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1.
Nephrol Nurs J ; 51(3): 231-236, 2024.
Article de Anglais | MEDLINE | ID: mdl-38949798

RÉSUMÉ

There has been much written about work-life balance, both in nursing and other professions. Additionally, the term has taken on multiple definitions over the years, and it is often touted as central to an organization's mission. The Cambridge Dictionary defines work-life balance quite simply as "the amount of time you spend doing your job compared with the amount of time you spend with your family and doing things you enjoy." If it is such a simple concept, why is it such a dominant subject in nursing literature? This article explores the essential components of work-life balance, how health care organizations struggle to define it and differ in what they may promote on paper versus what they practice, and examine why work-life balance is crucial to nurses' overall well-being.


Sujet(s)
Équilibre entre travail et vie personnelle , Humains , Satisfaction professionnelle
2.
Front Public Health ; 12: 1411688, 2024.
Article de Anglais | MEDLINE | ID: mdl-38952733

RÉSUMÉ

Background: Occupational stress and job satisfaction significantly impact the well-being and performance of healthcare professionals, including radiologists. Understanding the complex interplay between these factors through network analysis can provide valuable insights into intervention strategies to enhance workplace satisfaction and productivity. Method: In this study, a convenience sampling method was used to recruit 312 radiologists for participation. Data on socio-demographic characteristics, job satisfaction measured by the Minnesota job satisfaction questionnaire revised short version (MJSQ-RSV), and occupational stress assessed using the occupational stress scale. Network analysis was employed to analyze the data in this study. Results: The network analysis revealed intricate patterns of associations between occupational stress and job satisfaction symptoms among radiologists. Organizational management and occupational interests emerged as crucial nodes in the network, indicating strong relationships within these domains. Additionally, intrinsic satisfaction was identified as a central symptom with high connectivity in the network structure. The stability analysis demonstrated robustness in the network edges and centrality metrics, supporting the reliability of the findings. Conclusion: This study sheds light on the complex relationships between occupational stress and job satisfaction in radiologists, offering valuable insights for targeted interventions and support strategies to promote well-being and job satisfaction in healthcare settings.


Sujet(s)
Satisfaction professionnelle , Stress professionnel , Radiologues , Humains , Femelle , Mâle , Adulte , Enquêtes et questionnaires , Stress professionnel/psychologie , Adulte d'âge moyen , Radiologues/psychologie , Radiologues/statistiques et données numériques , Lieu de travail/psychologie
3.
Rev Bras Enferm ; 77Suppl 1(Suppl 1): e20230461, 2024.
Article de Anglais, Portugais | MEDLINE | ID: mdl-38958357

RÉSUMÉ

OBJECTIVE: to evaluate the quality of life at work of health professionals in direct and indirect care of COVID-19 cases. METHODS: this was a cross-sectional study with 156 health professionals from a referral hospital. The relationship between sociodemographic and work-related variables and perceived stress and domains of the Quality of Life at Work Scale was investigated using inferential statistics and regression. RESULTS: Satisfaction with Compassion was moderate (mean: 38.2), with low perception of stress, Burnout and Secondary Traumatic Stress (means: 18.8, 21.6 and 19.1). There were associations between: education, salary, multiple jobs and direct care with Compassion Satisfaction; low income, being a nurse and working overtime with Burnout; and working more than 12 hours, underlying disease and hospitalization for COVID-19 with Secondary Traumatic Stress. CONCLUSION: quality of life at work was satisfactory, despite the presence of Burnout and Secondary Traumatic Stress.


Sujet(s)
Épuisement professionnel , COVID-19 , Personnel de santé , Qualité de vie , SARS-CoV-2 , Humains , COVID-19/psychologie , COVID-19/épidémiologie , Qualité de vie/psychologie , Études transversales , Mâle , Femelle , Adulte , Personnel de santé/psychologie , Personnel de santé/statistiques et données numériques , Épuisement professionnel/psychologie , Épuisement professionnel/étiologie , Adulte d'âge moyen , Pandémies , Satisfaction professionnelle , Enquêtes et questionnaires , Brésil
4.
BMC Prim Care ; 25(1): 237, 2024 Jul 04.
Article de Anglais | MEDLINE | ID: mdl-38965480

