1
|
Lee J, Kwon HJ, Park SY, Jung JH. Importance of multimodal resident education curriculum for general surgeons: perspectives of trainers and trainees. BMC MEDICAL EDUCATION 2024; 24:518. [PMID: 38730375 PMCID: PMC11088119 DOI: 10.1186/s12909-024-05515-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 05/03/2024] [Indexed: 05/12/2024]
Abstract
PURPOSE Satisfaction should be prioritized to maximize the value of education for trainees. This study was conducted with professors, fellows, and surgical residents in the Department of general surgery (GS) to evaluate the importance of various educational modules to surgical residents. METHODS A questionnaire was administered to professors (n = 28), fellows (n = 8), and surgical residents (n = 14), and the responses of the three groups were compared. Four different categories of educational curricula were considered: instructor-led training, clinical education, self-paced learning, and hands-on training. RESULTS The majority of surgeons regarded attending scrubs as the most important educational module in the training of surgical residents. However, while professors identified assisting operators by participating in surgery as the most important, residents assessed the laparoscopic training module with animal models as the most beneficial. CONCLUSIONS The best educational training course for surgical residents was hands-on training, which would provide them with several opportunities to operate and perform surgical procedures themselves.
Collapse
Affiliation(s)
- Jeeyeon Lee
- Department of Surgery, Kyungpook National University Chilgok Hospital, Hoguk-Ro 807, Buk-Gu, 41404, Daegu, Republic of Korea
| | - Hyung Jun Kwon
- Department of Surgery, Kyungpook National University Chilgok Hospital, Hoguk-Ro 807, Buk-Gu, 41404, Daegu, Republic of Korea
| | - Soo Yeon Park
- Department of Surgery, Kyungpook National University Chilgok Hospital, Hoguk-Ro 807, Buk-Gu, 41404, Daegu, Republic of Korea
| | - Jin Hyang Jung
- Department of Surgery, Kyungpook National University Chilgok Hospital, Hoguk-Ro 807, Buk-Gu, 41404, Daegu, Republic of Korea.
| |
Collapse
|
2
|
Li J, Ao L, Pan J. Satisfaction with clinical pathway implementation versus job performance of clinicians: empirical evidence on the mediating role of work engagement from public hospitals in Sichuan, China. BMC Health Serv Res 2024; 24:348. [PMID: 38493290 PMCID: PMC10943885 DOI: 10.1186/s12913-024-10856-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 03/12/2024] [Indexed: 03/18/2024] Open
Abstract
BACKGROUND The job performance of clinicians is a clear indicator of both hospital capacity and the level of hospital service. It plays a crucial role in maintaining the effectiveness and quality of medical care. Clinical pathways are a systematic method of quality improvement successfully recommended by broader healthcare systems. Since clinicians play a key role in implementing clinical pathways in public hospitals, this study aims to investigate the effect of the satisfaction of clinicians in public hospitals with clinical pathway implementation on their job performance. METHODS A cross-sectional study design was used. Questionnaires were administered online. A total of 794 clinicians completed the questionnaires in seven tertiary public hospitals in Sichuan Province, China, of which 723 were valid for analysis. Questionnaires contained questions on social demographic characteristics, satisfaction with clinical pathway implementation, work engagement, and job performance. Structural Equation Model (SEM) was used to test the hypotheses. RESULTS The satisfaction of clinicians in public hospitals with clinical pathway implementation was significantly positively correlated with work engagement (r = 0.570, P < 0.01) and job performance (r = 0.522, P < 0.01). A strong indirect effect of clinicians' satisfaction with clinical pathway implementation on job performance mediated by work engagement was observed, and the value of this effect was 0.383 (boot 95%CI [0.323, 0.448]). CONCLUSION The satisfaction of clinicians in public hospitals with clinical pathway implementation not only directly influences their job performance, but also indirectly affects it through the mediating variable of work engagement. Therefore, managers of public hospitals need to pay close attention to clinicians' evaluation and perception of the clinical pathway implementation. This entails taking adequate measures, such as providing strong organizational support and creating a favorable environment for the clinical pathway implementation. Additionally, focusing on teamwork to increase clinicians' satisfaction can further enhance job performance. Furthermore, managers should give higher priority to increasing employees' work engagement to improve clinicians' job performance.
Collapse
Affiliation(s)
- Junlong Li
- HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
- Sichuan Vocational College of Health and Rehabilitation, Zigong, China
| | - Lu Ao
- HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Jay Pan
- HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
| |
Collapse
|
3
|
Colin-Chevalier R, Dutheil F, Benson AC, Dewavrin S, Cornet T, Lambert C, Pereira B. Stress and job satisfaction over time, the influence of the managerial position: A bivariate longitudinal modelling of Wittyfit data. PLoS One 2024; 19:e0298126. [PMID: 38437204 PMCID: PMC10911592 DOI: 10.1371/journal.pone.0298126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 01/19/2024] [Indexed: 03/06/2024] Open
Abstract
BACKGROUND The managerial position affects stress and job satisfaction of workers, but these influences have always been studied separately. OBJECTIVE We aimed to assess bivariate influence of the managerial position on workers' stress and job satisfaction and the inter-relationship of these indicators over time. METHODS We have analyzed data from workers who use the Wittyfit software, collected annually between 2018 and 2021. Stress and job satisfaction were evaluated by self-report questionnaires. Job position (manager or employee) was provided by the software's client companies. RESULTS Data of 704 workers were included in the study. Cross-sectional and longitudinal multivariate analyses revealed that managerial position improves job satisfaction (p<0.001), but not stress (p = 0.4). Overall, while workers' job satisfaction has improved (p<0.001), stress has remained stable over time (p = 0.3). Three latent groups, with specific evolutionary multi-trajectory of stress and job satisfaction were identified in the sample (entropy = 0.80). Age and seniority, but not gender tended to influence managers' and employees' indicators. Over time, stress and job satisfaction have tended to negatively interconnect, in cross-section and in a cross-lagged manner (p<0.001). CONCLUSIONS The managerial position improves workers' job satisfaction but has no effect on stress. Sociodemographics including age and seniority, but not gender, can affect this relationship. Stress and job satisfaction can influence each other, both cross-sectionally and over time. To be more effective, organizations should implement holistic strategies targeting multiple indicators. TRIAL REGISTRATION Clinicaltrials.gov: NCT02596737.
