Evidence map›Paper›PMID 30853661›Full record

ArticleBMJ open2019

Doctors don't Do-little: a national cross-sectional study of workplace well-being of hospital doctors in Ireland.

Blánaid Hayes, Lucia Prihodova, Gillian Walsh, Frank Doyle, Sally Doherty

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Meta-analysis of effort-reward imbalance prevalence among physicians.International archives of occupational and environmental health · 2022
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Blánaid HayesOccupational Health Department, Beaumont Hospital, Dublin 9, Ireland.
Lucia PrihodovaResearch Department, Royal College of Physicians of Ireland, Dublin 2, Ireland.
Gillian WalshResearch Department, Royal College of Physicians of Ireland, Dublin 2, Ireland.
Frank DoyleDepartment of Psychology, Division of Population and Health Sciences, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Sally DohertyDepartment of Psychology, Division of Population and Health Sciences, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Royal College of Surgeons in Ireland · IEBeaumont Hospital, Dearborn · USNational Student Clearinghouse Research Center · USRoyal College of Physicians of Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo measure levels of occupational stress, burn-out, work-life balance, presenteeism, work ability (balance between work and personal resources) and desire to practise in trainee and consultant hospital doctors in Ireland.

designNational cross-sectional study of randomised sample of hospital doctors. Participants provided sociodemographic data (age, sex), work grade (consultant, higher/basic specialist trainee), specialty, work hours and completed workplace well-being questionnaires (Effort-Reward Imbalance (ERI) Scale, overcommitment, Maslach Burnout Inventory) and single item measures of work ability, presenteeism, work-life balance and desire to practise.

settingIrish publicly funded hospitals and residential institutions.

participants1749 doctors (response rate of 55%). All hospital specialties were represented except radiology.

results29% of respondents had insufficient work ability and there was no sex, age or grade difference. 70.6% reported strong or very strong desire to practise medicine, 22% reported good work-life balance, 82% experienced workplace stress, with effort greatly exceeding reward, exacerbated by overcommitment. Burn-out was evident in 29.7% and was significantly associated with male sex, younger age, lower years of practice, lower desire to practise, lower work ability, higher ERI ratio and greater overcommitment. Apart from the measures of work ability and overcommitment, there was no sex or age difference across any variable. However, ERI and burn-out were significantly lower in consultants than trainees.

conclusionsHospital doctors across all grades in Ireland had insufficient work ability, low levels of work-life balance, high levels of work stress and almost one-third experienced burn-out indicating suboptimal work conditions and environment. Yet, most had high desire to practise medicine. Measurement of these indices should become a quality indicator for hospitals and research should focus on the efficacy of a range of individual and organisational interventions for burn-out and occupational stress.

Indexed as

Work-Life BalanceAdultBurnout, ProfessionalCross-Sectional StudiesFemaleHospitalistsHumansIrelandJob SatisfactionMaleMiddle AgedPhysiciansSex FactorsSurveys and QuestionnairesWorkloadburnoutdoctoroccupational stresswellbeingworkability

Identifiers

PMID30853661
PMCPMC6429874
OpenAlexW2920972159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.