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MINORITY PHYSICIAN JOB SATISFACTION: A CONTENT ANALYSIS OF WRITTEN RESPONSES TO OPEN-ENDED SURVEY QUESTIONS ABOUT PROFESSIONAL AND ORGANIZATIONAL DISSATISFACTION
Title
MINORITY PHYSICIAN JOB SATISFACTION: A CONTENT ANALYSIS OF WRITTEN RESPONSES TO OPEN-ENDED SURVEY QUESTIONS ABOUT PROFESSIONAL AND ORGANIZATIONAL DISSATISFACTION.
Creator
Daniels-Kranz, Devorah, Barfield, Rufus, University of Central Florida
Abstract / Description
Few interpersonal and organizational communication studies examine the professional and organizational aspects of career satisfaction among minority physicians. Due to the underrepresenation of minority physicians, most studies resort to comparing aggregate groups of minority physicians in juxtaposition to non-minority physicians. These studies fail to uncover possible communication differences, which originate from cultural dissimilarities between disaggregate racial/ethnic groups. Even...
Show moreFew interpersonal and organizational communication studies examine the professional and organizational aspects of career satisfaction among minority physicians. Due to the underrepresenation of minority physicians, most studies resort to comparing aggregate groups of minority physicians in juxtaposition to non-minority physicians. These studies fail to uncover possible communication differences, which originate from cultural dissimilarities between disaggregate racial/ethnic groups. Even fewer studies examine physicians' written communication to open-ended survey questions about career satisfaction/dissatisfaction between disaggregate racial/ethnic minority groups and non-minorities. This study specifically examines written responses to two open-ended survey questions about professional and organizational dissatisfaction and compares responses from disaggregate minority physician and non-minority physicians. Participants were divided into five response-driven categories of race/ethnicity as follows: Asian/Pacific Islander, Black/African American, Indian/Pakistani, Hispanic, and White/Non-Hispanic. The population consists of 1849 members of the medical staff roster of a Southeastern, U.S., not-for-profit hospital group. Primary findings indicate the presence of recurrent themes among disaggregate minority physician racial/ethnic groups' responses. Significant variation exists between responses from disaggregate minority physician racial/ethnic groups and non-minority physicians. Results imply that open-ended methods of data collection are essential to gaining knowledge about ways cultural dissimilarities between disaggregate minority racial/ethnic groups affect communication and satisfaction. Understanding more about cultural dissimilarities is necessary for: improving data collection quality; recruiting and retaining minority physicians; and reducing healthcare disparities among minorities.
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Date Issued
2006
Identifier
CFE0001488, ucf:47090
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0001488
THE EFFECTIVENESS OF "DELIVERING UNFAVORABLE NEWS TO PATIENTS DIAGNOSED WITH CANCER" TRAINING PROGRAM FOR ONCOLOGISTS IN UZBEKISTAN
Title
THE EFFECTIVENESS OF "DELIVERING UNFAVORABLE NEWS TO PATIENTS DIAGNOSED WITH CANCER" TRAINING PROGRAM FOR ONCOLOGISTS IN UZBEKISTAN.
Creator
Hundley, Gulnora, Robinson, Edward H., University of Central Florida
Abstract / Description
Effective physician-patient communication is primary to successful medical consultation and encourages a collaborative interactional process between patient and doctor. Collaborative communication, rather than one-way authoritarian, physician-led medical interview, is significant in navigating difficult circumstances such as delivering "bad news" to patients diagnosed with cancer. Additionally, the potential psychological effects of breaking bad news in an abrupt and insensitive manner can be...
