scholarly journals The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252778
Author(s):  
Karen E. A. Burns ◽  
Reena Pattani ◽  
Edmund Lorens ◽  
Sharon E. Straus ◽  
Gillian A. Hawker

Physician wellness is vital to career satisfaction, provision of high quality patient care, and the successful education of the next generation of physicians. Despite this, the number of physicians experience symptoms of burnout is rising. To assess the impact of organizational culture on physicians’ professional fulfillment and burnout, we surveyed full-time Department of Medicine members at the University of Toronto. A cross-sectional survey assessed: physician factors (age, gender, minority status, disability, desire to reduce clinical workload); workplace culture (efforts to create a collegial environment, respectful/civil interactions, confidence to address unprofessionalism without reprisal, witnessed and/or personally experienced unprofessionalism); professional fulfillment and burnout using the Stanford Professional Fulfillment Index. We used multivariable linear regression to examine the relationship of measures of workplace culture on professional fulfillment and burnout (scores 0–10), controlling for physician factors. Of 419 respondents (52.0% response rate), we included 400 with complete professional fulfillment and burnout data in analyses (60% ≤ age 50, 45% female). Mean scores for professional fulfillment and burnout were 6.7±1.9 and 2.8±1.9, respectively. Controlling for physician factors, professional fulfillment was associated with satisfaction with efforts to create a collegial environment (adjusted beta 0.45, 95% CI 0.21 to 0.70) and agreement that colleagues were respectful/civil (adjusted beta 0.85, 95% CI 0.53 to 1.17). Lower professional fulfillment was associated with higher burnout scores. Controlling for professional fulfillment and physician factors, lower confidence in taking action to address unprofessionalism (adjusted beta -0.22, 95% CI -0.40 to -0.03) was associated with burnout. Organizational culture and physician factors had an impact on professional fulfillment and burnout. Professional fulfillment partially mediated the relationship between organizational culture and burnout. Strategies that promote inclusion, respect and civility, and safe ways to report workplace unprofessionalism are needed in academic medicine.

2021 ◽  
Vol 11 ◽  
Author(s):  
Yu Shi ◽  
Shu-e Zhang ◽  
Lihua Fan ◽  
Tao Sun

After the COVID-19 outbreak, the health status of the general population has suffered a huge threat, and the health system has also encountered great challenges. As critical members of human capital in the health sector, medical students with specialized knowledge and skills have positively fought against the epidemic by providing volunteer services that boosted the resilience of the health system. Although volunteer behavior (VB) is associated with individual internal motivation, there is sparse evidence on this relationship among medical students, especially regarding potential mechanisms. Therefore, this study had two main objectives: (1) to examine the influence of prosocial motivation (PM) of medical students on their VB; and (2) to verify the chain-mediating role of calling and vocation (CV) as well as social responsibility (SR) in the relationship between PM and VB. Study I: a total of 2454 Chinese full-time medical students were invited to complete an online survey. Data analysis was performed using descriptive statistics, Pearson’s correlation coefficient, and multiple linear regression analysis. The results demonstrated that PM significantly affected VB in medical students (β = 0.098, P < 0.001); CV as well as SR chain-mediated the relationship between PM and VB (β = 0.084, P < 0.001). PM promoted the formation of SR by positively evoking CV of medical students, further resulting in increased VB. Study II: A 28 person qualitative interview was conducted. Qualitative data are added to reduce the limitations of online questionnaires. At the same time, we can also critically study the VB of Chinese medical students during COVID-19. The results showed that there were various reasons for medical students to volunteer in the process of fighting against COVID-19, and the experience of volunteer service and the impact on their future life were different. Lastly, the current findings suggest that fostering volunteerism among medical students requires the joint effort of the government, non-profit organizations, and medical colleges.


2018 ◽  
Vol 8 (1) ◽  
pp. 137
Author(s):  
Saira Irfan ◽  
Najib Ahmad Marzuki

The link between the work motivation and work commitment is well established in a variety of work settings. However, the role of organizational culture is not explored in depth, especially as a moderator between work motivation and work commitment. The present study undertakes an examination of the above explained model. The sample consisted of 351 academics from nine public universities in the state of Punjab, Pakistan. Cross-sectional survey design was employed to collect the data. The statistical analyses were performed with Partial Least Squares technique using the Smart PLS 3.0. The findings revealed that adhocracy culture moderates the link between non-self-determined work motivation and work commitment among university academic staff. The study has implications for authorities to capitalize on organizational culture to boost work motivation that will ultimately improve work commitment among academics.


