ISSN:                                            Vol.
1, Issue 1 | July–September 2025
  Assessing Job Satisfaction Among Health Workers in Catholic
 Hospitals in the Western Region of Ghana: A Case Study of Holy
    Child Catholic Hospital and Father Thomas Alan Rooney
                Memorial Hospital, Asankrangwa
            1Marino Nana Kontoh and 2Dr Kwame Owusu-Boampong
1Deputy Diocesan Director of Health, Catholic Diocese of Sekondi-Takoradi, Ghana
2Senior Lecturer, Department of Public Health, Catholic University of Ghana, Ghana .
Abstract                                                satisfaction    related   to     collegial
                                                        relationships (M = 2.89), supervisory
Background: Job satisfaction is a                       support (M = 2.82), and sense of purpose
critical determinant of health worker                   (M = 2.80). The independent t-test
retention, performance, and patient care                showed no significant difference in
quality, particularly in mission-based                  satisfaction by gender (p = 0.31).
institutions operating under resource                   However, one-way ANOVA revealed a
constraints. This study assessed job                    statistically significant difference by
satisfaction among healthcare workers in                educational level (F = 4.07, p = 0.008),
two Catholic hospitals in the Western                   with more educated staff expressing
Region of Ghana—Holy Child Catholic                     higher satisfaction.
Hospital in Fijai and Father Thomas Alan
Rooney       Memorial      Hospital   in                Conclusion: Healthcare workers in
Asankrangwa.                                            Catholic hospitals are generally satisfied
                                                        with their work, particularly in relational
Methods: A descriptive cross-sectional                  and intrinsic aspects. Educational level
design was adopted, involving 234 health                emerged as a significant factor
workers selected through convenience                    influencing job satisfaction. These
sampling. Data were collected using a                   findings underscore the need for targeted
structured             self-administered                human resource strategies that promote
questionnaire and analyzed using                        inclusive development opportunities and
descriptive statistics (means and                       leverage non-financial motivators to
standard deviations) and inferential tests              sustain a committed workforce in faith-
(independent samples t-test and one-way                 based health institutions.
ANOVA). Job satisfaction was assessed
using a 4-point Likert scale, with mean                 Keywords: Job satisfaction, Catholic
scores above 2.50 indicating satisfaction.              hospitals, healthcare workers, Ghana,
                                                        education,   faith-based  institutions,
Results:        Respondents      reported               human resources
moderate to high job satisfaction across
all indicators, with the highest
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
             ISSN:                                     Vol.1, Issue 1 | July–September 2025
Introduction                                   Hospital in Fijai and Father Thomas Alan
                                               Rooney      Memorial       Hospital   in
Job satisfaction is a critical component in    Asankrangwa. It seeks to explore the
healthcare        delivery,      influencing   specific dimensions of satisfaction
employee retention, quality of care, and       expressed by health staff and provide
overall organizational performance. In         recommendations for human resource
mission-based institutions such as             and institutional development.
Catholic hospitals, where service delivery
is often influenced by values of               By examining staff satisfaction levels in
compassion,         commitment,         and    these mission hospitals, the study aims to
stewardship, understanding the factors         contribute to the development of tailored
that drive staff satisfaction becomes vital.   strategies to strengthen workforce
These institutions often operate under         retention, improve patient care, and
financial constraints and are challenged       sustain institutional goals in Catholic
to sustain a stable and motivated              health facilities.
workforce without the luxury of
competitive remuneration.                      Methodology
Globally, studies have linked job              Study Design
satisfaction among healthcare workers to       A     descriptive       cross-sectional
factors such as quality of leadership,         survey design was employed to assess
access to professional development, team       the level of job satisfaction among
dynamics, workload, reward systems,            healthcare workers in the selected
and work–life balance (Lu et al., 2019;        Catholic hospitals. This design enabled
Coomber & Barriball, 2007). In the             the collection of data at a single point in
African context, especially in Ghana,          time to describe trends and perceptions
existing literature points to job              regarding job satisfaction.
