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Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic

Year 2023, Volume: 76 Issue: 2, 108 - 115, 31.07.2023

Abstract

Objectives: We aimed to evaluate burnout, stressful situations in dentists and the factors affecting them according to their workplace during the
coronavirus diseases-2019 (COVID-19) pandemic

Materials and Methods: The data of this descriptive study were colledted via the Google Forms web survey platform between November-December 2020. The survey composed of socio-demographic information,work-related variables perceived stress scale-4 (PSS-4), and Maslach burnout inventory (MBI).

Results: Three hundred and twenty-five dentists participated in the study (94.2%). In the evaluation of the MBI the median value for the emotional burnout sub-dimension score was 22 (15-28), the median value for the depersonalization sub-dimension score was 9 (5-12), and the median value for the sense of personal accomplishment sub-dimension score was 21 (18-25). The median value of the participants’ PSS-4 score was 9 (8- 11). Emotional burnout and depersonalization sub-dimension scores of dentists actively involved in COVID-19 were higher and personal sense of
accomplishment scores were lower than those of dentists not actively working (p<0.001). PSS-4 score was higher than those not taking active duty (p<0.001).

Conclusion: It was determined that those who worked actively during the epidemic, experienced more stress, emotional exhaustion and
depersonalization and had a lower sense of personal accomplishment. In the ongoing epidemic, new steps should be planned to improve the mental
and physical health of dentists.

Key Words: Dentist, Burnout, Stress, Contact Tracing, COVID-19

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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References

  • 1. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. COVID-19 genel bilgiler epidemiyoloji ve tanı. [Erişim tarihi: 10.01.2021] Erişim linki: https://covid19. saglik.gov.tr/TR-66337/genel-bilgiler-epidemiyoloji-ve-tani.html
  • 2. WHO. Coronavirus disease 2019 (COVID-19) Situation Report - 51. [Erişim tarihi:10.01.2021] Erişim linki: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
  • 3. Saadat S, Rawtani D, Hussain CM. Environmental perspective of COVID-19. Sci Total Environ. 2020;728:138870.
  • 4. Cao S, Gan Y, Wang C, et al. Post-lockdown SARS-CoV-2 nucleic acid screening in nearly ten million residents of Wuhan, China. Nat Commun.2020;11:5917.
  • 5. Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ. 2020;368:m313.
  • 6. Dubey S, Biswas P, Ghosh R, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr. 2020;14:779-788.
  • 7. Park SY, Kim B, Jung DS, et al. Psychological distress among infectious disease physicians during the response to the COVID-19 outbreak in the Republic of Korea. BMC Public Health. 2020;20:1811.
  • 8. Rotenstein LS, Torre M, Ramos MA, et al. Prevalence of burnout among physicians: A systematic review. JAMA. 2018;320:1131-1150.
  • 9. Lu W, Wang H, Lin Y, et al. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020;288:112936.
  • 10. Sezgin GP, Şirinoglu Capan B. Assessment of dentists’ awareness and knowledge levels on the Novel Coronavirus (COVID-19). Braz Oral Res. 2020;34:e112.
  • 11. Celmeçe N, Menekay M. The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. Front Psychol. 2020;11:597624.
  • 12. Xiao H, Zhang Y, Kong D, et al. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020;26:e923549.
  • 13. Ahmed MA, Jouhar R, Ahmed N, et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health. 2020;17:2821.
  • 14. Özdoğan G. Koronavirüs pandemisi ve diş hekimliği. Türk Diş Hekimleri Birliği Dergisi 177. sayı. [Erişim Tarihi: 01.01. 2020] Erişim Linki: https:// www.tdb.org.tr/tdb/v2/yayinlar/TDBD/177sayi.pdf
  • 15. Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, et al. COVID-19 outbreak control, example of ministry of health of Turkey. Turk J Med Sci. 2020;50(SI-1):489- 494.
  • 16. Şahin MK, Aker S, Şahin G, et al. Prevalence of depression, anxiety, distress and ınsomnia and related factors in healthcare workers during COVID-19 pandemic in Turkey. J Community Health. 2020;45:1168-1177.
  • 17. Yörük S, Güler D. The relationship between psychological resilience, burnout, stress, and sociodemographic factors with depression in nurses and midwives during the COVID-19 pandemic: A cross-sectional study in Turkey. Perspect Psychiatr Care. 2021;57:390-398.
  • 18. T.C. Sağlık Bakanlığı. Sağlık İstatistikleri Yıllığı 2018/ Güncelleme Tarihi: 22/01/2020. [Erişim tarihi: 01.10.2020] Erişim linki: https: //dosyasb.saglik. gov.tr/Eklenti/36134,siy2018trpdf.pdf?0.
  • 19. Huri M, Bağış N, Eren H, et al. Association between burnout and depressive symptoms among Turkish dentists. J Dent Sci. 2016;11:353-359.
  • 20. Türk Diş hekimleri Birliği. İstatistikler. [Erişim tarihi: 01.10.2020] Erişim linki: https: https://www.tdb.org.tr/sag_menu_goster.php?Id=153
  • 21. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385-396.
  • 22. Eskin M, Harlak H, Demirkıran F, et al. Algılanan stres ölçeğinin türkçeye uyarlanması: Güvenirlik ve geçerlik analizi. New/Yeni Symposium Journal. 2013;51:132-140.
  • 23. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Organizational Behavior. 1981;2:99-113.
  • 24. Ergin C. Adaptation of burnout and maslach burnout scale in doctors and nurses. In 7. National Psychology Congress Scientific Studies. 1992;143- 154.
  • 25. Özarslan M, Caliskan S. Attitudes and predictive factors of psychological distress and occupational burnout among dentists during COVID-19 pandemic in Turkey. Curr Psychol. 2021;40:3113-3124.
  • 26. Sarialioglu Gungor A, Donmez N, Uslu YS. Knowledge, stress levels, and clinical practice modifications of Turkish dentists due to COVID-19: a survey study. Braz Oral Res. 2021;35:e048.
  • 27. Murat M, Köse S, Savaşer S. Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic. Int J Ment Health Nurs. 2021;30:533-543.
  • 28. Kulu M, Özsoy F, Gürler E, et al. Evaluation of future anxiety and stress levels caused by COVID-19 on dentists. Pamukkale Medical Journal. 2021;14:103- 112.
  • 29. Ceri V, Cicek I. Psychological well-being, depression and stress during COVID-19 pandemic in Turkey: A comparative study of healthcare professionals and non-healthcare professionals. Psychol Health Med. 2021;26:85-97.
  • 30. Trumello C, Bramanti SM, Ballarotto G, et al. Psychological adjustment of healthcare workers in Italy during the COVID-19 pandemic: Differences in stress, anxiety, depression, burnout, secondary trauma, and compassion satisfaction between frontline and non-frontline professionals. Int J Environ Res Public Health. 2020;17:8358.
  • 31. WHO. Considerations for the provision of essential oral health services in the context of COVID-19. [Erişim Tarihi: 20.01 2021] Erişim linki: https:// www.who.int/publications/i/item/who-2019-nCoV-oral-health-2020.1
  • 32. Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3:e203976.
  • 33. Kerr ML, Rasmussen HF, Fanning KA, et al. Parenting during COVID-19: A study of parents’ experiences across gender and income levels. Fam Relat. 2021;70:1327-1342. COVID-2019 pandemic: Perceived stress and coping strategies among healthcare professionals. Psychiatry Res. 2020;293:113366.

