The Interrelationships between Working Conditions, Job Satisfaction, Burnout and Mental Health among Hospital Physicians in Japan: a Path Analysis

Tokuda, Yasuharu; Hayano, Keiko; Ozaki, Masa‐aki; Bito, Seiji; Yanai, Haruo; Koizumi, Shunzo

doi:10.2486/indhealth.47.166

Cited by 74 publications

(83 citation statements)

References 20 publications

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“…According to the interviewed HGPs, this is due to great workload relief for physicians. Studies have shown that an association exists between high workload, job dissatisfaction and burnout among physicians (Tokuda et al, 2009;Williams, 2002). Thus, it is important to see that the dimensions "personal work load", "influence of work on physical health" and "influence of work on mental health" improved substantially in ED staff after the implementation of the hospital-associated primary care (Figure 3).…”

Section: Discussionmentioning

confidence: 99%

Satisfaction of health professionals after implementation of a primary care hospital emergency centre in Switzerland: A prospective before–after study

Hess

Sidler

Chmiel

et al. 2015

International Emergency Nursing

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BACKGROUND AND AIM: The increasing number of patients requiring emergency care is a challenge and leads to decreased satisfaction of health professionals at emergency departments (EDs). Thus, a Swiss hospital implemented a hospital-associated primary care centre at the ED. The study aim was to investigate changes in job satisfaction of ED staff before and after the implementation of this new service model and to measure hospital GPs' (HGPs) satisfaction at the hospital-associated primary care centre. METHOD: This study was embedded in a large prospective before-after study over two years. We examined changes in job satisfaction with a questionnaire followed by selected interviews approaching all of the involved 25 ED staff members and 38 HGPs. RESULTS: The new emergency care model increased job satisfaction of ED staff and HGPs in all measured dimensions. The overall job satisfaction of ED employees improved from 76.5 to 83.9 points (visual analogue scale 0-100; difference 7.4 points [95% CI: 1.3 to 13.5, p = 0.02]). 86% of 29 HGPs preferred to provide their out-of-hours service at the new hospital-associated primary care centre. CONCLUSIONS: The hospital-associated primary care centre is a promising option to improve job satisfaction of different health professionals in emergency care.

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Section: Discussionmentioning

confidence: 99%

Satisfaction of health professionals after implementation of a primary care hospital emergency centre in Switzerland: A prospective before–after study

Hess

Sidler

Chmiel

et al. 2015

International Emergency Nursing

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“…The findings of this research study supports earlier research related to the relationship between work conditions and mental health (23). The fact that the level of job satisfaction influences mental health has been made clear by studies on nursing university teachers (24)(25) and other occupations (26)(27)(28)(29).…”

Section: Discussionmentioning

confidence: 99%

Gender differences of the influential factors on the mental health condition of teachers in the A university

et al. 2015

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: The purpose of this research was to investigate the gender differences of the influential factors on the mental health condition among university teachers in the A university in Japan. A questionnaire survey was mailed to 924 university teachers in Japan, with a survey return rate of 43.8% % (N=405). The General Health Questionnaire 28 (GHQ-28), Multidimensional Scale of Perceived Social Support (MSPSS), the Japanese version of the Brief Coping Orientation to Problems Experienced (COPE) and the Work Situation Questionnaire (WSQ) developed by the authors were administered to subjects. The GHQ-28 total score and all of sub-score of the woman was significantly higher than men. In the correlated factor of mental health, level of job satisfaction and job control, social support of significant others was observed in the both sexes. However, gender differences was observed in the coping style. Some copings including self-distraction and self-blame were related to the men, but the woman was related to the substance use. University teachers had some gender differences in the factors affecting their mental health condition. In order to improve university teacher's mental health condition, it is necessary to increase their level of job satisfaction and feeling of job control in the workplace. Especially, it was considered women's coping using substance use was important. J. Med. Invest. 62 : 56-61, February, 2015

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“…Negative correlations have been reported between occupational stress and the degree of task satisfaction in personnel working in medical and welfare institutions (7,21,22). The same has also been reported with respect to physicians, and an association between the degree of task satisfaction and stress has also been reported in medical residents (7,22).…”

Section: Discussionmentioning

confidence: 99%

“…Although the clinical training carried out by physicians and dentists after graduation is essential to improving the quality of young health professionals, the training period is well known as being extremely stressful. It has been reported that physicians are subjected to a great deal of stress during the first year of training (6)(7)(8)(9)(10)(11). Trainee dentists are exposed to various stress factors throughout their short 1-year training period, wherein conditions change from moment to moment.…”

Section: Introductionmentioning

confidence: 99%

A Study on the Occupational Stress of Trainee Dentists in Post-graduate Dental Education

et al. 2017

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For trainee dentists to focus on clinical training under mentally and physically stable conditions and improve the quality of their work, it is extremely important to provide mental health support and improve the environment by treating trainee dentists as workers. However, very few studies exist regarding occupational stress among trainee dentists. The present study investigated and analyzed occupational stress with the objective of assessing mental health conditions to consider environmental improvements for enhancing mental health among trainee dentists in post-graduate dental education. The questionnaire was administered to dental trainees. It covered potential stress factors; mental and physical reactions to stress and other factors affecting stress responses; stressrelieving factors; and task satisfaction levels.The risk scores in males and females that were obtained using a diagram for the determination of occupational stress(100 for a standard risk)were 111 and 113 for amountcontrol risk, 85 and 74 for risk with support from work fellows, and 94 and 83 for combined health risk, respectively. A significant correlation was found only between the scores for stress responses and stress-relieving factors(p < 0.05). The scores of subjects at high risk for stress responses and stress-relieving factors were significantly different(p < 0.01)from those from subjects at low risk of stress responses and stress-relieving factors. The degrees of stress in the satisfactory task group and the unsatisfactory task group for stress responses (p < 0.001), and for stress-relieving factors (p < 0.01), respectively, showed significant differences. These results suggest that the low combined health risk obtained in trainee dentists indicates that stress possibly from quantitative burdens and insufficient control of tasks is lessened by support from persons the trainees work with, including bosses and colleagues. A correlation was also found between stress responses to tasks and stress-relieving factors as well as an association between degree of task satisfaction and degree of stress. Concrete measures are needed to reduce health risks from quantitative burden and insufficient control of tasks.

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The Interrelationships between Working Conditions, Job Satisfaction, Burnout and Mental Health among Hospital Physicians in Japan: a Path Analysis

Cited by 74 publications

References 20 publications

Satisfaction of health professionals after implementation of a primary care hospital emergency centre in Switzerland: A prospective before–after study

Satisfaction of health professionals after implementation of a primary care hospital emergency centre in Switzerland: A prospective before–after study

Gender differences of the influential factors on the mental health condition of teachers in the A university

A Study on the Occupational Stress of Trainee Dentists in Post-graduate Dental Education

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