Psychosocial Stress Among Hospital Doctors in Surgical Fields

Knesebeck, Olaf von dem; Klein, Jens; Frie, Kirstin Grosse; Blum, Karl; Siegrist, Johannes

doi:10.3238/arztebl.2010.0248

Cited by 58 publications

(56 citation statements)

References 17 publications

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“…Results indicate that surgeons are exposed to higher job stress compared to the general population and various other professions [4,17,36]. Furthermore, we found a significant association between psychosocial stress at work and care quality in our study.…”

Section: Discussionsupporting

confidence: 66%

Psychosocial stress at work and perceived quality of care among clinicians in surgery

Klein

Frie

Blum

et al. 2011

BMC Health Serv Res

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120

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BackgroundLittle is known about the association between job stress and job performance among surgeons, although physicians' well-being could be regarded as an important quality indicator. This paper examines associations between psychosocial job stress and perceived health care quality among German clinicians in surgery.MethodsSurvey data of 1,311 surgeons from 489 hospitals were analysed. Psychosocial stress at work was measured by the effort-reward imbalance model (ERI) and the demand-control model (job strain). The quality of health care was evaluated by physicians' self-assessed performance, service quality and error frequency. Data were collected in a nationwide standardised mail survey. 53% of the contacted hospitals sent back the questionnaire; the response rate of the clinicians in the participating hospitals was about 65%. To estimate the association between job stress and quality of care multiple logistic regression analyses were conducted.ResultsClinicians exposed to job stress have an increased risk of reporting suboptimal quality of care. Magnitude of the association varies depending on the respective job stress model and the indicator of health care quality used. Odds ratios, adjusted for gender, occupational position and job experience vary between 1.04 (CI 0.70-1.57) and 3.21 (CI 2.23-4.61).ConclusionFindings indicate that theoretical models of psychosocial stress at work can enrich the analysis of effects of working conditions on health care quality. Moreover, results suggest interventions for job related health promotion measures to improve the clinicians' working conditions, their quality of care and their patients' health.

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Section: Discussionsupporting

confidence: 66%

Psychosocial stress at work and perceived quality of care among clinicians in surgery

Klein

Frie

Blum

et al. 2011

BMC Health Serv Res

Self Cite

120

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“…Especially in the scientific and medical occupational field, the consequences of this stress for performance and productivity are serious. For instance, for physicians who are exposed to a high load of psychosocial stress, the quality of the medical care decreases considerably (41,42). To enable professional, high-level patient care, it is necessary to reduce the workload.…”

Section: Discussionmentioning

confidence: 99%

Correlations of the “Work–Family Conflict” With Occupational Stress—A Cross-Sectional Study Among University Employees

Jerg-Bretzke¹,

Limbrecht-Ecklundt²,

Walter³

et al. 2020

Front. Psychiatry

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Background: The working conditions at universities and hospitals are reported to be stressful. Several national and international studies have investigated occupational stress in hospitals. However, scientific studies at colleges and universities addressing psycho-social stress factors and their potential consequences are scarce. In this context, the consequences and correlations of the factor of work-family conflict, in particular, are currently uninvestigated. The aim of our study was to assess data on psychosocial stress in the context of the compatibility of work and family.Methods: Data were gathered through a cross-sectional-study, N = 844 (55% female, 41% male), on university staff (42.3% scientists, 14.3% physicians, 19.4% employees in administration, and 19.3% employees in service). Participants filled out questionnaires to provide their personal data and details of their work and private life conditions. For this purpose, we used the Work-Family and Family-Work Conflict Scales, Effort-Reward Inventory and Overcommitment Scale (ERI, OC), Patient Health Questionnaire (PHQ-4), short-form Maslach Burnout Inventory (MBI), and questions on their subjective health. Statistical analyses were performed using SPSS 22. Results:We found high levels of stress parameters in the total sample: extra work (83%), fixed-term work contracts (53%), overcommitment (OC, 26%), Effort-Reward Imbalance (18%, ERI Ratio > cut-off 0.715), work-family conflict (WFC, 35%), and family-work conflict (FWC, 39%). As hypothesized, we found significant correlations of both WFC and FWC with psychosocial work strain (ERI Ratio) as well as overcommitment (OC). Mental and somatic health parameters also had a significant positive correlation with WFC and FWC. Using a regression analysis (N = 844), we identified WFC as a predictor of burnout, while emotional exhaustion, extra work, and overcommitment could be identified as predictors of WFC and FWC. Discussion:The results of our study point toward deficits in the compatibility of work life and private life in the work fields of science, colleges, and universities. Furthermore, we Jerg-Bretzke et al. Work-Family Conflict, Occupational Stress, Health found indicators that work-family conflicts (interrole conflicts) have an impact on mental and somatic health. These work-family conflicts should be targets for preventions and interventions with the aim of improving the work-life balance and mental and somatic wellbeing of employees.

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“…A Finnish study describes the working environment for doctors in the public sector as more strenuous than for doctors in the private sector, while a UK study reports more work stress among GPs than among hospital doctors [13,38]. Other studies show no or small differences in perceived psychological stress between GPs and hospital doctors [15,20,33]. In our sample, hospital doctors compared with GPs and private practice specialists experienced more psychosocial work stress (Table 2).…”

Section: Discussionmentioning

confidence: 99%

Differences in sickness absence between self-employed and employed doctors: a cross-sectional study on national sample of Norwegian doctors in 2010

Rosta

Tellnes

Aasland

2014

BMC Health Serv Res

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BackgroundDoctors have a low prevalence of sickness absence. Employment status is a determinant in the multifactorial background of sickness absence. The effect of doctors’ employment status on sickness absence is unexplored. The study compares the number of sickness absence days during the last 12 months and the impact of employment status, psychosocial work stress, self-rated health and demographics on sickness absence between self-employed practitioners and employed hospital doctors in Norway.MethodsThe study population consisted of a representative sample of 521 employed interns and consultants and 313 self-employed GPs and private practice specialists in Norway, who received postal questionnaires in 2010. The questionnaires contained items on sickness absence days during the last 12 months, employment status, demographics, self-rated health, professional autonomy and psychosocial work stress.Results84% (95% CI 80 to 88%) of self-employed and 60% (95% CI 55 to 64%) of employed doctors reported no absence at all last year. In three multivariate logistic regression models with sickness absence as response variable, employment category was a highly significant predictor for absence vs. no absence, 1 to 3 days of absence vs. no absence and 4 to 99 days of absence vs. no absence), while in a model with 100 or more days of absence vs. no absence, there was no difference between employment categories, suggesting that serious chronic disease or injury is less dependent on employment category. Average or poor self-rated health and low professional autonomy, were also significant predictors of sickness absence, while psychosocial work stress, age and gender were not.ConclusionSelf-employed GPs and private practice specialist reported lower sickness absence than employed hospital doctors. Differences in sickness compensation, and organisational and individual factors may to a certain extent explain this finding.

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Psychosocial Stress Among Hospital Doctors in Surgical Fields

Cited by 58 publications

References 17 publications

Psychosocial stress at work and perceived quality of care among clinicians in surgery

Psychosocial stress at work and perceived quality of care among clinicians in surgery

Correlations of the “Work–Family Conflict” With Occupational Stress—A Cross-Sectional Study Among University Employees

Differences in sickness absence between self-employed and employed doctors: a cross-sectional study on national sample of Norwegian doctors in 2010

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