Research Article
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BURNOUT AND JOB SATISFACTION AMONG FAMILY PHYSICIANS

Year 2022, Volume: 16 Issue: 2, 376 - 384, 20.06.2022
https://doi.org/10.21763/tjfmpc.977985

Abstract

Aim: Burnout syndrome is a major problem, especially among health care workers. The higher the sense of individual skills and achievement, the lower the likelihood of burnout syndrome. The objective of the study is to measure the level of burnout and job satisfaction of family physicians. Methods: Both data of the Family Physicians (FPs) who are working in rural and urban has been included in the study. The study is designed to measure their level of burnout and job satisfaction using the Maslach Burnout Inventory, Minnesota Work Satisfaction Questionnaire. Their relationship with the working area and other factors is also analyzed. Results: Maslach depersonalization subscale was found to be significantly higher in those who lived alone, those who defined their location as rural, and those who did not participate in continuing medical education (CME) (p=0.02, p=0.01, p=0.03). While Maslach personal achievement score was low in those who define their location as rural (p=0.01) it was found to be higher in women and those who did not participate in CME (p=0.02, p=0.03). In addition, as age increases, Maslach emotional burnout and depersonalization scores decrease and personal success scores increase (r =-0.169, -0.205, 0.163 and p=0.00, p=0.00, p=0.00). Conclusions: Emotional and total burnout scores decreased with age, and that attending CME increased personal achievement. CME could be a beneficial tool not only to support FPs but also to prevent burnout.

Supporting Institution

yok

Project Number

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Thanks

Acknowledgments: The authors would like to thank Dr. Kemal Mustan and Dr. Seval Yaprak for participating in the study and Simon Edward Mumford for language editor.

