scholarly journals Work-Related Intervention Needs and Potential Occupational Outcomes among Medical Assistants: A Cross-Sectional Study

2019 ◽  
Vol 16 (13) ◽  
pp. 2260
Author(s):  
Jessica Scharf ◽  
Patricia Vu-Eickmann ◽  
Jian Li ◽  
Andreas Müller ◽  
Peter Angerer ◽  
...  
Keyword(s):  
Working Conditions ◽  
Nationwide Survey ◽  
Intention To Leave ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Occupational Outcomes ◽  
Medical Assistants ◽  
Individual Level ◽  
Work Related ◽  
Junior Staff

Medical assistants’ (MAs) working conditions have been characterized as precarious, and workplace-related intervention needs have been identified. However, strategies to change the MAs adverse working conditions are mostly seen on an individual level, including leaving the employer or even the profession. Since such intentions are antecedents of actual turnover, we aimed to quantify the potential link of reported unmet intervention needs with unfavorable occupational outcomes. Data were collected by means of a nationwide survey among medical assistants (n = 994) in Germany (September 2016–April 2017). The three subscales working conditions, reward from the supervisor, and task-related independence were derived from a 12-item instrument regarding work-related interventions needs (the independent variables). We used subscale-specific z-scores and a total needs z-score. The four outcome variables (i.e., intention to leave the employer, intention to leave the MA profession, choosing MA profession again, and recommending MA profession to young people) were dichotomized, and logistic regression analyses were performed and limited to MAs in employment (n = 887). We found that increasing needs according to the categorized total needs score were associated with increasing odds of all occupational outcomes. Needs pertaining to working conditions and reward from the supervisor were the strongest determinants of MAs’ consideration of leaving their employer or profession (Odds ratios: 1.55–2.61). In summary, our study identified unmet work-related intervention needs that are associated with unfavorable occupational outcomes. In light of staffing shortage in health care, the identified needs should be addressed to ensure that sufficient recruitment of junior staff in the profession of medical assistants remains feasible and that experienced staff is retained.

scholarly journals Working Conditions and Work-Related Health Issues of Female Domestic Workers in Four Districts of Karachi

2020 ◽  
Vol 64 (4) ◽  
pp. 378-386
Author(s):  
Hira Tariq ◽  
Shiraz Shaikh ◽  
Mehjabeen Musharaf
Keyword(s):  
Working Conditions ◽  
Positive Association ◽  
Domestic Workers ◽  
Population Based ◽  
Cross Sectional Study ◽  
Health Issues ◽  
Or Education ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Work Related

Abstract Objectives To determine the working conditions and work-related health issues of female domestic workers (FDWs) in four districts of Karachi. Methods Population-based cross-sectional study was conducted in four squatter settlements of Karachi with sample size of 406 FDWs in 2018. Pretested questionnaire was administered to collect data through snowball technique. Multivariate logistic regression examined the association between different factors and experiencing violence, work-related injuries, and chemical exposures. Results Only (14.5%) of domestic workers earned Rs 15 000 (75 GBP month−1) and above. >1% had financial support for the health or education of children. Verbal violence included shouting (40.9%), constant critique of work (17.2%), and job threats (13.5%). Common workplace injuries were cuts (30.8%), burns (27.6%), and bruises (23.6%). Doing laundry showed significant positive association with experiencing cuts [odds ratio (OR) = 2.09; 1.15–3.71], looking after children to bruises (OR = 2.29; 1.07–4.88), and cooking to burns (OR = 4.66; 2.68–8.08). Conclusions Creating economic environment which is equal for all low wage workers, setting up domestic labor standards and holding employers accountable to them is essential.

scholarly journals Work related injuries and musculoskeletal disorders among child workers in the brick kilns of Nepal

2014 ◽  
Vol 3 (2) ◽  
pp. 2-7 ◽  
Author(s):  
Sunil Kumar Joshi ◽  
Pranab Dahal ◽  
Agya Poudel ◽  
Helen Sherpa
Keyword(s):  
Working Conditions ◽  
Work Force ◽  
Well Being ◽  
Cross Sectional Study ◽  
Major Work ◽  
Cross Sectional ◽  
Physical Strength ◽  
Working Children ◽  
Work Related ◽  
Brick Kilns

Brick manufacturing is a labor intensive informal industry using child workers as the major work force in Nepal. Workers are required to use physical strength, carry heavy loads and remain in a squatted posture for longer periods doing repetitive tasks posing threats to musculoskeletal system. This study involved cross sectional study of children aged 17 years and below. The study respondent included 101 cases and 64 controls in Bhaktapur and 97 cases and 43 controls in Sarlahi. Lack of adequate physical infrastructures, poor working conditions with non existent safety procedures have posed risk to physical, metal and overall well being of children. The study identifies work related physical       ailments and discomforts dominate brick industries of Nepal. The  musculoskeletal disorder related pain and discomfort was experienced by 73 per cent of working  children in Bhaktapur and 58 per cent in Sarlahi. The odds ratio suggests that working children were 8 times more likely to experience trouble or body pain compared to non-working children. This study finds that presence of inferior physical environment, working conditions and practices has contributed to musculoskeletal injuries and problems exposing working children to risks and hazards. DOI: http://dx.doi.org/10.3126/ijosh.v3i2.10271

scholarly journals Residency and Fellowship Program Administrator Burnout: Measuring Its Magnitude

