Occupational stress among medical residents in educational hospitals
- PMID: 30101032
- PMCID: PMC6083531
- DOI: 10.1186/s40557-018-0262-8
Occupational stress among medical residents in educational hospitals
Abstract
Background: Occupational stress and its related psychological strain is a concern among resident doctors that may affect patient care adversely. Residents face many stresses because of their high job demands in delivery of hospital care. They are often subject to work load and pressure due to direct involvement with patients, prolonged working hours, poor job opportunities and low support. Their multiple educational and clinical roles can also affect their performance and quality of personal or professional life. The aim of this study was to evaluate the occupational stress among residents of various medical specialties.We aimed to explore the reasons of occupational stress in residents' life and determine how we can enhance the stress-coping strategies and create more suitable conditions.
Methods: This cross-sectional analytical-descriptive study was conducted on all medical residents with various specialties in Shiraz University of Medical Sciences. Data was collected using Osipow occupational stress questionnaire and analyzed by SPSS software version 17.
Results: The response rate was 88.8%. The average stress score of all residents was 156.35 out of 250. The highest and lowest average stress scores belonged to gynecology and dermatology specialties, respectively. The highest average score of the stress factors was related to the workload with the score of 35.09 of 50 (moderate to severe stress). The total stress score had a significant relationship with age (P = 0.030) and sex (P = 0.009) as well as lack of time to get the needed healthy meals (P = 0.047), high work hours (P < 0.01), surgical specialties (P < 0.01) and on call shift (P < 0.01).
Conclusion: Since most of the stressors were related to the workload, interventions such workload reduction, education about occupational stress and its management, promoting interpersonal relations and more supportive measures are recommended.
Keywords: Occupation; Resident; Stress.
Conflict of interest statement
The protocol of the study was approved by medical ethics committee of Vice-Chancellor for Research of the Faculty of Medicine at Shiraz University of medical sciences, Shiraz, Iran(numbered as 5194). Participation in this research was on a voluntary basis and the questionnaire, if consented, was given to be completed. Before data collection, the anonymity, the protection of identity and secrecy of information about the participant. Were explained to the participants. Not applicable. The authors declare that they have no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Figures
Similar articles
-
Occupational stress experienced by residents and faculty physicians on night shifts.Scand J Trauma Resusc Emerg Med. 2016 Mar 22;24:34. doi: 10.1186/s13049-016-0225-4. Scand J Trauma Resusc Emerg Med. 2016. PMID: 27000300 Free PMC article.
-
Physicians' occupational stress, depressive symptoms and work ability in relation to their working environment: a cross-sectional study of differences among medical residents with various specialties working in German hospitals.BMJ Open. 2016 Jun 15;6(6):e011369. doi: 10.1136/bmjopen-2016-011369. BMJ Open. 2016. PMID: 27311909 Free PMC article.
-
Job stress among resident physicians in Tanta University Hospitals, Egypt.Environ Sci Pollut Res Int. 2020 Oct;27(30):37557-37564. doi: 10.1007/s11356-020-08271-9. Epub 2020 Mar 10. Environ Sci Pollut Res Int. 2020. PMID: 32157529
-
Identifying and prioritizing the stressors of obstetrics and gynecology residents.J Educ Health Promot. 2023 Oct 31;12:373. doi: 10.4103/jehp.jehp_145_23. eCollection 2023. J Educ Health Promot. 2023. PMID: 38144005 Free PMC article.
-
The effect of the 16-hour intern workday restriction on surgical residents' in-hospital activities.J Surg Educ. 2013 Nov-Dec;70(6):800-5. doi: 10.1016/j.jsurg.2013.02.001. Epub 2013 Apr 9. J Surg Educ. 2013. PMID: 24209659 Review.
Cited by
-
Occupational Stress among Field Epidemiologists in Field Epidemiology Training Programs from the Public Health Sector.Int J Environ Res Public Health. 2019 Sep 16;16(18):3427. doi: 10.3390/ijerph16183427. Int J Environ Res Public Health. 2019. PMID: 31527415 Free PMC article.
-
Impact of long duty hours on education and well-being of diagnostic radiology residents: A national survey in Saudi Arabia.Pak J Med Sci. 2022 Mar-Apr;38(3Part-I):570-576. doi: 10.12669/pjms.38.3.4440. Pak J Med Sci. 2022. PMID: 35480531 Free PMC article.
-
Diet quality in medical trainees: a cross-sectional assessment comparing medical students and primary care residents using the Rapid Eating Assessment for Participants-shortened version.BMC Nutr. 2024 Jul 25;10(1):106. doi: 10.1186/s40795-024-00899-x. BMC Nutr. 2024. PMID: 39054563 Free PMC article.
-
Burnout and quality of life of medical residents: a mixed-method study.Korean J Med Educ. 2022 Mar;34(1):27-39. doi: 10.3946/kjme.2022.217. Epub 2022 Mar 1. Korean J Med Educ. 2022. PMID: 35255614 Free PMC article.
-
Links between medical interns' perceived stress, workaholism and personality: a cross-sectional study.BMC Med Educ. 2025 Mar 10;25(1):360. doi: 10.1186/s12909-025-06914-4. BMC Med Educ. 2025. PMID: 40065309 Free PMC article.
References
-
- Malek M, Mohammadi S, Attarchi M. Occupational stress and influencing factors, in medical residents of one of the educational hospitals of Tehran University of Medical Sciences. RJMS. 2011;18(87):24–35.
-
- Schneider KM, Monga M, Kerrigan AJ. Stress in residency: reality or myth? Am J Obstet Gynecol. 2002;186:907–909. PMID:12015509. DOI:10.1067/mob.2002.123408 - PubMed
-
- Collier VU, McCue JD, Markus A, et al. Stress in medical residency: status quo after a decade of reform? Ann Intern Med 2002;136:384–390. PMID: 11874311. - PubMed
-
- Seward JP. Occupational stress. In: LaDou J, editor. Current occupational & environmental medicine. 4. New York: MC Grow Hill; 2007. pp. 579–594.
-
- Hurell JJ, Aristeguieta C. Occupational stress. In: Levy BS, Wegman DH, Sherry LB, Rosemary KS, editors. Occupational and environmental health. 5. Philadelphia: Lippincott Williams & Wilkins; 2006. pp. 382–396.
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous