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Dobešová Cakirpaloglu S, Cakirpaloglu P, Skopal O, Kvapilová B, Schovánková T, Vévodová Š, Greaves JP, Steven A. Strain and serenity: exploring the interplay of stress, burnout, and well-being among healthcare professionals. Front Psychol 2024; 15:1415996. [PMID: 38984287 PMCID: PMC11232682 DOI: 10.3389/fpsyg.2024.1415996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Accepted: 06/12/2024] [Indexed: 07/11/2024] Open
Abstract
Introduction Stress and burnout can negatively affect performance, mental health, and the overall well-being of healthcare workers. The study aims to examine the prevalence of stress and burnout, and investigate links between stress, burnout, mental state, and well-being among healthcare workers in the Czech Republic. Methods A cross-sectional survey was conducted in the Czech Republic, focusing on healthcare professionals working in various healthcare settings. A total of 1,064 healthcare workers participated in the study. A standardized questionnaire battery was used, consisting of the Maslach Burnout Inventory (MBI), Perceived Stress Scale (PSS) and Supso-7 measuring mental state. Separate correlation and multiple regression analyses were conducted. Results 46.24% of the healthcare workers reported high levels of emotional exhaustion, 25.56% reported high levels of depersonalization, 24.15% reported low levels of personal accomplishment, while 11.18% reported high levels of perceived stress. The findings revealed that emotional exhaustion, a core component of burnout, was associated with increased feelings of anxiety and depression. Perceived stress was also linked to anxiety and depression, while personal accomplishment appeared to mitigate depression and support positive psychological well-being. Conclusion The study provides promising evidence suggesting that addressing stress and emotional exhaustion, while fostering a sense of personal achievement, could lead to improvements in the mental health and work performance of healthcare workers. These findings highlight the importance of addressing burnout and stress management strategies to support the overall well-being of healthcare professionals.
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Affiliation(s)
- Simona Dobešová Cakirpaloglu
- Department of Humanities and Social Sciences, Faculty of Health Science, Palacký University Olomouc, Olomouc, Czechia
| | | | - Ondřej Skopal
- Department of Psychology, Faculty of Arts, Palacký University Olomouc, Olomouc, Czechia
| | - Barbora Kvapilová
- Department of Psychology and Abnormal Psychology, Faculty of Education, Palacký University Olomouc, Olomouc, Czechia
| | - Tereza Schovánková
- Science and Research Centre, Faculty of Health Science, Palacký University Olomouc, Olomouc, Czechia
| | - Šárka Vévodová
- Department of Humanities and Social Sciences, Faculty of Health Science, Palacký University Olomouc, Olomouc, Czechia
| | - Jane Peta Greaves
- Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Alison Steven
- Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
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Peláez Zuberbühler J, Coo Calcagni C, Salanova M. Know and use your personal strengths! A Spanish validation of the strengths knowledge and use scales and their relationship with meaningful work and work-related well-being. Front Psychol 2023; 14:1086510. [PMID: 37151313 PMCID: PMC10158793 DOI: 10.3389/fpsyg.2023.1086510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 04/03/2023] [Indexed: 05/09/2023] Open
Abstract
Introduction Research in the field of work and organizational psychology increasingly highlights the role of meaningful work as a protector of well-being at work. This study tests the role of strengths knowledge and use as new pathways through which meaningful work may have a positive effect on work engagement and mental health. Methods Study 1 and Study 2 report the validation of the Spanish Strengths Use and Knowledge Scales respectively, with samples of N = 617 (Study 1) and N = 365 (Study 2) employees. Study 3 tests the mediating effects of strengths use and knowledge in a model with different work-related constructs in another sample of N = 798 employees. Results Findings from Studies 1 and 2 indicate that the instruments offer adequate evidence of reliability and validity. Results from Study 3 revealed that strengths knowledge is a mediator in the relationship between meaningful work and strengths use. Findings also confirmed the mediating roles of strengths use in the relationship between meaningful work and work engagement, and between meaningful work and mental health. Discussion This study highlights the ability to be aware of and apply signature strengths as effective and novel pathways to foster well-being at work through the cultivation of meaningful work.
