questions in the survey. For negatively
worded questions, the scores for the Likert scale choices must first be reversed. The
higher the total points, the higher the job satisfaction of the employee.
After the totals and averages are computed, a thematic analysis will be done
operating rules and procedures, co-workers, and the nature of work performed.
The duration of the study is two semesters. The researcher will tallied the data
ready for submission for statistical treatment and will be treated using applicable
Statistical Tools
The data gathered from the questionnaire were treated using the following
statistical tools:
Mean. This tool will be used in order to determine the level of job satisfaction
of employees.
that there is a measurable difference between the groups and that, statistically, the
probability of obtaining that difference by chance is very small (usually less than 5%).
T-test. This will be used to determine the effect of gender in job satisfaction.
examination; analysts commonly use a t-test with two samples with small sample
sizes, testing the difference between the samples when they do not know the
ANOVA. This tool will be used to determine the effect of age in job
Ethical Considerations
There were substantial ethical issues and concerns that have specific
repercussions for this quantitative inquiry. Such issues and concerns have ascended
primarily from the methodology involved embedded in this study. The ethical
challenges those were pertinent to this research concerns the issues of the right to
pointed out by McLeod (2015) to protect the participants throughout the research
undertaking. For this research study, the ethical measures will be adhered to
and full disclosure of information about the research, cultural responsibility, and
research adequacy. All proper names and identification details will be changed in filed
Informed consent will be the cornerstone of my ethical research based on Creswell &
Poth (2017), and an important aspect of this is the quality of information provided to
conduct the study shall be sought at UM Professional Schools. This will be granted
after the interview guide has already undergone validation process and the study’s
necessary in ensuring the privacy as well as the safety of my participants. Among the
significant ethical issues that I will consider in the research process include the
explaining their personal views (Cobb & Forbes, 2002). Moreover, in order to secure
the consent of the selected participants, I will relay important details of the study,
including its aim and purpose. By explaining to them these important details, the
respondents will be able to understand the importance of their role in the completion
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of the research. I will advise the participants that they may possibly withdraw from the
study even during the process if they think it would bring personal biases on the
maintained using false name to conceal their identity (Brody et al., 2007; Trochim,
must to ensure the anonymity of the participants for them to feel safe and reveal the
needed information of the study. To this end, I will assign false name to each of my
participants to protect their identity. I will become a good listener to them and will give
Informed Consent. The informed consent letter will articulate the procedural
responses. The informed consent letter will declare that the participant’s background
information will remain confidential and will not be released without prior expressed
personal approval. Restricted access will protect and secure participants’ information
thus maintaining the confidentiality and anonymity. This will also ensure that all
given the free will to participate without any form of consequences, penalty or loss of
benefits. The researcher respected the views and opinions of the respondents and its
decision whether or not they will participate during the course of gathering the data.
Thus, after the purpose and the benefits of the study described and presented to the
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respondents, the rights of them to contribute to the body of knowledge were carefully
to sign voluntarily the informed consent form to reduce suspicion and encourage
showed how the population was being disseminated. Furthermore, the data collection
procedures indicated, as well, how the questionnaires were being administered and
Risk and Benefits, the study did not involve any high risk situation that the
concerns. And the benefit is the result of the study benefited the employees and the
Human Resource Office. After the survey, the result of the study benefited to the
procedures, co-workers and the nature of work performed can affect job satisfaction
citing or giving credit to the work of others, whether published or unpublished and
particular, “Turnitin”software will be used to check plagiarism. Each and every citation
short phrase or six or seven words of someone else's text, that section will be
also prepare copies of the manuscript of the research findings to be made available
to the participants’ organization or should the participant ask for it. I will also obligate
myself to maintain a clear and complete record of data acquired in order to preserve
accurate documentation of observed facts with which later reports or conclusions can
be compared. Furthermore, I will keep the records which include sufficient details to
authenticity of the records, and confirming the validity of the conclusions. Falsification
is also avoided by making sure that the research materials or processes used are the
exact ones used. There will be no changing or omitting of data or results such that
as well as any possible conflicts of interests have to be declared. Should any of these
occur in the study, I will include a conflict of interest statement when I submit my
manuscript for review so that the committee will be the one to decide if the conflict is
one that should be included with the publication of my article. If no such thing occurs,
the author shall disclose in this study that no support, financial or otherwise, has
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been received from any organization that may have an interest in the submitted work;
and that there are no other relationships or activities that could appear to have
In relation to ensuring that participants are shown fair treatment and justice, each
veracity or truth telling (Banner, 2010) is inherently important and I will show this by
honestly telling the participants the aim of the research and proposed outcomes.
Most importantly, in this study, research subjects will not be subjected to any harm in
any ways whatsoever; hence, I will also not give any misleading information to the
respondents but provide them with enough actual and honest information before the
start of their participation in the study. This includes that the participants will be
informed about the fact that they may be subject to emotional distress when
participation.
consent through the Human Resource Officer of the Medical Institution in which the
data are to be collected. This is to make sure that the person to be contacted in the
Medical Institution has the authority and the activities will be organized in advanced.
proper listing of the people who should be given credit will be done by drafting an
people who helped in the Acknowledgment section, from the research panel and
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conception or design of the project and the acquisition, analysis, and interpretation of
data for the work. She has also made significant contribution in reviewing my
Lastly, I will make my study participants realized that that their dignity is a
paramount importance and I will also emphasize that they will not be used simply as
a means to achieve my research objectives (Mack et al., 2005). Ultimately, the point
of ethics in research is to ensure that participants are not harmed by the process.