Moderating Role of Interior Amenities on Hospital Medical Directors' Patient-Related Work Stresses

Abstract

Objective:

Considering hospital medical directors' work stress, this study aims to examine how interior amenities might moderate the effect of work stress on their health.

Background:

Previous studies have revealed that hospital medical directors—senior physicians in the management positions with high-demand jobs in clinical practices and management—had a lower self-rated health.

Methods:

This was a cross-sectional survey study and 737 hospital medical directors in Taiwan were included. A developed and structured questionnaire covered the dimensions of patient-related work stress (i.e., physician-patient relationship stress and patient condition stress), hospital interior amenities (i.e., indoor plants, aquarium, music, art and exhibitions, and private or personalized spaces that are common or surround the workplace of healthcare professionals), and self-rated health status and health complaints. Hierarchical regressions were performed.

Results:

Hospital medical directors' physician-patient relationship stresses were found to have more negative effects on their self-reported health status and complaints than do their patient condition stresses; however, only indoor plants were found to have moderating effects on their short-term health complaints (p < 0.05). On the other hand, the hospital medical directors' patient condition stresses were negatively related to their short-term health complaints; however, music, art and exhibitions, and private or personalized spaces in the workplaces had moderating effects (p < 0.05).

Conclusions:

Considering the unavoidable patient-related work stresses imposed on hospital medical directors, some proposed interior amenities can produce buffering effects on work stress to some extent. Future studies could focus on finding alternatives to relieve hospital medical directors' physician-patient relationship work stresses.

Keywords

Evidence-based design physicians privacy and security satisfaction work environment

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References

Augustin

M. D.

Leder

Hutzler

, & Carbon

C. C.

(2008). Style follows content: On the microgenesis of art perception. Acta psychologica (Amst), 128(1), 127–38.

Balch

C. M.

, & Shanafelt

(2010). Combating stress and burnout in surgical practice: A review. Advances in Surgery, 44, 29–47.

Boran

Shawaheen

Khader

Amarin

, & Hill

R. V.

(2012). Work-related stress among health professionals in northern Jordan. Occupational Medicine (Lond), 62(2), 145–147.

Brown

Lawrence

, & Robinson

S. L.

(2005). Territoriality in organizations. Academy of Management Review, 30(3), 577–594.

Derogatis

L. R.

Lipman

R. S.

Rickels

Uhlenhuth

E. H.

, & Covi

(1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19(1), 1–15.

Dijkstra

Pieterse

M. E.

, & Pruyn

(2008). Stress-reducing effects of indoor plants in the built healthcare environment: The mediating role of perceived attractiveness. Preventive Medicine, 47(3), 279–283.

Eisen

S. L.

Ulrich

R. S.

Shepley

M. M.

Varni

J. W.

, & Sherman

(2008). The stress-reducing effects of art in pediatric health care: Art preferences of healthy children and hospitalized children. Journal of Child Health Care, 12(3), 173–190.

Elovainio

, & Kivimäki

(1998). Work and strain on physicians in Finland. Scandinavian Journal of Social Medicine, 26(1), 26–33.

Evidence-based design could help quality of care. (2004). Healthcare Benchmarks and Quality Improvement, 11(8), 92–94.

10.

Feddock

C. A.

Hoellein

A. R.

Wilson

J. F.

Caudill

T. S.

, & Griffith

C. H.

(2007). Do pressure and fatigue influence resident job performance? Medical Teacher, 29(5), 495–497.

11.

Huelat

B. J.

(2003). Healing environments: Design for the body, mind, & spirit. Alexandria, VA: Medezyn.

12.

Hutton

J. D.

, & Richardson

L. D.

(1995). Healthscapes: The role of the facility and physical environment on consumer attitudes, satisfaction, quality assessments, and behaviors. Health Care Management Review, 20(2), 48–61.

13.

Klein

Grosse Frie

Blum

, & von dem Knesebeck

(2011). Psychosocial stress at work and perceived quality of care among clinicians in surgery. BMC Health Services Research, 11(1), 109.

14.

Lai

H. L.

, & Li

Y. M.

(2011). The effect of music on biochemical markers and self-perceived stress among first-line nurses: A randomized controlled crossover trial. Journal of Advanced Nursing. doi: 10.1111/j.1365-2648.2011.05670.x.

15.

Lankston

Cusack

Fremantle

, & Isles

(2010). Visual art in hospitals: Case studies and review of the evidence. Journal of the Royal Society of Medicine, 103(12), 490–499.

16.

Lemaire

J. B.

, & Wallace

J. E.

(2010). Not all coping strategies are created equal: A mixed methods study exploring physicians' self reported coping strategies. BMC Health Services Research, 10, 208.

17.

Lindholm

(2006). Working conditions, psychosocial resources and work stress in nurses and physicians in chief managers' positions. Nursing Management, 14(4), 300–309.

18.

Lindholm

Dejin-Karlsson

Westin

Hagström

, & Udén

(2004). Physicians as clinical directors: Working conditions, psychosocial resources and self-rated health. Occupational Medicine (Lond), 54(3), 182–189.

19.

Litch

(2006). The healing power of art. Art displays in hospitals reduce stress, improve outcomes. Healthcare Executive, 21(5), 34, 36–37.

20.

Lovell

B. L.

Lee

R. T.

, & Frank

(2009). May I long experience the joy of healing: Professional and personal wellbeing among physicians from a Canadian province. BMC Family Practice, 10, 18.

21.

Makama

J. G.

Ameh

E. A.

, & Eguma

S. A.

(2010). Music in the operating theatre: Opinions of staff and patients of a Nigerian teaching hospital. African Health Sciences, 10(4), 386–389.

