Health of the Health Professional Conference Auckland, New Zealand November 3-5, 2011

1. Comparing Job Demands, Coping Resources and Well-being Across Different Health Care Providers Working TogetherJane B Lemaire MD, Jean E Wallace PhD, Janet Gilmour MD Health of the Health Professional Conference Auckland, New Zealand November 3-5, 2011

2. No conflict of interest

3. HCPs work collaboratively within multidisciplinary teams • They may have different work attitudes and experiences Background

4. To compare job demands, coping resources and well-being across different groups of health care providers (HCPs) working as a team in the same setting Aim

5. Setting: Single medicine ward in a teaching hospital • Design: Descriptive, cross-sectional study, structured questionnaire • Sample: 164 health care providers, response rate 63% Methods

6. Data collection and measures: -closed-ended survey items -response range strongly disagree (coded 1) to strongly agree (coded 5) -scale scores computed by summing items and dividing by the # of items Methods

7. Job demands Workload My workload is too heavy in my job I do not have enough time to get everything done in my job It is difficult to meet the demands of my patients, co-workers and the hospital Work hours On average in a typical week, how many hours do you work on the unit? Methods

8. Coping resources Job control I make my own decisions as to how I do my work I am my own boss in almost every work situation Co-worker support My colleagues are good at helping me solve work-related problems Methods

9. Well-being I feel I have a pretty balanced life I feel I am positively influencing other people’s lives through my work I am satisfied with my life in general I definitely enjoy my job I am satisfied with the way my career is going Methods

10. Table 1 Characteristics of Survey Participants

11. Table 2Aggregate Results for all Health Care Providers and Mean Difference Tests between Nursing Staff and Physicians * indicates a statistically significant difference at the .10 level between nursing staff and physicians

12. Table 3Mean Difference Tests between Nurses versus Nursing Attendants (NAs), and Staff Physicians versus Resident Physicians + indicates a statistically significant difference at the .10 level between nurses and nursing attendants † indicates a statistically significant difference at the .10 level between staff physicians and resident physicians

13. Table 4Regression Results for Well-Being for Pooled, Nursing Staff and Physicians ** p<.05; *p<.10 b comparing nurses (coded 1) to nursing attendants (coded 0) c comparing staff physicians (coded 1) to resident physicians (coded 0)

14. Greater perceived workload and longer work hours for physicians • Lower job control for nursing assistants and resident physicians • Higher levels of well-being for nurses Summary

15. Cross sectional study of HCPs at a single site • Limited generalizability • Small numbers • Standardized measures may not be sensitive enough to capture the various ways the different groups experience job demands and coping resources Limitations

16. Health care providers -work in unison to provide quality health care to the patients they serve -share a common work environment -experience varying amounts of job demands, coping resources and well-being Conclusions

17. Broad-based interventions may be improved by knowledge of specific occupational group issues • Areas of similarity may provide as important insight as those of difference Conclusions

18. Staff wellness Lao PDR