Influence of Palliative Care Qualifications on the Job Stress Factors of General Practitioners in Palliative Care: A Survey Study
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
4.1. Most Important Stressors
4.2. Influence of PC Qualification on Job Stress Factors
4.3. Influence of Work Experience on Job Stress Factors
4.4. Influence of Gender on Job Stress Factors
4.5. Strengths and Limitations
4.6. Practical Implications
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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N (%) | ||
---|---|---|
Numbers of participating GPs | 445 * | |
Gender | Male | 208 (48.7%) |
Female | 217 (50.8%) | |
Non-binary | 0 (0%) | |
Age in years (Mean) | 53.6 (min: 33; max: 78) | |
Highest PC qualification | Advanced PC qualification | 37 (8.7%) |
BQKPMV | 10 (2.4%) | |
Basic PC qualification | 159 (37.4%) | |
3 months’ work experience in an inpatient PC facility | 21 (4.9%) | |
None | 198 (46.6%) | |
Working experience in years (Mean) | 17.8 (min: 0; max: 41) |
Extent That a Source of Stress Has Contributed to Your Overall Job Stress in the Past Few Months | Not at All | A Little | Quite a Bit | A Lot |
---|---|---|---|---|
Being involved with the physical suffering of patients 1 | 15 (3.75%) | 213 (53.25%) | 154 (38.50%) | 18 (4.50%) |
Being involved with the emotional distress 1 | 10 (2.50%) | 160 (40.00%) | 196 (49.00%) | 34 (8.50%) |
Dealing with angry or blaming patients/relatives 1 | 44 (11.00%) | 220 (55.00%) | 109 (27.25%) | 27 (6.75%) |
Dealing with patients or relatives having expectations of care that cannot be met 1 | 36 (9.00%) | 242 (60.50%) | 103 (25.75%) | 19 (4.75%) |
Dealing with patient/relative complaints about care you have provided 1 | 143 (35.75%) | 207 (51.75%) | 42 (10.50%) | 8 (2.00%) |
Having to break bad news to patients and their relatives 1 | 29 (7.25%) | 219 (54.75%) | 137 (34.25%) | 15 (3.75%) |
Being unable to control patients’ symptoms 1 | 40 (10.00%) | 233 (58.25%) | 112 (28.00%) | 15 (3.75%) |
Caring for patients who refuse treatment 1 | 134 (33.50%) | 212 (53.00%) | 47 (11.75%) | 7 (1.75%) |
Having a high level of responsibility 2 | 18 (4.50%) | 115 (28.75%) | 212 (53.00%) | 55 (13.75%) |
Conflicting demands on my working time (e.g., patient care, administration, research) 2 | 29 (7.25%) | 114 (28.50%) | 201 (50.25%) | 56 (14.00%) |
Manage death and dying well for patients 1 | 40 (10.00%) | 226 (56.50%) | 120 (30.00%) | 14 (3.50%) |
Uncertainty about remuneration 2 | 107 (26.75%) | 184 (46.00%) | 80 (20.00%) | 29 (7.25%) |
Inadequate remuneration (recourse) 2 | 52 (13.00%) | 171 (42.75%) | 135 (33.75%) | 42 (10.50%) |
Bureaucratic burden 2 | 20 (5.00%) | 139 (34.75 %) | 180 (45.00%) | 61 (15.25%) |
Being Involved with the Physical Suffering of Patients 1 | Being Involved with the Emotional Distress 1 | Dealing with Angry or Blaming Patients/Relatives 1 | Dealing with Patients or Relatives Having Expectations of Care That Cannot Be Met 1 | Having to Break Bad News to Patients and Their Relatives 1 | Manage Death and Dying Well for Patients 1 | Uncertainty about Remuneration 2 | Bureaucratic Burden 2 | ||
