Growth, Stress, and Workplace Atmosphere Among Physiotherapists in Japan

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Koji IKEDA, Yoshiyuki YOSHIKAWA, Yasutomo JONO, Yuki NODA, Koji TAKIMOTO
Purpose:

This study explored the interrelations between professional growth, stress, and workplace atmosphere among PTs in Japan.

Methods:

A self-administered online questionnaire (Google Forms) was used to collect data from 357 PTs. The survey assessed variables such as sex, facility characteristics (medical, long-term care, education, or research), perceived opportunities for personal growth, current stress levels, and subjective assessments of the workplace atmosphere. Stress levels were rated on a four-point scale (1–4, with higher values indicating higher stress). Workplace atmosphere was measured across ten dimensions: brightness, excitement, warmth, strictness, honesty, openness, diligence, passion, cooperativeness, and autonomy. Further, each dimension is rated on the same four-point scale. Mood factors were compared across three conditions: during periods of perceived personal growth, high stress (Level 4), and low stress (Level 1). Statistical analyses were conducted using the Kruskal–Wallis rank sum test and Steel-Dwass’s multiple comparison test, with significance set at p 0.05.



Results:

Of the participants, 263 were men, 91 were women, and three did not specify their sex. The distribution of facility types was as follows: medical (55.5%), long-term care (22.1%), education or research (12.9%), and others (9.5%). The median values for each of the ten mood dimensions, during periods of personal growth, high stress (18% of total participants), and low stress (8% of total participants), were as follows: brightness (3, 2, 4), excitement (3, 2, 4), warmth (3, 2, 4), strictness (3, 2, 2), honesty (4, 2, 3), openness (3, 2, 3), diligence (3, 2, 3), passion (3, 2, 3), cooperativeness (3, 2, 4), and autonomy (3, 2, 3), respectively. Significant differences were identified across all 10 dimensions of workplace atmosphere under the three conditions (p 0.05). Specifically, honesty and strictness were markedly higher during personal growth periods than under stressful conditions (p 0.05). Additionally, brightness, excitement, warmth, and cooperativeness were significantly higher during low-stress periods, while cooperativeness was highly significant during high-stress periods (p 0.05). 



Conclusion(s):

The findings suggest that honesty and strictness are central to PTs’ perceptions of personal growth, whereas brightness, excitement, warmth, and a cooperative atmosphere are crucial for reducing stress. Consequently, cultivating an environment characterized by honesty and strictness may promote professional development and foster a bright, exciting, warm, and cooperative atmosphere that can alleviate their stress. Although this study relied on subjective perceptions of the workplace atmosphere and did not directly measure job performance or the multifaceted nature of workplace stress, the results offer valuable insights for fostering a positive and supportive workplace environment.



Implications:

Honesty and strictness enhance PTs’ sense of personal growth, whereas cultivating a bright, exciting, warm, and cooperative atmosphere effectively mitigates stress.

Funding acknowledgements:
This study was supported by JSPS Kakenhi (Grant Number JP21K02842).
Keywords:
Physiotherapists
Workplace atmosphere
Growth
Primary topic:
Professional issues: business skills, leadership, advocacy and change management
Second topic:
Professional issues
Third topic:
Education: continuing professional development
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
the ethics committee of Naragakuen University
Provide the ethics approval number:
4-H033
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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