Collapse
Affiliation(s)
- Rémi Colin-Chevalier
- Université Clermont Auvergne, CNRS, LaPSCo, CHU Clermont-Ferrand, Cegid, Clermont-Ferrand, France
| | - Frédéric Dutheil
- Université Clermont Auvergne, CNRS, LaPSCo, CHU Clermont-Ferrand, Cegid, Clermont-Ferrand, France
| | - Amanda Clare Benson
- Sport Innovation Research Group, Department of Health and Biostatistics, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | | | | | - Céline Lambert
- Biostatistics Unit, DRCI, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Bruno Pereira
- Biostatistics Unit, DRCI, CHU Clermont-Ferrand, Clermont-Ferrand, France
| |
Collapse
|
4
|
Zhu Y, Wang Z, Zhong Y, Duan X, Qu B. The mediating role of work-related perceptions in the relationship between empathy and self-perceived clinical performance of residents in China: A multi-center cross-sectional study. PATIENT EDUCATION AND COUNSELING 2024; 119:108089. [PMID: 38008646 DOI: 10.1016/j.pec.2023.108089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 11/07/2023] [Accepted: 11/20/2023] [Indexed: 11/28/2023]
Abstract
OBJECTIVE This study aimed to describe the association between empathy and residents' clinical performance and investigate whether work-related perception mediates this relationship. METHODS A multi-center cross-sectional study was conducted, including 1160 residents from 10 cities in Liaoning Province between March and October 2020. The participants completed various self-reported questionnaires regarding demographic characteristics, work-related perceptions, self-perceived clinical performance, and empathy. The relationships among empathy, work-related perception, and self-perceived clinical performance were examined using a structural equation model (SEM). RESULTS Of the 1160 residents, 961 (82.8 %) completed the questionnaires. The SEM path analysis showed that the direct effect of empathy on self-perceived clinical performance was significant and positive (β = 0.34, P < 0.001). There existed significant effects of empathy on work-related perception (β = 0.26, P < 0.001) and work-related perception on performance (β = 0.31, P < 0.001). The path coefficients of empathy concerning self-perceived clinical performance decreased significantly (β = 0.26, P < 0.001) when work-related perception was modeled as a mediator. The bias-corrected and accelerated bootstrap test revealed that work-related perception significantly mediated the relationship between empathy and self-perceived clinical performance (a*b = 0.08, BCa 95 % CI: 0.05-0.13). However, the correlation between the sub-scales of empathy and the items of self-perceived clinical performance was not substantial, even if most of them were statistically significant. The final SEM produced a good fit to the sample data, with CMIN/DF = 2.07 (P < 0.001), CFI = 0.99, GFI = 0.99, AGFI = 0.98, TLI = 0.98, NFI = 0.97, RMSEA (90 % CI) = 0.033 (0.017, 0.049), and SRMR = 0.024. CONCLUSION Empathy might significantly affect self-perceived clinical performance both directly and indirectly through the mediating role of work-related perception. PRACTICE IMPLICATIONS Efforts to improve clinical performance among residents might benefit from interventions for cultivating empathy and practices for improving work-related perceptions of residents.
Collapse
Affiliation(s)
- Yaxin Zhu
- Institute for International Health Professions Education and Research, China Medical University, Shenyang 110122, PR China
| | - Ziqi Wang
- Institute for International Health Professions Education and Research, China Medical University, Shenyang 110122, PR China
| | - Yifan Zhong
- Department of Ophthalmology, The First Hospital of China Medical University, Shenyang 110000, PR China
| | - Xiyu Duan
- Institute for International Health Professions Education and Research, China Medical University, Shenyang 110122, PR China
| | - Bo Qu
- Institute for International Health Professions Education and Research, China Medical University, Shenyang 110122, PR China.
| |
Collapse
|
5
|
Colin-Chevalier R, Pereira B, Dewavrin S, Cornet T, Zak M, Benson AC, Dutheil F. The Managerial Role and Psychosocial Factors of Job Satisfaction: A Cross-sectional Study Among Wittyfit's Users. J Occup Environ Med 2024; 66:e61-e67. [PMID: 38013387 DOI: 10.1097/jom.0000000000003017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
OBJECTIVE Job satisfaction is an emerging indicator for measuring workers' occupational well-being; however, this has been poorly studied in managers. We aimed to explore job satisfaction between managers and employees and assess its factors. METHODS Data from Wittyfit's users were collected between January 2018 and February 2020. Volunteers anonymously provided their sociodemographic profile, their sense of job satisfaction, and their psychosocial feelings (ambiance, meaning, organization, recognition, values, work-life balance). RESULTS Data of 10,484 employees and 836 managers were collected. Job satisfaction was higher in managers than employees. All psychosocial factors had an impact on job satisfaction in workers. There was a higher prevalence of satisfied managers than employees. Managerial position and other sociodemographic variables influenced this prevalence. CONCLUSIONS Managers seem to be more satisfied than employees. Psychosocial and sociodemographic factors can influence workers' job satisfaction.
