| Literature DB >> 32457814 |
Alexandra Huber1, Cornelia Strecker2, Melanie Hausler1, Timo Kachel2, Thomas Höge2, Stefan Höfer1.
Abstract
Signature character strengths can foster health-related outcomes in work and private life, thus being particularly important for endangered occupational groups like physicians. However, situational circumstances need to allow character strengths demonstration (applicability) first to enable their application. Therefore, this study addresses the role of (1) applicability of signature character strengths in work and private life beyond their possession and (2) relationships with well-being, work engagement, and burnout dimensions (emotional exhaustion, depersonalization, and reduced personal accomplishment). Hospital physicians (N = 274) completed an online survey examining their signature character strengths and applicability, well-being, work engagement, and burnout dimensions. The top-five individual signature character strengths were fairness, honesty, judgment, kindness, and love. Hierarchical multiple linear regressions revealed that the possession as well as the applicability of signature character strengths was important in work and private life, but to different degrees. Possessing fairness, honesty, or kindness indicated significant positive relations with subjective well-being, whereas judgment and kindness seemed to negatively interact with reduced personal accomplishment. Hospital physicians' applicability of fairness, honesty, judgment, and love was particularly essential for their psychological well-being and work engagement, whereas the applicability of fairness (reduced personal accomplishment) and judgment (emotional exhaustion, depersonalization) at work interacted negatively with the respective outcomes. Therefore, creating awareness for individual signature character strengths as well as providing applicability in hospitals and private life could be a promising approach to improve physicians' well-being and consequently patient care as well as the performance of the health-care system in general.Entities:
Keywords: Applicability; Burnout; Physicians; Signature character strengths; Well-being; Work engagement
Year: 2019 PMID: 32457814 PMCID: PMC7250640 DOI: 10.1007/s11482-018-9699-8
Source DB: PubMed Journal: Appl Res Qual Life ISSN: 1871-2576
Descriptives and Cronbach’s α for all study variables (N = 274)
| mean (SD) | min. | max. | skew | kurtosis | α | |
|---|---|---|---|---|
| VIA-120 | ||||
| (1) Wisdom and knowledge | ||||
| Creativity | 3.45 (.69) | 1.00 | 5.00 | −0.25 | 0.35 | .85 |
| Curiosity | 3.84 (.55) | 2.20 | 5.00 | −0.37 | 0.06 | .72 |
| Judgment | 4.00 (.51) | 2.20 | 5.00 | −0.20 | −0.09 | .73 |
| Love of learning | 3.64 (.68) | 1.60 | 5.00 | -0.09 | -0.29 | .76 |
| Perspective | 3.37 (.53) | 2.00 | 5.00 | 0.06 | 0.21 | .65 |
| (2) Courage | ||||
| Bravery | 3.43 (.63) | 1.20 | 5.00 | −0.15 | 0.10 | .74 |
| Honesty | 4.21 (.44) | 2.80 | 5.00 | −0.27 | -0.20 | .62 |
| Perseverance | 3.93 (.58) | 2.00 | 5.00 | −0.55 | 0.48 | .75 |
| Zest | 3.49 (.65) | 1.80 | 5.00 | −0.21 | -0.25 | .78 |
| (3) Humanity | ||||
| Kindness | 4.10 (.50) | 2.80 | 5.00 | −0.18 | -0.27 | .73 |
| Love | 4.03 (.67) | 1.60 | 5.00 | −0.82 | 0.90 | .78 |
| Social intelligence | 3.89 (.52) | 2.40 | 5.00 | −0.30 | -0.08 | .70 |
| (4) Justice | ||||
| Fairness | 4.03 (.55) | 2.00 | 5.00 | −0.68 | 0.61 | .73 |
