SSupplement 1 - Lippincott Williams & Wilkins



sSupplement 1. Factor loadings general work-related stress (HCJSSQ)FactorsHCJSSQ stress items1. Private2. Support3. Responsibilities4. Pressure5. Relationships6.CaseloadDisruption of your home life through spending long hours at work0.71Keeping up-to-date with current clinical and research practices0.51Feeling under pressure to meet deadlines 0.58Having too great an overall volume of work 0.61Disruption of your home life as a result of taking paperwork home 0.67Disruption of your home life as a result of being on call0.63Not enough time to pursue relaxing activities like sports and hobbies0.63Having performance targets which are unrealistic or unattainable (e.g. due to lack of resources)0.45Feeling you have insufficient input into the management of your unit or institution0.70Having inadequate facilities (e.g. equipment, space) to do your job properly 0.40Encountering difficulties in relationships with managers 0.63Feeling that your accumulated skills and expertise are not being put to their best use0.46Not being able to meet your responsibilities because of insufficient staffing 0.32Feeling lack of support and appreciation from your organisation0.63Having to take on more managerial responsibilities 0.39Being responsible for the quality of the work of other staff0.63Being responsible for the welfare of other staff0.53Having inadequate staff to do your job properly 0.51Having a conflict of responsibilities (e.g. clinical vs. managerial; clinical vs. research)0.47Having conflicting demands on your time (e.g. patient care/ management/ research/teaching)0.53Dealing with the threat of being sued for malpractice0.47Uncertainty over the future funding of your unit/institution0.57Feeling pressure because of negative publicity 0.57Feeling compromised in professional autonomy by increasing quality-related litigation0.50Encountering difficulties in relationships with junior medical staff 0.36Encountering difficulties in relationships with consultant colleagues0.48Encountering difficulties in relationships with administrative staff, e.g. secretaries0.46Being involved with the physical suffering of patients0.51Having to deal with distressed, angry or accusatory relatives0.42Being involved with the emotional distress of patients0.82NB: The numbers presented is this table are factor loadings, they express the relationship of each item to the underlying factor and can be interpreted like standard regression coefficients. HCJSSQ: Hospital Consultants’ Job Stress and Satisfaction Questionnaire. Factor 1: not being able to meet one’s standards because work-related demands disrupt private life and spare time; Factor 2: lack of support and participation; Factor 3: having great responsibilities; Factor 4: social/external pressure; Factor 5: problematic relationships with other staff; Factor 6: emotionally difficult caseload.Supplement 2. Factor loadings work-related satisfaction (HCJSSQ)FactorsHCJSSQ satisfaction items1.Certainties2.Stimulation3.Appreciation4.RelationshipsFeeling you have the staff necessary to do a good job0.53Having a high level of autonomy 0.41Feeling you have adequate financial resources to do a good job0.66Feeling you have a high level of job security 0.54Feeling you have adequate facilities to do a good job 0.65Having a good financial income0.45Deriving intellectual stimulation from research 0.60Having opportunities for personal development (developing clinical/research/management skills)0.56Being involved in activities that contribute to the development of your profession0.60Deriving intellectual stimulation from teaching 0.43Being able to bring about positive change in your unit/institution 0.35Having a high level of responsibility 0.36Being perceived to do the job well by your colleagues 0.59Having good relationships with other staff members0.54Having variety in your job 0.41Feeling your clinical experience is used to the full in the job you do0.40Having good relationships with patients 0.55Feeling you deal well with relatives 0.79NB: The numbers presented is this table are factor loadings, they express the relationship of each item to the underlying factor and can be interpreted like standard regression coefficients. HCJSSQ: Hospital Consultants’ Job Stress and Satisfaction Questionnaire. Factor 1: having financial and job related certainties; Factor 2: being stimulated intellectually and developing professionally; Factor 3: being appreciated and contributing; Factor 4: having good relationships with patients and their families.Supplement 3. Factor loadings specific anaesthesia-related stress FactorsAnaesthesia-specific stress items1.Specific demands2.Lack of anizationRisk to patients0.53Extremely ill patients0.71Unexpected, difficult situations0.77Not to know what to expect on call0.63Acute nature of anaesthesia0.83Time pressure (day surgery)0.54Need to act quickly0.84Counselling relatives0.30Level of concentration required0.65Level of responsibility0.76Lack of appreciation by others0.52Relationship with surgeons0.72Being in a service specialty0.65Lack of communication0.45Isolation from other anaesthesiologists0.45Dealing with other specialties0.76Lack of available resources0.52Conflict between patients’ wishes and professional standards0.66Lack of control over work pattern0.51Recent changes in training0.35Legal side of anaesthesia0.47NB: The numbers presented is this table are factor loadings, they express the relationship of each item to the underlying factor and can be interpreted like standard regression coefficients. Factor 1: specific demands of the job; Factor 2: lack of support and appreciation; Factor 3: having to deal with organizational hassle. ................
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