---|---|---|---|---|---|---|---|---|---|
Qualification | None (Reference) | ||||||||
Advanced PC qualification | 0.138 (0.286) | 0.220 (0.105) | −0.053 (0.730) | −0.019 (0.888) | −0.007 (0.958) | 0.134 (0.329) | 0.258 (0.135) | 0.094 (0.548) | |
BQKPMV | 0.290 (0.169) | 0.231 (0.294) | 0.394 (0.113) | 0.223 (0.318) | 0.321 (0.140) | 0.032 (0.888) | 0.635 * (0.023) | 0.231 (0.365) | |
Basic PC qualification | 0.070 (0.373) | 0.149 (0.073) | −0.178 (0.057) | −0.096 (0.250) | −0.044 (0.593) | 0.035 (0.674) | −0.160 (0.129) | −0.111 (0.246) | |
3 months’ work experience in an inpatient PC facility | −0.237 (0.172) | −0.012 (0.947) | −0.299 (0.145) | −0.239 (0.195) | −0.309 (0.085) | −0.156 (0.399) | 0.141 (0.543) | 0.177 (0.399) | |
Work experience in years | 0.013 * (0.039) | 0.015 * (0.020) | 0.002 (0.794) | 0.002 (0.788) | 0.011 (0.101) | 0.008 (0.223) | −0.008 (0.313) | 0.002 (0.743) | |
PC is GPs’ duty | −0.065 (0.357) | −0.027 (0.713) | 0.025 (0.761) | −0.022 (0.767) | −0.067 (0.359) | −0.068 (0.364) | −0.164 (0.082) | −0.102 (0.232) | |
I have sufficient knowledge about PC | −0.039 (0.493) | −0.035 (0.556) | 0.066 (0.322) | 0.035 (0.554) | −0.004 (0.952) | −0.012 (0.842) | 0.043 (0.565) | 0.120 (0.078) | |
GPs can provide adequate PC | 0.028 (0.580) | −0.039 (0.453) | −0.053 (0.369) | −0.112 * (0.035) | −0.045 (0.380) | −0.067 (0.211) | −0.062 (0.349) | −0.102 (0.093) | |
Age | −0.005 (0.451) | −0.011 (0.132) | −0.003 (0.687) | −0.005 (0.506) | −0.011 (0.136) | −0.001 (0.904) | −0.002 (0.852) | 0.000 (0.960) | |
Gender | 0.145 * (0.035) | 0.207 ** (0.004) | 0.194 * (0.017) | −0.077 (0.293) | 0.185 ** (0.009) | 0.157 * (0.032) | 0.020 (0.826) | 0.234 ** (0.005) | |
Constant | 2.510 *** (0.000) | 2.881 *** (0.000) | 2.090 *** (0.000) | 2.945 *** (0.000) | 2.877 *** (0.000) | 2.414 *** (0.000) | 2.978 *** (0.000) | 2.643 *** (0.000) | |
R2 | 0.042 | 0.048 | 0.044 | 0.033 | 0.048 | 0.033 | 0.069 | 0.051 |
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Peter, S.; Volkert, A.M.; Radbruch, L.; Rolke, R.; Voltz, R.; Pfaff, H.; Scholten, N., on behalf of the APVEL Consortium. Influence of Palliative Care Qualifications on the Job Stress Factors of General Practitioners in Palliative Care: A Survey Study. Int. J. Environ. Res. Public Health 2022, 19, 14541. https://doi.org/10.3390/ijerph192114541
Peter S, Volkert AM, Radbruch L, Rolke R, Voltz R, Pfaff H, Scholten N on behalf of the APVEL Consortium. Influence of Palliative Care Qualifications on the Job Stress Factors of General Practitioners in Palliative Care: A Survey Study. International Journal of Environmental Research and Public Health. 2022; 19(21):14541. https://doi.org/10.3390/ijerph192114541
Chicago/Turabian StylePeter, Sophie, Anna Maria Volkert, Lukas Radbruch, Roman Rolke, Raymond Voltz, Holger Pfaff, and Nadine Scholten on behalf of the APVEL Consortium. 2022. "Influence of Palliative Care Qualifications on the Job Stress Factors of General Practitioners in Palliative Care: A Survey Study" International Journal of Environmental Research and Public Health 19, no. 21: 14541. https://doi.org/10.3390/ijerph192114541