Abstract

In an effort to understand burnout, this study assesses the associations between effort–reward ratio, over-commitment and burnout among healthcare professionals. This study applies cross-sectional design using self-reported questionnaires. A total of 1162 doctors and nurses from 15 hospitals in Vietnam voluntarily participated in this survey. The questionnaire is composed of three parts: (1) questions of demographic and work-related information; (2) the 22-items version of the Effort-Reward Imbalance Questionnaire (Siegrist et al., 2004); and (3) the 22-items Maslach Burnout Inventory—Human Service Survey-Medical Personal (Maslach & Jackson, 1986). Descriptive analysis, linear regression and structural equation model (SEM) are conducted to examine variables and the relations between them. Over-commitment and effort–reward ratio are related to all dimensions of burnout. Over-commitment is also positively related to effort–reward ratio. SEM analysis suggests that effort–reward ratio mediates the relationship between over-commitment and burnout. This study supports the effort–reward theory and further suggests that effort–reward imbalance and over-commitment are significantly related to burnout level among healthcare professionals. Over-commitment can also predict employees’ perceived effort–reward ratio. The study hence contributes some practical suggestions for organizational practitioners in working with burnout of healthcare professionals.

摘要

为了了解职业倦怠，本研究评估了医疗保健专业人员的努力回报比、过度承诺和职业倦怠之间的关联。本研究使用自我报告的问卷进行横断面设计。来自越南15家医院的1162名医生和护士自愿参加了本次调查。问卷由三部分组成：（1）人口统计和工作相关信息问题；(2) 22 题版本的努力-回报不平衡问卷 (Siegrist et al., 2004)；(3) 22 项 Maslach 倦怠量表——人性化服务调查——医疗个人（Maslach & Jackson，1986）。进行描述性分析、线性回归和结构方程模型（SEM）来检查变量及其之间的关系。过度承诺和努力回报率与倦怠的所有维度有关。过度承诺也与努力回报率正相关。SEM 分析表明，努力回报率在过度承诺和倦怠之间的关系中起中介作用。该研究支持努力-回报理论，并进一步表明努力-回报失衡和过度投入与医疗保健专业人员的倦怠水平显着相关。过度承诺也可以预测员工感知的努力回报率。因此，该研究为组织从业人员在应对医疗保健专业人员的倦怠问题提供了一些实用的建议。SEM 分析表明，努力回报率在过度承诺和倦怠之间的关系中起中介作用。本研究支持努力回报理论，并进一步表明努力回报不平衡和过度投入与医疗保健专业人员的倦怠水平显着相关。过度承诺也可以预测员工感知的努力回报率。因此，该研究为组织从业人员在应对医疗保健专业人员的倦怠问题提供了一些实用的建议。SEM 分析表明，努力回报率在过度承诺和倦怠之间的关系中起中介作用。本研究支持努力回报理论，并进一步表明努力回报不平衡和过度投入与医疗保健专业人员的倦怠水平显着相关。过度承诺也可以预测员工感知的努力回报率。因此，该研究为组织从业人员在应对医疗保健专业人员的倦怠问题提供了一些实用的建议。