COVİD-19 PANDEMİSİNDE BİR ÜNİVERSİTE HASTANESİNDE DOKTOR VE HEMŞİRELERDE TÜKENMİŞLİK SENDROMU
Year 2023,
Volume: 24 Issue: 1, 15 - 20, 03.01.2023
Cansu Köseoğlu Toksoy
,
Gökçe Zeytin Demiral
,
Hayri Demirbaş
,
Hakan Acar
Ülkü Türk Börü
Abstract
AMAÇ: Tükenmişlik sendromu sağlık çalışanlarında önemli bir sorundur. Covid-19 pandemisinde sağlık çalışanları emsalsiz bir çaba ile mücadele etmişlerdir. Bu çalışmanın amacı, Covid-19 pandemisinde Afyonkarahisar Sağlık Bilimleri Üniversitesinde çalışan sağlık çalışanlarında mesleki tükenmişlik düzeylerini araştırmaktır.
GEREÇ VE YÖNTEM: Bu çalışma 01 Şubat - 01 Mart 2021 tarihleri arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi'nde gerçekleştirilmiştir. Örnek hesaplamada G* power paket programı kullanılmıştır. Katılımcıların demografik verileri ve iş hayatına ilişkin 20 parametreden oluşan anket formu kullanılmıştır. Tükenmişlik ölçeği olarak Maslach Tükenmişlik Envanteri kullanılmıştır.
BULGULAR: Bu çalışmaya toplam 312 sağlık çalışanı katılmıştır. Katılımcıların 139'u erkek (%44.6), 173'ü kadın (%55.4) idi. Katılımcıların yaş ortalaması 30.7± 7.28 idi. Katılımcıların 138'i doktor (%44.2), 174'ü hemşire (%55.8) idi. Katılımcıların 110'u Covid servis veya Covid yoğun bakım ünitesinde (%35.3), 202'si (%64.7) diğer bölümlerde çalışıyordu. Ortalama duygusal tükenme puanı 19.21 ± 7.28, duyarsızlaşma puanı 7.31 ± 7.19 ve kişisel başarı puanı 20.05 ± 3.88 idi. Bu sonuçlar, sağlık çalışanlarının duygusal tükenme ve kişisel başarı alt boyutlarına göre yüksek düzeyde tükenmişlik, duyarsızlaşma alt boyutuna göre ise orta düzeyde tükenmişlik yaşadıklarını göstermektedir.
SONUÇ: Bu çalışmanın sonuçları, gelecekte önleme protokollerinin oluşturulması ve sağlık profesyonellerinin pandemi karşısında eğitilmesi için çok değerlidir. Çalışmamızın sonuçlarına göre doğrudan Covid-19 hastaları ile çalışan risk gruplarının yakından takip edilmesi ve gerektiğinde psikolojik destek verilmesi önemlidir. Ayrıca sağlık çalışanlarında iş doyumunun artırılması ve tükenmişliğin azaltılması için çalışma koşullarında düzenlemelerin yapılması oldukça önemlidir.
References
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Research. 2010;10(1):1-10.
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Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine. 2020;24(8):664.
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2010;46(15):2708-15.
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nurses. 1st Edition, London: CRC Press. 2003:157-82.
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2020;11:2166.
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2019;16(24):5026.
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Psychiatric Research. 2020;129:181-8.
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- 26. Erol A, Akarca F, Değerli V, et al. Acil servis çalışanlarında tükenmişlik ve iş doyumu. Klinik Psikiyatri. 2012;15:103-10.
- 27. Arpacıoğlu S, Baltalı Z, Ünübol B. COVID-19 pandemisinde sağlık çalışanlarında tükenmişlik, Covid korkusu, depresyon, mesleki doyum düzeyleri ve ilişkili faktörler. Cukurova Medical Journal. 2021;46(1):88-100.
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de Cirurgiões. 2016;43:314-9.
- 29. Çelmeçe N, Menekay M. The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. Frontiers in psychology. 2020;11:3329.
