| Literature DB >> 34070059 |
Inger Arvidsson1, Ulf Leo2, Anna Oudin1,3, Kerstin Nilsson1,4, Carita Håkansson1, Kai Österberg5, Roger Persson1,5.
Abstract
A high turnover among principals may disrupt the continuity of leadership and negatively affect teachers and, by extension, the students. The aim was to investigate to what extent various work environment factors and signs of exhaustion were associated with reported intentions to change workplace among principals working in compulsory schools. A web-based questionnaire was administered twice, in 2018 and in 2019. Part I of the study involved cross-sectional analyses of the associations 2018 (n = 984) and 2019 (n = 884) between occupational factors, signs of exhaustion, and the intention to change workplace, using Generalized Estimating Equations models. Part II involved 631 principals who participated in both surveys. The patterns of intended and actual changes of workplace across two years were described, together with associated changes of occupational factors and signs of exhaustion. Supportive management was associated with an intention to stay, while demanding role conflicts and the feeling of being squeezed between management and co-workers (buffer-function) were associated with the intention to change workplace. The principals who intended to change their workplace reported more signs of exhaustion. To increase retention among principals, systematic efforts are probably needed at the national, municipal, and local level, in order to improve their working conditions.Entities:
Keywords: mental health; psychosocial working conditions; school leader
Year: 2021 PMID: 34070059 PMCID: PMC8158094 DOI: 10.3390/ijerph18105376
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Characteristics among participants included in Part I of the study, regarding reported conditions at work in the years 2018 (N = 984) and 2019 (N = 884). The number of participants who responded to both questionnaires was 633.
| Categories/Scale | 2018 | 2019 | |
|---|---|---|---|
| N = 984 | N = 884 | ||
| School owner; N (%) | Municipality | 853 (87) | 762 (86) |
| Other organization | 131 (13) | 122 (14) | |
| Job title; N (%) | Principal | 717 (73) | 665 (75) |
| Assistant principal | 267 (27) | 219 (25) | |
| Seniority as principal; N (%) | <3 years | 202 (21) | 177 (20) |
| 3–10 years | 554 (56) | 676 (76) | |
| >10 years | 228 (23) | 31 (4) | |
| Number of co-workers; N (%) | 0–20 | 180 (18) | 146 (17) |
| 21–30 | 273 (28) | 259 (29) | |
| 31–40 | 294 (30) | 260 (29) | |
| 41–130 | 235 (24) | 219 (25) | |
| Staff access/availability; N (%) | Full staff | 571 (58) | 578 (65) |
| Very or somewhat understaffed | 413 (42) | 306 (35) | |
| Number of students; N (%) | 0–200 | 343 (35) | 283 (32) |
| 201–400 | 466 (47) | 446 (50) | |
| 401–600 | 139 (14) | 115 (13) | |
| 601–1377 | 35 (4) | 40 (5) | |
| Overtime work; N (%) | Once a week or less often | 164 (17) | 177 (20) |
| Every day or a few days/week | 779 (79) | 676/(76) | |
| No agreed working hours | 41 (4) | 31 (4) | |
| Perceived physical working environment; N (%) | Adequate, good or very good | 762 (77) | 700 (79) |
| Poor or very poor | 222 (23) | 184 (21) | |
|
| |||
| Resource deficits | Scale 1–5 | 3.5 (0.9) | 3.5 (1.0) |
| Organizational Control | Scale 1–5 | 2.6 (0.9) | 2.6 (0.9) |
| Role conflicts | Scale 1–5 | 3.8 (0.8) | 3.7 (0.8) |
| Role demands | Scale 1–5 | 3.1 (0.8) | 3.1 (0.8) |
