Illegitimate tasks in health care: Illegitimate task types and associations with occupational well-being.

AIMS AND OBJECTIVES The aims of the study were to identify content categories of unreasonable and unnecessary illegitimate tasks and to investigate how unreasonable and unnecessary tasks relate to occupational wellbeing. BACKGROUND Illegitimate tasks are a common stressor among healthcare professionals, and they have been shown to have negative associations with occupational well-being. Despite this evidence, research has not yet uncovered what kinds of tasks healthcare professionals consider illegitimate. DESIGN AND METHOD The data gathered by means of an online survey consisted of 1024 municipal healthcare organisation employees. A theory-driven qualitative content analysis was used to analyse freely reported illegitimate tasks. For occupational well-being associations, a mixed-methods approach was used (ANCOVA and linear regression analysis). The STROBE statement-checklist for cross-sectional studies was used. RESULTS Eight content categories were found for illegitimate tasks. For unreasonable tasks, these were (1) tasks outside one's occupational role (78% of all unreasonable tasks), (2) conflicting or unclear demands (9%), (3) tasks with insufficient resources (8%) and (4) tasks with difficult consequences (5%), and for unnecessary tasks, these were (1) impractical or outdated working habits (31% of all unnecessary tasks), (2) tasks related to dysfunctional technology (30%), (3) unnecessary procedures (27%) and (4) tasks related to bureaucratic demands (12%). Unreasonable and unnecessary tasks were associated with higher levels of burnout and lower work engagement and the meaningfulness of work. CONCLUSIONS Our findings support the theory that illegitimate tasks are an occupational stressor with negative effects on burnout, work engagement and meaningfulness of work. RELEVANCE TO CLINICAL PRACTICE The study offers insights into the types of tasks health care employees see as illegitimate and highlights the importance of good job design in promoting occupational well-being in health care.