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Job satisfaction of occupational physicians in commercial and other delivery settings: A comparative and explorative study

100%
Plomp H., Beek A.
International Journal of Occupational Medicine and Environmental Health
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2014
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vol. 27
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issue 4
672-682
EN
Objectives: Commercialization of occupational health services (OHS) and transition to a supplier market which started in 1995, has affected work and working conditions of occupational physicians (OPs) profoundly. OPs have lost influence on the organization of their work and managers took over control. This study explores the impact of commercialization on job satisfaction of occupational physicians. Material and Methods: Data were collected through a questionnaire completed by 797 OPs, members of the Netherlands Association of Occupational Medicine (response: 45%). A range of work satisfiers and dissatisfiers measures was included that, according to the Social Action Approach, could explain the variation in job satisfaction. Stepwise multivariate regression analyses were performed to explore to what extent the differences in job satisfaction can be attributed to the characteristics of the setting, biographical variables, satisfiers and dissatisfiers. Results: Occupational physicians in commercial settings had the lowest average score as regards job satisfaction (6.7) contrasting sharply with their colleagues in private practices (8.7) and in non-commercial settings (7.9). The variation in job satisfaction between delivery settings could largely be attributed to satisfiers and dissatisfiers. Biographical characteristics (age, gender) had no effect. The data suggested that not commercialization as such, but the ability of commercial OHS providers to integrate professional values was the crucial factor to bring about job satisfaction. Conclusions: The challenge for commercial OHS providers is to preserve the professional zeal in OPs by integrating professional values in their organization in order to improve the quality of the services and the attractiveness of the profession.
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Knowledge, attitudes, beliefs and practices of occupational physicians towards vaccinations of health care workers: A cross sectional pilot study in North-Eastern Italy

86%
Riccò M., Cattani S., Casagranda F., Gualerzi G., Signorelli C.
International Journal of Occupational Medicine and Environmental Health
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2017
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vol. 30
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issue 5
775-790
EN
Objectives This study aims to characterize personal attitudes and knowledge of a sample of Italian occupational physicians (OPhs) towards immunization practice in the case of healthcare workers (HCWs). Material and Methods A total of 90 OPhs (42.2% of males, 57.8% of females, mean age of 50.1±8.3 years old) compiled a structured questionnaire through a telephonic interview. They were asked about the official Italian recommendations for HCWs, their general knowledge of vaccine practice, their propensity towards vaccines (both in general and about specific immunizations), their risk perception about the vaccine-preventable infectious diseases. Eventually, a regression analysis was performed in order to identify factors predictive for vaccine propensity. Results Only 12 out of 90 subjects correctly identified all the 7 recommended immunizations. The hepatitis B virus (HBV) vaccine was correctly identified by 95.6% of the sample, and was also associated with the more positive attitude and the more accurate risk perception. Influenza vaccine had the lowest acceptance (75.9%). Eventually, pertussis, measles, parotitis and varicella vaccines were insufficiently recognized as recommended ones (all cases < 50% of the sample). General knowledge of vaccine and knowledge of official recommendations were significantly correlated with the attitude towards immunization practice (r = 0.259, p = 0.014 and r = 0.438, p < 0.0001). In the regression analysis general knowledge (unstandardized coefficient (B) = 0.300, 95% confidence interval (CI): 0.090–0.510, p = 0.006) and risk perception (B = 0.579, 95% CI: 0.155–1.003, p = 0.008) were significant predictors of the propensity to vaccinate. Conclusions Vaccinations gaps in HCWs may found their roots in OPhs incomplete knowledge of evidence-based recommendations. Specific training programs and formations courses should then be planned. Int J Occup Med Environ Health 2017;30(5):775–790
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Cooperation within physician–nurse team in occupational medicine service in Poland – Knowledge about professional activities performed by the team-partner

58%
Sakowski P.
Medycyna Pracy
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2015
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vol. 66
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issue 5
625-633
PL
Wstęp Celem badania było zdobycie wiedzy na temat świadomości lekarzy i pielęgniarek medycyny pracy w zakresie zadań zawodowych wykonywanych przez kolegów/koleżanki z zespołów tworzonych przez lekarza i pielęgniarkę służby medycyny pracy (SMP). Materiał i metody Badanie przeprowadzono z wykorzystaniem ankiety pocztowej rozesłanej do jednostek SMP z terenu Polski, w których pracują zespoły lekarz–pielęgniarka. Analiza uwzględnia odpowiedzi przesłane przez 232 zespoły lekarz–pielęgniarka. Wyniki Wiedza na temat zadań wykonywanych w ramach tego samego zespołu przez kolegów/koleżanki wydaje się niewielka. Respondentów poproszono o wskazanie osób wykonujących w ramach zespołu lekarz–pielęgniarka zadania SMP wymienione w ustawie o służbie medycyny pracy. W przypadku zaledwie 3 spośród 21 grup zadań rozbieżność odpowiedzi nie przekraczała 30%. Niektóre zadania są wykonywane przez profesjonalistów bez udziału innych osób. Duża część ankietowanych wykazywała niewiedzę na temat zadań wykonywanych przez partnera z zespołu. Wnioski Lekarze i pielęgniarki medycyny pracy w Polsce wykonują zróżnicowane zadania. Pielęgniarki, oprócz zadań typowo medycznych, pełnią w swoich jednostkach także ważne funkcje organizacyjne. Należy zauważyć, że współpraca między tymi dwoma grupami zawodowymi w ramach systemu ochrony zdrowia pracujących jest w pewnym stopniu zakłócana przez niewystarczającą komunikację interpersonalną. Należy dążyć do poprawy w tym obszarze w celu poprawy funkcjonowania całego systemu służby medycyny pracy. Med. Pr. 2015;66(5):625–633
EN
Background The goal of the study has been to learn about physicians’ and nurses’ awareness of the professional activities that are being performed by their colleague in the physician–nurse team. Material and Methods Postal questionnaires were sent out to occupational physicians and nurses in Poland. The analysis includes responses from 232 pairs of physician–nurse teams. Results The knowledge among occupational professionals about tasks performed by their colleagues in the physician–nurse team seems to be poor. Respondents were asked about who performs tasks from each of 21 groups mentioned in the Occupational Medicine Service Act. In the case of only 3 out of 21 groups of tasks, the rate of non-consistence in answers was lower than 30%. A specified number of professionals performed their tasks on the individual basis. Although in many cases their team colleagues knew about those activities, there was a major proportion of those who had no awareness of such actions. Conclusions Polish occupational physicians and nurses perform a variety of tasks. Occupational nurses, besides medical role, also play important organizational roles in their units. The cooperation between the two professional groups is, however, slightly disturbed by the deficits in communication. This issue needs to be improved for the betterment of operations within the whole system. Med Pr 2015;66(5):625–633
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