Evidence map›Paper›PMID 39443998›Full record

ArticleHuman resources for health2024

Psychosocial work environment in Swedish primary healthcare: a cross-sectional survey of physicians' job satisfaction, turnover intention, social support, leadership climate and change fatigue.

Hanna Fernemark, Nadine Karlsson, Janna Skagerström, Ida Seing, Elin Karlsson, Emma Brulin, Per Nilsen

Abstract read
In one paragraph

Article in Human resources for health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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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

7 authors.

Hanna FernemarkDepartment of Health, Medicine and Caring Sciences, Division of Health and Society, Linköping University, 581 83, Linköping, Sweden. hanna.fernemark@liu.se.ORCID 0000-0002-9029-4406
Nadine KarlssonDepartment of Health, Medicine and Caring Sciences, Division of Health and Society, Linköping University, 581 83, Linköping, Sweden.
Janna SkagerströmResearch and Development Unit, Region Östergötland, Linköping, Sweden.
Ida SeingDepartment of Behavioral Science and Learning, Linköping University, 581 83, Linköping, Sweden.
Elin KarlssonDepartment of Health, Medicine and Caring Sciences, Division of Health and Society, Linköping University, 581 83, Linköping, Sweden.
Emma BrulinUnit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Per NilsenDepartment of Health, Medicine and Caring Sciences, Division of Health and Society, Linköping University, 581 83, Linköping, Sweden.

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2019-01252Region Östergötland 965668
6 · The paper itself

Abstract

backgroundPrimary healthcare, the first line of care in many countries, treats patients with diverse health problems. High workload, time pressure, poor job control and negative interpersonal experiences with supervisors have been documented in primary healthcare. The work environment in primary healthcare is also affected by several types of changes.

aimWe aimed to explore the levels of job satisfaction, turnover intention, social support, leadership climate and change fatigue according to physicians in Swedish primary healthcare. We also aimed to identify and characterize physicians exhibiting both high turnover intention and low job satisfaction, i.e., "discontent with current job".

methodsA cross-sectional survey based on a random sample of physicians working in Swedish primary healthcare.

resultsApproximately one-quarter of the respondents were discontented with their current job. Discontent was negatively associated with poor general health and change fatigue among the respondents; social support from colleagues and a favorable leadership climate showed positive associations in terms of reducing the levels of discontent with current job.

conclusionsThe findings of this study highlight the association between low levels of job satisfaction and high levels of turnover intention (i.e., discontent with current job) among physicians in primary healthcare. Moreover, these variables exhibited a strong association with physicians' general health; poor health significantly increased the likelihood of discontent with current job. Our findings also show that experiencing change fatigue is associated with discontent with current job among physicians in primary healthcare. This knowledge can help identify and improve shortcomings within the psychosocial work environment in Swedish primary healthcare.

Indexed as

IntentionJob SatisfactionLeadershipPersonnel TurnoverPhysiciansPrimary Health CareSocial SupportWorkplaceAdultCross-Sectional StudiesFatigueFemaleHumansMaleMiddle AgedSurveys and QuestionnairesChange fatigueDiscontent with current jobPhysiciansPrimary healthcarePsychosocial work environment

Identifiers

PMID39443998
PMCPMC11500482

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.