22.

McCray

L. W.

Cronholm

P. F.

Bogner

H. R.

Gallo

J. J.

, & Neill

R. A.

(2008). Resident physician burnout: Is there hope? Family Medicine, 40(9), 626–632.

23.

Nakao

(2010). Work-related stress and psychosomatic medicine. BioPsychoSocial Medicine, 4(1), 4.

24.

Nanda

Chanaud

Nelson

Zhu

Bajema

, & Jansen

B. H.

(2012). Impact of visual art on patient behavior in the emergency department waiting room. Journal of Emergency Medicine, 43(1), 172–181.

25.

Nanda

Chanaud

C. M.

Brown

Hart

, & Hathorn

(2009). Pediatric art preferences: Countering the “one-size-fits-all” approach. Health Environments Research and Design Journal, 2(4), 46–61.

26.

Nieuwenhuijsen

Bruinvels

, & Frings-Dresen

(2010). Psychosocial work environment and stress-related disorders, a systematic review. Occupational Medicine (Lond), 60(4), 277–286.

27.

Park

S. H.

, & Mattson

R. H.

(2009). Ornamental indoor plants in hospital rooms enhanced health outcomes of patients recovering from surgery. Journal of Alternative and Complementary Medicine, 15(9), 975–980.

28.

Schwappach

D. L.

, & Boluarte

T. A.

(2009). The emotional impact of medical error involvement on physicians: A call for leadership and organisational accountability. Swiss Medical Weekly, 139(1-2), 9–15.

29.

Schweitzer

Gilpin

, & Frampton

(2004). Healing spaces: Elements of environmental design that make an impact on health. Journal of Alternative and Complementary Medicine, 10(Suppl 1), S71–S83.

30.

Sehlen

Vordermark

Schäfer

Herschbach

Bayerl

Pigorsch

Rittweger

Dormin

Bölling

Wypior

H. J.

Zehentmayr

Schulze

Geinitz

, & DEGRO Quality of Life Work Group. (2009). Job stress and job satisfaction of physicians, radiographers, nurses and physicists working in radiotherapy: A multicenter analysis by the DEGRO Quality of Life Work Group. Radiation Oncology, 4, 6.

31.

Shimizu

, & Nagata

(2003). Relationship between coping skills and job satisfaction among Japanese full-time occupational physicians. Environmental Health and Preventive Medicine, 8(4), 118–123.

32.

Stafford

, & Judd

(2010). Mental health and occupational wellbeing of Australian gynaecologic oncologists. Gynecologic oncology, 116(3), 526–532.

33.

Staricoff

R. L.

(2006). Arts in health: The value of evaluation. Journal of Royal Society for the Promotion of Health, 126(3), 116–120.

34.

Swetz

K. M.

Harrington

S. E.

Matsuyama

R. K.

Shanafelt

T. D.

, & Lyckholm

L. J.

(2009). Strategies for avoiding burnout in hospice and palliative medicine: Peer advice for physicians on achieving longevity and fulfillment. Journal of Palliative Medicine, 12(9), 773–777.

35.

Ulrich

R. S.

(1991). Effects of interior design on wellness: Theory and recent scientific research. Journal of Health Care Interior Design, 3, 97–109.

36.

Ursin

Endresen

I. M.

, & Ursin

(1988). Psychological factors and self-reports of muscle pain. European Journal of Applied Physiology and Occupational Physiology, 57(3), 282–290.

37.

Venolia

, & Dadd

D. L.

(1988). Healing environments. Berkeley, CA: Celestial Arts.

38.

Wallace

J. E.

, & Lemaire

(2007). On physician well being—you'll get by with a little help from your friends. Social Science & Medicine, 64(12), 2565–2577.

39.

Wang

J. N.

Sun

Chi

T. S.

, & Wang

(2010). Prevalence and associated factors of depressive symptoms among Chinese doctors: A cross-sectional survey. International Archives of Occupational and Environmental Health, 83(8), 905–911.

40.

Waterman

A. D.

Garbutt

Hazel

Dunagan

W. C.

Levinson

Fraser

V. J.

, & Gallagher

T. H.

(2007). The emotional impact of medical errors on practicing physicians in the United States and Canada. Joint Commission Journal on Quality and Safety, 33(8), 467–476.

41.

Wikström

B. M.

(2011). The dynamics of visual art dialogues: Experiences to be used in hospital settings with visual art enrichment. Nursing Research & Practice. doi: 10.1155/2011/204594.

42.

Williams

E. S.

Manwell

L. B.

Konrad

T. R.

, & Linzer

(2007). The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: Results from the MEMO study. Health Care Management Review, 32(3), 203–212.

43.

Yin

Davis

C. L.

Moore

J. B.

, & Treiber

F. A.

(2005). Physical activity buffers the effects of chronic stress on adiposity in youth. Annals of Behavioral Medicine, 29(1), 29–36.

44.

Zalesny

M. D.

, & Farace

R. V.

(1987). Traditional versus open offices: A comparison of sociotechnical social relations, and symbolic meaning perspectives. Academy of Management Journal, 30, 240–259.

45.

Zimring

Joseph

Nicoll

G. L.

, & Tsepas

(2005). Influences of building design and site design on physical activity: Research and intervention opportunities. American Journal of Preventive Medicine, 28(2 Suppl 2), 186–193.

46.

Lin

B. Y.-J.

Lin

Y.-K.

Juan

C.W.

Lee

Lin

C.-C.

(2013). Moderating role of interior amenities on hospital medical directors' patient-related work stresses. Health Environments Research & Design Journal 6(2), pp 77–92.