Main Article Content
Abstract
Professional burnout is a complex interdisciplinary problem at the junction of hygiene, psychology, psychophysiology and physiology, which implies the possibility of the influence of physiological abnormalities on habitual psycho-emotional reactions during the work process.
The purpose of the study – to analyze the relationship of working conditions and health status with the professional burnout of a doctor.
Material and methods. The study used survey data, regulatory documentation of institutions concerning 346 doctors from medical institutions in Novosibirsk for 2020-2021. The differences between the independent samples were estimated according to the statistics χ2, the significance of the variance difference was estimated according to the Fisher criterion. The nonparametric analysis of the samples was carried out according to the Mann-Whitney criteria and the Wilcoxon T-criterion.
Results. The tested harmfulness from the production factors of the environment of medical institutions belongs to the 3rd class of working conditions. 40.5 % of doctors were recognized as healthy according to the PMO statements, while the survey revealed a significant decrease in the health-related quality of life. The statistically significant influence of the factor of experiencing bodily pain in the workplace on the progression of low professional maladjustment from a low to a moderate degree has been determined.
Conclusions. 1. The doctor's health, physical and mental well-being, underlies the specialist's resistance to the effects of professional stress factors, forming the basis of professional longevity. Modern working conditions of a doctor require a special ergonomic assessment due to the extremely widespread experience of bodily pain in the workplace among doctors. 2. Recurrent or chronic pain syndrome in the workplace has a long-term negative effect on the psycho-emotional status of a doctor when performing work duties.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Aksenova EI, Kamynina NN, Turzin PS. Professional stress of medical workers: review of foreign practices: expert review. M., 2023. 48 p. Russian (Аксенова Е.И., Камынина Н.Н., Турзин П.С. Профессиональный стресс медицинских работников: обзор зарубежных практик: экспертный обзор. М., 2023. 48 с.)
Maslach С, Jackson SE. The measurement of experienced burnout. J Occupational Behaviour. 1981; 2: 99-113. doi: 10.1002/job.4030020205
Vodopyanova NE, Starchenkova ES. Burnout syndrome. 2nd ed. SPb., 2009. 336 p. Russian (Водопьянова Н.Е., Старченкова Е.С. Синдром выгорания. 2-е изд. СПб., 2009. 336 с.)
Vodopyanova NE., Starchenkova ES., Inheritov AD. Standardized questionnaire «Professional burnout» for specialists in socionomic professions. Bulletin of St. Petersburg State University. 2013; 12(4): 17-27. Russian (Водопьянова Н.Е., Старченкова Е.С., Наследов А.Д. Стандартизированный опросник «Профессиональное выгорание» для специалистов социономических профессий //Вестник СПбГУ. 2013. Т. 12, № 4. С. 17-27)
Kotelevets EP, Kiryushin VA. Change of the functional state of the organism of medical personnel of the perinatal center in the dynamics of the work shift. I.P. Pavlov Russian Medical Biological Herald. 2015; 23(3): 61-65. Russian (Котелевец Е.П., Кирюшин В. А. Изменение функционального состояния организма медицинского персонала перинатального центра в динамике рабочей смены //Российский медико-биологический вестник им. акад. И.П. Павлова. 2015. Т. 23, № 3. С. 61-65.) doi: 10.17816/PAVLOVJ2015361-65
Matyushkina EYa, Roy AP, Rakhmanina AA, Kholmogorova AB. Occupational stress and burnout among healthcare professionals. Journal of Modern Foreign Psychology. 2020; 9(1): 39-49. Russian (Матюшкина Е.Я., Рой А.П., Рахманина А.А., Холмогорова А.Б. Профессиональный стресс и профессиональное выгорание у медицинских работников //Современная зарубежная психология. 2020. Т. 9, № 1. С. 39-49.) doi: 10.17759/jmfp.2020090104
Mel`nikova M.L. Psixologiya stressa: teoriya i praktika: uchebno-metodicheskoe posobie. Ekaterinburg, 2018. 112 s. Russian (Мельникова М.Л. Психология стресса: теория и практика: учебно-методическое пособие. Екатеринбург, 2018. 112 с.)
