Öz
Amaç: Tükenmişlik
sendromu sağlık çalışanlarında önemli bir sorundur. Bu
çalışma ile birinci ve ikinci basamak sağlık kurumlarında çalışan bir grup
doktorda çalışma yaşam kalitesi ve mesleki tükenmişlik arasındaki ilişkinin
tespit edilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışma
2019 yılında Bingöl ilinde çalışan 119 doktor üstünde yapılmış kesitsel tipte
bir çalışmadır. Anket üç bölümden oluşmaktadır; sosyodemografik bölüm, Maslach
Tükenmişlik Ölçeği, Sağlık Çalışanlarında Yaşam Kalitesi Ölçeği. p<0,05
önemli olarak kabul edilmiştir.
Bulgular: Doktorlarda
duygusal tükenme sıklığının %23,5 duyarsızlaşma sıklığının %11,8’tir. olduğu
bulunmuştur. Kadın, hastanede çalışan,
nöbet tutan ve aylık 218 saatin üstünde çalışan doktorlarda duygusal
tükenmişliğinin daha fazla olduğu, duyarsızlaşmanın il merkezinde çalışanlarda,
nöbet tutanlarda ve aylık 218 saatin üstünde çalışanlarda daha fazla olduğu
bulunmuştur. İş kazası-mesleki hastalık riski, işyerinde ayrımcılık, iş yerinde
stres ve zaman baskısı arttıkça duygusal tükenmen ve duyarsızlaşma artmaktadır.
İşyerinde sürekli gelişme ve iyileştirme fırsatları, sosyal entegrasyon
artarken duygusal tükenme ve duyarsızlaşma azalmakta ve kişisel başarının
artmaktadır. Mesleki tükenmişliğe en fazla katkı yapan işle ilgili faktörünün
iş yerinde stres ve zaman baskısı değişkeni olduğu görülmüştür.
Sonuç:
Tükenmişliğe neden olan işle ilgili faktörler; işyerinde stres ve zaman
baskısı, çalışma saatlerinin fazla olması ve vardiyalı çalışmadır.
Anahtar Kelimeler
mesleki tükenmişlik doktorlar kadın doktorlar depersonalizasyon
Kaynakça
- Referans 1- Bauer J, Häfner S, Kächele H, Wirsching M, Dahlbender RW. The burn-out syndrome and restoring mental health at the working place. Psychother Psychosom Med Psychol. 2003;53(5):213-22. Referans 2- Kobiakova OS, Deev OA, Kulikov ES, Khomiakov KV, Tiufilin DS, Zagromova TA, et al. The factors associated with development of Professional burning-out in physicians. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2019;27(6):967-971. Referans 3- Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, et al. Prevalence of Burnout Among Physicians: A Systematic Review. JAMA. 2018;320(11):1131-1150. Referans 4- Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600-13. Referans 5- Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014;89(3):443-51. Referans 6- Unger JP. Physicians' Burnout (and That of Psychologists, Nurses, Magistrates, Researchers, and Professors) For a Control Program. Int J Health Serv. 2020;50(1):73-81. Referans 7- Süloğlu A. (2009) Diyaliz merkezlerinde çalışan doktor ve hemşirelerde tükenmişlik sendromu. Aile Hekimliği Uzmanlık Tezi. Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi. İstanbul Referans 8- Maslach C, Jackson SE, Leiter MP, Schaufeli WB, Schwab RL. Maslach burnout inventory. Palo Alto, CA: Consulting psychologists press; 1986. Referans 9- Ergin C. Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanması. VII. Ulusal psikoloji kongresi bilimsel çalışmaları. 1992;22:25. Referans 10- Aydın İ, Çelik Y, Uğurluoğlu Ö. Sağlık Personeli Çalışma Yaşam Kalitesi Ölçeği: Geliştirilmesi, Geçerliliği Ve Güvenilirliği. Toplum ve Sosyal Hizmet. 2011;22(2):79-100. Referans 11- Embriaco N, Papazian L, Kentish-Barnes N, Pochard F, Azoulay E. Burnout syndrome among critical care healthcare workers. Curr Opin Crit Care. 2007;13(5):482-488. Referans 12- Brindley PG. Psychological burnout and the intensive care practitioner: A practical and candid review for those who care. J Intensive Care Soc. 2017;18(4):270-275. Referans 13- Stanetić K, Petrović V, Marković B, Stanetić B. The Presence of Stress, Burnout Syndrome and the Most Important Causes of Working Stress Among Physicians in Primary Health Care - an Observational Study from Banja Luka, Bosnia and Herzegovina. Acta Med Acad. 2019;48(2):159-166. Referans 14- Zgliczyńska M, Zgliczyński S, Ciebiera M, Kosińska-Kaczyńska K. Occupational Burnout Syndrome in Polish Physicians: A Systematic Review. Int J Environ Res Public Health. 