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瑞典基层医疗中的心理社会工作环境:对医生工作满意度、离职意向、社会支持、领导风气和变革疲劳的横断面调查。

Psychosocial work environment in Swedish primary healthcare: a cross-sectional survey of physicians' job satisfaction, turnover intention, social support, leadership climate and change fatigue.

机构信息

Department of Health, Medicine and Caring Sciences, Division of Health and Society, Linköping University, 581 83, Linköping, Sweden.

Primary Health Care Centre, Lambohov, Region Östergötland, Sweden.

出版信息

Hum Resour Health. 2024 Oct 23;22(1):70. doi: 10.1186/s12960-024-00955-4.

Abstract

BACKGROUND

Primary healthcare, the first line of care in many countries, treats patients with diverse health problems. High workload, time pressure, poor job control and negative interpersonal experiences with supervisors have been documented in primary healthcare. The work environment in primary healthcare is also affected by several types of changes.

AIM

We aimed to explore the levels of job satisfaction, turnover intention, social support, leadership climate and change fatigue according to physicians in Swedish primary healthcare. We also aimed to identify and characterize physicians exhibiting both high turnover intention and low job satisfaction, i.e., "discontent with current job".

METHODS

A cross-sectional survey based on a random sample of physicians working in Swedish primary healthcare.

RESULTS

Approximately one-quarter of the respondents were discontented with their current job. Discontent was negatively associated with poor general health and change fatigue among the respondents; social support from colleagues and a favorable leadership climate showed positive associations in terms of reducing the levels of discontent with current job.

CONCLUSIONS

The findings of this study highlight the association between low levels of job satisfaction and high levels of turnover intention (i.e., discontent with current job) among physicians in primary healthcare. Moreover, these variables exhibited a strong association with physicians' general health; poor health significantly increased the likelihood of discontent with current job. Our findings also show that experiencing change fatigue is associated with discontent with current job among physicians in primary healthcare. This knowledge can help identify and improve shortcomings within the psychosocial work environment in Swedish primary healthcare.

摘要

背景

初级保健是许多国家的第一线医疗,治疗患有各种健康问题的患者。在初级保健中,已经记录了高工作量、时间压力、工作控制差和与主管的负面人际体验。初级保健的工作环境也受到多种类型变化的影响。

目的

我们旨在根据瑞典初级保健医生的情况,探讨工作满意度、离职意愿、社会支持、领导风气和变革疲劳的水平。我们还旨在确定并描述表现出高离职意愿和低工作满意度的医生,即“对当前工作不满”。

方法

一项基于瑞典初级保健医生随机样本的横断面调查。

结果

大约四分之一的受访者对自己的工作不满。不满与受访者的一般健康状况不佳和变革疲劳呈负相关;来自同事的社会支持和有利的领导风气与降低对当前工作的不满程度呈正相关。

结论

本研究的结果强调了初级保健医生中低水平的工作满意度和高离职意愿(即对当前工作不满)之间的关联。此外,这些变量与医生的一般健康状况密切相关;健康状况不佳显著增加了对当前工作不满的可能性。我们的研究结果还表明,变革疲劳与初级保健医生对当前工作的不满有关。这些知识可以帮助识别和改善瑞典初级保健中的心理社会工作环境中的不足之处。

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