The purpose of the study was to determine the presence of burnout in health care workers, who work in ambulance. Methods and materials of the research.
We used the questionnaire of Boyko V. V. in 1999 . We modified questions and made a questionnaire which consists of 25 questions. Statistical methods allows to carry out verification of the formulated conclusions were used. Calculated averages (М), error of their representation (m). Authenticity of distinctions of arithmetic averages was estimated by the criterion of t-Student. In order to be statistically reliable, a difference was considered at the level of р<0.05. Statistical treatment was conducted on a personal computer using spreadsheets in Excel 7.0.
Doctor's ambulance work is emotionally rich. All his working day is the closest communication with people requiring emergency care, and sometimes clashing with death. Often faced with negative emotions, the doctor begins to suffer from emotional stress.
Burnout Syndrome (BS), chronic fatigue syndrome described by E. Morrow. In 1974; the term was proposed by H. Fraidenberg (United States), who also offered burnout-syndrome (incineration). Burnout syndrome is a psychological term for the experience of long-term exhaustion and diminished interest. Mental burnout is understood as a professional crisis associated with the work as a whole, and not just with the interpersonal relationship in the process.
Burnout syndrome includes 3 stages:
Stage 1 - Tension. Dissatisfaction with self, with a select profession and with a current position; «trapped in a cage» experiencing of psychologically injuring situations, strengthening of awareness of psychologically injuring factors of professional activity; anxiety and depression.
Stage 2 - Resistance. Inadequate electoral emotional reaction; emotional-moral disorientation; emotional withdrawal; reduction of professional productivity.
Stage 3 - Depletion. Emotional deficit; emotionally and personally removed; psychosomatic and psychovegetative violations are revealed at the level of psychical and physicalfeelings.
Physical - tiredness and fatigue. Emotional - lack of emotions.
Negative behavioral changes occur when business hours are more than 45 hours in a week.
The intellectual state - reduction of interest in new theories and ideas in-process.
Negative factors leading to the development of burnout:
- Administrative factors (not feeling concerned for the medical staff from the government or trade unions).
- Social factors (lack of respect for medical staff, patients, and their relatives).
- Peer factors (quarrels in the team and with colleagues).
Types of health care workers at risk of the development of professional burnout:
- Pedantic, characterized by integrity, built by absolute, excessive and painful accuracy, in any business striving to achieve the perfect order (even to their own detriment).
- Demonstrative, eager to excel in everything, always visible. They are characterized by a high degree of exhaustion, even in everyday tasks.
- Emotional - sympathetic, tend to perceive the pain of others as their own borders on self-destruction.
Study design :
- Set of study
- Questionnaire of investigated
- Analysis of questionnaires
- Control group ( n=20) medical workers without night shifts
- Main group (n=50 ) first-aid medical workers
Analysis of questionnaire:
- The sum of points is determined separately for each of the stages of “burning down”.
- The sum of indexes of symptoms is counted up for each of the 3 stages of the formation of “burning down”.
- There is a total sum of syndrome of the “emotional burning down” - sum of indexes of all symptoms.
- 0-9 points - the symptom is not present;
- 10-15 points - the beginning stages of the symptom;
- 16 -20 points - all symptoms are present;
- 20 + points - all symptoms are intensified in a phase or in all syndromes of the emotional burning down.
According to research the presence of this syndrome «emotional burning» is expressed in 36.3% employees of medical first-aid.
Considerable influence on expressed of this syndrome was renderedbythe terms of labor.
- According to research the presence of this syndrome «emotional burning» is expressed in 36.3% employees of medical first-aid. Considerable influence on expressed of this syndrome was rendered by the terms of labor.
- As the research shows, results on the necessity of realization of the psichoprophilactical measures attributed to optimization of work and mental condition of medical workers. An important role must play informing specialists of early signs of “burning down” and risk factors, emotional support from the side of colleagues and guidance, and courses which can teach controlling with stress.
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