Skip to main content

Advertisement

Log in

Surgeons’ work ability and performance in surgical care: relations between organisational predictors, work engagement and work ability

  • Original Article
  • Published:
Langenbeck's Archives of Surgery Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Background

The aim of this study was to examine relations and influences between work-related factors, personal resources, work engagement and work ability of surgeons working in German hospitals.

Methods

The study was conducted as a cross-sectional survey investigation. We used the Utrecht Work Engagement Scale, the Copenhagen Psychosocial Questionnaire and the Work Ability Index to evaluate surgeons’ work engagement, working conditions and work ability. Bivariate analyses and a stepwise regression analysis were performed.

Results

Surgeons reported a moderate work ability and work engagement. The results indicated significant associations between surgeons’ sources of work engagement, work ability and work-related factors (e.g. job resources). Significant differences regarding these variables were also detected between males and females and the various age groups.

Conclusion

The study results reflect the positive effect of supportive working conditions and work engagement on the preservation of work ability, indicating their importance in promoting surgeons’ work ability. Due to the elderly population and the continuing development of health care in Germany, the demand for surgeons increases. These circumstances give reasons for a strong need to preserve and restore surgeons’ work ability. New strategies for training and improving the capacity and performance of surgeons are necessary.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Mache S, Vitzthum K, Nienhaus A, Klapp BF, Groneberg DA (2009) Physicians’ working conditions and job satisfaction: does hospital ownership in Germany make a difference? BMC Heal Serv Res 9:148

    Article  Google Scholar 

  2. Mache S, Vitzthum K, Klapp BF, Groneberg DA (2012) Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction? Langenbecks Arch Surg 397(6):973–982

    Article  PubMed  Google Scholar 

  3. Knezevic B, Golubic R, Belosevic L, Milosevic M, Mustajbegovic J (2010) Maintenance of work ability among hospital health care professionals. Acta Med Croatica 64(5):391–395

    PubMed  Google Scholar 

  4. Toppinen-Tanner S, Ojajarvi A, Vaananen A, Kalimo R, Jappinen P (2005) Burnout as a predictor of medically certified sick-leave absences and their diagnosed causes. Behav Med 31(1):18–27

    Article  PubMed  Google Scholar 

  5. Ilmarinen J, Tempel J (2002) Arbeitsfähigkeit 2010: Was können wir tun, damit Sie gesund bleiben? VSA, Hamburg

    Google Scholar 

  6. Airila A, Hakanen J, Punakallio A, Lusa S, Luukkonen R (2012) Is work engagement related to work ability beyond working conditions and lifestyle factors? Int Arch Occup Environ Health 85(8):915–925

    Article  PubMed  Google Scholar 

  7. van den Berg TI, Robroek SJ, Plat JF, Koopmanschap MA, Burdorf A (2009) The importance of job control for workers with decreased work ability to remain productive at work. Int Arch Occup Environ Heal 84(6):705–712

    Article  Google Scholar 

  8. Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L (2010) The work ability index and single-item question: associations with sick leave, symptoms, and health—a prospective study of women on long-term sick leave. Scand J Work Environ Heal 36(5):404–412

    Article  Google Scholar 

  9. Kujala V, Tammelin T, Remes J, Vammavaara E, Ek E, Laitinen J (2006) Work ability index of young employees and their sickness absence during the following year. Scand J Work Environ Heal 32(1):75–84

    Article  Google Scholar 

  10. Feldt T, Hyvonen K, Makikangas A, Kinnunen U, Kokko K (2009) Development trajectories of Finnish managers’ work ability over a 10-year follow-up period. Scand J Work Environ Heal 35(1):37–47

    Article  Google Scholar 

  11. Salanova M, Agut S, Peiro JM (2005) Linking organizational resources and work engagement to employee performance and customer loyalty: the mediation of service climate. J Appl Psychol 90(6):1217–1227

    Article  PubMed  Google Scholar 

  12. Prins JT, Hoekstra-Weebers JE, Gazendam-Donofrio SM, Dillingh GS, Bakker AB, Huisman M, Jacobs B, van der Heijden FM (2010) Burnout and engagement among resident doctors in the Netherlands: a national study. Med Educ 44(3):236–247

    Article  PubMed  Google Scholar 

  13. Gorter RC, Jacobs BL, Allard RH (2012) Low burnout risk and high engagement levels among oral and maxillofacial surgeons. Eu J Oral Sci 120(1):69–74

    Article  CAS  Google Scholar 

  14. Makikangas A, Feldt T, Kinnunen U, Tolvanen A (2012) Do low burnout and high work engagement always go hand in hand?: investigation of the energy and identification dimensions in longitudinal data. Anxiety Stress Coping 25(1):93–116

    Article  PubMed  Google Scholar 

  15. Demerouti E, Mostert K, Bakker AB (2010) Burnout and work engagement: a thorough investigation of the independency of both constructs. J Occup Heal Psychol 15(3):209–222