Collapse
Affiliation(s)
- Rémi Colin-Chevalier
- From the Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Preventive and Occupational Medicine, Cegid, Clermont-Ferrand, France (R.C.-C., F.D.); CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Biostatistics Unit, the Clinical Research and Innovation Direction, Clermont-Ferrand, France (E.P.); Cegid, Lyon, France (S.D., T.C.); Institute of Health Sciences, Collegium Medicum, The Jan Kochanowski University of Kielce, Kielce, Poland (M.Z.); and Swinburne University of Technology, Department of Health and Biostatistics, Hawthorn, Australia (A.C.B.)
| | | | | | | | | | | | | |
Collapse
|
6
|
Tu Z, He J, Wang Z, Song M, Tian J, Wang C, Ba J, Shen X. Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese military personnel. Front Psychol 2023; 14:1163382. [PMID: 37599761 PMCID: PMC10437071 DOI: 10.3389/fpsyg.2023.1163382] [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: 02/10/2023] [Accepted: 05/26/2023] [Indexed: 08/22/2023] Open
Abstract
Background The 10-item Connor-Davidson Resilience Scale (CD-RISC-10) is a widely used assessment of resilience. However, psychometric properties of the Chinese version of CD-RISC-10 have not been well investigated in a Chinese military personnel sample. Methods A total of 3,129 Chinese military personnel completed the CD-RISC-10, Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS). Among them, 528 recruits completed the CD-RISC-10, SAS, and SDS again after 3-month basic military training (BMT). Meanwhile, the commanding officers were asked to rate recruits' training performance on the training performance rating scale for recruits (TPRS). Confirmatory factor analysis (CFA) was implemented to examine the single-factor model of the CD-RISC-10, and multigroup CFA was conducted to test measurement invariance across military rank (officers vs. enlisted), gender (male vs. female), and time (before and after 3-month BMT). Internal consistency was evaluated using Cronbach's α and McDonald's ω, and test-retest reliability was tested using the intra-class correlation coefficient (ICC). The criterion-related validity of CD-RISC was evaluated using Pearson's correlation analysis between the CD-RISC-10 total score and SAS scores, SDS scores, and training performance ratings. Results The single-factor model of the CD-RISC-10 showed adequate fit (CFI = 0.955-0.970, TLI = 0.943-0.962, RMSEA = 0.059-0.072) in all examined subsamples (male, female, officer, and enlisted), and strict invariance was also supported across military rank, gender, and time (ΔCFI ≤ 0.001, ΔTLI ≤ 0.005, ΔRMSEA ≤ 0.006). The CD-RISC-10 showed good internal consistency in all subsamples (Cronbach's α of > 0.93 and McDonald's ω of > 0.93) and good test-retest reliability (ICC = 0.88). Moreover, concurrent and predictive validity with the SAS and SDS scores were good (r = -0.68 to -0.49, p < 0.001). The resilience level of recruits at the beginning of BMT was significantly associated with training performance rated by supervisors after training (r = 0.29, p < 0.001). Conclusion The psychometric evidence reported in this study suggests that the CD-RISC-10 is a reliable and valid assessment of resilience and a potential predictor for mental health and military performance in Chinese military personnel.
Collapse
Affiliation(s)
- Zhihao Tu
- Navy Special Medical Center, Naval Medical University, Shanghai, China
- Qingdao Special Servicemen Recuperation Center of PLA Navy, Qingdao, Shandong, China
| | - Jingwen He
- Department of Medical Psychology, No. 96110 Hospital, Yinchuan, Ningxia, China
- Second Military Medical University, Shanghai, China
| | - Ziying Wang
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Mingfang Song
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Jianquan Tian
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Chuan Wang
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Jianbo Ba
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| | - Xinghua Shen
- Navy Special Medical Center, Naval Medical University, Shanghai, China
| |
Collapse
|
7
|
Shahrbabaki PM, Abolghaseminejad P, Lari LA, Zeidabadinejad S, Dehghan M. The relationship between nurses' psychological resilience and job satisfaction during the COVID-19 pandemic: a descriptive-analytical cross-sectional study in Iran. BMC Nurs 2023; 22:137. [PMID: 37098504 PMCID: PMC10126562 DOI: 10.1186/s12912-023-01310-z] [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: 01/22/2023] [Accepted: 04/17/2023] [Indexed: 04/27/2023] Open
Abstract
BACKGROUND Job satisfaction and factors affecting them are among the most important social issues. Resilience has a moderating role in the relationship between stress and diseases, so it can affect a person's job satisfaction because it enables a person to deal with adverse conditions. This study aimed to investigate the relationship between nurses' psychological resilience and job satisfaction during the COVID-19 outbreak. METHODS This descriptive-analytical cross-sectional study (2022) used convenience sampling to select 300 nurses. The Connor and Davidson Resilience Scale and Minnesota Satisfaction Questionnaire were used to collect data. The data were then analyzed with SPSS 22 and statistical methods (Independent t-test, Analysis of Variance, Pearson correlation coefficient, and Multiple linear regression). RESULTS The study results showed a positive and poor relationship between resilience, some of its dimensions (trust in individual instincts, tolerance of negative affect (p = 0.006), positive acceptance of change and secure relationships (p = 0.01), spiritual influences (p = 0.04)) and job satisfaction (p < 0.001). In other words, nurses' high level of resilience increased their job satisfaction and vice versa. CONCLUSIONS Enhancing the resilience of frontline nurses during the COVID-19 pandemic improved their job satisfaction and affected care provided by them. Nurse managers can control nurses' resilience and offer interventions that would strengthen it, especially at crises.
Collapse
Affiliation(s)
| | | | - Leyla Ahmadi Lari
- Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran
| | | | - Mahlagha Dehghan
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
8
|
Shi C, Luo JM, Xiao Y. The association of sleep quality and burnout among Chinese medical residents under standardized residency training in a tertiary hospital. Sleep Breath 2023; 27:379-386. [PMID: 35460049 PMCID: PMC9033310 DOI: 10.1007/s11325-022-02621-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 03/22/2022] [Accepted: 04/15/2022] [Indexed: 12/01/2022]
Abstract
PURPOSE To investigate the impact of sleep quality and chronotype on job burnout among medical residents under standardized residency training (SRT) in a tertiary hospital in Beijing, China. METHODS Medical residents in the Department of Internal Medicine of Peking Union Medical College Hospital were assessed by Morning and Evening Questionaire-5 (MEQ-5), Pittsburgh sleep quality index (PSQI), and Maslach Burnout Inventory-General Survey (MBI-GS). Factors associated with burnout were analyzed. RESULTS A total of 142 respondents returned completed questionnaires. Burnout was present in 85 (60%) residents. Prevalence of high emotional exhaustion, high depersonalization, and low personal accomplishment were 51%, 28%, and 18%, respectively. The global PSQI score of residents was 5.9 ± 2.4, and the self-reported sleep duration was 6.2 ± 0.8 h/day. The MEQ-5 distribution skewed towards morningness, with a median score of 14.5 [13.0, 16.3]. Poor daytime function significantly predicted emotional exhaustion and depersonalization. Chronotypes were not associated with any of the burnout components. CONCLUSION Sleep-related daytime dysfunction was strongly related to burnout. Strategies protecting the sleep of residents should be incorporated into the SRT programs for both efficiency and sustainability considerations.
