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Original article

Vol. 147 No. 4546 (2017)

Informal caregiving, work-privacy conflict and burnout among health professionals in Switzerland – a cross-sectional study

  • Nadine Häusler
  • Matthias Bopp
  • Oliver Hämmig
DOI
https://doi.org/10.4414/smw.2017.14552
Cite this as:
Swiss Med Wkly. 2017;147:w14552
Published
13.11.2017

Summary

INTRODUCTION

Health professionals were found to have an elevated burnout risk compared to the general population. Some studies also reported more emotional exhaustion – a component of burnout – for health professionals with informal caregiving responsibilities for children (double-duty child caregivers) or adults (double-duty adult caregivers) or a combination of both (triple-duty caregivers) compared to health professionals without informal caregiving roles (formal caregivers). However, the potential mediating effect of the work-privacy conflict in this relationship as well as differences between occupational groups have not yet been studied in healthcare settings.

AIM

To assess the impact of informal caregiving on burnout risk among health professionals and whether this relationship is mediated by work-privacy conflict or differs between occupational groups.

METHODS

Data were collected through an employee survey in six hospitals from German-speaking Switzerland in 2015/2016. Mediation analyses were performed using linear mixed models with fixed effects for caregiving situation and work-privacy conflict as well as random effects for hospitals.

RESULTS

Triple-duty caregivers were found to have a significantly higher burnout risk compared to formal caregivers only. Work-privacy conflict did not mediate this relationship, except among the “other health professionals” group.

CONCLUSION

Additional and large-scale studies focusing on the combination of formal and informal caregiving roles are needed to better understand its effect on burnout among healthcare professionals and to evaluate the role of work-privacy conflict.

