Associations between stress at work and attitudes towards retirement in hospital physicians

Abstract

There is a need to understand the associations between attitudes towards retirement in specific occupations and various psychosocial and work-related factors. This study identified correlates of retirement thoughts and retirement preference in hospital physicians. The sample comprised 447 (251 male and 196 female) physicians from three hospital districts in Finland. After adjustment for gender, age and salary, minor psychiatric morbidity increased likelihood of retirement thoughts and retirement preference. Retirement thoughts and retirement preference were more common in doctors reporting low job control, poor teamwork and unjust supervision than in doctors perceiving their working conditions more favorably. Work preference was associated with high overwork. The associations of work characteristics with retirement thoughts and retirement preference largely persisted after control for indicators of health and social circumstances. In conclusion, in addition to demographic and financial factors and health, retirement attitudes in hospital physicians seem to be related to organizational and managerial factors that are potentially amendable to intervention. This has implications for retaining hospital physicians who might otherwise retire.     

Penalized likelihood inference in extreme value analyses

Models for extreme values are usually based on detailed asymptotic argument, for which strong ergodic assumptions such as stationarity, or prescribed perturbations from stationarity, are required. In most applications of extreme value modelling such assumptions are not satisfied, but the type of departure from stationarity is either unknown or complex, making asymptotic calculations unfeasible. This has led to various approaches in which standard extreme value models are used as building blocks for conditional or local behaviour of processes, with more general statistical techniques being used at the modelling stage to handle the non-stationarity. This paper presents another approach in this direction based on penalized likelihood. There are some advantages to this particular approach: the method has a simple interpretation; computations for estimation are relatively straightforward using standard algorithms; and a simple reinterpretation of the model enables broader inferences, such as confidence intervals, to be obtained using MCMC methodology. Methodological details together with applications to both athletics and environmental data are given.     

Job demands and job control as correlates of early retirement thoughts in Finnish social and health care employees

Given the ageing workforce, there is an increasing interest in understanding the retirement process. This study examined whether early retirement thoughts can be explained by job demands, job control and their interaction, a hypothesis derived from the job demand-control model of Karasek (). The moderated hierarchical regression analyses of early retirement thoughts were based on a sample of 274 male and 2798 female employees aged 20 to 65 years in Finnish social and health care. Our results suggest that job demands and job control are independent predictors of early retirement thoughts even when adjusted for age, gender, educational level and self-rated health. Furthermore, our results offered support for the interaction effect of job demands and job control on early retirement thoughts. Among people over 45 years old, these associations were even stronger, compared to the whole sample. This indicates that one way to reduce the number of people taking early retirement would be to put the emphasis on psychosocial factors, such as job control, affecting the older workers.     

Summer temperature effects on deaths and hospital admissions among the elderly population in two Italian cities

In developed countries the effects of climate on health status are mainly due to temperature. Our analysis is aimed to deepen statistically the relationship between summer climate conditions and daily frequency of health episodes: deaths or hospital admissions. We expect to find a U-shaped relationship between temperature and frequencies of events occurring in summer regarding the elderly population resident in Milano and Brescia. We use as covariates hourly records of temperature recorded at observation sites located in Milano and Brescia. The analysis is performed using Generalized Additive Models (GAM), where the response variable is the daily number of events, which varies as a possibly non-linear function of meteorological variables measured on the same or previous day. We consider separate models for Milano and Brescia and then we compare temperature effects among the two towns and among different age classes. Moreover we consider separate models for all diagnosed events, for those due to respiratory disease and those due to circulatory pathologies. Model selection is a central problem, the basic methods used are the UBRE and GCV criteria but, instead of conditioning all final conclusions on the best model according to the chosen criterion, we investigated the effect of model selection by implementing a bootstrap procedure.     

Sad and Lonely? Sad Mood Suppresses Facial Mimicry

The aim of the current study was to investigate the influence of happy and sad mood on facial muscular reactions to emotional facial expressions. Following film clips intended to induce happy and sad mood states, participants observed faces with happy, sad, angry, and neutral expressions while their facial muscular reactions were recorded electromyografically. Results revealed that after watching the happy clip participants showed congruent facial reactions to all emotional expressions, whereas watching the sad clip led to a general reduction of facial muscular reactions. Results are discussed with respect to the information processing style underlying the lack of mimicry in a sad mood state and also with respect to the consequences for social interactions and for embodiment theories.     

