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Work engagement is important for medical residents and the healthcare organizations they work for. However, relatively little is known about the specific predictors of work engagement in medical residents. Therefore, we examined the associations of work and home characteristics, and work-home interference with work engagement in male and female residents.
This study was conducted on a nationwide sample of medical residents. In 2005, all Dutch medical residents (n = 5245) received a self-report questionnaire. Path analysis was used to examine the associations between the potential predictors and work engagement.
In total, 2115 (41.1%) residents completed the questionnaire. Job characteristics, home characteristics and work-home interference were associated with work engagement. Important positive contributing factors of work engagement were opportunities for job development, mental demands at work, positive work-home interference and positive home-work interference. Important negative contributing factors were emotional demands at work and negative home-work interference. The influence of these factors on work engagement was similar in male and female residents.
Opportunities for job development and having challenging work are of high relevance in enhancing work engagement. Furthermore, interventions that teach how to deal skilfully with emotional demands at work and home-work interference are expected to be the most effective interventions to enhance work engagement in medical residents.
Prins JT, Hoekstra-Weebers JEHM, Gazendam-Donofrio SM, et al. Burnout and engagement among resident doctors in the Netherlands: a national study. Med Educ. 2010;44:236–47. CrossRef
Schaufeli WB, Bakker AB. Job demands, job resources, and their relationship with burnout and engagement: a multi-sample study. J Organ Behav. 2004;25:293–315. CrossRef
Bakker AB, Schaufeli WB, Leiter MP, Taris TW. Work engagement: an emerging concept in occupational health psychology. Work Stress. 2008;22:187–200. CrossRef
Simpson MR. Engagement at work: a review of the literature. Int J Nurs Stud. 2009;46:1012–24. CrossRef
Prins JT, Van der Heijden FMMA, Hoekstra-Weebers JEHM, et al. Burnout, engagement and resident physicians’ self-reported errors. Psychol Health Med. 2009;14:654–66. CrossRef
Bakker AB, Demerouti E. Towards a model of work engagement. Career Dev Int. 2008;13:209–23. CrossRef
Hakanen JJ, Bakker AB, Schaufeli WB. Burnout and work engagement among teachers. J School Psychol. 2006;43:495–513. CrossRef
Bakker AB, Demerouti E, Verbeke W. Using the job demands-resources model to predict burnout and performance. Hum Resour Manage. 2004;43:83–104. CrossRef
Schaufeli WB. Work engagement: what do we know and where do we go. Rom J Appl Psychol. 2012;14:3–10.
Mache S, Vitzthum K, Klapp BF, Danzer G. Surgeons’ work engagement: influencing factors and relations to job and life satisfaction. Surgeon. 2014;12:181–90. CrossRef
Crawford ER, LePine JA, Rich BL. Linking job demands and resources to employee engagement and burnout: a theoretical extension and meta-analytic test. J Appl Psychol. 2010;95:834–48. CrossRef
Hakanen JJ, Bakker AB, Demerouti E. How dentists cope with their job demands and stay engaged: the moderating role of job resources. Eur J Oral Sci. 2005;113:479–87. CrossRef
Bakker AB, Geurts SAE. Toward a dual-process model of work-home interference. Work Occup. 2004;31:345–66. CrossRef
Byron K. A meta-analytic review of work-family conflict and its antecedents. J Vocat Behav. 2005;67:169–98. CrossRef
Demerouti E, Bakker AB, Voydanoff P. Does home life interfere with or facilitate job performance? Eur J Work Organ Psy. 2010;19:128–49. CrossRef
Bakker AB, ten Brummelhuis LL, Prins JT, van der Heijden FMMA. Applying the job demands-resources model to the work-home interface: a study among medical residents and their partners. J Vocat Behav. 2011;79:170–80. CrossRef
Bakker AB, Demerouti E, Schaufeli WB. The crossover of burnout and work engagement among working couples. Hum Relat. 2005;58:661–89. CrossRef
Hakanen JJ, Schaufeli WB, Ahola K. The Job Demands-Resources model: a three-year cross-lagged study of burnout, depression, commitment, and work engagement. Work Stress. 2008;22:224–41. CrossRef
Montgomery AJ, Peeters MCW, Schaufeli WB, Den Ouden M. Work-home interference among newspaper managers: its relationship with burnout and engagement. Anxiety Stress Coping. 2003;16:195–211.