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Weziak-Bialowolska D, Lee MT, Bialowolski P, Chen Y, VanderWeele TJ, McNeely E. Prospective associations between strengths of moral character and health: longitudinal evidence from survey and insurance claims data. Soc Psychiatry Psychiatr Epidemiol 2023; 58:163-176. [PMID: 35916915 PMCID: PMC9344441 DOI: 10.1007/s00127-022-02344-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Accepted: 07/19/2022] [Indexed: 01/20/2023]
Abstract
PURPOSE Excellent character, reflected in adherence to high standards of moral behavior, has been argued to contribute to well-being. The study goes beyond this claim and provides insights into the role of strengths of moral character (SMC) for physical and mental health. METHODS This study used longitudinal observational data merged with medical insurance claims data collected from 1209 working adults of a large services organization in the US. Self-reported physical and mental health as well as diagnostic information on depression, anxiety, and cardiovascular disease were used as outcomes. The prospective associations between SMC (7 indicators and a composite measure) and physical and mental health outcomes were examined using lagged linear and logistic regression models. A series of sensitivity analyses provided evidence for the robustness of results. RESULTS The results suggest that persons who live their life according to high moral standards have substantially lower odds of depression (by 21-51%). The results were also indicative of positive associations between SMC and self-reports of mental health (β = 0.048-0.118) and physical health (β = 0.048-0.096). Weaker indications were found for a protective role of SMC in mitigating anxiety (OR = 0.797 for the indicator of delayed gratification) and cardiovascular disease (OR = 0.389 for the indicator of use of SMC for helping others). CONCLUSIONS SMC may be considered relevant for population mental health and physical health. Public health policies promoting SMC are likely to receive positive reception from the general public because character is both malleable and aligned with the nearly universal human desire to become a better person.
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Affiliation(s)
- Dorota Weziak-Bialowolska
- Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA. .,Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA, USA. .,Centre for Evaluation and Analysis of Public Policies, Faculty of Philosophy, Jagiellonian University, Cracow, Poland.
| | - Matthew T. Lee
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA USA , Institute for Studies of Religion, Baylor University, Waco, TX, USA
| | - Piotr Bialowolski
- Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA USA ,Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA USA ,Department of Economics, Kozminski University, Warsaw, Poland
| | - Ying Chen
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA USA ,Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA USA
| | - Tyler J. VanderWeele
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA USA ,Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA USA
| | - Eileen McNeely
- Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA USA
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Zhang SE, Yang LB, Zhao CX, Shi Y, Wang HN, Zhao X, Wang XH, Sun T, Cao DP. Contribution of Character Strengths to Psychology Stress, Sleep Quality, and Subjective Health Status in a Sample of Chinese Nurses. Front Psychol 2021; 12:631459. [PMID: 34790141 PMCID: PMC8592060 DOI: 10.3389/fpsyg.2021.631459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 09/13/2021] [Indexed: 12/04/2022] Open
Abstract
Objectives: The main objectives of this study were to describe the current state of character strengths (CSs) of nurses; explain how they affect stress, sleep quality, and subjective health status; and reveal the mediating role of stress for the subject matter on the association between CSs, sleep quality, and subjective health status. Methods: A cross-sectional online survey was conducted from September to October 2020 in China. A multistage stratified sampling method was used, and 1,221 valid questionnaires across 100 cities in 31 provinces were collected. Results: For the participants in this survey, the three dimensions of CSs ranging from high to low were caring (4.20 ± 0.640), self-control (3.53 ± 0.763), and inquisitiveness (3.37 ± 0.787). There was difference in CSs scores across age (F = 8.171, P < 0.01), professional categories (F = 5.545, P < 0.01), and job tenure (F = 9.470, P < 0.01). The results showed that CSs significantly affected the psychological stress (β = −0.365, P< 0.01), sleep quality (β = 0.312, P< 0.01), and subjective health (β = 0.398, P< 0.01) of nurses. Moreover, psychological stress partially mediated the association between CSs and both types of health outcomes. Conclusion: In China, the CSs of nurses are at high levels. We find that nurses with high-level CSs are likely to experience less psychological stress and exhibit healthy psycho–physiological responses, which contribute to positive health outcomes. Finally, our study argues that strength-based interventions of positive psychology in hospitals should be provided to minimize threats to the physical and psychological health of health professionals, which is a beneficial choice for future hospital reforms in the domain of occupational health management.
