Associations of regrets and coping strategies with job satisfaction and turnover intention: international prospective cohort study of novice healthcare professionals

Cheval, Boris; Cullati, Stéphane; Mongin, Denis; Schmidt, Ralph Erich; Lauper, Kim; Pihl-Thingvad, Jesper; Chopard, Pierre; Courvoisier, Delphine S.

doi:10.4414/smw.2019.20074

Cited by 8 publications

(17 citation statements)

References 34 publications

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“…There have hardly been any studies on physicians on the association between perceived quality of care and intention to leave the profession. Preliminary evidence is provided by the above mentioned multinational prospective cohort of young physicians, in which there was an association between frequent situations in which the subjects regretted the result of the treatment and increased thoughts of leaving the profession [28].…”

Section: Step Likert Scalementioning

confidence: 99%

“…There is even less information for physicians. A multinational prospective cohort study of young physicians found an association between the frequency of situations in which the subject regretted the result of the treatment and increased intention to leave the profession [28].In view of currently available data, the role of poor quality of care in leaving the profession, taking poor job satisfaction into consideration, is not clear. Therefore, we formulated the following research questions:…”

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confidence: 99%

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confidence: 99%

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How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians

Koch

Zilezinski

Schulte³

et al. 2020

IJERPH

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German hospitals are now confronted with major challenges from both shortages and fluctuations in the numbers of physicians and nurses. This makes it even more important that physicians and nurses do not prematurely leave patient care. The objective of the present study was to improve our understanding of the factors that trigger intentions to leave the profession. For this purpose, data from 1060 young physicians and nurses in hospital care were analysed. Intentions to leave the profession was assessed with the Copenhagen Psychosocial Questionnaire (COPSOQ). In the first step, the association was determined between intention to leave the profession and the factors of perceived quality of care and job satisfaction. In a second step, a mediation analysis was performed to determine the effect of perceived quality of care after correction for the possible mediator of job satisfaction. There were statistically significant negative associations between perceived quality of care and intention to leave the profession (beta: −2.9, 95% CI: −4.48-−1.39) and job satisfaction and intention to leave the profession (beta: −0.5, 95% CI: −0.64-−0.44). The effect of perceived quality of care on intention to leave the profession was partially mediated by job satisfaction. Thus, high perceived quality of care and high job satisfaction are both important factors that tend to prevent young physicians and nurses from leaving their professions.for this include overtime, psychosocial stress, burnout, career aspects and particularly, a low level of job satisfaction [2][3][4][5][6]. In order to improve their balance between work and family, some physicians switch to nontherapeutic work or emigrate, in the hope of finding better working conditions in other countries [7].Although the absolute number of all physicians in Germany has been constantly increasing over the years [8], it is still justified to discuss a "relative lack of physicians" or a "lack of medical working hours". The reasons for this include the relatively high number of hospital beds (in comparison with other European countries), the imbalanced distribution between conurbations and rural areas, the fact that many physicians are very highly specialized, and finally the entry of more women into medicine [9]. At the end of 2018, it was found that women made up 47% of physicians registered at the German Medical Association [10]. This proportion is increasing, as is the proportion of female physicians who work part-time.The position was similar for nursing staff. Even during training, 20-30% of trainees were considering not remaining in the profession for more than 5 years [11]. Systematic reviews have proposed a wide variety of reasons that trained nursing staff may consider leaving the profession. These include inadequate earnings, lack of personnel, lack of autonomy and high stress at work [12][13][14]. At the individual level, these factors lead to low job satisfaction, which is also empirically associated with thoughts of leaving the profession [15][16][17][18][19][20][21]....