| Group dynamics | Scale 1–5 | 2.3 (0.7) | 2.3 (0.7) |
| Buffer-function | Scale 1–5 | 2.9 (0.9) | 2.9 (0.9) |
| Co-workers | Scale 1–5 | 2.9 (0.7) | 2.8 (0.7) |
| Container- function | Scale 1–5 | 3.4 (0.8) | 3.3 (0.8) |
|
| |||
| Supportive management | Scale 1–5 | 3.1 (1.1) | 3.1 (1.1) |
| Cooperating with co-workers | Scale 1–5 | 4.3 (0.6) | 4.3 (0.6) |
| Supportive manager colleagues | Scale 1–5 | 3.9 (1.0) | 3.8 (1.0) |
| Supportive private life | Scale 1–5 | 3.8 (1.0) | 3.9 (1.0) |
| Supportive organizational structures | Scale 1–5 | 3.6 (0.9) | 3.6 (0.9) |
| The National Agency of Education | Score ≥ 4 | 322 (33) | 250 (28) |
| The Swedish schools-inspectorate | Score ≥ 4 | 599 (61) | 519 (59) |
| School owner | Score ≥ 4 | 440 (45) | 385 (44) |
| Super intendent | Score ≥ 4 | 312 (32) | 260 (29) |
| Immediate supervisor | Score ≥ 4 | 288 (29) | 257 (29) |
| Co-workers | Score ≥ 4 | 484 (49) | 374 (42) |
| Parents | Score ≥ 4 | 544 (55) | 505 (57) |
| Students | Score ≥ 4 | 181 (18) | 166 (19) |
|
| |||
| Mean score (SD) | Score 0–54 | 14 (8) | 14 (9) |
| Possible exhaustion disorder; N (%) | Score ≥ 19 points | 290 (29) | 232 (26) |
| Change of workplace in the past five years; N (%) | None | 385 (39) | n.a. |
| Once | 393 (40) | ||
| Twice | 121 (12) | ||
| Three times or more | 85 (9) | ||
| Change of workplace in the past twelve months; N (%) | None | n.a. | 797 (90) |
| Once | 82 (9) | ||
| Twice | 4 (0.5) | ||
| Three times or more | 1 (0.1) | ||
| Intention to change workplace within two years; N (%) | Yes, definitely | 98 (10) | 96 (11) |
| Yes, probably | 304 (31) | 271 (31) | |
| No | 559 (57) | 495 (56) | |
| I will retire | 23 (2) | 22 (2) | |
a The seven-point scales (0–6) were dichotomized into low (<4 points) and high (≥4 points). Bold faces may help the reader to identify the different categories of dimensions.
Figure 1Longitudinal patterns of intended and actual change of workplace and its association with signs of exhaustion among 631 principals in compulsory schools.
Cross-sectional bivariate and multivariate binary logistic regression analysis between occupational factors, gender age, and signs of exhaustion and the dichotomous outcome of intention to change workplace (no vs. yes, probably/yes, definitely) in the total study sample, taking repeated assessments in the years 2018 (N = 984) and 2019 (N = 884) into account. Odds ratio (OR) and 95% confidence intervals (CI) are presented, which in continuous variables (GMSI and KEDS) are associated with a one-unit increase/decrease in mean score on the scale. Results in bold face are statistically significant.
| Independent Factors | Bivariate | Multivariate a | |
|---|---|---|---|
| Categories/Scale | OR (CI 95%) | OR (CI 95%) | |
| Gender | Female | 1 | - |
| Male | 1.15 (0.91–1.46) | ||
| Age | years |
|
|
| School owner | Municipality | 1 | - |
| Other organization | 0.93 (0.67–1.28) | ||
| Job title | Principal |
|
|
| Assistant principal |
|
| |
| Seniority as principal | <3 years | 1 | - |
| 3–10 years | 1.19 (0.89–1.59) | ||
| >10 years | 1.18 (0.84–1.66) | ||
| Number of co-workers | 0–20 | 1 | - |
| 21–30 | 1.25 (0.92–1.71) | ||
| 31–40 | 1.15 (0.84–1.57) | ||
| 41–130 | 1.22 (0.88–1.68) | ||
| Staff access/availability | Full staff |
| 1 |
| Very or somewhat understaffed |
| 0.94 (0.76–1.16) | |
| Number of students | 0–200 | 1 | - |
| 201–400 | 1.09 (0.87–1.37) | ||
