Gender en burnout bij Nederlandse huisartsen

Abrahams, Hanke; Houkes, Inge; Winants, Yvonne; Twellaar, Mascha; Verdonk, Petra

doi:10.1007/s12508-013-0079-3

Cited by 6 publications

(6 citation statements)

References 20 publications

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“…The categories of men and women are not only assigned different characteristics, as they are considered to be mutually exclusive, but these categories are also ordered hierarchically in power relations [ 35 ]. Despite gender ideology that prescribes that women are feminine and not masculine and that men are masculine and not feminine, men and women do assign both aspects of femininity and of masculinity to themselves [ 37 ]. Femininity refers to what are often considered desirable traits for women, such as being shy and caring, and masculinity to what are desirable traits for men, such as being athletic and rational [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

Show what you know and deal with stress yourself: a qualitative interview study of medical interns’ perceptions of stress and gender

Verdonk

Räntzsch²,

Vries

et al. 2014

BMC Med Educ

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BackgroundMedical students report high stress levels and in particular, the clinical phase is a demanding one. The field of medicine is still described as having a patriarchal culture which favors aspects like a physicians’ perceived certainty and rationalism. Also, the Effort-Recovery Model explains stress as coming from a discrepancy between job demands, job control, and perceived work potential. Gendered differences in stress are reported, but not much is known about medical interns’ perceptions of how gender plays in relation to stress. The aim of this study is to explore how medical interns experience and cope with stress, as well as how they reflect on the gendered aspects of stress.MethodsIn order to do this, we have performed a qualitative study. In 2010–2011, semi-structured qualitative interviews were conducted with seventeen medical interns across all three years of the Masters programme (6 male, 11 female) at a Dutch medical school. The interview guide is based on gender theory, the Effort-Recovery Model, and empirical literature. Transcribed interviews have been analyzed thematically.ResultsFirst, stress mainly evolves from having to prove one’s self and show off competencies and motivation (“Show What You Know…”). Second, interns seek own solutions for handling stress because it is not open for discussion (… “And Deal With Stress Yourself”). Patient encounters are a source of pride and satisfaction rather than a source of stress. But interns report having to present themselves as ‘professional and self-confident’, remaining silent about experiencing stress. Female students are perceived to have more stress and to study harder in order to live up to expectations.ConclusionsThe implicit message interns hear is to remain silent about insecurities and stress, and, in particular, female students might face disadvantages. Students who feel less able to manifest the ‘masculine protest’ may benefit from a culture that embraces more collaborative styles, such as having open conversation about stress.

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Section: Introductionmentioning

confidence: 99%

Show what you know and deal with stress yourself: a qualitative interview study of medical interns’ perceptions of stress and gender

Verdonk

Räntzsch²,

Vries

et al. 2014

BMC Med Educ

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“…For example, a study with an IES of 10 had much more influence on the final result of the ongoing study than a study with an IES of 2. In the current study, we selected 4 studies with relatively high IES, from Table 8, that is, Abrahams et al (2013) The quantitative study by Abrahams et al (2013) aimed to investigate sex and gender differences in the prevalence and determinants of burnout among 349 Dutch GPs. The authors conclude that there is a relationship between gender and burnout that is mediated by work pressure, social support from the partner and a depressive response pattern.…”

Section: Discussionmentioning

confidence: 99%

“…For example, a study with an IES of 10 had much more influence on the final result of the ongoing study than a study with an IES of 2. In the current study, we selected 4 studies with relatively high IES, from Table 8 , that is, Abrahams et al (2013) (IES = 5.59), Clough et al (2020) (IES = 5.59), Croxson et al (2017) (IES = 4.90), and Cheshire et al (2017) (IES = 4.90).…”

Section: Discussionmentioning

confidence: 99%

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Burnout among general practitioners, a systematic quantitative review of the literature on determinants of burnout and their ecological value

Verhoef

Blomme

2022

Front. Psychol.

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Burnout is a major social and economic problem, specifically among general practitioners (GPs). The amount of literature on generic determinants of burnout is impressive. However, the size of the library on occupation-specific determinants of burnout among GPs are minimal. With the present study, we aim to gain insight into the existing academic literature on generic and occupation-specific determinants of burnout among GPs. Moreover, we aim to contribute to the ecological validity of this study by emphasizing occupation-specific determinants. We conducted a systematic quantitative literature review in which we followed the PRISMA statement and performed quality assessments according to the AXIS, CASP, MMAT, and 3-MIN procedures. Furthermore, we assessed frequency effect sizes (FES) and intensity effect sizes (IES). By performing Fisher’s exact tests, we investigated whether the quality of the studies influenced the outcomes. An extensive literature search revealed 60 eligible studies among which 28 strong studies, 29 moderate studies, and 3 weak studies were identified. Analyzing those studies delivered 75 determinants of burnout, of which 33 were occupation-specific for GPs. According to the average FES, occupation-specific determinants play a significant role in acquiring burnout compared to the generic determinants. The results of the Fisher exact tests provided evidence that the quality of the 60 studies did not affect the outcomes. We conclude that it is surprising that a profession with such an important social position and such a high risk of burnout has been so little researched.

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“…Though not all occupation-specific demands are related to well-being, studies point to an important role of at least some occupation-specific demands. Several studies (Abrahams, Houkes, Winants, Twellaar, & Verdonk, 2013;Kushnir, Greenberg, Madjar, Hadari, Yermiahu, & Bachner, 2013;Torppa, Kuikka, Nevalainen, & Pitkälä, 2015) examined the antecedents of burnout among general practitioners (GPs). However, while these studies examined the role of generic job characteristics such as work pressure (demand) and job control (resource), they generally failed to consider the role of occupation-specific job demands and resources (an exception includes Bakker, Schaufeli, Sixma, Bosveld, and Van Dierendonck (2000)).…”

Section: Introductionmentioning

confidence: 99%

Relationship between generic and occupation-specific job demands and resources, negative work−home interference and burnout among GPs

Verhoef

Ruiter

Blomme

et al. 2021

Journal of Management & Organization

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Scholars often examine the effect of generic job demands and resources on burnout, yet to increase ecological validity, it is important to examine the effects of occupation-specific characteristics. An extended version of the job demands-resources model with work−home interference as a mediator is examined among a cross-sectional sample of 178 general practitioners (GPs). Interviews with GPs were used to develop questions on occupation-specific work characteristics. Hypotheses were tested in MEDIATE. Both generic and occupation-specific job demands positively affected emotional exhaustion, while only occupation-specific job demands affected depersonalization. Only strain-based work−family interference mediated the relationship between generic and occupation-specific job demands, emotional exhaustion and depersonalization. This study offers an important extension of the job demands-resources model by including occupation-specific job characteristics. This broader perspective can aid in more targeted job design to reduce burnout among GPs.

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Gender en burnout bij Nederlandse huisartsen

Cited by 6 publications

References 20 publications

Show what you know and deal with stress yourself: a qualitative interview study of medical interns’ perceptions of stress and gender

Show what you know and deal with stress yourself: a qualitative interview study of medical interns’ perceptions of stress and gender

Burnout among general practitioners, a systematic quantitative review of the literature on determinants of burnout and their ecological value

Relationship between generic and occupation-specific job demands and resources, negative work−home interference and burnout among GPs

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