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Urologe A. 2021 Oct;60(10):1313-1322. doi: 10.1007/s00120-021-01600-x. Epub 2021 Jul 14.

[The association of job satisfaction with self-reported burnout among urologists with migration background working at German hospitals : Results of the EUTAKD study].

Der Urologe. Ausg. A

[Article in German]
K P Braun, M Shaar, A Gumz, U Schwantes, B Pantenburg, U H Necknig, B Barakat, M May

Affiliations

  1. MVZ Dr. Braun GmbH, Lieberoser Str. 35-36, 03046, Cottbus, Deutschland. [email protected].
  2. Klinik für Urologie, St. Elisabeth-Klinikum Straubing, Straubing, Deutschland.
  3. Professur für Psychosomatik und Psychotherapie, Psychologische Hochschule, Berlin, Deutschland.
  4. Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
  5. Institut und Poliklinik für Allgemeinmedizin, Ruppiner Kliniken GmbH, Medizinische Hochschule Brandenburg Theodor Fontane, Neuruppin, Deutschland.
  6. Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Universitätsklinikum Leipzig, Leipzig, Deutschland.
  7. Abteilung für Urologie und Kinderurologie, Klinikum Garmisch-Partenkirchen, Garmisch-Partenkirchen, Deutschland.
  8. Klinik für Urologie und Kinderurologie, Allgemeines Krankenhaus Viersen GmbH, Viersen, Deutschland.

PMID: 34259879 DOI: 10.1007/s00120-021-01600-x

Abstract

INTRODUCTION: Urologists with a migration background currently provide patient care in German hospitals. Study results on job satisfaction and burnout of this important professional group have not been available so far.

MATERIALS AND METHODS: Between August and October 2020, a questionnaire (SurveyMonkey® with 101 items) was conducted among urologists with migration background working in German hospitals regarding professional satisfaction and a validated survey of burnout (Maslach Burnout Inventory), among others. The subject of this work was the association of job satisfaction with the critical thresholds of burnout in the domains of emotional exhaustion (EE), depersonalization (DP), and low personal accomplishment (PA).

RESULTS: For this work, 68 questionnaires could be completely analyzed. Study participants were dominantly male (90%), between 30 and 39 years of age (69%), married (72%), and working full-time (94%). Above critical thresholds of high burnout in the EE, DP, and PA domains were 27.9% (n = 19), 35.3% (n = 24), and 73.5% (n = 50) of study participants. A sum score was formed from five of a total of 39 satisfaction items, which independently predicted the EE and DP endpoints and a combined EE and DP endpoint in well-adjusted regression models. For each individual score of the sum score (range 5-25 points), the probability of a critical burnout is reduced by a relative 57% (EE), 25% (DP), and 34% (combined endpoint). In contrast, permanent employment contract, the clinic position as senior physician or chief physician, working full-time, and a married marital status significantly reduced the critical PA domain.

CONCLUSION: Several dimensions of professional satisfaction were identified, the improvement of which could contribute to a decrease in burnout among urologists with a migrant background. Future intervention studies aimed at improving job satisfaction must follow.

© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

Keywords: Clinicians; Depersonalization; Emotional exhaustion; Maslach Burnout Inventory; Personal accomplishment

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