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1 – 10 of over 4000Joather Alwali and Wafaa Alwali
This paper examines the effect of job satisfaction on job performance among physicians in Iraq's public hospitals. It also determines the mediating role of job satisfaction on the…
Abstract
Purpose
This paper examines the effect of job satisfaction on job performance among physicians in Iraq's public hospitals. It also determines the mediating role of job satisfaction on the relationship between emotional intelligence and job performance. It further unveils the mediating role of job satisfaction on the nexus between transformational leadership and job performance. As physicians form the bulk of health-care professionals, their performance at work is crucial in determining patient satisfaction regarding care quality.
Design/methodology/approach
A quantitative approach with structural equation modelling via partial least squares (PLS-SEM) and bootstrapping estimation was used to test the hypotheses developed. A total of 157 responses were utilized in the data analysis.
Findings
Evidence from the study indicates that job satisfaction has a positive relationship with job performance. The study also provides evidence that job satisfaction plays a positive mediating role in the relationship between emotional intelligence and job performance. Similarly, job satisfaction has a positive mediating effect on the nexus between transformational leadership and job performance among physicians in Iraq's public hospitals.
Originality/value
To the best of the authors' knowledge, this is the first study to investigate the relationship between physician job satisfaction and job performance in Iraqi public hospitals. Studies using Eastern samples are scarce, so the findings of this study will add to the body of knowledge from a cross-cultural standpoint.
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Ronald Burke, Mustafa Koyuncu and Lisa Fiksenbaum
The purpose of this paper is to investigate gender differences in work experiences, satisfactions and psychological health among physicians in Turkey.
Abstract
Purpose
The purpose of this paper is to investigate gender differences in work experiences, satisfactions and psychological health among physicians in Turkey.
Design/methodology/approach
Data were collected from 237 male and 194 female physicians using an anonymously completed questionnaire. Measures included personal demographic and work situation characteristics, stable individual difference factors (e.g. workaholism components, Type A behavior, optimism), job behaviors (e.g. perfectionism, hours worked), work and extra‐work satisfactions, indicators of work engagement, and psychological wellbeing.
Findings
There were few differences in personal demographic and work situation characteristics. Female physicians had less professional tenure and worked fewer hours and extra‐hours per week. Female and male physicians were similar on stable individual difference factors, job behaviors, work outcomes, extra‐work satisfactions and psychological wellbeing, with a few exceptions. Female physicians reported more work‐family conflict and more psychosomatic symptoms and tended to be absent more.
Research limitations/implications
Data were collected using self‐report questionnaires raising the possibility of response set tendencies. It is also not clear to what extent these findings generalize to male and female physicians in other countries.
Originality/value
Despite previous studies showing considerable gender differences in the work experiences and wellbeing of female and male physicians in other countries, female and male physicians in Turkey reported generally similar job behaviors, satisfactions, quality of life and emotional wellbeing. This suggests that an emphasis on gender similarities rather than gender differences might be warranted.
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Olaug Øygarden, Espen Olsen and Aslaug Mikkelsen
This paper aims to fill gaps in one’s knowledge of the impact of organizational change on two outcomes relevant to hospital service quality (performance obstacles and physician job…
Abstract
Purpose
This paper aims to fill gaps in one’s knowledge of the impact of organizational change on two outcomes relevant to hospital service quality (performance obstacles and physician job satisfaction) and in one’s knowledge of the role of middle manager change-oriented leadership in relation to the same outcomes. Further, the authors aim to identify how physician participation in decision-making is impacted by organizational change and change-oriented leadership, as well as how it mediates the relationships between these two variables, performance obstacles and job satisfaction.
Design/methodology/approach
The study adopted a cross-sectional survey design including data from Norwegian hospital physicians (N = 556). A hypothetical model was developed based on existing theory, confirmatory factor analysis was carried out in order to ensure the validity of measurement concepts, and the structural model was estimated using structural equation modelling.
Findings
The organizational changes in question were positively related to performance obstacles both directly and indirectly through participation in decision-making. Organizational change was also negatively related to job satisfaction, both directly and indirectly. Change-oriented leadership was negatively related to performance obstacles, but only indirectly through participation in decision-making, whereas it was positively related to job satisfaction both directly and indirectly.
Originality/value
The authors developed a theoretical model based on existing theory, but to their knowledge no other studies have tested these exact relationships within one model. These findings offer insights relevant to current and ongoing developments in the healthcare field and to the question of how hospitals may deal with continuous changes in ways that could contribute positively towards outcomes relevant to service quality.
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Patrick O'Leary, Natalia Wharton and Thomas Quinlan
The purpose of this paper is to determine the relationship between job characteristics and job satisfaction amongst physicians in Russia.
Abstract
Purpose
The purpose of this paper is to determine the relationship between job characteristics and job satisfaction amongst physicians in Russia.
Design/methodology/approach
Overall satisfaction and relative satisfaction on the bases of facility and gender were measured. Approaches included the perception vs expectation paradigm, and statistical techniques using chi‐square, independent samples t‐tests, and logistic regression.
Findings
The study finds that, overall, male doctors report higher levels of satisfaction than female doctors, while those who work in polyclinics are more satisfied than those employed by hospitals. Female physicians are more satisfied in their relations with patients and colleagues than their male counterparts. The majority of physicians are dissatisfied with administration and time constraints.
Practical implications
This paper provides practical advice to hospital and polyclinic managers in Russia as attempts at reforming and restructuring the healthcare system gather momentum.
Originality/value
There is scant empirical data on the job satisfaction of physicians in Russia. This paper found that job characteristic variables such as clinical autonomy, resources, time, and administration moderate physician satisfaction relationships in Russia, just as they do in the West.
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Petros Kostagiolas, Panagiotis Gorezis, Konstantina Martzoukou, Dimitrios Deligeorgis and Dimitris Niakas
Medical doctors seek information in order to satisfy their demanding everyday work practices and professional development endeavours. Information seeking is a continuous…
Abstract
Purpose
Medical doctors seek information in order to satisfy their demanding everyday work practices and professional development endeavours. Information seeking is a continuous goal-related process that has impact on how they perceive and experience their job. The purpose of this paper is to explore the association of doctors’ awareness of medical practice information needs (MPIN), their frequency of using online information resources and the barriers they encountered during information seeking with their overall job satisfaction. More specifically, the research examined the mediating role of these information seeking related variables (information needs, online scholarly resources and information barriers) on doctors’ overall job satisfaction.
Design/methodology/approach
The study employed a questionnaire survey of 138 medical doctors working within the context of a University Hospital in Greece. The survey took place between February and March 2014. To test the hypotheses the authors conducted regression analysis, hierarchical moderated analysis and bootstrapping using SPSS macro developed by Preacher and colleagues.
Findings
The statistical analysis found that higher awareness of MPIN had an indirect effect on doctors’ overall job satisfaction when they used online information scholar resources. In addition, this indirect effect was contingent on information-related barriers.
Originality/value
This study provides evidence for supporting the pivotal role of doctors’ information seeking preferences in fostering job satisfaction. This is an understudied research area that deserves a unique focus particularly with the constantly expanding medical information space that has impact on doctors’ medical practices and professional activities.
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Makiko Ozaki, Seiji Bito and Shinji Matsumura
Hospital physician shortages are widely recognized as a national problem in Japan. Although physician job satisfaction has a relationship with service quality and physician…
Abstract
Purpose
Hospital physician shortages are widely recognized as a national problem in Japan. Although physician job satisfaction has a relationship with service quality and physician turnover, there is no measure to assess Japanese hospital physician satisfaction. This paper aims to establish a measure of job satisfaction for Japanese hospital physicians and evaluated its psychometric performance.
Design/methodology/approach
Two cross‐sectional physician surveys were used – a pilot survey, conducted as a self‐administered questionnaire; and a validation survey conducted on‐line.
Findings
A total of 82 hospital physicians completed the pilot questionnaire. Factor and reliability analyses produced a 28‐item, 6‐subscale and 2‐global satisfaction scale measure, the Japan hospital physicians satisfaction scale (JHPSS). Results supported the measure's reliability and validity. For the validation survey, 146 hospital physicians completed the online questionnaire. One question item was substituted following factor analysis. Results also displayed the measure's adequate psychometric properties.
Research limitations/implications
Participating physicians were convenience samples, which may not fully represent Japanese hospital physicians.
Originality/value
The JHPSS, a brief questionnaire measuring Japanese hospital physician job satisfaction, should be useful for providing better quality care and improving our understanding of and ability to deal with Japanese hospital workforce issues.
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Thomas P. Loughman, Robin L. Snipes and Jennifer P. Pitts
The purpose of this paper is to examine factors that may contribute to physicians’ dissatisfaction with their work environment, and subsequently, their likelihood to recommend a…
Abstract
Purpose
The purpose of this paper is to examine factors that may contribute to physicians’ dissatisfaction with their work environment, and subsequently, their likelihood to recommend a hospital to their peers.
Design/methodology/approach
A mixed method research design was used to identify, through qualitative interviews and focus groups, and measure, through quantitative surveys, physicians’ satisfaction with organizational communication, perceptions of empowerment and their likelihood to recommend a hospital to their peer physicians.
Findings
The results of the study indicate that physicians’ communication satisfaction and perceptions of empowerment contribute both directly and indirectly to their likelihood to recommend their organization to peers. The findings suggest that hospitals that facilitate positive workplace communications and provide work environments that allow professional discretion and autonomy are more likely to have satisfied physicians and positive word‐of‐mouth referrals.