| 401–600 | 1.08 (0.78–1.49) | ||
| 601–1377 | 1.31 (0.73–2.33) | ||
| Overtime | Once a week or less often | 1 | - |
| Every day or a few days/week | 0.98 (0.75–1.27) | ||
| No agreed working hours | 0.88 (0.49–1.58) | ||
| Physical working environment | Adequate, good or very good | 1 | 1 |
| Poor or very poor |
| 1.10 (0.85–1.42) | |
|
| |||
| Resource deficits | Score 1–5 |
| 0.93 (0.82–1.07) |
| Organizational Control | Score 1–5 |
| 1.00 (0.85–1.18) |
| Role conflicts | Score 1–5 |
|
|
| Role demands | Score 1–5 |
| 0.85 (0.70–1.03) |
| Group dynamics | Score 1–5 |
| 1.13 (0.93–1.36) |
| Buffer-function | Score 1–5 |
|
|
| Co-workers | Score 1–5 |
| 1.14 (0.95–1.37) |
| Container-function | Score 1–5 |
| 0.86 (0.72–1.02) |
|
| |||
| Supportive management | Score 1–5 |
|
|
| Cooperating with co-workers | Score 1–5 |
| 0.96 (0.79–1.17) |
| Supportive manager colleagues | Score 1–5 |
|
|
| Supportive private life | Score 1–5 | 0.92 (0.83–1.01) |
|
| Supportive organizational structures | Score 1–5 |
| 0.95 (0.83–1.09) |
|
| |||
| The National Agency of Education | Score < 4 | 1 | |
| ≥4 | 0.90 (0.73–1.12) | ||
| The Swedish schools-inspectorate | Score < 4 | 1 | |
| ≥4 | 0.98 (0.80–1.19) | ||
| School owner | Score < 4 |
| - |
| ≥4 |
| ||
| Super Intendent | Score < 4 |
| - |
| ≥4 |
| ||
| Immediate supervisor | Score < 4 |
| - |
| ≥4 |
| ||
| Co-workers | Score < 4 |
| - |
| ≥4 |
| ||
| Parents | Score < 4 | 1 |
|
| ≥4 |
|
| |
| Students | Score < 4 | 1 | 1 |
| ≥4 | 1.24 (0.97–1.59) | 1.02 (0.77–1.34) | |
| Karolinska Exhaustion disorder scale (KEDS) | Score 0–54 |
|
|
a The variables stressful external expectations from school owner, super intendent, immediate supervisor, and co-workers were omitted from the multivariate analyses due to a conceptual overlap with the demanding and supporting dimensions in GMSI. Bold faces are remained to indicate which factors that are statistically significant (as stated in the Table text).
Changes of reported exposures (2018 vs. 2019) within Group 1 (Stay/No change/Stay) and within Group 2 (Stay/No change/Leave) (Figure 1); and comparison of exposures between Group 1 and Group 2.
| Group 1 (Stay/No Change/Stay) | Group 2 (Stay/No Change/Leave) | Difference between Group 1 and Group 2 | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Independent Factors | Categories/Scale | 2018 | 2019 | 2018 vs. 2019; | 2018 | 2019 | 2018 vs. 2019; | 2018 | 2019 |
| Gender (2018); N (%) | Female | 207 (76) | 68 (69) | 0.19 | |||||
| Male | 67 (24) | 31 (31) | |||||||
| Age (2018); mean (SD) | years | 50 (7) | 47 (7) | <0.001 | |||||
| School owner; N (%) | Municipality | 229 (84) | 229 (84) | 1.00 | 91 (92) | 90 (91) | 1.00 | 0.04 | 0.09 |
| Other organization | 45 (16) | 45 (16) | 8 (8) | 9 (9) | |||||
| Job title; N (%) | Principal | 205 (76) | 207 (76) | 0.51 | 72 (73) | 72 (73) | 1.00 | 0.69 | 0.59 |
| Assistant principal | 69 (25) | 66 (24) | 27 (27) | 27 (27) | |||||
| Other title C | - | 1 (0.4) | - | 0 | |||||
| Number of co-workers; mean (SD) | 34 (16) | 34 (15) | 0.77 | 34 (12) | 33 (12) | 0.56 | 0.98 | 0.93 | |
| Staff access/availability | Full staff | 166 (61) | 192 (70) | <0.01 | 56 (57) | 64 (65) | 0.22 | 0.55 | 0.32 |
| Very or somewhat understaffed | 108 (39) | 82 (30) | 43 (43) | 35 (35) | |||||
| Number of students; mean (SD) | 277 (166) | 286 (166) | <0.01 | 270 (136) | 252 (136) | 0.52 | 0.65 | 0.05 | |
