Burnout Syndrome and related factors among medical school interns and physicians at Kutahya Health Sciences University Faculty of Medicine
Objective: Burnout is defined as a psychological condition that is defined as exhaustion, frustration, and dismissal due to intense working conditions, especially in individuals working in areas that are face to face with people. In this study, it is aimed to investigate the prevalence of burnout syndrome and related factors in intern doctors and physicians at the Faculty of Medicine, Kutahya University of Health Sciences.
Methods: This definitive, descriptive study was carried out in the senior students and physicians at Kutahya University of Health Sciences Faculty of Medicine in September-December 2019. In the research, a personal data form and Maslach Burnout Inventory were used as data collection tools. Descriptive statistics are presented as a percentage, average, and standard deviation. Kruskal-Wallis, Mann Withney U test and Spearman correlation analysis were used in the analysis. A p-value of 0.05 was considered statistically significant.
Results: A total of 239 physicians who agreed to participate in this study were included. Among the physicians who participated in the study, 33.1% were in the 23-28 age group and 49.8% were women. Of the physicians 31.4% had sleep problems and 79.5% stated that they had night shifts. Of the physicians 12.1% stated that they were exposed to physical violence by the patient or their relatives at the workplace, and 63.2% to the verbal violence. The emotional exhaustion subscale point averages of the physicians participating in the study were 18.6±5.3, the mean of depersonalization subscale score was 8.3 ± 3.5, and the mean score of personal achievement was 15.6 ± 5.2. In our study, there was a significant difference between burnout levels according to the physicians’ gender, sleep problems, night shifts, confidence with the working environmental, and exposure to violence (p <0.05).
Conclusion: The burnout levels of physicians are affected by socio-demographic and personal characteristics; working conditions, hours and order, environment factors, opportunities to develop professional competence and negative experiences such as exposure to violence. Recognition of the causes of burnout of physicians is important for taking the necessary measures for these factors.
References
- Arigoni F, Bovier PA, Sappino AP. Trend of burnout among Swiss doctors. Swiss Med Wkly 2010;140:3132.
- Tarnowski M, Carlotto MS. Burnout Syndrome in students of psychology. Temas Psicol 2007;15(2):173-80.
- Freudenberger HJ. Burnout: Past, present, and future concerns. Loss, Grief & Care 1989;3(1-2):1-10.
- Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Occupational Behaviour 1981;2(2):99-113.
- Dyrbye LN, Massie FS, Eacker A, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA 2010;304(11):1173-80.
- Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 2012;172(18):1377-85.
- Ergin C. Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanmasi. VII Ulusal Psikoloji Kongresi, 22 Eylül 1992. Ankara, Kongre Kitabı.
- Kırmızıgül Y. Tıp fakültesinde çalışan tıp doktorları ve tıp öğrencilerinde tükenmişlik sendromu ve ilişkili faktörler. Tıpta Uzmanlık Tezi. Pamukkale Üniversitesi Tıp Fakültesi, 2018.
- Çan E, Topbaş M, Yavuzyılmaz A, Çan G, Özgün Ş. Karadeniz Teknik Üniversitesi tıp fakültesindeki araştırma görevlisi hekimlerin tükenmişlik sendromu ile iş doyumu düzeleri ve ilişkili faktörler. Journal of Experimental and Clinical Medicine 2006;23(1):17-24.
- Brewer EW, Shapard L. Employee burnout: A meta-analysis of the relationship between age or years of experience. Human resource development review 2004;3(2):102-23.
- Çam O. Hemşirelerde tükenmişlik ve çeşitli değişkenlere göre incelenmesi. Doktora Tezi. Ege Üniversitesi, 1991.
- Üstün B. Hemşirelerin atılganlık ve tükenmişlik düzeyleri. Doktora Tezi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, 1995.
- Maslach C, Jackson SE. The role of sex and family variables in burnout. Sex roles 1985;12(7-8):837-51.
- Haran S, Halise DÖ, Sayıl I. Ankara Üniversitesi Tıp Fakültesi hastaneleri ve Ankara Numune Hastanesinde çalışan doktor ve hemşirelerde tükenmişlik düzeyleri. Kriz Dergisi 1998; 6(1):75-84.
- Aslan D, Kiper N, Karaağaoğlu E, Topal F, Güdük M, Cengiz ÖS. Türkiye’de tabip odalarına kayıtlı olan bir grup hekimde tükenmişlik sendromu ve etkileyen faktörler. Ankara, Türk Tabipleri Birliği Yayınları. 2005.
- Atik M. Türkiye’deki göğüs hastalıkları hekimlerinde tükenmişlik sendromu sıklığının araştırılması. Tıpta Uzmanlık Tezi. Dokuz Eylül Üniversitesi Tıp Fakültesi, 2017.
- Vela-Bueno A, Moreno-Jiménez B, Rodríguez-Muñoz A, Olavarrieta-Bernardinoa S, Fernández-Mendozaa J, De la Cruz-Trocac JJ, et al. Insomnia and sleep quality among primary care physicians with low and high burnout levels. Journal of psychosomatic research 2008;64(4):435-42.
- Győrffy Z, Dweik D, Girasek E. Workload, mental health and burnout indicators among female physicians. Hum Resour Health 2016;14:12-19.
- Pagnin D, de Queiroz V, Carvalho YT, Dutra AS, Dutra ASS, Amaral MB, Queirozet TT. The relation between burnout and sleep disorders in medical students. Acad Psychiatry 2014; 38(4):438-44.
- Embriaco N, Azoulay E, Barrau K, Kentish N, Pochard F, Loundou A, et al. High level of burnout in intensivists: prevalence and associated factors. American journal of respiratory and critical care medicine 2007;175(7):686-92.
- Embriaco N, Papazian L, Kentish-Barnes N, Pochard F, Azoulay E. Burnout syndrome among critical care healthcare workers. Current opinion in critical care 2007;13(5):482-8.
- Yaman H, Ungan M. Tükenmişlik: Aile hekimliği asistan hekimleri üzerinde bir inceleme. Türk Psikoloji Dergisi 2002;17(49):37-44.
- Altınsoy NB. İzmir ili acil tip asistan hekimlerinin tükenmişlik sendromu yönünden değerlendirilmesi. Tıpta Uzmanlık Tezi. Dokuz Eylül Üniversitesi Tıp Fakültesi, 2019.
- Winstanley S, Whittington R. Violence in a general hospital: comparison of assailant and other assaultrelated factors on accident and emergency and inpatient wards. Acta Psychiatrica Scandinavica 2002;106:144-7.
- Dursun S. İşyeri şiddetinin çalışanların tükenmişlik düzeyi üzerine etkisi: Sağlık sektöründe bir uygulama. Çalışma İlişkileri Dergisi 2012;3(1):105-15.