scholarly journals Factors associated with work-private life conflict and leadership qualities among line managers of health professionals in Swiss acute and rehabilitation hospitals – a cross-sectional study

2020 ◽  
Author(s):  
Karin Anne Peter ◽  
Ruud JG Halfens ◽  
Sabine Hahn ◽  
Jos MGA Schols

Abstract Background: The workforce shortage of health professionals is a matter of global concern. Existing work-private life conflicts among health professionals are related to increased stress and burnout symptoms, job dissatisfaction and a higher intention to leave their profession prematurely. Also, poor leadership qualities among direct line managers have been associated with health professionals’ job dissatisfaction and intention to leave in previous studies. Therefore, this study aimed to identify key associated factors of work-private life conflicts and managerial leadership quality among health professionals.Methods: This study is based on a cross-sectional survey in 26 Swiss acute and rehabilitation hospitals, consisting of 3398 health professionals from various disciplines. For data analysis, multilevel models (with hospitals as the second level variable) were performed for ‘work-private life conflict’ and ‘quality of leadership’, considering significant main effects (using AIC) and significant interactions (using BIC) of potential explanatory variables.Results: The main findings of this study reveal that the compatibility of health professionals’ work and private life is associated with topics of shift planning, in particular their influence on shift planning (possibility of exchanging shifts, B=-2.87, p=0.000), the extent to which their individual preferences are considered (e.g. working on one specific shift only, B=6.31, p=0.000), number of shifts per weekend (B=1.38, p=0.002) and number of hours per week (B=0.13, p=0.000) that they had to work. In addition, high quantitative demands (B=0.25, p=0.000), being required to hide their emotions (B=0.16, p=0.000) and poor social community at work (B=-0.12, p=0.000) were also related to a severe work-private life conflict. Regarding managerial leadership, health professionals perceived the leadership qualities of their direct line manager as being better if they received more social support (B=0.61, p=0.000) and rewards (B=0.41, p=0.000) at work. Conclusions: These study results show key components of improving the compatibility of work and private life as well as managerial leadership qualities among health professionals and can help top executives working in acute or rehabilitation hospitals to develop appropriate interventions.

2021 ◽  
Author(s):  
Karin Anne Peter ◽  
Ruud JG Halfens ◽  
Sabine Hahn ◽  
Jos MGA Schols

Abstract Background: The workforce shortage of health professionals is a matter of global concern. Among possible causative factors in this shortage are work-private life conflicts related to increased stress and burnout symptoms, job dissatisfaction and a higher intention to leave the profession prematurely. Also, poor leadership qualities among direct line managers (e.g. clinic directors, leading physicians, ward managers, team leaders) have been associated with health professionals’ job dissatisfaction and intention to leave in previous studies. Therefore, this study aimed to identify key associated factors of work-private life conflicts and managerial leadership quality among health professionals.Methods: The study is based on a cross-sectional survey in 26 Swiss acute and rehabilitation hospitals, consisting of 3398 health professionals from various disciplines. For data analysis, multilevel models (with hospitals as the second level variable) were performed for ‘work-private life conflict’ and ‘quality of leadership’, considering significant main effects (using AIC) and significant interactions (using BIC) of potential explanatory variables.Results: The main findings reveal that the compatibility of health professionals’ work and private life is associated with topics of shift planning, in particular workers’ influence on shift planning (possibility of exchanging shifts, B=-2.87, p<0.01), the extent to which their individual preferences are considered (e.g. working on one specific shift only, B=6.31, p<0.01), number of shifts per weekend (B=1.38, p<0.01) and number of hours per week (B=0.13, p<0.01) that they had to work. In addition, high quantitative demands (B=0.25, p<0.01), being required to hide their emotions (B=0.16, p<0.01) and poor social community support at work (B=-0.12, p<0.01) were also related to severe work-private life conflict. Regarding managerial leadership, health professionals perceived the leadership qualities of their direct line manager as being better if they received more social support (B=0.61, p<0.01) and rewards (B=0.41, p<0.01) at work. Conclusions: The results show key components of improving the compatibility of work and private life as well as managerial leadership qualities among health professionals and may help health care leaders working in acute or rehabilitation hospitals to develop appropriate interventions.