satisfaction being shaped not just by
salary, but by a mix of personal,              Study Sites
institutional, and systemic factors            The study was conducted at:
(Dapaah & Appiah, 2019). These include
recognition,     sense     of    purpose,          •   Holy Child Catholic Hospital,
opportunities     for    training,   and               Fijai – a 35-bed faith-based
supportive supervision.                                facility providing outpatient,
                                                       surgical, maternal, and public
Despite this understanding, there is                   health services.
limited empirical evidence on job
satisfaction in faith-based hospitals in           •   Father Thomas Alan Rooney
Ghana, particularly in the Western                     Memorial                Hospital,
Region.     This     study,     therefore,             Asankrangwa – a 112-bed mission
investigates the level of job satisfaction             hospital offering a wide range of
among healthcare workers in two                        inpatient,      outreach,    and
Catholic hospitals: Holy Child Catholic                specialized health services.
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
            ISSN:                                      Vol.1, Issue 1 | July–September 2025
Study Population and Sample                       1 = Strongly Disagree, 2 = Disagree,
                                                  3 = Agree, 4 = Strongly Agree.
The study population consisted of 456
health workers across both hospitals. A           Validity and Reliability
total sample of 234 respondents was
determined using Yamane’s formula,                Content and face validity were confirmed
with an added 10% to accommodate non-             through expert review at the Department
response. Respondents were selected               of Public Health. A pre-test was
using convenience sampling, allowing              conducted at Jubilee Catholic Hospital,
the inclusion of staff who were available         Apowa, and adjustments were made
and willing to participate during the data        accordingly. Internal consistency of the
collection period.                                scale was maintained through reliability
                                                  analysis.
Inclusion and Exclusion Criteria
                                                  Ethical Considerations
   •   Included: Health workers with
       at least one year of continuous            Approval for the study was obtained from
       service.                                   the Christian Health Association of
                                                  Ghana (CHAG). Informed consent was
   •   Excluded: Interns, attachment              obtained from each participant, and
       students, and staff on long leave.         anonymity and confidentiality were
                                                  strictly ensured throughout the study
Data Collection Instrument                        process.
Data were collected using a structured            Data Analysis
self-administered questionnaire.
The section on job satisfaction included          Data were cleaned, coded, and analyzed
statements on workplace conditions,               using descriptive statistics. Mean
interpersonal relationships, rewards,             scores and standard deviations
support systems, and alignment with the           were computed. A mean score above
hospital’s mission. Responses were rated          2.50 was considered indicative of
using a 4-point Likert scale:                     satisfaction, while scores below this
                                                  threshold signaled dissatisfaction
Results
Table 1: Demographic Characteristics of Respondents
 Variable               Category             Frequency (n=234) Percentage (%)
 Gender                 Male                 96                       41.03
                        Female               138                      58.97
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
            ISSN:                                   Vol.1, Issue 1 | July–September 2025
 Age Group             Below 31            44                      18.80
                       31–40               137                     58.55
                       41–50               34                      14.53
                       Above 51            19                      8.12
 Marital Status        Married             131                     55.98
                       Single              57                      24.36
                       Cohabiting          23                      9.83
                       Separated           14                      5.98
                       Divorced            9                       3.85
 Education Level       Certificate         26                      11.11
                       Diploma             53                      22.65
                       Bachelor’s Degree 97                        41.45
                       Master’s/PhD        58                      24.79
 Employment Type Permanent                 125                     53.42
                       Locum/Part-time     78                      33.33
                       Casual              31                      13.25
 Years of Service      1–5 years           61                      26.07
                       6–10 years          86                      36.75
                       Above 10 years      87                      37.18
Table 1 presents the demographic profile of respondents. The majority were female
(58.97%) and within the age range of 31–40 years (58.55%), suggesting a predominantly
youthful and gender-diverse workforce. Most participants were married (55.98%), had at
least a bachelor’s degree (41.45%), and were employed on a permanent basis (53.42%).
Notably, 73.93% had been employed for more than five years, indicating a workforce with
considerable experience and likely emotional investment in their work.
The educational background and length of service suggest that most respondents possess
both the qualifications and practical insights needed to meaningfully assess job
satisfaction. Their employment status and length of service also imply that their
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
            ISSN:                                      Vol.1, Issue 1 | July–September 2025
responses reflect a deeper understanding of institutional practices and work conditions
in the two hospitals.
