Resources and facilitators of workplace well-being among healthcare professionals in a hospital setting -results of a qualitative interview study

Julia Berschick^1,2*Judith Czakert^1,2*Anna Koch^1,2Marleen Schröter^1,2Melanie Steinmetz^1,2Martin Bogdanski^1,2Julia Katharina Schiele^1,2Christian S. Kessler^1,3,4Georg Seifert^1,2Wiebke Stritter^1,2

• ¹Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charité Competence Center for Traditional and Integrative Medicine (CCCTIM), Augustenburger Platz 1, 13353 Berlin, Germany, Germany
• ²Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Pediatric Oncology and Hematology, Berlin, Germany
• ³Department of Internal and Integrative Medicine, Immanuel Krankenhaus, Berlin, Germany
• ⁴Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Social Medicine, Epidemiology and Health Economics, Charité Platz 1, Berlin, Germany

1) Background: Working in a hospital setting can be rewarding but also represents a demanding and often stressful work environment due to personnel shortage and high work volumes among others. A considerable body of literature addresses the adverse effects of working conditions that often result in poor well-being of medical professionals. This work moves from a problem-centered approach towards resilience-focused pathways. It does so by focusing on (self-reported) individual and organizational resources and facilitators of workplace well-being through medical professionals' ability to perceive and engage with capacities within a demanding work environment. (2) Methods: This paper is based on a qualitative study in which data was collected in two different German hospitals through interviews with medical doctors, nurses and medical assistants. Data was analyzed through inductive-deductive qualitative content analysis. (3) Results: Our findings show a variety of resources in 4 domains overarching individual solution-oriented mindset constitutions, success-driven behaviors, sense of meaning as well as resource-enhancing environmental factors. Healthcare professionals show diverse individual strategies and behavioral patterns to build resilience and foster proactive approaches to deal with challenges and high-pressure situations. (4) Conclusions: Beneficial influencing factors could be identified that reveal underlying processes and opportunities to prevent negative health-related outcomes. The findings provide valuable insights into specific individual coping strategies and attitudes that appear to be associated with resourcefulness. Information is provided to institutionally and individually support a successful management of a health professionals' work life.