Collapse
Affiliation(s)
- Chuan Shi
- Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science (CAMS) and Peking Union Medical College (PUMC), Beijing, 100730, China
| | - Jin-Mei Luo
- Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science (CAMS) and Peking Union Medical College (PUMC), Beijing, 100730, China.
| | - Yi Xiao
- Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science (CAMS) and Peking Union Medical College (PUMC), Beijing, 100730, China
| |
Collapse
|
9
|
Albalá-Genol J, Díaz-Fúnez PA, Mañas-Rodríguez MÁ. Resilience and Job Satisfaction: Effect of Moderated Mediation on the Influence of interpersonal Justice on the Performance of Public Servants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2957. [PMID: 36833650 PMCID: PMC9958533 DOI: 10.3390/ijerph20042957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/31/2023] [Accepted: 02/01/2023] [Indexed: 06/18/2023]
Abstract
The perception of interpersonal justice is one of the key resources for improving employees' performance intention. Elements such as employees' level of satisfaction or their self-perception of their ability to cope with problematic situations are key factors in this relationship according to the job demands-resources model. The objective of this study was to analyze how the perception of job satisfaction and the self-perception of resilience influence how interpersonal justice affects employee performance. A total of 315 public sector employees, who perform administrative and customer service tasks, have contributed to this study. The results show that the relationship between interpersonal justice and intra-role performance is completely mediated by job satisfaction; however, when we include the modulating effect of resilience between interpersonal justice and job satisfaction, the influence of the former is reduced as the self-perception of resilience. This indicates that the positive effects of justice are reduced as workers' self-perception of resilience increases.
Collapse
|
10
|
Wang AQ, Tang CH, Song J, Fan CX, Wang WC, Chen ZM, Yin WQ. Association of individual resilience with organizational resilience, perceived social support, and job performance among healthcare professionals in township health centers of China during the COVID-19 pandemic. Front Psychol 2022; 13:1061851. [PMID: 36524161 PMCID: PMC9744941 DOI: 10.3389/fpsyg.2022.1061851] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 11/08/2022] [Indexed: 04/03/2024] Open
Abstract
BACKGROUND Primary healthcare professionals were overworked and psychologically overwhelmed during the COVID-19 pandemic. Resilience is an important shield for individuals to cope with psychological stress and improve performance in crises. This study aims to explore the association of individual resilience with organizational resilience, perceived social support and job performance among healthcare professionals in township health centers of China during the COVID-19 pandemic. METHODS Data from 1,266 questionnaires were collected through a cross-sectional survey conducted in December 2021 in Shandong Province, China. Descriptive analysis of individual resilience, organizational resilience, perceived social support, and job performance was conducted. Pearson correlation analysis was used to examine the correlations among these variables, and structural equation modeling was performed to verify the relationships between these variables. RESULTS The score of individual resilience was 101.67 ± 14.29, ranging from 24 to 120. Organizational resilience (β = 0.409, p < 0.01) and perceived social support (β = 0.410, p < 0.01) had significant direct effects on individual resilience. Individual resilience (β = 0.709, p < 0.01) had a significant direct effect on job performance. Organizational resilience (β = 0.290, p < 0.01) and perceived social support (β = 0.291, p < 0.01) had significant indirect effects on job performance. CONCLUSION During the COVID-19 pandemic, the individual resilience of healthcare professionals in township health centers was at a moderate level. Organizational resilience and perceived social support positively affected individual resilience, and individual resilience positively affected job performance. Furthermore, individual resilience mediated the effect of organizational resilience and perceived social support on job performance. It is recommended that multiple stakeholders work together to improve the individual resilience of primary healthcare professionals.
Collapse
Affiliation(s)
- An-Qi Wang
- School of Public Health, Weifang Medical University, Weifang, Shandong, China
| | - Chang-Hai Tang
- School of Public Affairs, Zhejiang University, Hangzhou, Zhejiang, China
- School of Business, NingboTech University, Ningbo, Zhejiang, China
| | - Jia Song
- School of Management, Weifang Medical University, Weifang, Shandong, China
| | - Cheng-Xin Fan
- School of Management, Weifang Medical University, Weifang, Shandong, China
| | - Wan-Chen Wang
- School of Public Health, Weifang Medical University, Weifang, Shandong, China
| | - Zhong-Ming Chen
- School of Management, Weifang Medical University, Weifang, Shandong, China
| | - Wen-Qiang Yin
- School of Management, Weifang Medical University, Weifang, Shandong, China
| |
Collapse
|
11
|
Wang X, Li C, Chen Y, Zheng C, Zhang F, Huang Y, Birch S. Relationships between job satisfaction, organizational commitment, burnout and job performance of healthcare professionals in a district-level health care system of Shenzhen, China. Front Psychol 2022; 13:992258. [PMID: 36518969 PMCID: PMC9742526 DOI: 10.3389/fpsyg.2022.992258] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 11/08/2022] [Indexed: 05/05/2024] Open
Abstract
BACKGROUND Existing research indicates that job satisfaction has effects on job performance, but little evidence exists about the mechanism through which the satisfaction-performance association operates. This study aims to examine the effect of job satisfaction on job performance in a district-level health care system of China and to explore the effect mechanism mediated by organizational commitment and burnout. METHODS Cluster sampling was used in this study. All healthcare professionals in the Nanshan Medical Group, who were at work in the last 3 months and able to complete online questionnaire independently were invited to participate the anonymous online survey. Job satisfaction, organizational commitment, burnout and job performance were measured by tools, which have been validated in China. Descriptive statistics were used for the socio-demographic variables and the four job psychological variables. Pearson correlation coefficients was used to determine associations among each of the psychological variables. Linear regression was used to examine association between job performance and other three psychological variables. PROCESS macro was used to examine the mediation effects of organizational commitment and burnout on the association between job satisfaction and performance. RESULTS In total, 1,200 healthcare professionals completed the anonymous online survey. Job satisfaction, organizational commitment, and job performance were positively correlated with one another, with burnout negatively correlated with them. Linear regression revealed that demographic characteristics, job satisfaction, organizational commitment, and burnout explained 5, 6, 2, and 9% of the variance in job performance. Path analysis showed that the coefficient of the direct effect of job satisfaction on job performance was 0.18, the coefficients of the indirect effects of job satisfaction on job performance through organizational commitment and burnout were 0.17 and 0.37, respectively. The coefficients of the indirect effects of organizational commitment on job performance through burnout was -0.04, but it was not significant. CONCLUSION It is promising to improve job performance of providers in Chinese healthcare systems by improving job satisfaction and reducing burnout. Tailored support policies for female healthcare professionals, appropriate incentive mechanisms and improving multidisciplinary healthcare delivery are potential to improve job performance of healthcare professionals in integrated healthcare systems.