2021 ◽  
Author(s):  
Karin Anne Peter ◽  
Ruud JG Halfens ◽  
Sabine Hahn ◽  
Jos MGA Schols

Abstract Background: The workforce shortage of health professionals is a matter of global concern. Among possible causative factors in this shortage are the incompatibility of health professionals’ work with their private life, which may lead to increased stress and burnout symptoms, job dissatisfaction and a higher intention to leave the profession prematurely. Also, poor leadership qualities among direct line managers (e.g. clinic directors, leading physicians, ward managers, team leaders) have been associated with health professionals’ job dissatisfaction and intention to leave in previous studies. This study therefore aimed to identify key factors associated with health professionals’ work-private life conflicts and their managers’ leadership quality.Methods: The study is based on a cross-sectional survey in 26 Swiss acute and rehabilitation hospitals, consisting of 3398 health professionals from various disciplines. For data analysis, multilevel models (with hospitals as the second level variable) were performed for ‘work-private life conflict’ and ‘quality of leadership’, considering significant main effects (using AIC) and significant interactions (using BIC) of potential explanatory variables.Results: The main findings reveal that the compatibility of health professionals’ work and private life is associated with how much they can influence shift planning (possibility of exchanging shifts, B=-2.87, p<0.01), the extent to which their individual preferences are considered (e.g. working on one specific shift only, B=6.31, p<0.01), number of work shifts per weekend (B=1.38, p<0.01) and working hours per week (B=0.13, p<0.01). In addition, the factors high quantitative demands (B=0.25, p<0.01), being required to hide their emotions (B=0.16, p<0.01) and poor social community support at work (B=-0.12, p<0.01) were related to severe work-private life conflicts among health professionals. Regarding managerial leadership, health professionals perceived the leadership qualities of their direct line manager as being better if they received more social support (B=0.61, p<0.01) and rewards (B=0.41, p<0.01) at work. Conclusions: The results show key components of improving the compatibility of work and private life for health professionals as well as managerial leadership qualities, and may help leaders working in acute or rehabilitation hospitals to develop appropriate interventions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karin A. Peter ◽  
Ruud J. G. Halfens ◽  
Sabine Hahn ◽  
Jos M. G. A. Schols

Abstract Background The workforce shortage of health professionals is a matter of global concern. Among possible causative factors in this shortage are the incompatibility of health professionals’ work with their private life, which may lead to increased stress and burnout symptoms, job dissatisfaction and a higher intention to leave the profession prematurely. Also, poor leadership qualities among direct line managers (e.g. clinic directors, leading physicians, ward managers, team leaders) have been associated with health professionals’ job dissatisfaction and intention to leave in previous studies. This study therefore aimed to identify key factors associated with health professionals’ work-private life conflicts and their managers’ leadership quality. Methods The study is based on a cross-sectional survey in 26 Swiss acute and rehabilitation hospitals, consisting of 3398 health professionals from various disciplines. For data analysis, multilevel models (with hospitals as the second level variable) were performed for ‘work-private life conflict’ and ‘quality of leadership’, considering significant main effects (using AIC) and significant interactions (using BIC) of potential explanatory variables. Results The main findings reveal that the compatibility of health professionals’ work and private life is associated with how much they can influence shift planning (possibility of exchanging shifts, B = -2.87, p < 0.01), the extent to which their individual preferences are considered (e.g. working on one specific shift only, B = 6.31, p < 0.01), number of work shifts per weekend (B = 1.38, p < 0.01) and working hours per week (B = 0.13, p < 0.01). In addition, the factors high quantitative demands (B = 0.25, p < 0.01), being required to hide their emotions (B = 0.16, p < 0.01) and poor social community support at work (B = -0.12, p < 0.01) were related to severe work-private life conflicts among health professionals. Regarding managerial leadership, health professionals perceived the leadership qualities of their direct line manager as being better if they received more social support (B = 0.61, p < 0.01) and rewards (B = 0.41, p < 0.01) at work. Conclusions The results show key components of improving the compatibility of work and private life for health professionals as well as managerial leadership qualities, and may help leaders working in acute or rehabilitation hospitals to develop appropriate interventions.


