Junior doctors receiving supervisor and peer support are more work-engaged professionals who express their voice for quality improvement.

IF 3.3 2区教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Medical Teacher Pub Date : 2024-02-01 Epub Date: 2023-07-28 DOI:10.1080/0142159X.2023.2240000

Renée A Scheepers, Aline J Boxem, Meike M J Blezer

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引用次数: 0

Abstract

Purpose: In daily practice, junior doctors can contribute to quality improvement by providing innovative suggestions for change, referred to as voice behavior. Junior doctors are more likely to engage in voice behavior when they receive sufficient support from supervisors and peers. Such support has also been associated with less burnout and more work engagement. However, whether less burned-out and more work-engaged junior doctors demonstrate more voice behaviors in the face of sufficient supervisor and peer support is unclear. Therefore, we studied whether and how associations of supervisor and peer support with junior doctors' voice behaviors are mediated by burnout and work engagement.

Materials & methods: Participants were 301 junior doctors that completed a web-based survey including validated questionnaires on supervisor and peer support, burnout, work engagement, and voice behavior.

Results: Supervisor and peer support were associated with lower levels of burnout and higher levels of work engagement. Work engagement, but not burnout, mediated the associations of supervisor and peer support with voice behaviors.

Conclusions: Junior doctors who received more supervisor or peer support were more work-engaged and reported more voice behaviors. Thus, supervisor and peer support should be cultivated to facilitate junior doctors' roles as work-engaged professionals in quality improvement.

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得到主管和同行支持的初级医生是更加投入工作的专业人员，他们会表达自己对提高质量的看法。

目的：在日常工作中，初级医生可以通过提出创新性的改革建议（即 "声音行为"）来促进质量改进。如果上司和同事给予足够的支持，初级医生就更有可能发表意见。这种支持也与减少职业倦怠和提高工作参与度有关。然而，面对主管和同行的充分支持，倦怠程度较低和工作投入度较高的初级医生是否会表现出更多的发声行为，目前尚不清楚。因此，我们研究了倦怠和工作投入是否以及如何通过倦怠和工作投入来调节主管和同行支持与初级医生发声行为之间的关联：参与者为 301 名初级医生，他们完成了一项基于网络的调查，其中包括关于主管和同行支持、职业倦怠、工作投入和发声行为的有效问卷：结果：主管和同行支持与较低的职业倦怠水平和较高的工作投入水平相关。工作投入（而非职业倦怠）在督导和同伴支持与声音行为之间起到了中介作用：结论：获得上级或同伴支持较多的初级医生更投入工作，并报告了更多的发声行为。因此，应培养督导和同行支持，以促进初级医生在质量改进中扮演工作投入型专业人员的角色。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Teacher 医学-卫生保健

CiteScore

7.80

自引率

8.50%

发文量

396

审稿时长

3-6 weeks

期刊介绍： Medical Teacher provides accounts of new teaching methods, guidance on structuring courses and assessing achievement, and serves as a forum for communication between medical teachers and those involved in general education. In particular, the journal recognizes the problems teachers have in keeping up-to-date with the developments in educational methods that lead to more effective teaching and learning at a time when the content of the curriculum—from medical procedures to policy changes in health care provision—is also changing. The journal features reports of innovation and research in medical education, case studies, survey articles, practical guidelines, reviews of current literature and book reviews. All articles are peer reviewed.