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Affiliation(s)
- Shu-E Zhang
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, China
| | - Li-Bin Yang
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, China.,Center for Higher Education Research and Teaching Quality Evaluation, Harbin Medical University, Harbin, China
| | - Chen-Xi Zhao
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, China
| | - Yu Shi
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, China
| | - Hong-Ni Wang
- Department of Health Management, School of Medicine, Hangzhou Normal University, Hangzhou, China
| | - Xin Zhao
- Department of Health Management, School of Medicine, Hangzhou Normal University, Hangzhou, China
| | - Xiao-He Wang
- Department of Health Management, School of Medicine, Hangzhou Normal University, Hangzhou, China
| | - Tao Sun
- Department of Health Management, School of Medicine, Hangzhou Normal University, Hangzhou, China
| | - De-Pin Cao
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, China
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Kachel T, Huber A, Strecker C, Höge T, Höfer S. Reality Meets Belief: A Mixed Methods Study on Character Strengths and Well-Being of Hospital Physicians. Front Psychol 2021; 12:547773. [PMID: 34177675 PMCID: PMC8222547 DOI: 10.3389/fpsyg.2021.547773] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 05/07/2021] [Indexed: 01/05/2023] Open
Abstract
Positive psychology deals with factors that make life most worth living and focuses on enhancing individual potentials. Particularly, character strengths can positively contribute to well-being and work-related health, bearing a promising potential for professions, such as physicians, who are at risk for burnout or mental illnesses. This study aims to identify beneficial character strengths by examining the quantitative and qualitative data. In a cross-sectional multi-method study, 218 hospital physicians completed an online survey assessing their character strengths and their general and work-related well-being, comprising thriving, work engagement, and burnout dimensions (outcome variables). Quantitative data were analyzed for the total sample and by tertiary split. Additionally, interview-gathered opinions of four resident physicians and four medical specialist educators were collected to expand the perspective on which character strengths might be beneficial for the well-being of the resident physicians. The highest significant correlations between character strengths and outcome variables were found for hope and thriving (r = 0.67), zest, and work engagement (r = 0.67) as well as emotional exhaustion (r = -0.47), perseverance/leadership and depersonalization (r = -0.27), bravery, and reduced personal accomplishment (r = -0.39). Tertiary splits revealed that some correlations were not consistent across the entire scale continuum, for example, creativity was only significantly correlated with comparatively high levels of thriving (r = 0.28) or forgiveness with comparatively high levels of depersonalization (r = -0.34). Humility, social intelligence, and teamwork showed predominantly low correlations with all outcome variables (r = -0.17 - 0.34), although humility was stated by all interviewed medical specialist educators to be the most relevant for the well-being at work, and the latter two by three resident physicians, respectively. Different perspectives resulting from quantitative and qualitative data in terms of beneficial character strengths for work-related well-being may be driven by different work experiences, professional understandings, generational beliefs, or social expectations. Some significant correlations between character strengths and well-being outcomes varied depending on low, medium, or high outcomes. This raises questions about suitable work-related well-being interventions, as simple single intervention approaches (one intervention fits all) may not work for the respective outcome levels. These new findings warrant further research on how to foster the well-being of resident physicians at work.
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Affiliation(s)
- Timo Kachel
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Alexandra Huber
- Department of Medical Psychology, Medical University Innsbruck, Innsbruck, Austria
| | - Cornelia Strecker
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Thomas Höge
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Stefan Höfer
- Department of Medical Psychology, Medical University Innsbruck, Innsbruck, Austria
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Huber A, Bair A, Strecker C, Höge T, Höfer S. Do More of What Makes You Happy? The Applicability of Signature Character Strengths and Future Physicians' Well-Being and Health Over Time. Front Psychol 2021; 12:534983. [PMID: 34135792 PMCID: PMC8200469 DOI: 10.3389/fpsyg.2021.534983] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Accepted: 05/06/2021] [Indexed: 12/17/2022] Open
Abstract
Research on applying signature character strengths demonstrated positive effects on well-being, health and work behavior. Future health care professionals represent a group at risk for impaired well-being due to high study demands. This study investigates potential long-term protective effects on well-being. In total, 504 medical students participated in a longitudinal online study, with at least 96 providing complete data at all three time points (time lag: 1 year). Data on individual signature character strengths and their applicability, thriving (subjective and psychological well-being), work engagement, burnout, mental and physical health were collected. Longitudinal relations of signature character strengths’ applicability and well-being, mental and physical health were tested with cross-lagged panel analyses. Moreover, indirect longitudinal mediation effects via work engagement and emotional exhaustion were considered. Cross-lagged panel analyses demonstrated significant positive effects of thriving on signature character strengths’ applicability at later time points (β = 0.20 to 0.27) indicating that higher levels of well-being might be mandatory first to have access to one’s own signature character strengths in a naturalistic setting. Disentangling thriving, the effect was only significant for psychological well-being (t1-t2: β = 0.23; t2-t3: β = 0.27). Across all three time points, significant indirect effects via work engagement on the relation of the applicability of signature character strengths and well-being were identified (r = 0.15), whereas significant indirect effects on mental and physical health were only evident at t2 (both: r = 0.06) and t3 (mental health: r = 0.11). A longitudinal mediation analysis via work engagement revealed a significant indirect effect (a∗b = 0.13). These results call for further research as previous studies showed that the applicability of signature character strengths affected well-being, not vice versa. The ‘broaden-and-build’ theory (positive emotions broaden one’s consciousness and hereupon individuals build new enduring resources and skills) and the assumption of well-being in a “top-down” model (trait-like predisposition to interpret life experiences in positive ways coloring one’s evaluation of satisfaction in various domains accordingly) could possibly explain these novel results.
