Research Article
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Year 2025, Volume: 42 Issue: 3, 266 - 273, 30.09.2025

Abstract

References

  • Soysal S, Karcıoğlu M, Topaloğlu H. Emergency medical, prehospital care. Cerrahpaşa J Med. 2003;34:51–57.
  • Rainer T. Emergency medicine: a comprehensive study guide, fifth edition. Hong Kong Med J. 2000 Sep;6(3):333.
  • Ekşi A. Evaluation of the crime scene management system in mass events in terms of coordination in public administration. Dicle Univ Soc Sci Inst J. 2016;16:105–118.
  • Erbay H. Why the prehospital emergency call number in Turkey is 112? A recent history research in the context of ambulance services. Mersin Univ Sch Med Lokman Hekim J Med Hist Folk Med. 2017;7(1):28–32.
  • Gülsün B, Yılmaz B. Determination of suitable locations in emergency ambulance service and an application in İzmit-Kocaeli. Istanbul Commerce Univ J Sci. 2015;14(28):29.
  • Dikmetaş E, Top M, Ergin G. An examination of mobbing and burnout of residents. Turk Assoc Nerv Ment Health. 2011;22(3):137–149.
  • Ghahramani S, Lankarani KB, Yousefi M, Heydari K, Shahabi S, Azmand S. A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19. Front Psychiatry. 2021 Nov 10;12:758849. doi: 10.3389/fpsyt.2021.758849. PMID: 34858231; PMCID: PMC8631719.
  • Demerouti E. Burnout: a comprehensive review. Z Arb Wiss. 2024;78:492–504. doi: 10.1007/s41449-024-00452-3.
  • Dyrbye LN, West CP, Johnson PO, Cipriano PF, Beatty DE, Peterson C, Major-Elechi B, Shanafelt T. Burnout and Satisfaction With Work-Life Integration Among Nurses. J Occup Environ Med. 2019 Aug;61(8):689-698. doi: 10.1097/JOM.0000000000001637. PMID: 31348422.
  • Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS One. 2017 Oct 4;12(10):e0185781. doi: 10.1371/journal.pone.0185781. PMID: 28977041; PMCID: PMC5627926.
  • International Labour Organization (ILO). Safety and health at work. Available from: https://www.ilo.org/topics- and-sectors/safety-and-health-work Access date: 28.06.2025
  • World Health Organization. Burn-out an occupational phenomenon: International Classification of Diseases. 2019. Available from: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon- international-classification-of-diseases . Access date: 28.06.2025
  • Atan M, Tekingündüz S. Ambulans çalışanlarının (112) tükenmişlik, algılanan iş stresi ve iş tatminlerinin kişisel özelliklere göre incelenmesi. NWSA-Soc Sci. 2014;9(3):54–69. https://doi.org/10.12739/NWSA.2014.9.3.3C0121
  • Tokuç B, Turunç Y, Ekuklu G. Work-related stress and mental health levels of ambulance workers in Edirne. TTB Mesleki Sağlık Güvenlik Derg. 2011;11:39–44.
  • Gross C, Joraschky P, Pöhlmann K. Secondary traumatization and burnout in ambulance services: first results of a longitudinal study. J Psychosom Res. 2004;56(6):609.
  • Karsavuran S. Sağlık sektöründe tükenmişlik: Ankara’daki Sağlık Bakanlığı hastaneleri yöneticilerinin tükenmişlik düzeyleri. Hacettepe Univ Iktisadi ve Idari Bil Fak Derg. 2014;32(2):133–165.
  • Hazell KW. Job stress, burnout, job satisfaction, and intention to leave among registered nurses employed in hospital settings in the state of Florida [master’s thesis]. Boca Raton (FL): Lynn University; 2010.
  • Capri B. Turkish Adaptation of the Burnout Measure: A Reliability and Validity Study. Mersin University Journal of the Faculty of Education. 2006;2(1): 62-77
  • Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav. 1981;2:99–113.
  • de Godoy CCF, Lima AR, Hino P, Taminato M, Okuno MFP, Fernandes H. Burnout syndrome and accidents in primary healthcare nursing workers: a scoping review. BMC Nurs. 2025 Apr 11;24(1):410. doi: 10.1186/s12912-025-03004-0. PMID: 40217487; PMCID: PMC11992860.
