Türkiye, Erzurum ili birinci basamak sağlık kurumlarında görev yapan hekimlerin tükenmişlik sendromu, iş doyumu düzeyleri ve ilişkili faktörler

Öz

Amaç: Bu çalışmanın amacı, Erzurum ilindeki pratisyen hekimler arasında tükenmişlik ve iş doyumu düzeylerini ve ilişkili faktörleri belirlemektir. 

Yöntemler: Erzurum'da 2012 yılında birinci basamakta çalışan 253 doktordan, 246 tanesi çalışmaya dahil edilmiştir. Veriler Kişisel Bilgi Formu, Maslach Tükenmişlik Ölçeği (MTÖ) ve Minnesota İş Doyumu Ölçeği (MİDÖ) kullanılarak toplanmıştır.

Bulgular: Çalışmaya katılan hekimlerin %72,8’i erkek, %70,7’si evli ve yaş ortalamaları 34,0±5,7 şeklindedir. Mesleğinin toplumda hak ettiği değeri bulduğuna inanmayanlar %92,5 olduğu saptanmıştır. 40 yaş üstü hekimlerin kişisel başarı puanları 29 yaş altındaki doktorlara göre daha düşük bulunmuştur (OR: 2,28, %95 1,50 – 4,92, p=0,03). Düzenli tatil yapmayan hekimlerin düzenli tatil yapmayan hekimlere göre iş doyumu ve kişisel başarı puanları daha yüksektir (p<0,05).

Hekimlerin, MTÖ alt boyutları olan duygusal tükenmişlik, duyarsızlaşma, kişisel başarı puanları sırasıyla %69,1’inde, %75,6’sında ve %79,3’ünda düşük saptanmıştır. Genel iş doyumu puan ortalaması ise %70,6’sında orta düzeyde bulunmuştur.

Sonuç: Birinci basamak sağlık kurumlarında görev yapan hekimlerin 1/3’ünde tükenmişlik ve iş doyumu yüksek bulunmuştur. Bu durum göz önüne alınarak, hekimlerin tükenmişlik düzeylerini azaltmaya, iş doyumu düzeylerini arttırmaya yönelik öneriler yapılmıştır.

Anahtar Kelimeler

• Tükenmişlik,İş memnuniyeti,Doktor,Erzurum

Burnout syndrome, job satisfaction and associated factors among primary health care doctors in Erzurum, Turkey

Abstract

Aim: The aim of this study was to determine burnout and job satisfaction levels and related factors among general practitioners in Erzurum province.  Methods: 246 out of the 253 physicians working in primary health institutions in Erzurum in 2012 were included in the study. Data were collected using a Personal Information Form, the Maslach Burnout Inventory (MBI), and the Minnesota Satisfaction Questionnaire (MSQ). Results: Males represented 72.8% (n=179) of the participating physicians, and 70.7% (n=174) were married. The mean age of the participants was 34.0±5.7 years, and 92.7% (n=228) believed that the profession was not valued as it deserved in the community. We found higher depersonalization scores and lower personal accomplishment scores in physicians aged 29 or less compared to those aged 40 or over (OR: 2.28, 95% 1.50 – 4.92, p=0.03). Job satisfaction and personal accomplishment scores were higher among physicians taking regular vacations, while emotional exhaustion was higher among those not taking regular vacations. (p< 0.05). MBI subscale scores of emotional exhaustion, depersonalization, and personal accomplishment were low, at 69.1%, 75.6%, and 70.3%, respectively. The general job satisfaction score was moderate, at 70.6%. Conclusion: Both burnout and job satisfaction were high in 1/3 of the general practitioners working in primary health care services. Activities to combat physician burnout and motivate health are needed.

Keywords

• Job satisfaction
• Physician
• Burnout
• Erzurum

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