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Affiliation(s)
- Alexandra Huber
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Angela Bair
- Institute of Psychology, Medical Informatics and Technology, University of Health Sciences, Hall in Tirol, Austria
| | - Cornelia Strecker
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Thomas Höge
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Stefan Höfer
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
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Wagner L, Pindeus L, Ruch W. Character Strengths in the Life Domains of Work, Education, Leisure, and Relationships and Their Associations With Flourishing. Front Psychol 2021; 12:597534. [PMID: 33967881 PMCID: PMC8096931 DOI: 10.3389/fpsyg.2021.597534] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Accepted: 01/04/2021] [Indexed: 12/17/2022] Open
Abstract
A growing body of research demonstrates the relevance of character strengths for flourishing in general, but also for important outcomes across different life domains (e.g., work performance and relationship satisfaction). Studies have also shown that there are differences in the extent to which character strengths are applied, that is, perceived as relevant and shown in behavior in a given context, between work and private life, but they have not considered other life domains. This study aims to close this gap by examining the life domains of work, education, leisure, close personal relationships, and romantic relationships. The present study investigates whether (a) strengths-related behavior across different life domains explains additional variance in flourishing beyond the trait level of each respective character strength and studies (b) differences in the relevance of character strengths and strengths-related behavior across different life domains, and examines (c) their relationships with flourishing. A sample of 203 German-speaking adults (78.8% females; mean age = 29.4 years) completed self-reports assessing flourishing and character strengths. They also indicated which of the five life domains were personally relevant to them (i.e., on average 4.23 life domains) and reported the character strengths' perceived relevance and the frequency of displaying strengths-related behavior for each of these life domains separately. The results demonstrate that (a) strengths-related behavior averaged across all relevant life domains explained unique variance in flourishing above the trait-level of character strengths in some cases (e.g., creativity, kindness, and fairness), (b) different life domains were characterized by specific profiles of character strength-regarding both their relevance and strength-related behavior. Moreover, (c) character strengths and strengths-related behavior in different life domains both showed substantial correlations with flourishing. In some cases, these associations were domain-specific (e.g., displaying love of learning in the context of education was related to higher levels of flourishing). In conclusion, we suggest that examining strengths-related behavior across different life domains represents a worthwhile addition to research on character strengths.
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Affiliation(s)
- Lisa Wagner
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Lisa Pindeus
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Willibald Ruch
- Department of Psychology, University of Zurich, Zurich, Switzerland
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Weziak-Bialowolska D, Bialowolski P, Lee MT, Chen Y, VanderWeele TJ, McNeely E. Psychometric Properties of Flourishing Scales From a Comprehensive Well-Being Assessment. Front Psychol 2021; 12:652209. [PMID: 33967913 PMCID: PMC8097094 DOI: 10.3389/fpsyg.2021.652209] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Accepted: 03/09/2021] [Indexed: 01/07/2023] Open
Abstract
In this article, we develop a measure of complete well-being. The framework is derived from the theoretical model of human flourishing understood as a state in which all aspects of a human life are favorable. The approach extends beyond psychological well-being and reflects the World Health Organization definition of health that not only considers the health of body and mind but also embraces the wholeness of the person. The Well-Being Assessment (WBA) is a comprehensive instrument designed to assess holistic well-being in six domains: emotional health, physical health, meaning and purpose, character strengths, social connectedness, and financial security. Although each of these domains is distinct, all of them are nearly universally desired, and all but financial security constitute ends in themselves. Data were collected from a representative sample of working adults. A sample of 276 employees participated in the pilot, 2,370 participated in the first wave and 1,209 in the second wave of the survey. The WBA showed a good fitting (40 items, six factors), satisfactory reliability, test-retest correlation, and convergent/discriminant validity in relation to stability over time and relevant health measures, as well as a good fit to the data that were invariant over time, gender, age, education, and marital status. The instrument can be of use for scientists, practitioners, clinicians, public health officials, and patients. Adoption of more holistic measures of well-being that go beyond psychological well-being may help to shift the focus from health deficiencies to health and well-being promotion.