| Leadership | 3.66 (.53) | 2.00 | 5.00 | 0.06 | -0.05 | .66 |
| Teamwork | 3.71 (.50) | 2.00 | 5.00 | −0.31 | 0.54 | .61 |
| (5) Temperance | ||||
| Forgiveness | 3.44 (.63) | 1.80 | 5.00 | −0.05 | -0.20 | .66 |
| Humility | 3.29 (.63) | 1.40 | 4.80 | −0.10 | 0.01 | .69 |
| Prudence | 3.49 (.60) | 1.80 | 4.80 | −0.16 | -0.24 | .71 |
| Self-regulation | 3.15 (.69) | 1.20 | 4.80 | −0.19 | -0.14 | .65 |
| (6) Transcendence | ||||
| Appreciation of beauty & excellence | 3.51 (.66) | 1.60 | 5.00 | −0.11 | -0.50 | .74 |
| Gratitude | 3.53 (.62) | 1.80 | 5.00 | 0.07 | -0.25 | .77 |
| Hope | 3.71 (.60) | 2.00 | 5.00 | −0.31 | -0.01 | .68 |
| Humor | 3.71 (.68) | 2.00 | 5.00 | −0.11 | -0.37 | .82 |
| Spirituality | 2.33 (.95) | 1.00 | 5.00 | 0.56 | -0.33 | .90 |
| ASCS-W (Top 5) | ||||
| Fairness | 4.00 (.70) | 2.50 | 5.00 | −0.30 | -0.69 | .75 |
| Honesty | 3.96 (.76) | 2.00 | 5.00 | −0.46 | -0.45 | .80 |
| Judgment | 4.04 (.70) | 2.00 | 5.00 | −0.51 | 0.14 | .75 |
| Kindness | 4.07 (.69) | 2.25 | 5.00 | −0.35 | -0.72 | .69 |
| Love | 3.57 (.91) | 1.00 | 5.00 | −0.41 | -0.27 | .83 |
| ASCS-P (Top 5) | ||||
| Fairness | 4.26 (.60) | 3.00 | 5.00 | −0.39 | -0.63 | .82 |
| Honesty | 4.33 (.65) | 2.00 | 5.00 | −0.96 | 0.83 | .86 |
| Judgment | 4.17 (.67) | 2.25 | 5.00 | −0.41 | -0.45 | .82 |
| Kindness | 4.27 (.68) | 2.00 | 5.00 | −0.93 | 0.76 | .81 |
| Love | 4.42 (.68) | 2.00 | 5.00 | −1.30 | 1.45 | .91 |
| CIT | ||||
| Subjective well-being | 3.91 (.70) | 1.33 | 5.00 | −0.83 | 0.89 | .95 |
| Psychological well-being | 3.84 (.40) | 2.58 | 4.76 | −0.47 | 0.34 | .92 |
| UWES | ||||
| Work Engagement | 3.66 (1.09) | .22 | 5.78 | −0.47 | -0.21 | .94 |
| MBI-D | ||||
| Emotional exhaustion | 2.36 (.96) | .11 | 4.67 | 0.44 | -0.17 | .91 |
| Depersonalization | 1.45 (.78) | .00 | 4.20 | 0.32 | -0.33 | .70 |
| Reduced personal accomplishment | 1.31 (.50) | .00 | 3.00 | 0.02 | 0.27 | .73 |
ASCS-P/-W = applicability of signature character strengths in private life/at work, CIT = Comprehensive Inventory of Thriving, MBI-D = Maslach Burnout Inventory-Deutsch, SD = standard deviation, UWES = Utrecht Work Engagement Scale, VIA-120 = Values in Action-Inventory of Strengths
Inter-correlations for the possession of character strengths (VIA-120) and their applicability at work (ASCS-W) and in private life (ASCS-P), subjective/psychological well-being (SWB/PWB), work engagement (WE), and burnout (EE: emotional exhaustion; DP: depersonalization; RPA: reduced personal accomplishment) and the respective number of participants in the opposite cell
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VIA-120 | ||||||||||||||||||||||
| 1 | Fairness | – | 274 | 274 | 274 | 274 | 65 | 102 | 85 | 91 | 91 | 67 | 102 | 86 | 92 | 92 | 217 | 217 | 222 | 218 | 218 | 218 |
| 2 | Honesty | – | 274 | 274 | 274 | 65 | 102 | 85 | 91 | 91 | 67 | 102 | 86 | 92 | 92 | 217 | 217 | 222 | 218 | 218 | 218 | |
| 3 | Judgment | – | 274 | 274 | 65 | 102 | 85 | 91 | 91 | 67 | 102 | 86 | 92 | 92 | 217 | 217 | 222 | 218 | 218 | 218 | ||
| 4 | Kindness | – | 274 | 65 | 102 | 85 | 91 | 91 | 67 | 102 | 86 | 92 | 92 | 217 | 217 | 222 | 218 | 218 | 218 | |||
| 5 | Love | – | 65 | 102 | 85 | 91 | 91 | 67 | 102 | 86 | 92 | 92 | 217 | 217 | 222 | 218 | 218 | 218 | ||||
| ASCS-W | ||||||||||||||||||||||
| 6 | Fairness | .14 | .19 | – | 42 | 24 | 26 | 23 | 65 | 42 | 24 | 26 | 23 | 55 | 55 | 56 | 55 | 55 | 55 | |||