  • Medeni İ, Alagüney ME, Medeni V. Occupational injuries among healthcare workers: a nationwide study in Turkey. Front Public Health. 2024 Dec 5;12:1505331. doi: 10.3389/fpubh.2024.1505331.
  • Baycan AF. Analysis of the several aspects of job satisfaction between different occupational groups [master’s thesis]. Istanbul: Boğaziçi University Institute of Social Sciences; 1985.
  • Cevahir Ö. Mersin Üniversitesi Tıp Fakültesi Hastanesinde araştırma görevlisi olarak çalışan doktorlarda tükenmişlik sendromunu etkileyen faktörler [medical specialty thesis]. Mersin: Mersin Üniversitesi; 2012.
  • Pantenburg B, Luppa M, König HH, Riedel-Heller SG. Burnout among young physicians and its association with physicians' wishes to leave: results of a survey in Saxony, Germany. J Occup Med Toxicol. 2016;11:2. doi: 10.1186/s12995-016-0091-z. PMID: 26807138; PMCID: PMC4724157.
  • Ozyurt A, Hayran O, Sur H. Predictors of burnout and job satisfaction among Turkish physicians. QJM. 2006;99(3):161–169. doi: 10.1093/qjmed/hcl019. PMID: 16490757.
  • Erol A, Akarca F, Değerli V, Sert E, Delibaş H, Gülpek D, et al. Acil servis çalışanlarında tükenmişlik ve iş doyumu. Klinik Psikiyatri. 2012;15:103–110.
  • Çam O, Akgün E, Gümüş AB, Bilge A, Keskin GÜ. Investigation of relationship between evaluation of clinic environment and job satisfaction of doctors and nurses in a mental health and illnesses hospital. Anadolu Psikiyatri Derg. 2005;6(4):213–220.
  • Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397–422. doi: 10.1146/annurev.psych.52.1.397.
  • Ebling M, Carlotto MS. Burnout syndrome and associated factors among health professionals of a public hospital. Trends Psychiatry Psychother. 2012;34(2):93–100. doi: 10.1590/s2237-60892012000200008. PMID: 25922928.
  • Erol A, Sarıçiçek A, Gülseren Ş. Asistan hekimlerde tükenmişlik: iş doyumu ve depresyonla ilişkisi. Anadolu Psikiyatri Derg. 2007;8:241–247.
  • Yaman H, Ungan M. Tükenmişlik: aile hekimliği asistan hekimleri üzerinde bir inceleme. Türk Psikoloji Derg. 2002;17(49):37–44.
  • Aslan S, Coşkun S, Alparslan Z, Erdamar N, Berber B, Ünal M. Burnout, work-related stress, type-A personality and perfectionism among nurses working at Bakırköy Mental and Nervous Diseases Hospital. Cukurova Med J. 2000;25(3):135–142.
  • Yılmaz Toprak N. Ambulans çalışanlarında iş doyumu, tükenmişlik, depresyon ve anksiyete ilişkisi: Fethiye örneği [master’s thesis]. Manisa: Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü; 2019.
  • Sat S. Örgütsel ve bireysel özellikler açısından iş doyumu ile tükenmişlik düzeyi arasındaki ilişki: Alanya’da banka çalışanları üzerinde bir inceleme [master’s thesis]. Adana: Çukurova Üniversitesi, SBE; 2011.
  • Tosun Y. Hekimlerde mesleki tükenmişlik düzeyi ile iş doyumu arasındaki ilişki [master’s thesis]. İstanbul: Sağlık Bilimleri Üniversitesi; 2019.
  • Öztürk G, Çetin M, Yıldıran N, Türk YZ, Fedai T. Burnout and job satisfaction levels of physicians. Anatolian J Clin Invest. 2012;6(4):239–245.
  • Beyhan S, Güneş Y, Türktan M, Özcengiz D. Investigation of the burnout syndrome among the Eastern Mediterranean region anaesthesiologists. Turk J Anaesth Reanim. 2013;41:7–13.
  • Kaçan CY, Örsal Ö, Köşgeroğlu N. Investigation of burn out among nurses. Cumhuriyet Nurs J. 2016;5(2):65–74.
  • Şenturan L, Gülseven-Karabacak B, Ecevit-Alpar Ş, Sabuncu N. Burnout level of nurses working in hemodialysis units. Maltepe Univ Nurs Sci Art J. 2009;2(2):33–45.
  • Çelik A. Sağlık çalışanlarında şiddete uğramanın iş doyumu ve tükenmişlik ile ilişkisi [master’s thesis]. Mersin: Çağ University Social Sciences Institute; 2020.
  • Türkmenoğlu B, Sümer H. The burnout level of healthcare personnel in city center of Sivas. J Cumhuriyet Univ Health Sci Inst. 2017;2(2):24–33.

