Academic literature on the topic 'Physicians (General practice) Job stress Victoria'
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Journal articles on the topic "Physicians (General practice) Job stress Victoria"
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Richardsen, Astrid M., and Ronald J. Burke. "Occupational Stress and Work Satisfaction among Canadian Women Physicians." Psychological Reports 72, no. 3 (June 1993): 811–21. http://dx.doi.org/10.2466/pr0.1993.72.3.811.
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The present study examined relationships among occupational stress, job satisfaction, and various individual characteristics and job-related variables in a population of 303 women physicians. Analysis showed that time pressures and threat of malpractice litigation were sources of stress and that over-all satisfaction was related to satisfaction with both professional and social aspects of the job. Low satisfaction was related to wanting higher income, changes in practice procedures, and several stressors, such as time pressures. Stress and satisfaction were also related to attitudes toward health care. Women who experienced high stress and low satisfaction were more likely to have negative views of the functioning of the health care system. In addition, demographic and practice variables contributed to negative attitudes.
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Degen, Lukas, Karen Linden, Tanja Seifried-Dübon, Brigitte Werners, Matthias Grot, Esther Rind, Claudia Pieper, et al. "Job Satisfaction and Chronic Stress of General Practitioners and Their Teams: Baseline Data of a Cluster-Randomised Trial (IMPROVEjob)." International Journal of Environmental Research and Public Health 18, no. 18 (September 8, 2021): 9458. http://dx.doi.org/10.3390/ijerph18189458.
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Background: A high prevalence of poor job satisfaction and high chronic stress is documented for general practitioners (GPs) and non-physician practice staff from various countries. The reasons are multifactorial and include deficits in leadership, communication and workflows. This publicly funded study evaluates the effectiveness of the newly developed participatory, interdisciplinary, and multimodal IMPROVEjob intervention on improving job satisfaction among GPs and practice personnel. Here, we report the baseline characteristics of the participating GPs and practice assistants, focusing on job satisfaction and perceived chronic stress. Methods: The IMPROVEjob study was performed as a cluster-randomised, controlled trial (cRCT) with German GP practices in the North Rhine Region. The IMPROVEjob intervention comprised two leadership workshops (one for practice leaders only; a second for leaders and practice assistants), a toolbox with supplemental printed and online material, and a nine-month implementation phase supported by IMPROVEjob facilitators. The intervention addressed issues of leadership, communication, and work processes. During study nurse visits, participants completed questionnaires at baseline and after nine months follow up. The primary outcome was the change in job satisfaction as measured by the respective scale of the validated German version of the Copenhagen Psychosocial Questionnaire (German COPSOQ, version 2018). Perceived chronic stress was measured using the Trier Inventory of Chronic Stress (TICS- SSCS). Results: Recruitment of 60 practices was successful: 21 were solo, 39 were group practices. At baseline, n = 84 practice owners, n = 28 employed physicians and n = 254 practice assistants were included. The mean age of all participants was 44.4 (SD = 12.8). At baseline, the job satisfaction score in the total sample was 74.19 of 100 (±14.45) and the perceived chronic stress score was 19.04 of 48 (±8.78). Practice assistants had a significantly lower job satisfaction than practice owners (p < 0.05) and employed physicians (p < 0.05). In the regression analysis, perceived chronic stress was negatively associated with job satisfaction (b= −0.606, SE b = 0.082, p < 0.001, ICC = 0.10). Discussion: The degree of job satisfaction was similar to those in other medical professionals published in studies, while perceived chronic stress was markedly higher compared to the general German population. These findings confirm the need for interventions to improve psychological wellbeing in GP practice personnel.
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Belkic, Karen, and Olesja Nedic. "Occupational medicine - then and now: Where we could go from here." Medical review 67, no. 5-6 (2014): 139–48. http://dx.doi.org/10.2298/mpns1406139b.
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Occupational medicine has a long-standing history in the region of the former Yugoslavia with seminal contributions to the theory and practice of this discipline. This tradition should be expanded to incorporate psychosocial stressors. We review the sociological work stress models and empirical evidence gleaned thereby, and then the occupational stressor index, an additive burden model developed from a cognitive ergonomics perspective. In numerous studies, the occupational stressor index is significantly associated with risk behaviors: smoking, obesity and sedentariness and clinical outcomes: hypertension, ischemic heart disease, dyslipidemia and type 2 diabetes. The occupational stressor index characterizes the work conditions of physicians including surgeons and anesthesiologists; professional drivers and other groups at elevated risk for stress-related disorders. Much of these empirical data are from this region. Work-stress related health disorders are a major public health problem, with enormous human and economic costs. A more proactive role for physicians is needed vis-?-vis our working environment and that of patients. We physicians face a heavy job stressor burden strongly implicated with adverse health outcomes. The challenge is to identify effective strategies to lower the risk of work-stressor related illness. The critical gap is the lack of evidence-based guidelines. Intervention studies are needed in which job stressors are ameliorated as a therapeutic/preventive modality; the logical starting point is within our own profession. We also suggest how the relevant clinical competence could be enhanced. Alongside clinical enhancement should be the full restoration of physician empowerment to implement work-related recommendations. A participatory action research perspective by physicians for physicians and for our patients is needed.
