Empirical Assessment of Well-Being: The Stanford Model of Occupational Wellbeing.

IF 5.3 2区教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Academic Medicine Pub Date : 2025-03-13 DOI:10.1097/ACM.0000000000006025

Bryan D Bohman, Maryam S Makowski, Hanhan Wang, Nikitha K Menon, Tait D Shanafelt, Mickey T Trockel

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引用次数: 0

Abstract

Purpose: The Stanford Model of Occupational Wellbeing (Stanford Model) hypothesizes that occupational well-being is driven by 3 reciprocally related domains: workplace efficiency, culture of wellness, and individual factors. The current analysis assesses the key elements of this model with cross-sectional empirical data.

Method: In fall 2020 and spring 2022, well-being surveys were distributed to all Stanford School of Medicine clinical faculty working at 50% or more of full-time equivalent. A total of 1,909 clinical faculty were invited to complete the 2020 survey and 2,251 to complete the 2022 survey. The survey assessed burnout and professional fulfillment, along with 9 hypothesized determinants, as occupational well-being outcome indicators. Exploratory factor analysis was used to determine whether these determinants grouped well into the 3 domains described by the model. Domain scores were created based on factor analysis groupings of the scores for the determinants in each domain.

Results: Of 1,909 clinical faculty invited to complete the 2020 survey, 1,479 (78%) participated. Of the 2,251 clinical faculty invited in 2022, 1,552 (69%) participated. The associations of the 3 domain scores with burnout and professional fulfillment were moderate for workplace efficiency (r = 0.42-0.49; P < .001) and large for culture of wellness (r = 0.51-0.63; P < .001) and individual factors (r = 0.52-0.72; P < .001). Domain scores accounted for 45% and 50% of the variance in professional fulfillment and 56% and 59% of variance in burnout in 2020 and 2022 data, respectively.

Conclusions: These results provide empirical evidence to support a widely adopted conceptual model of occupational well-being, including categorization of the hypothesized determinants of well-being into 3 domains, correlations among the domains, and association of the domain scores with burnout and professional fulfillment. Further research is needed to test causal relationships hypothesized by the model.

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幸福感的实证评估：职业幸福感的斯坦福模型。

目的：斯坦福职业幸福模型（Stanford Model of Occupational well-being）假设职业幸福是由三个相互关联的领域驱动的：工作场所效率、健康文化和个人因素。当前的分析用横截面经验数据评估了该模型的关键要素。方法：在2020年秋季和2022年春季，对斯坦福医学院（Stanford School of Medicine）所有从事全职工作50%或以上的临床教师进行了幸福感调查。共邀请1909名临床教师完成2020年调查，邀请2251名临床教师完成2022年调查。该调查评估了职业倦怠和职业成就感，以及9个假设的决定因素，作为职业幸福感的结果指标。探索性因子分析用于确定这些决定因素是否很好地归入模型所描述的3个领域。领域得分是根据每个领域的决定因素得分的因素分析分组创建的。结果：在2020年邀请完成调查的1909名临床教师中，有1479名（78%）参与了调查。在2022年邀请的2251名临床教师中，有1552名（69%）参加。3个领域得分与职业倦怠、职业成就感的相关性在工作效率方面呈中等水平(r = 0.42-0.49；P < 0.001)，健康培养(r = 0.51-0.63；P < 0.001)和个体因素(r = 0.52-0.72；P < 0.001)。在2020年和2022年的数据中，领域得分分别占职业成就感方差的45%和50%，职业倦怠方差的56%和59%。结论：这些结果为广泛采用的职业幸福感概念模型提供了经验证据，包括将幸福感的假设决定因素分为三个领域，领域之间的相关性，以及领域得分与职业倦怠和职业成就感的关联。需要进一步的研究来检验模型假设的因果关系。

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来源期刊

Academic Medicine 医学-卫生保健

CiteScore

7.80

自引率

9.50%

发文量

982

审稿时长

3-6 weeks

期刊介绍： Academic Medicine, the official peer-reviewed journal of the Association of American Medical Colleges, acts as an international forum for exchanging ideas, information, and strategies to address the significant challenges in academic medicine. The journal covers areas such as research, education, clinical care, community collaboration, and leadership, with a commitment to serving the public interest.