RÉSUMÉ

BACKGROUND: In 2010, China launched a rural-oriented tuition-waived medical education (RTME) programme to train more general practitioners (GPs) to meet the needs of the rural health workforce. Motivating and maintaining GPs is an important consideration for the shortage in the rural health workforce. This study aimed to investigate job satisfaction and turnover among the first group of rural-oriented tuition-waived medical students (RTMSs) who had completed a three-year compulsory service in Guangxi, as well as the factors affecting RTMSs turnover. METHODS: This study adopted a mixed-method approach. A quantitative survey of 129 RTMSs was analysed (81.6% response rate), and qualitative interviews were conducted with 30 stakeholders, including 18 RTMSs, six administrators of the County Health Bureau, and six administrators of township health centers (THCs). A t-test, chi-square test, Fisher's exact test, and logistic regression analysis were used to examine the quantitative data, and thematic analysis was used to analyse the qualitative data. RESULTS: Among the 129 participants, the turnover rate was high, with 103 RTMSs reporting turnover (79.84%). Interpersonal relationships scored the highest in job satisfaction (3.63 ± 0.64) among RTMSs, while working conditions were rated the lowest (2.61 ± 0.85). Marital status (odds ratio [OR] = 0.236, 95% confidence interval [95%CI] = 0.059-0.953, P = 0.043), only child status (OR = 8.660, 95%CI = 1.714-43.762, P = 0.009), and job return satisfaction (OR = 0.290, 95%CI = 0.090-0.942, P = 0.039) were significantly associated with turnover. Univariate analyses showed that income had a significant influence on turnover, but the relationship gone by multivariable; however it was deemed important in the qualitative study. Qualitative analysis revealed that turnover was influenced by the working atmosphere, effort-reward imbalance, professional competence, and opportunities for training and promotion. CONCLUSIONS: This study provides insights for the policymakers about the priority areas for retaining GPs in rural locations and provides reference values for the retention of GPs in other regions with a shortage of rural health workers. For RTMSs to continue providing services to rural areas, the government should improve their salaries, balance their income and workload, provide more opportunities for training and career promotion, and managers should recognise their efforts and create an optimistic working atmosphere.


Sujet(s)
Satisfaction professionnelle , Renouvellement du personnel , Services de santé ruraux , Étudiant médecine , Humains , Mâle , Femelle , Chine , Étudiant médecine/psychologie , Étudiant médecine/statistiques et données numériques , Renouvellement du personnel/statistiques et données numériques , Adulte , Jeune adulte , Médecins généralistes/ressources et distribution , Médecins généralistes/psychologie , Enquêtes et questionnaires
5.
Sci Rep ; 14(1): 15593, 2024 Jul 06.
Article de Anglais | MEDLINE | ID: mdl-38971853

RÉSUMÉ

This research examines the psychometric characteristics and reliability of the 6-item turnover intention scale (TIS-6) by Bothma and Roodt (SA J Hum Resour Manag 11:a507, 2013) on a Hungarian sample. The internal validity of the TIS-6 was assessed using data from 269 Hungarian elderly care institution workers. Confirmatory factor analysis was performed to analyse the structural validity. Convergent and discriminant validity were examined with questions on job characteristics and using the Maslach Burnout Inventory and Effort-Reward Imbalance Scale. IBM SPSS 28.0 software was used for the statistical analysis, and the results were considered significant at p < 0.05. The internal consistency of the questionnaire's scale proved to be acceptable (α = 0.826). Convergent validity was confirmed by the relationships between the components of the questionnaire and burnout (rs = 0.512; p < 0.001; rs = 0.419; p < 0.001) and workplace stress (rs = 0.565; p < 0.001; rs = 0.310; p < 0.001). There were significant differences between the TIS-6 scores among the groups with different degrees of burnout (p < 0.001), which indicated adequate discriminant validity of the questionnaire. The structural validity of the questionnaire was acceptable, and the scale questions fit well. The Hungarian version of the TIS-6 scale is a valid and reliable tool for assessing turnover intention among elderly care institution workers in Hungary.


Sujet(s)
Épuisement professionnel , Renouvellement du personnel , Psychométrie , Humains , Hongrie , Femelle , Mâle , Enquêtes et questionnaires , Psychométrie/méthodes , Épuisement professionnel/psychologie , Adulte d'âge moyen , Adulte , Reproductibilité des résultats , Satisfaction professionnelle , Sujet âgé , Intention , Personnel de santé/psychologie
6.
Nurs Open ; 11(7): e2218, 2024 Jul.
Article de Anglais | MEDLINE | ID: mdl-38940475

