health of the health professional conference auckland, new zealand november 3-5, 2011
DESCRIPTION
Comparing Job Demands , Coping Resources and Well-being Across Different Health Care Providers Working Together Jane B Lemaire MD, Jean E Wallace PhD, Janet Gilmour MD. Health of the Health Professional Conference Auckland, New Zealand November 3-5, 2011. No conflict of interest. - PowerPoint PPT PresentationTRANSCRIPT
Comparing Job Demands, Coping Resources and Well-being Across Different Health Care Providers Working Together
Jane B Lemaire MD, Jean E Wallace PhD, Janet Gilmour MD
Health of the Health Professional ConferenceAuckland, New Zealand
November 3-5, 2011
No conflict of interest
*HCPs work collaboratively within multidisciplinary teams*They may have different work attitudes and experiences
Background
*To compare job demands, coping resources and well-being across different groups of health care providers (HCPs) working as a team in the same setting
Aim
*Setting: Single medicine ward in a teaching hospital*Design: Descriptive, cross-sectional study, structured questionnaire *Sample: 164 health care providers, response rate 63%
Methods
*Data collection and measures:-closed-ended survey items-response range strongly disagree (coded 1) to strongly agree (coded 5)-scale scores computed by summing items and dividing by the # of items
Methods
*Job demands
Workload My workload is too heavy in my jobI do not have enough time to get everything done in
my jobIt is difficult to meet the demands of my patients, co-
workers and the hospital
Work hoursOn average in a typical week, how many hours do you
work on the unit?
Methods
*Coping resources
Job controlI make my own decisions as to how I do my workI am my own boss in almost every work situation
Co-worker supportMy colleagues are good at helping me solve work-
related problems
Methods
*Well-beingI feel I have a pretty balanced lifeI feel I am positively influencing other people’s lives through my workI am satisfied with my life in generalI definitely enjoy my jobI am satisfied with the way my career is going
Methods
Table 1 Characteristics of Survey Participants
GenderFemale n=78 (86%)
Male n=13 (14%)
AgeMean = 35.81(SD = 10.87)
Missing n=2
Years of experienceMean = 7.78 (SD=9.07)
Missing n=9
OccupationNurse n=47 (52%)
Nursing attendant n=13 (14%)Staff physician n=13 (14%)
Resident physician n=18 (20%)
Table 2Aggregate Results for all Health Care Providers and Mean Difference Tests between Nursing Staff and Physicians
Variables
All HCPs(n=91)
Mean (SD)
Nursing staff(n=60)
Mean (SD)
Physicians(n=31)
Mean (SD)
Workload 3.19 (.80) 3.03 (.75) 3.44 (.83)*
Work Hours 40.71 (23.04) 28.76 (10.57) 66.52 (21.53)*
Control 3.26 (.78) 3.46 (.81) 2.89 (.99)*
Co-worker Support 4.11 (.70) 4.33 (.54) 3.71 (.78)*
Well-Being 3.96 (.58) 4.10 (.51) 3.70 (.60)*
* indicates a statistically significant difference at the .10 level between nursing staff and physicians
Table 3Mean Difference Tests between Nurses versus Nursing Attendants (NAs), and Staff Physicians versus Resident Physicians
Variables
Nurses(n=47)
Mean (SD)
NAs(n=13)
Mean (SD)
Staff MDs(n=13)
Mean (SD)
Resident MDs(n=18)
Mean (SD)
Workload 3.12 (.78) 2.75 (.65)+ 3.46 (.89) 3.42 (.81)
Work Hours 30.14 (9.41) 22.73 (13.57)+ 58.45 (22.34) 72.86 (19.32) †
Control 3.55 (.78) 3.11 (.82)+ 3.42 (1.04) 2.50 (.77) †
Co-worker Support
4.38 (.49) 4.15 (.69)+ 3.69 (.95) 3.72 (.67)
Well-Being 4.19 (.47) 3.80 (.58)+ 3.60 (.73) 3.77(.50)
+ indicates a statistically significant difference at the .10 level between nurses and nursing attendants† indicates a statistically significant difference at the .10 level between staff physicians and resident physicians
Table 4Regression Results for Well-Being for Pooled, Nursing Staff and Physicians
** p<.05; *p<.10b comparing nurses (coded 1) to nursing attendants (coded 0)c comparing staff physicians (coded 1) to resident physicians (coded 0)
Variables
Pooled(n=91)
b(β)
Nursing Staff(n=58)
b(β)
Physicians(n=31)
b(β)
Workload -.17 (-.23)** -.17 (-.25)** -.22 (-.30)*
Work Hours .00 (.04) .00 (.09) .00 (.07)
Control .20 (.29)** .24 (.38)** .22 (.36)*
Co-worker Support .20 (.24)** .11 (.12) .23 (.29)*
Constant 2.99** 2.94** 2.99**
R2 .33** .38** .32**
*Greater perceived workload and longer work hours for physicians*Lower job control for nursing assistants and resident physicians*Higher levels of well-being for nurses
Summary
*Cross sectional study of HCPs at a single site*Limited generalizability *Small numbers*Standardized measures may not be sensitive enough to capture the various ways the different groups experience job demands and coping resources
Limitations
Health care providers-work in unison to provide quality health care to the patients they serve-share a common work environment-experience varying amounts of job demands, coping resources and well-being
Conclusions
*Broad-based interventions may be improved by knowledge of specific occupational group issues*Areas of similarity may provide as important insight as those of difference
Conclusions
Staff wellness Lao PDR