Table 2: Job Satisfaction Levels Among Health Workers
 Statement                                            Mean Standard            Deviation
                                                           (SD)
 I am satisfied with the working conditions at my 2.73         0.635
 hospital
 I feel respected and supported by my supervisors     2.82     0.609
 I have a good working relationship with my 2.89               0.593
 colleagues
 I am satisfied with the level of job security 2.71            0.618
 provided
 I am proud to work in this hospital                  2.78     0.620
 I find meaning and purpose in the work I do here     2.80     0.627
Source: Field Survey, 2024
Table 2 shows that respondents expressed high levels of job satisfaction across all six
indicators, with all mean scores above 2.50. The highest-rated item was “I have a good
working relationship with my colleagues” (Mean = 2.89), suggesting that collegiality and
interpersonal harmony are strong within the two Catholic hospitals. This is consistent
with research by Coomber and Barriball (2007), which found that peer support is one of
the most stabilizing elements in health sector job satisfaction.
The statement “I feel respected and supported by my supervisors” also recorded a high
mean score (2.82), indicating positive supervisory relationships, which are essential for
feedback, guidance, and professional encouragement. The strong sense of respect and
support from leadership may also reflect the faith-based mission of these institutions,
which often promotes compassion, ethics, and teamwork.
Satisfaction with working conditions (Mean = 2.73) and job security (Mean = 2.71)
indicates that respondents felt fairly comfortable and secure in their current roles. In a
context like Ghana where job insecurity is often a source of stress, this result is notable.
It aligns with the findings of Dapaah and Appiah (2019), who reported that stable
employment enhances both performance and organizational loyalty.
Finally, respondents showed pride in their institutions (Mean = 2.78) and a strong sense
of meaning in their work (Mean = 2.80). This suggests that many staff are driven not only
by professional demands but also by a sense of mission and purpose, which is especially
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
               ISSN:                                    Vol.1, Issue 1 | July–September 2025
characteristic of those working in religious health institutions. This intrinsic satisfaction
can be a major asset in contexts where extrinsic rewards such as high salaries may not be
feasible.
Table 3: Independent Samples t-Test – Gender and Job Satisfaction
 Gender N           Mean             Job Standard                  t-        df    p-
                    Satisfaction         Deviation (SD)            value           value
 Male          96   2.76                  0.39
 Female        138 2.81                   0.41                     -1.02     232 0.31
Source: Field Survey, 2024
Table 3 presents the results of the independent samples t-test comparing mean job
satisfaction scores between male and female respondents. The mean job satisfaction for
females (M = 2.81, SD = 0.41) was slightly higher than for males (M = 2.76, SD = 0.39),
but this difference was not statistically significant, t(232) = -1.02, p = 0.31. This implies
that gender did not significantly influence job satisfaction among the health workers in
the two Catholic hospitals.
Table 4: One-Way ANOVA – Educational Level and Job Satisfaction
 Educational Level N          Mean Job Satisfaction Standard Deviation (SD)
 Certificate               26 2.64                         0.34
 Diploma                   53 2.69                         0.40
 Bachelor’s Degree         97 2.81                         0.43
 Master’s/PhD              58 2.87                         0.39
 ANOVA Results                F(3, 230) = 4.07             p = 0.008
Source: Field Survey, 2024
Table 4 shows the outcome of a one-way ANOVA conducted to assess the effect of
educational level on job satisfaction. The results indicate a statistically significant
difference in mean satisfaction scores across educational groups, F(3, 230) = 4.07, p =
0.008. Post-hoc analysis using Tukey’s HSD revealed that respondents with a Master’s
degree or PhD reported significantly higher job satisfaction than those with Certificate or
Diploma qualifications. This suggests that job satisfaction may increase with educational
attainment, possibly due to better career advancement opportunities, professional
autonomy, or role clarity.
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
            ISSN:                                   Vol.1, Issue 1 | July–September 2025
Discussion                                    observed here may also be influenced by
                                              the faith-based orientation of the
This study examined job satisfaction          institutions, which often emphasizes
among health workers in two Catholic          human dignity and compassion in staff
hospitals in the Western Region of            management (Mensah et al., 2017).
