Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians
Purpose In a national cross-sectional survey, we aimed to i) characterize work profile, workload, and income, ii) evaluate work satisfaction, work-life integration, burnout, incivility, mentorship, and promotion, iii) gauge future physician resource requirements, and iv) assess for differences by ge...
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| Veröffentlicht in: | Canadian journal of anesthesia 2019-05, Vol.66 (5), p.503-511 |
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| creator | Burns, Karen E. A. Fox-Robichaud, Alison Lorens, Edmund Martin, Claudio M. |
| description | Purpose
In a national cross-sectional survey, we aimed to i) characterize work profile, workload, and income, ii) evaluate work satisfaction, work-life integration, burnout, incivility, mentorship, and promotion, iii) gauge future physician resource requirements, and iv) assess for differences by gender and specialty (adult
vs
pediatric).
Methods
We developed, tested, and administered an electronic questionnaire.
Results
We analyzed 265 fully and 18 partially completed questionnaires. Respondents were predominantly men (192; 72.5%) and adult intensivists (229; 87.7%). Most intensivists (226/272; 83.1%) were somewhat satisfied or strongly satisfied with their career. Over one third of respondents felt that their daily intensive care unit (ICU) clinical work (113/270; 41.9%), yearly non-ICU clinical work (86/248; 34.7%), administrative work (101/264; 38.3%), and in-house call coverage (78/198; 39.4%) were somewhat high or very high. Nearly half (129/273; 47.3%) felt that their work schedule did not leave enough time for personal/family life. Twenty-seven percent (74/272) of respondents were experiencing at least one symptom of burnout when surveyed and 171/272 (63%) experienced burnout symptoms more than once a month. Ten percent planned to retire in the next five years and 17-20% retired each five-year interval thereafter. Compared with men, women felt that their work schedule left significantly less time for personal/family life (χ
2
[4] = 11.36,
P
< 0.05, odds ratio [OR] = 0.55), experienced more frequent and severe burnout symptoms (F [1,120.91] = 8.04,
P
< 0.01, OR = 2.0; F [1,112.80] = 4.91,
P
< 0.05, OR = 1.9), and more incivility in their division (χ
2
[1] = 13.73,
P
< 0.001, OR = 2.8), hospital (χ
2
[1] = 8.11,
P
< 0.01, OR = 2.2), and university (χ
2
[1] = 4.91,
P
< 0.05, OR = 2.3).
Conclusions
Although most intensivists were satisfied with their careers, many were dissatisfied with their workload, experienced work-life integration challenges, and acknowledged burnout symptoms. Women intensivists were significantly less satisfied with their careers, experienced greater work-life integration challenges, more frequent and severe burnout symptoms, and greater incivility. |
| doi_str_mv | 10.1007/s12630-019-01321-y |
| format | Article |
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In a national cross-sectional survey, we aimed to i) characterize work profile, workload, and income, ii) evaluate work satisfaction, work-life integration, burnout, incivility, mentorship, and promotion, iii) gauge future physician resource requirements, and iv) assess for differences by gender and specialty (adult
vs
pediatric).
Methods
We developed, tested, and administered an electronic questionnaire.
Results
We analyzed 265 fully and 18 partially completed questionnaires. Respondents were predominantly men (192; 72.5%) and adult intensivists (229; 87.7%). Most intensivists (226/272; 83.1%) were somewhat satisfied or strongly satisfied with their career. Over one third of respondents felt that their daily intensive care unit (ICU) clinical work (113/270; 41.9%), yearly non-ICU clinical work (86/248; 34.7%), administrative work (101/264; 38.3%), and in-house call coverage (78/198; 39.4%) were somewhat high or very high. Nearly half (129/273; 47.3%) felt that their work schedule did not leave enough time for personal/family life. Twenty-seven percent (74/272) of respondents were experiencing at least one symptom of burnout when surveyed and 171/272 (63%) experienced burnout symptoms more than once a month. Ten percent planned to retire in the next five years and 17-20% retired each five-year interval thereafter. Compared with men, women felt that their work schedule left significantly less time for personal/family life (χ
2
[4] = 11.36,
P
< 0.05, odds ratio [OR] = 0.55), experienced more frequent and severe burnout symptoms (F [1,120.91] = 8.04,
P
< 0.01, OR = 2.0; F [1,112.80] = 4.91,
P
< 0.05, OR = 1.9), and more incivility in their division (χ
2
[1] = 13.73,
P
< 0.001, OR = 2.8), hospital (χ
2
[1] = 8.11,
P
< 0.01, OR = 2.2), and university (χ
2
[1] = 4.91,
P
< 0.05, OR = 2.3).
