Workload pressure and job strain among medical officers in health clinics, Kelantan

Kamaruzaman, Ahmad Zulfahmi Mohd (2019) Workload pressure and job strain among medical officers in health clinics, Kelantan. Masters thesis, Universiti Sains Malaysia.

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Background: Proper distribution of human resources and job strain control are among the important factors to ensure high quality performance and sustain quality of the services. The aim of this study is to determine the workload pressure and job strain among medical officers in health clinics (HCs), Kelantan, and the correlation between these two factors. Methods: This study was a combination of record review survey using human resources data of year 2018 involving HCs in Kelantan and cross-sectional survey on job strain among medical officers in HCs. The study was conducted between January and April 2019 and implemented using clustered random sampling as all HCs in seven districts in Kelantan were chosen (Kota Bharu, Tumpat, Pasir Mas, Tanah Merah, Bachok, Pasir Puteh, and Machang). Firstly, the workload pressure was determined by using Workload Indicator of Staffing Needs (WISN), developed by World Health Organisation (WHO). It was considered high workload pressure when ratio between required and acquired medical officers less than one. Meanwhile, medical officers from those HCs were given the Malay version of validated Job Content Questionnaire (JCQ) in order to investigate job strain. There were three components investigated and two of them; decision latitude and psychological demand were applied to define job strain. The data was presented descriptively using mean and standard deviation as well as frequency and percentage upon the type of variables. Next, workload pressure and JCQ scales were correlated to find the association. Results: A total of 85 HCs were involved in the study. Our findings indicated that 58 (68.2%) of HCs in Kelantan acquired high workload pressure. Tanah Merah, Tumpat, Pasir Mas and Kota Bharu had the most HCs with high workload pressure. The prevalence of high strain among medical officers in HCs was 22%. The correlation matrixes descriptively appreciated that workload pressure was associated with job strain. However, we found that there was no significant correlation between them. Conclusion: Majority of HCs in Kelantan had high workload pressure and concurrently 22% their medical officers were having high job strain. Existence of both factors exert great harm to the quality of health deliveries especially in Kelantan.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Occupational stress
Subjects: R Medicine
Divisions: Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Thesis
Depositing User: Mr Abdul Hadi Mohammad
Date Deposited: 16 Aug 2021 04:01
Last Modified: 02 Sep 2021 04:28

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