References

  • 1. Freudenberger HJ. Staff Burn-out. J Healthc Qual. 1982;4(4):6-8. doi:10.1111/j.1945-1474.1982.tb00486.x
  • 2. Vázquez-Cabrera FJC-A and C. Burnout Syndrome in an International Setting. Burn Expert Prev Context Living Work. 2013;(July):1-257. doi:10.1007/978-1-4614-4391-9
  • 3. Metlaine A, Sauvet F, Gomez-Merino D, et al. Sleep and biological parameters in professional burnout: A psychophysiological characterization. PLoS One. 2018;13(1):1-15. doi:10.1371/journal.pone.0190607
  • 4. Tan S, Zhen E, Amatullah T, Mohd MT. Mental Health Status of Healthcare Workers in Primary Health Clinics in Sepang.
  • 5. Vachon M, Papineau M, Dupuis G, Roberge P. Associations Between Systemic Quality of Life and Burnout Among French Canadian Workers. Soc Indic Res. 2019;142(3):1193-1210. doi:10.1007/s11205-018-1944-x
  • 6. Balcıoğlu İ, Memetali̇ S, Rozant R, et al. Tükenmişlik Sendromu Burn out Syndrome. 2008;83.
  • 7. Jiang H, Huang N, Jiang X, Yu J, Zhou Y, Pu H. Factors related to job burnout among older nurses in Guizhou province, China. PeerJ. 2021;9:e12333. doi:10.7717/peerj.12333
  • 8. Kim SO, Moon SH. Factors influencing turnover intention among male nurses in Korea. Int J Environ Res Public Health. 2021;18(18). doi:10.3390/ijerph18189862
  • 9. Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029
  • 10. De Hert S. Burnout in healthcare workers: Prevalence, impact and preventative strategies. Local Reg Anesth. 2020;13:171-183. doi:10.2147/LRA.S240564
  • 11. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. [Summary for patients in Ann Intern Med. 2002 Mar 5;136(5):I29; PMID: 11874329]. Ann Int Med. 2002;136(February 2001). www.acponline.org/careers/catalog_resources.htm.%0Ahttps://doi.org/10.7326/0003-4819-136-5-200203050-00008
  • 12. Kondro W. The view from the North. CMAJ. 2012;184(13):895-896. doi:10.1503/cmaj.109-4262
  • 13. Çakır, Özlem; Tanğ Y. Türkiye’de Sağlık Çalışanlarında Tükenmişlik Sendromu: Bir Meta Analiz Çalışması. 'İş, Güç' Endüstri İlişkileri ve İnsan Kaynakları Derg. 2018;20:39-59.
  • 14. Erdoğan P. İş tatmini ile tükenmişlik ilişkisi : B ir meta - analiz çalışması The relationship between job satisfaction and burnout : A meta - analysis study. 2021;9:405-425.
  • 15. Hacer TY, Ali A. Burnout in physicians who are exposed to workplace violence. J Forensic Leg Med. 2020;69(October 2019):101874. doi:10.1016/j.jflm.2019.101874
  • 16. Elay G, Bahar I, Demirkiran H, Oksüz H. Severe burnout among critical care workers in Turkey. Saudi Med J. 2019;40(9):943-948. doi:10.15537/smj.2019.9.24520
  • 17. Dinibutun SR. Factors associated with burnout among physicians: An evaluation during a period of COVID-19 pandemic. J Healthc Leadersh. 2020;12:133-134. doi:10.2147/JHL.S284907
  • 18. Yılmaz S, Calikoglu EO, Kosan Z, Aras A. Burnout among family physicians in Turkey: A comparison of two different primary care systems. Niger J Clin Pract. 2019;22(September):1070-1077. doi:10.4103/njcp.njcp
  • 19. Atik M, Uçan ES, Ellidokuz H, Alptekin K. Burnout in chest physicians after health care reforms: A cross-sectional study in Turkey. Turkish Thorac J. 2019;20(1):18-24. doi:10.5152/TurkThoracJ.2018.18041
  • 20. Özder G, Pak H, Gokdemir O. İş doyumu , stresle başaçıkma stilleri ve iş gören profilleri arasındaki ilişkinin kesitsel bir incelemesi [ A cross-sectional investigation of the relationship among job satisfaction ... 2020;(February). https://www.researchgate.net/profile/Ozden_Gokdemir/publication/339127608_Is_doyumu_stresle_basacikma_stilleri_ve_isgoren_profilleri_arasindaki_iliskinin_kesitsel_bir_incelemesi_A_cross-sectional_investigation_of_the_relationship_among_job_satisfaction_st
  • 21. Pehlivanoglu B, Hassoy H, Gul G, Aykutlu U, Doganavsargil B. How does it feel to be a pathologist in turkey? Results of a survey on job satisfaction and perception of pathology. Turk Patoloji Derg. 2021;37(1):37-39. doi:10.5146/tjpath.2020.01513
