Less work: more burnout? A comparison of working conditions and the risk of burnout by German physicians before and after the implementation of the EU Working Time Directive

Richter, Astrid; Kostova, P; Baur, Xaver; Wegner, Ralf

doi:10.1007/s00420-013-0849-x

Cited by 48 publications

(42 citation statements)

References 27 publications

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“…Another surprising finding was that the sleep of German doctors had reduced since the implementation of the European Working Time Directive, which resulted in the restriction of work hours to a maximum of 48 h (on average) per week [22]. It is possible that this resulted in more time on-call from home, and increased transit time between the hospital and home.…”

Section: Discussionmentioning

confidence: 99%

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The effect of working on-call on stress physiology and sleep: A systematic review

Hall

Ferguson

Turner

et al. 2017

Sleep Medicine Reviews

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SUMMARYOn-call work is becoming an increasingly common work pattern, yet the human impacts of this type of work are not well established. Given the likelihood of calls to occur outside regular work hours, it is important to consider the potential impact of working on-call on stress physiology and sleep. The aims of this review were to collate and evaluate evidence on the effects of working on-call from home on stress physiology and sleep. A systematic search of Ebsco Host, Embase, Web of Science, Scopus and ScienceDirect was conducted. Search terms included: on-call, on call, standby, sleep, cortisol, heart rate, adrenaline, noradrenaline, nor-adrenaline, epinephrine, norepinephrine, nor-epinephrine, salivary alpha amylase and alpha amylase. Eight studies met the inclusion criteria, with only one study investigating the effect of working on-call from home on stress physiology. All eight studies investigated the effect of working on-call from home on sleep. Working on-call from home appears to adversely affect sleep quantity, and in most cases, sleep quality. However, studies did not differentiate between night's on-call from home with and without calls. Data examining the effect of working on-call from home on stress physiology were not sufficient to draw meaningful conclusions. KEYWORDSOn-call; standby; sleep quality; sleep quantity; hypothalamo-pituitary adrenal axis; cortisol; sympatho-adrenal medullary system; sleep. ABBREVIATIONSEPHPP: Effective public health practice project PRISMA: Preferred reporting items for systematic reviews and meta-analyses SD: Standard deviation

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Section: Discussionmentioning

confidence: 99%

“…The study by Imbernon et al [19] was rated twice, both as a case-control and as a cohort study. The two arms of the study by Imbernon and colleagues [19] were rated 'moderate,' with the seven [6,15,18,[21][22][23]26] remaining studies rated as 'weak'.…”

Section: Study Characteristicsmentioning

confidence: 99%

The effect of working on-call on stress physiology and sleep: A systematic review

Hall

Ferguson

Turner

et al. 2017

Sleep Medicine Reviews

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“…National regulations thus limit the environments in which these types of midwives are allowed to operate and hence their job discretion, task responsibility and exposure to more challenging work demands (Vedam, Stoll, Schummers, Rogers, & Paine, 2014). However, although research has sought to evaluate the effects of these institutions (particularly health and safety institutions working time legislation) on outcomes such as productivity, health and safety (e.g., ILO, 1990;Richter, Kostova, Baur & Wegner, 2014), there is a lack of systematic evidence for their effects on work design, such as from cross-national comparative studies.…”

Section: National Institutionsmentioning

confidence: 99%

Work Design Influences: A Synthesis of Multilevel Factors that Affect the Design of Jobs

