Subjective career success of doctors in relation to work-stress and to other determinants

Gabriela Haleková, Ivana Žilková

Abstract

The presented research study focuses on subjective career success of doctors and its determinants of the working environment. The aim of the research was to determine the relationship between subjective career success and work stress in the overall level and individual levels. A further aim was to identify differences in subjective career success in terms of length of experience, specialization and workplace of doctors. Subjective career success was studied through questionnaires The Career Satisfaction Scale (Greenhaus, Parasuraman, and Wormley, 1990), because career satisfaction is considered as the most common indicator of subjective career success. Work-related stress was studied through questionnaires The Work stress and Burnout Scale (Hennig and Keller, 1996). Length of experience, specialization and workplace were detected using custom items. The sample consisted of 50 doctors from hospitals and ambulances. The data were processed using a simple correlation analysis and Independent Samples T test. Data analysis showed that subjective career success of doctors was negatively correlated with work stress in the overall level and also with all the levels (mental, emotional, physical and social). We also found a difference in the subjective career success in terms of length of experience and specialization. Doctors with longer practise (over 20 years) and specialists showed higher subjective career success as doctors with shorter practice (under 20 years) and practitioners. There was no difference between doctors working in hospitals and doctors working in the ambulance and no difference between men and women.

(Fulltext in Slovak)

Keywords

subjective career success, career satisfaction, work stress, doctors

Literature

Al-Zubair, N.M., Al-akhali, M.S., & Ghandour, I.A. (2015). Stress among dentists in Yemen. The Saudi Journal for Dental Research, 6(2), 140–145.

Amoafo, E., Hanbali, N., Patel, A., & Singh, P. (2015). What are the significant factors associated with burnout in doctors? Occupational Medicine, 65(2), 117–121.

Arthur, M., Khapova, S., & Wilderom, C. (2005). Career success in a boundaryless career world. Journal of Organizational Behavior, 26, 177–202.

Balch C.M., Shanafelt T.D., Sloan J.A., Satele D.V., & Freischlag J.A. (2011). Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings. Ann Surg, 254(4), 558–568.

Beran, J. (2010). Lékařská psychologie v praxi. Praha: Grada.

Bovier, P.A., & Perneger, T.V. (2003). Prediscotrs of work satisfaction among physicians. European Journal of Public Health, 13(4), 299–305.

Casalino, L.P., & Crosson, F.J. (2015). Physician satisfaction and physician well-being: should anyone care? Professions and Professionalis­m, 5(1).

Crompton, R., & Lyonette, C. (2011). women's career success and work–life adaptations in the accountancy and medical professions in Britain. Gender, Work & Organization, 18(2), 231–254.

Dyrbye, L.N., Varkey, P., Boone, S.L., Satele, D.V., Sloan, J.A., & Shanafelt, T.D. (2009). Physician satisfaction and burnout at different career stages. Mayo Clinic Proceedings, 88(12), 1358–1367.

Dyrbye, L.N., Massie F.S., Eacker A., Harper, W., Power, D., Durning, S.J., Thomas, M.R., Moutier, Ch., Satele, D., Sloan, J., & Shanafelt, T.D. (2010). Relationship between burnout and professional conduct and attitudes among US medical students. JAMA, 304(11), 1173–1180.

Dyrbye, L. N., Varkey, P., Boone, S. L., Satele, D. V., Sloan, J. A., & Shanafelt, T. D. (2013). Physician satisfaction and burnout at different career stages. Mayo Clinic Proceedings, 88(12), 1358–1367.

Fielden, S.L, & Peckar, C.J. (1999). Work stress and hospital doctors: a comparative study. Stress Medicine, 15, 137–141. Fields, D. L. (2002). Taking the measure of work: a guide to validated scales for organizational research and diagnosis. Thousand Oaks, CA: Sage.

Frank, E., McMurray, J.E., Linzer, M., & Elon, L. (1999). Career satisfaction of US women physicians results from the women. Archives of Internal Medicine, 159(13), 1417–1426.

Goetz, K., Musselmann, B., Szecsenyi, J., & Joos, S. (2013). The influence of workload and health behavior on job satisfaction of general practitioners. Family Medicine, 45(2), 95–101.

Greenhaus, J.H., Parasuraman, S., Wormley, W.M. (1990). Effects of Race on Organizational Experiences, Job Performance Evaluations, and Career Outcomes. The Academy of Management Journal, 33(1), 1990, p. 64–86.