Burnout and related factors in 112 workers in Samsun province

Year 2025, Volume: 42 Issue: 3, 266 - 273, 30.09.2025

Abstract

This study aimed to determine burnout levels and associated factors among healthcare workers employed in 112 Emergency Health Services under the Samsun Provincial Health Directorate, specifically within the Provincial Ambulance Service Chief Physician's jurisdiction. This cross-sectional study was conducted among 617 healthcare workers employed in the Command Control Center and Emergency Health Services stations affiliated with the Provincial Ambulance Service Chief Physician in Samsun Province between July and September 2020. The sample size was calculated to be 342 participants, and the study was completed with the data from 337 individuals. A questionnaire developed by the researchers included questions on sociodemographic characteristics and the Maslach Burnout Inventory. The survey was administered both physically and online, with voluntary participation. Of the participants, 40.7% were male, and 59.3% were female. Median scores on the Maslach Burnout Inventory were 29.0 (range: 9–45) for emotional exhaustion, 10.0 (range: 5–24) for depersonalization, and 29.0 (range: 8–40) for personal accomplishment. Emotional exhaustion scores were significantly higher among women and high school graduates. Depersonalization scores were elevated among physicians and individuals who experienced mobbing or violence. Participants with children and those with more than 10 years of professional experience had lower personal accomplishment scores. Logistic regression analysis revealed that being female increased the likelihood of emotional exhaustion by 2.3 times, while being a high school graduate increased it by 5.0 times. Poor economic conditions were associated with a 2.4-fold increase in depersonalization, and insufficient security measures increased it by 1.7 times. Personal accomplishment scores were found to improve with age but was 1.6 times lower with longer years of professional experience. This study found that burnout levels were higher among women, high school graduates, physicians, and individuals subjected to mobbing and violence while working in 112 Emergency Health Services. Given the elevated risk of burnout among healthcare professionals, further research is warranted to explore its causes and develop effective solutions.