RÉSUMÉ

AIMS: To examine changes in advanced nurse practitioner (ANP) well-being, satisfaction and motivation over a four-year period. DESIGN: Longitudinal Cohort study. METHODS: Surveys were carried out each year from 2019 to 2022 with the same cohort of ANPs in the United Kingdom (UK). The survey consisted of demographics, questions on contemporary issues in advanced practice, National Health Service (NHS) staff survey questions and validated questionnaires. A core set of questions were asked every year with some changes in response to the COVID-19 pandemic. RESULTS: Response rate ranged from 40% to 59% and appeared to be affected by COVID-19. Staff satisfaction with pay and the well-being score were stable throughout. Other questions on well-being, job satisfaction and motivation saw statistically significant reductions after 4 years. Open-ended questions about ongoing well-being concerns show participants are concerned about exhaustion levels caused by workload, staffing issues, abuse from patients and colleagues' mental health. CONCLUSION: The findings highlight a decline in ANP well-being, job satisfaction and motivation post-COVID-19. Reasons for this, explored in the qualitative data, show that ANPs have faced extremely difficult working conditions. Urgent action is required to prevent a workforce retention crisis as many nursing staff are close to retirement and may not be motivated to remain in post. IMPACT: This study has followed ANPs through the most challenging years the NHS has ever seen. Job satisfaction, motivation and enjoyment of the job all significantly reduced over time. In many areas, the ANP role has been used to fill medical workforce gaps, and this will become harder to do if ANPs are dissatisfied, disaffected and struggling with stress and burnout. Addressing these issues should be a priority for policymakers and managers. PATIENT OR PUBLIC CONTRIBUTION: None as this study focussed on staff. Staff stakeholders involved in the design and conduct of the study.


Sujet(s)
COVID-19 , Satisfaction professionnelle , Infirmières praticiennes , Humains , COVID-19/psychologie , COVID-19/soins infirmiers , Royaume-Uni , Infirmières praticiennes/psychologie , Femelle , Mâle , Études longitudinales , Enquêtes et questionnaires , Adulte , Adulte d'âge moyen , SARS-CoV-2 , Motivation , Études de cohortes , Médecine d'État , Pandémies , Charge de travail/psychologie , Épuisement professionnel/psychologie
7.
Thorac Surg Clin ; 34(3): 239-247, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38944451

RÉSUMÉ

Abuse, bullying, harassment, and discrimination are prominent workplace occurrences within cardiothoracic (CT) surgery that cause burnout and threaten the well-being of surgeons. Under-represented and marginalized groups experience higher incidences of these negative events, and CT surgery is one of the least diverse specialties. The CT surgery workforce and institutional leadership must prioritize mentorship, sponsorship, and allyship to promote a diverse and healthy specialty for surgeon recruitment, growth, and job satisfaction.


Sujet(s)
Brimades , Chirurgie thoracique , Humains , Brimades/psychologie , Brimades/statistiques et données numériques , Chirurgiens/psychologie , Chirurgiens/statistiques et données numériques , Épuisement professionnel/épidémiologie , Épuisement professionnel/psychologie , Satisfaction professionnelle
8.
Thorac Surg Clin ; 34(3): 261-269, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38944453

RÉSUMÉ

This article discusses the importance of workplace relationships and its intricate dynamics within the Cardiothoracic Surgery field. It focuses on the demanding nature of the specialty and the significant stressors involved. The article outlines the goals of identifying themes within the workplace to strengthen camaraderie, minimize burnout, and enhance patient care. Key points highlighted include the vital role of teamwork and communication in providing safe and effective patient care. Various studies and initiatives underline the impact of improved teamwork and communication on reducing errors in health care settings.


Sujet(s)
Épuisement professionnel , Humains , Épuisement professionnel/prévention et contrôle , Lieu de travail/psychologie , Chirurgie thoracique/organisation et administration , Satisfaction professionnelle , Relations interprofessionnelles
9.
BMC Public Health ; 24(1): 1727, 2024 Jun 28.
Article de Anglais | MEDLINE | ID: mdl-38943121

