https://doi.org/10.4081/qrmh.2018.7572

Perspectives of meaningful work in a high-burnout academic medical center: a discourse analysis

Vol. 2 No. 2 (2018)
Submitted: 21 May 2018
Accepted: 30 July 2018
Published: 31 August 2018
Meaningful work, Discourse analysis, Positive organizational scholarship, Burnout, Well-being.
Abstract Views: 1687
PDF: 745
APPENDIX: 159
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Authors

Timothy Atkinson
TNAtkinson@uams.edu
Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States.
Molly Gathright
Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States.
James Clardy
Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States.
Carol Thrush
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States.
Erick Messias
Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States.
We conducted a discourse analysis of meaningful work from the perspective of healthcare workers in an academic medical center where we previously observed relatively high levels of personal burnout (52.7%) and work-related burnout (47.5%), all based on the Copenhagen Burnout Inventory survey. Burnout is often studied as psychological condition characterized by exhaustion, depersonalization, and feelings of inefficacy or lack of career achievement, but as demonstrated in this analysis, burnout loses its meaning because healthcare professionals provide a robust account of what makes work meaningful to them despite their prevalence of burnout. Healthcare professionals exhibit a higher level of burnout compared to workforce members in other organizations. Physicians specifically are at high risk for exhibiting symptoms of burnout and work-life imbalances. In addition, burnout manifests itself early in the physician’s career compared other occupations, and in our sample was prevalent among nurses, too. In this discourse analysis of written answers to the survey question, In ten words or less describe what makes your work meaningful? healthcare professionals provide an account of meaningful work that maintains its value in this environment despite the level of burnout, especially when healthcare professionals can use their hard-earned knowledge to make a difference in the lives of people, and observe the results of their work, which is beyond just taking care of patients. Nurses accounted for meaningful work in terms of close connections with patients, while being closely focused on ability to provide professional care and experiencing the outcomes associated with that care, and knowing that they have done a good job. Physicians were patient focused, and they expressed meaningful work in terms of making a difference, and using their abilities to help patients. Basic scientists accounted for meaningful work in terms of their training and abilities to use science for the betterment of others in society.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Gee JP. An introduction to discourse analysis: Theory and method. 4th ed. London. New York: Routledge; 2014.
Creswell JW, Poth CN. Qualitative inquiry and resesarch design: Choosing among five approaches. 4th ed. Thousand Oaks (CA): Sage; 2018.
Fairclough N. Critical discourse analysis: The critical study of language. 2nd ed. New York: Routledge; 2010.
Anderson DL. Organizational development: The process of leading change. 4th ed. Thousand Oaks: Sage; 2016.
Cameron KS, Dutton JE, Quinn RE, eds. Positive organizational scholarship. San Francisco: Berrett-Koehler Publishers; 2003.
Steger M, Dik B, Duffy R. Measuring meaningful work: The work and meaning inventory (WAMI). J Career Assess. 2012;20(3):322-37. DOI: https://doi.org/10.1177/1069072711436160
Martela F, Pessi AB. Significant work is about self-realization and broader purpose: Defining the key dimensions of meaninful work. Front Pscyhol. 2018;9:363. DOI: https://doi.org/10.3389/fpsyg.2018.00363
Hassan M, Bin Nadeem A, Akhter A. Impact of workplace spirituality on job satisfaction: Mediating effect of trust. Cogent Business & Management. 2016;3(1):1189808. https://doi.org/10.1080/23311975.2016.1189808. doi: 10.1080/23311975.2016.1189808. DOI: https://doi.org/10.1080/23311975.2016.1189808
Duchon D, Plowman DA. Nurturing the spirit at work: Impact on work unit performance author links open overlay panel The Leadership Quarterly. 2005;16(5):807-833. DOI: https://doi.org/10.1016/j.leaqua.2005.07.008