| Overtime | Once a week or less often | 44 (16) | 60 (22) | <0.01 | 11 (11) | 19 (19) | 0.09 | 0.25 | 0.67 |
| Every day or a few days/week | 215 (78) | 206 (75) | 85 (86) | 76 (77) | |||||
| No agreed working hours D | 15 (5) | 8 (3) | 3 (3) | 4 (4) | |||||
| Physical working environment; N (%) | Adequate, good or very good | 229 (84) | 222 (81) | 0.39 | 72 (73) | 73 (74) | 1.00 | 0.03 | 0.15 |
| Poor or very poor | 45 (16) | 52 (19) | 27 (27) | 26 (26) | |||||
|
| |||||||||
| Resource deficits | Score 1–5 | 3.4 (0.9) | 3.4 (1.0) | 0.33 | 3.6 (0.9) | 3.8 (0.9) | 0.01 | 0.21 | <0.001 |
| Organizational Control | Score 1–5 | 2.5 (0.9) | 2.4 (0.9) | 0.66 | 2.6 (0.8) | 2.7 (0.8) | 0.23 | 0.15 | 0.02 |
| Role conflicts | Score 1–5 | 3.6 (0.8) | 3.5 (0.9) | <0.01 | 3.9 (0.8) | 3.8 (0.8) | 0.35 | <0.01 | <0.01 |
| Role demands | Score 1–5 | 3.0 (0.8) | 3.0 (0.8) | 0.41 | 3.2 (0.8) | 3.2 (0.8) | 0.17 | 0.06 | 0.02 |
| Group dynamics | Score 1–5 | 2.2 (0.7) | 2.1 (0.7) | 0.02 | 2.4 (0.7) | 2.4 (0.7) | 0.98 | 0.02 | <0.001 |
| Buffer-function | Score 1–5 | 2.7 (0.9) | 2.7 (0.9) | 0.87 | 2.9 (0.9) | 3.2 (0.9) | 0.001 | 0.05 | <0.001 |
| Co-workers | Score 1–5 | 2.8 (0.7) | 2.7 (0.7) | 0.19 | 2.9 (0.7) | 2.9 (0.7) | 0.80 | 0.05 | 0.03 |
| Container- function | Score 1–5 | 3.3 (0.8) | 3.2 (0.8) | 0.02 | 3.5 (0.7) | 3.4 (0.9) | 0.12 | 0.04 | 0.04 |
|
| |||||||||
| Supportive management | Score 1–5 | 3.4 (1.1) | 3.4 (1.1) | 0.44 |
|
|
| ||
| Cooperating with co-workers | Score 1–5 | 4.4 (0.6) | 4.4 (0.6) | 0.55 | 4.2 (0.7) | 4.2 (0.7) | 0.88 | 0.06 | 0.06 |
| Supportive manager colleagues | Score 1–5 |
| 3.9 (1.0) | 3.8 (0.9) | 0.39 | 0.33 | 0.26 | ||
| Supportive private life | Score 1–5 | 3.8 (1.0) | 3.9 (1.0) | 0.18 | 3.6 (1.1) | 3.7 (1.0) | 0.40 | 0.19 | 0.18 |
| Supportive organizational structures | Score 1–5 |
| 3.6 (0.9) | 3.5 (0.9) | 0.52 | 0.24 |
| ||
|
| |||||||||
| The National Agency of Education | Score 1–7 | 3.5 (1.8) | 3.3 (1.8) | 0.27 | 3.5 (1.8) | 3.3 (1.9) | 0.40 | 0.81 | 0.90 |
| The Swedish schools-inspectorate | Score 1–7 | 4.9 (1.8) | 4.7 (1.9) | 0.19 | 4.9 (1.8) | 4.6 (2.0) | 0.06 | 0.85 | 0.45 |
| School owner | Score 1–7 | 4.0 (1.5) | 3.9 (1.7) | 0.32 | 4.2 (1.6) | 4.3 (1.6) | 0.48 | 0.18 |
|
| Super Intendent | Score 1–7 | 3.4 (1.6) | 3.3 (1.7) | 0.17 | 3.8 (1.7) | 3.6 (1.7) | 0.49 | 0.11 | 0.11 |
| Immediate supervisor | Score 1–7 | 3.2 (1.6) | 3.1 (1.7) | 0.19 | 3.4 (1.6) | 3.7 (1.6) | 0.26 | 0.23 |
|
| Co-workers | Score 1–7 | 4.1 (1.4) | 3.8 (1.5) | <0.01 | 4.5 (1.6) | 4.4 (1.6) | 0.62 | <0.01 | <0.001 |
| Parents | Score 1–7 | 4.4 (1.7) | 4.4 (1.7) | 0.90 | 4.8 (1.6) | 4.7 (1.5) | 0.49 | 0.05 | 0.16 |
| Students | Score 1–7 | 2.9 (1.5) | 2.9 (1.6) | 0.89 | 3.0 (1.6) | 3.1 (1.8) | 0.26 | 0.53 | 0.42 |
|
| |||||||||
| Mean score (SD) | Score 0–54 | 13.1 (7.7) | 12.7 (8.0) | 0.08 | 15.0 (7.9) | 15.9 (8.0) | 0.18 | 0.04 | <0.001 |
| Possible exhaustion disorder; N (%) | Score ≥ 19 points | 66 (24) | 57 (21) | 0.21 | 29 (29) | 34 (34) | 0.40 | 0.35 | <0.01 |
A. The Mann–Whitney U-test was used for continuous variables, and Fisher’s exact test was used for dichotomous variables. B. The Wilcoxon Signed Rank Test was used for continuous variables, and McNemar’s test for dichotomous variables. C. One person with “other title” in 2019 was excluded from the statistical analysis. D. Participants with “No agreed working hours” were excluded from the statistical analysis.
