Hospital physicians’ work stressors in different medical specialities: a statistical group comparison

Tanner, Grit; Bamberg, Eva; Kozak, Agnessa; Kersten, Maren; Nienhaus, Albert

doi:10.1186/s12995-015-0052-y

Cited by 28 publications

(24 citation statements)

References 24 publications

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“…The process of losing physicians from public teaching hospitals typically begins after graduation. Among the publications studied [42, 43, 45–47, 49–51], there is no unanimity with regard to the factors that affect turnover, with aspects such as age, specialty, and post-graduation studies having been identified. However, there is a trend to agree that the more specialized physicians tend to remain in higher-complexity services.…”

Section: Discussionmentioning

confidence: 99%

Physicians’ job satisfaction and motivation in a public academic hospital

et al. 2016

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BackgroundPhysician shortage is a global issue that concerns Brazil’s authorities. The organizational structure and the environment of a medical institution can hide a low-quality life of a physician. This study examines the relationship between the hospital work environment and physicians’ job satisfaction and motivation when working in a large public academic hospital.MethodsThe study was restricted to one large, multispecialty Brazil’s hospital. Six hundred hospital physicians were invited to participate by e-mail. A short version of the Physician Worklife Survey (PWS) was used to measure working satisfaction. Physicians were also asked for socio-demographic information, medical specialty, and the intention to continue working in the hospital.ResultsData from 141 questionnaires were included in the analyses. Forty-five physicians graduated from the hospital’s university, and they did not intend to leave the hospital under any circumstance (affective bond). The motivating factor for beginning the career at the hospital and to continue working there were the connection to the medical school and the hospital status as a “prestigious academic hospital”; the physicians were more satisfied with the career than the specialty. Only 30% completely agreed with the statement “If I had to start my career over again, I would choose my current specialty,” while 45% completely agreed with the statement “I am not well compensated given my training and experience.” The greater point of satisfaction was the relationship with physician colleagues. They are annoyed about the amount of calls they are requested to take and about how work encroaches on their personal time. No significant differences between medical specialties were found in the analysis.ConclusionsThe participants were satisfied with their profession. The fact that they remained at the hospital was related to the academic environment, the relationship with colleagues, and the high prestige in which society holds the institution. The points of dissatisfaction were inadequate remuneration and the fact that work invaded personal time. Routinely, there is a need for organizations to examine the impact of their structures, policies, and procedures on the stress and quality of life of physicians.

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Section: Discussionmentioning

confidence: 99%

Physicians’ job satisfaction and motivation in a public academic hospital

et al. 2016

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“…It has been shown, however, that lack of time for direct patient contact is a major cause of job dissatisfaction for hospital doctors (27,28). Especially dissatisfaction with the burden of administrative tasks and documentation is an important contributor to work-related stress and emotional exhaustion (29). Furthermore, hospital patients subjectively place a high value on physicians having sufficient time for ward rounds and personal discussions, but are often dissatisfied with the amount of time dedicated to them (30).…”

Section: Discussionmentioning

confidence: 99%

Work-Time Distribution of Physicians at a German University Hospital

Wolff¹,

Auber²,

Schober³

et al. 2017

Deutsches Ärzteblatt International

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Deutsches Ärzteblatt International | Dtsch Arztebl Int 2017; 114: 705-11 16. Bee PE, Richards DA, Loftus SJ, et al.: Mapping nursing activity in acute inpatient mental healthcare settings. J Ment Health 2006; 15: 217-26. KEY MESSAGES• Inpatient care accounted for 53% of physicians' work-time. A total of 34% was spent on outpatient care and 13% on other activities, e.g., waiting, moving from place to place, and breaks.• Overall, 46% of working time on the wards in the participating departments was spent in direct contact with patients (e.g., rounds, operations, obtaining blood samples).• One third of inpatient work-time was occupied by indirect care, i.e., work in connection with particular patients but not in their presence (e.g., treatment documentation, discharge letters).• The departments of ophthalmology, dermatology, gynecology, pediatrics, oral and maxillofacial surgery, orthopedics and trauma surgery, and psychiatry and psychotherapy of the Medical Center-University of Freiburg took part in the study.• The knowledge that they were taking part in a study may have altered the physicians' behavior.

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“…Stressors are characteristics that increase the probability of stress outcomes and have different effects in a variety of medical specialities. 38 We should evaluate and explore the main stressors in anaesthesiologists to be able to better reduce negative stress consequences in personal and professional lives. 2,14 The SQA is a questionnaire that measures specific stressors and can be used to identify problems in the working conditions of anaesthesia physicians to encourage and improve the development of 'wellness'.…”

Section: Discussionmentioning

confidence: 99%