  • 22. Yilmaz A. Burnout, job satisfaction, and anxiety depression among family physicians: A cross sectional study. J Fam Med Prim Care. 2018;7:952-956. doi:10.4103/jfmpc.jfmpc_59_18
  • 23. Kare AP, Gujo AB, Yote NY. Job Satisfaction Level and Associated Factors Among Rural Health Extension Workers of Sidama Region, Southern Ethiopia. Heal Serv Res Manag Epidemiol. 2021;8:1-7. doi:10.1177/23333928211051832
  • 24. Karakoç FY, Emek M. The vacancy of the family practice units openıng for the inter-provincial placement and the factors affecting vacancies in Turkey. Türkiye Aile Hekim Derg. 2019;23(3):118-127. doi:10.15511/tahd.19.00318
  • 25. Maslach C, Goldberg J. Prevention of burnout: New perspectives. Appl Prev Psychol. 1998;7(1):63-74. doi:10.1016/S0962-1849(98)80022-X
  • 26. İnce NB, Şahin AE. Maslach Tükenmişlik Envanteri-Eğitimci Formu’nu Türkçe’ye Uyarlama Çalışması. Eğitimde ve Psikolojide Ölçme ve Değerlendirme Derg. 2015;6(2):385-399. doi:10.21031/epod.97301
  • 27. Weiss DJ, Dawis R, England G, Lofquist L. Manual for the Minnesota Satisfaction Questionnaire. Man Minnesota Satisf Surv. Published online 1967:125.
  • 28. Tözün M, Çulhacı A, Ünsal A. The Job Satisfaction of Physicians That Working in Primary Health Care Institutions in Family Medicine System (Eskişehir). TAF Prev Med Bull. 2008;7(5):377-384.
  • 29. Soler JK, Yaman H, Esteva M, et al. Burnout in European family doctors: The EGPRN study. Fam Pract. 2008;25(4):245-265. doi:10.1093/fampra/cmn038
  • 30. Aslan DDD, Kiper PDN, Karaağaoğlu PDE, Topal DF, Güdük DM, Cengiz DÖS. Türkiye’de Tabip Odalarına Kayıtlı Olan Bir Grup Hekimde Tükenmişlik Sendromu Ve Etkileyen Faktörler.; 2015. https://www.ttb.org.tr/kutuphane/tukenmislik.pdf
  • 31. Manhire-Heath R, Cormack D, Wyeth E. ’ ...but i just prefer to treat everyone the same... ’: General practice receptionists talking about health inequities. Aust J Prim Health. 2019;25(5):430-434. doi:10.1071/PY19026
  • 32. Buğdaycı R, Kurt AÖ, Şaşmaz T, Öner S. Mersin İlinde Pratisyen ve Uzman Hekimlerde Depresyon Sıklığı ve Etkileyen Faktörler. Toplum Hekim Bülteni. 2009;26(1):3-6.
  • 33. Babbott S, Manwell LB, Brown R, et al. Electronic medical records and physician stress in primary care: Results from the MEMO Study. J Am Med Informatics Assoc. 2014;21(E2):100-106. doi:10.1136/amiajnl-2013-001875
  • 34. Aygun O, Mevsim V. The impact of family physicians’ thoughts on self-efficacy of family physician’s core competencies on burnout syndrome in İzmir: A nested case-control study. Niger J Clin Pract. 2019;22(2):167-173. doi:10.4103/njcp.njcp_77_18
  • 35. Reddy SK, Yennu S, Tanco K, et al. Frequency of Burnout Among Palliative Care Physicians Participating in a Continuing Medical Education Course. J Pain Symptom Manage. 2020;60(1):80-86.e2. doi:10.1016/j.jpainsymman.2020.02.013
  • 36. Eldem H. Yerel Yönetimler Reformunun Bir Parçası Olarak Köy Kanunu Tasarı Taslağı. Optim Ekon ve Yönetim Bilim Derg. 2015;2(1):39-61. doi:10.17541/oeybd.01543
  • 37. Pinikahana J, Happell B. Stress, burnout and job satisfaction in rural psychiatric nurses: A Victorian study. Aust J Rural Health. 2004;12(3):120-125. doi:10.1111/j.1440-1854.2004.00572.x
  • 38. Artiga S, Hinton E. Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity | The Henry J. Kaiser Family Foundation. Kaiser Fam Found. 2018;(May). https://www.kff.org/disparities-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/
  • 39. Wakuma C, Teresa E. Language as a Barrier to Health Care for Oromo Speaking Patients in Hospitals: A Case Study on Jimma and Wollega Public Hospitals. Int J Multicult Multireligious Underst. 2020;6(6):693. doi:10.18415/ijmmu.v6i6.1304
  • 40. McLeod S. Maslow ’ s Hierarchy of Needs Maslow ’ s Hierarchy of Needs. Business. Published online 2018:3-5.

