Associations between perceived institutional support, job enjoyment, and intentions to work in the United Kingdom: national questionnaire survey of first year doctors.
Associations between perceived institutional support, job enjoyment, and intentions to work in the United Kingdom: national questionnaire survey of first year doctors.
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感知到在英国工作的机构支持，工作享受和意图之间的关联：国家问卷调查一年级医生调查。
DOI：
10.1186/s12909-016-0673-6
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发表时间：
2016-05-23
影响因子：
3.6
通讯作者：
Lambert T
中科院分区：
文献类型：
--
作者：
Lachish S;Goldacre MJ;Lambert T
确定提高新医生的工作满意度和缓解从学生到医生的困难过渡的因素是公共卫生机构的极大兴趣。迄今为止的研究主要集中在改变医学院课程和入职过程在这方面的价值，但忽视了机构支持可以在多大程度上影响新医生的工作乐趣和态度。在这里，我们研究的变化，新的医学毕业生在英国（UK）从他们的雇主收到的支持水平，这是否会影响享受和态度的第一个研究生学年，以及是否医生谁认为一个较低的支持水平不太倾向于打算在英国长期从事医学职业。2013年，在一项横断面研究中，对2012年所有英国医学毕业生进行了调查，当时他们正在研究生第一年（英国新医生2年基础培训计划的“F1”年）结束。我们使用线性回归来评估医生报告从他们的雇佣信托基金（非常好，好，足够，差或非常差）获得的支持水平是否与他们享受F1年的程度相关。同样，我们评估了自我报告的信任支持水平与医生对12个关于其工作生活基本方面的陈述的反应之间的关联强度，每个陈述都以5分制进行评估。使用χ2检验，我们检查了医生在英国行医的意图是否因他们报告从信托基金获得的支持水平而异。有效率为45%（2324/5171）。在2324名回应的初级医生中，63.8%的人报告说他们的信托基金给予了他们“非常好”（23.6%）或“好”（40.2%）的初步支持，另有27.4%的人表示他们得到了“足够”的支持。“差”支持率为5.8%，“非常差”支持率为2.2%。我们发现，医生报告接受的机构支持与他们享受F1年以及他们对第一年工作各方面的自我表达态度之间存在非常强的正相关。至关重要的是，报告接受较低水平支持（“差”或“非常差”）的医生明显不太可能表达继续在英国行医的意图。为毕业医生提供有效的机构支持可以提高工作满意度，并有助于确保年轻医生的长期保留。本文的在线版本（doi：10.1186/s12909-016-0673-6）包含补充材料，可供授权用户使用。
Identifying factors that improve job satisfaction of new doctors and ease the difficult transition from student to doctor is of great interest to public health agencies. Studies to date have focused primarily on the value of changes to medical school curricula and induction processes in this regard, but have overlooked the extent to which institutional support can influence new doctors’ enjoyment of and attitude to work. Here, we examine variation in the perceived level of support received by new medical graduates in the United Kingdom (UK) from their employer and whether this influences enjoyment of and attitudes to the first postgraduate year, and whether doctors who perceived a lower level of support were less inclined to intend a long term career in medicine in the UK. All UK medical graduates of 2012 were surveyed in 2013 in a cross-sectional study, towards the end of their first post-graduate year (the ‘F1’ year of the 2-year Foundation Training Programme for new UK doctors). We used linear regression to assess whether the level of support doctors reported receiving from their employing Trust (Very Good, Good, Adequate, Poor, or Very Poor) was associated with the extent to which they enjoyed their F1 year. Similarly, we assessed the strength of associations between self-reported level of Trust support and doctors’ responses to 12 statements about fundamental aspects of their working lives, each assessed on a 5-point scale of agreement. Using χ2 tests we examined whether doctors’ intentions to practise medicine in the UK varied with the level of support they reported receiving from their Trust. The response rate was 45 % (2324/5171). Of 2324 responding junior doctors, 63.8 % reported receiving ‘Very Good’ (23.6 %) or ‘Good’ (40.2 %) initial support from their Trust, while a further 27.4 % stated they received ‘Adequate’ support. ‘Poor’ support was reported by 5.8 % and ‘Very Poor’ support by 2.2 %. We found very strong positive associations between the institutional support doctors reported receiving and their enjoyment of the F1 year and their self-expressed attitudes to aspects of their first year of work. Crucially, doctors who reported receiving lower levels of support (‘Poor’ or ‘Very Poor’) were significantly less likely to express intentions to continue practising medicine in the UK. The provision of effective institutional support for graduate doctors may promote workplace satisfaction and could help safeguard the long-term retention of junior doctors. The online version of this article (doi:10.1186/s12909-016-0673-6) contains supplementary material, which is available to authorized users.