    Article  Google Scholar 

  16. de Zwart BC, Frings-Dresen MH, van Duivenbooden JC (2002) Test–retest reliability of the Work Ability Index questionnaire. Occup Med 52(4):177–181

    Article  Google Scholar 

  17. Schaufeli W, Salanova M, Gonzalez-Roma V, Bakker A (2002) The measurement of engagement and burnout: a two-sample confirmatory factor analytic approach. J Happiness Stud 3:71–92

    Article  Google Scholar 

  18. Schaufeli WB, Bakker AB, Salanova M (2006) The measurement of work engagement with a short questionnaire. A cross-national study. Educ Psychol Meas 66(4):701–716

    Article  Google Scholar 

  19. Kristensen T, Hannerz H, Høgh A, Borg V (2005) The Copenhagen Psychosocial Questionnaire (COPSOQ). A tool for the assessment and improvement of the psychosocial work environment. Scand J Work Environ Heal 31:438–449

    Article  Google Scholar 

  20. Nuebling M, Hasselhorn HM (2010) The Copenhagen Psychosocial Questionnaire in Germany: from the validation of the instrument to the formation of a job-specific database of psychosocial factors at work. Scand J Public Health 38(3 Suppl):120–124

    Article  PubMed  Google Scholar 

  21. Scholler G, Fliege H, Klapp BF (1999) Questionnaire of self-efficacy, optimism and pessimism: reconstruction, selection of items and validation of an instrument by means of examinations of clinical samples. Psychother Psychosom Med Psychol 49(8):275–283

    PubMed  CAS  Google Scholar 

  22. Sinclair VG, Wallston KA (2004) The development and psychometric evaluation of the Brief Resilient Coping Scale. Assessment 11(1):94–101

    Article  PubMed  Google Scholar 

  23. Horner RD, Szaflarski JP, Ying J, Meganathan K, Matthews G, Schroer B, Weber D, Raphaelson M (2011) Physician work intensity among medical specialties: emerging evidence on its magnitude and composition. Med Care 49(11):1007–1011

    Article  PubMed  Google Scholar 

  24. Bittner JG, Khan Z, Babu M, Hamed O (2012) Stress, burnout, and maladaptive coping: strategies for surgeon well-being. Bulletin of the American College of Surgeons 96(8):17–22

    Google Scholar 

  25. Basinska MA, Dziewiatkowska-Kozlowska K (2012) The strategies of coping with stress in workplace used by surgeons working in different hospitals: a pilotage research. Pol Przegl Chir 84(2):76–81

    Article  PubMed  Google Scholar 

  26. Punakallio A, Lusa S, Luukkonen R (2004) Functional, postural and perceived balance for predicting the work ability of firefighters. Int Arch Occup Environ Heal 77(7):482–490

    Article  Google Scholar 

  27. van den Berg TI, Elders LA, de Zwart BC, Burdorf A (2009) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 66(4):211–220

    Article  PubMed  Google Scholar 

  28. Monteiro MS, Ilmarinen J, Corraa Filho HR (2006) Work ability of workers in different age groups in a public health institution in Brazil. Int J Occup Saf Ergon 12(4):417–427

    PubMed  Google Scholar 

  29. Ilmarinen J (2001) Functional capacities and work ability as predictors of good 3rd age. In: Yousef M, Shiraki K, Sagawa S (eds) Physical fitness and health promotion in active aging. Backhuys, Leiden, pp 61–80

    Google Scholar 

  30. Blane D, Netuveli G, Montgomery SM (2008) Quality of life, health and physiological status and change at older ages. Soc Sci Med 66(7):1579–1587

    Article  PubMed  Google Scholar 

  31. Corona G, Lee DM, Forti G, O’Connor DB, Maggi M, O’Neill TW, Pendleton N, Bartfai G, Boonen S, Casanueva FF et al (2012) Age-related changes in general and sexual health in middle-aged and older men: results from the European Male Ageing Study (EMAS). J Sex Med 7(4 Pt 1):1362–1380

    Google Scholar 

  32. Lindfors PM, Meretoja OA, Toyry SM, Luukkonen RA, Elovainio MJ, Leino TJ (2007) Job satisfaction, work ability and life satisfaction among Finnish anaesthesiologists. Acta Anaesthesiol Scand 51(7):815–822

    Article  PubMed  CAS  Google Scholar 

  33. Derycke H, Clays E, Vlerick P, D’Hoore W, Hasselhorn HM, Braeckman L (2012) Perceived work ability and turnover intentions: a prospective study among Belgian healthcare workers. J Adv Nurs 68(7):1556–1566

    Article  PubMed  Google Scholar 

  34. Ichino A, Moretti E (2009) Biological gender differences, absenteeism, and the earnings gap. Am Econ J Appl Econ 1(1):183–218