2019 ◽  
Author(s):  
Karin Anne Peter ◽  
Ruud JG Halfens ◽  
Sabine Hahn ◽  
Jos MGA Schols

Abstract Background: The workforce shortage of health professionals is a current concern, with a high level of work-related stress being an important reason why health professionals leave their career prematurely. In particular, incompatibility between work and private life and a lack of leadership qualities among line managers are important factors in health professionals’ satisfaction and health at work. This study therefore aimed to identify key associated factors of work-private life conflicts and of poor managerial leadership quality among health professionals. Methods: This study is based on a cross-sectional survey in 26 Swiss acute and rehabilitation hospitals, consisting of 3398 health professionals from various disciplines. For data analysis, multilevel models (with hospitals as the second level variable) were performed for ‘work-private life conflict’ and ‘quality of leadership’, considering significant main effects (using AIC) and significant interactions (using BIC) of potential explanatory variables. Results: The main findings of this study reveal that the compatibility of health professionals’ work and private life is associated with topics of shift planning, specifically regarding their influence on shift planning (possibility of exchanging shifts, β=-2.87, p=0.000), the extent to which their individual preferences are considered (e.g. working in one specific shift only, β=6.31, p=0.000), the number of shifts per weekend (β=1.38, p=0.002) and the number of hours per week (β=0.13, p=0.000) they had to work. In addition, high quantitative demands (β=0.25, p=0.000) as well as being required to hide their emotions (β=0.16, p=0.000) and poor social community at work (β=-0.12, p=0.000) were also related to a severe work-private life conflict. Regarding managerial leadership, health professionals perceived the leadership qualities of their direct line manager as better if they received more social support (β=0.61, p=0.000) and rewards (β=0.41, p=0.000) at work. Conclusions: These study results show key components of improving the compatibility of work and private life as well as managerial leadership qualities among health professionals and can help top executives working in acute or rehabilitation hospitals to develop appropriate interventions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karin Anne Peter ◽  
Barbara Meier-Kaeppeli ◽  
Jessica Pehlke-Milde ◽  
Susanne Grylka-Baeschlin

Abstract Background Health systems around the globe are struggling to recruit qualified health professionals. Work-related stress plays an important role in why health professionals leave their profession prematurely. However, little is known about midwives’ working conditions and intentions to leave their profession, although this knowledge is key to work force retention. Therefore, we aimed to investigate work-related stress among midwives working in Swiss maternity hospitals, as well as differences between midwives and other health professionals and the stressors associated with midwives’ intention to leave the profession. Methods We conducted a data analysis of two cross-sectional studies encompassing midwives working in labour, postpartum and/or gynaecology wards of 12 public Swiss maternity hospitals. Data was collected by self-report questionnaire assessing potential stressors and long-term consequences of stress at work. Data were analysed using descriptive statistics, Kruskal Wallis tests and logistic regression modelling. Results A total of 98 midwives took part in the study and one in three midwives reported doing overtime sometimes-always. Also, the score for work-private life conflicts was significantly higher among midwives than among other health professionals, with the exception of physicians (M = 37.0 versus 50.2, p < .001). Midwives’ meaning of work score (M = 89.4) was significantly higher than that of other health professionals (e.g. nurses (M = 83.0, p < .001) or physicians (M = 82.5, p < .01)). Generation Y midwives showed a significantly higher intention to leave their organisation than did the baby boomers (Mean scores 29.3 versus 10.0, p < .01). Results of the regression model revealed that if midwives could compensate for their overtime in the same month, their intention to leave the profession was lower (OR = 0.23, p < .05). Additionally, the more midwives were affected by work-private life conflicts (OR = 3.01, p < .05) and thoughts about leaving their organisation (OR = 6.81, p < .05), the higher was their intention to leave their profession prematurely. Conclusions The comparison with other health professions and the higher intention to leave the profession of younger midwife generations are important findings for heads of institutions as well as policy makers, and should stimulate them to develop strategies for keeping midwives on their staff. More extensive studies should implement and test interventions for reducing work-related stress and increasing the job and occupational satisfaction of midwives.


Author(s):  
Yi-Chuan Chen ◽  
Yue-Liang Leon Guo ◽  
Wei-Shan Chin ◽  
Nai-Yun Cheng ◽  
Jiune-Jye Ho ◽  
...  