AAOHN Journal ◽  
2000 ◽  
Vol 48 (3) ◽  
pp. 112-118 ◽  
Author(s):  
Sheila T. Fitzgerald ◽  
Mary H. Palmer ◽  
Susan J. Berry ◽  
Kristin Hart

Until recently, the impact of urinary incontinence (UI) on working women, a population generally characterized as healthy, has not been the focus of research. Women employed full time at a large university center participated in a cross sectional survey about UI. Of the 1,113 women surveyed, age 18 and older, 21 % (n = 232) reported UI at least monthly. Incontinent women were significantly older and had a higher body mass index than continent women. Using disposable products, limiting fluids, avoiding caffeinated beverages, using voiding schedules, and keeping extra clothes or underwear were strategies used to manage UI at work. Responses to an open ended question related to the impact of UI on working life included: interference with sleep and resulting fatigue at work, embarrassment, alteration of concentration, and emotional distress. Implications for nurses are discussed in relation to assessment, education, and management of UI in the occupational setting.


2020 ◽  
Vol 10 (2) ◽  
pp. 1
Author(s):  
Navin Gazanchand Matookchund ◽  
Renier Steyn

Literature suggests that performance appraisal (PA) contributes to innovation. However, the absolute and relative importance of PA to innovation, the different aspects of PA which drive innovation, as well as PA as a precursor among other antecedents to innovation, has not been adequately described. The aim of the study is to provide clarity on the drivers of innovation, specifically contextualising the impact of PA within the South African context. This study used a cross-sectional survey design, where only quantitative data was collected from full-time employees across private sector, parastatal, and government organisations. The respondents represented a broad cross-section of South African employees. PA and three other known antecedents to innovation, as well as innovation itself, were measured. It was found that PA (as a single variable) was responsible for 5.7% of the variance in innovation. Items in the PA scale with a clear link to innovation were identified, and thematically integrated. It was further found that, when PA was combined with other antecedents of innovation, leading to 26.6% of the variance in innovation being explained, the role of PA was significant, though mostly secondary. Proactive personality was the most dominant predictor of innovation. The importance and relative importance of PA as an antecedent to innovation in the workplace has thus been established. The outcomes of this study may assist managers and human resource practitioners to focus on appropriate, evidence-based information when attempting to enhance innovation.


2021 ◽  
Vol 8 (6) ◽  
pp. 110-117
Author(s):  
Jayanty Kuppusamy ◽  
◽  
R. N. Anantharaman ◽  

The growth of export in many countries all over the world signifies it as the most important mode of internationalization. However, some exporters face difficulties in managing export due to the barriers they face. It is, therefore, important to identify the factors that might influence export barriers. The study attempts to identify the relationship between demographic factors and export barriers which has not been much researched. Demographic factors are represented by managerial or executives’ characteristics as well as firm characteristics. A cross-sectional survey was conducted where a total of one thousand and four hundred and thirty-nine questionnaires were sent to the exporters. The respondents include executives who were in charge of exporting. Two hundred and twelve responses were found to be usable which formed the basis for the analysis. The response rate was 14.9%. The export barriers include marketing barriers, financial barriers, government barriers, informational barriers, administrative barriers, production barriers, and external barriers. Correlation analysis was used to conduct the analysis and it is found that age of executives, age of firms, size of firms, and export experience of firms have a negative relationship with some of the export barriers. On the other hand, there was no relationship between the employee experience and export barriers. This finding contributes to the limited knowledge on the relationship between demographic characteristics with export barriers. Thus, it provides support for the resource-based view. From a practical perspective, it essential for business to accumulate knowledge, expertise and experience in order to reduce the export barriers.


2017 ◽  
Vol 44 (3) ◽  
pp. 483-520 ◽  
Author(s):  
Shlomo Y. Tarba ◽  
Mohammad F. Ahammad ◽  
Paulina Junni ◽  
Peter Stokes ◽  
Omri Morag

The aim of the article is to examine the factors influencing the overall acquisition performance of the companies acquiring the high-tech firms. The data were gathered during 2007-2009 via a cross-sectional survey using a questionnaire on a sample of Israeli high-tech firms that were engaged in acquisitions. Given its global leading role in the high-tech sector, Israel constitutes an important site for the study of mergers in this industrial domain. The findings indicate that synergy potential (similarities and complementarities) between high-tech merging firms, effectiveness of post-acquisition integration, and organizational cultural differences positively influence the overall acquisition performance merging high-tech firms. Moreover, our findings suggest that organizational cultural differences moderate the relationship between effectiveness of post-acquisition integration and overall acquisition performance as such that positive effect of effectiveness of post-acquisition integration is higher when organizational differences are higher. Our findings indicate that organizational cultural differences also positively moderate the relationship between autonomy granted and the overall acquisition performance. An important contribution of the present article is the development of a conceptual framework incorporating the direct and moderating effect of organizational cultural differences and autonomy granted on the overall performance of acquisition.


