The effects of job satisfaction and psychological resilience on job performance among residents of the standardized residency training: a nationwide study in China

Abstract

High resident job performance is essential for effective medical professionalism. To date, few studies have investigated the potential predictors of job performance among residents in standardized residency training (SRT) program in China. Therefore, a nationwide survey among Chinese residents in SRT program was conducted to evaluate the impact of job satisfaction and psychological resilience on job performance. A total of 1146 residents from 9 hospitals were recruited in this study. Demographic and work-related information, job satisfaction, psychological resilience and job performance were collected through questionnaires. Hierarchical regression analyses indicated that, “work pressure”, “doctor-patient conflict”, “intrinsic job satisfaction” and “psychological resilience” were significant predictors of job performance for residents in SRT programs and explained 61.3% of variance, while the three dimensions of psychological resilience (tenacity, strength and optimism) accounted for 27.2% of variance. The area under curve (AUC) of the receiver operating characteristic (ROC) curve showed that resilience had the highest predictive accuracy than another three subscales. This study indicated that intrinsic job satisfaction and psychological resilience had a significant influence on job performance. Strategies and measures to improve residents’ intrinsic job satisfaction and psychological resilience may be efficacious ways to enhance their job performance. © 2020 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

Author Keywords

resilience job performance Standardized residency training job satisfaction Residents

Index Keywords

adult China female human male medical education psychology Humans questionnaire Article Internship and Residency physician residency education job satisfaction Physicians job performance Work Performance psychological resilience Resilience, Psychological demography multicenter study area under the curve optimism receiver operating characteristic

Author Affiliations

Medical Education Division & Department of Psychiatry, Tongji University School of Medicine, Shanghai, China, Shanghai Dongfang Hospital, Shanghai, China

Department of Psychiatry and Psychotherapy, Philipps-Universität Marburg, Marburg, Hessen, Germany, Linguistics and Cultural Studies, Johannes Gutenberg-Universität Mainz, Mainz, Rheinland-Pfalz, Germany

Tongji University, Shanghai, China

Shanghai Dongfang Hospital, Shanghai, China, Shanghai Pudong New Area Mental Health Center, Shanghai, Shanghai, China

College of Medicine, Omaha, NE, United States

School of Humanities, Tongji University, Shanghai, China

Medical Education Division & Department of Psychiatry, Tongji University School of Medicine, Shanghai, China

Funding & Acknowledgements

Grant: PWYgy2018-10

This work was supported by the Outstanding Clinical Discipline Project of Shanghai Pudong under Grant No: PWYgy2018-10 and Shanghai Municipal Key Clinical Specialty (2018): Priority of Shanghai key discipline of medicine (2017ZZ02020). The authors gratefully acknowledge the study participants for their cooperation and voluntary participation. All subjects were given informed consent. All participation was voluntary.

Grant: 2017ZZ02020

This work was supported by the Outstanding Clinical Discipline Project of Shanghai Pudong under Grant No: PWYgy2018-10 and Shanghai Municipal Key Clinical Specialty (2018): Priority of Shanghai key discipline of medicine (2017ZZ02020). The authors gratefully acknowledge the study participants for their cooperation and voluntary participation. All subjects were given informed consent. All participation was voluntary.

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The effects of job satisfaction and psychological resilience on job performance among residents of the standardized residency training: a nationwide study in China

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