Research limitations/implications
Although multiple methods of data collection were used to triangulate the findings, there is the potential of common‐method variance and response bias from the use of single source questionnaire data. Ideally, future studies would use longitudinal data and a more comprehensive model of antecedents and consequences of physician satisfaction.
Practical implications
By understanding sources of physician dissatisfaction, hospitals can develop appropriate interventions to minimize the adverse effects of dissatisfaction on costs, quality of care, and physician turnover.
Originality/value
This study focuses on physicians’ satisfaction with their hospital work environment, an often overlooked area in studies of the health care industry that more commonly center on patient–physician satisfaction. The current study's results provide suggestions for better hospital management and further insight into the challenges of improving physician satisfaction in the health care industry.
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Thomas T.H. Wan, Yen Ju Lin and Bill B.L. Wang
The relationships of physician practice characteristics, care management effectiveness, autonomy, and managed care involvement, and physicians’ practice and career satisfaction…
Abstract
The relationships of physician practice characteristics, care management effectiveness, autonomy, and managed care involvement, and physicians’ practice and career satisfaction were investigated. A panel sample (N=660) of 6800 physicians was made up of eleven physicians randomly selected from each of the sixty communities. Three latent constructs include care management effectiveness, practice autonomy, and openness in private practice. Multilevel modeling was performed. A statistically insignificant association was found between the perceived effectiveness of care management and physician satisfaction, holding the practice characteristics and other perception factors constant. The study demonstrated direct effects of practice characteristics and care management effectiveness on the practice of gate-keeping functions and on earnings. Only two contextual variables, managed care penetration and median income in the study communities, were related to physicians’ practice.
Ranjita Misra, Arvind Modawal and Bhagaban Panigrahi
There is anecdotal evidence that ethnic minority physicians are underrepresented in managed care contracts. The purpose of this paper, therefore, is to determine ethnic…
Abstract
Purpose
There is anecdotal evidence that ethnic minority physicians are underrepresented in managed care contracts. The purpose of this paper, therefore, is to determine ethnic Asian‐Indian physician‐managed care organization experience and job satisfaction in the USA by age, gender, region and percent of patients in managed care organizations.
Design/methodology/value
A random (nation‐wide) mail survey was conducted of 254 physicians who were American Association of Physicians of Indian Origin (AAPI) members during the period 1998 to 2000. Managed care experience was categorized into physician satisfaction; service quality rating; service limitations; difficulties acquiring and maintaining managed care contracts; and financial impact.
Findings
Physicians in solo and group practice relied heavily on managed care enrolled patients. Limitations providing care to patients was a more serious problem than for those in staff‐model health maintenance organization and hospital/clinic‐based practices. Physician satisfaction was not significantly related to board certification, practice type, region and managed care participation. However, practice staff participating in managed care had the highest number of board‐certified physicians.
Research limitations/implications
There was a low response rate (37 percent) to data collection using questionnaires.
Practical implications
The paper underlines ethnic minority physicians' capability to get managed care contracts.
Originality/value
This is the first national study of Asian‐Indian physicians and their managed care organization experience. Asian‐Indian physicians are over‐represented in the medical profession and hence the paper will interest those working and dealing with managed care organizations and their patients.
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Chih-Hsuan Huang, Yii-Ching Lee and Hsin-Hung Wu
Medical staff's emotional exhaustion increases cynical attitudes and behaviors about work and patients and leads medical staff to become detached from work. This may decrease…
Abstract
Purpose
Medical staff's emotional exhaustion increases cynical attitudes and behaviors about work and patients and leads medical staff to become detached from work. This may decrease patients' trust and satisfaction and even endanger patients' lives. There is a need to examine the critical factors affecting the medical staff's emotional exhaustion by investigating its relationship with the patient-safety dimensions based on the safety attitudes questionnaire (SAQ).
Design/methodology/approach
A case study is conducted from the viewpoints of physicians and nurses to examine the relationship between emotional exhaustion and six dimensions of the SAQ from 2016 to 2020 from a regional teaching hospital in Taiwan. Linear regression with forward selection is employed. Six dimensions of the SAQ are the independent variables, whereas emotional exhaustion is the dependent variable for each year.
Findings
Stress recognition is the most important variable to influence emotional exhaustion negatively, while job satisfaction is the second important variable to affect emotional exhaustion positively from 2016 to 2020. On the contrary, working conditions do not influence emotional exhaustion in this hospital from medical staff's viewpoints.
Originality/value
This study uses longitudinal data to find that both stress recognition and job satisfaction consistently influence emotional exhaustion negatively and positively, respectively, in this five-year period. The third dimension to impact emotional exhaustion varies from time to time. Thus, the findings from a cross-sectional study might be limited. The authors' findings show that reducing stress recognition and enhancing job satisfaction can lead to the improvement of emotional exhaustion from medical staff's viewpoints, which should be monitored by hospital management.
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