COVID-19 Pandemisinde Farklı Çalışma Yerlerinde Çalışan Diş Hekimlerinde Algılanan Stres ve Tükenmişlik*

Year 2023, Volume: 76 Issue: 2, 108 - 115, 31.07.2023

Abstract

Amaç: Bu çalışmada, koronavirüs hastalığı-2019 (COVID-19) pandemisinde farklı çalışma koşullarında çalışan diş hekimlerinin tükenmişlik ve algılanan stres durumları ile bunlara etki eden faktörleri değerlendirmek amaçlanmıştır.

Gereç ve Yöntem: Tanımlayıcı tipteki çalışmanın verileri Kasım-Aralık 2020 tarihleri arasında Google Forms aracılığı ile online olarak toplanmıştır. Çalışma anketinde sosyo-demografik değişkenler, çalışma yaşamına ait değişkenler, algılanan stres ölçeği (PSS-4) ve Maslach tükenmişlik ölçeğine yer verilmiştir.

Bulgular: Çalışmaya 325 diş hekimi cevap vermiştir (%94,2). Katılımcıların MBI değerlendirmelerinde, duygusal tükenmişlik alt boyut puanı medyan değeri 22 (15-28), duyarsızlaşma alt boyut puanı medyan değeri 9 (5-12), kişisel başarı duygusu alt boyut puan medyan değeri ise 21 (18-25) olarak saptanmıştır. PSS-4 puanı medyan değeri 9 (8-11) olarak bulunan katılımcılardan, COVID-19’da aktif görev alan diş hekimlerinin duygusal tükenmişlik ve duyarsızlaşma alt boyutu puanları aktif olarak çalışmayan diş hekimlerinin puanlarına oranla daha yüksek ve kişisel başarı duygusu
puanı daha düşük (p<0,001); PSS-4 puanı ise yüksek (p<0,001) bulunmuştur.