AİLE HEKİMLERİNDE TÜKENMİŞLİK VE İŞ DOYUMU

Year 2022, Volume: 16 Issue: 2, 376 - 384, 20.06.2022
https://doi.org/10.21763/tjfmpc.977985

Abstract

Amaç: Tükenmişlik sendromu özellikle sağlık çalışanları arasında önemli bir sorundur. Bireysel beceri ve başarı duygusu ne kadar yüksekse, tükenmişlik sendromu olasılığı o kadar düşüktür. Araştırmanın amacı, aile hekimlerinin tükenmişlik ve iş doyum düzeylerini ölçmektir. Yöntemler: Çalışmaya kırsal ve kentsel alanda çalışan aile hekimlerinin verileri dahil edilmiştir. Çalışma, Maslach Tükenmişlik Envanteri, Minnesota İş Doyum Anketi kullanılarak tükenmişlik ve iş doyum düzeylerini ölçmek için tasarlanmıştır. Çalışma alanı ve diğer etmenlerle ilişkileri de incelenmiştir. Bulgular: Maslach duyarsızlaşma alt ölçeği, yalnız yaşayanlarda, bulunduğu yeri kırsal olarak tanımlayanlarda ve sürekli tıp eğitimine (STE) katılmayanlarda (p=0,02, p=0,01, p=0,03) anlamlı olarak daha yüksek bulundu. Maslach kişisel başarı puanı, bulunduğu yeri kırsal olarak tanımlayanlarda düşük (p=0,01) iken, kadınlarda ve STE'ye katılmayanlarda daha yüksek bulundu (p=0,02, p=0,03). Ayrıca yaş arttıkça Maslach duygusal tükenmişlik ve duyarsızlaşma puanları azalmakta ve kişisel başarı puanları artmaktadır (r =-0,169, -0,205, 0,163 ve p=0,00, p=0,00, p=0,00). Sonuçlar: Duygusal ve toplam tükenmişlik puanları yaşla birlikte azalmaktadır. STE'ye katılmanın kişisel başarıyı artırdığı görüldü. STE, yalnızca aile hekimlerini desteklemek için değil, aynı zamanda tükenmişliği önlemek için de yararlı bir araç olabilir.