2019;10:16(24). Referans 15- Purvanova RK, Muros JP. Gender differences in burnout: A meta-analysis. J. Vocat. Behav. 2010;77(2):168-85. Referans 16- Medscape National Physician Burnout, Depression and Suicide Report (2019) Accessed: 13 January 2020 Available: https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056#20 Referans 17- LaFaver K, Miyasaki JM, Keran CM, Rheaume C, Gulya L, Levin KH, et al. Age and sex differences in burnout, career satisfaction, and well-being in US neurologists. Neurology. 2018;91(20):1928-1941. Referans 18- Marchalik D, Brems J, Rodriguez A, Lynch JH, Padmore J, Stamatakis L, et al. The Impact of Institutional Factors On Physician Burnout: A National Study of Urology Trainees. Urology. 2019;131:27–35. Referans 19- Boutou A, Pitsiou G, Sourla E, Kioumis I. Burnout syndrome among emergency medicine physicians: an update on its prevalence and risk factors. Eur Rev Med Pharmacol Sci. 2019;23(20):9058-9065 Referans 20- Goldberg R, Boss RW, Chan L, Goldberg J, Mallon WK, Moradzadeh D, et al. Burnout and its correlates in emergency physicians: four years' experience with a wellness booth. Acad Emerg Med. 1996;3(12):1156-64 Referans 21- Verougstraete D, Hachimi Idrissi S. The impact of burn-out on emergency physicians and emergency medicine residents: a systematic review. Acta Clin Belg. 2019;13:1-23. Referans 22- Bethea A, Samanta D, Kali M, Lucente FC, Richmond BK. The impact of burnout syndrome on practitioners working within rural healthcare systems. Am J Emerg Med. 2019;(19)30456-5. Referans 23- Dubale BW, Friedman LE, Chemali Z, Denninger JW, Mehta DH, Alem A, et al. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health. 2019;19(1):1247. Referans 24- Alhaffar BA, Abbas G, Alhaffar AA. The prevalence of burnout syndrome among resident physicians in Syria. J Occup Med Toxicol. 2019;14:31. Referans 25- Hacer TY, Ali A. Burnout in physicians who are exposed to workplace violence. J Forensic Leg Med. 2019;69:101874. Referans 26- Saravanabavan L, Sivakumar MN, Hisham M. Stress and Burnout among Intensive Care Unit Healthcare Professionals in an Indian Tertiary Care Hospital. Indian J Crit Care Med. 2019;23(10):462-466. Referans 27- Travers V. Burnout in orthopedic surgeons. Orthop Traumatol Surg Res. 2019;1877-0568(19):30324 Referans 28- Orbay E, Tamer İ, Sargın M, Özçınar M, Dabak R. Asistan Doktorlarda Tükenme (Burnout) Sendromu. Türkiye Aile Hekimliği Dergisi. 2007;11(2):67-71.
Öz
Aim: Burnout
syndrome is an important problem in health care workers. The aim of this study
was to determine the relationship between quality of work life and professional
burnout in a group of doctors who working in primary and secondary health care
institutions.
Materials and Methods: This
is a cross-sectional study conducted on 119 physicians who working in Bingöl in
2019. The survey consists of three parts; sociodemographic section, Maslach
Burnout Inventory, Quality of Work Life Scale. p <0.05 was considered
significant.
Results:
The frequency of emotional exhaustion was 23.5% and the frequncy of
depersonalization was 11.8% in doctors. Emotional burnout was found to be
higher in women, hospital workers, shift workers and doctors working more than
218 hours per month, and depersonalization was more common in city center
workers, shift workers and workers working more than 218 hours per month. Emotional
exhaustion and depersonalization increase as the risk of occupational
accident-occupational disease, discrimination in the workplace, stress and time
pressure at work increases. While the opportunities for continuous improvement
and improvement in the workplace and social integration increase, emotional
exhaustion and depersonalization decrease and personal success increases. It
has been seen that the most relevant factor contributing to professional
burnout is the stress and time pressure variable in the workplace.
Conclusion: Factors
causing burnout; stress and time pressure in the workplace, excessive working
hours and shift work.