Sonuç: Salgında aktif olarak çalışanların daha fazla stres, duygusal tükenmişlik ve duyarsızlaşma yaşadıkları ve daha düşük kişisel başarı duygusu yaşadıkları saptanmıştır. Devam etmekte olan salgında diş hekimlerinin ruh sağlığını iyileştirmeye ve sağlıklarını korumaya yönelik yeni adımlar planlanmalıdır.

Ethical Statement

Etik Kurul Onayı: Çalışma için Sağlık Bilimleri Üniversitesi İstanbul Medeniyet Üniversitesi Göztepe Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu’ndan 18.11.2020/ (2020/0676) tarihli ve sayılı onay alınmıştır. Hasta/Katılımcı Onamı: Google Forms’tan katılımcı onam formu oluşturulmuştur ve onay verenler ankete devam edebilmiştir. Hakem Değerlendirmesi: Editörler kurulu dışında olan kişiler tarafından değerlendirildi.

Supporting Institution

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Project Number

-

Thanks

Bu makale 5. Uluslararası 23. Ulusal Halk Sağlığı Kongresi’nde (13-18 Aralık 2021) sözlü bildiri olarak sunulmuştur.

References

  • 1. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. COVID-19 genel bilgiler epidemiyoloji ve tanı. [Erişim tarihi: 10.01.2021] Erişim linki: https://covid19. saglik.gov.tr/TR-66337/genel-bilgiler-epidemiyoloji-ve-tani.html
  • 2. WHO. Coronavirus disease 2019 (COVID-19) Situation Report - 51. [Erişim tarihi:10.01.2021] Erişim linki: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
  • 3. Saadat S, Rawtani D, Hussain CM. Environmental perspective of COVID-19. Sci Total Environ. 2020;728:138870.
  • 4. Cao S, Gan Y, Wang C, et al. Post-lockdown SARS-CoV-2 nucleic acid screening in nearly ten million residents of Wuhan, China. Nat Commun.2020;11:5917.
  • 5. Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ. 2020;368:m313.
  • 6. Dubey S, Biswas P, Ghosh R, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr. 2020;14:779-788.
  • 7. Park SY, Kim B, Jung DS, et al. Psychological distress among infectious disease physicians during the response to the COVID-19 outbreak in the Republic of Korea. BMC Public Health. 2020;20:1811.
  • 8. Rotenstein LS, Torre M, Ramos MA, et al. Prevalence of burnout among physicians: A systematic review. JAMA. 2018;320:1131-1150.
  • 9. Lu W, Wang H, Lin Y, et al. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020;288:112936.
  • 10. Sezgin GP, Şirinoglu Capan B. Assessment of dentists’ awareness and knowledge levels on the Novel Coronavirus (COVID-19). Braz Oral Res. 2020;34:e112.
  • 11. Celmeçe N, Menekay M. The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. Front Psychol. 2020;11:597624.
  • 12. Xiao H, Zhang Y, Kong D, et al. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020;26:e923549.
  • 13. Ahmed MA, Jouhar R, Ahmed N, et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health. 2020;17:2821.
  • 14. Özdoğan G. Koronavirüs pandemisi ve diş hekimliği. Türk Diş Hekimleri Birliği Dergisi 177. sayı. [Erişim Tarihi: 01.01. 2020] Erişim Linki: https:// www.tdb.org.tr/tdb/v2/yayinlar/TDBD/177sayi.pdf
  • 15. Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, et al. COVID-19 outbreak control, example of ministry of health of Turkey. Turk J Med Sci. 2020;50(SI-1):489- 494.
  • 16. Şahin MK, Aker S, Şahin G, et al. Prevalence of depression, anxiety, distress and ınsomnia and related factors in healthcare workers during COVID-19 pandemic in Turkey. J Community Health. 2020;45:1168-1177.
  • 17. Yörük S, Güler D. The relationship between psychological resilience, burnout, stress, and sociodemographic factors with depression in nurses and midwives during the COVID-19 pandemic: A cross-sectional study in Turkey. Perspect Psychiatr Care. 2021;57:390-398.
  • 18. T.C. Sağlık Bakanlığı. Sağlık İstatistikleri Yıllığı 2018/ Güncelleme Tarihi: 22/01/2020. [Erişim tarihi: 01.10.2020] Erişim linki: https: //dosyasb.saglik. gov.tr/Eklenti/36134,siy2018trpdf.pdf?0.
  • 19. Huri M, Bağış N, Eren H, et al. Association between burnout and depressive symptoms among Turkish dentists. J Dent Sci. 2016;11:353-359.