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Affiliation(s)
- Dorota Weziak-Bialowolska
- Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, United States
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA, United States
| | - Piotr Bialowolski
- Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, United States
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA, United States
| | - Matthew T. Lee
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA, United States
| | - Ying Chen
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA, United States
- Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, United States
| | - Tyler J. VanderWeele
- Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA, United States
- Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, United States
| | - Eileen McNeely
- Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, United States
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Ding H, Yu E. Influence of followers’ strengths-based leadership on follower strengths use through intention to use strengths: the moderating role of work pressure ( Los líderes basados en las fortalezas de los seguidores influyen en el uso de dichas fortalezas a través de la intención de uso de las fortalezas: el rol moderador de la presión laboral). INTERNATIONAL JOURNAL OF SOCIAL PSYCHOLOGY 2021. [DOI: 10.1080/02134748.2021.1886701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- He Ding
- North China Electric Power University
| | - Enhai Yu
- North China Electric Power University
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10
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Leung T, Rawana E, Klein R. Exploratory analysis of strength domains and association with subjective and psychological well-being among Canadian adolescents. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01407-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Niemiec RM, Pearce R. The Practice of Character Strengths: Unifying Definitions, Principles, and Exploration of What's Soaring, Emerging, and Ripe With Potential in Science and in Practice. Front Psychol 2021; 11:590220. [PMID: 33584426 PMCID: PMC7873298 DOI: 10.3389/fpsyg.2020.590220] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 12/11/2020] [Indexed: 11/13/2022] Open
Abstract
What does it mean to be “strengths-based” or to be a “strengths-based practitioner?” These are diffuse areas that are generic and ill-defined. Part of the confusion arises from the customary default of practitioners and leaders across many cultures to label anything positive or complimentary as “strengths-based,” whether that be an approach, a theoretical orientation, an intervention, or a company. Additional muddle is created by many researchers and practitioners not making distinctions between very different categories of “strength” in human beings – strengths of character, of talent/ability, of interest/passion, of skill/competency, to name a few. To add clarity and unification across professions, we offer seven characteristics and a comprehensive definition for a character strengths-based practitioner. We center on the type of strength referred to as character strengths and explore six guiding principles for understanding character strengths (e.g., character is plural; character is being and doing) and their practical corollaries. Reflecting this foundation and based on character strengths research, our longstanding work with strengths, discussions with practitioners across the globe, and a practitioner survey asking about strength practices (N = 113), we point out several character strengths practices or approaches we describe as soaring (e.g., explore and encourage signature strengths; practice strengths-spotting), emerging (e.g., the integration of mindfulness and character strengths), or ripe with potential (e.g., phasic strengths; the tempering effect; the towing effect). We use the same framework for describing general research domains. Some areas of research in character strengths are soaring with more than 25 studies (e.g., workplace/organizations), some are emerging with a handful of studies (e.g., health/medicine), and others are ripe with potential that have none or few studies yet opportunity looms large for integrating character science (e.g., peace/conflict studies). Using this framework, we seek to advance the exchange and collaboration between researcher and practitioner, as well as to advance the science and practice of character strengths.
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Affiliation(s)
- Ryan M Niemiec
- VIA Institute on Character, Cincinnati, OH, United States
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12
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Huber A, Strecker C, Kachel T, Höge T, Höfer S. Character Strengths Profiles in Medical Professionals and Their Impact on Well-Being. Front Psychol 2020; 11:566728. [PMID: 33424679 PMCID: PMC7786021 DOI: 10.3389/fpsyg.2020.566728] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 12/04/2020] [Indexed: 11/13/2022] Open
Abstract
Character strengths profiles in the specific setting of medical professionals are widely unchartered territory. This paper focused on an overview of character strengths profiles of medical professionals (medical students and physicians) based on literature research and available empirical data illustrating their impact on well-being and work engagement. A literature research was conducted and the majority of peer-reviewed considered articles dealt with theoretical or conceptually driven 'virtues' associated with medical specialties or questions of ethics in patient care (e.g., professionalism, or what makes a good physician). The virtues of compassion, courage, altruism, and benevolence were described most often. Only a limited number of papers addressed character strengths of medical students or physicians according to the VIA-classification. Those articles showed that the VIA-character strengths fairness, honesty, kindness, and teamwork were considered most often by respondents to be particularly important for the medical profession. Available cross-sectional (time span: six years) and longitudinal (time span: three years) data regarding VIA-character strengths profiles of medical professionals were analyzed (N = 584 medical students, 274 physicians). These profiles were quite homogenous among both groups. The character strengths fairness, honesty, judgment, kindness, and love had the highest means in both samples. Noteworthy differences appeared when comparing medical specialties, in particular concerning general surgeons and psychiatrists, with the former reporting clearly higher levels of e.g., honesty (d = 1.02) or prudence (d = 1.19). Long-term results revealed significant positive effects of character strengths on well-being and work engagement (e.g., perseverance on physicians' work engagement) but also significant negative effects (e.g., appreciation of beauty and excellence on students' well-being). Further, hope was significantly associated both positively with physicians' well-being and negatively with students' work engagement, possibly indicating specific issues concerning medical education or hospital working conditions. According to the modern-day physician's pledge, medical professionals should pay attention to their own well-being and health. Therefore, promoting self-awareness and character building among medical professionals could be a beneficial strategy.
