Burnout, Engagement, and Organizational Culture: Differences between Physicians and Nurses.
BACKGROUND
Burnout results from a prolonged response to chronic emotional and interpersonal workplace stressors. The focus of research has been widened to job engagement.


OBJECTIVE
Purpose of the study was to examine associations between burnout, job engagement, work demands, and organisational culture (OC) and to demonstrate differences between physicians and nurses working in general hospital in Skopje, Republic of Macedonia.


METHODS
Maslach Burnout Inventory and Utrecht Work Engagement Scale were used for assessment of burnout and job engagement. Work demands and OC were measured with Hospital Experience Scale and Competing Values Framework, respectively.


RESULTS
Higher scores of dedication, hierarchy OC, and organizational work demands were found in physicians. Nurses demonstrated higher scores of clan OC. Burnout negatively correlated with clan and market OC in physicians and nurses. Job engagement positively correlated with clan and market OC in nurses. Different work demands were related to different dimensions of burnout and/or job engagement. Our findings support job demands-resources (JD-R) model (Demerouti and Bakker).


CONCLUSIONS
Data obtained can be used in implementation of specific organizational interventions in the hospital setting. Providing adequate JD-R interaction can lead to prevention of burnout in health professionals (HPs) and contribute positively to better job engagement in HPs and higher quality of patient care.
Institute of Occupational Health of RM, WHO Collaborating Center, II Makedonska brigada 43, 1000 Skopje, Republic of Macedonia.
Dragan
D
Mijakoski
Institute of Occupational Health of RM, WHO Collaborating Center, II Makedonska brigada 43, 1000 Skopje, Republic of Macedonia.
Jovanka
J
Karadzinska-Bislimovska
Institute of Occupational Health of RM, WHO Collaborating Center, II Makedonska brigada 43, 1000 Skopje, Republic of Macedonia.
Vera
V
Basarovska
University of Macedonia, Thessaloniki, Greece.
Anthony
A
Montgomery
School of Health Sciences, Department of Medicine, Aristotle University Thessaloniki, Thessaloniki, Greece.
Efharis
E
Panagopoulou
Institute of Occupational Health of RM, WHO Collaborating Center, II Makedonska brigada 43, 1000 Skopje, Republic of Macedonia.
Sasho
S
Stoleski
Institute of Occupational Health of RM, WHO Collaborating Center, II Makedonska brigada 43, 1000 Skopje, Republic of Macedonia.
Jordan
J
Minov
Burnout; Job engagement; Nurse; Organizational culture; Physician; Work demands