Predictors of professional quality of life among physicians in a conflict setting: the role of risk and protective factors.

BACKGROUND

Unlike other places in the western world, Israeli physicians are prone to be exposed to victims of terror and war (soldiers and civilians alike), while in some cases the patients are close friends or relatives. Moreover, in other armed conflict situations (stemming from war or terror), there is a direct threat to the physician's life and his/her family. Among hospital personnel, there is little research concerning the factors associated with aspects of professional quality of life such as burnout, compassion fatigue, and compassion satisfaction.

AIM: The current study compared a set of risk and protective factors associated with burnout, compassion fatigue, and compassion satisfaction.

METHODS

The sample consisted of 97 physicians who answered a wide battery of questionnaires tapping to the aforementioned factors that served as predictive variables (age, gender, marital status, PTSD symptoms, depressive symptoms, dissociative symptoms, life satisfaction, perceived self-efficacy, perceived family support) using multiple regressions.

RESULTS

The study results showed that higher levels of PTSD symptoms were associated with higher levels of compassion fatigue (β = .594; t = 4.419; p <.001). A higher level of life satisfaction was associated with lower burnout (β = -.436; t = -4.293; p <.001). The same results were found also in lower level of perceived family support (β = -.203; t = -2.533; p <.05), and higher level of perceived self-efficacy was associated with higher burnout (β = .298; t = 2.702; p <.01). Finally, a higher level of life satisfaction was associated with higher compassion satisfaction (β = .493; t = 4.419; p <.001).

CONCLUSION

These results may suggest that life satisfaction is a predictor associated with burnout and compassion satisfaction. These results are viewed in light of the importance of life satisfaction as a barrier against burnout and its implication for physicians and hospital policy.