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Affiliation(s)
- Alexandra Huber
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Cornelia Strecker
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Timo Kachel
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
- Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry II, Medical University of Innsbruck, Innsbruck, Austria
| | - Thomas Höge
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Stefan Höfer
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
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13
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Gander F, Gaitzsch I, Ruch W. The Relationships of Team Role- and Character Strengths-Balance With Individual and Team-Level Satisfaction and Performance. Front Psychol 2020; 11:566222. [PMID: 33329199 PMCID: PMC7734085 DOI: 10.3389/fpsyg.2020.566222] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 10/16/2020] [Indexed: 11/24/2022] Open
Abstract
Teamwork has been argued to play an increasingly important role in numerous jobs, and several studies focused on the effects of team composition for work-related outcomes. Recent research has also identified individuals’ character strengths and positive team roles (e.g., idea creator and relationship manager) as conducive to work-related outcomes. However, there is a scarcity of research on the role of character strengths or positive team roles on the level of teams. In the present study, we extend theoretical assumptions of team role theories to the study of character strengths and positive team roles: We examined the associations between character strengths and team roles with work-related outcomes on the individual (i.e., job satisfaction, self- and supervisor-rated performance) and the team level (i.e., teamwork quality, self- and supervisor-rated team performance). Further, we examined how the team composition relates to the outcomes, that is, whether balanced teams (i.e., all team roles or character strengths are represented in the current team) go along with desired outcomes and whether an overrepresentation of team roles or character strengths in a team (i.e., a team role or character strengths is represented by multiple team members) goes along with undesired outcomes. We studied a sample of 42 teams (N = 284 individuals) who completed measures of team roles, character strengths, teamwork quality, job satisfaction, and self-rated individual and team performance. Further, supervisor ratings of individual and team performance were collected. Results corroborated the relationships of team roles and character strengths with individual outcomes such as that specific roles and character strengths go along with individual performance and work satisfaction. Further, the results suggested that teams in which more team roles are represented report higher performance and teamwork quality. Also, teams with higher average levels of the character strengths of teamwork and fairness, and teams with more members scoring high in fairness and prudence report higher teamwork quality. Further, there is no evidence that having too many members with a particular character strength has detrimental effects on teamwork quality, work satisfaction, or performance. We conclude that extending the study of character to the level of teams offers an important advancement.
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Affiliation(s)
- Fabian Gander
- Department of Psychology, University of Zürich, Zurich, Switzerland
| | | | - Willibald Ruch
- Department of Psychology, University of Zürich, Zurich, Switzerland
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14
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Gander F, Hofmann J, Ruch W. Character Strengths: Person-Environment Fit and Relationships With Job and Life Satisfaction. Front Psychol 2020; 11:1582. [PMID: 32793038 PMCID: PMC7390898 DOI: 10.3389/fpsyg.2020.01582] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Accepted: 06/12/2020] [Indexed: 01/07/2023] Open
Abstract
Several studies demonstrated the relevance of character strengths in the workplace. For example, it has been shown that they positively relate to performance and are strong predictors of job satisfaction. Furthermore, it was demonstrated that occupational groups differ in their average levels of character strengths. However, little is known about the effects of the congruence between a person's strengths profile with the average profile within an occupational group (environmental congruence) on well-being. In a nationally representative sample (N = 870) of employed adults, we analyzed data on character strengths (t1), and measures of job and life satisfaction at three different time points (t1-t3; separated by 1 year). We studied (1) whether employees in different occupational groups differ with regard to their levels and configurations of character strengths, (2) how levels and configurations of character strengths relate to concurrent and predictive job and life satisfaction, and (3) whether a fit between strengths of a person and the environment goes along with current and future job and life satisfaction. Results confirmed previous findings that small, but meaningful, differences in character strengths among employees in different occupational groups can be found and that character strengths positively relate to current and prospective job and life satisfaction. Furthermore, results suggested that a better person-environment fit goes along with higher job and life satisfaction. These results suggest character strengths and could play an important role in vocational and career counseling.
