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Faculty's work engagement in patient care: impact on job crafting of the teacher tasks.

ABSTRACT: BACKGROUND:High levels of work engagement protect against burnout. This can be supported through the work environment and by faculty themselves when they try to improve their work environment. As a result, they can become more engaged and better performers. We studied the relationship between adaptations by physicians to improve their teaching work environment, known as job crafting, and their energy levels, or work engagement, in their work as care provider and teacher. Job crafting encompasses seeking social (i) and structural (ii) resources and challenges (iii) and avoiding hindrances (iv). METHODS:We established a cross-sectional questionnaire survey in a cohort of physicians participating in classroom and clinical teaching. Job crafting and work engagement were measured separately for physicians' clinical and teaching activities. We analyzed our data using structural equation modelling controlling for age, gender, perceived levels of autonomy and participation in decision making. RESULTS:383 physicians were included. Physicians' work engagement for patient care was negatively associated with two job crafting behaviors in the teaching roles: seeking structural resources (classroom teaching: ß?=?-?0.220 [95% CI: -0.319 to -?0.129]; clinical teaching: ß?=?-?0.148 [95% CI: -0.255 to -?0.042]); seeking challenges (classroom teaching: ß?=?-?0.215 [95% CI: -0.317 to -?0.113]; clinical teaching:, ß?=?-?0.190 [95% CI: -0.319 to -?0.061]). Seeking social resources and avoiding hindrances were unaffected by physicians' work engagement for patient care. CONCLUSIONS:High engagement for teaching leads to job crafting in teaching. High engagement for patient care does not lead to job crafting in teaching.

SUBMITTER: van den Berg JW

PROVIDER: S-EPMC6300023 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Faculty's work engagement in patient care: impact on job crafting of the teacher tasks.

van den Berg Joost W JW Verberg Christel P M CPM Scherpbier Albert J J A AJJA Jaarsma A Debbie C ADC Arah Onyebuchi A OA Lombarts Kiki M J M H KMJMH

BMC medical education 20181219 1

<h4>Background</h4>High levels of work engagement protect against burnout. This can be supported through the work environment and by faculty themselves when they try to improve their work environment. As a result, they can become more engaged and better performers. We studied the relationship between adaptations by physicians to improve their teaching work environment, known as job crafting, and their energy levels, or work engagement, in their work as care provider and teacher. Job crafting enc ...[more]

PMID: 30567540

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Project description:BackgroundTeam-level job crafting has been put forward as a method to promote nurses' mental health. However, a longitudinal association is unclear. Therefore, the objective of this study was to investigate the association between team job crafting at baseline and work engagement, work performance, psychological distress, and intention to leave at three-month and six-month follow-ups among Japanese hospital nurses. Also, whether an increase in the team job crafting during 3 or 6 months was associated with an increase in the work engagement during 3 or 6 months of individual nurses was examined.MethodsA multilevel prospective cohort study was conducted. Data were collected from nurses of five hospitals in Japan at baseline (T1) and follow-ups at 3-months (T2) and 6-months (T3). A total of 2,478 nurses were included. The team job crafting scale for nurses and its three subscales were measured for the independent variables. Ward-means were used as ward-level variables. The dependent variables were work engagement, work performance, psychological distress, and intention to leave. Hierarchical Linear Modeling (HLM) was used to examine the multilevel association. The study protocol was registered at the UMIN Clinical Trials Registry (ID = UMIN000047810) (May 22, 2022).ResultsA total of 460 nurses completed the T1 survey (response rate = 18.6%), and data from 391 nurses nested in 30 wards were included in the analyses. The intraclass correlation coefficients (ICCs) at T1 were 0.02 for work engagement and 0.07 for team job crafting. The HLM revealed that ward-level team job crafting at T1 was not significantly associated with work engagement, work performance, psychological distress, and intention to leave at T2 or T3. The ward-level change (T3-T1) of "crafting for the task considering the team's growth" (subscale for team job crafting) was significantly and positively associated with the change (T3-T1) in work engagement.ConclusionsWard-level team job crafting at baseline did not predict nurses' work engagement, work performance, psychological distress, or intention to leave at a three-month or six-month follow-up. The impact of ward-level team job crafting may attenuate over several months.

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Faculty's work engagement in patient care: impact on job crafting of the teacher tasks.

Publications

Faculty's work engagement in patient care: impact on job crafting of the teacher tasks.

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