BURNOUT SYNDROME AMONG DOCTORS AND NURSES DURING THE COVID-19 PANDEMIC IN A UNIVERSITY HOSPITAL
Year 2023,
Volume: 24 Issue: 1, 15 - 20, 03.01.2023
Cansu Köseoğlu Toksoy
,
Gökçe Zeytin Demiral
,
Hayri Demirbaş
,
Hakan Acar
Ülkü Türk Börü
Abstract
OBJECTIVE: Burnout syndrome is an important problem among healthcare workers. During the Covid-19 pandemic, healthcare professionals have struggled with an unprecedented effort. The aim of this study is to investigate occupational burnout levels among healthcare professionals working at Afyonkarahisar Health Sciences University during the Covid-19 pandemic.
MATERIAL AND METHODS: This study was carried out at the Afyonkarahisar Health Sciences University between February 1st and March 1st, 2021. G* power package software was used in the sample calculation. A questionnaire form consisting of 20 parameters on demographic data and work life was used. Maslach Burnout Inventory was used as the burnout scale.
RESULTS: A total of 312 healthcare professionals participated in this study. 139 of the participants were men (44.6%) and 173 were women (55.4%). The mean age of the participants was 30.7± 7.28. 138 of the participants were doctors (44.2%) and 174 were nurses (55.8%). 110 of the participants were working in a covid ward or covid intensive care unit (ICU) (35.3%) and 202 were working in other departments (64.7%). The mean subscale scores were 19.21±7.28 for emotional exhaustion, 7.31±7.19 for depersonalization, and 20.05±3.88 for personal accomplishment. These results show that healthcare workers experience high levels of burnout according to the emotional exhaustion and personal accomplishment subscales and moderate burnout according to the depersonalization subscale.
CONCLUSIONS: The results of this study are very valuable for establishing future prevention protocols and educating healthcare professionals in the face of a pandemic. Based on our findings, we suggest closely monitoring risk groups that work directly with Covid-19 patients and providing psychological support when necessary. Also, making the necessary arrangements in working conditions is crucial to increase job satisfaction and reduce burnout in healthcare workers.
References
- 1. Rudnicka L, Gupta M, Kassir M, et al. Priorities for global health community in COVID‐19 pandemic. Dermatologic Therapy. 2020;33(4):e13361.
- 2. Semple S, Cherrie JW. COVID-19: protecting worker health. Annals of Work Exposures and Health. 2020;64(5):461-4.
- 3. Garcell HG. COVID-19. A challenge for healthcare professionals. Revista Habanera de Ciencias Médicas. 2020;19(2):e3284.
- 4. Xiang YT, Yang Y, Li W, Zhang, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry. 2020;7(3):228-9.
- 5. Maunder RG, Lancee WJ, Mae R, et al. Computer-assisted resilience training to prepare healthcare workers for pandemic influenza: a randomized trial of the optimal dose of training. BMC Health Services
Research. 2010;10(1):1-10.
- 6. Xiao H, Zhang Y, Kong D, Li S, Yang N. 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. Medical
Science Monitor: International Medical Journal of Experimental And Clinical Research. 2020;26:e923549-1.
- 7. Chor WPD, Ng WM, Cheng L, et al. Burnout amongst emergency healthcare workers during the COVID-19 pandemic: A multi-center study. The American Journal of Emergency Medicine. 2021;46:700-2.
- 8. Khasne RW, Dhakulkar BS, Mahajan HC, Kulkarni AP. Burnout among healthcare workers during COVID-19 pandemic in India: Results of a questionnaire-based survey. Indian Journal of Critical Care Medicine:
Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine. 2020;24(8):664.
- 9. Talaee N, Varahram M, Jamaati H, et al. Stress and burnout in health care workers during COVID-19 pandemic: validation of a questionnaire. Journal of Public Health. 2020;1-6.
- 10. Cihan YB. Relation between sociodemographic characteristics and depression and burnout levels of health workers. Yeni Tıp Dergisi. 2011;28:17-22.
- 11. Blanchard P, Truchot D, Albiges-Sauvin L, et al. Prevalence and causes of burnout amongst oncology residents: a comprehensive nationwide cross-sectional study. European Journal of Cancer.
