Individual and organisational psychosocial predictors of hospital doctors’ work-related wellbeing: a multilevel and moderation perspective

Kevin R. H. Teoh, Juliet Hassard, Tom Cox

Research output: Contribution to journalArticlepeer-review

41 Citations (Scopus)
17 Downloads (Pure)

Abstract

Background
The high prevalence of burnout and depression among doctors highlights the need to understand the psychosocial antecedents to their work-related well-being. However, much of the existing research has been atheoretical, operationalized a narrow measurement of well-being, and predominantly examined such relationships at the individual level.

Purpose
This study uses a multilevel perspective to examine individual (i.e., job demands and resources) and organizational-level psychosocial predictors of three measures of work-related well-being: perceived stress, presenteeism, and work engagement. The job demands–resources theory underpins the postulated relationships.

Methodology
The 2014 National Health Service Staff Survey was analyzed using multilevel modeling in MPlus. The data set involved 14,066 hospital-based doctors grouped into 157 English hospital organizations (i.e., Trusts).

Results
Congruent with job demands–resources theory, job demands (workplace aggression and insufficient work resources) were stronger predictors of perceived stress and presenteeism than job resources. Equally, job resources (job control and manager support) were generally stronger predictors of work engagement than job demands. At the organizational level, bed occupancy rates and number of emergency admissions predicted work engagement. No hypothesized individual or multilevel interactions were observed between any of the job demands and resources.

Practical Implications
The findings emphasize that a broader perspective of work-related well-being among hospital doctors should be employed and the empirical value of examining such relationships from a multilevel perspective. Successful health intervention should target the appropriate antecedent pathway and recognize the role of organizational-level factors when trying to manage hospital doctors’ work-related well-being.

Original languageEnglish
Pages (from-to)162-172
JournalHealth Care Management Review
Volume45
Issue number2
DOIs
Publication statusPublished - 01 Jun 2020
Externally publishedYes

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