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Affiliation(s)
- Fabian Gander
- Department of Psychology, LIVES – Overcoming Vulnerability: Life Course Perspectives, University of Zurich, Zurich, Switzerland
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15
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Strecker C, Huber A, Höge T, Hausler M, Höfer S. Identifying thriving Workplaces in Hospitals: Work Characteristics and the Applicability of Character Strengths at Work. APPLIED RESEARCH IN QUALITY OF LIFE 2020; 15:437-461. [PMID: 32457815 PMCID: PMC7250643 DOI: 10.1007/s11482-018-9693-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2018] [Accepted: 11/28/2018] [Indexed: 05/08/2023]
Abstract
In most of their work settings, the health and well-being of hospital physicians are at risk. Trends of work intensification and changing laws in the European Union and beyond have heightened the call for taking a closer look at the workplace and training conditions of hospital physicians. This study aims to identify specific work characteristics (such as autonomy, social support, cognitive demands, and skill adequacy), in order to determine conditions for the applicability of individual character strengths at work and in turn for increased work engagement and well-being. We examined our hypotheses based on cross-sectional (N = 173) and longitudinal self-report data (N = 72) of hospital physicians in Austria. The results identified significant indirect effects of skill adequacy, cognitive demands, autonomy, and social support at work - via the applicability of individual character strengths at work - on work engagement and general well-being. Longitudinal analyses additionally confirmed autonomy as a thriving work characteristic for promoting the applicability of individual character strengths over time (time lag: 6 months). This study revealed the value of enabling and preserving the applicability of character strengths in a hospital work setting and focused - for the first time - on its predicting work characteristics. Furthermore, it emphasizes the importance of securing skill adequacy early in the training of young physicians and encouraging, as well as, sustaining autonomy in their daily work life.
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Affiliation(s)
- Cornelia Strecker
- Institute of Psychology, University of Innsbruck, Innrain 52, 6020 Innsbruck, Austria
| | - Alexandra Huber
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Thomas Höge
- Institute of Psychology, University of Innsbruck, Innrain 52, 6020 Innsbruck, Austria
| | - Melanie Hausler
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Stefan Höfer
- Institute of Psychology, University of Innsbruck, Innrain 52, 6020 Innsbruck, Austria
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
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16
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Höfer S, Gander F, Höge T, Ruch W. Special Issue: Character Strengths, Well-Being, and Health in Educational and Vocational Settings. APPLIED RESEARCH IN QUALITY OF LIFE 2020; 15:301-306. [PMID: 32457813 PMCID: PMC7250648 DOI: 10.1007/s11482-018-9688-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Stefan Höfer
- Medical University of Innsbruck, Innsbruck, Austria
| | - Fabian Gander
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Thomas Höge
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Willibald Ruch
- Department of Psychology, University of Zurich, Zurich, Switzerland
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17
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Höge T, Strecker C, Hausler M, Huber A, Höfer S. Perceived Socio-moral Climate and the Applicability of Signature Character Strengths at Work: a Study among Hospital Physicians. APPLIED RESEARCH IN QUALITY OF LIFE 2020; 15:463-484. [PMID: 33304415 PMCID: PMC7116458 DOI: 10.1007/s11482-018-9697-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2018] [Accepted: 11/28/2018] [Indexed: 05/23/2023]
Abstract
Previous research demonstrated that the applicability of signature character strengths at work is associated with employee well-being. However, there is a lack of research on possible antecedents of the applicability of signature character strengths in the occupational domain. In this study we examined whether the perceived socio-moral climate of medical departments has a positive impact on the applicability of hospital physicians' signature character strengths and whether it relates to work engagement, hedonic subjective well-being (SWB) and eudaimonic psychological well-being (PWB). Based on cross-sectional data of N = 165 hospital physicians in Austria, we tested mediation models with perceived socio-moral climate as predictor, applicability of signature character strengths as mediator, and work engagement, SWB and PWB as outcomes. Additionally, we collected longitudinal data (time-lag T1-T2: 6 months) from a sub-sample (n = 69) for testing the relationship between the perceived socio-moral climate and the applicability of signature character strengths over time. The cross-sectional results showed indirect effects of the perceived socio-moral climate on work engagement and eudaimonic well-being via the applicability of signature character strengths at work. Results from a cross-lagged panel analysis suggested an impact of socio-moral climate at T1 on the applicability of signature character strengths 6 months later (T2), but also an even stronger reversed effect of the applicability of signature character strengths at T1 on perceived socio-moral climate at T2.
