Organization Climate, Job Stress and Burnout among Private Hospital Personnel
Organization Climate, Job Stress and Burnout among Personnel
Keywords:
organization climate, job stress, burnout, personnel, private hospitalAbstract
Work-related stress among health care personnel in private hospitals has been escalated due to several
job demands to ensure high quality care and achieve patient satisfaction. Also, with establishing a standard
system for medical services leads to burnout. This survey aimed to assess the problem size of the
organization climate, job stress and burnout of personnel in private hospitals.The study was conducted in a
private hospital in November 2019 with a census of 550 personnel divided into three groups as follows:
1) physicians/pharmacists/laboratory technicians 2) nurses and 3) supportive staff. Data were collected using
three standardized questionnaires: Organization stress indicator, Effort reward imbalance questionnaire and
Copenhagen burnout inventory (CBI). Data were compared between groups with chi-square, one-way ANOVA
and Kruskal Wallis test. The level of significance was 0.05. The response rate was 73%. Healthcare personnel
had organization stress on the issue of supporting employee morale, insufficient manpower and equipment
and poor working environment. All three groups of healthcare personnel demonstrated effort-reward balance
whileover-commitment showed approximately the same scores across the groups. Furthermore, burnout
measured by CBI revealed that nurses reported highest personal and work-related burnout, whereas
client-related burnout showed no difference among the three groups. Therefore, this information should be
used for further research to find out the causes that result in a bad organization climate including the causes
of work stress and burnout to prevent the loss of private hospital personnel.
References
2. Hammig O. Explaining burnout and the intention to leave the profession among health professionals-a cross-sectional study in a hospital setting in Switzerland. BMC Health Serv Res 2018;18(1):785. doi: 10.1186/s12913-018-3556-1
3. Bagaajav A, Myagmarjav S, Nanjid K, Otgon S, Chae YM. Burnout and job stress among Mongolian doctors and nurses. Ind Health 2011;49(5):582-88.
4. Colindre CV, Bryce E, Coral-Rosero P, Ramos-Soto RM, Bonilla F, Yasi A. Effect of effort-reward imbalance and burnout on infection control among Ecuadorian nurses. Int Nurs Rev 2018;65(2):190-99.
5. Williams ES, Manwell LB, Konrad TR, Linzer M. The relationship of organizational culture, stress, satisfaction and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Health Care Manage Rev 2007;32(3):203-12.
6. Friedman M. Medical diagnosis of type A behavior and its differentiation from type B behavior. In: Gullotta TP, editor. Type A behavior: its diagnosis and treatment. New York City, New York State, USA:Plenum Press; 1996. p.31-54.
7. Buapetch A, Lagampam S, Faucett J, Kalampakorn S. The Thai version of effort-reward imbalance questionnaire (Thai ERIQ): a study of psychometric properties in garment personnel. J Occup Health 2008;50(6):480-91.
8. Phuekphan P, Aungsuroch Y, Yunibhand J, Chan SWC. Psychometric properties of the Thai version of Copenhagen burnout inventory (T-CBI) in Thai nurses. J Health Res 2016;30(2):135-42.
9. Fincham JE. Response rates and responsiveness for surveys, standards, and the journal. Am J Pharm Educ 2008;72(2):43.doi:10.5688/aj720243
10. Sillero A, Zabalegui A. Organizational factors and burnout of perioperative nurses. Clin Pract Epidemiol Ment Health 2018;14:132-42. doi: 10.2174/1745017901814010132
11. Quang DT, Wichaikhum O, Nantsupawat R. Nursing practice environment and burnout among Vietnamese staff nurses in central general hospitals. Nurs J 2013:40(4);150-61.
12. Abhicharttibutra K, Wichaikhum O, Kunnaviktikul W, Nantsupawat R, Nantsupawat A. The relationship between nursing practice environment and adverse patient outcomes in general hospitals. J Royal Thai Army Nurs 2017:18(1);206-15.
13. Trifunovic N, Jatic Z, Kulenovic AD. Identification of causes of the occupational stress for health providers at different levels of health care. Med Arch 2017;71(3):169-72.
14. Loerbroks A, Weigl M, Li J, Angerer P. Effort-reward imbalance and perceived quality of patient care: a cross-sectional study among physicians in Germany. BMC Public Health 2016;16:342.doi:10.1186/s12889-016-3016-y.
15. Koch P, Kersten J, Stranzinger J, Nienhaus A. The effect of effort-reward imbalance on the health of childcare personnel in Hamburg: a longitudinal study. J Occup Med Toxicol 2017;12(16):e01638. doi:10.1186/s12995-017-0163-8.
16. Jachens L, Houdmont J, Thomas R. Effortreward imbalance and burnout among humanitarian aid personnel. Disasters 2019;43(1):67-87.
17. Satoh M, Watanabe L, Asakura K. Occupational commitment and job satisfaction mediate effort-reward imbalance and the intention to continue nursing. Jpn J Nurs Sci 2017;14:49-60. doi:10.1111/jjns.12135
18. Tzeng DS, Chung WC, Lin CH, Yang CY. Effort-reward imbalance and quality of life of healthcare personnel in military hospitals: a cross-sectional study. BMC Health Serv Res 2012;12:309. doi:10.1186/1472-6963-12-309
19. Messias E, Gathright MM, Freeman ES, Flynn V, Atkinson T, Thrush CR, et al. Differences in burnout between clinical professionals and biomedical scientists in an academic medical center: a crosssectional survey. BMJ Open 2019;9:e023506.doi:10.1136/bmjopen-2018-023506
20. Chambers CNL, Frampton CMA, Barclay M, McKee M. Burnout prevalence in New Zealand's public hospital senior medical workforce: a cross-sectional mixed methods study. BMJ Open 2016;6:e013947.doi:10.1136/bmjopen-2016-013947
21. Zutautiene R, Radisauskas R, Kaliniene G, Ustinaviciene R. The prevalence of burnout and its associations with psychosocial work environment among Kaunas region (Lithuania) hospitals' physicians. Int J Environ Res Public Health 2020;1:3739.doi:10.3390/ijerph17103739
