What question did this study set out to answer?

The study aims to identify factors related to satisfactory quality of work life (QoWL) among resident physicians in a hospital setting.

April 16, 2026Cureus0 citationsOpen Access

Quality of Work Life of Medical Residents: Evaluation of Positive Learning and Working Environment in a Tertiary Hospital

JSJessica Estefania Silva-GuzmanCentro Médico ABC LPLino Palacios-CruzInstituto Nacional de Psiquiatría RRRodolfo Rivas-RuizMexican Social Security Institute

Key Points

The study aims to identify factors related to satisfactory quality of work life (QoWL) among resident physicians in a hospital setting.
Conducted an analytical cross-sectional study with 210 resident physicians.
Measured QoWL using the CVT-GOHISALO instrument evaluating seven domains through 74 items.
Defined satisfactory QoWL as a McCall T-score ≥60.
Collected additional data via the Epidemiological Survey of Quality and Life at Work.
Employed bivariate and multivariate logistic regression analyses to identify predictors.
71.9% of residents reported satisfactory QoWL.
Identified significant protective factors: not smoking (OR = 6.88), work environment free of extreme temperatures (OR = 5.12), adequate space distribution (OR = 4.17), and absence of work-related stress (OR = 7.34).
Environmental factors, especially temperature control and spatial layout, were the strongest predictors of satisfactory QoWL.

Abstract

Background Quality of work life (QoWL) is a construct assessing the relationship between working conditions and employee well-being. Resident physicians are a vulnerable group due to high-risk hospital environments and demanding academic-labor dualities. This study is based on the premise that “it is impossible to prevent or optimize what has not been measured.” This study aimed to characterize and identify the environmental, organizational, and personal factors associated with a satisfactory QoWL among resident physicians in a tertiary care hospital. Methodology An analytical cross-sectional study was conducted among 210 resident physicians. QoWL was measured using the validated CVT-GOHISALO instrument, which evaluates seven multidimensional domains through 74 items. The primary outcome, “satisfactory QoWL,” was defined as a McCall T-score ≥60. Additional data on clinical and occupational history were collected via the Epidemiological Survey of Quality and Life at Work. Bivariate analyses and a multivariate logistic regression model (backward stepwise method) were employed to identify independent predictors, with model fitness assessed via the Akaike information criterion. Results Of the 210 residents, 151 (71.9%) reported a satisfactory QoWL. Multivariate analysis identified the following as significant protective factors: not smoking (odds ratio (OR) = 6.88, 95% confidence interval (CI) = 1.99-23.85), a work environment free of extreme temperatures (OR = 5.12, 95% CI = 1.49-17.63), adequate space distribution (OR = 4.17, 95% CI = 1.40-12.39), and the absence of work-related stress (OR = 7.34, 95% CI = 2.56-21.02). Conclusions This study demonstrates that specific environmental factors, primarily temperature control and spatial layout, alongside the mitigation of work-related stress, are the strongest predictors of a satisfactory QoWL. To foster a culture of prevention, hospital administrations should prioritize ergonomic workplace modifications and implement psychological support.

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