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Lesic, A. R. A., N. Petrovic-Stefanovic, I. Perunicic, P. Milenkovic, D. Lecic-Tosevski, and M. Z. Bumbasirevic. "Burnout in Belgrade orthopaedic surgeons and general practitioners: A preliminary report." Acta chirurgica Iugoslavica 56, no. 2 (2009): 53–59. http://dx.doi.org/10.2298/aci0902053l.
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Background: Burnout syndrome (BOS) is caused both by psychological-emotional and physical stress. It is associated with decreased job performance and low career satisfaction. BOS has a significance influence both to physicians' performance in health care system, and in their private life. Until now, there was no data about this aspect of orthopaedic surgeon condition and health in our community. Aim: To assess the level of the burnout syndrome in orthopaedic surgeons and general practitioners (GPs), and the relations of their demographic features, job characteristics to the burnout syndrome Design: Questionnaire-based survey Methods: The sample consisted of 30 orthopaedic surgeons from the University Clinical Centre, and 40 GPs from the primary health care centres. The Burnout syndrome was measured by the Maslach Burnout Inventory (MBI). In addition to the MBI, the demographic data were collected and analyzed (age, age of practicing, gender, marital status) in relation to BOS. Results: Both groups expressed moderate to high rate of emotional exhaustion, depersonalization and low personal accomplishment. However, statistical significance between the groups had not been demonstrated. Neither gender nor years of practice or marital status did express statistically significant impact on the BOS items, i.e. they were not predictors of the BOS. Our results showed that about 70% of the physicians were emotionally exhausted considering both groups. On the other hand, orthopaedics demonstrated slightly higher depersonalisation level (55%) than GPs (38%). While GPs expressed lower personal accomplishment (48%) comparing to orthopaedics (29%). Discussion: The obtained MBI scores in this study were similar to those registered in US among residents, but when comparing to physicians in West Europe, which have similar health care system, our results demonstrated higher rates of BOS items. Conclusion: The Burnout syndrome represents an important problem for actively practicing physicians. The results of this and other similar studies should be used to evaluate medical training, practice, professional relations and introduce necessary changes.
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Vicentic, Sreten, Aleksandar Jovanovic, Bojana Dunjic, Zorana Pavlovic, Milutin Nenadovic, and Nenad Nenadovic. "Professional stress in general practitioners and psychiatrists: The level of psycologic distress and burnout risk." Vojnosanitetski pregled 67, no. 9 (2010): 741–46. http://dx.doi.org/10.2298/vsp1009741v.
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Background/Aim. So far, studies of stress have shown that physicians are at a high risk of sickness from psychic and somatic disorders related to professional stress, that can lead to important disturbance of personal, familiar and professional functionating. The aim of this study was to investigate the doctors exposition level to professional stress, to compare stress level in general practitioners (GP) group with that in the group of psychiatrists and risk level for the apperance of burnout syndrome. Methods. This cross-section study included subjects recruited by a random sample method. Thirty General Practice doctors and 30 psychiatrists (totally 60 doctors) filled the set of 3 questionnaires: Sociodemographics features, General Health Questionnaire (GHQ; Goldberg D, 1991), and Maslach Burnout Inventory (MBI; Maslach C, 1996). Appropriate statistical procedures (Pearson test, t-test, variance analysis) in interpretation of the results were used. Results. A total level of psychic distress measured with the GHQ test in both groups of physicians was very low implying their good mental health. A difference in Burnout risk based on MBI test between the groups was statistically significant (?2 = 4,286; p < 0.05) only at subscale Personal Accomplishment (MBI-PA); it was a consequence of a higher number of GPs with medium burnout risk (13.3 : 0.0%). However, even 35 physicians from the sample were affected with a high burnout risk measured with subscales Emotional Ehausation (MBI-EE) and MBI-DP, showing that both groups of physicians had risk for the appearance of burnout syndrome. Conclusion. The obtained results showed a high burnout risk level in both, GPs and psychiatrists, groups. In both groups there was no presence of psychic disorders (anxiety, depression, insomnia), while there was a high level of emotional ehausation and overtension by job, and also a lower total personal accomplishment. Level of exposition to professional stress is higher in GPs than in psychiatrists, but the difference was not statistically significant.
