Boris Cheval1, Stéphane Cullati2, Denis Mongin3, Ralph E Schmidt4, Kim Lauper5, Jesper Pihl-Thingvad6, Pierre Chopard3, Delphine S Courvoisier3. 1. Quality of Care Service, University Hospitals of Geneva, Switzerland / Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Switzerland / Swiss NCCR "LIVES: Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Switzerland. 2. Quality of Care Service, University Hospitals of Geneva, Switzerland / Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Switzerland / Swiss NCCR "LIVES: Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Switzerland / Institute of Sociological Research, University of Geneva, Switzerland. 3. Quality of Care Service, University Hospitals of Geneva, Switzerland / Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Switzerland. 4. Department of Psychology, University of Geneva, Switzerland / Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital, University of Zurich, Switzerland. 5. Division of Rheumatology, University Hospitals of Geneva, Switzerland. 6. Department of Occupational and Environmental Medicine, Odense University Hospital, Denmark / National Centre of Psychotraumatology, University of Southern Denmark, Denmark.
Abstract
AIMS OF THE STUDY: (1) To assess the associations of care-related regrets with job satisfaction and turnover intention; and (2) to examine whether these associations are partially mediated by coping strategies. METHODS: Data came from ICARUS, a prospective international cohort study of novice healthcare professionals working in acute care hospitals and clinics from various countries (e.g., Australia, Austria, Botswana, Canada, Denmark, France, Haiti, Ireland, Kenya, the United Kingdom and United States). Care-related regrets (number of regrets and regret intensity), coping strategies, job satisfaction and turnover intention were assessed weekly for 1 year. RESULTS: 229 young healthcare professionals (2387 observations) were included in the analysis. For a given week, experiencing a larger number of care-related regrets was associated with decreased job satisfaction, and experiencing more intense care-related regrets was associated with increased turnover intention. These associations were partially mediated by coping strategies. Maladaptive emotion-focused strategies were associated with decreased job satisfaction and increased turnover intention, whereas adaptive problem-focused strategies showed the opposite pattern. CONCLUSIONS: Our results revealed that care-related regrets and maladaptive coping strategies are associated with job dissatisfaction and the intention to quit patient care. Helping healthcare professionals to cope with these emotional experiences seems essential to prevent early job quitting.  .
AIMS OF THE STUDY: (1) To assess the associations of care-related regrets with job satisfaction and turnover intention; and (2) to examine whether these associations are partially mediated by coping strategies. METHODS: Data came from ICARUS, a prospective international cohort study of novice healthcare professionals working in acute care hospitals and clinics from various countries (e.g., Australia, Austria, Botswana, Canada, Denmark, France, Haiti, Ireland, Kenya, the United Kingdom and United States). Care-related regrets (number of regrets and regret intensity), coping strategies, job satisfaction and turnover intention were assessed weekly for 1 year. RESULTS: 229 young healthcare professionals (2387 observations) were included in the analysis. For a given week, experiencing a larger number of care-related regrets was associated with decreased job satisfaction, and experiencing more intense care-related regrets was associated with increased turnover intention. These associations were partially mediated by coping strategies. Maladaptive emotion-focused strategies were associated with decreased job satisfaction and increased turnover intention, whereas adaptive problem-focused strategies showed the opposite pattern. CONCLUSIONS: Our results revealed that care-related regrets and maladaptive coping strategies are associated with job dissatisfaction and the intention to quit patient care. Helping healthcare professionals to cope with these emotional experiences seems essential to prevent early job quitting.  .
Authors: Peter Koch; Max Zilezinski; Kevin Schulte; Reinhard Strametz; Albert Nienhaus; Matthias Raspe Journal: Int J Environ Res Public Health Date: 2020-04-15 Impact factor: 3.390
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