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Oncology Surgeons' Work Motivation, Organizational Cynicism, and Risk Factors: Associations With Patient Mortality

Cemre Eda Erkılıç1, Nihan Potas1, Osman Şahman2

  • 1Department of Healthcare Management, Faculty of Economics and Administrative Sciences, Ankara Hacı Bayram Veli University, Ankara, Türkiye.

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Organizational cynicism and certain work motivations impact patient mortality among oncology surgeons. Reducing cynicism and fostering autonomous motivation can enhance patient safety.

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Area of Science:

  • Medical sociology
  • Healthcare management
  • Surgical oncology

Background:

  • Psychosocial factors influence clinical outcomes.
  • Oncology surgeons are crucial for patient safety due to high-risk procedures.
  • Understanding surgeon-specific factors is vital for patient mortality reduction.

Purpose of the Study:

  • To investigate the relationship between organizational cynicism, work motivation, and patient mortality in oncology surgeons.
  • To identify demographic and professional characteristics associated with patient mortality.
  • To inform strategies for improving patient safety in surgical oncology.

Main Methods:

  • Cross-sectional, descriptive study design adhering to STROBE guidelines.
  • Data collected via face-to-face interviews with 107 oncology surgeons in Türkiye.
  • Utilized the Multidimensional Work Motivation Scale (MWMS) and Organizational Cynicism Scale (OCS).

Main Results:

  • Increased cognitive cynicism and identified regulation were significantly associated with higher patient mortality rates.
  • Increased intrinsic motivation was significantly associated with lower patient mortality rates.
  • Gender and managerial position also showed associations with clinical outcomes.

Conclusions:

  • Organizational cynicism and specific work motivation types are linked to patient mortality in oncology surgery.
  • Interventions aimed at reducing organizational cynicism and promoting autonomous motivation may improve patient safety.
  • These findings highlight the importance of psychosocial factors in surgical patient outcomes.