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Vilovic, Tina, Josko Bozic, Sanja Zuzic Furlan, Marino Vilovic, Marko Kumric, Dinko Martinovic, Doris Rusic, Marko Rada, and Marion Tomicic. "Mental Health Well-Being and Attitudes on Mental Health Disorders among Family Physicians during COVID-19 Pandemic: A Connection with Resilience and Healthy Lifestyle." Journal of Clinical Medicine 11, no. 2 (January 15, 2022): 438. http://dx.doi.org/10.3390/jcm11020438.
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Family physicians (FPs) are exposed to high amounts of stress, and could be susceptible to the development of mental health disorders (MHD), especially after the emergence of the COVID-19 pandemic. The aim of the current study was to assess MHD history, attitudes toward MHDs and stress-coping strategies in FPs. An additional goal was to estimate their comprehensive well-being and investigate connections with resilience and a healthy lifestyle. A total of 483 FPs submitted their responses via online survey. MHD attitudes were assessed with the according questionnaires, while burnout levels, healthy lifestyle, resilience, job and life satisfaction were estimated with validated scales. Results have shown that 32.5% of FPs disclosed positive MHD history, while 68.7% used professional help. Resilience and healthy lifestyle levels were significantly higher in MHD negative FPs (p < 0.001), while burnout levels were lower (p < 0.001). Moreover, healthy lifestyle (β = 0.03, p < 0.001) was an independent correlate of resilience, while healthy lifestyle (β = −0.35, p < 0.001, and resilience (β = −1.82, p < 0.001) were of burnout levels. Finally, resilience (OR = 0.387, p < 0.001) and healthy lifestyle (OR = 0.970, p = 0.021) were shown as independent predictors of positive MHD history status. Strong promotion and education of FP population regarding resilience and healthy lifestyle should be utilized in practice in order to alleviate the possibility of mental health disturbances and the according consequences.
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Iorga, Magdalena, Camelia Soponaru, Răzvan-Vladimir Socolov, Alexandru Cărăuleanu, and Demetra-Gabriela Socolov. "How the SARS-CoV-2 Pandemic Period Influenced the Health Status and Determined Changes in Professional Practice among Obstetrics and Gynecology Doctors in Romania." Medicina 57, no. 4 (April 1, 2021): 325. http://dx.doi.org/10.3390/medicina57040325.
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Background and Objectives: The beginning of the SARS-Cov-2 pandemic period has had a strong impact on patients’ life, but also on doctors. The main goal of this research is to identify the difficulties related to the professional activity and personal life of obstetrics and gynecology doctors. Material and Methods: In total, 94 physicians from a single university center answered to an online questionnaire. Socio-demographic, health, family, and job-related data were collected. Data were processed using SPSS (v.25). Results: 7.4% of the doctors were confirmed infected with SARS-Cov-2 during the first 6 months of the pandemic, and 48.94% treated infected patients. Due to the large number of patients, 10.64% of the doctors have had no days-off during the last 6 months, and 22.34% of them have had new medical problems that led them to see a specialist. Seventeen to nineteen percent mentioned an increasing number of working hours and shifts per month due to the pandemic period, more than 10% used pills to cope with work-stress, and 25% of them had sleep disorders along with appetite loss. Extra-protection rules and negative consequences of wearing special equipment were identified: thermal discomfort that caused decreasing resistance and concentration during the surgery (52%), reduced mobility and accuracy of surgical or medical gestures (40%), and intraoperative visibility (47%). Doctors who were working with confirmed pregnant women preferred caesarean section. Conclusions: Working under the stress of an infection with SARS-Cov-2 is causing a lot of pressure and determines changes in personal, familial, social, and professional life. Understanding the challenges that ob-gyn doctors are facing will help institutions to better provide support.
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Saha, Debasish Kumar, Muhammad Abdur Razzak, Madhurima Saha, ASM Areef Ahsan, Kaniz Fatema, Fatema Ahmed, Suraiya Nazneen, and Rozina Sultana. "Frequency of Burnout Syndrome in an Intensive Care Unit of a Tertiary Care Hospital in Dhaka, Bangladesh." BIRDEM Medical Journal 9, no. 1 (January 11, 2019): 30–34. http://dx.doi.org/10.3329/birdem.v9i1.39721.
