ISSUES FOR THE NURSING WORKFORCE Exploring the profiles of nurses’ job satisfaction in Macau: results of a cluster analysis Moon Fai Chan, Sok Man Leong, Andrew Leung Luk, Siu Ming Yeung and Iat Kio Van Aims. To determine whether definable subtypes exist within a cohort of nurses with regard to factors associated with nurses’ job satisfaction patterns and to compare whether these factors vary between nurses in groups with different profiles. Background. Globally, the health care system is experiencing major changes and influence nurses’ job satisfaction and may ultimately affect the quality of nursing care for patients. Design. A descriptive survey. Methods. Data were collected using a self-reported structured questionnaire. Nurses were recruited in two hospitals in Macao. Two main outcome variables were collected: Predisposing characteristics and five components on job satisfaction outcomes. Results. A cluster analysis yielded two clusters (n = 649). Cluster 1 consisted of 60Æ6% (n = 393) and Cluster 2 of 39Æ4% (n = 256) of the nurses. Cluster 1 nurses were younger, more educated and had less work experience and more intention to change their career than nurses in Cluster 2. Cluster 2 nurses had more work experiences, were of more senior grade and were more satisfied with their current job in terms of peer supports, autonomy and professional opportunities, scheduling and relationships with team members than nurses in Cluster 1. Conclusions. Findings might help by providing important information for health care managers to identify strategies/methods to target a specific group of nurses in hopes of increasing their job satisfaction levels. Relevance to clinical practice. As a long-term investment, hospital management has to promote work environments that support job satisfaction to attract nurses and thereby improve the quality of nursing care. The results of this study might provide hospital managers with a model to design specified interventions to improve nurses’ job satisfaction. Key words: China, nurses, nursing, satisfaction, workforce Accepted for publication: 21 January 2009 Introduction Macau, an autonomous territory of PRC that until recently was a colony of Portugal, faces a unique set of challenges in health services delivery. Globally, the health care system is experiencing major changes, notably in the scarcity of resources and centralised control. These changes include increasing readmission rates, the emphasis on cost-effective- ness and the demands of patients with acute and chronic diseases (Sourdif 2004, Lindberg 2007). These escalating changes influence nurses’ job satisfaction and may ultimately affect the quality of nursing care for patients (Aiken et al. Authors: Moon Fai Chan, PhD, CStat, Assistant Professor, Alice Lee Centre for Nursing Studies, National University of Singapore, (Former staff of Kiang Wu Nursing College of Macau) Singapore; Sok Man Leong, MSc, Assistant Professor, Kiang Wu Nursing College of Macau, Macau SAR, China; Andrew Leung Luk, MN, PhD, RN, Associate Professor, Kiang Wu Nursing College of Macau, Macau SAR, China; Siu Ming Yeung, MSN, CNS, RN, Senior Lecturer, Kiang Wu Nursing College of Macau, Macau SAR, China; Iat Kio Van, Dip Nurs, BSc, Med, RN, Head, Kiang Wu Nursing College of Macau, Macau SAR, China Correspondence: M.F. Chan, Assistant Professor, Alice Lee Centre for Nursing Studies, National University of Singapore, Block E3A, Level 3, 7 Engineering Drive 1, Singapore 117574. Telephone: (65) 6516 8684. E-mail: nurcmf@nus.edu.sg 470 Ó 2009 The Authors. Journal compilation Ó 2009 Blackwell Publishing Ltd, Journal of Clinical Nursing, 19, 470–478 doi: 10.1111/j.1365-2702.2009.02902.x