Department of Surgery, Jen-Ai Hospital, Taichung, Taiwan.
Department of Medical Humanities and Social Sciences, School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Occup Med (Lond). 2024 Nov 28;74(8):589-595. doi: 10.1093/occmed/kqae081.
International studies have revealed that numerous challenges (e.g. job demands) and opportunities (e.g. job resources as protective factors) affect the well-being of healthcare workers.
Building on the job demands-resources theory, we explored how job-related demands and the role of inclusive leadership as a job resource influenced the well-being of junior doctors during the coronavirus disease 2019 (COVID-19) pandemic.
A cross-sectional web survey was conducted in July 2022 for 82 junior doctors who had experienced the 3-year COVID-19 pandemic. The survey captured their perceived physical, psychological and COVID-19-related job demands and the inclusive leadership behaviours exhibited by their clinical unit supervisors as job resources. Data were also collected on junior doctors' experiences of burnout, compassion satisfaction and occupational commitment as variables of job outcomes. Hierarchical linear regression analysis was applied to explore the relationships between the variables.
Physical and COVID-19-related job demands were associated with increased burnout among junior doctors. Inclusive leadership as a job resource was associated with junior doctors' reduced burnout and increased compassion satisfaction and buffered the negative effects of psychological demands on their compassion satisfaction. Only COVID-19-related job demands were associated with junior doctors' occupational commitment.
Our study highlights the critical effects of COVID-19-related job demands on junior doctors' burnout and occupational commitment. Inclusive leadership behaviours exhibited by clinical unit supervisors are a valuable job resource, which can be incorporated as one of the competencies training for medical staff.
国际研究表明，许多挑战（如工作需求）和机会（如工作资源作为保护因素）会影响医护人员的福祉。
基于工作需求-资源理论，我们探讨了工作相关需求以及包容型领导作为工作资源的作用如何影响新冠疫情期间初级医生的福祉。
2022 年 7 月，我们对经历过 3 年新冠疫情的 82 名初级医生进行了一项横断面网络调查。调查记录了他们感知到的生理、心理和与新冠相关的工作需求，以及他们临床科室主管表现出的包容型领导行为作为工作资源。还收集了初级医生在倦怠、同情心满足和职业承诺方面的经历，作为工作结果的变量。采用分层线性回归分析来探讨变量之间的关系。
生理和与新冠相关的工作需求与初级医生的倦怠增加有关。作为工作资源的包容型领导与初级医生的倦怠减少和同情心满足增加有关，并缓冲了心理需求对其同情心满足的负面影响。只有与新冠相关的工作需求与初级医生的职业承诺有关。
我们的研究强调了与新冠相关的工作需求对初级医生倦怠和职业承诺的重要影响。临床科室主管表现出的包容型领导行为是一种有价值的工作资源，可以将其纳入医务人员的能力培训之一。
