Contribution of the Psychosocial Work Environment to Psychological Distress Among Health Care Professionals Before and During a Major Organizational Change

2010 ◽  
Vol 29 (4) ◽  
pp. 293-304 ◽  
Author(s):  
Melanie Lavoie-Tremblay ◽  
Jean-Pierre Bonin ◽  
Alain D. Lesage ◽  
Arielle Bonneville-Roussy ◽  
Geneviève L. Lavigne ◽  
...  
Keyword(s):  
Health Care ◽  
Organizational Change ◽  
Psychological Distress ◽  
Work Environment ◽  
Health Care Professionals ◽  
Psychosocial Work Environment ◽  
Psychosocial Work

scholarly journals Employment, psychosocial work environment and well-being among migrant and native physicians in Finnish health care

2014 ◽  
Vol 24 (3) ◽  
pp. 445-451 ◽  
Author(s):  
A.-M. Aalto ◽  
T. Heponiemi ◽  
I. Keskimaki ◽  
H. Kuusio ◽  
L. Hietapakka ◽  
...  
Keyword(s):  
Health Care ◽  
Work Environment ◽  
Well Being ◽  
Psychosocial Work Environment ◽  
Psychosocial Work

scholarly journals Digital consultations in Swedish primary health care: a qualitative study of physicians’ job control, demand and support

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Hanna Fernemark ◽  
Janna Skagerström ◽  
Ida Seing ◽  
Carin Ericsson ◽  
Per Nilsen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Work Environment ◽  
Primary Care Physicians ◽  
Psychosocial Work Environment ◽  
Mobile Telephone ◽  
Full Time ◽  
Psychosocial Work ◽  
Structured Interviews ◽  
Demand Control

Abstract Background Digital consultation with primary care physicians via mobile telephone apps has been spreading rapidly in Sweden since 2014. Digital consultation allows remote working because physicians can work from home, outside their traditional primary care environment. Despite the spread of digital consultation in primary care, there is a lack of knowledge concerning how the new service affects physicians’ psychosocial work environment. Previous research has focused primarily on the patients’ point of view and the cost-effectiveness of digital consultation. Hence, there is a paucity of studies from the perspective of physicians, focusing on their psychosocial work environment. The aim of this study was to investigate primary care physicians’ perceived work demands, control over working processes, and social support when providing digital consultation to primary care patients. Methods The study has a qualitative design, using semi-structured interviews conducted in Sweden in 2019. We used a purposeful sampling strategy to achieve a heterogeneous sample of physicians who represented a broad spectrum of experiences and perceptions. The interviews were conducted by video meeting, telephone, or a personal meeting, depending on what suited the participant best. The interview questions were informed by the Job Demand-Control-Support (JDCS) model, which was also used as the framework to analyze the data by categorizing the physicians’ perceptions and experiences into the three categories of the model (Demand, Control, Support), in the deductive analysis of the data. Results Analysis of the data yielded 9 subcategories, which were mapped onto the 3 categories of the JDCS model. Overall, the participants saw numerous benefits with digital consultations, not only with regard to their own job situation but also for patients and the health care system in general even though they identified some shortcomings and risks with digital care. Conclusions This study has demonstrated that physicians perceive working with digital consultation as flexible with a high grade of autonomy and reasonable to low demands. According to the participants, digital consultation is not something you can work with full time if medical skills and abilities are to be maintained and developed.

scholarly journals Digital Consultations in Swedish Primary Health Care: A Qualitative Study of Physicians’ Job control, Demand and Support

2020 ◽  
Author(s):  
Hanna Fernemark ◽  
Janna Skagerstrom ◽  
Ida Seing ◽  
Carin Ericsson ◽  
Per Nilsen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Work Environment ◽  
Primary Care Physicians ◽  
Psychosocial Work Environment ◽  
Mobile Telephone ◽  
Full Time ◽  
Psychosocial Work ◽  
Structured Interviews ◽  
Demand Control

Abstract Background: Digital consultation with primary care physicians via mobile telephone apps has been spreading rapidly in Sweden since 2014. Digital consultation allows remote working because physicians can work from home, outside their traditional primary care environment. Despite the spread of digital consultation in primary care, there is a lack of knowledge concerning how the new service affects physicians’ psychosocial work environment. Previous research has focused primarily on the patients’ point of view and the cost-effectiveness of digital consultation. Hence, there is a paucity of studies from the perspective of physicians, focusing on their psychosocial work environment. The aim of this study was to investigate primary care physicians’ perceived work demands, control over working processes, and social support when providing digital consultation to primary care patients.Methods: The study has a qualitative design, using semi-structured interviews conducted in Sweden in 2019. We used a purposeful sampling strategy to achieve a heterogeneous sample of physicians who represented a broad spectrum of experiences and perceptions. The interviews were conducted by video meeting, telephone, or a personal meeting, depending on what suited the participant best. The interview questions were informed by the Job Demand-Control-Support (JDCS) model, which was also used as the framework to analyze the data by categorizing the physicians’ perceptions and experiences into the three categories of the model (Demand, Control, Support), in the deductive analysis of the data.Results: Analysis of the data yielded 9 subcategories, which were mapped onto the 3 categories of the JDCS model. Overall, the participants saw numerous benefits with digital consultations, not only with regard to their own job situation but also for patients and the health care system in general even though they identified some shortcomings and risks with digital care.Conclusions: This study has demonstrated that physicians perceive working with digital consultation as flexible with a high grade of autonomy and reasonable to low demands. According to the participants, digital consultation is not something you can work with full time if medical skills and abilities are to be maintained and developed.

