Well-being Effects of an Intervention for Work Re-design in Hospital Doctors

Abstract

Objective: Adverse work conditions contribute to impaired well-being in hospital doctors. Drawing on a participatory work-design intervention that aimed to improve work conditions and quality of patient care, we investigated if the intervention also revealed effects on hospital doctors’ well-being. Methods: A prospective, controlled intervention study was conducted in two surgical and two internal departments of a hospital. N=57 hospital doctors participated. The intervention was a structured, participatory intervention based on health circles; in which doctors actively analysed problematic working conditions, developed solutions, and initiated their implementation. Work conditions and well-being were assessed by standardized questionnaires. Results: Several work-related problems were identified and solutions were implemented. At follow up, doctors in the intervention department reported improved work conditions, i.e., supervisory feedback, participation, personnel and material improvements. In regard to well-being, small effects for emotional exhaustion and work engagement were identified. Conclusions: Our participatory intervention was associated with effects on doctors’ well-being. The presentation concludes with a discussion of limitations and needs for further research.