Collapse
Affiliation(s)
- Xin Wang
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Chaofan Li
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | | | - Caiyun Zheng
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Fei Zhang
- Shenzhen Nanshan Medical Group, Shenzhen, China
| | - Yixiang Huang
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Stephen Birch
- Centre for the Business and Economics of Health, The University of Queensland, Brisbane, QLD, Australia
| |
Collapse
|
12
|
Kuşcu Karatepe H, Tiryaki Şen H, Türkmen E. Predicting work performance and life satisfaction of nurses and physicians: The mediating role of social capital on self-efficacy and psychological resilience. Perspect Psychiatr Care 2022; 58:2542-2551. [PMID: 35430728 DOI: 10.1111/ppc.13092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 04/02/2022] [Accepted: 04/02/2022] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To examine the mediating role of social capital in the effects of self-efficacy and psychological resilience on nurses' and physicians' work performance and life satisfaction. DESIGN AND METHODS In this cross-sectional study, data were collected using an online questionnaire. FINDINGS Social capital had 0.04 indirect effects of general self-efficacy and psychological resilience on work performance, and accounted for 48% and 35% of the total effect, respectively. Social capital had 0.11 and 0.07 indirect effects of general self-efficacy and psychological resilience on life satisfaction, and accounted for 16% and 19% of the total effect, respectively. PRACTICE IMPLICATIONS The study suggests the existence of social capital when nurses' and physicians' self-efficacy and psychological resilience affect their work performance and life satisfaction.
Collapse
Affiliation(s)
- Hilal Kuşcu Karatepe
- Nursing Department Faculty of Health Sciences, Osmaniye Korkut Ata University, Osmaniye, Turkey
| | - Hanife Tiryaki Şen
- Health Services Presidency, Istanbul Provincial Health Directorate, Istanbul, Turkey
| | - Emine Türkmen
- Nursing Department Faculty of Health Sciences, Istinye University, Istanbul, Turkey
| |
Collapse
|
13
|
Bernuzzi C, Sommovigo V, Setti I. The role of resilience in the work-life interface: A systematic review. Work 2022; 73:1147-1165. [DOI: 10.3233/wor-205023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: In an increasingly competitive marketplace, workers struggle to find a good balance between work and personal life. Difficulties in fulfilling the demands arising from these different domains may undermine employees’ well-being and job-related outcomes, thereby, impairing organizational productivity. OBJECTIVE: Does resilience play a relevant role in relation to work-life interface? And, if so, how is resilience related to its three facets (i.e., work-life conflict, enrichment, and balance)? To answer these questions, the current paper systematically reviews studies analysing the role of resilience in the work-life interface. METHODS: A key terms literature search was performed using multiple electronic databases (i.e., Scopus, PsycINFO, Web of Science, PubMed) without setting any publication date limitation. The review process followed the international PRISMA statement guidelines. A quality assessment was conducted using the Mixed Methods Appraisal Tool. RESULTS: A total of 26 eligible papers published between 2009 and 2020 were included. Among these, 6 employed a qualitative design, while 20 studies adopted a quantitative design mostly examining resilience as antecedent. Data were predominantly collected in the healthcare sector. Resilience was mainly analysed in relation to work-life conflict. The most commonly used theoretical framework was Conservation of Resources theory. CONCLUSIONS: Overall, resilience was negatively associated with work-life conflict and positively related to both work-life balance and enrichment. A positive work-life balance can promote resilience, but resilience can also help workers to balance work and life. Additionally, resilience can protect from the negative effects of both work-life imbalance and work-life conflict on workers’ health and job-related outcomes.
