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Factors associated with occupational stress among Chinese doctors: a cross-sectional survey

International Archives of Occupational and Environmental Health volume 83, pages 155–164 (2010)Cite this article

Abstract

Objectives

Doctors constitute the main workforce in hospitals and are known to experience occupational stress. High level of stress is believed to affect doctors’ physical and mental health. Thus, it is essential to study doctors’ occupational stress well to improve their quality of lives. The aim of this study was to explore factors associated with occupational stress among Chinese doctors in public hospitals.

Methods

A cross-sectional study was conducted during the period of May/June 2008. The study population comprised 1989 doctors registered and working in the 20 national hospitals in Liaoning province, China. A questionnaire pertaining to occupational stress that was assessed based on the Chinese Version Personal Strain Questionnaire (PSQ), demographic characteristics, work situations, occupational roles, and personal resources was distributed to these doctors. A total of 1,587 effective respondents (673 men, 914 women) became our subjects (effective response rate 79.8%). The general linear model (GLM) was employed to explore the factors related to occupational stress. All data analysis was performed separately in men and women.

Results

The average PSQ score was 86.92 in the total study population, 89.4 in men and 85.1 in women among Chinese doctors. GLM showed that PSQ was significantly associated with, in standard estimate (β) sequence, role boundary, role insufficiency, responsibility, social support, rational/cognitive coping, doctor–patient relationship and role overload in men; whereas with role insufficiency, role boundary, social support, responsibility, self-care, role overload, education, chronic disease, and doctor–patient relationship in women.

Conclusions

These results indicate that the major factors associated with occupational stress differed between male and female doctors in China. Overall, role boundary and role insufficient were the most crucial factors in male and female doctors, respectively. Therefore, occupational health education and occupational training programs with the purpose to improve doctor’s knowledge and ability to copy with their task should be considered to lessen occupational stress among Chinese doctors.

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Acknowledgments

The authors would like to thank all the administrators in all selected hospitals, who helped to get the written informed consent about the conduct of this survey and to distribute the questionnaires to the subjects.

Conflict of interest statement

The authors declare that they have no conflict of interest.

Author information

Affiliations

  1. Department of Social Medicine, School of Public Health, China Medical University, No. 92 Beier Road, Heping District, 110001, Shenyang, Liaoning, People’s Republic of China

    Hui Wu, Jia-Na Wang & Lie Wang

  2. Department of Dean’s Office, China Medical University, No. 92 Beier Road, Heping District, 110001, Shenyang, Liaoning, People’s Republic of China

    Yang Zhao

Authors
  1. Hui Wu
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  2. Yang Zhao
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  3. Jia-Na Wang
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  4. Lie Wang
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Corresponding author

Correspondence to Lie Wang.

Appendix

Appendix

Occupational role questionnaire comprised role overload (1–10), role insufficiency (11–20), role ambiguity (21–30), role boundary (31–40), responsibility (41–50), and physical environment (51–60).

Role overload

  1. 1.

    My job requires me to complete multiple assignments within a short period of time.

  2. 2.

    I feel that my responsibilities have been enlarged continually.

  3. 3.

    I am assigned to complete the task which I’ve never been trained in.

  4. 4.

    I have to take the extra work home to finish.

  5. 5.

    I am able to finish my assignment.

  6. 6.

    I am good at my job.

  7. 7.

    I am pressed for time of my work.

  8. 8.

    I hope I can get much more help to have my task well done.

  9. 9.

    I am required to carry out several assignments of equal rank at the same time.

  10. 10.

    I am required to work overload.

Role insufficiency

  1. 11.

    I have made pleasing progress in my career.

  2. 12.

    My job is suitable for my skill as well as my interest.

  3. 13.

    I feel bored about my work.

  4. 14.

    I feel like being so responsible for my work.

  5. 15.

    I turn my gifts to good account in my work.

  6. 16.

    The prospect for my work is nice.

  7. 17.

    I am satisfied with my job performance.

  8. 18.

    I am competent enough to fill my position.

  9. 19.

    I can learn some new skills in my work.

  10. 20.

    I can finish a task well within my ability.

Role ambiguity

  1. 21.

    My boss could offer me some information about my work.

  2. 22.

    I know how to make progress clearly.

  3. 23.

    I am not sure about what to do in my work.

  4. 24.

    I know which one should come first when facing different assignments.

  5. 25.

    I know where to get started when the new assignment comes to me.

  6. 26.

    The superior asks me to finish one task, but he wants me to complete another actually.

  7. 27.

    I clearly understood what kinds of behaviors are acceptable, for example, dressing or interpersonal relationship.

  8. 28.

    I know my key emphasis in work.

  9. 29.

    I know how to use time from the view of my boss.

  10. 30.

    I know how others evaluate me.

Role boundary

  1. 31.

    What boss expects me to do is different from what I think I should do.

  2. 32.

    I feel involved in the conflicts of inner rings in work.

  3. 33.

    How many people order me what to do in work?

  4. 34.

    I know what position I hold in my office.

  5. 35.

    I’m satisfied with my work.

  6. 36.

    Leaders hold different ideas about what I should do.

  7. 37.

    My work requires cooperation with many other sections.

  8. 38.

    I know who grasp the general situation.

  9. 39.

    I’m not pretty responsible for my work.

  10. 40.

    I often disagree with the working staff in the other sections.

Responsibility

  1. 41.

    I need deal with many people in my work.

  2. 42.

    I will spend some time considering the questions raised by others.

  3. 43.

    I’m in charge of employee benefits.

  4. 44.

    My colleagues will look upon me as a leader.

  5. 45.

    I’m responsible for the things done by others.

  6. 46.

    I’m worried about whether my colleagues can finish their tasks well.

  7. 47.

    My work requires me to make a big decision.

  8. 48.

    If I make mistakes in my work, I may be severely detrimental to others.

  9. 49.

    I’m worried about the responsibility involved in my work.

  10. 50.

    I like my colleagues.

Physical environment

  1. 51.

    The noise in the working condition.

  2. 52.

    The moisture in the working condition.

  3. 53.

    The density of dust in the working condition.

  4. 54.

    The temperature in the working condition.

  5. 55.

    The intensity of light in the working condition.

  6. 56.

    I am at risk while working.

  7. 57.

    My working hours vary greatly.

  8. 58.

    I work independently.

  9. 59.

    A nasty smell is diffused in the working condition.

  10. 60.

    Toxic substances exist in the working environment.

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Wu, H., Zhao, Y., Wang, JN. et al. Factors associated with occupational stress among Chinese doctors: a cross-sectional survey. Int Arch Occup Environ Health 83, 155–164 (2010). https://doi.org/10.1007/s00420-009-0456-z

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  • DOI: https://doi.org/10.1007/s00420-009-0456-z

Keywords

  • Doctors
  • Occupational stress
  • Role boundary
  • Role insufficiency