<b><i>Background:</i></b> Studies exist that identify factors associated with higher professional satisfaction among clinicians. However, there are no reliable findings for clinicians with a migration background as to whether there is a correlation between particular dimensions of professional satisfaction and the desire to leave their current specialty or country of employment. For the first time, these data were collected within a questionnaire-based study from urological clinicians with a migration background (UCMBs) working in Germany. <b><i>Material and Methods:</i></b> A SurveyMonkey<sup>®</sup> with 101 items relating to characterizing features of the study participants and questions about job satisfaction (<i>n</i> = 39) was opened for UCMBs between August and October 2020. The influence of different dimensions of job satisfaction on the desire to quit the urological specialty/leave Germany was analyzed (group A: neither want to leave urology nor Germany; group B: can at least imagine leaving the urological profession and/or Germany). <b><i>Results:</i></b> Eighty-one UCMBs were distributed almost equally in groups A (50.6%) and B (49.4%). Occupational satisfaction was higher in several respects in group A. Three dimensions that differed significantly with regard to occupational satisfaction were used to create an aggregate score ranging from 3 to 15 points as follows: (1) relationship to superiors (<i>p</i> = 0.014), (2) career opportunities in the clinic (<i>p</i> < 0.001), and (3) opportunities for the further development of surgical skills (<i>p</i> = 0.006). For each point value of this aggregate score, the UCMB’s desire to quit urology or leave Germany (or at least uncertainty about this question) decreased by a relative value of 34.6% (odds ratio: 0.654, 95% confidence interval: 0.496–0.861, <i>p</i> = 0.002). <b><i>Conclusions:</i></b> Various dimensions of job satisfaction have been identified, the improvement of which could contribute to the long-term retention of UCMBs at German urological clinics.
Zusammenfassung
Hintergrund Es liegen aktuell keine Studienergebnisse zur privaten und beruflichen Zufriedenheit sowie zum Burnout-Risiko von Urologe*innen mit Migrationshintergrund an deutschen Kliniken vor. Der Einfluss des Lesens nicht-medizinischer Bücher auf geringere Burnout-Raten bei Ärzte*innen verschiedener Fachrichtungen wurde beschrieben.
Material und Methoden Ein Survey-Monkey mit 101 Items zu charakterisierenden Kriterien des Studienteilnehmers, Fragen zur privaten und beruflichen Zufriedenheit und dem vollständigen Maslach-Burnout-Inventary wurde zwischen August und Oktober 2020 für Urologe*innen mit Migrationshintergrund an deutschen Kliniken geöffnet. Der Einfluss des Lesens nicht-medizinischer Bücher auf berufliche Zufriedenheit und Burnout wurde vergleichend untersucht (Gruppe A: ≤1 Buch/12 Monate versus Gruppe B: ≥2 Bücher/12 Monate).
Ergebnisse 81 Studienteilnehmer konnten eingeschlossen werden, die
nahezu paritätisch in den Gruppen A (49,4%) und B (50,6%) verteilt waren. In mehreren
Items der privaten und beruflichen Zufriedenheit bestand eine signifikant höhere
Zufriedenheit in der Gruppe B. In den Burnout-Dimensionen emotionale Erschöpfung (EE),
Depersonalisation (DP) und Verringerung der persönlichen Leistungsfähigkeit (VL) lag bei
27,9%, 35,3% bzw. 73,5% der Studienteilnehmer ein hohes Burnout-Risiko vor. Im
Gruppenvergleich bestanden in der VL-Dimension signifikante Vorteile für die Gruppe B
sowohl im Summenscore (p=,001) als auch im kategorialen
Vergleich (p=,002). Studienteilnehmer der Gruppe B wiesen im
Vergleich zur Gruppe A ebenfalls einen signifikant geringeren Summenscore der
DP-Dimension auf (p=,047). Es bestanden unabhängige
Zusammenhänge zwischen der Gruppenvariable mit einem kombinierten Score aus EE und DP
einerseits (OR 0,316; p=,031) und mit der VL-Dimension
andererseits (OR 0,170; p=,024).
Schlussfolgerungen Das Lesen nicht-medizinischer Bücher war bei Urologe*innen mit Migrationshintergrund an deutschen Kliniken mit höherer beruflicher Zufriedenheit und geringerem Burnout-Risiko assoziiert.
Background In German hospitals, severe shortage of physicians can currently be partially compensated by hiring foreign physicians. Results on job satisfaction (JS) and physician burnout (PBO) in this important occupational group are currently not available.
Methods The cross-sectional “Assessment of their urological work environment by foreign clinicians in Germany (EUTAKD)” study was conducted in 2020 using a 101-item questionnaire among physicians working in German urological departments who were born in a country outside Germany and having non-German citizenship. This study compared JS and the occurrence of PBO between Arab (group A, n = 57) and non-Arab (group B, n = 39) participants.
Results Significant group differences with advantages for group B were analyzed in overall JS and also in other JS items. High scores in the PBO dimensions, that is, “emotional exhaustion” and “depersonalization,” were shown by 27.9 and 51.5% of the study participants, respectively, although there were no group differences found (p = 0.972 and 0.237, respectively).
Conclusion Prospective longitudinal studies of appropriate intervention measures aimed at increasing JS and decreasing PBO are needed.
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