Collapse
Affiliation(s)
- Chiara Bernuzzi
- Department of Brain and Behavioural Sciences, University of Pavia, Unit of Applied Psychology, Pavia, Italy
| | - Valentina Sommovigo
- Department of Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - Ilaria Setti
- Department of Brain and Behavioural Sciences, University of Pavia, Unit of Applied Psychology, Pavia, Italy
| |
Collapse
|
14
|
Mantas‐Jiménez S, Lluch‐Canut MT, Roldán‐Merino J, Reig‐Garcia G, Juvinyà‐Canal D. Resilience and job satisfaction among out-of-hospital emergency medical service professionals: A cross-sectional multi-centric study. J Nurs Manag 2022; 30:2084-2092. [PMID: 35478423 PMCID: PMC9796465 DOI: 10.1111/jonm.13645] [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: 06/22/2021] [Revised: 03/29/2022] [Accepted: 04/25/2022] [Indexed: 02/03/2023]
Abstract
AIM We aim to describe the relationship between job satisfaction and compare levels of resilience among out-of-hospital emergency medical service professionals. BACKGROUND The study of the impact of the working environment on health professionals has raised great interest. Job-related variables and resilience can be a protective factor against stressful and demanding events at work. METHODS A cross-sectional survey comprising sociodemographic and job-related variables was conducted among 406 workers (doctors, nurses, psychologists, and ambulance technicians) from the out-of-hospital emergency medical system in Spain. Resilience was self-reported using the Connor-Davidson Resilience Scale. RESULTS Nursing professionals were less resilient compared with ambulance technicians (score difference 1.709, p = .008). As age increased, resilience was lower (r = -.118). Professionals with higher resilience scores were more satisfied in their work (OR = 1.06, 95% CI: 1.02-1.11), and professionals with higher psychological strength, gained from working with other colleagues, also showed greater job satisfaction (OR = 5.47, 95% CI: 2.55-11.73). CONCLUSION There was a positive association between resilience, job satisfaction and collaborative work. Professionals with greater psychological strength, gained from working with other colleagues, also showed higher levels of job satisfaction. IMPLICATIONS FOR NURSING MANAGEMENT Managers can use these results to influence the work environment to enhance job satisfaction and hence improve the resilience of the out-of-hospital emergency health care professionals.
Collapse
Affiliation(s)
| | - Maria Teresa Lluch‐Canut
- Department of Psychosocial and Mental Health, School of Nursing, Faculty of Medicine and Health SciencesUniversity of BarcelonaBarcelonaSpain,Research Group GEIMAC (Consolidated Group 2014‐1139: Group of Studies of Invarianza of the Instruments of Measurement and Analysis of Change in the Social and Health Areas) (Barcelona), Research Group GIRISAME (International Researchers Group of Mental Health Nursing Care)MadridSpain
| | - Juan Roldán‐Merino
- Research Group GEIMAC (Group Consolidat 2014‐1139: Grupo de Estudios de Invarianza de los Instrumentos de Medida y Análisis del Cambio en los Ámbitos Social y de la Salud)BarcelonaSpain,Research Group GIRISAME (International Researchers Group of Mental Health Nursing Care)BarcelonaSpain,Campus Docent Sant Joan de Déu‐Fundació Privada, School of NursingUniversity of BarcelonaBarcelonaSpain
| | | | - Dolors Juvinyà‐Canal
- University of Girona (Girona)GironaSpain,Department of Health PromotionUniversity of Girona (Girona)GironaSpain
| |
Collapse
|
15
|
The relationship between emotional intelligence, transformational leadership, and performance: a test of the mediating role of job satisfaction. LEADERSHIP & ORGANIZATION DEVELOPMENT JOURNAL 2022. [DOI: 10.1108/lodj-10-2021-0486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThis paper examines the effect of job satisfaction on job performance among physicians in Iraq's public hospitals. It also determines the mediating role of job satisfaction on the relationship between emotional intelligence and job performance. It further unveils the mediating role of job satisfaction on the nexus between transformational leadership and job performance. As physicians form the bulk of health-care professionals, their performance at work is crucial in determining patient satisfaction regarding care quality.Design/methodology/approachA quantitative approach with structural equation modelling via partial least squares (PLS-SEM) and bootstrapping estimation was used to test the hypotheses developed. A total of 157 responses were utilized in the data analysis.FindingsEvidence from the study indicates that job satisfaction has a positive relationship with job performance. The study also provides evidence that job satisfaction plays a positive mediating role in the relationship between emotional intelligence and job performance. Similarly, job satisfaction has a positive mediating effect on the nexus between transformational leadership and job performance among physicians in Iraq's public hospitals.Originality/valueTo the best of the authors' knowledge, this is the first study to investigate the relationship between physician job satisfaction and job performance in Iraqi public hospitals. Studies using Eastern samples are scarce, so the findings of this study will add to the body of knowledge from a cross-cultural standpoint.
Collapse
|
16
|
Lou J, Wang G, Jiang M, Xu G. Application Effect of the 6S Care Model in Sterilization in the Department of Stomatology and Its Impact on the Incidence of Nosocomial Infection. Emerg Med Int 2022; 2022:4266087. [PMID: 35899143 PMCID: PMC9313925 DOI: 10.1155/2022/4266087] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Accepted: 06/21/2022] [Indexed: 11/18/2022] Open
Abstract
Objective The study aimed to explore the effectiveness of the 6S care model in sterilization in department of stomatology and its impact on the incidence of nosocomial infections. Methods The infection surveillance indicators of the department of stomatology implementing the routine sterilization care model in 2019 were selected as the general group (including 140 patients and 140 cases of oral instrument kits for unpacking), and the infection surveillance indicators of the department of stomatology implementing the 6S care model in 2020 were selected as the 6S group (including 140 patients and 140 cases of oral instrument kits for unpacking). Analysis of the air culture qualification rate of the consultation room + operating room, medical equipment sterilization qualification rate, medical equipment damage rate, incidence of nosocomial infections, satisfaction of medical and nursing staff with instrument sterilization, and patient satisfaction with medical and nursing staff care services under different care models was carried out. Result The air culture pass rate of the consultation room + operating room in the 6S group was 96.43% (135/140), which was higher than 90.00% (126/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The sterilization pass rate of medical devices in the 6S group was 100% (140/140), which was higher than 95.71% (134/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The medical device damage rate in the 6S group was 0.71% (1/140), which was lower than 7.14% (10/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The incidence of nosocomial infection in the 6S group was 0.71% (1/140), lower than 5.71% (8/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). In the 6S care model, the satisfaction score of 38 healthcare workers with the disinfection of instruments was (96.55 ± 2.40), which was higher than that of the general group (87.79 ± 3.14), and the difference between the two groups was statistically significant (P > 0.05). The total nursing satisfaction of the 6S group was 97.86% (137/140), which was higher than 91.43% (128/140) of the general group, and the difference between the two groups was statistically significant (P > 0.05). Conclusion The application of the 6S care model in the sterilization of the department of stomatology can significantly improve the passing rate of infection monitoring indicators in the department of stomatology, reduce the occurrence of medical device damage and nosocomial infection, and have high satisfaction among doctors and patients, which has the value of promotion.
