title: Surgeons' work ability and performance in surgical care: relations between organisational predictors, work engagement and work ability.
abstract: BACKGROUND
  The aim of this study was to examine relations and influences between work-related factors, personal resources, work engagement and work ability of surgeons working in German hospitals.
  
  
  METHODS
  The study was conducted as a cross-sectional survey investigation. We used the Utrecht Work Engagement Scale, the Copenhagen Psychosocial Questionnaire and the Work Ability Index to evaluate surgeons' work engagement, working conditions and work ability. Bivariate analyses and a stepwise regression analysis were performed.
  
  
  RESULTS
  Surgeons reported a moderate work ability and work engagement. The results indicated significant associations between surgeons' sources of work engagement, work ability and work-related factors (e.g. job resources). Significant differences regarding these variables were also detected between males and females and the various age groups.
  
  
  CONCLUSIONS
  The study results reflect the positive effect of supportive working conditions and work engagement on the preservation of work ability, indicating their importance in promoting surgeons' work ability. Due to the elderly population and the continuing development of health care in Germany, the demand for surgeons increases. These circumstances give reasons for a strong need to preserve and restore surgeons' work ability. New strategies for training and improving the capacity and performance of surgeons are necessary.
authors.affiliation: Institute of Occupational Medicine, Charité-Universitätsmedizin Berlin, Free University and Humboldt University, Thielallee 69-73, Berlin, Germany. Stefanie.mache@charite.de
authors.forename: Stefanie
authors.initials: S
authors.lastname: Mache
authors.forename: Gerhard
authors.initials: G
authors.lastname: Danzer
authors.forename: Burghard F
authors.initials: BF
authors.lastname: Klapp
authors.forename: David A
authors.initials: DA
authors.lastname: Groneberg
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012044:Regression Analysis; D013514:Surgical Procedures, Operative / Q000592:standards*; D011795:Surveys and Questionnaires; D016526:Workload