Change of reported exposures in the year 2018 vs. in the year 2019, within and between Group 5 (Leave/No change/Stay) and Group 6 (Leave/No change/Leave) (Figure 1).
| Group 5 | Group 6 | Difference between Group 5 and Group 6 | |||||||
|---|---|---|---|---|---|---|---|---|---|
| N = 52 | N = 146 | ||||||||
| Independent factors | Categories/Scale | 2018 | 2019 | 2018 vs. 2019; | 2018 | 2019 | 2018 vs. 2019; | 2018 | 2019 |
| Gender (2018); N (%) | Female | 42 (81) | 113 (77) | 0.70 | |||||
| Male | 10 (19) | 33 (23) | |||||||
| Age (2018); mean (SD) | years | 51 (6) | 48 (7) |
| |||||
| School owner; N (%) | Municipality | 45 (87) | 45 (87) | 1.00 | 123 (84) | 123 (84) | 1.00 | 0.82 | 0.82 |
| Other organisation | 7 (13) | 7 (13) | 23 (16) | 23 (16) | |||||
| Job title; N (%) | Principal | 38 (73) | 41 (79) | 0.12 | 95 (65) | 97 (66) | 0.62 | 0.31 | 0.08 |
| Assistant principal | 14 (27) | 10 (19) | 51 (35) | 49 (34) | |||||
| Other title C | - | 1 (1.9) | - | 0 | |||||
| Number of co-workers; mean (SD) | 33(12) | 34 (16) | 0.95 | 35 (16) | 34 (17) | 0.60 | 0.62 | 0.92 | |
| Staff access/availability | Full staff | 28 (54) | 31 (60) | 0.65 | 90 (62) | 89 (61) | 1.00 | 0.33 | 0.87 |
| Very or somewhat understaffed | 24 (46) | 21 (40) | 56 (38) | 57 (39) | |||||
| Number of students; mean (SD) | 256 (136) | 287 (184) | 0.07 | 303 (197) | 307 (202) | 0.12 | 0.19 | 0.49 | |
| Overtime | Once a week or less often | 7 (13) | 12 (23) | 0.06 | 29 (20) | 32 (22) | 0.72 | 0.40 | 1.00 |
| Every day or a few days/week | 43 (83) | 39 (75) | 111 (76) | 107 (73) | |||||
| No agreed working hours D | 2 (4) | 1 (2) | 6 (4) | 7(5) | |||||
| Physical working environment; N (%) | Adequate, good or very good | 40 (77) | 42 (81) | 0.77 | 114 (78) | 110 (75) | 0.56 | 0.85 | 0.57 |
| Poor or very poor | 12 (23) | 10 (19) | 32 (22) | 36 (25) | |||||
|
| |||||||||
| Resource deficits | Score 1-5 | 3.6 (1.0) | 3.6 (1.0) | 0.62 | 3.5 (1.0) | 3.6 (1.0) | 0.35 | 0.33 | 0.64 |
| Organisational Control | Score 1-5 | 2.8 (0.8) | 2.8 (0.9) | 0.83 | 2.7 (0.8) | 2.7 (0.9) | 0.59 | 0.28 | 0.52 |
| Role conflicts | Score 1-5 |
|
|
| 3.9 (0.8) | 3.9 (0.8) | 0.79 | 0.72 |
|
| Role demands | Score 1-5 | 3.2 (0.8) | 3.0 (0.7) | 0.07 | 3.2 (0.8 ) | 3.2 (0.8 ) | 0.39 | 0.76 | 0.11 |
| Group dynamics | Score 1-5 | 2.3 (0.8) | 2.3 (0.8) | 0.95 | 2.4 (0.8) | 2.4 (0.7) | 0.42 | 0.52 | 0.92 |
