VIRTUES, WORK EXPERIENCES, SATISFACTIONS AND WELL-BEING AMONG PHYSICIANS IN TURKEY

Abstract

This study examined the relationship between virtues and indicators of work satisfaction and engagement, extra-work satisfactions and psychological well-being among physicians. Data were collected from 431 physicians in Turkey using anonymously completed questionnaires. A virtue is any psychological process that enables a person to benefit him or herself and others. Three virtues were considered: gratitude, optimism, and proactive behaviors. This emphasis was consistent with emerging trends in both psychology and organizational studies, termed positive psychology or positive organizational scholarship respectively, to focus on strengths and excellence rather an weakness and pathology. Hierarchical regression analyses, controlling for both personal demographic and work situation characteristics, indicated that virtues accounted for significant increments in explained variance on most outcome measures. Optimism emerged as a particularly consistent predictor of most outcomes. Explanations for the association of virtues with favorable outcomes are offered along with potentially practical implications.

Keywords

• Work Experiences, Well-Being, W ork satisfaction and engagement, Physicians, Turkey

References

1. Bailit, J. L., Weisberger, A., & Knotek, J. (205) Resident job satisfaction and quality of life before and after work hours reform, Journal of Reproductive Medicine, 50, 649-652. Baker, W., Cross, R., & Wooten, M. (2003) Positive organizational network analysis and energizing relationships. In K. S, Cameron, J. E. Dutton, & R. E.
2. Quinn (eds.) Positive organizational scholarship. San Francisco: Berrett- Koehler. Pp. 328-342. Bakker, A. B. (2008) Building engagement in the workplace. In R. J. Burke & C.
3. L. Cooper (eds.) The peak performing organization. London: Routledge. In press. Bateman, T. S., & Crant, J. M., (1993) The proactive component of organizational behavior: A measure and correlates, Journal of Organizational Behavior, 14, 103-118
4. Becherer, R. C., & Maurer, J. G. (1999) The proactive personality disposition and entrepreneurial behavior among small company presidents, Journal of
5. Small Business Management, 38, 28-36. Brown, K.W., & Ryan, R. M. (2001) The benefits of being present: Mindfulness and its role in psychological well-being, Journal of Personality and Social Psychology, 84, 822-848.
6. Burbeck, R., Coomber, S., Robinson, S. M., & Todd, C. (2002) Occupational stress in consultants in accident and emergency medicine: A national survey of levels of stress at wok, Emergency Medicine Journal, 19, 234-238.
7. Burke, R. J. (1996) Stress, satisfaction and militancy among Canadian physicians: a longitudinal examination, Social Science and Medicine, 43, 517
8. Burke, R. J., (1991) Early work and career experiences of female and male managers: Reasons for optimism? Canadian Journal of Administrative Sciences, 8, 224-232.

