title: Recovery opportunities, work-home conflict, and emotional exhaustion among hematologists and oncologists in private practice.
abstract: Hematologists and oncologists in private practice play a central role in the care provided for cancer patients. The present study analyzes stress and relaxation aspects in the work of hematologists and oncologists in private practice in Germany in relation to emotional exhaustion, as a core dimension of burnout syndrome. The study focuses on the opportunities for internal recovery using breaks and time out during the working day, the frequency of working on weekends and on vacation, and the physician's work-home and home-work conflict. Postulated associations between the constructs were analyzed using a structural equation model. If work leads to conflicts in private life (work-home conflict), it is associated with greater emotional exhaustion. Working frequently at the weekend is associated with greater work-home conflict and indirectly with greater emotional exhaustion. By contrast, the availability of opportunities to relax and recover during the working day is associated with less work-home conflict and indirectly with less emotional exhaustion. These results underline the importance of internal recovery opportunities during the working day and a successful interplay between working and private life for the health of outpatient hematologists and oncologists.
authors.affiliation: a Institute for Medical Sociology, Health Services Research and Rehabilitation Science , University of Cologne , Cologne , Germany.
authors.forename: Anika
authors.initials: A
authors.lastname: Nitzsche
authors.affiliation: b Faculty of Health, Department of Medicine , Private University of Witten/Herdecke , Witten , Germany.
authors.forename: Melanie
authors.initials: M
authors.lastname: Neumann
authors.affiliation: a Institute for Medical Sociology, Health Services Research and Rehabilitation Science , University of Cologne , Cologne , Germany.
authors.forename: Sophie E
authors.initials: SE
authors.lastname: Groß
authors.affiliation: a Institute for Medical Sociology, Health Services Research and Rehabilitation Science , University of Cologne , Cologne , Germany.
authors.forename: Lena
authors.initials: L
authors.lastname: Ansmann
authors.affiliation: a Institute for Medical Sociology, Health Services Research and Rehabilitation Science , University of Cologne , Cologne , Germany.
authors.forename: Holger
authors.initials: H
authors.lastname: Pfaff
authors.affiliation: c Scientific Institute of Office-Based Hematologists and Oncologists , Cologne , Germany.
authors.forename: Walter
authors.initials: W
authors.lastname: Baumann
authors.affiliation: d Department for Research Methodology , University of Education Freiburg , Freiburg , Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Wirtz
authors.affiliation: e Professional Organization of Office-Based Hematologists and Oncologists , Cologne , Germany.
authors.forename: Stephan
authors.initials: S
authors.lastname: Schmitz
authors.affiliation: a Institute for Medical Sociology, Health Services Research and Rehabilitation Science , University of Cologne , Cologne , Germany.
authors.forename: Nicole
authors.initials: N
authors.lastname: Ernstmann
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology*; D000068376:Compassion Fatigue / Q000453:epidemiology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006405:Hematology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000706:statistics & numerical data*; D008875:Middle Aged; D000072103:Oncologists / Q000706:statistics & numerical data; D010820:Physicians / Q000706:statistics & numerical data*; D011331:Private Practice / Q000706:statistics & numerical data*; D000072358:Work-Life Balance / Q000706:statistics & numerical data*
keywords: Private-practice hematologists and oncologists; burnout; emotional exhaustion; internal recovery; work–home conflict