References

  • Soysal S, Karcıoğlu M, Topaloğlu H. Emergency medical, prehospital care. Cerrahpaşa J Med. 2003;34:51–57.
  • Rainer T. Emergency medicine: a comprehensive study guide, fifth edition. Hong Kong Med J. 2000 Sep;6(3):333.
  • Ekşi A. Evaluation of the crime scene management system in mass events in terms of coordination in public administration. Dicle Univ Soc Sci Inst J. 2016;16:105–118.
  • Erbay H. Why the prehospital emergency call number in Turkey is 112? A recent history research in the context of ambulance services. Mersin Univ Sch Med Lokman Hekim J Med Hist Folk Med. 2017;7(1):28–32.
  • Gülsün B, Yılmaz B. Determination of suitable locations in emergency ambulance service and an application in İzmit-Kocaeli. Istanbul Commerce Univ J Sci. 2015;14(28):29.
  • Dikmetaş E, Top M, Ergin G. An examination of mobbing and burnout of residents. Turk Assoc Nerv Ment Health. 2011;22(3):137–149.
  • Ghahramani S, Lankarani KB, Yousefi M, Heydari K, Shahabi S, Azmand S. A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19. Front Psychiatry. 2021 Nov 10;12:758849. doi: 10.3389/fpsyt.2021.758849. PMID: 34858231; PMCID: PMC8631719.
  • Demerouti E. Burnout: a comprehensive review. Z Arb Wiss. 2024;78:492–504. doi: 10.1007/s41449-024-00452-3.
  • Dyrbye LN, West CP, Johnson PO, Cipriano PF, Beatty DE, Peterson C, Major-Elechi B, Shanafelt T. Burnout and Satisfaction With Work-Life Integration Among Nurses. J Occup Environ Med. 2019 Aug;61(8):689-698. doi: 10.1097/JOM.0000000000001637. PMID: 31348422.
  • Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS One. 2017 Oct 4;12(10):e0185781. doi: 10.1371/journal.pone.0185781. PMID: 28977041; PMCID: PMC5627926.
  • International Labour Organization (ILO). Safety and health at work. Available from: https://www.ilo.org/topics- and-sectors/safety-and-health-work Access date: 28.06.2025
  • World Health Organization. Burn-out an occupational phenomenon: International Classification of Diseases. 2019. Available from: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon- international-classification-of-diseases . Access date: 28.06.2025
  • Atan M, Tekingündüz S. Ambulans çalışanlarının (112) tükenmişlik, algılanan iş stresi ve iş tatminlerinin kişisel özelliklere göre incelenmesi. NWSA-Soc Sci. 2014;9(3):54–69. https://doi.org/10.12739/NWSA.2014.9.3.3C0121
  • Tokuç B, Turunç Y, Ekuklu G. Work-related stress and mental health levels of ambulance workers in Edirne. TTB Mesleki Sağlık Güvenlik Derg. 2011;11:39–44.
  • Gross C, Joraschky P, Pöhlmann K. Secondary traumatization and burnout in ambulance services: first results of a longitudinal study. J Psychosom Res. 2004;56(6):609.
  • Karsavuran S. Sağlık sektöründe tükenmişlik: Ankara’daki Sağlık Bakanlığı hastaneleri yöneticilerinin tükenmişlik düzeyleri. Hacettepe Univ Iktisadi ve Idari Bil Fak Derg. 2014;32(2):133–165.
  • Hazell KW. Job stress, burnout, job satisfaction, and intention to leave among registered nurses employed in hospital settings in the state of Florida [master’s thesis]. Boca Raton (FL): Lynn University; 2010.
  • Capri B. Turkish Adaptation of the Burnout Measure: A Reliability and Validity Study. Mersin University Journal of the Faculty of Education. 2006;2(1): 62-77
  • Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav. 1981;2:99–113.
  • de Godoy CCF, Lima AR, Hino P, Taminato M, Okuno MFP, Fernandes H. Burnout syndrome and accidents in primary healthcare nursing workers: a scoping review. BMC Nurs. 2025 Apr 11;24(1):410. doi: 10.1186/s12912-025-03004-0. PMID: 40217487; PMCID: PMC11992860.
  • Medeni İ, Alagüney ME, Medeni V. Occupational injuries among healthcare workers: a nationwide study in Turkey. Front Public Health. 2024 Dec 5;12:1505331. doi: 10.3389/fpubh.2024.1505331.
  • Baycan AF. Analysis of the several aspects of job satisfaction between different occupational groups [master’s thesis]. Istanbul: Boğaziçi University Institute of Social Sciences; 1985.
  • Cevahir Ö. Mersin Üniversitesi Tıp Fakültesi Hastanesinde araştırma görevlisi olarak çalışan doktorlarda tükenmişlik sendromunu etkileyen faktörler [medical specialty thesis]. Mersin: Mersin Üniversitesi; 2012.
  • Pantenburg B, Luppa M, König HH, Riedel-Heller SG. Burnout among young physicians and its association with physicians' wishes to leave: results of a survey in Saxony, Germany. J Occup Med Toxicol. 2016;11:2. doi: 10.1186/s12995-016-0091-z. PMID: 26807138; PMCID: PMC4724157.
  • Ozyurt A, Hayran O, Sur H. Predictors of burnout and job satisfaction among Turkish physicians. QJM. 2006;99(3):161–169. doi: 10.1093/qjmed/hcl019. PMID: 16490757.
  • Erol A, Akarca F, Değerli V, Sert E, Delibaş H, Gülpek D, et al. Acil servis çalışanlarında tükenmişlik ve iş doyumu. Klinik Psikiyatri. 2012;15:103–110.
  • Çam O, Akgün E, Gümüş AB, Bilge A, Keskin GÜ. Investigation of relationship between evaluation of clinic environment and job satisfaction of doctors and nurses in a mental health and illnesses hospital. Anadolu Psikiyatri Derg. 2005;6(4):213–220.
  • Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397–422. doi: 10.1146/annurev.psych.52.1.397.
  • Ebling M, Carlotto MS. Burnout syndrome and associated factors among health professionals of a public hospital. Trends Psychiatry Psychother. 2012;34(2):93–100. doi: 10.1590/s2237-60892012000200008. PMID: 25922928.
  • Erol A, Sarıçiçek A, Gülseren Ş. Asistan hekimlerde tükenmişlik: iş doyumu ve depresyonla ilişkisi. Anadolu Psikiyatri Derg. 2007;8:241–247.
  • Yaman H, Ungan M. Tükenmişlik: aile hekimliği asistan hekimleri üzerinde bir inceleme. Türk Psikoloji Derg. 2002;17(49):37–44.
  • Aslan S, Coşkun S, Alparslan Z, Erdamar N, Berber B, Ünal M. Burnout, work-related stress, type-A personality and perfectionism among nurses working at Bakırköy Mental and Nervous Diseases Hospital. Cukurova Med J. 2000;25(3):135–142.
  • Yılmaz Toprak N. Ambulans çalışanlarında iş doyumu, tükenmişlik, depresyon ve anksiyete ilişkisi: Fethiye örneği [master’s thesis]. Manisa: Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü; 2019.
  • Sat S. Örgütsel ve bireysel özellikler açısından iş doyumu ile tükenmişlik düzeyi arasındaki ilişki: Alanya’da banka çalışanları üzerinde bir inceleme [master’s thesis]. Adana: Çukurova Üniversitesi, SBE; 2011.
  • Tosun Y. Hekimlerde mesleki tükenmişlik düzeyi ile iş doyumu arasındaki ilişki [master’s thesis]. İstanbul: Sağlık Bilimleri Üniversitesi; 2019.
  • Öztürk G, Çetin M, Yıldıran N, Türk YZ, Fedai T. Burnout and job satisfaction levels of physicians. Anatolian J Clin Invest. 2012;6(4):239–245.
  • Beyhan S, Güneş Y, Türktan M, Özcengiz D. Investigation of the burnout syndrome among the Eastern Mediterranean region anaesthesiologists. Turk J Anaesth Reanim. 2013;41:7–13.
  • Kaçan CY, Örsal Ö, Köşgeroğlu N. Investigation of burn out among nurses. Cumhuriyet Nurs J. 2016;5(2):65–74.
  • Şenturan L, Gülseven-Karabacak B, Ecevit-Alpar Ş, Sabuncu N. Burnout level of nurses working in hemodialysis units. Maltepe Univ Nurs Sci Art J. 2009;2(2):33–45.
  • Çelik A. Sağlık çalışanlarında şiddete uğramanın iş doyumu ve tükenmişlik ile ilişkisi [master’s thesis]. Mersin: Çağ University Social Sciences Institute; 2020.
  • Türkmenoğlu B, Sümer H. The burnout level of healthcare personnel in city center of Sivas. J Cumhuriyet Univ Health Sci Inst. 2017;2(2):24–33.
There are 41 citations in total.