  • 20. Türk Diş hekimleri Birliği. İstatistikler. [Erişim tarihi: 01.10.2020] Erişim linki: https: https://www.tdb.org.tr/sag_menu_goster.php?Id=153
  • 21. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385-396.
  • 22. Eskin M, Harlak H, Demirkıran F, et al. Algılanan stres ölçeğinin türkçeye uyarlanması: Güvenirlik ve geçerlik analizi. New/Yeni Symposium Journal. 2013;51:132-140.
  • 23. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Organizational Behavior. 1981;2:99-113.
  • 24. Ergin C. Adaptation of burnout and maslach burnout scale in doctors and nurses. In 7. National Psychology Congress Scientific Studies. 1992;143- 154.
  • 25. Özarslan M, Caliskan S. Attitudes and predictive factors of psychological distress and occupational burnout among dentists during COVID-19 pandemic in Turkey. Curr Psychol. 2021;40:3113-3124.
  • 26. Sarialioglu Gungor A, Donmez N, Uslu YS. Knowledge, stress levels, and clinical practice modifications of Turkish dentists due to COVID-19: a survey study. Braz Oral Res. 2021;35:e048.
  • 27. Murat M, Köse S, Savaşer S. Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic. Int J Ment Health Nurs. 2021;30:533-543.
  • 28. Kulu M, Özsoy F, Gürler E, et al. Evaluation of future anxiety and stress levels caused by COVID-19 on dentists. Pamukkale Medical Journal. 2021;14:103- 112.
  • 29. Ceri V, Cicek I. Psychological well-being, depression and stress during COVID-19 pandemic in Turkey: A comparative study of healthcare professionals and non-healthcare professionals. Psychol Health Med. 2021;26:85-97.
  • 30. Trumello C, Bramanti SM, Ballarotto G, et al. Psychological adjustment of healthcare workers in Italy during the COVID-19 pandemic: Differences in stress, anxiety, depression, burnout, secondary trauma, and compassion satisfaction between frontline and non-frontline professionals. Int J Environ Res Public Health. 2020;17:8358.
  • 31. WHO. Considerations for the provision of essential oral health services in the context of COVID-19. [Erişim Tarihi: 20.01 2021] Erişim linki: https:// www.who.int/publications/i/item/who-2019-nCoV-oral-health-2020.1
  • 32. Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3:e203976.
  • 33. Kerr ML, Rasmussen HF, Fanning KA, et al. Parenting during COVID-19: A study of parents’ experiences across gender and income levels. Fam Relat. 2021;70:1327-1342. COVID-2019 pandemic: Perceived stress and coping strategies among healthcare professionals. Psychiatry Res. 2020;293:113366.
There are 33 citations in total.

Details

Primary Language English
Subjects Public Health (Other)
Journal Section Articles
Authors

Hatice İkiışık 0000-0003-0958-0649

Project Number -
Publication Date July 31, 2023
Published in Issue Year 2023 Volume: 76 Issue: 2

Cite

APA İkiışık, H. (2023). Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 76(2), 108-115. https://doi.org/10.4274/atfm.galenos.2023.72623
AMA İkiışık H. Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. July 2023;76(2):108-115. doi:10.4274/atfm.galenos.2023.72623
Chicago İkiışık, Hatice. “Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76, no. 2 (July 2023): 108-15. https://doi.org/10.4274/atfm.galenos.2023.72623.
EndNote İkiışık H (July 1, 2023) Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76 2 108–115.
IEEE H. İkiışık, “Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 76, no. 2, pp. 108–115, 2023, doi: 10.4274/atfm.galenos.2023.72623.
ISNAD İkiışık, Hatice. “Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76/2 (July2023), 108-115. https://doi.org/10.4274/atfm.galenos.2023.72623.
JAMA İkiışık H. Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;76:108–115.
MLA İkiışık, Hatice. “Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 76, no. 2, 2023, pp. 108-15, doi:10.4274/atfm.galenos.2023.72623.
Vancouver İkiışık H. Perceived Stress and Burnout in Dentists Working in Different Workplace in the COVID-19 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;76(2):108-15.