Job Satisfaction and Intentions to Leave of Foreign-National Urologists Working at German Hospitals: Results of the Cross-Sectional EUTAKD Study

Author:

Braun Kay-Patrick,Shaar Mohammad,Gumz Antje,Shaar Atef,Pantenburg Birte,Deutsch Sebastian,Lebentrau Steffen,May Matthias

Abstract

<b><i>Background:</i></b> Studies exist that identify factors associated with higher professional satisfaction among clinicians. However, there are no reliable findings for clinicians with a migration background as to whether there is a correlation between particular dimensions of professional satisfaction and the desire to leave their current specialty or country of employment. For the first time, these data were collected within a questionnaire-based study from urological clinicians with a migration background (UCMBs) working in Germany. <b><i>Material and Methods:</i></b> A SurveyMonkey<sup>®</sup> with 101 items relating to characterizing features of the study participants and questions about job satisfaction (<i>n</i> = 39) was opened for UCMBs between August and October 2020. The influence of different dimensions of job satisfaction on the desire to quit the urological specialty/leave Germany was analyzed (group A: neither want to leave urology nor Germany; group B: can at least imagine leaving the urological profession and/or Germany). <b><i>Results:</i></b> Eighty-one UCMBs were distributed almost equally in groups A (50.6%) and B (49.4%). Occupational satisfaction was higher in several respects in group A. Three dimensions that differed significantly with regard to occupational satisfaction were used to create an aggregate score ranging from 3 to 15 points as follows: (1) relationship to superiors (<i>p</i> = 0.014), (2) career opportunities in the clinic (<i>p</i> &#x3c; 0.001), and (3) opportunities for the further development of surgical skills (<i>p</i> = 0.006). For each point value of this aggregate score, the UCMB’s desire to quit urology or leave Germany (or at least uncertainty about this question) decreased by a relative value of 34.6% (odds ratio: 0.654, 95% confidence interval: 0.496–0.861, <i>p</i> = 0.002). <b><i>Conclusions:</i></b> Various dimensions of job satisfaction have been identified, the improvement of which could contribute to the long-term retention of UCMBs at German urological clinics.

Publisher

S. Karger AG

Subject

Urology

Reference3 articles.

1. Koch P, Zilezinski M, Schulte K, Strametz R, Nienhaus A, Raspe M. How perceived quality of care and job satisfaction are associated with intention to leave the profession in young nurses and physicians. Int J Environ Res Public Health. 2020 Apr 15;17(8):2714.

2. May M. Zufriedenheit ausländischer Ärzte in den urologischen Kliniken Deutschlands. Uro-News. 2020;24(9):30.

3. Domagała A, Bała MM, Peña-Sánchez JN, Storman D, Świerz MJ, Kaczmarczyk M, et al. Satisfaction of physicians working in hospitals within the European Union: state of the evidence based on systematic review. Eur J Public Health. 2019 Apr 1;29(2):232–41.

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