Publication: İstanbul’da bir üniversite hastanesinde çalışan asistan hekimlerin tükenmişlik seviyelerinin incelenmesi
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Date
2023-12-01
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Abstract
Amaç: Araştırmamızın amacı bir üniversite hastanesindeki
asistan hekimlerin tükenmişlik düzeylerinin belirlenmesi; ayrıca
asistan hekimlerin tükenmişlik düzeyinin yaş, cinsiyet, medeni
durum, kronik hastalık, asistanlık süreleri, asistanlık branşı ve
pandemide çalışmalarına ilişkin değişkenlere göre dağılımlarını
incelemektir.
Gereç ve Yöntemler: Araştırmamıza katılmayı kabul eden 243
asistan hekime sosyodemografik özellikler ve çalışma şartlarına
ilişkin sorular ile Maslach Tükenmişlik Envanterinden oluşan
toplam 41 soruluk anket 7 Eylül 2020-29 Ekim 2020 tarihleri
arasında çevrimiçi uygulanmıştır.
Bulgular: Pandemide çalışan katılımcıların 3.45±0.85 skor
ortalama ile duygusal tükenmeyi daha fazla yaşadığı
görülmektedir (p<0.001). Duyarsızlaşmada 2.44±0.66 ortalama
ve kişisel başarıda azalma 2.81±0.55 değerlerine sahiptir. 'İşte
çok fazla çalışıyor olmak', duygusal tükenmenin en yoğun
hissedildiği alan olarak görülmektedir. Katılımcılardan 28 yaş
altı olanların daha fazla duygusal tükenme ve duyarsızlaşma
yaşadığı görülmektedir (p<0.05). Cinsiyete göre bakıldığında
duygusal tükenmenin kadınlarda erkeklere göre istatistiksel
olarak anlamlı şekilde daha fazla olduğu görülmüştür (p<0.05).
Medeni duruma göre bekar katılımcıların duyarsızlaşma düzeyi
daha fazla iken evli katılımcıların kişisel başarıda azalma
düzeyinin daha fazla olduğu saptanmıştır (p<0.05).
Duyarsızlaşma düzeyi en yüksek asistan hekimler, cerrahi
bilimlerde çalışmaktadır. Kişisel başarıda azalma düzeyi en
düşük asistan hekimler ise temel bilimlerde görev almaktadır.
Kronik hastalığı olan asistan hekimlerin duygusal tükenme ve
duyarsızlaşma düzeyinin daha fazla olduğu saptanmıştır.
Sonuç: Pandemide çalışan hekimler üzerinde Maslach
tükenmişlik indeksi uygulanmış, tükenmişlik seviyeleri ve alt
boyutlarında anlamlı veriler elde edilmiştir. Bu sayede bu
alanda çalışan katılımcıların yaşadığı deneyimler üzerinde daha
objektif bir bakış açısı oluşturulmuştur. Elde ettiğimiz veriler
küresel ölçekte yaşanacak yeni bir pandemide çalışanların
deneyimlerini iyileştirme konusunda taraflı açıklamalara kıyasla
daha güçlü bir zemin oluşturacaktır.
Objective: The aim is to determine the burnout levels of resident physicians in a university hospital and to determine the relationship between gender, age, marital status, and the level of burnout in the departments involved in the pandemic. Material and Methods: 41 questions, consisting of questions about demographics, working conditions during the pandemic and Maslach burnout scale were applied online to 243 residents who agreed to participate between 7 September 2020 and 29 October 2020. Results: The participants who work in pandemic experience emotional exhaustion more with an average score of 3.45±0.85. Decrease in personal accomplishment had an average score of 2.81 and depersonalization had an average score of 2.44. Working too much at work was seen as the area where emotional exhaustion is felt most intensely. It was seen that those under 28 years of age experience more emotional exhaustion and depersonalization. It was observed that emotional exhaustion was significantly higher in women than in men. According to marital status, the depersonalization level of single participants was higher, while the level of decrease in personal accomplishment of married participants was higher. Resident physicians with the highest level of desensitization were in surgery while the the lowest decrease in personal accomplishment were seen in the ones who work in basic sciences. It was determined that the level of emotional exhaustion and depersonalization was higher in residents with chronic diseases. Conclusion: The Maslach burnout index, which is known to be scientifically neutral, was applied to physicians working in the pandemic, and meaningful data were obtained in burnout levels and sub-dimensions. Thus a more objective perspective was created on the negative experiences of the participants working in this field. The data we obtain will provide a stronger basis for improving working conditions and the experience of employees in a new pandemic in future.
Objective: The aim is to determine the burnout levels of resident physicians in a university hospital and to determine the relationship between gender, age, marital status, and the level of burnout in the departments involved in the pandemic. Material and Methods: 41 questions, consisting of questions about demographics, working conditions during the pandemic and Maslach burnout scale were applied online to 243 residents who agreed to participate between 7 September 2020 and 29 October 2020. Results: The participants who work in pandemic experience emotional exhaustion more with an average score of 3.45±0.85. Decrease in personal accomplishment had an average score of 2.81 and depersonalization had an average score of 2.44. Working too much at work was seen as the area where emotional exhaustion is felt most intensely. It was seen that those under 28 years of age experience more emotional exhaustion and depersonalization. It was observed that emotional exhaustion was significantly higher in women than in men. According to marital status, the depersonalization level of single participants was higher, while the level of decrease in personal accomplishment of married participants was higher. Resident physicians with the highest level of desensitization were in surgery while the the lowest decrease in personal accomplishment were seen in the ones who work in basic sciences. It was determined that the level of emotional exhaustion and depersonalization was higher in residents with chronic diseases. Conclusion: The Maslach burnout index, which is known to be scientifically neutral, was applied to physicians working in the pandemic, and meaningful data were obtained in burnout levels and sub-dimensions. Thus a more objective perspective was created on the negative experiences of the participants working in this field. The data we obtain will provide a stronger basis for improving working conditions and the experience of employees in a new pandemic in future.
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Keywords
Sağlık Bilimleri, Health Sciences, Klinik Tıp (MED), Clinical Medicine (MED), Tükenmişlik, asistan hekim, çalışma şartları, Burnout, resident physicians, working conditions
Citation
Sancaktar Demiröz M., Davun S., Lüleci N. E., Hıdıroğlu S., Demir A. Ş., Makungu H. M., Direk Turhan İ., Erman Ş., Demiröz Ö., Karavuş M., "STANBUL’DA BİR ÜNİVERSİTE HASTANESİNDE ÇALIŞAN ASİSTAN HEKİMLERİN TÜKENMİŞLİK SEVİYELERİNİN İNCELENMESİ", Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, cilt.25, sa.3, ss.381-390, 2023