2019 ◽  
Vol 11 (4) ◽  
pp. 402-409 ◽  
Author(s):  
Alana M. Ewen ◽  
Mikhail C.S.S. Higgins ◽  
Sandra Palma ◽  
Kathryn Whitley ◽  
Jeffrey I. Schneider
Keyword(s):  
Univariate Analysis ◽  
Intention To Leave ◽  
Cross Sectional Study ◽  
National Database ◽  
Baseline Survey ◽  
Cross Sectional ◽  
Program Administrator ◽  
Program Administrators ◽  
Work Related ◽  
National Cohort

ABSTRACT Background Little is known about the level of burnout among program administrators (PAs) working in graduate medical education. Objective We created a national database with baseline burnout data for PAs from residency and fellowship programs, including intention to leave their current positions. Methods A cross-sectional study was conducted in July 2017 to assess levels of burnout in a national cohort of PAs, who were largely members of online specialty forums. The Copenhagen Burnout Inventory (CBI) was used to measure burnout. Univariate analysis produced descriptive statistics for CBI. We performed a 2-sample t test to measure differences in average burnout scores for those who had thoughts of resigning from their positions and those who had not. Results Of the approximately 10 205 national PAs, we sampled 1126 (11%). Of the 1126 individuals who received the study information, 931 (83%) completed the baseline survey. Total mean scores for all subscales were elevated (personal: 53.7, SD 21.4; work-related: 52.0, SD 22; and client-related: 30.6, SD 20.8; each scale ranged from 0, low, to 100, high). Burnout scores differed between those contemplating leaving their jobs and those who were not, across all subscales of CBI, including personal (64.2 versus 42.4, –24.18 to –19.44 confidence interval [CI]), work-related (63.5 versus 39.7, –26.12 to –21.35 CI), and client-related (36.6 versus 24.2, –14.95 to –9.84 CI; P < .0001 for all). Conclusions In this national survey of PAs, burnout scores measured by the CBI were higher among those who had considered leaving their positions.

scholarly journals How Demanding Is Volunteer Work at a Crisis Line? An Assessment of Work- and Organization-Related Demands and the Relation With Distress and Intention to Leave

2021 ◽  
Vol 9 ◽  
Author(s):  
Renate C. W. J. Willems ◽  
Constance H. C. Drossaert ◽  
Harald S. Miedema ◽  
Ernst T. Bohlmeijer
Keyword(s):  
Intention To Leave ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Professional Help ◽  
Work Related ◽  
High Distress ◽  
Explained Variance ◽  
Crisis Line ◽  
The Impact ◽  
Psychiatric Problems

Background: Crisis line services, run by volunteers, offer a listening ear 24/7 to people who cannot or do not want to use professional help. Although previous studies have identified various potential stressors crisis line volunteers face, as yet a comprehensive assessment is lacking with regards to the frequency and perceived stressfulness of work- and organization-related demands, and their relationship with distress and a volunteer's intention to leave.Objective: To identify the frequency and impact of particular stressful situations (demands). In addition, to examine the extent to which these demands are associated with volunteers' demographics, distress and intention to leave the crisis line service.Method: In a cross-sectional study among 543 volunteers of a Dutch crisis line service the participants filled out a questionnaire about their experience of a large number of work- and organization-related demands and their perceived stressfulness. To calculate the impact of demands, the occurrence and stressfulness were multiplied. In addition, work-related distress, intention to leave the crisis line service as well as a number of demographics and work-related characteristics were assessed.Results: Work-related demands with the highest impact on volunteers were calls from people with psychiatric problems and suicidal intentions. “Having no time for a break” was the organization-related demand with the highest impact on volunteers. Eighteen percentage of the volunteers scored moderate or high on distress and 4% had the intention to leave the crisis line service within 1 year. Most work- and organization-related demands were positively associated with volunteers' distress and intention to leave the organization. Being older, being male and spending more hours per week volunteering were significantly, positively correlated with work-related demands. The total explained variance for distress was 16% and for intention to leave 13%.Conclusion: Although most crisis line volunteers experienced low impact from work- and organization-related demands, these demands were significantly related to experienced distress and the intention to leave crisis line service. For volunteers with moderate to high distress it can be useful to implement interventions aimed at increasing personal resources to help them deal with the challenges of the work at the crisis line.

scholarly journals Desired improvements of working conditions among medical assistants in Germany: a cross-sectional study

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Jessica Scharf ◽  
Patricia Vu-Eickmann ◽  
Jian Li ◽  
Andreas Müller ◽  
Stefan Wilm ◽  
...  
Keyword(s):  
Working Conditions ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Assistants
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