Conclusions
Although most intensivists were satisfied with their careers, many were dissatisfied with their workload, experienced work-life integration challenges, and acknowledged burnout symptoms. Women intensivists were significantly less satisfied with their careers, experienced greater work-life integration challenges, more frequent and severe burnout symptoms, and greater incivility.]]></description><identifier>ISSN: 0832-610X</identifier><identifier>EISSN: 1496-8975</identifier><identifier>DOI: 10.1007/s12630-019-01321-y</identifier><identifier>PMID: 30805903</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Anesthesiology ; Burnout ; Burnout, Professional - epidemiology ; Canada ; Cardiology ; Career advancement ; Career development planning ; Critical care ; Critical Care - statistics & numerical data ; Critical Care Medicine ; Cross-Sectional Studies ; Diversity ; Equity ; Female ; Gender differences ; Health sciences ; Humans ; Incivility - statistics & numerical data ; Inclusion in Anesthesiology and Critical Care ; Intensive ; Intensive Care Units ; Job Satisfaction ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Pain Medicine ; Patient safety ; Patient satisfaction ; Pediatrics ; Physicians ; Physicians - psychology ; Physicians - statistics & numerical data ; Pneumology/Respiratory System ; Questionnaires ; Reports of Original Investigations ; Sex Factors ; Surveys and Questionnaires ; Workload - statistics & numerical data ; Workloads</subject><ispartof>Canadian journal of anesthesia, 2019-05, Vol.66 (5), p.503-511</ispartof><rights>Canadian Anesthesiologists' Society 2019. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>Canadian Journal of Anesthesia is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-7b58aff9e9eaab0f91b649b8e5b1020f4eb302dd16fa1dc46d72aa279a60d883</citedby><cites>FETCH-LOGICAL-c513t-7b58aff9e9eaab0f91b649b8e5b1020f4eb302dd16fa1dc46d72aa279a60d883</cites><orcidid>0000-0002-9967-5424</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12630-019-01321-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12630-019-01321-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30805903$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Burns, Karen E. A.</creatorcontrib><creatorcontrib>Fox-Robichaud, Alison</creatorcontrib><creatorcontrib>Lorens, Edmund</creatorcontrib><creatorcontrib>Martin, Claudio M.</creatorcontrib><creatorcontrib>Canadian Critical Care Society</creatorcontrib><creatorcontrib>for the Canadian Critical Care Society</creatorcontrib><title>Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians</title><title>Canadian journal of anesthesia</title><addtitle>Can J Anesth/J Can Anesth</addtitle><addtitle>Can J Anaesth</addtitle><description><![CDATA[Purpose
In a national cross-sectional survey, we aimed to i) characterize work profile, workload, and income, ii) evaluate work satisfaction, work-life integration, burnout, incivility, mentorship, and promotion, iii) gauge future physician resource requirements, and iv) assess for differences by gender and specialty (adult
vs
pediatric).
Methods
We developed, tested, and administered an electronic questionnaire.
Results
We analyzed 265 fully and 18 partially completed questionnaires. Respondents were predominantly men (192; 72.5%) and adult intensivists (229; 87.7%). Most intensivists (226/272; 83.1%) were somewhat satisfied or strongly satisfied with their career. Over one third of respondents felt that their daily intensive care unit (ICU) clinical work (113/270; 41.9%), yearly non-ICU clinical work (86/248; 34.7%), administrative work (101/264; 38.3%), and in-house call coverage (78/198; 39.4%) were somewhat high or very high. Nearly half (129/273; 47.3%) felt that their work schedule did not leave enough time for personal/family life. Twenty-seven percent (74/272) of respondents were experiencing at least one symptom of burnout when surveyed and 171/272 (63%) experienced burnout symptoms more than once a month. Ten percent planned to retire in the next five years and 17-20% retired each five-year interval thereafter. Compared with men, women felt that their work schedule left significantly less time for personal/family life (χ
2
[4] = 11.36,
P
< 0.05, odds ratio [OR] = 0.55), experienced more frequent and severe burnout symptoms (F [1,120.91] = 8.04,
P
< 0.01, OR = 2.0; F [1,112.80] = 4.91,
P
< 0.05, OR = 1.9), and more incivility in their division (χ
2
[1] = 13.73,
P
< 0.001, OR = 2.8), hospital (χ
2
[1] = 8.11,
P
< 0.01, OR = 2.2), and university (χ
2
[1] = 4.91,
P
< 0.05, OR = 2.3).
