TY - JOUR
T1 - Structural equation modelling analysis on relationships of job demands and resources with work engagement, burnout and work ability
T2 - an observational study among physicians in Dutch hospitals
AU - Debets, Maarten
AU - Scheepers, Renee
AU - Silkens, Milou
AU - Lombarts, Kiki
N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022/12/30
Y1 - 2022/12/30
N2 - OBJECTIVE: To investigate to what extent work engagement mediates the relationships of job resources with work ability, and to what extent burnout mediates the relationships of job demands and resources with work ability. DESIGN: Multicentre observational study. SETTING: Academic and non-academic hospitals in the Netherlands. PARTICIPANTS: Physicians (n=385) participated in this study. PRIMARY AND SECONDARY OUTCOME MEASURES: We measured work ability with selected items from the validated Questionnaire of Experience and Evaluation of Work 2.0 (QEEW V.2.0), work engagement with the Utrecht Work Engagement Scale and burnout with the exhaustion subscale of the Oldenburg Burnout Inventory. The job demand 'workload' and job resources 'development opportunities', 'participation in decision-making', 'inspirational leadership' and 'relationships with colleagues' were measured using the QEEW V.2.0. The job demand 'bureaucratic burden' was measured with the Three Item Red Tape scale. A structural equation model was built to answer our research question. RESULTS: Work engagement mediated relationships of job resources with physicians' work ability, and burnout mediated relationships of job resources and demands with work ability. Development opportunities (β=0.39, SE=0.12, p<0.001), participation in decision-making (β=0.18, SE=0.08, p=0.028) and relationships with colleagues (β=0.19, SE=0.19, p=0.002) were positively related to work engagement. Development opportunities (β=-0.20, SE=0.08, p=0.004) were negatively related and workload (β=0.51, SE=0.19, p<0.001) was positively related to burnout. Work engagement (β=0.22, SE=0.04, p<0.001) was positively related and burnout (β=-0.56, SE=0.06, p<0.001) was negatively related to work ability. CONCLUSIONS: Physicians' work engagement and burnout mediated the relationships of various job demands and resources with their work ability. More work-engaged and less burned-out physicians reported better work ability. Hospitals may attenuate excessive workloads and facilitate development opportunities, participation in decision-making and good collegial relationships to enhance physicians' occupational well-being and performance.
AB - OBJECTIVE: To investigate to what extent work engagement mediates the relationships of job resources with work ability, and to what extent burnout mediates the relationships of job demands and resources with work ability. DESIGN: Multicentre observational study. SETTING: Academic and non-academic hospitals in the Netherlands. PARTICIPANTS: Physicians (n=385) participated in this study. PRIMARY AND SECONDARY OUTCOME MEASURES: We measured work ability with selected items from the validated Questionnaire of Experience and Evaluation of Work 2.0 (QEEW V.2.0), work engagement with the Utrecht Work Engagement Scale and burnout with the exhaustion subscale of the Oldenburg Burnout Inventory. The job demand 'workload' and job resources 'development opportunities', 'participation in decision-making', 'inspirational leadership' and 'relationships with colleagues' were measured using the QEEW V.2.0. The job demand 'bureaucratic burden' was measured with the Three Item Red Tape scale. A structural equation model was built to answer our research question. RESULTS: Work engagement mediated relationships of job resources with physicians' work ability, and burnout mediated relationships of job resources and demands with work ability. Development opportunities (β=0.39, SE=0.12, p<0.001), participation in decision-making (β=0.18, SE=0.08, p=0.028) and relationships with colleagues (β=0.19, SE=0.19, p=0.002) were positively related to work engagement. Development opportunities (β=-0.20, SE=0.08, p=0.004) were negatively related and workload (β=0.51, SE=0.19, p<0.001) was positively related to burnout. Work engagement (β=0.22, SE=0.04, p<0.001) was positively related and burnout (β=-0.56, SE=0.06, p<0.001) was negatively related to work ability. CONCLUSIONS: Physicians' work engagement and burnout mediated the relationships of various job demands and resources with their work ability. More work-engaged and less burned-out physicians reported better work ability. Hospitals may attenuate excessive workloads and facilitate development opportunities, participation in decision-making and good collegial relationships to enhance physicians' occupational well-being and performance.
KW - HEALTH SERVICES ADMINISTRATION & MANAGEMENT
KW - MENTAL HEALTH
KW - Organisation of health services
KW - Quality in health care
UR - http://www.scopus.com/inward/record.url?scp=85145425958&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/bmjopen-2022-062603
DO - https://doi.org/10.1136/bmjopen-2022-062603
M3 - Article
C2 - 36585143
SN - 2044-6055
VL - 12
SP - e062603
JO - BMJ Open
JF - BMJ Open
IS - 12
ER -