Work-family conflict and its related factors among emergency department physicians in China

A national cross-sectional study

Bibliographic Data

ID22076031
AuthorsShijiao Yan (Hunan Normal University), Chang-Jun Li (0000-0002-5539-062X, Central Hospital of Wuhan), Changjun Li (0000-0002-9942-7690), Jiali Zhang (0000-0001-6257-063X, Huazhong University of Science and Technology), Yafei Wu (0000-0003-3937-0263, Huazhong University of Science and Technology), Mengge Tian (Huazhong University of Science and Technology), Li Liu (0000-0002-5257-3391, Central Hospital of Wuhan), Xuan Zhou (0000-0001-8368-2964, Tongji Hospital), Jianwei Zheng (0000-0001-5895-9431, Tongji Hospital, corresponding author), Nan Jiang (0009-0009-0058-3481, Huazhong University of Science and Technology, corresponding author)
Year2023
Volume11
Pages1092025-1092025
Publication date2023-03-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1092025
PMID37020815
OpenAlexW4327979101
LanguageEN
Citations received2
References cited36

Background Work-family conflict is common among emergency department physicians. Identifying the factors associated with work-family conflict is key to reducing its negative impact on mental health and work attitudes. However, the work-family conflict of Chinese emergency department physicians and the related factors have been scarcely studied. Objective This study aimed to investigate the current status and related factors of work-family conflict among Chinese emergency department physicians. Methods A national cross-sectional study was conducted among emergency department physicians in China from June 2018 to August 2018. A standard questionnaire was used to investigate the demographic characteristics, work-related factors, and work-family conflict of emergency department physicians. The generalized linear regression analysis was used to identify the related factors of work-family conflict. Results A total of 10,457 licensed emergency department physicians participated in the study. The average score of work-family conflict among the enrolled emergency department physicians was 19.27 ± 3.94, and the prevalence of high levels of work-family conflict was 69.19%. The multivariable regression analysis showed that emergency physicians who were female (linear regression coefficient, −0.25; SE, 0.08; P = 0.002), older than 40 years (linear regression coefficient,−0.53; SE, 0.14; P < 0.001), and earning more than 4,000 CNY per month (e.g., 4,001~6,000 vs. ≤4,000 CNY: linear regression coefficient, −0.17; SE, 0.09; P = 0.04) had lower work-family conflicts. However, emergency department physicians who were married (linear regression coefficient, 0.37; SE, 0.11; P < 0.001), highly educated (linear regression coefficient, 0.46; SE, 0.10; P < 0.001), had a high technical title (e.g., intermediate vs. junior technical title: linear regression coefficient, 0.61; SE, 0.09; P < 0.001), worked in a high-grade hospital (e.g., tertiary hospital vs. emergency center: linear regression coefficient, 0.38; SE, 0.11; P < 0.001), had a higher frequency of night shifts (e.g., 6~10 night shifts per month vs. 0~5 night shifts per month: linear regression coefficient, 0.43; SE, 0.10; P < 0.001), self-perceived shortage of physicians in the department (linear regression coefficient, 2.22; SE, 0.08; P < 0.001), and experienced verbal abuse (linear regression coefficient, 1.48; SE, 0.10; P < 0.001) and physical violence (linear regression coefficient, 0.84; SE, 0.08; P < 0.001) in the workplace had higher work-family conflict scores. Conclusion Most emergency department physicians in China experience a high-level work-family conflict. Hospital administrations are recommended to develop family-friendly workplace policies, establish a scientific shift system, and keep the number of emergency department physicians to meet the demand to reduce work-family conflict

China · Cross-sectional study · Emergency department · Family medicine · Geography · Linear regression · Medical emergency · Psychiatry · Regression analysis · Statistics · Work–family conflict · Diversity and Career in Medicine · Medicine · Work-Family Balance Challenges · Workplace Violence and Bullying

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