Mostert K, Peeters M, Rost I. Work-home interference and the relationship with job characteristics and well-being: a South African study among employees in the construction industry. Stress Health. 2011;27:e238–e51. CrossRef
Grzywacz JG, Marks NF. Reconceptualizing the work-family interface: an ecological perspective on the correlates of positive and negative spillover between work and family. J Occup Health Psychol. 2000;5:111. CrossRef
Greenhaus JH, Beutell NJ. Sources of conflict between work and family roles. Acad Manage Rev. 1985;10:76–88.
Velden L, Hingstman L, Heiligers P, Hansen J. Toenemend percentage vrouwen in de geneeskunde: verleden, heden en toekomst. Ned Tijdschr Geneeskd. 2008;152:2165.
Verweij H, van der Heijden FM, van Hooff ML, et al. The contribution of work characteristics, home characteristics and gender to burnout in medical residents. Adv Health Sci Educ Theory Pract. 2016; . doi: 10.1007/s10459-016-9710-9.
Rothbard NP. Enriching or depleting? The dynamics of engagement in work and family roles. Admin Sci Quart. 2001;46:655–84. CrossRef
Schaufeli W, Bakker A. Utrecht work engagement scale: Preliminary manual. Utrecht: Occupational Health Psychology Unit, Utrecht University; 2003.
Veldhoven MJPM, Meijman TF. Het meten van psychosociale arbeidsbelasting met een vragenlijst: de vragenlijst beleving en beoordeling van de arbeid (VBBA). Amsterdam: Nederlands Instituut voor Arbeidsomstandigheden NIA; 1994.
Peeters MC, Montgomery AJ, Bakker AB, Schaufeli WB. Balancing work and home: how job and home demands are related to burnout. Int J Stress Manag. 2005;12:43. CrossRef
Geurts SAE, Taris TW, Kompier MAJ, Dikkers JSE, Van Hooff MLM, Kinnunen UM. Work-home interaction from a work psychological perspective: development and validation of a new questionnaire, the SWING. Work Stress. 2005;19:319–39. CrossRef
Muthén LK, Muthén BO. Mplus user’s guide, 7th ed. Los Angeles: Muthén & Muthén; 2012.
Byrne BM. Structural equation modeling with AMOS: basic concepts, applications, and programming. London: Routledge; 2013.
Kline RB. Principles and practice of Structural Equations Modeling. New York: Wiley; 1998.
Bakker AB, Demerouti E. The job demands-resources model: state of the art. J Manag Psychol. 2007;22:309–28. CrossRef
Aiken LS, West SG, Reno RR. Multiple regression: testing and interpreting interactions. Newbury Park: SAGE; 1991.
Korunka C, Kubicek B, Schaufeli WB, Hoonakker P. Work engagement and burnout: testing the robustness of the Job Demands-Resources model. J Posit Psychol. 2009;4:243–55. CrossRef
Schaufeli WB, Bakker AB, van der Heijden FMMA, Prins JT. Workaholism, burnout and well-being among junior doctors: the mediating role of role conflict. Work Stress. 2009;23:155–72. CrossRef
Bakker AB, Albrecht SL, Leiter MP. Key questions regarding work engagement. Eur J Work Organ Psychol. 2011;20:4–28. CrossRef
Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB. The job demands-resources model of burnout. J Appl Psychol. 2001;86:499–512. CrossRef
Regehr C, Glancy D, Pitts A, LeBlanc VR. Interventions to reduce the consequences of stress in physicians a review and meta-analysis. J Nerv Ment Dis. 2014;202:353–9. CrossRef
Shapiro J. Perspective: does medical education promote professional alexithymia? A call for attending to the emotions of patients and self in medical training. Acad Med. 2011;86:326–32. CrossRef
Dikkers JSE, Geurts SAE, Dulk LD, Peper B, Taris TW, Kompier MAJ. Dimensions of work-home culture and their relations with the use of work-home arrangements and work-home interaction. Work Stress. 2007;21:155–72. CrossRef
- The relationship between work and home characteristics and work engagement in medical residents
Madelon L. M. van Hooff
Frank M. M. A. van der Heijden
Jelle T. Prins
Antoine L. M. Lagro-Janssen
Hiske van Ravesteijn
Anne E. M. Speckens
- Bohn Stafleu van Loghum