Abstract
The purpose of this study was to assess the ability of work-related stress, and other work environment characteristics that might affect stress, to predict work satisfaction among senior house officers (SHOs) during accident and emergency (A&E) training. Questionnaires were returned by 365 SHOs, who indicated their year in training, the number of hours worked per week, the type of training hospital, the number of new A&E attendances per year, the ratios of patients and consultants to SHOs at their training hospitals and their likelihood of specializing in A&E. They also completed inventories measuring work-related stress, task and role clarity, work group functioning and work satisfaction. Scores on the satisfaction scale served as the dependent variable in a multiple regression equation. Using an alpha level of 0.05, a significant relationship was detected between satisfaction and the 10 independent variables (P = 0.0001). Direct relationships between task and role clarity (P = 0.0001) and work group functioning (P = 0.0002) were significant, as were inverse relationships between stress (P = 0.0001) and the number of new attendances (P = 0.0321). Management practices, such as orientation sessions, that define tasks and roles, enhance work group cohesiveness and mitigate against stress, should result in increased satisfaction among SHOs.
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Selected References
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- Asch D. A., Parker R. M. The Libby Zion case. One step forward or two steps backward? N Engl J Med. 1988 Mar 24;318(12):771–775. doi: 10.1056/NEJM198803243181209. [DOI] [PubMed] [Google Scholar]
- Brashear D. B. Support groups and other supportive efforts in residency programs. J Med Educ. 1987 May;62(5):418–424. doi: 10.1097/00001888-198705000-00007. [DOI] [PubMed] [Google Scholar]
- Butterfield P. S. The stress of residency. A review of the literature. Arch Intern Med. 1988 Jun;148(6):1428–1435. [PubMed] [Google Scholar]
- Firth-Cozens J. Emotional distress in junior house officers. Br Med J (Clin Res Ed) 1987 Aug 29;295(6597):533–536. doi: 10.1136/bmj.295.6597.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Firth-Cozens J. Source of stress in women junior house officers. BMJ. 1990 Jul 14;301(6743):89–91. doi: 10.1136/bmj.301.6743.89. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Firth-Cozens J. Stress in medical undergraduates and house officers. Br J Hosp Med. 1989 Feb;41(2):161–164. [PubMed] [Google Scholar]
- Gray-Toft P. A., Anderson J. G. Organizational stress in the hospital: development of a model for diagnosis and prediction. Health Serv Res. 1985 Feb;19(6 Pt 1):753–774. [PMC free article] [PubMed] [Google Scholar]
- Koltonow S. H. Who's stressing whom? Ann Emerg Med. 1989 Jan;18(1):103–104. doi: 10.1016/s0196-0644(89)80326-9. [DOI] [PubMed] [Google Scholar]
- Levin R. Beyond "the men of steel". The origins and significance of house staff training stress. Gen Hosp Psychiatry. 1988 Mar;10(2):114–121. doi: 10.1016/0163-8343(88)90096-5. [DOI] [PubMed] [Google Scholar]
- Levinsky N. G. Compounding the error. N Engl J Med. 1988 Mar 24;318(12):778–780. doi: 10.1056/NEJM198803243181211. [DOI] [PubMed] [Google Scholar]
- Matheson K. H. Stress and stress counselling. Postgrad Med J. 1990 Sep;66(779):738–742. doi: 10.1136/pgmj.66.779.738. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McCall T. B. The impact of long working hours on resident physicians. N Engl J Med. 1988 Mar 24;318(12):775–778. doi: 10.1056/NEJM198803243181210. [DOI] [PubMed] [Google Scholar]
- Reuben D. B. Depressive symptoms in medical house officers. Effects of level of training and work rotation. Arch Intern Med. 1985 Feb;145(2):286–288. [PubMed] [Google Scholar]
- Revicki D. A., May H. J., Whitley T. W. Reliability and validity of the Work-Related Strain Inventory among health professionals. Behav Med. 1991 Fall;17(3):111–120. doi: 10.1080/08964289.1991.9937554. [DOI] [PubMed] [Google Scholar]
- Schwartz A. J., Black E. R., Goldstein M. G., Jozefowicz R. F., Emmings F. G. Levels and causes of stress among residents. J Med Educ. 1987 Sep;62(9):744–753. doi: 10.1097/00001888-198709000-00006. [DOI] [PubMed] [Google Scholar]
- Whitley T. W., Allison E. J., Jr, Gallery M. E., Heyworth J., Cockington R. A., Gaudry P., Revicki D. A. Work-related stress and depression among physicians pursuing postgraduate training in emergency medicine: an international study. Ann Emerg Med. 1991 Sep;20(9):992–996. doi: 10.1016/s0196-0644(05)82978-6. [DOI] [PubMed] [Google Scholar]
- Whitley T. W., Gallery M. E., Allison E. J., Jr, Revicki D. A. Factors associated with stress among emergency medicine residents. Ann Emerg Med. 1989 Nov;18(11):1157–1161. doi: 10.1016/s0196-0644(89)80051-4. [DOI] [PubMed] [Google Scholar]
- Zun L., Kobernick M., Howes D. S. Emergency physician stress and morbidity. Am J Emerg Med. 1988 Jul;6(4):370–374. doi: 10.1016/0735-6757(88)90159-3. [DOI] [PubMed] [Google Scholar]