Conclusions
Although most intensivists were satisfied with their careers, many were dissatisfied with their workload, experienced work-life integration challenges, and acknowledged burnout symptoms. Women intensivists were significantly less satisfied with their careers, experienced greater work-life integration challenges, more frequent and severe burnout symptoms, and greater incivility.]]></description><subject>Adult</subject><subject>Anesthesiology</subject><subject>Burnout</subject><subject>Burnout, Professional - epidemiology</subject><subject>Canada</subject><subject>Cardiology</subject><subject>Career advancement</subject><subject>Career development planning</subject><subject>Critical care</subject><subject>Critical Care - statistics & numerical data</subject><subject>Critical Care Medicine</subject><subject>Cross-Sectional Studies</subject><subject>Diversity</subject><subject>Equity</subject><subject>Female</subject><subject>Gender differences</subject><subject>Health sciences</subject><subject>Humans</subject><subject>Incivility - statistics & numerical data</subject><subject>Inclusion in Anesthesiology and Critical Care</subject><subject>Intensive</subject><subject>Intensive Care Units</subject><subject>Job Satisfaction</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Pain Medicine</subject><subject>Patient safety</subject><subject>Patient satisfaction</subject><subject>Pediatrics</subject><subject>Physicians</subject><subject>Physicians - psychology</subject><subject>Physicians - statistics & numerical data</subject><subject>Pneumology/Respiratory System</subject><subject>Questionnaires</subject><subject>Reports of Original Investigations</subject><subject>Sex Factors</subject><subject>Surveys and Questionnaires</subject><subject>Workload - statistics & numerical data</subject><subject>Workloads</subject><issn>0832-610X</issn><issn>1496-8975</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kc1u1DAUhS0EokPhBVggS2wncG3HjsMOjaAgVWLTBTvrxj_gaiYZfDOV8ho8MZ6mwK4Ly9K53z3H1mHstYB3AqB7T0IaBQ2Ivh4lRbM8YRvR9qaxfaefsg1YJRsj4PsFe0F0CwDWaPucXSiwoHtQG_b7Ko4hFh5ySrHE0UfieeQeS6wq4ZwpoZ_zNG75YSq4ryTNJRJtOY6hsj7f5X2elw8c-YhnEvdb7stE1FD0q8DpVO7iwqfEdzhiyFgzSp6zr7NzGD_-XCj7qtNL9izhnuKrh_uS3Xz-dLP70lx_u_q6-3jdeC3U3HSDtphSH_uIOEDqxWDafrBRDwIkpDYOCmQIwiQUwbcmdBJRdj0aCNaqS_Z2tT2W6dcp0uxup1OpbyUnTdu1prXKPEoJa7XWXScrJVfq_tslJncs-YBlcQLcuSu3duVqV-6-K7fUpTcP1qfhEMO_lb_lVECtANXR-COW_9mP2P4BoeCiVQ</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Burns, Karen E. A.</creator><creator>Fox-Robichaud, Alison</creator><creator>Lorens, Edmund</creator><creator>Martin, Claudio M.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><orcidid>https://orcid.org/0000-0002-9967-5424</orcidid></search><sort><creationdate>20190501</creationdate><title>Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians</title><author>Burns, Karen E. A. ; Fox-Robichaud, Alison ; Lorens, Edmund ; Martin, Claudio M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-7b58aff9e9eaab0f91b649b8e5b1020f4eb302dd16fa1dc46d72aa279a60d883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Anesthesiology</topic><topic>Burnout</topic><topic>Burnout, Professional - epidemiology</topic><topic>Canada</topic><topic>Cardiology</topic><topic>Career advancement</topic><topic>Career development planning</topic><topic>Critical care</topic><topic>Critical Care - statistics & numerical data</topic><topic>Critical Care Medicine</topic><topic>Cross-Sectional Studies</topic><topic>Diversity</topic><topic>Equity</topic><topic>Female</topic><topic>Gender differences</topic><topic>Health sciences</topic><topic>Humans</topic><topic>Incivility - statistics & numerical data</topic><topic>Inclusion in Anesthesiology and Critical Care</topic><topic>Intensive</topic><topic>Intensive Care Units</topic><topic>Job Satisfaction</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Pain Medicine</topic><topic>Patient safety</topic><topic>Patient satisfaction</topic><topic>Pediatrics</topic><topic>Physicians</topic><topic>Physicians - psychology</topic><topic>Physicians - statistics & numerical data</topic><topic>Pneumology/Respiratory System</topic><topic>Questionnaires</topic><topic>Reports of Original Investigations</topic><topic>Sex Factors</topic><topic>Surveys and Questionnaires</topic><topic>Workload - statistics & numerical data</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Burns, Karen E. A.</creatorcontrib><creatorcontrib>Fox-Robichaud, Alison</creatorcontrib><creatorcontrib>Lorens, Edmund</creatorcontrib><creatorcontrib>Martin, Claudio M.