Project Number

yok

References

  • 1. Freudenberger HJ. Staff Burn-out. J Healthc Qual. 1982;4(4):6-8. doi:10.1111/j.1945-1474.1982.tb00486.x
  • 2. Vázquez-Cabrera FJC-A and C. Burnout Syndrome in an International Setting. Burn Expert Prev Context Living Work. 2013;(July):1-257. doi:10.1007/978-1-4614-4391-9
  • 3. Metlaine A, Sauvet F, Gomez-Merino D, et al. Sleep and biological parameters in professional burnout: A psychophysiological characterization. PLoS One. 2018;13(1):1-15. doi:10.1371/journal.pone.0190607
  • 4. Tan S, Zhen E, Amatullah T, Mohd MT. Mental Health Status of Healthcare Workers in Primary Health Clinics in Sepang.
  • 5. Vachon M, Papineau M, Dupuis G, Roberge P. Associations Between Systemic Quality of Life and Burnout Among French Canadian Workers. Soc Indic Res. 2019;142(3):1193-1210. doi:10.1007/s11205-018-1944-x
  • 6. Balcıoğlu İ, Memetali̇ S, Rozant R, et al. Tükenmişlik Sendromu Burn out Syndrome. 2008;83.
  • 7. Jiang H, Huang N, Jiang X, Yu J, Zhou Y, Pu H. Factors related to job burnout among older nurses in Guizhou province, China. PeerJ. 2021;9:e12333. doi:10.7717/peerj.12333
  • 8. Kim SO, Moon SH. Factors influencing turnover intention among male nurses in Korea. Int J Environ Res Public Health. 2021;18(18). doi:10.3390/ijerph18189862
  • 9. Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029
  • 10. De Hert S. Burnout in healthcare workers: Prevalence, impact and preventative strategies. Local Reg Anesth. 2020;13:171-183. doi:10.2147/LRA.S240564
  • 11. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. [Summary for patients in Ann Intern Med. 2002 Mar 5;136(5):I29; PMID: 11874329]. Ann Int Med. 2002;136(February 2001). www.acponline.org/careers/catalog_resources.htm.%0Ahttps://doi.org/10.7326/0003-4819-136-5-200203050-00008
  • 12. Kondro W. The view from the North. CMAJ. 2012;184(13):895-896. doi:10.1503/cmaj.109-4262
  • 13. Çakır, Özlem; Tanğ Y. Türkiye’de Sağlık Çalışanlarında Tükenmişlik Sendromu: Bir Meta Analiz Çalışması. 'İş, Güç' Endüstri İlişkileri ve İnsan Kaynakları Derg. 2018;20:39-59.
  • 14. Erdoğan P. İş tatmini ile tükenmişlik ilişkisi : B ir meta - analiz çalışması The relationship between job satisfaction and burnout : A meta - analysis study. 2021;9:405-425.
  • 15. Hacer TY, Ali A. Burnout in physicians who are exposed to workplace violence. J Forensic Leg Med. 2020;69(October 2019):101874. doi:10.1016/j.jflm.2019.101874
  • 16. Elay G, Bahar I, Demirkiran H, Oksüz H. Severe burnout among critical care workers in Turkey. Saudi Med J. 2019;40(9):943-948. doi:10.15537/smj.2019.9.24520
  • 17. Dinibutun SR. Factors associated with burnout among physicians: An evaluation during a period of COVID-19 pandemic. J Healthc Leadersh. 2020;12:133-134. doi:10.2147/JHL.S284907
  • 18. Yılmaz S, Calikoglu EO, Kosan Z, Aras A. Burnout among family physicians in Turkey: A comparison of two different primary care systems. Niger J Clin Pract. 2019;22(September):1070-1077. doi:10.4103/njcp.njcp
  • 19. Atik M, Uçan ES, Ellidokuz H, Alptekin K. Burnout in chest physicians after health care reforms: A cross-sectional study in Turkey. Turkish Thorac J. 2019;20(1):18-24. doi:10.5152/TurkThoracJ.2018.18041
  • 20. Özder G, Pak H, Gokdemir O. İş doyumu , stresle başaçıkma stilleri ve iş gören profilleri arasındaki ilişkinin kesitsel bir incelemesi [ A cross-sectional investigation of the relationship among job satisfaction ... 2020;(February). https://www.researchgate.net/profile/Ozden_Gokdemir/publication/339127608_Is_doyumu_stresle_basacikma_stilleri_ve_isgoren_profilleri_arasindaki_iliskinin_kesitsel_bir_incelemesi_A_cross-sectional_investigation_of_the_relationship_among_job_satisfaction_st
  • 21. Pehlivanoglu B, Hassoy H, Gul G, Aykutlu U, Doganavsargil B. How does it feel to be a pathologist in turkey? Results of a survey on job satisfaction and perception of pathology. Turk Patoloji Derg. 2021;37(1):37-39. doi:10.5146/tjpath.2020.01513
  • 22. Yilmaz A. Burnout, job satisfaction, and anxiety depression among family physicians: A cross sectional study. J Fam Med Prim Care. 2018;7:952-956. doi:10.4103/jfmpc.jfmpc_59_18
