title: The relationship between social capital in hospitals and emotional exhaustion in clinicians: a study in four German hospitals.
abstract: BACKGROUND
  About 30% of doctors working in inpatient and outpatient departments suffer from burnout, characterized, for example, by emotional exhaustion. The prevention of burnout constitutes a great challenge for those responsible for the healthcare system.
  
  
  OBJECTIVE
  Research into the relationship between social capital in hospitals and the occurrence of emotional exhaustion in clinicians is still at an early stage. The aim of the current study is to examine the effects of social capital in the workplace on the emotional exhaustion of clinicians.
  
  
  METHODS
  A questionnaire was posted to 2,644 employees working in four German hospitals, and 1,645 responded. Responses from the 277 clinicians (61%) are analyzed here. The questionnaire looked at symptoms of emotional exhaustion and levels of organizational social capital.
  
  
  RESULTS
  Logistic regression identified two significant predictors of emotional exhaustion in clinicians: low self-efficacy and subjectively perceived lower levels of social capital in the hospitals where they worked. The model accounted for 26 % of Nagelkerke's R(2).
  
  
  CONCLUSIONS
  Efforts to create a good working atmosphere, with the readiness to provide mutual support and the pursuit of joint values and objectives within a hospital, may reduce the development of, or even prevent, emotional exhaustion in clinicians.
authors.affiliation: Institute for Medical Sociology, Health Services Research and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany. elke.driller@uk-koeln.de
authors.forename: Elke
authors.initials: E
authors.lastname: Driller
authors.forename: Oliver
authors.initials: O
authors.lastname: Ommen
authors.forename: Christoph
authors.initials: C
authors.lastname: Kowalski
authors.forename: Nicole
authors.initials: N
authors.lastname: Ernstmann
authors.forename: Holger
authors.initials: H
authors.lastname: Pfaff
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology / Q000523:psychology*; D004644:Emotions; D005260:Female; D005858:Germany / Q000453:epidemiology; D006761:Hospitals; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010564:Personnel, Hospital / Q000523:psychology*; D012944:Social Support; D011795:Surveys and Questionnaires