| 7 | Honesty | .09 | .10 | .16 | –.05 | .02 | – | 36 | 49 | 52 | 42 | 102 | 36 | 49 | 52 | 91 | 91 | 93 | 89 | 89 | 89 | |
| 8 | Judgment | .13 | .03 | –.04 | .16 | .19 | – | 37 | 36 | 24 | 36 | 85 | 37 | 36 | 75 | 75 | 76 | 74 | 74 | 74 | ||
| 9 | Kindness | .01 | .09 | .18 | – | 46 | 26 | 49 | 37 | 91 | 46 | 75 | 75 | 80 | 77 | 77 | 77 | |||||
| 10 | Love | .09 | .14 | .09 | .13 | –.03 | .07 | .17 | .32 | .02 | – | 23 | 52 | 36 | 46 | 91 | 76 | 76 | 79 | 76 | 76 | 76 |
| ASCS-P | ||||||||||||||||||||||
| 11 | Fairness | .11 | – | 42 | 25 | 27 | 24 | 55 | 55 | 56 | 55 | 55 | 55 | |||||||||
| 12 | Honesty | .06 | .13 | .16 | .17 | .22 | .19 | .25 | – | 36 | 49 | 52 | 91 | 91 | 93 | 89 | 89 | 89 | ||||
| 13 | Judgment | .17 | .08 | .03 | .01 | .25 | .29 | – | 38 | 36 | 75 | 75 | 76 | 74 | 74 | 74 | ||||||
| 14 | Kindness | .13 | .03 | .05 | –.24 | .37 | – | 46 | 75 | 75 | 80 | 77 | 77 | 77 | ||||||||
| 15 | Love | .14 | .14 | .09 | –.08 | .08 | .12 | .10 | .01 | .12 | .04 | .10 | – | 76 | 76 | 79 | 76 | 76 | 76 | |||
| 16 | SWB | .06 | .17 | .18 | .02 | .16 | .32 | – | 217 | 217 | 214 | 214 | 214 | |||||||||
| 17 | PWB | .15 | .24 | – | 217 | 214 | 214 | 214 | ||||||||||||||
| 18 | WE | .10 | .32 | .20 | .18 | .13 | .06 | – | 218 | 218 | 218 | |||||||||||
| 19 | EE | .02 | .04 | .03 | .07 | – | –.24 | –.17 | – | –.22 | –.09 | –.09 | – | –.08 | –.16 | – | – | – | – | – | 218 | 218 |
| 20 | DP | – | – | –.01 | –.01 | –.04 | –.17 | –.15 | – | –.12 | –.04 | –.11 | –.11 | –.15 | –.19 | –.04 | – | – | – | – | 218 | |
| 21 | RPA | – | – | – | – | –.10 | – | – | –.23 | –.17 | –.20 | – | –.13 | – | –.12 | –.11 | – | – | – | – | ||
*p < .05, ** p < .01 (two-tailed)
Hierarchical multiple linear regressions including the applicability of signature character strengths in work (ASCS-W) and private life (ASCS-P) into the possession (VIA-120) and subjective/psychological well-being (SWB / PWB) relation
| Outcome: SWB | Model 1 | Model 2 | ||||||
|---|---|---|---|---|---|---|---|---|
| Fairness | VIA-IS 120 | .205 | .221 | .016 | 91 | |||
| ASCS-W | .053 | |||||||
| ASCS-P | .118 | |||||||
| Honesty | VIA-IS 120 | .093 | .130 | .037 | 75 | |||
| ASCS-W | .102 | |||||||
| ASCS-P | .139 | |||||||
| Judgment | VIA-IS 120 | .054 | .128 | .074 | .168 | 76 | ||
| ASCS-W | –.089 | |||||||
| ASCS-P | ||||||||
| Kindness | VIA-IS 120 | .105 | .142 | .037 | 75 | |||
| ASCS-W | .164 | |||||||
| ASCS-P | .070 | |||||||
| Love | VIA-IS 120 | .047 | .217 | .113 | .066 | .119 | 55 | |
| ASCS-W | .177 | |||||||
| ASCS-P | .215 | |||||||
| Outcome: | ||||||||
| Fairness | VIA-IS 120 | .344 | .438 | 91 | ||||
| ASCS-W | .188 | |||||||
| ASCS-P | ||||||||
| Honesty | VIA-IS 120 | .135 | .279 | 75 | ||||
| ASCS-W | ||||||||
| ASCS-P | .166 | |||||||
| Judgment | VIA-IS 120 | .162 | .286 | 76 | ||||
| ASCS-W | –.013 | |||||||
| ASCS-P | ||||||||
| Kindness | VIA-IS 120 | .167 | .230 | .063 | 75 | |||
| ASCS-W | .227 | |||||||
| ASCS-P | .071 | |||||||
| Love | VIA-IS 120 | .099 | .177 | 55 | ||||
| ASCS-W | ||||||||
| ASCS-P | .111 | |||||||
Notes: bold = significant; p-values for β, R -changes and total = * p < .05, ** p < .01, *** p < .001; p total values = significance of model 2 in total (possession and applicability in work & private life taken into account), N = number of participants
