In this two-part quantitative and qualitative descriptive study, the phenomenon of being engaged at work by physicians currently employed by health care organizations (HCOs) was explored. A purposive sample of eight physicians practicing medicine in the US in a variety of specialties and at seven different HCOs participated in semi-structured interviews about their experiences of work engagement. The job demands-resources (JD-R) model served as the theoretical framework of the study. The JD-R model was developed to describe factors associated with both work engagement and burnout, indicators of positive and negative employee well-being, respectively, with implications for individuals and their employing organizations. This study focused on identifying antecedents of positive experiences of work engagement rather than on the negative state of burnout.
Thematic analysis was used to analyze the data and identify those main job demands, job resources, and personal resources that were described as associated with being engaged at work by employed physicians. The Utrecht Work Engagement Scale (UWES)© was used to assess physicians’ relative levels of work engagement, a three-dimensional construct which included vigor, dedication, and absorption. The most commonly identified patient-care-related job demand was patient volume, while the most commonly identified HCO demands were RVUs/financial targets and work pressure. The only job resource theme found across all participants’ interviews was their physician colleagues, while the personal resource theme of self-efficacy was common to all participants. Job resources and personal resources, individually and in combination, lead to work engagement according to the JD-R model. Implications for physician work engagement and well-being in HCOs include improved quality of patient care, safety, and satisfaction.
|Advisor:||Agger-Gupta, Dorothy E.|
|Commitee:||Corley, Connie, Duberman, Tracy, Manning, Michael R., Parrish, Mary Ann|
|School:||Fielding Graduate University|
|School Location:||United States -- California|
|Source:||DAI-A 80/04(E), Dissertation Abstracts International|
|Subjects:||Medicine, Occupational psychology, Organizational behavior, Health care management|
|Keywords:||Employed physicians, Job demands-resources model, Physician burnout, Physician engagement, Physician well-being, Work engagement|
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