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BİR ÜNİVERSİTE HASTANESİNDE TIPTA UZMANLIK ÖĞRENCİLERİNDE TÜKENMİŞLİK DURUMU VE COVID-19 KORKUSU

Year 2023, Volume: 8 Issue: 3, 230 - 240, 29.10.2023
https://doi.org/10.35232/estudamhsd.1285896

Abstract

Sağlık çalışanlarının tükenmişlik sorunu, pandemide zorlaşan çalışma koşulları ve COVID-19 korkusu ile daha da artmıştır. COVID-19 sürecinde en önde görev alan tıpta uzmanlık öğrencileri, en çok etkilenen gruplardan biridir. Bu çalışmada, bir üniversite hastanesindeki uzmanlık öğrencilerinin tükenmişlik ve COVID-19 korkusu değerlendirilerek ilişkili etmenleri saptamak amaçlanmıştır. Araştırma kesitsel tipte olup Eylül-Kasım 2021’de Ankara Üniversitesi Tıp Fakültesi’nde çalışan tıpta uzmanlık öğrencilerinde yürütülmüştür. Örnekleme seçilen 400 kişiden 324’ü araştırmaya katılmış, veriler tanımlayıcı bilgilerin yanısıra Türkçe uyarlaması yapılmış olan Maslach Tükenmişlik Ölçeği (MTÖ) ve Koronavirüs Korkusu Ölçeği (KKÖ) kullanılarak çevrim içi toplanmıştır. MTÖ’de duygusal tükenme (DT) ve duyarsızlaşma (D) puanlarının yüksek, kişisel başarı (KB) puanının düşük olması yüksek tükenmişlikle ilişkilidir. KKÖ’de puan arttıkça COVID-19 korkusu artışını göstermektedir. Verilerin analizinde SPSS 26 programı kullanılmış, tekli analizlerde anlamlı saptanan değişkenler için çoklu lineer regresyon analizi uygulanmıştır. Araştırmaya katılanların yaş ortalaması 28,03±2,48 yıl olup %59’u kadındı. DT puanı 19,20±7,88, D puanı 8,00±4,11, KB puanı 18,48±4,78; KKÖ puanı 15,72±5,06 idi. Yoğun çalışma koşulları, şiddet, baskı, psikolojik destek ihtiyacı, yetersiz maaş gibi faktörlerin yanı sıra yüksek COVID-19 korkusu da tükenmişliğin çeşitli alt boyutlarını anlamlı ölçüde etkilemiştir. COVID-19 korkusu ise ileri yaşta, kadınlarda, evde 65 yaş üstü bireyle yaşayanlarda, uyku düzeni bozulanlarda, ailesinden ayrılanlarda ve pandemide görev almayanlarda daha yüksek bulunmuştur. İlişkili faktörlere dayanarak iş yükünün ve stresin azaltılması, çalışma sürelerinin kısıtlanması, olanakların iyileştirilmesi ve sağlıkta şiddetin çözümlenmesi önerilmiştir.

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BURNOUT AND COVID-19 FEAR OF RESIDENTS WORKING AT A UNIVERSITY HOSPITAL

Year 2023, Volume: 8 Issue: 3, 230 - 240, 29.10.2023
https://doi.org/10.35232/estudamhsd.1285896

Abstract

Burnout problem of healthcare workers was exacerbated by difficult working conditions and fear of COVID -19 during the pandemic. Medical students, who are at the forefront of the COVID -19 process, are one of the most affected groups. In this study it was aimed to determine the associated factors by evaluating the burnout and fear of COVID -19 in medical students at a university hospital. The study was a cross-sectional study and was conducted in September-November 2021 among medical residents at Ankara University Faculty of Medicine. 324 of the 400 selected people participated in the study. Data were collected online using the Maslach Burnout Scale (MBI) and the Fear of Coronavirus Scale (FCS), which were adapted into Turkish, as well as descriptive information. High scores for emotional exhaustion (EE) and depersonalization (D) and low scores for personal accomplishment (PA) in the MBI scale are associated with high burnout. The higher the score in FCS, the greater the fear of COVID -19. The SPSS 26 program was used to analyze the data, and multiple linear regression analysis was applied for the variables that were found to be significant in the individual analyzes. The mean age of the participants was 28.03±2.48 years, and 59% were women. EE was 19.20±7.88, D was 8.00±4.11, PA was 18.48±4.78; FCS was 15.72±5.06. In addition to factors such as intense working conditions, violence, pressure, need for psychological support, and insufficient salary, high fear of COVID -19 also significantly affected various subdimensions of burnout. Fear of COVID -19 was found to be higher in older age, women, those living at home with individuals over 65 years of age, those with disturbed sleep patterns, those separated from their families, and those who had not worked in the pandemic response. Based on related factors, it has been suggested to reduce workload and stress, limit working hours, improve opportunities and resolve violence in health care.