| Buffer-function | Score 1-5 | 3.1 (0.9) | 3.1 (1.0) | 0.52 | 3.1 (0.9) | 3.1 (0.9) | 0.48 | 0.96 | 0.40 |
| Co-workers | Score 1-5 | 2.8 (0.8) | 2.6 (0.8) | 0.07 | 3.0 (0.7) | 3.0 (0.7) | 0.34 | 0.22 |
|
| Container- function | Score 1-5 | 3.6 (0.8) | 3.3 (0.9) |
| 3.5 (0.8) | 3.4 (0.8) | 0.45 | 0.21 | 0.39 |
|
| |||||||||
| Supportive management | Score 1–5 | 3.0 (1.1) | 3.0 (1.0) | 0.69 | 2.9 (1.0) | 2.9 (1.1) | 0.81 | 0.74 | 0.56 |
| Cooperating with co-workers | Score 1–5 | 4.2 (0.6) | 4.2 (0.6) | 0.94 | 4.2 (0.7) | 4.2 (0.6) | 0.45 | 0.63 | 0.65 |
| Supportive manager colleagues | Score 1–5 | 3.8 (0.8) | 3.9 (1.0) | 0.87 | 3.6 (1.1) | 3.6 (1.0) | 0.67 | 0.35 | 0.20 |
| Supportive private life | Score 1–5 | 3.8 (1.1) | 3.9 (1.0) | 0.16 | 3.8 (1.1) | 3.9 (1.0) | 0.74 | 0.88 | 0.84 |
| Supportive organisational structures | Score 1–5 | 3.5 (0.9) | 3.8 (0.9) | 0.07 | 3.6 (1.0) | 3.5 (1.0) |
| 0.29 | 0.17 |
|
| |||||||||
| The National Agency of Education | Score 1–7 | 3.7 (1.9) | 3.3 (1.8) | 0.16 | 3.4 (1.8) | 3.5 (1.8) | 0.41 | 0.40 | 0.44 |
| The Swedish schools-inspectorate | Score 1–7 | 4.9 (2.0) | 5.0 (1.8) | 0.95 | 4.8 (1.8) | 4.9 (1.8) | 0.69 | 0.49 | 0.77 |
| School owner | Score 1–7 | 4.3 (1.8) | 4.1 (1.6) | 0.47 | 4.4 (1.6) | 4.4 (1.6) | 0.81 | 0.80 | 0.35 |
| Super intendent | Score 1–7 | 4.1 (1.6) | 3.4 (1.7) |
| 3.8 (1.6) | 3.8 (1.7) | 0.82 | 0.22 | 0.18 |
| Immediate supervisor | Score 1–7 | 3.8 (1.8) | 3.2 (1.7) |
| 3.8 (1.8) | 3.8 (1.8) | 0.88 | 0.99 |
|
| Co-workers | Score 1–7 | 4.2 (1.5) | 3.8 (1.6) | 0.13 | 4.7 (1.5) | 4.4 (1.5) |
| 0.06 |
|
| Parents | Score 1–7 | 4.9 (1.5) | 4.8 (1.7) | 0.72 | 5.0 (1.6) | 5.0 (1.6) | 0.90 | 0.62 | 0.49 |
| Students | Score 1–7 | 2.9 (1.5) | 3.0 (1.8) | 0.80 | 3.3 (1.6) | 3.3 (1.7) | 0.19 | 0.19 | 0.19 |
|
| |||||||||
| Mean score (SD) | Score 0–54 | 15 (7.2) | 12 (7.6) |
| 16 (8.9) | 16 (9.1) | 0.51 | 0.49 |
|
| Possible exhaustion disorder; N (%) | Score ≥ 19 points | 15 (29) | 10 (19) | 0.18 | 55 (38) | 50 (34) | 0.44 | 0.31 | 0.05 |
A. The Mann–Whitney U-test was used for continuous variables, and Fisher’s exact test was used for dichotomous variables. B. The Wilcoxon Signed Rank Test was used for continuous variables, and McNemar’s test for dichotomous variables. C. One person with “other title” in 2019 was excluded from the statistical analysis. D. Participants with “No agreed working hours” were excluded from the statistical analysis.