RÉSUMÉ

BACKGROUND: Work hours are an important aspect of one's job and these in turn have the potential to impact people's well-being. Much research investigating the link between working hours and well-being uses cross-sectional data. Longitudinal studies, especially those studying the same subjects changing their working time, can study the impact of work time more clearly. Using panel data, this study aims to explore the impact of a reduction in working time on three domains of well-being: general well-being, job-related well-being (positive work experience) and work-family well-being (work-family conflict). In addition, our study offers insights into the role of concomitant changes in work and private circumstances of employees as we investigate whether the impact of shorter working hours for well-being is mediated by changes in the participants' and circumstances related to paid and unpaid work resources. METHOD: An organization of about 60 (female) employees trialed a shorter workweek for one calendar year in 2019. All full-time employees reduced their hours. The part-time working employees can be used as a control group. Panel data (survey and time-use diary data) of a 30-h workweek trial in Belgium was collected in four waves over two years in a pre- and post-intervention design. Change over time (waves) was analyzed through multilevel growth models. RESULT: A decrease in work-family conflict was observed during the shorter workweek. Part of this decrease is explained by concomitant changes in work and private circumstances, such as sufficiency in free time, schedule control, and satisfaction with work pressure. Positive work experience and general well-being tend to have decreased during the shorter workweek, although this could partly be explained by other organizational changes and not by the reduction in working hours per se. Schedule control helped suppress these somewhat negative effects of organizational changes on positive work experience. CONCLUSION: Reduced working hours have the largest and most positive impact on work-family conflict. The feeling of having enough leisure time contributes to this increased well-being. Especially for women, who were the majority in this study, a reduction in working time might be beneficial as they often bear more responsibility for household work and care tasks. Next to the duration of working time, schedule control/autonomy has an important impact on well-being.


Sujet(s)
Satisfaction professionnelle , Humains , Femelle , Adulte , Belgique , Adulte d'âge moyen , Santé mentale , Enquêtes et questionnaires , Mâle , Études longitudinales , Équilibre entre travail et vie personnelle , Études transversales , Tolérance à l'horaire de travail/psychologie , Facteurs temps
10.
BMC Health Serv Res ; 24(1): 766, 2024 Jun 26.
Article de Anglais | MEDLINE | ID: mdl-38918753

RÉSUMÉ

BACKGROUND: Attracting and supporting a sustainable long-term care (LTC) workforce has been a persistent social policy challenge across the globe. To better attract and retain a sustainable LTC workforce, it is necessary to adopt a unified concept of worker well-being. Meaning of work is an important psychological resource that buffers the negative impacts of adverse working conditions on workers' motivation, satisfaction, and turnover intention. The aim of this study was to explore the positive meaning of care work with older people and its implications for health care workers' job satisfaction and motivation to work in the LTC sector. METHODS: This study adopted a qualitative descriptive design that pays particular attention to health care workers; such as nurses, personal care workers; as active agents of the meaning making and reframing of care work in LTC communities in a East Asia city. In-depth semi-structured interviews were conducted with thirty health care workers in LTC communities in Hong Kong. Thematic analysis was employed for data analysis. RESULTS: The research findings indicate that while health care workers perform demanding care work and experience external constraints, they actively construct positive meanings of care work with older people as a helping career that enables them to facilitate the comfortable aging of older people, build affectional relationships, achieve professional identity, and gain job security. CONCLUSIONS: This qualitative study explores how health care workers negotiate the positive meaning of older people care work and the implications of meaningful work for workers' job satisfaction and motivation to work in the LTC sector. The importance of a culturally sensitive perspective in researching and developing social policy intervention are suggested.


Sujet(s)
Entretiens comme sujet , Satisfaction professionnelle , Recherche qualitative , Humains , Mâle , Femelle , Hong Kong , Adulte , Adulte d'âge moyen , Personnel de santé/psychologie , Soins de longue durée/psychologie , Motivation , Attitude du personnel soignant , Concept du soi , Sujet âgé , Établissements de soins de long séjour
11.
Front Public Health ; 12: 1393024, 2024.
Article de Anglais | MEDLINE | ID: mdl-38903567

RÉSUMÉ

Background: Nurse turnover has become a salient issue in healthcare system worldwide and seriously compromises patient outcomes. Social support is considered an effective contributor to alleviate nurse turnover intention (TI). However, the degree of correlation between social support and nurse TI remains elusive. Aims: This study aims to evaluate the strength of the effectiveness of social support on TI among nurses as well as its potential moderators. Design: This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Methods: To obtained qualified studies, two researchers searched Embase, PubMed, Web of science, CINAHL, CNKI, WanFang, and Chinese Medical Journal Full Text Database from inception to January 6, 2024. Meta-analysis, publication bias, and sensitivity analysis were carried out on the included studies using CMA 3.0 software, and the moderating effect was verified through meta-analysis of variance (ANOVA). Results: A total of 38 studies were obtained, involving 63,989 clinical nurses. The comprehensive effect size of the random effect model showed a significant medium negative correlation between social support and TI among nurses (p < 0.001). The sample size and TI measurement tools significantly moderated the correlation between social support and TI (p < 0.050). However, nurse department, gender, data collection time, and social support measurement tools did not moderate the correlation between the two variables. Conclusion: Social support is negatively associated with TI in nurses. Nursing administrators and the medical community should fully recognize the importance of social support for nurses and take corresponding measures to enhance it, thereby reducing TI and ensuring the stability of the nursing team.


