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The Influence Path Analysis of Clinical Nurses' Job Satisfaction Based on the Dual-Factor Theory
Wanning Jia1, Haiyan Wang1, Liqian Gao1
1Blood Purification Center, China-Japan Friendship Hospital, No. 2 East Yihua Street Chaoyang District, Beijing, China, zryhyy.com.cn.
Journal of Nursing Management
|May 13, 2026
Summary
Job satisfaction for clinical nurses is complex, influenced by multiple interacting factors, not just one. Understanding these configurations helps improve nurse retention and career stability.
Area of Science:
- Nursing Science
- Healthcare Management
- Organizational Psychology
Background:
- Clinical nurses are vital to healthcare systems globally.
- Adverse situations impact nurses' job satisfaction and service quality.
- Understanding factors influencing job satisfaction is crucial for nurse retention.
Purpose of the Study:
- To analyze pathways influencing clinical nurses' job satisfaction using dual-factor theory.
- To identify synergistic effects and configurational pathways impacting job satisfaction.
- To explore combinations of factors leading to high job satisfaction.
Main Methods:
- Cross-sectional questionnaire survey of 202 clinical nurses.
- Assessed job burnout, job satisfaction, and fear of missing out.
- Employed fuzzy-set qualitative comparative analysis (fsQCA) for configurational analysis.
Main Results:
- No single factor was necessary for high job satisfaction.
- Identified six sufficient condition combinations (hygiene-dominated and motivation-health).
- Age moderated and was a core condition in several configurations.
Conclusions:
- fsQCA, based on dual-factor theory, reveals complex interactions influencing job satisfaction.
- Identifies specific configurations enhancing clinical nurses' job satisfaction and career stability.
- Provides a framework for developing targeted interventions to improve job satisfaction.
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