The effect of breaches of the psychological contract on the job satisfaction and wellbeing of doctors in Ireland: a quan
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2020) 18:89
Open Access
RESEARCH
The effect of breaches of the psychological contract on the job satisfaction and wellbeing of doctors in Ireland: a quantitative study Aedin Collins* and Alexandra Beauregard
Abstract Background: Medicine is one of the most popular college degrees at both undergraduate and postgraduate level. Despite this, morale and wellbeing in doctors at all levels internationally is reportedly low. Long hours and stressful working environments have been implicated as the cause of this. The psychological contract is the implicit expectations and mutual obligations held between an employee and employer. Breaches in this contract can lead to strong negative emotional responses. This study will examine the psychological contract of non-consultant doctors and gain further insight into their job satisfaction and wellbeing. It aims to ascertain the effect of breaches of the psychological contract on their job satisfaction and wellbeing. Methods: This is a quantitative study performed using a questionnaire on a closed online forum. Job satisfaction, wellbeing and breaches of the psychological contract were measured using pre-existing and pre-validated scales. Statistical analysis was performed to determine the effect of breaches of the psychological contract on job satisfaction and wellbeing. Results: This study ascertained that training and career development were the most important areas of the psychological contract for non-consultant doctors and training and organizational support the most important breaches. It found, overall, positive levels of job satisfaction and wellbeing. A statistically significant relationship between breaches of the psychological contract and job satisfaction and wellbeing was found. Conclusion: This study provides an insight into the psychological contract of non-consultant doctors in Ireland. By doing so, it identifies areas for change which may improve their future job satisfaction and wellbeing. Keywords: Job satisfaction, Wellbeing, Psychological contract, Non-consultant doctors Introduction The delivery of healthcare is constantly changing and evolving, as are the pressures being placed on medical professionals. Within recent years, there has been increasing concern regarding a decline in doctors’ wellbeing [1–3]. Reported levels of burnout and stress and psychological distress are high [2, 4]. This has manifested in difficulties with recruitment and retainment of *Correspondence: [email protected] Birkbeck, University of London, Malet St, Bloomsbury, London WC1E 7HX, UK
appropriately trained staff, rota gaps and reported lack of continuity of care for patients [3, 5, 6]. In the late 1990s and early 2000s it was hypothesized that changes in job roles, increased medicolegal cases and lack of autonomy were leading to reduced job satisfaction among doctors [7]. Working in an overstretched and under-resourced health system may also lead to the demands of the job outweighing job control and resources, leading to a further reduction in job satisfaction [8].
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