References

  1. Kristensen TS, Hannerz H, Høgh A, Borg V. The Copenhagen Psychosocial Questionnaire--a tool for the assessment and improvement of the psychosocial work environment. Scand J Work Environ Health. 2005;31(6):438–49. doi:.https://doi.org/10.5271/sjweh.948
  2. Bakker AB, Schaufeli WB, Van Dierendonck D. Burnout: prevalentie, risicogroepen en risicofactoren (Burnout: Prevalence, groups at risk and risk factors). In: Houtman IL, Schaufeli WB, Taris T, editors. Psychische vermoeidheid en werk. The Netherlands: Samsom; 2000. p. 65–82.
  3. Schaufeli WB. Burnout in health care. In: Handbook of human factors and ergonomics in health care and patient safety. 2007. p. 217–32.
  4. Maslach C, Leiter MP. Early predictors of job burnout and engagement. J Appl Psychol. 2008;93(3):498–512. doi:.https://doi.org/10.1037/0021-9010.93.3.498
  5. Kozak A, Kersten M, Schillmöller Z, Nienhaus A. Psychosocial work-related predictors and consequences of personal burnout among staff working with people with intellectual disabilities. Res Dev Disabil. 2013;34(1):102–15. doi:.https://doi.org/10.1016/j.ridd.2012.07.021
  6. Hämmig O, Brauchli R, Bauer GF. Effort-reward and work-life imbalance, general stress and burnout among employees of a large public hospital in Switzerland. Swiss Med Wkly. 2012;142:w13577.
  7. McVicar A. Workplace stress in nursing: a literature review. J Adv Nurs. 2003;44(6):633–42. doi:.https://doi.org/10.1046/j.0309-2402.2003.02853.x
  8. Reinhard SC, Feinberg LF, Choula R, Houser A. Valuing the Invaluable: 2015 Update: Undeniable Progress, but Big Gaps Remain [Internet]. AARP Public Policy Institute. Washington DC; 2015. Available from: http://www.aarp.org/content/dam/aarp/ppi/2015/valuing-the-invaluable-2015-update-new.pdf
  9. Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600–13. doi:.https://doi.org/10.1016/j.mayocp.2015.08.023
  10. Bennett S, Plint A, Clifford TJ. Burnout, psychological morbidity, job satisfaction, and stress: a survey of Canadian hospital based child protection professionals. Arch Dis Child. 2005;90(11):1112–6. doi:.https://doi.org/10.1136/adc.2003.048462
  11. Ramirez AJ, Graham J, Richards MA, Gregory WM, Cull A. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet. 1996;347(9003):724–8. doi:.https://doi.org/10.1016/S0140-6736(96)90077-X
  12. Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012;344(mar20-2):e1717. doi:.https://doi.org/10.1136/bmj.e1717
  13. Bakker AB, Killmer CH, Siegrist J, Schaufeli WB. Effort-reward imbalance and burnout among nurses. J Adv Nurs. 2000;31(4):884–91. doi:.https://doi.org/10.1046/j.1365-2648.2000.01361.x
  14. Arigoni F, Bovier PA, Mermillod B, Waltz P, Sappino AP. Prevalence of burnout among Swiss cancer clinicians, paediatricians and general practitioners: who are most at risk? Support Care Cancer. 2009;17(1):75–81. doi:.https://doi.org/10.1007/s00520-008-0465-6
  15. Goehring C, Bouvier Gallacchi M, Künzi B, Bovier P. Psychosocial and professional characteristics of burnout in Swiss primary care practitioners: a cross-sectional survey. Swiss Med Wkly. 2005;135(7-8):101–8.
  16. Welp A, Meier LL, Manser T. Emotional exhaustion and workload predict clinician-rated and objective patient safety. Front Psychol. 2015;5(JAN):1573.
  17. Heinen MM, van Achterberg T, Schwendimann R, Zander B, Matthews A, Kózka M, et al. Nurses’ intention to leave their profession: a cross sectional observational study in 10 European countries. Int J Nurs Stud. 2013;50(2):174–84. doi:.https://doi.org/10.1016/j.ijnurstu.2012.09.019
  18. Jaccard Ruedin H, Weaver F. Ageing Workforce in an Ageing Society - How many health professionals will the Swiss healthcare system need by 2030? [Internet]. 2009. (Careum Working Paper 1). Available from: http://www.obsan.admin.ch/sites/default/files/publications/2015/wp_ageing-workforce_e.pdf
  19. Boumans NP, Dorant E. Double-duty caregivers: healthcare professionals juggling employment and informal caregiving. A survey on personal health and work experiences. J Adv Nurs. 2014;70(7):1604–15. doi:.https://doi.org/10.1111/jan.12320
  20. DePasquale N, Davis KD, Zarit SH, Moen P, Hammer LB, Almeida DM. Combining formal and informal caregiving roles: The psychosocial implications of double- and triple-duty care. J Gerontol B Psychol Sci Soc Sci. 2016;71(2):201–11. doi:.https://doi.org/10.1093/geronb/gbu139
  21. Vitaliano PP, Zhang J, Scanlan JM. Is caregiving hazardous to one’s physical health? A meta-analysis. Psychol Bull. 2003;129(6):946–72. doi:.https://doi.org/10.1037/0033-2909.129.6.946
  22. Pinquart M, Sörensen S. Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging. 2003;18(2):250–67. doi:.https://doi.org/10.1037/0882-7974.18.2.250
  23. Berglund E, Lytsy P, Westerling R. Health and wellbeing in informal caregivers and non-caregivers: a comparative cross-sectional study of the Swedish general population. Health Qual Life Outcomes. 2015;13(1):109. doi:.https://doi.org/10.1186/s12955-015-0309-2
  24. Ward-Griffin C, Brown JB, St-Amant O, Sutherland N, Martin-Matthews A, Keefe J, et al. Nurses negotiating professional-familial care boundaries: striving for balance within double duty caregiving. J Fam Nurs. 2015;21(1):57–85. doi:.https://doi.org/10.1177/1074840714562645
  25. Duxbury L, Higgins C. Balancing Work, Childcare and Eldercare: A view from the trenches [Internet]. Ottawa; 2013. Available from: http://sprott.carleton.ca/wp-content/uploads/Duxbury-BalancingWorkChildcareEldercare-ExecSummary-1.pdf
  26. Dorant E, Boumans NP. Positive and negative consequences of balancing paid work and informal family care: A survey in two different sectors. Int J Heal Psychol Res. 2016;4(1):16–33.
  27. DePasquale N, Zarit SH, Mogle J, Moen P, Hammer LB, Almeida DM. Double- and Triple-Duty Caregiving Men: An Examination of Subjective Stress and Perceived Schedule Control. J Appl Gerontol. 2016:0733464816641391. doi:.https://doi.org/10.1177/0733464816641391
  28. DePasquale N, Mogle J, Zarit SH, Okechukwu C, Kossek EE, Almeida DM. The Family Time Squeeze: Perceived Family Time Adequacy Buffers Work Strain in Certified Nursing Assistants With Multiple Caregiving Roles. Gerontologist. 2017;0(0):gnw191. doi:.https://doi.org/10.1093/geront/gnw191
  29. DePasquale N, Polenick CA, Davis KD, Berkman LF, Cabot TD. A bright side to the work-family interface: Husbands’ support as a resource in double-and-triple-duty caregiving wives’ work lives. Gerontologist. 2017; Epub ahead of print.
  30. Goode WJ. A Theory of Role Strain. Am Sociol Rev. 1960;25(4):483–96. Available at: http://www.jstor.org/stable/2092933.
  31. Sieber SD. Toward a Theory of Role Accumulation. Am Sociol Rev. 1974;39(4):567–78. doi:.https://doi.org/10.2307/2094422
  32. Crane M. Why burned-out doctors get sued more often. Med Econ. 1998;75(10):210–2, 215–8.
  33. Nübling M, Stößel U, Hasselhorn H-M, Michaelis M, Hofmann F. Measuring psychological stress and strain at work - Evaluation of the COPSOQ Questionnaire in Germany. Psychosoc Med. 2006;3:Doc05.
  34. Borritz M, Kristensen TS. Copenhagen Burnout Inventory. Copenhagen Denmark: National Institute of Occupational Health; 1999.
  35. Nübling M, Stößel U, Hasselhorn H-M, Michaelis M, Hofmann F. Methoden zur Erfassung psychischer Belastungen - Erprobung eines Messinstrumentes (COPSOQ). Bremerhaven: Wirtschaftsverlag NW; 2005. 142 p.
  36. Netemeyer RG, Boles JS, McMurrian R. Development and validation of work–family conflict and family–work conflict scales. J Appl Psychol. 1996;81(4):400–10. doi:.https://doi.org/10.1037/0021-9010.81.4.400
  37. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51(6):1173–82. doi:.https://doi.org/10.1037/0022-3514.51.6.1173
  38. DePasquale N, Polenick C, Davis KD, Moen P, Hammer LB, Almeida DM. The Psychosocial Implications of Managing Work and Family Caregiving Roles: Gender Differences Among Information Technology Professionals. J Fam Issues. 2017;38(11):1495–519.
  39. Zarit SH, Stephens MA, Townsend A, Greene R. Stress reduction for family caregivers: effects of adult day care use. J Gerontol B Psychol Sci Soc Sci. 1998;53B(5):S267–77. doi:.https://doi.org/10.1093/geronb/53B.5.S267

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