Ghana: Holy Child Catholic Hospital in
Fijai and Father Thomas Alan Rooney           Furthermore, staff reported a strong
Memorial Hospital in Asankrangwa. The         sense of pride in their work and
findings suggest that, overall, health        alignment with the hospital’s mission
workers in these mission-based facilities     (Mean = 2.78), as well as finding
experience moderate to high levels of job     meaning in their roles (Mean = 2.80).
satisfaction across multiple dimensions,      These intrinsic motivators align with
including interpersonal relationships,        Herzberg’s motivation-hygiene theory,
supervisory support, job security, and        which identifies purpose, recognition,
alignment with the institutional mission.     and achievement as key drivers of job
                                              satisfaction (Herzberg, 1966). In the
The highest levels of satisfaction were       context of Catholic healthcare, these
recorded     in    relation    to    peer     findings are significant because they
relationships. Respondents reported           suggest that mission and values remain
strong collaboration and collegiality in      central to workforce engagement.
their respective institutions (Mean =
2.89), a finding consistent with Lu et al.    While     descriptive    findings     were
(2019), who emphasized that supportive        encouraging, inferential analysis added
co-worker relationships are essential for     depth to the interpretation. The
staff morale and job satisfaction in          independent samples t-test (Table 3)
healthcare settings. In Catholic mission      showed no statistically significant
hospitals, such relationships may be          difference in job satisfaction between
reinforced by shared ethical values and a     male and female workers (p = 0.31). This
collective sense of service, which foster     finding contrasts with some global
community among staff (Agyepong et al.,       literature, which suggests that gender
2014).                                        disparities may exist in health sector
                                              experiences (Shields & Ward, 2001).
Respondents also expressed high               However, the absence of a gender gap
satisfaction with supervisory support         here may reflect institutional policies
(Mean = 2.82), indicating that leaders        rooted in the Catholic tradition of equity
and managers in these institutions play a     and inclusiveness, or possibly a relatively
positive role in fostering respectful and     egalitarian working culture in the
professional environments. Osei et al.        selected facilities.
(2015) similarly found that supportive
supervision enhances staff engagement         The one-way ANOVA (Table 4), however,
and reduces burnout, particularly in          revealed a significant relationship
settings where resource limitations are       between educational level and job
common. The respect for leadership            satisfaction (p = 0.008). Health workers
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
             ISSN:                                    Vol.1, Issue 1 | July–September 2025
with a Master’s or PhD reported higher          faith-based systems where financial
job satisfaction than those with                capacity may be limited.
certificates or diplomas. This may be
attributed to greater autonomy, clearer         This study, however, is not without
career trajectories, and more meaningful        limitations. The use of self-report
roles assigned to higher-educated staff.        questionnaires introduces a potential for
Similar findings were reported by               social desirability bias, especially in
Coomber and Barriball (2007), who               mission institutions where respondents
noted that more educated staff often            may hesitate to critique the employer.
experience greater job clarity, skill           Additionally, the cross-sectional design
utilization,       and       professional       does not account for seasonal or time-
recognition—all of which contribute to          bound variations in satisfaction. Future
higher satisfaction.                            studies should consider using mixed-
                                                methods approaches and longitudinal
These findings have important policy            designs to provide a deeper and more
implications. First, while overall job          nuanced       understanding    of     job
satisfaction is positive, there is a need to    satisfaction trends.
target interventions at lower-educated or
casual staff, who may not be experiencing       In conclusion, the study found that job
the same level of fulfillment. Providing        satisfaction among health workers in
mentorship, training, and internal              Catholic hospitals in the Western Region
promotion opportunities can help bridge         is generally high, driven by strong
this satisfaction gap. Second, institutions     interpersonal      bonds,      supportive
should      institutionalize    continuous      supervision, and        alignment     with
professional development and recognize          institutional values. However, significant
qualifications      through      structured     differences exist based on educational
incentives, as this may increase                background, highlighting the need for
motivation and retention. Finally,              more inclusive staff development
supervisors and hospital administrators         policies. These insights offer important
should      intensify     inclusive     staff   guidance for Catholic health managers
engagement practices, ensuring that all         and policymakers seeking to strengthen
categories of workers feel seen, heard,         workforce stability and performance in
and valued.                                     Ghana’s faith-based healthcare sector.
From      a    workforce    management          Conclusion
perspective, Catholic hospitals must            This study assessed job satisfaction
sustain their culture of interpersonal          among healthcare workers in two
respect and value-driven service while          Catholic hospitals in the Western Region
adapting to the changing needs of a             of Ghana: Holy Child Catholic Hospital in
multi-generational       and       multi-       Fijai and Father Thomas Alan Rooney
qualification health workforce. Investing       Memorial Hospital in Asankrangwa. The
in both tangible and intangible forms of        findings reveal that overall job
recognition is key to staff retention in
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
             ISSN:                                  Vol.1, Issue 1 | July–September 2025
satisfaction among staff was moderate to      Coomber, B., & Barriball, K. L. (2007).
high, with particularly strong satisfaction   Impact of job satisfaction components on
expressed in areas such as peer               intent to leave and turnover for hospital-
relationships, supervisory support, and       based nurses: A review of the research
sense of purpose in the workplace.            literature. International Journal of
                                              Nursing Studies, 44(2), 297–314.
While gender did not significantly            https://doi.org/10.1016/j.ijnurstu.2006.
influence job satisfaction, educational       02.004
level was found to be a significant
predictor, with more highly educated          Dapaah, J. M., & Appiah, S. C. Y. (2019).
staff reporting higher satisfaction. This     “I don’t fear anything anymore”:
suggests that academic attainment may         Perceptions of HIV-positive female
enhance workers’ perception of role           nurses on stigma and discrimination in
clarity, autonomy, and opportunities for      Ghana. BMC Health Services Research,
growth. The study further confirms that       19, 297. https://doi.org/10.1186/s12913-
intrinsic and relational motivators—such      019-4107-1
as respect, collaboration, and alignment
with     institutional   mission—remain       Herzberg, F. (1966). Work and the
powerful drivers of job satisfaction in       Nature of Man. Cleveland, OH: World
faith-based healthcare settings.              Publishing Company.
The results point to the importance of        Lu, H., Zhao, Y., & While, A. (2019). Job
creating inclusive and supportive work        satisfaction among hospital nurses: A
environments that nurture staff across all    literature review. International Journal
educational levels. For Catholic hospitals    of Nursing Studies, 94, 21–31.
and similar institutions, these insights      https://doi.org/10.1016/j.ijnurstu.2019.
provide a roadmap for improving               01.011
workforce engagement and retention            Mensah, K. A., Frimpong, J. A., &
through targeted human resource               Asiedu-Akrofi, K. (2017). Health
policies that emphasize recognition,          workforce management practices in
fairness, and continuous professional         faith-based health facilities in Ghana.
development.                                  Ghana Medical Journal, 51(2), 87–94.
References                                    https://doi.org/10.4314/gmj.v51i2.3
Agyepong, I. A., Lehmann, U., Manu, D.,       Osei, D., Mashamba-Thompson, T. P., &
Ridde, V., Frimpong, E., & Mayhew, S. H.      Adzei, F. A. (2015). Communication and
(2014). The “black box” of policy             motivation in Ghana’s health service:
implementation in health systems and          The role of middle-level managers.
policy research: A review of the              Journal of Health Management, 17(4),
literature. Health Policy and Planning,       421–432.
30(3),                        273–284.        https://doi.org/10.1177/097206341560
https://doi.org/10.1093/heapol/czu122         9294
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.
             ISSN:                                 Vol.1, Issue 1 | July–September 2025
Shields, M. A., & Ward, M. (2001).
Improving nurse retention in the
National Health Service in England: The
impact of job satisfaction on intentions to
quit. Journal of Health Economics,
20(5),                            677–701.
https://doi.org/10.1016/S0167-
6296(01)00092-3
Willis-Shattuck, M., Bidwell, P., Thomas,
S., Wyness, L., Blaauw, D., & Ditlopo, P.
(2008). Motivation and retention of
health workers in developing countries:
A systematic review. BMC Health
Services      Research,       8,     247.
https://doi.org/10.1186/1472-6963-8-
247
Corresponding email: frmarinokontoh18@gmail.com.
https://doi.org/10.64261/pajhps.v1n1.004.