2010;46(15):2708-15.
- 12. Dollard M, Winefield HR, Winefield AH (Edited by). Occupational Stress In The Service Professions. In: Le Blanc, PM, Schaufeli, WB. Burnout among oncology care providers: Radiation assistants, physicians and
nurses. 1st Edition, London: CRC Press. 2003:157-82.
- 13. Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open. 2020;3(3):e203976.
- 14. Ibáñez-Vizoso JE, Alberdi-Páramo Í, Díaz-Marsá M. International Mental Health perspectives on the novel coronavirus SARS-CoV-2 pandemic. Revista De Psiquiatria Y Salud Mental. 2020;13(2):111.
- 15. Simione L, Gnagnarella C. Differences between health workers and general population in risk perception, behaviors, and psychological distress related to COVID-19 spread in Italy. Frontiers In Psychology.
2020;11:2166.
- 16. Naushad VA, Bierens JJ, Nishan KP, et al. A systematic review of the impact of disaster on the mental health of medical responders. Prehospital and Disaster Medicine. 2019;34(6):632-43.
- 17. Ünal Y, Çakır E, Tekeli SY. Determinants of the mental health condition of healthcare workers during the initial phase of the COVID-19 pandemic in Turkey. Journal of Public Health. 2021;1-7.
- 18. Norlund S, Reuterwall C, Höög J, Lindahl B, Janlert U, Birgander LS. Burnout, working conditions and gender-results from the northern Sweden MONICA Study. BMC Public Health. 2010;10(1):1-9.
- 19. Mete B, Sait M, Değer EP. Doktorlarda Mesleki Tükenmişlik Sendromu ve Çalışma Yaşam Kalitesi Arasındaki İlişki. Anatolian Clinic. 2020;25(2):94-101.
- 20. LaFaver K, Miyasaki JM, Keran CM, et al. Age and sex differences in burnout, career satisfaction, and well-being in US neurologists. Neurology. 2018;91(20):1928-41.
- 21. Zgliczyńska M, Zgliczyński S, Ciebiera M, Kosińska-Kaczyńska K. Occupational burnout syndrome in Polish physicians: A systematic review. International Journal of Environmental Research And Public Health.
2019;16(24):5026.
- 22. Hacimusalar Y, Kahve AC, Yasar AB, Aydin MS. Anxiety and hopelessness levels in COVID-19 pandemic: A comparative study of healthcare professionals and other community sample in Turkey. Journal of
Psychiatric Research. 2020;129:181-8.
- 23. Zhang Y, Wang C, Pan W, et al. Stress, burnout, and coping strategies of frontline nurses during the COVID-19 epidemic in Wuhan and Shanghai, China. Frontiers In Psychiatry. 2020;11:1154.
- 24. Şahin CU, Kulakaç N. Exploring anxiety levels in healthcare workers during COVID-19 pandemic: Turkey sample. Current Psychology. 2021;1-8.
- 25. Nazik F, Yilmaz E, Tatli H. Burnout in health sector: Sample of public hospital. Medicine Science. 2018;7(4):821-5.
- 26. Erol A, Akarca F, Değerli V, et al. Acil servis çalışanlarında tükenmişlik ve iş doyumu. Klinik Psikiyatri. 2012;15:103-10.
- 27. Arpacıoğlu S, Baltalı Z, Ünübol B. COVID-19 pandemisinde sağlık çalışanlarında tükenmişlik, Covid korkusu, depresyon, mesleki doyum düzeyleri ve ilişkili faktörler. Cukurova Medical Journal. 2021;46(1):88-100.
- 28. Novais RND, Rocha L, Eloi RJ, et al. Burnout Syndrome prevalence of on-call surgeons in a trauma reference hospital and its correlation with weekly workload: cross-sectional study. Revista do Colégio Brasileiro
de Cirurgiões. 2016;43:314-9.
- 29. Çelmeçe N, Menekay M. The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. Frontiers in psychology. 2020;11:3329.