Associations between stress at work and attitudes towards retirement in hospital physicians

There is a need to understand the associations between attitudes towards retirement in specific occupations and various psychosocial and work-related factors. This study identified correlates of retirement thoughts and retirement preference in hospital physicians. The sample comprised 447 (251 male and 196 female) physicians from three hospital districts in Finland. After adjustment for gender, age and salary, minor psychiatric morbidity increased likelihood of retirement thoughts and retirement preference. Retirement thoughts and retirement preference were more common in doctors reporting low job control, poor teamwork and unjust supervision than in doctors perceiving their working conditions more favorably. Work preference was associated with high overwork. The associations of work characteristics with retirement thoughts and retirement preference largely persisted after control for indicators of health and social circumstances. In conclusion, in addition to demographic and financial factors and health, retirement attitudes in hospital physicians seem to be related to organizational and managerial factors that are potentially amendable to intervention. This has implications for retaining hospital physicians who might otherwise retire.     

Exploring new ways of inservice teacher education: an action research project

The starting point of the paper is that there is a need to develop new ways of in service teacher education and to examine the nature of the university ‐ school partnerships in school development. In service teacher education needs to be participatory, based on a long‐term commitment to work together, moving from traditional teacher isolation towards a new, collaborative school culture. An essential idea in school development is that teachers take charge of curriculum development through an action research orientation. The process can be facilitated by university researchers in a relationship that is based on an equal status of the participants and mutual trust. These possibilities are explored in the OK school development project (1994‐98), conducted in collaboration with the University of Tampere and six schools in the Tampere region. The paper discusses the design of the project with reference to supporting the teacher's professional development towards interactive professionalism.     

Work, family and intentions to withdraw from the workplace

In this article, municipal workers' experience of the relationship between family and work in Finland is analysed. The relationship between the reconciliation of family life and work, and intentions to change jobs or industry or to withdraw from work, are also investigated. Results show that the negative effect of work on family life is more common than the spillover effect of family life on work. Demanding jobs, job insecurity, working as a supervisor, having children, being a single parent, and having informal care responsibilities were found to be risk factors for the challenge of reconciling work and family. Difficulties in reconciling work and family were found to be connected to plans to change jobs or industry and intentions to withdraw from work. It can be concluded that the work−family relationship is an important determinant of the supply of labour.     

Training professionalisation and SME performance

ABSTRACT

This paper examines how SMEs organize their training process, the extent to which they apply training practices that are well-grounded in literature, and how these impact upon their performance. To evaluate the training process, the concept of ‘training professionalization’ was applied to identify the scope and specificity of actions undertaken. This mostly refers to formal training which should consist of needs assessment, planning, execution and evaluation. This article presents the results of research conducted on a group of 100 Polish SMEs. The research design made it possible to evaluate training professionalization and verify interdependence between training professionalization level and business outcomes. Data analysis confirmed that the training process in SMEs is generally underdeveloped; only in a few companies is it executed according to the models and procedures discussed in the literature. However, it was statistically supported that companies executing training processes according to theoretical models reported higher outcomes and an increase in almost all evaluated performance indicators.     

A note on empirical likelihoods derived from pairwise score functions

Pairwise likelihood functions are convenient surrogates for the ordinary likelihood, useful when the latter is too difficult or even impractical to compute. One drawback of pairwise likelihood inference is that, for a multidimensional parameter of interest, the pairwise likelihood analogue of the likelihood ratio statistic does not have the standard chi-square asymptotic distribution. Invoking the theory of unbiased estimating functions, this paper proposes and discusses a computationally and theoretically attractive approach based on the derivation of empirical likelihood functions from the pairwise scores. This approach produces alternatives to the pairwise likelihood ratio statistic, which allow reference to the usual asymptotic chi-square distribution and which are useful when the elements of the Godambe information are troublesome to evaluate or in the presence of large data sets with relative small sample sizes. Two Monte Carlo studies are performed in order to assess the finite-sample performance of the proposed empirical pairwise likelihoods.