Sujet(s)
Intention , Renouvellement du personnel , Soutien social , Humains , Satisfaction professionnelle , Infirmières et infirmiers/psychologie , Infirmières et infirmiers/statistiques et données numériques , Renouvellement du personnel/statistiques et données numériques
12.
BMC Health Serv Res ; 24(1): 762, 2024 Jun 24.
Article de Anglais | MEDLINE | ID: mdl-38915013

RÉSUMÉ

BACKGROUND: Working in the healthcare sector seems less interesting than other sectors: the salary is low relative to the demands of the labour involved, and working conditions as well as management are perceived as poor. These factors may have an impact on the well-being of nurses in the healthcare sector. This study aims to explore the relationship between precarious employment and occupational well-being, in addition to the moderating effect of having a calling in this relationship among younger and older nurses. METHODS: Cross-sectional survey data were collected among Finnish nurses (n = 5867) between October and November 2020. Data were collected on demographics, occupational well-being, precarious employment, and having a calling in the field. Multiple linear regression analyses were used to explore the associations. RESULTS: Younger nurses perceived lower levels of occupational well-being and calling, and higher levels of precarious employment compared to older nurses. Precarious employment had a negative relationship with occupational well-being, and having a calling showed a positive relationship with regard to occupational well-being. No interaction effect of precarious employment and having a calling with occupational well-being was found. CONCLUSIONS: Young nurses' occupational well-being, precarious employment, and calling should be studied further because they are in a weaker position in working life. Using a qualitative approach should be considered in order to obtain more in-depth information.


Sujet(s)
Emploi , Humains , Études transversales , Femelle , Finlande , Adulte , Emploi/statistiques et données numériques , Emploi/psychologie , Mâle , Adulte d'âge moyen , Enquêtes et questionnaires , Santé au travail , Satisfaction professionnelle , Facteurs âges , Jeune adulte , Infirmières et infirmiers/psychologie , Infirmières et infirmiers/statistiques et données numériques ,
13.
Chiropr Man Therap ; 32(1): 25, 2024 Jun 24.
Article de Anglais | MEDLINE | ID: mdl-38915075

RÉSUMÉ

OBJECTIVES: The aim of this cross-sectional study was to update the results of the first Swiss Job Analysis Survey in 2009 with regard to the demographics of the chiropractors and their patients, practice characteristics, interprofessional collaboration, the importance of imaging, and job satisfaction. METHODS: In April 2020, the adapted 2009 questionnaire was electronically sent to all members of the Swiss Chiropractic Association ChiroSuisse (N = 316). Only complete questionnaires were included in the descriptive analysis. Demographic data were compared to all ChiroSuisse members. RESULTS: The response rate was 76.3%. The mean age of the participants was 49.9 ± 12.3 years and 62.2% were male. Among the younger chiropractors (≤ 15 years of professional experience), 51.6% were male. Almost half of the participants worked in a joint office and one in five worked in a multidisciplinary setting. The typical chiropractic patient was middle-aged, female and suffered most frequently from acute lower back/pelvis pain and second most frequently from neck pain. Diversified osseous adjustment was the most commonly used technique, followed by advice on activities of daily living and trigger point therapy. Images (X-ray, CT, MRI) were ordered in less than 20% of the patients. 95% of the chiropractors were satisfied with their career choice. CONCLUSIONS: No changes to 2009 were observed in terms of the typical patient or the applied techniques. However, the Swiss chiropractors were more experienced, to a larger proportion female, more often worked in multidisciplinary settings, and ordered fewer images. Job satisfaction among Swiss chiropractors was high.