  • 23. Kare AP, Gujo AB, Yote NY. Job Satisfaction Level and Associated Factors Among Rural Health Extension Workers of Sidama Region, Southern Ethiopia. Heal Serv Res Manag Epidemiol. 2021;8:1-7. doi:10.1177/23333928211051832
  • 24. Karakoç FY, Emek M. The vacancy of the family practice units openıng for the inter-provincial placement and the factors affecting vacancies in Turkey. Türkiye Aile Hekim Derg. 2019;23(3):118-127. doi:10.15511/tahd.19.00318
  • 25. Maslach C, Goldberg J. Prevention of burnout: New perspectives. Appl Prev Psychol. 1998;7(1):63-74. doi:10.1016/S0962-1849(98)80022-X
  • 26. İnce NB, Şahin AE. Maslach Tükenmişlik Envanteri-Eğitimci Formu’nu Türkçe’ye Uyarlama Çalışması. Eğitimde ve Psikolojide Ölçme ve Değerlendirme Derg. 2015;6(2):385-399. doi:10.21031/epod.97301
  • 27. Weiss DJ, Dawis R, England G, Lofquist L. Manual for the Minnesota Satisfaction Questionnaire. Man Minnesota Satisf Surv. Published online 1967:125.
  • 28. Tözün M, Çulhacı A, Ünsal A. The Job Satisfaction of Physicians That Working in Primary Health Care Institutions in Family Medicine System (Eskişehir). TAF Prev Med Bull. 2008;7(5):377-384.
  • 29. Soler JK, Yaman H, Esteva M, et al. Burnout in European family doctors: The EGPRN study. Fam Pract. 2008;25(4):245-265. doi:10.1093/fampra/cmn038
  • 30. Aslan DDD, Kiper PDN, Karaağaoğlu PDE, Topal DF, Güdük DM, Cengiz DÖS. Türkiye’de Tabip Odalarına Kayıtlı Olan Bir Grup Hekimde Tükenmişlik Sendromu Ve Etkileyen Faktörler.; 2015. https://www.ttb.org.tr/kutuphane/tukenmislik.pdf
  • 31. Manhire-Heath R, Cormack D, Wyeth E. ’ ...but i just prefer to treat everyone the same... ’: General practice receptionists talking about health inequities. Aust J Prim Health. 2019;25(5):430-434. doi:10.1071/PY19026
  • 32. Buğdaycı R, Kurt AÖ, Şaşmaz T, Öner S. Mersin İlinde Pratisyen ve Uzman Hekimlerde Depresyon Sıklığı ve Etkileyen Faktörler. Toplum Hekim Bülteni. 2009;26(1):3-6.
  • 33. Babbott S, Manwell LB, Brown R, et al. Electronic medical records and physician stress in primary care: Results from the MEMO Study. J Am Med Informatics Assoc. 2014;21(E2):100-106. doi:10.1136/amiajnl-2013-001875
  • 34. Aygun O, Mevsim V. The impact of family physicians’ thoughts on self-efficacy of family physician’s core competencies on burnout syndrome in İzmir: A nested case-control study. Niger J Clin Pract. 2019;22(2):167-173. doi:10.4103/njcp.njcp_77_18
  • 35. Reddy SK, Yennu S, Tanco K, et al. Frequency of Burnout Among Palliative Care Physicians Participating in a Continuing Medical Education Course. J Pain Symptom Manage. 2020;60(1):80-86.e2. doi:10.1016/j.jpainsymman.2020.02.013
  • 36. Eldem H. Yerel Yönetimler Reformunun Bir Parçası Olarak Köy Kanunu Tasarı Taslağı. Optim Ekon ve Yönetim Bilim Derg. 2015;2(1):39-61. doi:10.17541/oeybd.01543
  • 37. Pinikahana J, Happell B. Stress, burnout and job satisfaction in rural psychiatric nurses: A Victorian study. Aust J Rural Health. 2004;12(3):120-125. doi:10.1111/j.1440-1854.2004.00572.x
  • 38. Artiga S, Hinton E. Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity | The Henry J. Kaiser Family Foundation. Kaiser Fam Found. 2018;(May). https://www.kff.org/disparities-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/
  • 39. Wakuma C, Teresa E. Language as a Barrier to Health Care for Oromo Speaking Patients in Hospitals: A Case Study on Jimma and Wollega Public Hospitals. Int J Multicult Multireligious Underst. 2020;6(6):693. doi:10.18415/ijmmu.v6i6.1304
  • 40. McLeod S. Maslow ’ s Hierarchy of Needs Maslow ’ s Hierarchy of Needs. Business. Published online 2018:3-5.
There are 40 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases, Primary Health Care
Journal Section Orijinal Articles
Authors

Ozden Gokdemir 0000-0002-0542-5767

Gamze Akyol This is me 0000-0002-0405-1206

Olgu Aygün 0000-0002-9767-011X

Ülkü Bulut 0000-0003-3011-0924

Azize Dilek Güldal 0000-0002-7344-9349

Project Number yok
Publication Date June 20, 2022
Submission Date August 3, 2021
Published in Issue Year 2022 Volume: 16 Issue: 2

Cite

Vancouver Gokdemir O, Akyol G, Aygün O, Bulut Ü, Güldal AD. BURNOUT AND JOB SATISFACTION AMONG FAMILY PHYSICIANS. TJFMPC. 2022;16(2):376-84.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.