In healthcare settings, nurses’ workload, burnout, and job satisfaction are associated to the patient–nurse ratio. Whether this ratio also affects their intention to leave the nursing profession, along with the underlying stress pathway, remains unclear. This study aimed to investigate the effects of the patient–nurse ratio on nurses’ intention to leave and considering the mediating roles of burnout and job dissatisfaction. The study analyzed the data of two pooled cross-sectional surveys collected in 2013 and 2014. Measures were obtained by a structure questionnaire, which queried the average daily patient–nurse ratio (ADPNR), nurses’ personal burnout, client-related burnout, job dissatisfaction, intention to leave, and other demographics. ADPNRs were standardized according to hospital levels. Multiple regression models examined mediation hypotheses, and a percentile bootstrap confidence interval was applied to determine the significance of indirect effects. A total of 1409 full-time registered nurses in medical and surgical wards of 24 secondary or tertiary hospitals in Taiwan completed self-administered questionnaires. Most of the participants were female (97.2%), and the mean age was 29.9 years. The association between the standardized ADPNR and intention to leave their job was significantly mediated by personal burnout, client-related burnout, and job dissatisfaction. Higher standardized ADPNRs predicted higher levels of personal burnout, client-related burnout, and job dissatisfaction, each of which resulted in higher levels of intention to leave the current job. The results highlight that appropriate patient–nurse ratio standards may be further discussed by selecting personal burnout, client-related burnout, and job dissatisfaction as indicators.


2019 ◽  
Vol 7 (1) ◽  
pp. 81
Author(s):  
Nimas Ayu Mashuri ◽  
Diajeng Puspa Arum Maharani

Background: Job dissatisfaction arises as a result of a mismatch between expectation and reality in the employment conditions of employees in an organization. Job dissatisfaction can lead to the intention of to leave. Employees with Intention to leave have the opportunity to do turnover of their organization.Aims: The purpose of this study is to determine the relationship between job satisfaction variable and intention to leave variable.Methods: This study used quantitative method with cross-sectional design. The samples were 52 staffs of the Surabaya Orthopaedic and Traumatology Hospital who were still actively working until June 2012. Job satisfaction variable was measured using a questionnaire research instrument called Job Satisfaction Survey (JSS) by Spector while the intention to leave variable was measured using a questionnaire research instrument that is made by researchers.Results: The results of this study indicate that the level of staff work satisfaction of Surabaya Orthopaedic and Traumatology Hospital is relatively high while the intention to leave is moderate. The results of the Spearman Correlation show a number of -0.314 which shows a correlation that is not unidirectional and significant between the two variables. This means that job satisfaction and intention to leave have a negative relationship so that the higher the job satisfaction is, the lower the intention to leave is.Conclusion: It can be concluded from the study that job satisfaction has a significant relationship and is not in line with the intention to leave of the staffs. Therefore, it is important for the Surabaya Orthopaedic and Traumatology Hospital to improve their staff job satisfaction thus the staff loyalty can be formed. Keywords: Job satisfaction, Intention to leave, Hospital staff.


2019 ◽  
Author(s):  
Simret T/tsadike ◽  
haregewoin mulat ◽  
mogesie necho ◽  
tsigereda waja

Abstract BACKGROUND: Stress at workplace among health professionals predisposes to an inefficient organization, absenteeism from work, job dissatisfaction, and various physical, psychological as well as behavioral health problems. Despite this, little has been done into this health issue. So, this study assessed occupational stress and its determinants among health care professionals. METHODS: Hospital-based cross-sectional study was implemented among 398 participants from May 1 to June 1, 2017, at Amanuel hospital, Addis Ababa, Ethiopia. A pretested and self-administered questionnaire was used to collect data. Nursing stress scale was used to asses occupational stress. Data was entered to Epi-info-version-7 and analyzed with SPSS-20. Descriptive statistics were also utilized. Binary logistic regressions with odds ratios and 95% confidence interval were used. P-value < 0.05 in final model was significant. RESULTS: Among 398 participants included in the study, 393 provided complete information which gives a response rate of 98.7%. This study showed that 46.8% (95%CI: 41.7, 51.7) of health professional were having occupational stress. Multivariable binary logistic regression analysis showed that working in emergency department (AOR=3.48; 95% CI: 2.12, 12.08), forensic psychiatry unit (AOR=3.48; 95% CI: 1.25, 35.06) and job dissatisfaction (AOR=2.606; 95% CI: 1.563, 4.345) were risk factors for occupational stress. CONCLUSION: Occupational stress among health professionals was high. Work-related variables (working in the emergency department and dissatisfaction with the job) were its risk factors. Attention has to be given for such an important public health issue. KEYWORDS: Health workers, occupational stress, Mental hospital, Ethiopia.


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