Sujet(s)
Chiropraxie , Satisfaction professionnelle , Humains , Adulte d'âge moyen , Mâle , Femelle , Suisse , Chiropraxie/statistiques et données numériques , Études transversales , Adulte , Enquêtes et questionnaires
14.
Front Public Health ; 12: 1391036, 2024.
Article de Anglais | MEDLINE | ID: mdl-38912267

RÉSUMÉ

Introduction: The outbreak of the Coronavirus Disease 2019 pandemic has presented significant difficulties for healthcare workers worldwide, resulting in a higher tendency to quit their jobs. This study aims to investigate the correlation between organizational support, work-family-self balance, job satisfaction, and turnover intention of healthcare professionals in China's public hospitals. Methods: A cross-sectional survey was conducted on 5,434 health workers recruited from 15 public hospitals in Foshan municipality in China's Guangdong province. The survey was measured by organizational support, work-family-self balance, job satisfaction, and turnover intention using a five-point Likert scale. The association between organizational support, work-family-self balance, job satisfaction, and turnover intention was investigated using Pearson correlation analysis and mediation analysis through the PROCESS macro (Model 6). Results: Organizational support indirectly affected turnover intention through three pathways: the mediating role of work-family-self balance, job satisfaction, and the chain mediating role of both work-family-self balance and job satisfaction. Conclusion: Health administrators and relevant government sectors should provide sufficient organizational support, enhance work-family-self balance and job satisfaction among healthcare workers, and consequently reduce their turnover intentions.


Sujet(s)
COVID-19 , Personnel de santé , Intention , Satisfaction professionnelle , Renouvellement du personnel , Humains , Renouvellement du personnel/statistiques et données numériques , Chine , Études transversales , Mâle , Femelle , Adulte , Personnel de santé/psychologie , Personnel de santé/statistiques et données numériques , Enquêtes et questionnaires , Adulte d'âge moyen , Hôpitaux publics/statistiques et données numériques , Culture organisationnelle
15.
J Occup Health Psychol ; 29(3): 188-200, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38913705

RÉSUMÉ

Job demands-resources (JD-R) theory is commonly used to predict employee well-being, work behaviors, and performance. This article provides a short description of JD-R theory and discusses issues and questions that have been raised regarding the theory. These issues include the differences between conservation of resources theory and JD-R theory, whether a job resource can be a job demand, the impact of job resources on strain and health, the role of hindrance and challenge job demands in JD-R theory, the relationship between job demands and resources, and the likelihood of work engagement being a redundant concept. We also discuss whether JD-R theory can be falsified, the role of personality in the theory, within- and between-person effects in JD-R theory, the question whether there is a standard JD-R questionnaire, and the existence of loss and gain spirals. Finally, we discuss the use of JD-R theory in domains other than work and answer the question whether JD-R theory is universally applicable. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Sujet(s)
Satisfaction professionnelle , Théorie psychologique , Humains , Enquêtes et questionnaires , Charge de travail/psychologie , Personnalité , Stress professionnel/psychologie , Lieu de travail/psychologie , Efficacité au travail , Engagement dans le travail
16.
JMIR Hum Factors ; 11: e47810, 2024 Jun 10.
Article de Anglais | MEDLINE | ID: mdl-38857081

RÉSUMÉ

BACKGROUND: The COVID-19 pandemic contributed to an increase in teleconsultation adoption in the Polish primary health care system. It is expected that in the long run, teleconsultations will successfully replace a significant part of face-to-face visits. Therefore, a significant challenge facing primary health care facilities (PHCs) is the acceptance of teleconsultations by their users, especially physicians. OBJECTIVE: This study aimed to explore physicians' acceptance of teleconsultations during the COVID-19 pandemic in Poland. METHODS: A representative survey was conducted among 361 physicians of PHCs across Poland in 2021. For the purposes of the study, we developed a modified Technology Acceptance Model (TAM) model. Based on the modified TAM, we analyzed the impact of perceived usefulness (PU), perceived ease of use (PEU), and intention to use teleconsultation (INT) on physicians' satisfaction (SAT) and quality of work (Q). The psychometric properties of the research instrument were examined using exploratory factor analysis. Finally, structural equation modeling was used for data analysis. RESULTS: The results indicated a generally high level of PU (mean 3.85-4.36, SD 0.87-1.18), PEU (mean 3.81-4.60, SD 0.60-1.42), INT (mean 3.87-4.22, SD 0.89-1.12), and SAT (mean 3.55-4.13, SD 0.88-1.16); the lowest rated dimension in TAM was Q (mean 3.28-3.73, SD 1.06-1.26). The most important independent variable was PU. The influence of PU on INT (estimate=0.63, critical ratio [CR]=15.84, P<.001) and of PU on SAT (estimate=0.44, CR= 9.53, P<.001) was strong. INT was also a key factor influencing SAT (estimate=0.4, CR=8.57, P<.001). A weaker relationship was noted in the effect of PEU on INT (estimate=0.17, CR=4.31, P<.001). In turn, Q was positively influenced by INT (estimate=0.179, CR=3.64, P<.001), PU (estimate=0.246, CR=4.79, P<.001), PEU (estimate=0.18, CR=4.93, P<.001), and SAT (estimate=0.357, CR=6.97, P<.001). All paths between the constructs (PU, PEU, INT, SAT, and Q) were statistically significant, which highlights the multifaceted nature of the adoption of teleconsultations among physicians. CONCLUSIONS: Our findings provide strong empirical support for the hypothesized relationships in TAM. The findings suggest that the PU and PEU of teleconsultation have a significant impact on the intention of physicians to adopt teleconsultation. This results in an improvement in the satisfaction of Polish physicians with the use of teleconsultation and an increase in Q. The study contributes to both theory and practice by identifying important prognostic factors affecting physicians' acceptance of teleconsultation systems.