Greenhaus, J. H. (2003). Career Dynamics. In W. Borman, D. R. Ilgen, R. J. Klimoski, I. B. Weiner (Eds.), Industrial and Organizational Psychology (pp.519–540). New Yersey: John Wiley & Sons.

Hall, D.T. (2004). The protean career: A quarter-century journey. Journal of Vocational Behavior, 65(1), 1–13.

Hall, D. T., & Mirvis, P. H. (1995). Careers as lifelong learning. In A. Howard (Ed.), The changing nature of work (pp. 323–361). San Francisco: Jossey-Bass.

Henning, C. & Keller, G. (1996). Antistresový program pro učitele: projevy, příčiny a způsoby překonání stresu z povolání. Praha: Portál.

Heponiemi, T., Kouvonen, A., Virtanen, M., Vänskä, J. & Elovainio, M. (2014). The prospective effects of workplace violence on physicians’ job satisfaction and turnover intentions: the buffering effect of job control. BMC Health Services Research. http://bmchealthservres.biomedcentral.com/…2-6963-14-19

Hofmans, J., Dries, N., & Pepermans, R. (2008). The Career Satisfaction Scale: Response bias among men and women. Journal of Vocational Behavior, 73(3), 397–403.

Jugde, T. A., & Bretz, R.D. (1994). Political Influence Behavior and Career Success. Journal of Management, 20(1), 43–65.

Jugde, T. A, Cable, D.M., Boudreau, J.W., & Bretz, R.D. (1995). An empirical investigation of the predictors of executive career success. Personnel Psychology, 48(3), 485–519.

Kirovová, I. (2007). Kariéra v souvislosti s přechodem k postindustri­alismu. Ostrava: TUO.

Kirovová, I. (2011). Od tradiční kariéry k současným kariérním koncepcím. Československá psychologie, 55(4), 316–334.

Kuijpers, M.A.C.T., & Scheerens, J. (2006). Career Competencies for the Modern Career. Journal of Career Development, 32(4), 303–319.

Landon, B.E., Reschovsky, J., & Blumenthal, D. (2003). Changes in Career Satisfaction Among Primary Care and Specialist Physicians, 1997–2001. The Journal of the American Medical Association, 289(4), 442–449.

Leigh, J.P., Kravitz, R.L., Schembri, M.,. Samuels, M.S., & Mobley, S. (2002). Physician Career Satisfaction Across Specialties. Archives of Internal Medicine, 162(14), 1577–1584.

Malinová, L. (2011). Rozvoj profesní kariéry. Praha: Oeconomica.

Nabi, G. R. (1999). An investigation into the differential profile of predictors of objective and subjective career success. Career Development International, 4, 212–224.

Parker, H., & Arthur, M. B. (2000). Careers, organizing, and community. In M.A. Peiperl, M.B. Arthur, R. Goffee, & T. Morris (Eds.), Career frontiers: New conceptions of working lives (pp. 99–121). Oxford: Oxford University Press.

Ptáček, R., Kuželová, H., & Čeladová, L. (2010). Syndrom vyhoření u lékařů. Zdravotnictví a medicína. Retrieved from http://zdravi.e15.cz/…ekaru-453591

Shanafelt, T.D., Balch, CH.M., Bechamps, G. J., Russell, T., Dyrbye, L., Satele, D., Collicott, P., Novotny, P.J., Sloan, J., & Freischlag, J. A. (2009). Burnout and career satisfaction among American surgeons. Annals of Surgery, 250(3), 463–471.

Shanafelt, T.D., Boone, S., Tan, L., Dyrbye, L.N., Sotile, W., Satele, D., West, C.P., Sloan, J., & Oreskovich, M.R. (2012). Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Jama Internal Medicine, 172(18), 1377–1385.

Snopková, I. (2007). Burn-out syndrom čili syndrom vyhoření. Sestra. http://zdravi.e15.cz/…oreni-313491

Sojka, L. (2007). Kvalita pracovného života a súvisiace konštrukty. Prešov: FM PU.

Spector, P. E. (2006) Method variance in organizational research. Organizational Research Methods, 9, 221 – 232. doi: 10.1177/109442­8105284955.

Stamps, C. (1994). Issues in Physician Satisfaction: New Perspectives. Arbor MI: Health Administration Press. Visser, M.R.M., Smets, E.M.A., Oort, F.J., & Haes, H.C.J.M. (2003). Stress, satisfaction and burnout among Dutch medical specialists. Journal list, 168(3), 271–275.

Xiaojun, Ch., Xuerui, T., & Liping, L. (2013). Health Problem and Occupational Stress among Chinese Doctors. Chinese Medicine, 4(1), 1–6.

Show all Hide