scholarly journals Effort-Reward Imbalance and Job Strain: A Composite Indicator Approach

2019 ◽  
Vol 16 (21) ◽  
pp. 4169
Author(s):  
Liza Jachens ◽  
Jonathan Houdmont
Keyword(s):  
Psychological Distress ◽  
Work Environment ◽  
Job Strain ◽  
Humanitarian Aid ◽  
Psychosocial Work Environment ◽  
Aid Workers ◽  
Psychosocial Work ◽  
Humanitarian Aid Workers ◽  
Reward Imbalance ◽  
Psychosocial Risk Assessment

The Job Demand-Control-Support (JDC-S) and Effort-Reward Imbalance (ERI) models dominate psychosocial work environment research and practice, with their independent and collective contributions to employee health having been extensively demonstrated. Psychosocial risk assessment in the humanitarian aid sector is in its infancy, and there is a need to identify appropriate psychosocial work environment models to inform approaches to assessment. The aim of this study is to examine the efficacy of these models separately and in combination to identify psychological distress in humanitarian aid workers. Cross-sectional survey data were obtained from 283 humanitarian aid workers. Logistic regression analyses investigated the separate and combined ability of the models to identify psychological distress. More than half of the participant sample reported psychological distress, and one third reported high ERI and high job strain. When tested separately, each model was associated with a significantly elevated likelihood of psychological distress. When tested in combination, the two models offered a superior estimation of the likelihood of psychological distress than achieved by one model in isolation. Psychosocial risk assessment in the humanitarian aid sector encompassing the characteristics of both these leading psychosocial work environment models captures the breadth of relevant generic psychosocial work characteristics. These initial findings require corroboration through longitudinal research involving sector-representative samples.

scholarly journals Digital Consultations in Swedish Primary Health Care: A Qualitative Study of Physicians’ Job control, Demand and Support

2020 ◽  
Author(s):  
Hanna Fernemark ◽  
Janna Skagerstrom ◽  
Ida Seing ◽  
Carin Ericsson ◽  
Per Nilsen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Work Environment ◽  
Primary Care Physicians ◽  
Psychosocial Work Environment ◽  
Mobile Telephone ◽  
Full Time ◽  
Psychosocial Work ◽  
Structured Interviews ◽  
Demand Control

Abstract Background: Digital consultation with primary care physicians via mobile telephone apps has been spreading rapidly in Sweden since 2014. Digital consultation allows remote working because physicians can work from home, outside their traditional primary care environment. Despite the spread of digital consultation in primary care, there is a lack of knowledge concerning how the new service affects physicians’ psychosocial work environment. Previous research has focused primarily on the patients’ point of view and the cost-effectiveness of digital consultation. Hence, there is a paucity of studies from the perspective of physicians, focusing on their psychosocial work environment. The aim of this study was to investigate primary care physicians’ perceived work demands, control over working processes, and social support when providing digital consultation to primary care patients.Methods: The study has a qualitative design, using semi-structured interviews conducted in Sweden in 2019. We used a purposeful sampling strategy to achieve a heterogeneous sample of physicians who represented a broad spectrum of experiences and perceptions. The interviews were conducted by video meeting, telephone, or a personal meeting, depending on what suited the participant best. The interview questions were informed by the Job Demand-Control-Support (JDCS) model, which was also used as the framework to analyze the data by categorizing the physicians’ perceptions and experiences into the three categories of the model (Demand, Control, Support), in the deductive analysis of the data.Results: Analysis of the data yielded 9 subcategories, which were mapped onto the 3 categories of the JDCS model. Overall, the participants saw numerous benefits with digital consultations, not only with regard to their own job situation but also for patients and the health care system in general even though they identified some shortcomings and risks with digital care.Conclusions: This study has demonstrated that physicians perceive working with digital consultation as flexible with a high grade of autonomy and reasonable to low demands. According to the participants, digital consultation is not something you can work with full time if medical skills and abilities are to be maintained and developed.

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