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Individual and organizational psychosocial predictors of hospital doctors’ work-related wellbeing: a multilevel and moderation perspective

Published on Jun 1, 2018in Health Care Management Review2.636
· DOI :10.1097/HMR.0000000000000207
Kevin Teoh5
Estimated H-index: 5
,
Juliet Hassard9
Estimated H-index: 9
,
Tom Cox40
Estimated H-index: 40
Sources
Abstract
Background: The high prevalence of burnout and depression among doctors highlights the need to understand the psychosocial antecedents to their work-related wellbeing. However, much of the existing research has been a-theoretical, operationalized a narrow measurement of wellbeing, and predominantly examined such relationships at the individual level. Purpose: This study uses a multilevel perspective to examine individual (i.e., job demands and resources) and organizational level psychosocial predictors of three measures of work-related wellbeing: perceived stress, presenteeism and work engagement. The Job Demands-Resources (JD-R) theory underpins the postulated relationships. Methodology: The 2014 National Health Service Staff Survey was analyzed using multilevel modelling in MPlus. The dataset involved 14,066 hospital-based doctors grouped into 157 English hospital organizations (i.e., Trusts). Results: Congruent with the JD-R, job demands (workplace aggression and insufficient work resources) were stronger predictors of perceived stress and presenteeism than job resources. Equally, job resources (job control and manager support) were generally stronger predictors of work engagement than job demands. At the organizational level-bed occupancy rates and number of emergency admissions predicted work engagement. No hypothesized individual or multilevel interactions were observed between any of the job demands and resources. Practical Implications: The findings emphasize that a broader perspective of work-related wellbeing among hospital doctors should be employed, and the empirical value of examining such relationships from a multilevel perspective. Successful health intervention should target the appropriate antecedent pathway, and recognize the role of organizational level factors when trying to manage hospital doctors’ work-related wellbeing.
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Cited By3
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#1K R H Teoh (Birkbeck, University of London)
#2E. F. B. Lima (Birkbeck, University of London)
Last. Tom Cox (Birkbeck, University of London)H-Index: 40
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#1Colleen J. KleinH-Index: 1
#2Laurence G. Weinzimmer (Bradley University)H-Index: 8
Last. Matthew Dalstrom (Saint Anthony College of Nursing)H-Index: 1
view all 6 authors...
Abstract Background Minimal research exists on how engagement, burnout, work-family balance, and job stressors impact advanced practice nurses and physician assistants, collectively referred to advanced practice providers (APPs). Purpose To investigate the interrelationships among burnout, job stressors, work-family balance, and engagement with APPs. Methods An online questionnaire was distributed to APPs working in four healthcare systems. A total of 1,216 APPs completed the survey. A hypothesi...
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#1Kevin Teoh (Birkbeck, University of London)H-Index: 5
#2Juliet Hassard (Birkbeck, University of London)H-Index: 9
Last. Tom Cox (Birkbeck, University of London)H-Index: 40
view all 3 authors...
ABSTRACTNumerous reports advocate improving doctors’ working conditions as an important part of initiatives to enhance the quality of patient care. However, the research literature is not clear on ...
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#1Juliet Hassard (University of Nottingham)H-Index: 9
#2Kevin Teoh (Birkbeck, University of London)H-Index: 5
Last. Tom Cox (Birkbeck, University of London)H-Index: 40
view all 3 authors...
Abstract Estimates of the economic burden on society posed by work-related violence are important and often highly cited sources of evidence; typically used to substantiate arguments for prevention. However, such sources of information are generally poorly understood and seldom critiqued outside the disciplines of health economics and public health. The objective of this systematic review is to collate, review and synthesize evidence-based economic estimations of the burden on society of work-re...
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#1Atir KhanH-Index: 1
#2Kevin Teoh (Birkbeck, University of London)H-Index: 2
Last. Juliet Hassard (University of Nottingham)H-Index: 9
view all 4 authors...
Objectives The objectives of this study are twofold. First, to examine the direct effect of psychosocial work characteristics (as measured by job autonomy and work-related pressure) in relation to self-reported psychological morbidity symptoms and early retirement intentions among a sample of hospital consultants in the National Health Service (NHS). Second, to investigate burnout as mediating variable (ie, indirect effect) of these postulated associations. Design A cross-sectional observational...
4 CitationsSource