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Burnout among psychosocial oncologists in Israel: The direct and indirect effects of job demands and job resources

Published online by Cambridge University Press:  19 December 2017

Shiri Shinan-Altman*
Affiliation:
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat-Gan, Israel
Miri Cohen
Affiliation:
School of Social Work, University of Haifa, Mount Carmel, Haifa, Israel
Victoria Rasmussen
Affiliation:
School of Psychology, University of Sydney, NSW, Australia
Adrienne Turnell
Affiliation:
School of Psychology, University of Sydney, NSW, Australia
Phyllis Butow
Affiliation:
School of Psychology, University of Sydney, NSW, Australia Centre for Medical Psychology and Evidence-based Decision-Making, School of Psychology, University of Sydney, NSW, Australia Psycho-Oncology Co-operative Research Group, University of Sydney, NSW, Australia
*
Author for correspondence: Shiri Shinan-Altman, Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat-Gan, Israel. E-mail: [email protected]

Abstract

Objective

Psychosocial oncologists may be particularly vulnerable to burnout. This study aimed to assess burnout among Israeli psychosocial oncologists in relation to the Job Demands-Resources model and the coping strategies model.

Method

Participants included 85 of 128 listed psychosocial oncologists currently working with cancer patients. They completed a questionnaire assessing emotional exhaustion, depersonalization, job demands, job resources, work engagement, overcommitment, and perceived value of work.

Results

The mean level of burnout was low, whereas 16.3% experienced high levels of emotional exhaustion and only 2.4% experienced high levels of depersonalization. According to mediation analysis, overcommitment, partially mediated job demands-burnout associations, and work engagement mediated the perceived value-burnout association. Job resources and burnout were not related, either directly or indirectly.

Significance of results

The study extended the Job Demands-Resources model to include perceived value as an additional resource, and work-engagement and overcommitment as coping strategies. Two distinct patterns of associations were found between work characteristics and burnout: the positive-protective pattern (perceived value and work engagement) and the negative pattern (job demands and overcommitment). These two patterns should be considered for further research and for implementing preventive interventions to reduce burnout in the workplace setting.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2017 