Collapse
Affiliation(s)
- Jing Lou
- Department of Stomatology, Affiliated Zhejiang Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310013, China
| | - Guiqin Wang
- Department of Stomatology, Affiliated Zhejiang Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310013, China
| | - Man Jiang
- Department of Stomatology, Affiliated Zhejiang Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310013, China
| | - Guochao Xu
- Department of Stomatology, Affiliated Zhejiang Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310013, China
| |
Collapse
|
17
|
Yan Z, Bai N, Mansor ZD, Choo WC. Effects of Psychological Capital and Person-Job Fit on Hospitality Employees' Work-Family Conflict, Family-Work Conflict and Job Performance: The Moderating Role of Marital Status. Front Psychol 2022; 13:868971. [PMID: 35602705 PMCID: PMC9122018 DOI: 10.3389/fpsyg.2022.868971] [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: 02/03/2022] [Accepted: 03/18/2022] [Indexed: 11/13/2022] Open
Abstract
Drawing on the conservation of resources (COR) theory and congruence theory, this study aims to investigate the influence of psychological capital (PsyCap) and person-job fit (PJ fit) on work-family conflict (WFC), family-work conflict (FWC) and job performance (JP), especially the moderating effect of marital status on hypothesized relationships between two directions of conflicts in the work-family interface and JP. Utilizing a two-stage design, this study surveyed 312 flight attendants employed by two international airline companies in Malaysia and used the structural equation modeling technique to test the hypothesized relationships. Findings showed that PsyCap could significantly alleviate two directions of WFC simultaneously and promote employees' JP. PJ fit was also identified to be an effective mitigator of WFC and FWC; however, a significant association between PJ fit and JP has not been found in this study. The findings further suggested that both WFC and FWC could mediate the association between PsyCap and JP. In addition, the fact that marital status resulted in disparity in the formation of JP was also evidenced. Airline companies should pay more attention to the positive impact of individual psychological determinants, such as PsyCap and PJ fit, which can effectively alleviate various issues in the work-family interface, thereby improving employees' JP.
Collapse
Affiliation(s)
- Zhen Yan
- Faculty of Hotel Management, Qingdao Vocational and Technical College of Hotel Management, Qingdao, China
| | - Na Bai
- Graduate School of Business, Universiti Sains Malaysia, Pulau Pinang, Malaysia
| | - Zuraina Dato Mansor
- School of Business and Economics, Universiti Putra Malaysia, Serdang, Malaysia
| | - Wei Chong Choo
- School of Business and Economics, Universiti Putra Malaysia, Serdang, Malaysia
| |
Collapse
|
18
|
Aljerian K. Factors Influencing Residents' Specialty Choices and Satisfaction: Impact of Gender, Career Motivation and Life Goals. JOURNAL OF SURGICAL EDUCATION 2022; 79:302-308. [PMID: 34702692 DOI: 10.1016/j.jsurg.2021.09.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 09/08/2021] [Accepted: 09/25/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE Resident physicians working in medical specialties play an essential role in the makeup of the healthcare workforce. However, there is little theoretical understanding of how different medical specialties are perceived or how residents' choices are made. Many factors can influence resident physicians' choice of specialty. Previous studies have looked at personality differences within specialties, but were unable to describe the heterogeneity of viewpoints that existed within each specialty. Our objective, was to gather information about factors related to resident's life goals and career motivation as a means of improving residency program design and enhancing the college's advisory capacity. DESIGN Our study used a self-report anonymous questionnaire to characterize the relationship between resident physicians' preferences and their choice of specialty. SETTING King Saud University & King Saud University Medical City. PARTICIPANTS 353 residents. RESULTS The majority of respondents reported that their current specialty was one of their top three choices. Almost half were satisfied with their residency program, and 24.1% were very satisfied. Gender, specialty, and workload demonstrated significant associations with residency program satisfaction. CONCLUSIONS Our findings highlight the effects of career motivation and life goals for resident physicians in enhancing their career satisfaction. Ensuring that residents are able to find time for personal needs has important consequences for their perceptions of wellbeing and may be an effective strategy for promoting career satisfaction.
Collapse
Affiliation(s)
- Khaldoon Aljerian
- Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
| |
Collapse
|
19
|
Zhang H, Cui N, Chen D, Zou P, Shao J, Wang X, Zhang Y, Du J, Du C, Zheng D. Social support, anxiety symptoms, and depression symptoms among residents in standardized residency training programs: the mediating effects of emotional exhaustion. BMC Psychiatry 2021; 21:460. [PMID: 34548045 PMCID: PMC8456644 DOI: 10.1186/s12888-021-03381-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Accepted: 07/19/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Although studies indicate that social support is related to emotional exhaustion, depression symptoms, and anxiety symptoms, the underlying mechanism between those variables remains unknown. METHODS Based on a sample of 254 residents in standardized residency training programs, two mediation models were tested in which emotional exhaustion served as a mediator in the relationship between social support and anxiety symptoms/depression symptoms. We used the following self-reported questionnaires as instruments to collect data: zung self-rating depression scale, zung self-rating anxiety scale, social support rating scale, and emotional exhaustion scale. RESULTS In the final study sample, the mean age of the residents was 25.92 years old (SD =1.88), and a total of 41.3% were male, and 58.7% were female. This current study suggested that social support was proven to be a relevant factor affecting anxiety symptoms and depression symptoms. Particularly, the results also indicated that emotional exhaustion partially mediated the impact of social support on anxiety symptoms and depression symptoms among Chinese residents in the standardized residency training program. CONCLUSIONS Our study signifies that enhancements in social support and reduction of emotional exhaustion can directly or indirectly affect anxiety symptoms and depression symptoms among Chinese residents in the standardized residency training program. These findings will offer insight for health-sector managers to develop programs aimed at social support and adopt individual-level interventions and organization-level interventions to reduce emotional exhaustion.
