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 Health  Vol.9 No.1 , January 2017
Utilization of Consultant Doctors’ Competence and Impact on Perceived Psychosocial Work Environment: A Pilot Study
Abstract: Background: Work agencies that assign temporary jobs to doctors and nurses are becoming an increasing phenomenon. Aim: The purpose of this pilot study was to explore how consultant doctors (CDs) experience their competence as utilized in practice and what impact this has on their perceived psychosocial work environment. Methods: The findings are based on 11 interviews with CDs working on consultancy assignments in Norway. The CDs were all specialists in fields such as general practice, psychiatry, anesthesia, gynecology, orthopedics, and otolaryngology. Results: The competence that the CDs contributed to their hosting work organization was interpreted differently based on whether the consultant played an active role in the psychosocial work environment and also depended on the doctor’s specialty. Not being integrated into the hosting work organization enhanced the feeling of exclusion and the idea that little or no room was available to contribute one’s competence. Most of the CDs experienced their competence as being utilized to a certain extent, which strengthened their work satisfaction and feeling of playing an active role in the psychosocial work environment.
Cite this paper: Augustsson, G. , Ekelund-Book, T. and Landstad, B. (2017) Utilization of Consultant Doctors’ Competence and Impact on Perceived Psychosocial Work Environment: A Pilot Study. Health, 9, 189-207. doi: 10.4236/health.2017.91013.
References

[1]   Augustsson, G. (2014) Temporary and Regular Workers Fulfill Their Tasks Side-by- Side, but in Different Learning Conditions. Journal of Workplace Learning, 26, 79- 90.
https://doi.org/10.1108/JWL-06-2013-0037

[2]   Augustsson, G. (2016) The Client Company Marginally Utilises the Knowledge of Highly Skilled Temporary Staff. Journal of Education and Work, 29, 519-539.
https://doi.org/10.1080/13639080.2014.997681

[3]   Domanders, E., Engcrantz, S. and Lindley-Nord, M. (2013) Hyrläkare räddar sjuk- vården [Consultant Doctors Rescues Healthcare]. Dagens samhälle, Debatt.
http://www.dagenssamhalle.se/debatt/hyrlaekare-raeddar-sjukvarden-5260

[4]   Håkansson, K., Isidorsson, T. and Strauss-Raats, P. (2013) Kunskapssammanstäl- lning: Arbetsmiljö för hyresarbetskraft: Inhyrdas fysiska och psykosociala arbets- miljö [Knowledge Compilation, Work for Rented Personnel—Rented’s Physical and Psychosocial Work Environment]. Arbetsmiljöverket, Stockholm.

[5]   Håkansson, K. and Isidorsson, T. (2012) Work Organizational Outcomes of the Use of Temporary Agency Workers. Organization Studies, 33, 487-505.
https://doi.org/10.1177/0170840612443456

[6]   Foss, N.J. and Knudsen, C., Eds. (1996) Towards a Competence Theory of the Firm. Routledge, London.

[7]   Karlson, N. and Fergin, E. (2013) Vad är kompetens? [What Is Competence?] Rapport nr 6, RATIO, Stockholm.
http://ratio.se/media/212607/vad_%C3%A4r_kompetens__rapport_nr_6.pdf

[8]   Karlsson, M.L., Björklund, C. and Jensen, I. (2012) The Relationship between Psychosocial Work Factors, Employee Health and Organizational Production—A Systematic Review. IFAU, Institute for Evaluation of Labour Market and Education Policy, Working Paper.
http://www.ifau.se/Upload/pdf/se/2012/wp12-08-The-relationship-between-psychosocial
-work-factors-employee-health-and-organisational-production.pdf


[9]   Jönsson, S. (2012) Psychosocial Work Environment and Prediction of Job Satisfaction among Swedish Registered Nurses and Physicians—A Follow up Study. Scandinavian Journal of Caring Sciences, 26, 236-244.
https://doi.org/10.1111/j.1471-6712.2011.00924.x

[10]   Michie, S. and Williams, S. (2003) Reducing Work Related Psychosocial Ill Health and Sickness Absence: A Systematic Literature Review. Occupational and Environmental Medicine, 60, 3-9.
https://doi.org/10.1136/oem.60.1.3

[11]   Standing, G. (2013) Prekariatet. Den nya farliga klassen [The Precariat. The New Dangerous Class]. Daidalos, Göteborg.

[12]   Mechanic, D. (2003) Physician Discontent, Challenges and Opportunities. JAMA, 290, 941-946.
https://doi.org/10.1001/jama.290.7.941

[13]   Säljö, R. (2000) Lärande i praktiken: Ett sociokulturellt perspektiv [Learning in Practice: A Socio-Cultural Perspective]. Norstedts, Stockholm.

[14]   Currie, G. and White, L. (2012) Inter-Professional Barriers and Knowledge Brokering in an Organizational Context: The Case of Healthcare. Organization Studies, 33, 1333-1361.
https://doi.org/10.1177/0170840612457617

[15]   Beckett, D. and Hager, P. (2000) Making Judgments as the Basis for Workplace Learning: Towards an Epistemology of Practice. International Journal of Lifelong Education, 19, 300-311.

[16]   Ellström, P.-E. and Kock, H. (2009) Competence Development in the Workplace. Concepts, Strategies and Effects. In: Illeris, K., Ed., International Perspectives on Competence Development: Developing Skills and Capabilities, Routledge, London, 34-54.

[17]   Ellström, P.-E. (1992) Kompetens, utbildning och lärande i arbetslivet: Problem, begrepp och teoretiska perspektiv [Competence, Training and Learning at Work: Problems, Concepts, and Theoretical Perspectives]. Publica, Stockholm.

