Implementation of enforcement productivity law and performance-based payment and nurses' job satisfaction

Enforcement productivity law and performance-based payment are important because of its impact on health interventions, nurses’ job satisfaction and their quality of work life. But, action plans of them always confront with challenge. The aim of this study was assessing implementation of enforcement productivity law and performance-based payment and nurses' job satisfaction. In this cross-sectional and descriptive study in two stages within 4 years (2012-2016), 500 nurses’ satisfaction was measured who are worked in (17) health care organization in Sistan & Baluchestan and (14) health care organization in Kerman proveniences. They selected as a quota- sampling. Data gathered by the standard questionnaires of Herzberg Job Satisfaction Theory before and after the law improving productivity and pay for performance plan and the impact of this legislations on nurses' job satisfaction was evaluated. Its reliability was measured by Alpha-Chronbach (0.89). Data analyzed by t-test and ANOVA with SPSS17. Finding showed that the mean of overall nurses' job satisfaction before (2.85±0.4) and after (2.99±0.7) the law enforcement of improving productivity and performance-based payment plan hadn't been increased significantly (P>0.05). Of course, in salary & benefit and recognition domains of job satisfaction increased significantly and in supervision & management domains significantly decreased(P<0.05). It is recommended that for attaining human resource productivity change action plan of law enforcement of improving productivity and performance-pased plan accompapayment nied with staff participation.