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References

Bakker, AB and Demerouti, R (2007) The Job Demands–Resources Model: state of the art. Journal of Managerial Psychology 22(3), 309328.Google Scholar
Bakker, AB, Demerouti, E, and Verbeke, W (2004) Using the job demands-resources model to predict burnout and performance. Human Resource Management 43, 83104.Google Scholar
Ben-Zur, H (2009) Coping styles and affect. International Journal of Stress Management 16, 8199.Google Scholar
Ben-Zur, H and Michael, K (2007) Burnout, social support, and coping at work among social workers, psychologists, and nurses: The role of challenge/control appraisals. Social Work in Health Care 45(4), 6382.Google Scholar
Boccio, DE, Weisz, G, and Lefkowitz, R (2016) Administrative pressure to practice unethically and burnout within the profession of school psychology. Psychology in the Schools 53(6), 659672.Google Scholar
Bollen, KA and Bauldry, S (2011) Three Cs in measurement models: Causal indicators, composite indicators, and covariates. Psychological Methods 16(3), 265284.Google Scholar
Breen, LJ, O'Conner, M, Hewitt, LY, et al. (2014) The “specter” of cancer: Exploring secondary trauma for health professionals providing cancer support and counseling. Psychological Services 11, 6067.Google Scholar
Carver, CS and Connor-Smith, JK (2010) Personality and coping. Annual Review of Psychology 61, 679704.Google Scholar
Cohen, M (2013) Multicultural aspects of care for cancer patients in Israel. In New challenges in communication with cancer patients. Surbone, A, Zwitter, M, Rajer, M, and Stiefel, R (eds), pp. 317332. New York: Springer.Google Scholar
Cohen, M, Katz, D, and Baruch, Y (2007) Stress among the family caregivers of liver transplant recipients. Progress in Transplantation 17, 4853.Google Scholar
Cordes, CL and Dougherty, TM (1993) A review and integration of research on job burnout. Academy of Management Review 18(4), 621656.Google Scholar
de Jonge, J, Le Blanc, PM, Peeters, MCW, et al. (2008) Emotional job demands and the role of matching job resources: A cross-sectional survey study among healthcare workers. International Journal of Nursing Studies 45, 14601469.Google Scholar
Demerouti, E, Bakker, AB, Nachreiner, F, et al. (2001) The job demands-resources model of burnout. Journal of Applied Psychology 86(3), 499512.Google Scholar
Folkman, S and Moskowitz, JT (2004) Coping: Pitfalls and promise. Annual Review of Psychology 55, 745774.Google Scholar
Gagin, R, Unger-Arnov, Y, Shinan-Altman, S, et al. (2011) The suffering is similar—Is the Treatment equal? An intervention with Arab terror injured. Social Work in Health Care 50(5), 376389.Google Scholar
Girgis, A, Hansen, V, and Goldstein, D (2009) Are Australian oncology health professionals burning out? A view from the trenches. European Journal of Cancer 45(3), 393399.Google Scholar
Grassi, L, Fujisawa, D, Odyio, P, et al. (2016) Disparities in psychosocial cancer care: a report from the International Federation of Psycho-Oncology Societies. Psychooncology 25(10), 11271136.Google Scholar
Guveli, H, Anuk, D, Oflaz, S, et al. (2015) Oncology staff: Burnout, job satisfaction and coping with stress. Psycho-Oncology 24(8), 926931.Google Scholar
Hackman, JR and Oldham, GR (1976) Motivation through the design of work: Test of a theory. Organizational Behavior and Human Performance 16(2), 250279.Google Scholar
Hakanen, JJ and Schaufeli, WB (2012) Do burnout and work engagement predict depressive symptoms and life satisfaction? A three-wave seven-year prospective study. Journal of Affective Disorders 141(2), 415424.Google Scholar
Hayes, AF (2012) PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modelling. Available from http://www.afhayes.com/public/process2012.pdf.Google Scholar
Hayes, AF (2013) Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.Google Scholar
Houkes, I, Winants, YH, and Twellaar, M (2008) Specific determinants of burnout among male and female general practitioners: A cross-lagged panel analysis. Journal of Occupational and Organizational Psychology 81(2), 249276.Google Scholar
Jasperse, M, Herst, P, and Dungey, G (2014) Evaluating stress, burnout and job satisfaction in New Zealand radiation oncology departments. European Journal of Cancer Care 23(1), 8288.Google Scholar
Karasek, RA (1985) Job Content Questionnaire and user's guide. Department of Work Environment, University of Massachusetts: Lowell, MA.Google Scholar
Lazarus, RS and Folkman, S (1984) Stress, appraisal and coping. New York, NY: Springer.Google Scholar
Maslach, C and Jackson, SE (1986) The Maslach Burnout Inventory. Palo Alto, CA: Consulting Psychology Press.Google Scholar
Maslach, C and Leiter, MP (1997) The truth about burnout. San Francisco, CA: Jossey Bass.Google Scholar
Maslach, CS, Schaufeli, WB, and Leiter, MP (2001) Job burnout. Annual Review of Psychology 52(1), 397422.Google Scholar
Mathieu, F (2007) Running on empty: Compassion fatigue in health professionals. Rehab & Community Care Medicine 4, 17.Google Scholar
May, DR, Gilson, RL, and Harter, LM (2004) The psychological conditions of meaningfulness, safety and availability and the engagement of the human spirit at work. Journal of Occupational and Organizational Psychology 77(1), 1137.Google Scholar
Niedhammer, I, Tek, ML, Starke, D, et al. (2004) Effort–reward imbalance model and self-reported health: Cross-sectional and prospective findings from the GAZEL cohort. Social Science and Medicine 58(8), 15311541.Google Scholar
Organization for Economic Co-operation and Development (2017) Average annual hours actually worked per worker. Available from http://stats.oecd.org/index.aspx?DataSetCode=ANHRS.Google Scholar
Poulsen, M, Poulsen, A, Khan, A, et al. (2011) Work engagement in cancer workers in Queensland: The flip side of burnout. Journal of Medical Imaging and Radiation Oncology 55(4), 425432.Google Scholar
Rasmussen, V, Turnell, A, Butow, P, et al. (2016) Burnout among psychosocial oncologists: An application and extension of the effort–reward imbalance model. Psycho Oncology 25(2), 194202.Google Scholar
Schaufeli, WB and Bakker, AB (2004) Job demands, job resources and their relationship with burnout and engagement: A multi-sample study. Journal of Organizational Behavior 25(3), 293315.Google Scholar
Schaufeli, W, Bakker, AB, and Van Rhenen, W (2009) How changes in job demands and resources predict burnout, work engagement, and sickness absenteeism. Journal of Organizational Behavior 30(7), 893917.Google Scholar
Schaufeli, WB and Salanova, M (2007) Work engagement: An emerging psychological concept and its implications for organizations. In Research in social issues in management: Managing social and ethical issues in organizations. Gilliland, SW, Steiner, DD, and Skarlicki, DP (eds.), pp. 135–77. Greenwich, CT: Information Age Publishers.Google Scholar
Siegrist, J (1996) Adverse health effects of high-effort/low-reward conditions. Journal of Occupational Health Psychology 1(1), 2741.Google Scholar
Siegrist, J (2001) A theory of occupational stress. In Stress in the workplace: Past, present and future. Dunham, J (ed.). London, UK: Whurr Publishers.Google Scholar
Siegrist, J and Montano, D (2013) ERI-questionnaires- users guide. Düesseldorf, Germany: Düesseldorf University.Google Scholar
Siegrist, J, Starke, D, Chandola, T, et al. (2004) The measurement of effort-reward imbalance at work: European comparisons. Social Science and Medicine 58(8), 14831499.Google Scholar
Shinan-Altman, S and Cohen, M (2009) Nursing aides' attitudes to elder abuse in nursing homes: The effect of work stressors and burnout. The Gerontologist 49(5), 674684.Google Scholar
Shinan-Altman, S, Werner, P, and Cohen, M (2016) The connection between illness representations of Alzheimer's disease and burnout among social workers and nurses in nursing homes and hospitals: A mixed-methods investigation. Aging & Mental Health 20(4), 352361.Google Scholar
Skinner, EA, Edge, K, Altman, J, et al. (2003) Searching for the structure of coping: A review and critique of category systems for classifying ways of coping. Psychological Bulletin 129(2), 216269.Google Scholar
Turnell, A, Rasmussen, V, Butow, P, et al. (2016) An exploration of the prevalence and predictors of work-related well-being among psychosocial oncology professionals: An application of the job demands–resources model. Palliative and Supportive Care 14, 3341.Google Scholar
Wiener, L, Oppenheim, D, Breyer, J, et al. (2012) A worldview of the professional experiences and training needs of pediatric psycho-oncologists. Psycho-Oncology 21, 944953.Google Scholar