Anahtar Kelimeler
Professional Burnout Physicians Women Physicians Depersonalization
Kaynakça
- Referans 1- Bauer J, Häfner S, Kächele H, Wirsching M, Dahlbender RW. The burn-out syndrome and restoring mental health at the working place. Psychother Psychosom Med Psychol. 2003;53(5):213-22. Referans 2- Kobiakova OS, Deev OA, Kulikov ES, Khomiakov KV, Tiufilin DS, Zagromova TA, et al. The factors associated with development of Professional burning-out in physicians. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2019;27(6):967-971. Referans 3- Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, et al. Prevalence of Burnout Among Physicians: A Systematic Review. JAMA. 2018;320(11):1131-1150. Referans 4- Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600-13. Referans 5- Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014;89(3):443-51. Referans 6- Unger JP. Physicians' Burnout (and That of Psychologists, Nurses, Magistrates, Researchers, and Professors) For a Control Program. Int J Health Serv. 2020;50(1):73-81. Referans 7- Süloğlu A. (2009) Diyaliz merkezlerinde çalışan doktor ve hemşirelerde tükenmişlik sendromu. Aile Hekimliği Uzmanlık Tezi. Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi. İstanbul Referans 8- Maslach C, Jackson SE, Leiter MP, Schaufeli WB, Schwab RL. Maslach burnout inventory. Palo Alto, CA: Consulting psychologists press; 1986. Referans 9- Ergin C. Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanması. VII. Ulusal psikoloji kongresi bilimsel çalışmaları. 1992;22:25. Referans 10- Aydın İ, Çelik Y, Uğurluoğlu Ö. Sağlık Personeli Çalışma Yaşam Kalitesi Ölçeği: Geliştirilmesi, Geçerliliği Ve Güvenilirliği. Toplum ve Sosyal Hizmet. 2011;22(2):79-100. Referans 11- Embriaco N, Papazian L, Kentish-Barnes N, Pochard F, Azoulay E. Burnout syndrome among critical care healthcare workers. Curr Opin Crit Care. 2007;13(5):482-488. Referans 12- Brindley PG. Psychological burnout and the intensive care practitioner: A practical and candid review for those who care. J Intensive Care Soc. 2017;18(4):270-275. Referans 13- Stanetić K, Petrović V, Marković B, Stanetić B. The Presence of Stress, Burnout Syndrome and the Most Important Causes of Working Stress Among Physicians in Primary Health Care - an Observational Study from Banja Luka, Bosnia and Herzegovina. Acta Med Acad. 2019;48(2):159-166. Referans 14- Zgliczyńska M, Zgliczyński S, Ciebiera M, Kosińska-Kaczyńska K. Occupational Burnout Syndrome in Polish Physicians: A Systematic Review. Int J Environ Res Public Health. 2019;10:16(24). Referans 15- Purvanova RK, Muros JP. Gender differences in burnout: A meta-analysis. J. Vocat. Behav. 2010;77(2):168-85. Referans 16- Medscape National Physician Burnout, Depression and Suicide Report (2019) Accessed: 13 January 2020 Available: https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056#20 Referans 17- LaFaver K, Miyasaki JM, Keran CM, Rheaume C, Gulya L, Levin KH, et al. Age and sex differences in burnout, career satisfaction, and well-being in US neurologists. Neurology. 2018;91(20):1928-1941. Referans 18- Marchalik D, Brems J, Rodriguez A, Lynch JH, Padmore J, Stamatakis L, et al. The Impact of Institutional Factors On Physician Burnout: A National Study of Urology Trainees. Urology. 2019;131:27–35. Referans 19- Boutou A, Pitsiou G, Sourla E, Kioumis I. Burnout syndrome among emergency medicine physicians: an update on its prevalence and risk factors. Eur Rev Med Pharmacol Sci. 2019;23(20):9058-9065 Referans 20- Goldberg R, Boss RW, Chan L, Goldberg J, Mallon WK, Moradzadeh D, et al. Burnout and its correlates in emergency physicians: four years' experience with a wellness booth. Acad Emerg Med. 1996;3(12):1156-64 Referans 21- Verougstraete D, Hachimi Idrissi S. The impact of burn-out on emergency physicians and emergency medicine residents: a systematic review. Acta Clin Belg. 2019;13:1-23. Referans 22- Bethea A, Samanta D, Kali M, Lucente FC, Richmond BK. The impact of burnout syndrome on practitioners working within rural healthcare systems. Am J Emerg Med. 2019;(19)30456-5. Referans 23- Dubale BW, Friedman LE, Chemali Z, Denninger JW, Mehta DH, Alem A, et al. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health. 2019;19(1):1247. Referans 24- Alhaffar BA, Abbas G, Alhaffar AA. The prevalence of burnout syndrome among resident physicians in Syria. J Occup Med Toxicol. 2019;14:31. Referans 25- Hacer TY, Ali A. Burnout in physicians who are exposed to workplace violence. J Forensic Leg Med. 2019;69:101874. Referans 26- Saravanabavan L, Sivakumar MN, Hisham M. Stress and Burnout among Intensive Care Unit Healthcare Professionals in an Indian Tertiary Care Hospital. Indian J Crit Care Med. 2019;23(10):462-466. Referans 27- Travers V. Burnout in orthopedic surgeons. Orthop Traumatol Surg Res. 2019;1877-0568(19):30324 Referans 28- Orbay E, Tamer İ, Sargın M, Özçınar M, Dabak R. Asistan Doktorlarda Tükenme (Burnout) Sendromu. Türkiye Aile Hekimliği Dergisi. 2007;11(2):67-71.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | ORJİNAL MAKALE |
| Yazarlar | |
| Yayımlanma Tarihi | 13 Haziran 2020 |
| Kabul Tarihi | 25 Nisan 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 25 Sayı: 2 |
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