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Background: Burnout syndrome is a psychological term resulting from prolonged exposure to job stressors. It is a very common problem among health professionals especially intensive care unit (ICU) staffs (physicians, nurses, ward-attendant), as ICUs are characterized by a high level of work related stress. The consequences associated with professional burnout affect both the healthcare professionals and recipients.
Methods: This cross-sectional study was done over the period of four months (April to July, 2017) in the department of Critical Care Medicine, of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorder (BIRDEM) General Hospital, Dhaka. Total 93 ICU staffs were included as study population. After taking informed written consent, the participants were given a structured questionnaire consisting of 2 parts. Part 1 addressed demographic information including gender, age, credentials, employment status, years in practice, work schedule, hours worked per week, smoking and alcohol habit, involvement in teaching and research works. Part 2 of the handout was the Maslach Burnout Inventory - Human Service Survey (MBI-HSS); an inventory consisting of 22 questions to assess three components of burnout.
Results: Among the 93 study participants 39.8% were physicians, 47.3% were nurses and 12.9% were wardattendants) were included in this study. Majority (52.7%) of the responders were found in the age group 20-29 year and 58.1% were married. Majority (58.1%) had a working experience of 1-5 year in ICU, where 61.3% staff had 20-25 working days/month. Regarding duty schedule, 84.9% staff were doing shifting duty, 83.9% had 6-10 working night shifts/month. Most (62.4%) were involved in 1-5 patients’ care during their duty time. Among all responders, 17.2% had habit of smoking and 4.3% had alcohol intake habit. 56.7% physicians were involved in research works, and 41.9% of total physicians and nurses were involved in teaching activities. Mostly (97.8% of all staff) followed the ICU guidelines. Regarding burnout scale, 50.5% of the staff had been suffering from moderate emotional exhaustion (EE), 46.2% of high EE. Majority (38.7%) had been suffering from low depersonalization (DP), 32.3% were in high DP and 29.0% were in moderate DP; 81.7% scored high on the personal accomplishment (PA) subscale.
Conclusion: This study results suggest that majority of ICU staff are affected by some level of burnout syndrome.
Birdem Med J 2019; 9(1): 30-34
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Yale, Steven H., Hong Liang, John R. Schmelzer, Sara Poplau, Lauren Nicole Bell, Hale Z. Toklu, Roger L. Brown, Eric Williams, and Mark Linzer. "Factors associated with participation and completion of a survey-based study." International Journal of Health Care Quality Assurance 31, no. 8 (October 8, 2018): 888–95. http://dx.doi.org/10.1108/ijhcqa-02-2017-0029.
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Purpose The Healthy Work Place (HWP) study investigated methods to improve clinicians’ dissatisfaction and burnout. The purpose of this paper is to identify factors that influenced study enrollment and completion and assess effects of initial clinic site enrollment rates on clinician outcomes, including satisfaction, burnout, stress and intent to leave practice. Design/methodology/approach In total, 144 primary care clinicians (general internists, family physicians, nurse practitioners and physician assistants) at 14 primary care clinics were analyzed. Findings In total, 72 clinicians enrolled in the study and completed the first survey (50 percent enrollment rate). Of these, 10 did not complete the second survey (86 percent completion rate). Gender, type, burnout, stress and intervention did not significantly affect survey completion. Hence, widespread agreement about most moral/ethical issues (72 percent vs 22 percent; p=0.0060) and general agreement on treatment methods (81 percent vs 50 percent; p=0.0490) were reported by providers that completed both surveys as opposed to just the initial survey. Providers with high initial clinic site enrollment rates (=50 percent providers) obtained better outcomes, including improvements in or no worsening of satisfaction (odds ratio (OR)=19.16; p=0.0217) and burnout (OR=6.24; p=0.0418). Social implications More providers experiencing workplace agreement completed the initial and final surveys, and providers at sites with higher initial enrollment rates obtained better outcomes including a higher rate of improvement or no worsening of job satisfaction and burnout. Originality/value There is limited research on clinicians’ workplace and other factors that influence their participation in survey-based studies. The findings help us to understand how these factors may affect quality of data collecting and outcome. Thus, the study provides us insight for improvement of quality in primary care.
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Johnsen, Tor Magne, Børge Lønnebakke Norberg, Frode Helgetun Krogh, Hanne Dahl Vonen, Linn Okkenhaug Getz, and Bjarne Austad. "The impact of clinical experience on working tasks and job-related stress: a survey among 1032 Norwegian GPs." BMC Primary Care 23, no. 1 (August 27, 2022). http://dx.doi.org/10.1186/s12875-022-01810-y.