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Affiliation(s)
- Thomas Höge
- Institute of Psychology, University of Innsbruck, Innrain 52, 6020 Innsbruck, Austria
| | - Cornelia Strecker
- Institute of Psychology, University of Innsbruck, Innrain 52, 6020 Innsbruck, Austria
| | - Melanie Hausler
- Institute of Psychology, University of Innsbruck, Innrain 52, 6020 Innsbruck, Austria
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Alexandra Huber
- Institute of Psychology, University of Innsbruck, Innrain 52, 6020 Innsbruck, Austria
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Stefan Höfer
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
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18
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Höfer S, Hausler M, Huber A, Strecker C, Renn D, Höge T. Psychometric Characteristics of the German Values in Action Inventory of Strengths 120-Item Short Form. APPLIED RESEARCH IN QUALITY OF LIFE 2020; 15:597-611. [PMID: 32457816 PMCID: PMC7250639 DOI: 10.1007/s11482-018-9696-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2018] [Accepted: 11/28/2018] [Indexed: 05/08/2023]
Abstract
The original Values in Action Inventory of Strengths (VIA-IS) is an international 240 item validated self-report questionnaire measuring character strengths. A validated and reliable English 120-item short form (VIA-120) is available. However, there is limited information about the psychometric properties of the German VIA-120. This article addresses this gap and reports the reliability, validity and comparability of the German VIA-120 with the German VIA-240 version. Two independent samples were recruited: a general population sample (N = 1073, Sample 1) and a sample consisting of medical students and physicians (N = 685, Sample 2). Internal consistency of the VIA-120-scales ranged from α = .58 (modesty) to α = .87 (spirituality) in Sample 1 and α = .63 (honesty) to α = .90 (spirituality) in Sample 2. Intercorrelations between the scales of the 120-item version and the original 240-Items version (Sample 1) ranged from r = .52 (hope) to r = .89 (prudence). Criterion validity with the Satisfaction with Life Scale (SWLS) and the Brief Inventory of Thriving (BIT) was demonstrated. The comparison of the factor structure between the original and the short form showed a good convergence (Tucker's Phi .93-.99 Sample 1, .95-.98 Sample 2). Overall, the German VIA-120 was reliable, showed good convergence with the German VIA-240 and thus presents a similar level of validity for the assessment of character strengths. This study provides the first indication that the VIA 120 short form is comparable regarding the validity and reliability of the original VIA 240-item version indicating its potential to be used in large scale research studies.
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Affiliation(s)
- Stefan Höfer
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Melanie Hausler
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Alexandra Huber
- Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria
| | - Cornelia Strecker
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | | | - Thomas Höge
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
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Kachel T, Huber A, Strecker C, Höge T, Höfer S. Development of Cynicism in Medical Students: Exploring the Role of Signature Character Strengths and Well-Being. Front Psychol 2020; 11:328. [PMID: 32174874 PMCID: PMC7056910 DOI: 10.3389/fpsyg.2020.00328] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Accepted: 02/11/2020] [Indexed: 12/30/2022] Open
Abstract
Reports of medical students experiencing burnout-related symptoms (e.g., cynicism) have increased in recent years. Little is known about the developmental process of this phenomenon and its relations with signature character strengths and well-being. The aim of this longitudinal analysis was to explore changes in the level of cynicism of medical students while in preclinical education. We further examined how the applicability of signature character strengths and well-being are related to this developmental process. Medical students (N = 99) participated in three online surveys over 3 years during medical school. Latent growth modeling, latent class growth modeling, general mixed modeling was conducted, and post hoc mixed ANOVA, Friedman test and Welch test analyses were examined. The results showed an increase in cynicism among medical students from first to last measurement. Two groups with distinct developmental trajectory patterns of cynicism were identified. Students with high levels of cynicism (high-level group) and students with changing levels of cynicism (increasing group) perceived higher applicability of signature character strengths in private life compared to the study context. Moreover, the high-level group experienced significantly lower psychological well-being (in particular mastery, optimism, and relationship) in their first year of medical education. This explorative study offers a comprehensive understanding of cynicism development in medical students during medical school and its relations to the applicability of signature character strengths and well-being. Prospective replication studies are needed to replicate the results obtained in this study.
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Affiliation(s)
- Timo Kachel
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Alexandra Huber
- Department of Medical Psychology, Medical University Innsbruck, Innsbruck, Austria
| | - Cornelia Strecker
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Thomas Höge
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Stefan Höfer
- Department of Medical Psychology, Medical University Innsbruck, Innsbruck, Austria
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