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Current Status of Intergroup Threats Perceived by Chinese Physicians and Its Association with Organizational Psychology, Behavior, and Well-Being during the COVID-19 Pandemic: A Cross-Sectional Survey.
Sun, Tao; Yin, Hong-Yan; Zhang, Shu-E; Huang, Xian-Hong; Liu, Bei.
  • Sun T; Department of Health Policy and Management, School of Public Health, Hangzhou Normal University, Hangzhou 311121, China.
  • Yin HY; Department of Humanities and Social Sciences, Harbin Medical University (Daqing), Daqing 163319, China.
  • Zhang SE; Department of Health Management, School of Health Management, Harbin Medical University, Harbin 150081, China.
  • Huang XH; Department of Health Policy and Management, School of Public Health, Hangzhou Normal University, Hangzhou 311121, China.
  • Liu B; Department of Laboratorial Science and Technology &Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China.
Healthcare (Basel) ; 10(10)2022 Oct 08.
Article in English | MEDLINE | ID: covidwho-2065820
ABSTRACT
(1)

Background:

Chinese physicians have encountered serious physical and verbal attacks in recent decades due to poor patient-physician relationships, leading to a broad spectrum of negative consequences. This study aims to assess the status of intergroup threats perceived by physicians and explore its association with organizational psychology, behavior, and well-being during the COVID-19 pandemic. (2)

Methods:

We conducted a cross-sectional online survey with physicians from November to December 2020 in three provinces Heilongjiang Province, Henan Province, and Zhejiang Province, in China. A total of 604 physicians were recruited to complete an anonymous questionnaire. There were 423 valid questionnaires. (3)

Results:

We developed a 25-item intergroup threat scale with four dimensions interest damage, performance impairment, value derogation, and unjust sentiment. Internal consistency reliability analyses showed that the four dimensions and overall scale exhibited high internal consistency (0.756-0.947). Additionally, the average scores for physicians' perceived overall intergroup threat, interest damage, performance impairment, value derogation, and unjust sentiment were 4.35 ± 0.51, 4.24 ± 0.73, 4.33 ± 0.58, 4.22 ± 0.65, and 4.53 ± 0.55, respectively. Moreover, this study shows that the intergroup threats perceived positively by physicians were associated with psychological stress (ß = 0.270, p < 0.01), emotional exhaustion (ß = 0.351, p < 0.01), turnover intention (ß = 0.268, p < 0.01), and defensive medical behavior (ß = 0.224, p < 0.01), and were negatively associated with job satisfaction (ß = -0.194, p < 0.01) and subjective well-being (ß = -0.245, p < 0.01). (4)

Conclusions:

The newly developed scale in this study is a reliable tool for measuring intergroup threats perceived by Chinese physicians. Physicians in China were suffering high-level intergroup threats during the anti-COVID-19 pandemic, which has a significant impact on damage to organizational psychology, behavior, and well-being. Intergroup threats perceived by physicians not only enlarged the risk of emotional exhaustion and psychological stress but also threatened organizational well-being. Moreover, greater intergroup threats were associated with a lower job satisfaction, more frequent defensive medical behavior, and a higher turnover intention for physicians. The results of this study suggest that essential intervention and governance measures should be considered to protect physicians' well-being and benefits in China, which are urgently needed.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Randomized controlled trials Language: English Year: 2022 Document Type: Article Affiliation country: Healthcare10101972

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Randomized controlled trials Language: English Year: 2022 Document Type: Article Affiliation country: Healthcare10101972