Collapse
Affiliation(s)
- Hui Zhang
- Department of cardiology, Guizhou Provincial People's Hospital, Guiyang, China
| | - Nianqi Cui
- The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China
| | - Dandan Chen
- Zhejiang university School of Medicine Sir Run Run Shaw Hospital, Hangzhou, China
| | - Ping Zou
- School of Nursing, Nipissing University, 222 St. Patrick Street, Toronto, Ontario, Canada
| | - Jing Shao
- Zhejiang university School of Medicine Sir Run Run Shaw Hospital, Hangzhou, China
| | - Xiyi Wang
- School of Nursing, Shanghai JiaoTong University, Shanghai, China
| | - Yichi Zhang
- Department of Burn and Plastic Surgery, Guizhou Provincial People's Hospital, Guiyang, China
| | - Jiao Du
- Department of Burn and Plastic Surgery, Guizhou Provincial People's Hospital, Guiyang, China
| | - Chunxue Du
- Department of Burn and Plastic Surgery, Guizhou Provincial People's Hospital, Guiyang, China
| | - Deyi Zheng
- Department of Burn and Plastic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.
| |
Collapse
|
20
|
Bai S, Chang Q, Yao D, Zhang Y, Wu B, Zhao Y. Anxiety in Residents in China: Prevalence and Risk Factors in a Multicenter Study. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2021; 96:718-727. [PMID: 33464742 DOI: 10.1097/acm.0000000000003913] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
PURPOSE To explore the prevalence of major anxiety and its associated risk factors in residents in China. METHOD This multicenter, cross-sectional study was conducted from December 2019 to February 2020; 1,343 residents from 8 hospitals in Northeast China were included in the final analysis (effective response rate of 86.48%). Demographic characteristics, dietary habits, life-related factors, work-related factors, and psychological characteristics were collected from participants via a self-reported questionnaire. This questionnaire measured sleep quality, physical activity, anxiety, perceived organizational support, psychological capital, and burnout. Adjusted odds ratios (ORs) and 95% confidence intervals were determined using binary logistic regression. Cutoff values and the area under the curve were calculated for risk factors using receiver operating characteristic curve analysis. RESULTS Of participants, 441 (32.80%) reported anxiety symptoms and 133 (9.90%) reported major anxiety symptoms. Four independent risk factors for major anxiety were identified: poor sleep quality (OR = 1.282, P < .001) and 3 dimensions of burnout: higher emotional exhaustion (OR = 1.085, P < .001), higher depersonalization (OR = 1.064, P = .002), and reduced personal accomplishment (OR = 0.951, P < .001). The optimal cutoff values for these risk factors were 7, 10, 9, and 22 scores, respectively. CONCLUSIONS This study found a considerable prevalence of major anxiety symptoms in residents in China and identified poor sleep quality and higher levels of burnout as having a close association with major anxiety. These findings enrich the existing literature on anxiety and demonstrate a critical need for additional studies that investigate intervention strategies to improve sleep quality and combat burnout, which could improve the mental health of residents.
Collapse
Affiliation(s)
- Song Bai
- S. Bai is associate professor, Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Qing Chang
- Q. Chang is associate director, Department of Graduate Medical Education, Health Service Center of Liaoning Province, Shenyang, China
| | - Da Yao
- D. Yao is a student, Department of Graduate Medical Education, Health Service Center of Liaoning Province, Shenyang, China
| | - Yixiao Zhang
- Y. Zhang is a resident, Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Bin Wu
- B. Wu is director, Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Yuhong Zhao
- Y. Zhao is director, Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
| |
Collapse
|
21
|
Zhang L, Wang L, Liu Y, Zhang J, Zhang X, Zhao J. Resilience Predicts the Trajectories of College Students' Daily Emotions During COVID-19: A Latent Growth Mixture Model. Front Psychol 2021; 12:648368. [PMID: 33859599 PMCID: PMC8042211 DOI: 10.3389/fpsyg.2021.648368] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 02/15/2021] [Indexed: 12/02/2022] Open
Abstract
The objective of this study was to examine the association between resilience and trajectories of college students’ negative and positive affect during the COVID-19 pandemic. A total of 391 college students recruited from China completed a daily online negative and positive affect scale for 1 week, and their resilience was also measured. Profiles of brief trajectories of negative and positive affect over time were identified using the latent growth mixture model, and the effect of resilience on these trajectories was further explored. Two latent profiles of negative affect were found: a constant high negative affect profile and a slowly decreasing low negative affect profile, while three latent profiles of positive affect were identified: a slowly increasing high positive affect profile, a rapidly decreasing medium positive affect profile, and a constant medium positive affect profile. The optimism dimension of resilience predicted the membership in the various profiles significantly, whereas the prediction of tenacity and strength dimensions of resilience was not significant. Activities that promote resilience, especially optimism, should be included to improve the daily emotions of college students during COVID-19.
Collapse
Affiliation(s)
- Li Zhang
- Faculty of Education, Shandong Normal University, Jinan, China
| | - Lei Wang
- School of Psychology, Shandong Normal University, Jinan, China
| | - Yuan Liu
- School of Psychology, Shandong Normal University, Jinan, China
| | - Junyi Zhang
- School of Psychology, Shandong Normal University, Jinan, China
| | - Xiaoying Zhang
- School of Psychology, Shandong Normal University, Jinan, China
| | - Jingxin Zhao
- School of Psychology, Shandong Normal University, Jinan, China
| |
Collapse
|
22
|
Xiao Y, Zhu SY. China will fully implement the standardised training system for residents in 2020. Postgrad Med J 2020; 96:647-648. [DOI: 10.1136/postgradmedj-2020-138556] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 08/04/2020] [Accepted: 08/06/2020] [Indexed: 12/30/2022]
|