9. Burke, R. J. (1990) Sources of satisfaction and stress among Canadian physicians, Psychological Reports, 67, 1335-1344.
10. Cameron, K. S., Dutton, J., E., & Quinn, R. E. (2003) Positive organizational scholarship, San Francisco: Berrett-Koehler.
11. Carlson, D., Kacmar, J., & Williams, L., (2000) Construction and initial validation of a multi-dimensional measure of work-family conflict, Journal of
12. Vocational Behavior, 56, 249-278. Carr, P. L., Ash, A. S., Friedman, R. H., Szalacha, L., Barnett, R. C., Palepuy, A., & Moskowitz, M. M. ()2000) Faculty perceptions of gender discrimination and sexual harassment in academic medicine, Annals of Internal Medicine, , 889-89.
13. Carver, C. S. (1998) Resilience and thriving: Issues, models and linkages,
14. Journal of social Issues. 54, 245-266. Chambers, R., Wall, D., & Campbell, I. (1995) Stresses, coping mechanisms and job satisfaction in general practitioner registrars, British Journal of General Practice, 46, 343-346
15. Cooper, C. L., Rout, U., & Faragher, B. (1989) Mental health, job satisfaction, and job stress among general practitioners, British Medical Journal, 11, 366
16. Crant, J. M. (2000) Proactive behavior in organizations, Journal of Management, 26, 435-462.
17. Crant, J. M. (1996) The proactive personality scale as a predictor of entrepreneurial intention, Journal of Small Business Management, 34, 42-49.
18. Crant, J. M. (1995) The proactive personality scale and objective job performance among real estate agents, Journal of Applied Psychology, 80, 537.
19. Crant, J. M. & Bateman, T.S.(2000) Charismatic leadership viewed from above: The impact of proactive personality. Journal of Organizational Behavior, , 63-75.
20. Defoe, D. M., Power, M., Holzman, G. B., Carpentieri, A., & Schulkin, J. (2001)
21. Long hours and little sleep: Work schedules of residents in obstetrics and gynecology, Obstetrics and Gynecology, 97, 1015-1018.
22. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S,. (1985) The Satisfaction with Life Scale, Journal of Personality Assessment, 49, 71-75.
23. Eisenberger, R., (1992) Learned industriousness, Psychological Review, 99, 267.
24. Emmons, R. A. (2003) Acts of gratitude in organizations. In K. S. Cameron, J.
25. E. Dutton & R., E., Quinn (eds,) Positive organizational scholarship. San Francisco: Berret-Koehler. pp. 81-93. Emmons, R. A., & McCullough, M. E. (2003) Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being, in daily life, Journal of Personality and Social Psychology, 84, 377-389.
26. Emmons, R. A., & Crumpler, C. A. (2000) Gratitude as a human strength:
27. Appraising the evidence, Journal of Social and Clinical Psychology, 19, 56-69. Fredrickson, B. L., (2003a) Positive emotions and upward spirals in organizations. In K. S. Cameron, J. E. Dutton & R. E. Quinn (eds). Positive organizational scholarship. San Francisco: Berrett-Koehler. pp.161-l75.
28. Fredrickson, B. L. (2003b) The value of positive emotions, American Scientist, , 330-335.
29. Fredrickson, B. L. (2001) The role of positive emotions in positive psychology:
30. The broaden-and-build theory of positive emotions, American Psychologist, 56, 226. Fredrickson, B. L. & Losada, M. F. (2005) Positive affect and the complex dynamics of human flourishing, American Psychologist, 60, 678-686.
31. Fredrickson, B. L. & Branigan, C. A. (2005) Positive emotions broaden the scope of attention and thought-action repertoires, Cognition and Emotion, 19, 332.
32. Fredrickson, B. L., & Joiner, T. (2002) Positive emotions trigger upward spirals toward emotional well-being, Psychological Science, 13, 172-175.
33. Garza, J. A., Schneider, K. M., Promecene, P., & Monga, M. (2004) Burnout in residency: A statewide study, Southern Medical Journal, 97, 1171-1173.
34. Golub, J. S., Weiss, P. S., Ramesh, A. K., Ossoff, R. H., & Johns, M. M. (2007)
35. Burnout in residents of otolaryngology-head and neck surgery: A national inquiry into the health of residency training, Academic Medicine, 82, 596-601. Greenhaus, J. H., Parasuraman, S., & Wormley, W. (1990) Organizational experiences and career success among black and white managers, Academy of Management Journal, 33, 6.
36. Janus, K., Amelung, V. E., Gaitanides, M., & Schwartz, F., W. (2007) German physicians “on strike” –shedding light on the roots of physician dissatisfaction, Health Policy, 82, 357-365.
37. Kirkman, B. L., & Rosen, G. (1999) Beyond self-management: Antecedents and consequences of team empowerment, Academy of Management Journal, , 58-74.
38. Kofodimos, J. (1993) Balancing act. San Francisco: Jossey-Bass.
39. Luthans, F. (2002) Positive organizational behavior: Developing and managing psychological strengths, Academy of Management Executive, 16, 57-72.
40. Luthans, F., Youssef, C. M., & Avolio, B. J. (2007) Psychological capital. New