Details

Primary Language English
Subjects Work and Occupational Diseases
Journal Section Research Article
Authors

Can Karabıçak 0000-0002-8467-8147

Hatice Nilden Arslan 0000-0002-3237-7123

Publication Date September 30, 2025
Submission Date February 7, 2025
Acceptance Date August 5, 2025
Published in Issue Year 2025 Volume: 42 Issue: 3

Cite

APA Karabıçak, C., & Arslan, H. N. (2025). Burnout and related factors in 112 workers in Samsun province. Deneysel Ve Klinik Tıp Dergisi, 42(3), 266-273.
AMA Karabıçak C, Arslan HN. Burnout and related factors in 112 workers in Samsun province. J. Exp. Clin. Med. September 2025;42(3):266-273.
Chicago Karabıçak, Can, and Hatice Nilden Arslan. “Burnout and Related Factors in 112 Workers in Samsun Province”. Deneysel Ve Klinik Tıp Dergisi 42, no. 3 (September 2025): 266-73.
EndNote Karabıçak C, Arslan HN (September 1, 2025) Burnout and related factors in 112 workers in Samsun province. Deneysel ve Klinik Tıp Dergisi 42 3 266–273.
IEEE C. Karabıçak and H. N. Arslan, “Burnout and related factors in 112 workers in Samsun province”, J. Exp. Clin. Med., vol. 42, no. 3, pp. 266–273, 2025.
ISNAD Karabıçak, Can - Arslan, Hatice Nilden. “Burnout and Related Factors in 112 Workers in Samsun Province”. Deneysel ve Klinik Tıp Dergisi 42/3 (September2025), 266-273.
JAMA Karabıçak C, Arslan HN. Burnout and related factors in 112 workers in Samsun province. J. Exp. Clin. Med. 2025;42:266–273.
MLA Karabıçak, Can and Hatice Nilden Arslan. “Burnout and Related Factors in 112 Workers in Samsun Province”. Deneysel Ve Klinik Tıp Dergisi, vol. 42, no. 3, 2025, pp. 266-73.
Vancouver Karabıçak C, Arslan HN. Burnout and related factors in 112 workers in Samsun province. J. Exp. Clin. Med. 2025;42(3):266-73.