van Duijnhoven Anna, de Vries Juriena D, Hulst Hanneke E, van der Doef Margot P
Health, Medical and Neuropsychology Unit, Leiden University, 2333 AK Leiden, The Netherlands.
Leiden Institute for Brain and Cognition, Leiden University, 2333 AK Leiden, The Netherlands.
Int J Environ Res Public Health. 2024 Nov 26;21(12):1561. doi: 10.3390/ijerph21121561.
Compromised Sustainable Employability (SE) of medical doctors is a concern for the viability of healthcare and, thus, for society as a whole. This study (preregistration: ISRCTN15232070) will assess the effect of a two-year organizational-level workplace intervention using a Participatory Action Research (PAR) approach on the primary outcome SE (i.e., burnout complaints, work engagement, and job satisfaction) and secondary outcomes (i.e., turnover intention, occupational self-efficacy, and perceived impact on health/well-being) in medical doctors. It will also examine whether changes in Psychosocial Safety Climate (PSC), job characteristics (i.e., job demands and resources), and perceived impact on the work situation mediate these effects, and which process factors (i.e., degree of actual implementation of changes, information provision, management support, medical doctors' involvement, and mental models) are important to the intervention's success. A pre-post design will be used, including 24 groups of medical doctors (approximately = 650). Data will be collected at four measurement points (a pre-test, two intermediate evaluations, and a post-test) and analyzed using linear mixed-effect models. The results will provide insights into the effectiveness of the intervention in promoting SE and will inform future organizational-level workplace interventions about the mediators and factors in the implementation process that contribute to its effects.
医生可持续就业能力受损关乎医疗保健的可行性，进而关乎整个社会。本研究（预注册：ISRCTN15232070）将采用参与式行动研究（PAR）方法，评估为期两年的组织层面工作场所干预对医生的主要结局可持续就业能力（即倦怠投诉、工作投入和工作满意度）和次要结局（即离职意向、职业自我效能感以及对健康/幸福感的感知影响）的效果。研究还将考察心理社会安全氛围（PSC）、工作特征（即工作要求和资源）的变化以及对工作状况的感知影响是否介导了这些效应，以及哪些过程因素（即变革的实际实施程度、信息提供、管理支持、医生参与度和心智模式）对干预的成功至关重要。将采用前后测设计，包括24组医生（约 = 650人）。将在四个测量点（一次预测试、两次中期评估和一次后测试）收集数据，并使用线性混合效应模型进行分析。研究结果将为干预措施在促进可持续就业能力方面的有效性提供见解，并为未来组织层面的工作场所干预提供有关实施过程中促成其效果的中介因素和因素的信息。