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Section: Step Likert Scalementioning

confidence: 99%

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confidence: 99%

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How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians

Koch

Zilezinski

Schulte³

et al. 2020

IJERPH

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“…If a patient dies, surgeons may experience emotional reactions, including disappointment, sadness, rumination, perceptions of missed opportunities and possibly regret. Regret may be an unavoidable part of clinical practice and differs from the response to medical error because, even following the best decisions and actions, adverse outcomes occur. Excessive rumination and feelings of regret can have adverse and lasting consequences for health and well‐being, job satisfaction and patient care.…”

Section: Introductionmentioning

confidence: 99%

“…Regret may be an unavoidable part of clinical practice and differs from the response to medical error because, even following the best decisions and actions, adverse outcomes occur. Excessive rumination and feelings of regret can have adverse and lasting consequences for health and well‐being, job satisfaction and patient care. Regret can also have a positive consequence: rumination about whether different decisions and actions might have resulted in a better outcome may be an important coping strategy for surgeons that can also generate learning and improved future practice.…”

Section: Introductionmentioning

confidence: 99%

Learning from regret

Boyle¹,

Allen

Rey-Conde

et al. 2020

British Journal of Surgery

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Background Death after surgery is infrequent but can be devastating for the surgeon. Surgeons may experience intense emotional reactions after a patient's death, reflecting on their part in the death and the patient's loss of life. Excessive rumination or feelings of regret may have lasting negative consequences, but these reactions may also facilitate learning for future decision‐making. This qualitative study analysed surgeons' reflections on what might have been done differently before a patient's death and explored non‐technical (cognitive and interpersonal) aspects of care as potential targets for improvement. Methods In Australia's Queensland Audit of Surgical Mortality, surgeons reflect on factors surrounding the death of patients in their care and respond to the open‐ended question: in retrospect, would you have done anything differently? Framework analysis was applied to surgeons' responses to identify themes relating to non‐technical aspects of care. Results Responses from 1214 surgeons were analysed. Two main themes were identified. Dilemmas and difficult decisions confirmed the uncertainty, complexity and situational pressures that often precede a surgical death; regret and empathy for patients featured in some responses. In the second main theme, communication matters, surgeons cited better communication, with patients, families, colleagues and at handover, as a source of reflective change to improve decision‐making and reduce regret. Conclusion Surgical decision‐making involves uncertainty, and regret may occur after a patient's death. Enhancing the quality of communication with patients and peers in comprehensive assessment of the surgical patient may mitigate postdecision regret among surgeons.

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Back pain occurrence and treatment-seeking behavior among nurses: the role of work-related emotional burden

et al. 2020

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To assess the association of back pain and treatment-seeking behavior for such pain with work-related emotional burden (regret about care), regret coping strategies and physical burden among newly practicing nurses. Methods:We used data from the Impact of Care-related Regret Upon Sleep (ICARUS) cohort collected between 05.2017 and 07.2018 using web-based surveys (weekly for measures of emotional burden, physical burden and coping strategies, and monthly for back pain and seeking care). We investigated immediate associations and temporal influences between burdens and back pain with linear mixed models and cross-lagged Bayesian models, respectively. Coefficients were standardized to allow comparison between burdens. Logistic regression was used to examine the association of burdens with seeking care.Results: Among 105 nurses with an average follow-up of 3 months, 80 reported at least one episode of back pain. Neither physical nor emotional burdens had an immediate association with back pain. However, number of days with back pain in a given month was associated with an increase in both burdens during the previous month, with similar degrees of association (emotional: b=0.24, physical: b=0.21). Decision to seek treatment was associated with an increase in back pain frequency (OR=1.12, p=0.04) and intensity (OR=1.80, p=0.002), and a decrease in emotional burden (OR=0.95, p=0.03). Coping strategies were associated neither with the occurrence of back pain nor with care-seeking. Conclusion:While both emotional and physical burdens were associated with increased frequency of back pain the following month, emotional burden additionally showed a negative association with the decision to seek care.

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Associations of regrets and coping strategies with job satisfaction and turnover intention: international prospective cohort study of novice healthcare professionals

Cited by 8 publications

References 34 publications

How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians

How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians

Learning from regret

Back pain occurrence and treatment-seeking behavior among nurses: the role of work-related emotional burden

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