References

  • 1. Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM de. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS One. 2017;12(10):e0185781.
  • 2. Morgantini LA, Naha U, Wang H, Francavilla S, Acar Ö, Flores JM, et al. Factors contributing to healthcare professional burnout during the COVID-19 pandemic: A rapid turnaround global survey. PLoS One. 2020;15(9):e0238217. Available from: https://pubmed.ncbi.nlm.nih.gov/32881887
  • 3. Rothenberger DA. Physician Burnout and Well-Being: A Systematic Review and Framework for Action. Dis Colon Rectum. 2017;60(6). Available from: https://journals.lww.com/dcrjournal/Fulltext/2017/06000/Physician_Burnout_and_Well_Being__A_Systematic.5.aspx
  • 4. Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600–13. Available from: https://www.sciencedirect.com/science/article/pii/S0025619615007168
  • 5. Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. Ağustos 2013;10(4):242–5.
  • 6. Coskun O, Ocalan AO, Ocbe CB, Semiz HO, Budakoglu I. Depression and hopelessness in pre-clinical medical students. Clin Teach. Ağustos 2019;16(4):345–51.
  • 7. Macaron MM, Segun-Omosehin OA, Matar RH, Beran A, Nakanishi H, Than CA, et al. A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis. C. 13, Frontiers in Psychiatry. Switzerland; 2022. pp. 1071397.
  • 8. Melnikow J, Padovani A, Miller M. Frontline physician burnout during the COVID-19 pandemic: national survey findings. BMC Health Serv Res. 2022;22(1):365.
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  • 19. Müller SA, Wood RR, Hanefeld J, El-Bcheraoui C. Seroprevalence and risk factors of COVID-19 in healthcare workers from 11 African countries: a scoping review and appraisal of existing evidence. Health Policy Plan. Nisan 2022;37(4):505–13.
  • 20. Yılmaz TD. Ankara Üniversitesi Tıp Fakültesi Hastaneleri’nde Tıpta Uzmanlık Öğrencilerinin Tükenmişlik Düzeyi ve İlişkili Etmenler. Tıpta Uzm Tezi, Ankara Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı. 2009;Ankara.
  • 21. Gündoğdu G. Sivas Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesinde Çalışan Araştırma Görevlilerinde Tükenmişlik Düzeyi ve İlişkili Etmenler. Tıpta Uzm Tezi, Sivas Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı. 2021;Sivas.
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  • 24. Jalili M, Niroomand M, Hadavand F, Zeinali K, Fotouhi A. Burnout among healthcare professionals during COVID-19 pandemic: a cross-sectional study. Int Arch Occup Environ Health. 2021; doi:10.1007/s00420-021-01695-x.
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  • 26. Teixeira C, Ribeiro O, Fonseca AM, Carvalho AS. Burnout in intensive care units - a consideration of the possible prevalence and frequency of new risk factors: a descriptive correlational multicentre study. BMC Anesthesiol. 31 Ekim 2013;13(1):38. Available from: https://pubmed.ncbi.nlm.nih.gov/24172172
  • 27. Yıldız A, Çiçek İ, Şanlı ME. Sağlık Çalışanlarında Tükenmişliğin Belirleyicileri: Sigara ve Alkol Kullanımına Etkisinin İncelenmesi. Celal Bayar Üniversitesi Sağlık Bilim Enstitüsü Derg. 2018;5(3):126–32.
  • 28. Siu C, Yuen S, Cheung A. Burnout among public doctors in Hong Kong: cross-sectional survey. Hong Kong Med J. 2012;18(3):186–92.
  • 29. Sahin T, Aslaner H, Olguner Eker Ö, Gökçek MB, Doğan M. A Questionnaire Study Effect of COVID-19 Pandemic on Anxiety and Burnout Levels in Emergency Healthcare Workers. Int J Med Sci Clin Invent. 16 Eylül 2020;7(09SE-Research Article):4991–5001. Available from: https://valleyinternational.net/index.php/ijmsci/article/view/2801
  • 30. Çelik H. Sağlık Çalışanlarının Tükenmişlik Düzeylerinin ve Problem Çözme Becerilerinin İncelenmesi: Kadirli Devlet Hastanesi Örneği. Yüksek Lisans Tezi, Çağ Üniversitesi Sos Bilim Enstitüsü. 2020; Mersin.
  • 31. Liu W, Zhao S, Shi L, Zhang Z, Liu X, Li L, et al. Workplace violence, job satisfaction, burnout, perceived organisational support and their effects on turnover intention among Chinese nurses in tertiary hospitals: a cross-sectional study. BMJ Open. Haziran 2018;8(6):e019525.
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  • 33. Yakut E, Kuru Ö, Güngör Y. Sağlık Personelinin Covid-19 Korkusu İle Tükenmişliği Arasındaki İlişkide Aşırı İş Yükü Ve Algılanan Sosyal Desteğin Etkisinin Yapısal Eşitlik Modeliyle Belirlenmesi. Ekev Akad Derg. 2020;(83):241–62.
  • 34. Ali SM, Nausheen S. Psychosocial Impact of COVID-19 on Healthcare Workers: A cross-sectional survey from Pakistan. Sultan Qaboos Univ Med J. 2022/02/28. Şubat 2022;22(1):82–90. Available from: https://pubmed.ncbi.nlm.nih.gov/35299803
  • 35. Karagöl A, Törenli Kaya Z. Healthcare workers’ burn-out, hopelessness, fear of COVID-19 and perceived social support levels. Eur J Psychiatry. 2022; Available from: https://www.sciencedirect.com/science/article/pii/S0213616322000015
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Details

Primary Language Turkish
Subjects Public Health, Environmental Health
Journal Section Research Article
Authors

Halit Emin Alıcılar 0000-0002-6342-9707

Meltem Çöl 0000-0001-7089-1644

Early Pub Date October 29, 2023
Publication Date October 29, 2023
Submission Date April 19, 2023
Published in Issue Year 2023 Volume: 8 Issue: 3

Cite

Vancouver Alıcılar HE, Çöl M. BİR ÜNİVERSİTE HASTANESİNDE TIPTA UZMANLIK ÖĞRENCİLERİNDE TÜKENMİŞLİK DURUMU VE COVID-19 KORKUSU. ESTUDAM Public Health Journal. 2023;8(3):230-4.

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