41. York: Oxford University Press. Luthans, F., Avolio, B. J., Avey, J. B., & Norman, S. M. (2007) Positive psychological capital: Measurement and relationship with performance and satisfaction, Personnel Psychology, 60, 541-572.
42. Luthans, F., Vogelgesang, G. F., & Lester, P. B. (2006) Developing the psychological capital of resiliency, Human Resources Development Review, 5, 44.
43. Luthans, F., Avery, J. B., Avolio, B. J., Norman, S. M., & Combs, G. M. (2006)
44. Psychological capital development: Towards a micro-intervention, Journal of Organizational Behavior, 27, 387-393. McCullough, M. E., Emmons, R. A., & Tsang, J. A. (2002) The grateful disposition: A conceptual and empirical topography, Journal of Social and Personality Psychology, 82, 112-127.
45. Murray, A., Montgomery, J. E., Chang, H., Rogers, W. H., Inui, T., & Safran,, D. G. (2001) Doctor discontent: A comparison of physician satisfaction in different delivery system settings, 1986 and 1997, Journal of General Internal Medicine, , 452-459.
46. Nelson, D. L., & Cooper, C. L. (2007) Positive organizational behavior:
47. Accentuating the positive at work. Thousand Oaks, CA: Sage Publications. Overwalle, F. V., Mervielde, I., & de Schuyter, J. (1995) Structural modeling of the relationship between attributional dimensions, emotions, and performance of college freshmen, Cognition and Emotion, 9, 59-85.
48. Ozyurt, A., Hayran, O., & Sur, H. (2006) Predictors of burnout and job satisfaction among Turkish physicians, Quarterly Journal of Medicine, 99, 161
49. Parker, S. K. (1998) Enhancing role breadth self-efficacy: The roles of job enrichment and other organizational interventions, Journal of Applied Psychology, 83, 835-852.
50. Peterson, C. (2000) The future of optimism. American Psychologist, 55, 44-55.
51. Quinn, R. P., & Shepard, L. J., (1974) The 1972-1973 Quality of Employment
52. Survey. Ann Arbor, MI: Institute for Social research, University of Michigan. Rout, U., & Rout, J. K. (1994) Job satisfaction, mental health and job stress among general practitioners before and after the new contract – a comparative study, Family Practice, 11, 300-306.
53. Ryan, R. M., & Frederick, C. M. (1997) On energy, personality, and health:
54. Subjective vitality as a dynamic reflection of well-being, Journal of Personality, , 529-565. Schaufeli, W. B., & Bakker, a. B. (2004) Job demands, job resources and their relationship with burnout and engagement: A multi-sample study, Journal of
55. Organizational Behavior, 25, 293-315. Schaufeli, W. B., Salanova, M., Gonzalez-Roma, V., & Bakker, a. B. (2002)
56. The measurement of engagement and burnout: A confirmative analytic approach, Journal of Happiness Studies, 3, 71-92. Scheier, M. F., & Carver, C. S. (1992) Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update, Cognitive
57. Therapy and Research, 16, 203-228. Scheier, M. F., & Carver, C, S. (1985) Optimism, coping, and health:
58. Assessment and implications of generalized outcome expectancies, Health Psychology, 5, 219-247. Scheier, M. F., & Carver, C. S. (1987) Dispositional optimism and physical well- being: The influence of generalized expectancies on health, Journal of Personality, 55, 169-210.
59. Seibert, S. E., Crant, J. M., & Kraimer, M. L. (1999) Proactive personality and career success, Journal of Applied Psychology, 84, 416-427.
60. Seligman, M. E. P. (1998) Learned optimism. New York:
61. Seligman, M. E. P. (1991) Learned optimism. New York: Knopf.
62. Seligman, M. E. P., & Csikszentmihalyi, M., (2000) Positive psychology: An introduction, American Psychologist, 55, 5-14.
63. Shirom, A. (2003) Feeling vigorous at work? The construct of vigor and the study of positive affect in organizations. In D. Ganster & P. L. Perrewe (eds.)
64. Research in organizational stress and well-being. Vol, 3. Greenwich, CT: JAI Press. pp. 135-165. Simpson, L. A., & Grant, L. (1991) Sources and magnitude of job stress among physicians, Journal of Behavioral Medicine, 14, 27-42,
65. Snyder, C. R. (1995) Conceptualizing, measuring, and nurturing hope, Journal of Counseling and Development, 73, 355-360.
66. Snyder, C. R. (1994) The psychology of hope: You can get there from here. New York: Free Press.
67. Snyder, C. R., & Lopez, S. (2002) Handbook of positive psychology. Oxford:
68. Oxford University Press. Sutherland, V. J., & Cooper, C. L., (1992) Job stress, satisfaction, and mental health among general practitioners before and after introduction of a new contract, British Medical Journal, 304, 1545-1548.
69. Tugade, M., M. & Fredrickson, B. L. (2004) Resilient individuals can use positive emotions to bounce back from negative emotional experiences,
70. Journal of Personality and Social Psychology, 86, 320-333. Walker, L. J., & Pitts, R. C.(1998) Naturalistic conceptions of moral maturity,
71. Developmental Psychology, 34, 403-419. Youssef, C. M., & Luthans, F. (2007) Positive organizational behavior in the workplace: The impact of hope, optimism, and resilience, Journal of Management, 33, 774-8900.