Ware JE, Snow KK, Kosinski M., Gandek B. SF-36 Health Survey. Manual and interpretation guide. The Health Institute, New England Medical Center. Boston, Mass. 1993
Rodina ON. Personal deformations in the development of a state of chronic fatigue. Lomonosov Psychology Journal. 2019; 14(1): 123-140. Russian (Родина О.Н. Личностные деформации при развитии состояния хронического утомления //Вестник Московского университета. Серия 14. Психология. 2019. Т. 14, № 1. С. 123-140.) doi: 10.11621/vsp.2019.01.123
Shaderkina VA, Krasnyak IV. Physician burnout: the hidden healthcare crisis. Results of an online survey of doctors. Russian Journal of Telemedicine and E-Health. 2022; 8(4): 7-20. Russian (Шадеркина В.А. Красняк И.В. Профессиональное выгорание врачей: скрытый кризис здравоохранения. Данные интернет-опроса врачей //Российский журнал телемедицины и электронного здравоохранения. 2022. Т. 8, № 4. С. 7-20.) doi: 10.29188/2712-9217-2022-8-4-7-20
Pronicheva MM., Bulygina VG., Moskovskaya M.S. Modern researches of burn-out syndrome in social service specialists. Social`naya i klinicheskaya psixiatriya. 2018; 28(4): 100-104. Russian (Проничева М.М., Булыгина В.Г., Московская М.С. Современные исследования синдрома эмоционального выгорания у специалистов профессий социальной сферы //Социальная и клиническая психиатрия. 2018. Т. 28, № 4. С. 100-104)
Kobyakova OS., Deev IA., Kulikov ES., Pimenov ID., Khomyakov KV. Burnout in doctors and medical errors. Is there a connection? Social aspects of population health. 2016; 7: 5-7. Russian (Кобякова О.С., Деев И.А., Куликов Е.С., Пименов И.Д., Хомяков К.В. Эмоциональное выгорание у врачей и медицинские ошибки. Есть ли связь? //Социальные аспекты здоровья населения. 2016. № 7. С. 5-7.) doi: 10.21045/2071-5021-2016-47-1-5
Vakulyuk VI., Mikhailova EA., Halemsky AG. The prospects of improvement of psychophysiological inspection of workers with harmful and dangerous working conditions. The Hospital. 2019; 1(27): 15-17. Russian (Вакулюк В.И., Михайлова Е.А., Халемский А.Г. Перспективы совершенствования психофизиологического обследования работников с вредными и опасными условиями труда //Клиническая больница. 2019. № 1(27). С. 15-17)
Lim MY, Chua SH, Syarifah NA, Eunice P, Ooi CL. Prevalence of burnout syndrome and its associated factors among doctors in Sabah, Malaysia. Psychol Health Med. 2022; 27(6): 1373-1380. doi: 10.1080/13548506.2021.1891265
Avita RJ, Rakesh J, Manisha J, Avono K., Rajitha K, Joseph B. Do Low Self-Esteem and High Stress Lead to Burnout Among Health-Care Workers? Evidence From a Tertiary Hospital in Bangalore, India. Saf Health Work. 2020; 11(3): 347-352. doi: 10.1016/j.shaw.2020.05.009
Raghad M, Asma E, Ebtehag M, Zubair S, Tanvir A, Alaa A, Mowafa H. Electronic Health Records and Physician Burnout: A Scoping Review. Stud Health Technol Inform. 2022; 289: 481-484. doi: 10.3233/SHTI210962
Budd J. Burnout Related to Electronic Health Record Use in Primary Care. J Prim Care Community Health. 2023; 14: 21501319231166921. doi: 10.1177/21501319231166921
Wilson N, Langan-Martin J. Burnout and attitudes toward deliberate self harm amongst UK junior doctors. Psychol Health Med. 2021; 26(2): 162-176. doi: 10.1080/13548506.2020.1840599
Davydov OS. The prevalence of pain syndromes and their impact on quality of life in the world and Russia according to the data of the Global Burden of Disease Study in the period 1990 to 2013. Rossiyskiy Zhurnal Boli. 2015; 40(3-4): 11-18. Russian (Давыдов О.С. Распространенность болевых синдромов и их влияние на качество жизни в мире и в России, по данным исследования глобального бремени болезней за период с 1990 по 2013 г. //Российский журнал боли. 2015. Т. 40, № 3-4. С. 11-18)
Shvayko EG. Features of the subjective experience of pain. Journal of Modern Foreign Psychology. 2022; 11(2): 141-147. Russian (Швайко Е.Г. Особенности субъективного переживания боли //Современная зарубежная психология. 2022. Т. 11, № 2. С. 141-147.) doi: 10.17759/jmfp.2022110213