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Abstract Background General practice is a generalist discipline fraught with complexity. For inexperienced physicians, it may be demanding to get to grips with the clinical challenges. The purpose of this article is to describe possible differences in the range of tasks between inexperienced and experienced general practitioners (GPs), and the extent to which clinical experience affects the way in which GPs perceive their daily work. Methods An online questionnaire was sent to all regular GPs in Norway (N = 4784) in 2018. The study sought to document the tasks performed during a typical working day and how the GPs perceived their working situation. In this study, we compare the tasks, working situation and occurrence of potentially conflictual consultations among ‘less experienced physicians’ (≤ 5 years of experience in general practice) versus ‘more experienced physicians’ (> 5 years of experience). The findings are discussed in light of theories on development of expertise. Results We received responses from 1032 GPs; 296 (29%) were less experienced and 735 (71%) more experienced. The two groups reported virtually the same number of consultations (19.2 vs. 20.5) and clinical problems handled (40.4 vs. 44.2) during the study day. The less experienced physicians reported a higher proportion of challenging and/or conflictual consultations, involving prescriptions for potentially addictive medication (5.7% vs. 3.1%), sickness certification (4.1% vs. 2.4%) and referral for medical investigations on weak clinical indication (8.1% vs. 5.6%). For other clinical issues there were minor or no differences. Both GP groups reported high levels of work-related stress with negative effect on self-perceived health (61.6% vs 64.6%). GPs who felt that high job demands harmed their health tended to handle a slightly higher number of medical issues per consultation and more consultations with elements of conflict. Conclusions and implications Inexperienced GPs in Norway handle a workload comparable to that of experienced GPs, but they perceive more conflictual consultations. These findings have relevance for training and guidance of future GP specialists. Irrespective of experience, the GPs report such high levels of negative work-related stress as to indicate an acute need for organisational changes that imply a reduced workload.
Dissertations / Theses on the topic "Physicians (General practice) Job stress Victoria"
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Nelson, Mark 1957. "Aspects of pharmacological management of hypertension in general practice." Monash University, Dept. of Epidemiology and Preventive Medicine, 2002. http://arrow.monash.edu.au/hdl/1959.1/7923.
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Murfett, Amanda. "Time out for respite and recovery : a qualitative study of influences on general practitioners’ adaptation to general practice." Thesis, 2011. https://vuir.vu.edu.au/22355/.
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Previous research has highlighted general practitioners (GPs) maladaptive coping
efforts, but little is known about GPs who appear to adapt positively to their inherently
demanding work. This study aimed to address this knowledge gap by identifying factors
that optimise GPs adaptation to working in general practice. A qualitative methodology
underpinned by a constructionist epistemological stance was used. Twenty-six semistructured
individual interviews with suburban and rural GPs in the State of Victoria aged
between 24 and 77 years were conducted. GPs identified work demands consistent with
previous research: time pressure, long hours of work, heavy workload, and pace of work;
work interfering with non-work/family, threat of malpractice litigation, and bureaucratic
interference. However, the degree of concern and coping responses was varied; some GPs
appraised the work demands as a threat while others considered them an opportunity. GPs
adopted a range of adaptive behaviours to manage and resolve work demands that were
influenced by six key elements. These were: (1) the degree of work centrality to GPs, (2)
the inclination of GPs towards integration or segmentation of work and non-work/family
domains, (3) situational factors in the general practice and non-work/family domains, (4)
ability to psychologically detach from GP role (5) choice of respite activity, and (6)
adequate recovery from work demands. An heuristic schema that brings together these six
elements and their implications for GP adaptation was presented. Understanding and self-knowledge
about work orientation, and preference for integrating and segmenting life
domains, point to the need for tailored respite strategies that facilitate psychological
detachment, recovery of resources, and successful adaptation to working in general
practice and life as a GP. This knowledge may also assist medical students to prepare for
meeting the challenges of their future medical careers.
Books on the topic "Physicians (General practice) Job stress Victoria"
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Hayter, Philippa. Morale in general practice. Southampton, Hampshire: Institute for Health Policies, 1996.
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K, Rout Jaya, ed. Stress and general practitioners. Dordrecht: Kluwer Academic Publishers, 1993.
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O, Sotile Mary, ed. The resilient physician: Effective emotional management for doctors and their medical organizations. [Chicago]: American Medical Association, 2002.
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Not Another Guide to Stress in General Practice. 2nd ed. Radcliffe Publishing Ltd, 2000.
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What Stress in Primary Care? Royal College of General Practitioners, 1999.
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