Ashmos D, Duchon D. Spirituality at work: A conceptualization and measure J Mgt Inquiry. 2000;9(2):134-135. DOI: https://doi.org/10.1177/105649260092008
Kazemipour F, Mohd AS. The impact of workplace spirituality dimensions on organisational citizenship behaviour among nurses with the mediating effect of affective organisational commitment. J Nurs Manag. 2012;20(8):1039-1048. doi: 10.1111/jonm.12025 [doi]. DOI: https://doi.org/10.1111/jonm.12025
Snuttjer D. Employee retention tools: Looking beyond radiology. Radiol Manage. 2001;23(5):30-32.
Brienza RS. At a crossroads: The future of primary care education and practice. Acad Med. 2016;91(5):621-623. DOI: https://doi.org/10.1097/ACM.0000000000001119
Maslach C, Jackson SE. The maslach burnout inventory. In: Palo Alto, CA: Consulting Psychology Press; 1986.
Maslach C, Leiter MP. Early predictors of job burnout and engagement. J Appl Psychol. 2008;93(3):498-512. doi: 10.1037/0021-9010.93.3.498 [doi]. DOI: https://doi.org/10.1037/0021-9010.93.3.498
Rasmussen V, Turnell A, Butow P, et al. Burnout among psychosocial oncologists: An application and extension of the effort–reward imbalance model. Psychooncology. 2016;25(2):194-202. DOI: https://doi.org/10.1002/pon.3902
Busis NA, Shanafelt TD, Keran CM, et al. Burnout, career satisfaction, and well-being among US neurologists in 2016. Neurology. 2017;88(8):797-808. DOI: https://doi.org/10.1212/WNL.0000000000003640
Schrijver I, Brady KJS, Trockel M. An exploration of key issues and potential solutions that impact physician wellbeing and professional fulfillment at an academic center. PeerJ. 2016;4. DOI: https://doi.org/10.7717/peerj.1783
Jones SK, Griep Y. I can only work so hard before I burn out. A time sensitive conceptual integration of ideological psychological contract breach, work effort, and burnout. Front Psychol. 2018;9:131. DOI: https://doi.org/10.3389/fpsyg.2018.00131
Cain CL, Taborda-Whitt C, Frazer M, et al. A mixed methods study of emotional exhaustion: Energizing and depleting work within an innovative healthcare team. Journal of Interprofessional Care. 2017;31(6):714-724. https://doi.org/10.1080/13561820.2017.1356809. doi: 10.1080/13561820.2017.1356809. DOI: https://doi.org/10.1080/13561820.2017.1356809
Jager AJ, Tutty MA, Kao AC. Association between physician burnout and identification with medicine as a calling. Mayo Clin Proc. 2017;92(3):415-422. DOI: https://doi.org/10.1016/j.mayocp.2016.11.012
Bendassolii P. Emptiness and work: A meaning-making perspective. Integrative psychological and behavioral science. 2017;51(4):598. DOI: https://doi.org/10.1007/s12124-017-9382-x
van lersel M, Latour CHM, de Vos R, Kirschner PA, Sholte op Reimer WJM. Nursing students perceptions of community care and other areas of nursing practice - A review of the literature. Int J of Nursing Studies. 2016;61(Sept 2016):1-19. DOI: https://doi.org/10.1016/j.ijnurstu.2016.05.011
Baldacchino D. Spirituality in the healthcare workplace. Religions. 2017;8(12):260. DOI: https://doi.org/10.3390/rel8120260
Haland E, Osmundsen TC. Establishing and sustaining collaboration across organizational boundaries within healthcare. Int J of Integr Care. 2015;15(5). DOI: https://doi.org/10.5334/ijic.2076
Tummers LG, Bronkhorst BAC. The impact of leader-member exchange (LMX) on work-family interference and work-family facilitation. Personnel Review. 2014;43(9):573-591.
Creswell JW, Clark VLP. Designing and conducting mixed methods research. 2nd ed. Thousand Oaks: Sage; 2011.
Teubert W, Cermakova A. Corpus linguistics: A short introduction. London: Continuum; 2004.
Anthony L. AntConc . . 2018;3.5.7(Tokyo, Japan: Waseda University. Available from http://www.laurenceanthony.net/software).
Miersa I, Wurst M, Klinkenber R, Scholz M, Euler T. Rapid prototyping for complex data mining tasks. SIGKDD. 2006.
Thomson G. Introduction to functional grammar. 2nd ed. London: Routledge; 2004.
Saldana J. The coding manual for qualitative researchers. London. Thousand Oaks: Sage; 2016.
James Clardy, Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas
 

How to Cite

Atkinson, Timothy, Molly Gathright, James Clardy, Carol Thrush, and Erick Messias. 2018. “Perspectives of Meaningful Work in a High-Burnout Academic Medical Center: A Discourse Analysis”. Qualitative Research in Medicine and Healthcare 2 (2). https://doi.org/10.4081/qrmh.2018.7572.

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