title: Mitigating on-call symptoms through organizational justice and job control: a cross-sectional study among Finnish anesthesiologists.
abstract: BACKGROUND
  On-call duty has been shown to be associated with health problems among physicians. However, it cannot be abolished, as patient safety has to be assured. Thus, we need to find factors that could mitigate the negative health effects of on-call duty.
  
  
  METHODS
  The cross-sectional questionnaire of the buffering effects of organizational justice, job control, and social support on on-call stress symptoms was sent to all working Finnish anesthesiologists (n=550).
  
  
  RESULTS
  The response rate was 60% (n=328, 53% men). High organizational justice, job control, and social support were associated with a low number of symptoms while on call or the day after in crude analysis and when adjusted for age, gender, and place of work. Only the association between justice and symptoms was robust to additional adjustments for on-call burden and self-rated health. In the interaction analysis among those being on call at the hospital, we found that the higher the levels of job control or organizational justice, the lower the number of symptoms.
  
  
  CONCLUSIONS
  Job control and organizational justice successfully mitigated stress symptoms among those who had on-call hospital duties. It would be worth enhancing decision-making procedures, interpersonal treatment, and job control routines when aiming to prevent on-call stress and related symptoms.
authors: Department of Anesthesia and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki, Finland. pirjo.lindfors@kolumbus.fi
authors: P M
authors: PM
authors: Lindfors
authors: T
authors: T
authors: Heponiemi
authors: O A
authors: OA
authors: Meretoja
authors: T J
authors: TJ
authors: Leino
authors: M J
authors: MJ
authors: Elovainio
mesh_terms: D000328:Adult; D000758:Anesthesia; D000776:Anesthesiology / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D005387:Finland; D006306:Health Surveys; D006739:Hospital Administration; D006801:Humans; D008297:Male; D005222:Mental Fatigue / Q000517:prevention & control*; D008875:Middle Aged; D012935:Social Justice; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology; D014940:Work Schedule Tolerance / Q000502:physiology* / Q000523:psychology*