Hierarchical multiple linear regressions including the applicability of signature character strengths at work (ASCS-W) into the possession (VIA-120) and work engagement (WE), emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (RPA) relation
| Outcome: WE | Model 1 | Model 2 | ||||||
|---|---|---|---|---|---|---|---|---|
| Fairness | VIA-120 | .105 | .213 | .250 | 93 | |||
| ASCS-W | ||||||||
| Honesty | VIA-120 | .020 | .142 | .120 | .126 | 80 | ||
| ASCS-W | ||||||||
| Judgment | VIA-120 | .052 | .103 | .171 | 79 | |||
| ASCS-W | ||||||||
| Kindness | VIA-120 | .043 | .208 | .069 | .026 | .173 | .064 | 76 |
| ASCS-W | .164 | |||||||
| Love | VIA-120 | <.001 | .009 | .163 | .034 | 56 | ||
| ASCS-W | ||||||||
| Outcome: | ||||||||
| Fairness | VIA-120 | .003 | −.057 | .056 | .053 | −.004 | .225 | 89 |
| ASCS-W | −.235 | |||||||
| Honesty | VIA-120 | .001 | .032 | .029 | .028 | .044 | .282 | 77 |
| ASCS-W | −.168 | |||||||
| Judgment | VIA-120 | <.001 | .017 | .072 | .089 | .071 | 76 | |
| ASCS-W | ||||||||
| Kindness | VIA-120 | <.001 | −.011 | .048 | .048 | .039 | .163 | 74 |
| ASCS-W | −.224 | |||||||
| Love | VIA-120 | .002 | −.048 | .010 | .008 | −.052 | .688 | 55 |
| ASCS-W | −.089 | |||||||
| Outcome: | ||||||||
| Fairness | VIA-120 | .001 | −.029 | .029 | .028 | .010 | .464 | 89 |
| ASCS-W | −.173 | |||||||
| Honesty | VIA-120 | .002 | −.042 | .024 | .022 | −.031 | .358 | 77 |
| ASCS-W | −.148 | |||||||
| Judgment | VIA-120 | .009 | −.095 | .089 | −.018 | 76 | ||
| ASCS-W | ||||||||
| Kindness | VIA-120 | .025 | −.159 | .033 | .008 | −.138 | .284 | 74 |
| ASCS-W | −.093 | |||||||
| Love | VIA-120 | .002 | .041 | .003 | .001 | .039 | .898 | 55 |
| ASCS-W | −.036 | |||||||
| Outcome: | ||||||||
| Fairness | VIA-120 | .079 | .155 | −.217 | 89 | |||
| ASCS-W | ||||||||
| Honesty | VIA-120 | .026 | −.160 | .068 | .042 | −.146 | 77 | |
| ASCS-W | −.206 | |||||||
| Judgment | VIA-120 | .143 | .161 | .018 | 76 | |||
| ASCS-W | −.138 | |||||||
| Kindness | VIA-120 | .104 | .115 | .011 | .011 | 74 | ||
| ASCS-W | −.107 | |||||||
| Love | VIA-120 | .006 | −.078 | .046 | .040 | −.089 | .178 | 55 |
| ASCS-W | −.201 | |||||||
Notes: bold = significant; p-values for β, R -changes and total = * p < .05, ** p < .01, *** p < .001; p total values = significance of model 2 in total (possession and applicability in work life taken into account), N = number of participants
Definitions of the top-five signature character strengths (Peterson and Seligman 2004)
| Character strength | Definition |
|---|---|
| Fairness | Treating all people the same according to notions of fairness and justice; not letting personal feelings bias decisions about others; giving everyone a fair chance |
| Honesty | [integrity, authenticity]: Speaking the truth but more broadly presenting oneself in a genuine way and acting in a sincere way; being without pretense; taking responsibility for one’s feelings and actions |
| Judgment | [open-mindedness, critical thinking]: Thinking things through and examining them from all sides; not jumping to conclusions; being able to change one’s mind in light of evidence; weighing all evidence fairly |
| Kindness | [generosity, nurturance, care, compassion, altruistic love, “niceness”]: Doing favors and good deeds for others; helping them; taking care of them |
| Love | Valuing close relations with others, in particular those in which sharing and caring are reciprocated; being close to people |