</creatorcontrib><creatorcontrib>Canadian Critical Care Society</creatorcontrib><creatorcontrib>for the Canadian Critical Care Society</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Canadian journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Burns, Karen E. A.</au><au>Fox-Robichaud, Alison</au><au>Lorens, Edmund</au><au>Martin, Claudio M.</au><aucorp>Canadian Critical Care Society</aucorp><aucorp>for the Canadian Critical Care Society</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians</atitle><jtitle>Canadian journal of anesthesia</jtitle><stitle>Can J Anesth/J Can Anesth</stitle><addtitle>Can J Anaesth</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>66</volume><issue>5</issue><spage>503</spage><epage>511</epage><pages>503-511</pages><issn>0832-610X</issn><eissn>1496-8975</eissn><abstract><![CDATA[Purpose
In a national cross-sectional survey, we aimed to i) characterize work profile, workload, and income, ii) evaluate work satisfaction, work-life integration, burnout, incivility, mentorship, and promotion, iii) gauge future physician resource requirements, and iv) assess for differences by gender and specialty (adult
vs
pediatric).
Methods
We developed, tested, and administered an electronic questionnaire.
Results
We analyzed 265 fully and 18 partially completed questionnaires. Respondents were predominantly men (192; 72.5%) and adult intensivists (229; 87.7%). Most intensivists (226/272; 83.1%) were somewhat satisfied or strongly satisfied with their career. Over one third of respondents felt that their daily intensive care unit (ICU) clinical work (113/270; 41.9%), yearly non-ICU clinical work (86/248; 34.7%), administrative work (101/264; 38.3%), and in-house call coverage (78/198; 39.4%) were somewhat high or very high. Nearly half (129/273; 47.3%) felt that their work schedule did not leave enough time for personal/family life. Twenty-seven percent (74/272) of respondents were experiencing at least one symptom of burnout when surveyed and 171/272 (63%) experienced burnout symptoms more than once a month. Ten percent planned to retire in the next five years and 17-20% retired each five-year interval thereafter. Compared with men, women felt that their work schedule left significantly less time for personal/family life (χ
2
[4] = 11.36,
P
< 0.05, odds ratio [OR] = 0.55), experienced more frequent and severe burnout symptoms (F [1,120.91] = 8.04,
P
< 0.01, OR = 2.0; F [1,112.80] = 4.91,
P
< 0.05, OR = 1.9), and more incivility in their division (χ
2
[1] = 13.73,
P
< 0.001, OR = 2.8), hospital (χ
2
[1] = 8.11,
P
< 0.01, OR = 2.2), and university (χ
2
[1] = 4.91,
P
< 0.05, OR = 2.3).
Conclusions
Although most intensivists were satisfied with their careers, many were dissatisfied with their workload, experienced work-life integration challenges, and acknowledged burnout symptoms. Women intensivists were significantly less satisfied with their careers, experienced greater work-life integration challenges, more frequent and severe burnout symptoms, and greater incivility.]]></abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30805903</pmid><doi>10.1007/s12630-019-01321-y</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9967-5424</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0832-610X |
| ispartof | Canadian journal of anesthesia, 2019-05, Vol.66 (5), p.503-511 |
| issn | 0832-610X 1496-8975 |
| language | eng |
| recordid | cdi_proquest_journals_2647464836 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Anesthesiology Burnout Burnout, Professional - epidemiology Canada Cardiology Career advancement Career development planning Critical care Critical Care - statistics & numerical data Critical Care Medicine Cross-Sectional Studies Diversity Equity Female Gender differences Health sciences Humans Incivility - statistics & numerical data Inclusion in Anesthesiology and Critical Care Intensive Intensive Care Units Job Satisfaction Male Medicine Medicine & Public Health Middle Aged Pain Medicine Patient safety Patient satisfaction Pediatrics Physicians Physicians - psychology Physicians - statistics & numerical data Pneumology/Respiratory System Questionnaires Reports of Original Investigations Sex Factors Surveys and Questionnaires Workload - statistics & numerical data Workloads |
| title | Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians |
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