2019 ◽  
Vol 13 (4) ◽  
pp. 719-742 ◽  
Author(s):  
Vinh The Nguyen ◽  
Sununta Siengthai ◽  
Fredric Swierczek ◽  
Umesh Kumar Bamel

Purpose This paper aims to analyze the relationship between organizational culture (measured by mission, involvement, consistency, adaptability and well-being), employee organizational commitment and employee innovation in the Vietnamese IT industry. Design/methodology/approach This is a quantitative research using perceptual scale questionnaire survey developed based on the literature review and in-depth expert interviews. A total of 319 IT professionals working in Vietnam participated in the survey. The data were analyzed using multiple regression analysis. Findings The results suggest that overall organizational culture and organizational commitment are positively and significantly related to employee innovation. A closer look reveals that out of the organizational culture’s five dimensions, mission, adaptability and well-being are found specifically and significantly related to employee innovation. Research limitations/implications The study used a cross-sectional survey where case studies of longitudinal study may add more insight. Further, the Denison organizational culture survey instrument might be subjective. Finally, there may be also some moderating or mediating effects that are not taken into account in this study. Practical implications The enhancement of adaptability, well-being, mission and commitment can increase employee innovation in the IT industry. Originality/value This paper contributes to the literature and practice by demonstrating the relationship between corporate culture and organizational commitment on employee innovation in a developing country (i.e. Vietnam).


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015710 ◽  
Author(s):  
Hannes Mayerl ◽  
Erwin Stolz ◽  
Franziska Großschädl ◽  
Éva Rásky ◽  
Wolfgang Freidl

ObjectiveThe main objective of this research was to investigate the buffering effects of an individual’s physical, mental and social resources in the relationship between psychosocial job demands and (1) health symptoms, (2) mental strain and (3) the body mass index (BMI), respectively.MethodsWe performed moderated regression analysis to examine data from a large cross-sectional survey of an Austrian employee sample (n=9434).ResultsThe results revealed a robust association between psychosocial job demands and health symptoms as well as mental strain, but only a weak relationship between psychosocial job demands and BMI. Although the personal resources showed a positive effect on health symptoms and mental strain, only weak evidence was found for the hypothesised interaction with psychosocial job demands. Solely the physical fitness of a person was found to mitigate the impact of psychosocial job demands on health symptoms.ConclusionsIn conclusion, personal resources substantially accounted for the prediction of health. However, the interactions between psychosocial job demands and personal resources only slightly contributed to explaining the variation in health.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elena Byhoff ◽  
Jessica K. Paulus ◽  
Rubeen Guardado ◽  
Julia Zubiago ◽  
Alysse G. Wurcel

Abstract Background Studies on the impact of the novel SARS-CoV-2 virus (COVID) for healthcare workers (HCWs) rarely include the full spectrum of hospital workers, including less visible patient support roles. In the early days of the pandemic, COVID testing was preferentially available to HCWs. The objective of this study was to understand how individual experiences for all HCWs during the pandemic were associated with perceptions of access to, and receipt of COVID testing . Methods All hospital employees (n = 6736) in a single academic medical center in Boston, Massachusetts were invited to participate in a cross-sectional survey regarding perceived access to, and receipt of COVID testing during the first wave of the pandemic (March – August 2020). Responses were linked to human resources data. Log binomial univariate and multivariable models were used to estimate associations between individual and employment variables and COVID testing. Results A total of 2543 employees responded to the survey (38 %). The mean age was 40 years (± 14). Respondents were female (76 %), white (55 %), worked as nurses (27 %), administrators (22 %) and patient support roles (22 %); 56 % of respondents wanted COVID testing. Age (RR 0.91, CI 0.88–0.93), full time status (RR 0.85, CI 0.79–0.92), employment tenure (RR 0.96, CI 0.94–0.98), changes in quality of life (RR 0.94, CI 0.91–0.96), changes in job duties (RR 1.19, CI 1.03–1.37), and worry about enough paid sick leave (RR 1.21, CI 1.12–1.30) were associated with interest in testing. Administrators (RR 0.64, CI 0.58–0.72) and patient support staff (RR 0.85, CI 0.78–0.92) were less likely than nurses to want testing. Age (RR 1.04, CI 1.01–1.07), material hardships (RR 0.87, CI 0.79–0.96), and employer sponsored insurance (RR 1.10, CI 1.00-1.22) were associated with receiving a COVID test. Among all employees, only administrative/facilities staff were less likely to receive COVID testing (RR 0.69, CI 0.59–0.79). Conclusions This study adds to our understanding of how hospital employees view availability of COVID testing. Hazard pay or other supports for hospital workers may increase COVID testing rates. These findings may be applicable to perceived barriers towards vaccination receipt.


2018 ◽  
Vol 5 (1) ◽  
pp. 43-47
Author(s):  
Li-Feng Yang ◽  
Jing-Ying Liu ◽  
Yan-Hui Liu

Abstract Objective The aim of this study was to explore whether positive emotion mediates the relationship between job burnout and turnover intentions among Chinese nurses. Methods A cross-sectional survey was conducted in the present study. Full-time registered nurses (n = 150) from Grade A hospitals in Tianjin were surveyed. Pearson correlation, hierarchical regression analyses, and the Sobel test were used in the study. Results The results illustrated that positive emotion mediated the relationship between burnout and nurses’ turnover intention. Conclusions Nursing administrators should pay more attention to the benefits of positive emotions on working motivation. It is helpful to relieve burnout in the working process so that nurses are willing to remain in their current employment.


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