    Article  Google Scholar 

  35. Dittrich D, Büsch V, Micheel F (2011) Working beyond retirement age in Germany: the employee’s perspective. In: Ennals R, Salomon R (eds) Older workers in a sustainable society. Peter Lang, Frankfurt am Main

    Google Scholar 

  36. Portela LF, Rotenberg L, Waissmann W (2004) Self-reported health and sleep complaints among nursing personnel working under 12 h night and day shifts. Chronobiol Int 21(6):859–870

    Article  PubMed  Google Scholar 

  37. Camerino D, Conway PM, Van der Heijden BI, Estryn-Behar M, Consonni D, Gould D, Hasselhorn HM (2006) Low-perceived work ability, ageing and intention to leave nursing: a comparison among 10 European countries. J Adv Nurs 56(5):542–552

    Article  PubMed  Google Scholar 

  38. Musshauser D, Bader A, Wildt B, Hochleitner M, 5 (2006) The impact of sociodemographic factors vs. gender roles on female hospital workers’ health: do we need to shift emphasis? J Occup Heal 48:383–391

    Article  Google Scholar 

  39. Laaksonen M, Martikainen P, Rahkonen O, Lahelma E (2008) Explanations for gender differences in sickness absence: evidence from middle-aged municipal employees from Finland. Occup Environ Med 65(5):325–330

    Article  PubMed  CAS  Google Scholar 

  40. Moncada S, Navarro A, Cortes I, Molinero E, Artazcoz L (2002) Sickness leave, administrative category and gender: results from the “Casa Gran” project. Scand J Public Health Suppl 59:26–33

    PubMed  Google Scholar 

  41. Tyssen R (2001) Health problems and use of health services among physicians. Tidsskr Nor Laegeforen 121(30):3527–3532

    PubMed  CAS  Google Scholar 

  42. Denton M, Walters V (1999) Gender differences in structural and behavioral determinants of health: an analysis of the social production of health. Soc Sci Med 48(9)

  43. Kohlmann T (2005) Indicators of subjective health in population studies. Soz-Präventivmed 50:275–276

    Article  Google Scholar 

  44. Nolen-Hoeksema S, Larson J, Grayson C (1999) Explaining the gender difference in depressive symptoms. J Personal Soc Psychol 77(5):1061–1072

    Article  CAS  Google Scholar 

  45. Gjerberg E (2001) Medical women towards full integration? An analysis of the specialty choices made by two cohorts of Norwegian doctors. Soc Sci Med 52(3):331–343

    Article  PubMed  CAS  Google Scholar 

  46. Dageforde LA, Kibbe M, Jackson GP (2012) Recruiting women to vascular surgery and other surgical specialties. J Vasc Surg 57(1):262–267

    Article  PubMed  Google Scholar 

  47. Larsson A, Karlqvist L, Westerberg M, Gard G (2012) Identifying work ability promoting factors for home care aides and assistant nurses. BMC Musculoskelet Disord 13:1

    Article  PubMed  Google Scholar 

  48. Stevenson AD, Phillips CB, Anderson KJ (2011) Resilience among doctors who work in challenging areas: a qualitative study. Br J Gen Pract 61(588):e404–e410

    Article  PubMed  Google Scholar 

  49. Mallak LA (1998) Measuring resilience in health care provider organizations. Heal Manpow Manag 24(4–5):148–152

    Article  CAS  Google Scholar 

  50. Wilson S, Ferch S (2005) Enhancing resilience in the workplace through the practice of caring relationships. Organ Dev J 23(4):45–60

    Google Scholar 

  51. Aguirre B (2007) Dialectics of vulnerability and resilience. Georgetown Journal of Poverty Law and Policy 14(39):1–18

    Google Scholar 

  52. Dorsey ER, Jarjoura D, Rutecki GW (2005) The influence of controllable lifestyle and sex on the specialty choices of graduating U.S. medical students, 1996–2003. Acad Med 80(9):791–796

    Article  PubMed  Google Scholar 

  53. Bakker AB, Leiter MP (2010) Work engagement: a handbook of essential theory and research. Psychology, New York

    Google Scholar 

  54. Hakanen J, Bakker A, Schaufeli W (2006) Burnout and work engagement among teachers. J School Psych 43:495–513

    Article  Google Scholar 

  55. Ilmarinen J (2009) Work ability—a comprehensive concept for occupational health research and prevention. Scand J Work Environ Heal 35(1):1–5

    Article  Google Scholar 

Download references

Disclosures

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stefanie Mache.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mache, S., Danzer, G., Klapp, B.F. et al. Surgeons’ work ability and performance in surgical care: relations between organisational predictors, work engagement and work ability. Langenbecks Arch Surg 398, 317–325 (2013). https://doi.org/10.1007/s00423-012-1044-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00423-012-1044-3

Keywords

Navigation