[18]   Ellström, P.-E. (1997) The Many Meanings of Occupational Competence and Qualification. Journal of European Industrial Training, 21, 266-273.
https://doi.org/10.1108/03090599710171567

[19]   Gherardi, S. and Nicolini, D. (2000) To Transfer Is to Transform: The Circulation of Safety Knowledge. Organization, 7, 329-348.
https://doi.org/10.1177/135050840072008

[20]   Sandberg, J. (2000) Understanding Human Competence: An Interpretative Approach. Academy of Management Journal, 43, 9-25.
https://doi.org/10.2307/1556383

[21]   Wenger, E. (1998) Communities of Practice: Learning, Meaning, and Identity. Cambridge University Press, Cambridge.
https://doi.org/10.1017/CBO9780511803932

[22]   Billett, S. (2004) Co-Participation at Work: Learning through Work and throughout Working Lives. Studies in the Education of Adults, 36, 190-205.
https://doi.org/10.1080/02660830.2004.11661496

[23]   Billett, S. (2008) Learning through Work: Exploring Instances of Relational Interdependencies. International Journal of Educational Research, 47, 232-240.
https://doi.org/10.1016/j.ijer.2008.07.006

[24]   Brown, J.S. and Duguid, P. (1991) Organizational Learning and Communities- of-Practice: Toward a Unified View of Working, Learning, and Innovation. Organi- zation Science, 2, 40-57.
https://doi.org/10.1287/orsc.2.1.40

[25]   Aronsson, G., Hellgren, J., Isaksson, K., Johansson, G., Sverke, M. and Torbiörn, I. (2012) Arbets-och organisationspsykologi: Individ och organisation i samspel [Work and Organizational Psychology: Individual and Organization in Interaction]. Natur and Kultur, Stockholm.

[26]   Johnson, J.V. and Hall, E.M. (1988) Job Strain, Work Place Social Support, and Cardiovascular Disease: A Cross-Sectional Study of a Random Sample of the Swedish Working Population. American Journal of Public Health, 78, 1336-1342.
https://doi.org/10.2105/AJPH.78.10.1336

[27]   Karasek, R. and Theorell, T. (1990) Healthy Work: Job Stress, Productivity and the Reconstruction of Working Life. Basic Books, New York.

[28]   Edvardsson, B., Larsson, G. and Setterlind, S. (1997) Internal Service Quality and the Psychosocial Work Environment: An Empirical Analysis of Conceptual Interrelatedness. The Service Industries Journal, 17, 252-263.
https://doi.org/10.1080/02642069700000014

[29]   Venkataramani, V., Labianca, G. and Grosser, T. (2013) Positive and Negative Workplace Relationships, Social Satisfaction, and Organizational Attachment. Jour- nal of Applied Psychology, 98, 1028-1039.
https://doi.org/10.1037/a0034090

[30]   Kivimäki, M., Vahtera, J., Elovainio, M., Keltikangas-Järvinen, L., Virtanen, M., Hintsanen, M., Väänänen, A., Singh-Manoux, A. and Ferrie, J.E. (2008) What Are the Next Steps for Research on Work Stress and Coronary Heart Disease? Scandinavian Journal of Work, Environment and Health Supplement, 6, 33-40.

[31]   Eller, N.H., Netterstrøm, B., Gyntelberg, F., Kristensen, T.S., Nielsen, F., Steptoe, A. and Theorell, T. (2009) Work-Related Psychosocial Factors and the Development of Ischemic Heart Disease: A Systematic Review. Cardiology in Review, 17, 83-97.
https://doi.org/10.1097/CRD.0b013e318198c8e9

[32]   De Lange, A.H., Taris, T.W., Kompier, M.A.J., Houtman, I.L.D. and Bongers, P.M. (2003) The Very Best of the Millennium: Longitudinal Research and the Demand- Control-(Support) Model. Journal of Occupational Health Psychology, 8, 282-305.
https://doi.org/10.1037/1076-8998.8.4.282

[33]   Bowe, B. and Sloan, A. (2014) Phenomenology and Hermeneutic Phenomenology: The Philosophy, the Methodologies, and Using Hermeneutic Phenomenology to Investigate Lecturers’ Experiences of Curriculum Design. Quality and Quantity, 48, 1291-1303.
https://doi.org/10.1007/s11135-013-9835-3

[34]   Burnard, P. (1996) Teaching the Analysis of Textual Data: An Experiental Approach. Nurse Education Today, 16, 278-281.
https://doi.org/10.1016/S0260-6917(96)80115-8

[35]   Van Wiijk, R., Jansen, J.J.P. and Lyles, M.A. (2008) Inter- and Intra-Organizational Knowledge Transfer: A Meta-Analytic Review and Assessment of Its Antecedents and Consequences. Journal of Management Studies, 45, 830-853.
https://doi.org/10.1111/j.1467-6486.2008.00771.x

[36]   Bogue, R.J., Guarneri, J.G., Reed, M., Bradley, K. and Hughes, J. (2006) Secrets of Physician Satisfaction. Study Identifies Pressure Points and Reveals Life Practices of Highly Satisfied Doctors. The Physician Executive, 32, 30-38.

[37]   Augustsson, G. (2012) The Organizational Control of Temporary Workers: An Interview Study in Sweden. International Journal of Management, 29, 48-63.

[38]   Elias, N. and Scotson, J.L. (1994) The Established and the Outsiders: A Sociological Enquiry into Community Problems. 2nd Edition, Sage, London.

 
 
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