Cargando…
Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in Dutch hospitals
OBJECTIVE: To investigate to what extent work engagement mediates the relationships of job resources with work ability, and to what extent burnout mediates the relationships of job demands and resources with work ability. DESIGN: Multicentre observational study. SETTING: Academic and non-academic ho...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809264/ https://www.ncbi.nlm.nih.gov/pubmed/36585143 http://dx.doi.org/10.1136/bmjopen-2022-062603 |
_version_ | 1784863084566806528 |
---|---|
author | Debets, Maarten Scheepers, Renee Silkens, Milou Lombarts, Kiki |
author_facet | Debets, Maarten Scheepers, Renee Silkens, Milou Lombarts, Kiki |
author_sort | Debets, Maarten |
collection | PubMed |
description | OBJECTIVE: To investigate to what extent work engagement mediates the relationships of job resources with work ability, and to what extent burnout mediates the relationships of job demands and resources with work ability. DESIGN: Multicentre observational study. SETTING: Academic and non-academic hospitals in the Netherlands. PARTICIPANTS: Physicians (n=385) participated in this study. PRIMARY AND SECONDARY OUTCOME MEASURES: We measured work ability with selected items from the validated Questionnaire of Experience and Evaluation of Work 2.0 (QEEW V.2.0), work engagement with the Utrecht Work Engagement Scale and burnout with the exhaustion subscale of the Oldenburg Burnout Inventory. The job demand ‘workload’ and job resources ‘development opportunities’, ‘participation in decision-making’, ‘inspirational leadership’ and ‘relationships with colleagues’ were measured using the QEEW V.2.0. The job demand ‘bureaucratic burden’ was measured with the Three Item Red Tape scale. A structural equation model was built to answer our research question. RESULTS: Work engagement mediated relationships of job resources with physicians’ work ability, and burnout mediated relationships of job resources and demands with work ability. Development opportunities (β=0.39, SE=0.12, p<0.001), participation in decision-making (β=0.18, SE=0.08, p=0.028) and relationships with colleagues (β=0.19, SE=0.19, p=0.002) were positively related to work engagement. Development opportunities (β=−0.20, SE=0.08, p=0.004) were negatively related and workload (β=0.51, SE=0.19, p<0.001) was positively related to burnout. Work engagement (β=0.22, SE=0.04, p<0.001) was positively related and burnout (β=−0.56, SE=0.06, p<0.001) was negatively related to work ability. CONCLUSIONS: Physicians’ work engagement and burnout mediated the relationships of various job demands and resources with their work ability. More work-engaged and less burned-out physicians reported better work ability. Hospitals may attenuate excessive workloads and facilitate development opportunities, participation in decision-making and good collegial relationships to enhance physicians’ occupational well-being and performance. |
format | Online Article Text |
id | pubmed-9809264 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-98092642023-01-04 Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in Dutch hospitals Debets, Maarten Scheepers, Renee Silkens, Milou Lombarts, Kiki BMJ Open Mental Health OBJECTIVE: To investigate to what extent work engagement mediates the relationships of job resources with work ability, and to what extent burnout mediates the relationships of job demands and resources with work ability. DESIGN: Multicentre observational study. SETTING: Academic and non-academic hospitals in the Netherlands. PARTICIPANTS: Physicians (n=385) participated in this study. PRIMARY AND SECONDARY OUTCOME MEASURES: We measured work ability with selected items from the validated Questionnaire of Experience and Evaluation of Work 2.0 (QEEW V.2.0), work engagement with the Utrecht Work Engagement Scale and burnout with the exhaustion subscale of the Oldenburg Burnout Inventory. The job demand ‘workload’ and job resources ‘development opportunities’, ‘participation in decision-making’, ‘inspirational leadership’ and ‘relationships with colleagues’ were measured using the QEEW V.2.0. The job demand ‘bureaucratic burden’ was measured with the Three Item Red Tape scale. A structural equation model was built to answer our research question. RESULTS: Work engagement mediated relationships of job resources with physicians’ work ability, and burnout mediated relationships of job resources and demands with work ability. Development opportunities (β=0.39, SE=0.12, p<0.001), participation in decision-making (β=0.18, SE=0.08, p=0.028) and relationships with colleagues (β=0.19, SE=0.19, p=0.002) were positively related to work engagement. Development opportunities (β=−0.20, SE=0.08, p=0.004) were negatively related and workload (β=0.51, SE=0.19, p<0.001) was positively related to burnout. Work engagement (β=0.22, SE=0.04, p<0.001) was positively related and burnout (β=−0.56, SE=0.06, p<0.001) was negatively related to work ability. CONCLUSIONS: Physicians’ work engagement and burnout mediated the relationships of various job demands and resources with their work ability. More work-engaged and less burned-out physicians reported better work ability. Hospitals may attenuate excessive workloads and facilitate development opportunities, participation in decision-making and good collegial relationships to enhance physicians’ occupational well-being and performance. BMJ Publishing Group 2022-12-30 /pmc/articles/PMC9809264/ /pubmed/36585143 http://dx.doi.org/10.1136/bmjopen-2022-062603 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Mental Health Debets, Maarten Scheepers, Renee Silkens, Milou Lombarts, Kiki Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in Dutch hospitals |
title | Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in Dutch hospitals |
title_full | Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in Dutch hospitals |
title_fullStr | Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in Dutch hospitals |
title_full_unstemmed | Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in Dutch hospitals |
title_short | Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in Dutch hospitals |
title_sort | structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability: an observational study among physicians in dutch hospitals |
topic | Mental Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809264/ https://www.ncbi.nlm.nih.gov/pubmed/36585143 http://dx.doi.org/10.1136/bmjopen-2022-062603 |
work_keys_str_mv | AT debetsmaarten structuralequationmodellinganalysisonrelationshipsofjobdemandsandresourceswithworkengagementburnoutandworkabilityanobservationalstudyamongphysiciansindutchhospitals AT scheepersrenee structuralequationmodellinganalysisonrelationshipsofjobdemandsandresourceswithworkengagementburnoutandworkabilityanobservationalstudyamongphysiciansindutchhospitals AT silkensmilou structuralequationmodellinganalysisonrelationshipsofjobdemandsandresourceswithworkengagementburnoutandworkabilityanobservationalstudyamongphysiciansindutchhospitals AT lombartskiki structuralequationmodellinganalysisonrelationshipsofjobdemandsandresourceswithworkengagementburnoutandworkabilityanobservationalstudyamongphysiciansindutchhospitals |