Parker

Broeck

Holman

2017

ANNALS

165

154

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High quality work design is a key determinant of employee well-being, positive work attitudes, and job/organizational performance. Yet many job incumbents continue to experience deskilled and demotivating work. We argue that there is a need to understand better where work designs come from. We review research that investigates the factors that influence work design, noting that this research is only a small fragment of the work design literature. The research base is also rather disparate, spanning distinct theoretical perspectives according to the level of analysis. To help integrate this literature, we use a framework that summarizes the direct and indirect ways in which work design is shaped by the higher-level external context (global/ international, national and occupational factors), the organizational context, the local work context (work group factors), and individual factors. We highlight two key indirect effects: first, factors affect formal decisionmaking processes via influencing managers' work design-related motivation, knowledge, skills, and abilities (KSAs), and opportunities; and second, factors shape informal and emergent work design processes via influencing employees' work design-related motivation, KSAs and opportunities. By reviewing the literature according to this framework, we set the stage for more comprehensive theoretical development and empirical studies on the factors that influence work design. 3Work Design Influences A Synthesis of Multi-Level Factors that Affect The Design of WorkWork design refers to "the content and organization of one's work tasks, activities, relationships, and responsibilities" (Parker, 2014, p. 662). When work is designed so that it has motivating characteristics like job autonomy and social support, as well as reasonable levels of job demands, multiple positive individual and organizational outcomes arise. A vast amount of research shows that work design affects work stress, job satisfaction, performance, absenteeism, accidents, team innovation, company financial revenue, and more (e.g. see the meta analysis by Humphrey, Nahrgang, & Morgeson, 2007).Yet, despite extensive evidence about the benefits of well-designed work, there are still many poorly designed jobs in both advanced and developing economies. For example, in Europe, Lorenz and Valeyre (2005) reported that one third of workers had jobs that were deskilled or that involved excessive demands. Significant technological and societal change is also affecting work and organizing, yet we know little about how this change might affect people's work design (Parker, 2014). Both of these forces -the continued prevalence of poor quality work designs and the vast change occurring in work -highlight the importance of having a comprehensive, evidence-based understanding of the forces that affect work design.Such an understanding is currently lacking. In most theory and research pertaining to the design of jobs, work design is modeled at the start of a causal chain leading to outcomes via intermediary pr...

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“…Ressalta-se a importância de intervenções amplas em relação ao contexto do trabalho, corroborando estudos que apontam que intervenções limitadas, como apenas alteração na jornada de trabalho, as quais não repercutem reduções tão expressivas no risco de burnout (Richter, Kostova, Baur, & Wegner, 2014).…”

Section: Discussionunclassified

Burnout, clima de segurança e condições de trabalho em profissionais hospitalares

Andrade

Moraes

Gomes

et al. 2015

Rev. Psicol., Organ. Trab

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Esta investigación presenta los resultados de un modelo teórico y empírico que articula aspectos del contexto de trabajo, del clima de seguridad y de las variables psicosociales del trabajo en un contexto hospitalario y sus consecuencias en la manifestación del síndrome de burnout. El Burnout es un trastorno relacionado con el trabajo asociado a lo estrés laboral grave. Este síndrome se caracteriza por el agotamiento emocional de los empleados y se establece por ciertas asociaciones entre las características individuales, ambientales y laborales. El objetivo de este estudio fue desarrollar y poner a prueba un modelo teórico-estructural relacionando variables dimensionales de trabajo, burnout y salud mental. Esta es una investigación con base en cuestionarios, cuya muestra, de carácter de conveniencia, contó con 200 profesionales de la salud, siendo 174 participantes del sexo femenino (87%), con edad media 34,4 años y un promedio de 6,5 años de carrera. El instrumento consistió en escalas psicológicas de los siguientes constructos: a) clima de seguridad, b) contexto de trabajo, c) burnout y d) aspectos socio-demográficos. Los resultados del estudio indicaron que existe una relación entre los diferentes aspectos del trabajo, la salud y el clima de seguridad a partir de dos modelos teóricos que integran las variables psicosociales, el clima de seguridad y salud para los trabajadores en un contexto hospitalario. Los datos actuales contribuyen a orientar las políticas para promover y proteger a salud de los profesionales como estrategia central para asegurar el cuidado de servicio en la rutina diaria del ambiente hospitalario. Palabras-clave: Burnout; hospital; condiciones de trabajo.

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Less work: more burnout? A comparison of working conditions and the risk of burnout by German physicians before and after the implementation of the EU Working Time Directive

Cited by 48 publications

References 27 publications

The effect of working on-call on stress physiology and sleep: A systematic review

The effect of working on-call on stress physiology and sleep: A systematic review

Work Design Influences: A Synthesis of Multilevel Factors that Affect the Design of Jobs

Burnout, clima de segurança e condições de trabalho em profissionais hospitalares

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