Sujet(s)
COVID-19 , Médecins , Consultation à distance , Humains , COVID-19/épidémiologie , Pologne , Médecins/psychologie , Femelle , Mâle , Adulte , Adulte d'âge moyen , Analyse de structure latente , Satisfaction professionnelle , Enquêtes et questionnaires , Soins de santé primaires , Attitude du personnel soignant
17.
Surg Endosc ; 38(7): 3494-3502, 2024 Jul.
Article de Anglais | MEDLINE | ID: mdl-38872020

RÉSUMÉ

BACKGROUND: Burnout is a crisis in medicine, and especially in surgery it has serious implications not only for physician well-being but also for patient outcomes. This study builds on previous SAGES Reimagining the Practice of Surgery Task Force work to better understand how organizations might intervene to increase the "joy in surgery." METHODS: This was a cross-sectional, descriptive study utilizing a REDCap survey with closed-ended questions for data collection across 5 domains: facilitators of joy, support for best work, time for work tasks, barriers to joy, and what they would do with more time. We calculated average scores and "percentage of respondents giving a high score" for each item. RESULTS: There were 307 individuals who started the survey; 223 completed it and were surgeons who met the inclusion criteria. The majority (85.7%) were trained in general surgery, regardless of sub-specialty. Surgeons found joy in operating and its technical skills, curing disease, patient relationships, and working with a good team. They reported usually having what they needed to deliver care. A majority felt valued and respected. Most were dissatisfied with reimbursement, perceiving it as unfair. The most commonly worked range of hours was 51-70 per week. They reported having little time for paperwork and documentation, and if they had more time, they would spend it with friends and family. CONCLUSION: Organizations should consider interventions to address the operative environment, provide appropriate staff support, and foster good teamwork. They can also consider interventions that alleviate time pressures and administrative burden while at the same time promoting sustainable workloads.


Sujet(s)
Épuisement professionnel , Satisfaction professionnelle , Chirurgiens , Humains , Études transversales , Chirurgiens/psychologie , Femelle , Épuisement professionnel/psychologie , Mâle , Adulte , Adulte d'âge moyen , Charge de travail/psychologie , Enquêtes et questionnaires , Bonheur , Attitude du personnel soignant
18.
Mil Med ; 189(7-8): e1414-e1416, 2024 Jul 03.
Article de Anglais | MEDLINE | ID: mdl-38836853

RÉSUMÉ

INTRODUCTION: In the Medscape 2020 Compensation Report, family physicians ranked low for feeling fairly compensated, choosing their specialty again and choosing medicine again. However, the Medscape data may not represent military family physicians. METHODS: A large survey was emailed to 2,562 military family physicians via a military professional organization list-serve from February to April 2021. The inquiry included 6 statements pertaining to professional satisfaction. The main outcome measures were proportions of "agree" and "strongly agree." The proportions were compared to the Medscape Compensation Report 2020 and 2022. Statistical analysis was completed with a two-tailed Z-score for 2 populations. RESULTS: Sixty-one percent of military family physicians feel fairly compensated compared to 54% of civilian family physicians in 2020 and 55% in 2022 (P = .065, .119). Eighty-six percent of military family physicians would reselect medicine compared to 74% of civilian family physicians in 2020 and 73% in 2022 (P < .001 for both). Eighty percent of military family physicians would reselect their specialty again compared to 70% of civilians in 2020 and 68% in 2022 (P = .004, P = .001, respectively). CONCLUSIONS: Military family physicians were more likely to choose medicine generally and family medicine specifically again. Military family physicians and civilian family physicians do not statistically differ in feeling fairly compensated. A strong majority of military family physicians are satisfied with their military-sponsored medical education.