Show moreEffective physician-patient communication is primary to successful medical consultation and encourages a collaborative interactional process between patient and doctor. Collaborative communication, rather than one-way authoritarian, physician-led medical interview, is significant in navigating difficult circumstances such as delivering "bad news" to patients diagnosed with cancer. Additionally, the potential psychological effects of breaking bad news in an abrupt and insensitive manner can be devastating and long-lasting for both the patient and his or her family. The topic of delivering unfavorable news to patients is an issue that many medical professionals find to be challenging and is now getting the attention of medical professionals in many countries, including the former Soviet Union (FSU) republics. The limited literature on communication skills in oncology in the FSU republics supports that the physician-patient communication style is perceived as significantly physician-oriented rather than patient-oriented. More specifically, the Soviet medical education system, as well as post-graduate medical education, has placed little to no emphasis on physician-patient communication training. Physician-oriented communication leads to patients being less forthcoming and open regarding their own feelings about being diagnosed with cancer, which may exacerbate the overall communication problem. The purpose of this study was to investigate the effectiveness of the training program "Delivering Unfavorable News to Patients Diagnosed with Cancer" (Baile et al., 2000) conducted in Uzbekistan, one of the FSU republics. A total of 50 oncologists from the National Oncology Center of Uzbekistan (N = 50, n = 25 , n = 25 ) completed Self-Efficacy, Interpersonal skills (FIRO-B), Empathy (JSPE), and Physician Belief (PBS), and demographic instruments before, immediately after, and then two weeks after the training intervention. Results of MANOVA and bivariate statistical analyses revealed significant differences in self-efficacy, empathy, and PBS scores within the experimental group, but not within the control group, from pre-test to post-test. The follow-up data analysis suggested that participants maintained the level of change that occurred immediately after the training intervention.
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Date Issued
2008
Identifier
CFE0002043, ucf:47596
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002043
MINORITY PHYSICIAN JOB SATISFACTION: AN ANALYSIS OF EXTRINSICALLY-CONTROLLED ORGANIZATIONAL FACTORS
Title
MINORITY PHYSICIAN JOB SATISFACTION: AN ANALYSIS OF EXTRINSICALLY-CONTROLLED ORGANIZATIONAL FACTORS.
Creator
Fletcher, Shaun, Barfield II, Rufus, University of Central Florida
Abstract / Description
Few organizational communication studies examine the organizational aspects influencing career satisfaction specifically among non-white cultures in the medical physician population. This study examines minority physicians' perceptions of extrinsically controlled work environment factors in comparison to their white counterparts. Three research questions were analyzed from a 17-question survey tool to measure: physician satisfaction levels with autonomy over medical decision-making; autonomy...
Show moreFew organizational communication studies examine the organizational aspects influencing career satisfaction specifically among non-white cultures in the medical physician population. This study examines minority physicians' perceptions of extrinsically controlled work environment factors in comparison to their white counterparts. Three research questions were analyzed from a 17-question survey tool to measure: physician satisfaction levels with autonomy over medical decision-making; autonomy over non-medical workplace decisions; and hospital cost containment efforts. These organizational variables have served as major points of discourse within the healthcare arena and they relate to the enigmatic nature of career satisfaction. Determined by the volume of respondents representing each race and ethnicity, five categories were selected for comparison: Asian/Pacific Islander, Indian/Pakistani, White/Non-Hispanic, Hispanic, and Black/African American. Participants that were surveyed included all physicians listed on the medical staff roster of a Southeastern, not-for-profit hospital group, regardless of status and medical specialty. The primary findings indicate that substantial variance exists among racial and ethnic subgroups regarding satisfaction with the dependent measures. Due to low numbers of minority health care physicians, previous studies have commonly measured physician job satisfaction aggregately, failing to differentiate cultural groups. Interestingly, when minority and non-minority groups were aggregately juxtaposed, no significant differences were reported in the data. However, when satisfaction was measured contrasting minority subgroupings with that of non-minority physicians, significant variations emerged from the data set. This study contributes to understanding better the organizational experiences of minority physicians in healthcare and the body of knowledge concerning minority health research as a whole.
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Date Issued
2005
Identifier
CFE0000502, ucf:46454
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0000502