Sujet(s)
Satisfaction professionnelle , Personnel militaire , Médecins de famille , Humains , Médecins de famille/statistiques et données numériques , Médecins de famille/psychologie , Médecins de famille/tendances , Enquêtes et questionnaires , Mâle , Femelle , Personnel militaire/statistiques et données numériques , Personnel militaire/psychologie , Adulte , Adulte d'âge moyen , Satisfaction personnelle , États-Unis , Médecine militaire/statistiques et données numériques , Médecine militaire/méthodes , Médecine militaire/normes , Médecine militaire/tendances
19.
Nature ; 630(8018): 920-925, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38867040

RÉSUMÉ

Working from home has become standard for employees with a university degree. The most common scheme, which has been adopted by around 100 million employees in Europe and North America, is a hybrid schedule, in which individuals spend a mix of days at home and at work each week1,2. However, the effects of hybrid working on employees and firms have been debated, and some executives argue that it damages productivity, innovation and career development3-5. Here we ran a six-month randomized control trial investigating the effects of hybrid working from home on 1,612 employees in a Chinese technology company in 2021-2022. We found that hybrid working improved job satisfaction and reduced quit rates by one-third. The reduction in quit rates was significant for non-managers, female employees and those with long commutes. Null equivalence tests showed that hybrid working did not affect performance grades over the next two years of reviews. We found no evidence for a difference in promotions over the next two years overall, or for any major employee subgroup. Finally, null equivalence tests showed that hybrid working had no effect on the lines of code written by computer-engineer employees. We also found that the 395 managers in the experiment revised their surveyed views about the effect of hybrid working on productivity, from a perceived negative effect (-2.6% on average) before the experiment to a perceived positive one (+1.0%) after the experiment. These results indicate that a hybrid schedule with two days a week working from home does not damage performance.


Sujet(s)
Satisfaction professionnelle , Renouvellement du personnel , Télétravail , Efficacité au travail , Adulte , Femelle , Humains , Mâle , Adulte d'âge moyen , Chine , Rendement , Renouvellement du personnel/statistiques et données numériques , Télétravail/statistiques et données numériques , Efficacité au travail/statistiques et données numériques , Tolérance à l'horaire de travail/psychologie , Technologie , Commerce , Mobilité de carrière
20.
Nurse Educ Pract ; 78: 104018, 2024 Jul.
Article de Anglais | MEDLINE | ID: mdl-38878495

RÉSUMÉ

AIM: To explore factors associated with job satisfaction between novice and experienced nurses. BACKGROUND: Job satisfaction is crucial for better quality of patient care and nurses' job engagement in clinical setting. However, job dissatisfaction is commonly reported from clinical nurses leading to poorer patient outcomes and high turnover rate. Job satisfaction at different professional stages may have different expectations. Knowledge about factors influencing job satisfaction of junior and senior nurses is inadequate. DESIGN: A phenomenological study was conducted using face-to-face individual interviews. METHOD: Semi-structured interviews were conducted and audio-recorded. The Herzberg's Two-Factor Theory was used to understand the phenomena. Purposeful sampling was used to select eligible nurse participants who were working in hospital settings. RESULTS: Eight participants, consisting of four junior and four senior nurses, with clinical experience ranging from 1 to more than 25 years, were selected in this study. Four main themes related to job satisfaction were identified: "supportive working environment," "autonomy in practice," "professional training for competence enhancement," and "heavy workload and insufficient manpower." These themes highlighted the common aspects that contribute to job satisfaction among nurses according to the Herzberg's Two-Factor Theory. CONCLUSION: The findings of this study contribute to our understanding of the factors that influence job satisfaction among both novice and experienced nurses. While four themes highlighting common aspects of their needs have been identified, it is important to acknowledge that novice and experienced nurses may have their own unique perspectives within these aspects. According to Herzberg's Two-Factor Theory, job satisfaction factors can be complex and diverse. To enhance job satisfaction among nurses, hospital policymakers and senior management should be attentive to identify factors that have an impact on job satisfaction of nurses at different stages of their clinical experience. Developing a strategic plan to meet the needs of nurses based on their experience levels should take into consideration the disparities in work environment and responsibilities, ultimately job satisfaction can be improved, leading to better overall patient care.


Sujet(s)
Satisfaction professionnelle , Recherche qualitative , Lieu de travail , Humains , Adulte , Femelle , Lieu de travail/psychologie , Entretiens comme sujet , Personnel infirmier hospitalier/psychologie , Mâle , Charge de travail/psychologie , Attitude du personnel soignant , Infirmières et infirmiers/psychologie
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