Vol. 9, 2024

Biomedicine

BURNOUT SYNDROME AMONG MEDICAL STAFF IN THE DISTRICT OF BOR

Goran Golubović, Marija Živanović, Dragan Radosavljević, Jagoda Nikolić, Christos Alexopoulos, Nemanja Nenezić, Jasmina Jovanović Mirković

Pages: 102-108

DOI: 10.37392/RapProc.2024.20

Introduction. Stress is any abnormal reaction of the human organism that manifests itself in psychological and physical symptoms and behavioral responses due to attempts to adapt the organism to a sudden, unpleasant influence. It is assumed that stress is a functional state of disturbed equilibrium of the organism and a short-term psychophysiological state that occurs in response to external and internal factors. Occupational stress is often experienced by professionals in certain professions, including healthcare workers. Burnout is a state of excessive stress and a complex human response to long-term exposure to stress. The signs are similar to stress, but burnout also includes emotional exhaustion and an increasingly negative attitude towards work and even life. The research aims to determine the current intensity of burnout among healthcare workers. Research methodology. A modified questionnaire on burnout among healthcare workers and a questionnaire on socio-demographic data specifically designed for this research were used for the study. Data processing included descriptive statistics and hypothesis tests. The results of the study show that there is no statistically significant difference between the manifestation of stress in the basic group of respondents (emergency medical service) and the control groups (general practice service, pediatric pharmacy). Such a result contradicts many other studies from the literature (American Medical Association). When interpreting the results obtained, we believe that the reason for this could be the size of the sample, as well as the fact that a larger area (Timočka Krajina) was covered. Likely, we would then find a difference in work stress in the EMS and control groups. Burnout syndrome in primary care in Bor is more pronounced than we predicted. We had expected burnout syndrome to be more pronounced in the ambulance service than in the pediatric and general medical service. Conclusion. The statistically processed results of our study show that healthcare staff in primary care are exposed to an approximate level of stress, regardless of where they work or what function they perform. With combined efforts and support, we can overcome the challenges and create a working environment that promotes our well-being and enjoyment of our daily work.
  1. R. Erben, P. Franzkowiak, E. Wenzel, “Die Ökologie Des Körpers. Konzeptuelle Uberlegungen Zur Gesundheitsförderung,” in Die Ökologie des Körpers, E. Wenzel, Eds., Suhrkamp, Frankfurt, 1989, pp. 13 – 120.
    (R. Erben, P. Franzkowiak, E. Wenzel, “The Ecology of the Body. Conceptual Considerations on Health Promotion,” in The Ecology of the Body, E. Wenzel, Eds., Suhrkamp, Frankfurt, 1989, pp. 13 – 120.)
  2. J. Bengel, R. Strittmatter, H. Willmann, What keeps people healthy? The Current State of Discussion and the Relevance of Antonovsky’s Salutogenic Model of Health, vol. 4, Cologne, Germany: BzgA, 1999, pp. 1 – 130.
  3. J. Arnold, C. L. Cooper, I. T. Robertson, Work Psychology: Understanding Human Behavior in the Workplace, London, UK: Pitman Publishing, 1995.
  4. J. Jovanović, M. Aranđelović, Medicina rada - Prvo elektronsko izdanje za studente integrisanih akademskih i osnovnih strukovnih studija, Niš, Srbija: Medicinski fakultet, 2009.
    (J. Jovanović, M. Aranđelović, Occupational medicine - First electronic edition for students of integrated academic and basic professional studies, Niš, Serbia: Faculty of Medicine, 2009.)
    Retrieved from: https://www.medradanis.rs/docs/knjiga_medicina_rada.pdf
    Retrieved on: Feb. 20, 2024
  5. H. Boschi, S. Trenoweth, Z. A. Sheppard, “Stress at work: Factors associated with cognitive disorganisation among private sector professionals,” Health Psychol. Open, vol. 4, no. 3, 2055102917718376, Jul. 2017.
    DOI: 10.1177/2055102917718376
    PMid: 28748104
    PMCid: PMC5507387
  6. L. C. Rink et al., “Stressors Among Healthcare Workers: A Summative Content Analysis,” Glob. Qual. Nurs. Res., vol. 10, 23333936231161127, Mar. 2023.
    DOI: 10.1177/23333936231161127
    PMid: 37020708
    PMCid: PMC10068501
  7. M. Panagioti et al., “Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis,” JAMA Intern. Med., vol. 178, no. 10, pp. 1317 – 1331, Oct. 2018.
    DOI: 10.1001/jamainternmed.2018.3713
    PMid: 30193239
    PMCid: PMC6233757
  8. C. Maslach, M. P. Leiter, “Understanding the burnout experience: recent research and its implications for psychiatry,” World Psychiatry, vol. 15, no. 2, pp. 103 – 111, Jun. 2016.
    DOI: 10.1002/wps.20311
    PMid: 27265691
    PMCid: PMC4911781
  9. V. Brandstätter, V. Job, B. Schulze, “Motivational Incongruence and Well-Being at the Workplace: Person-Job Fit, Job Burnout, and Physical Symptoms,” Front. Psychol., vol. 7, 1153, Aug. 2016.
    DOI: 10.3389/fpsyg.2016.01153
    PMid: 27570513
    PMCid: PMC4981689
  10. D. Backović, D. Jovanović, Lj. Pejakov, “Burnout syndrome in nurses/technicians in intensive care units of Clinical Center of Montenegro,” Biomedicinska istraživanja, vol. 11, no. 1, pp. 37 – 43, Jan. 2020.
    DOI: 10.5937/BII2001037B
  11. J. Rich, “A Look in the Mirror: The Role of Medical Training in Physician Burnout,” NEJM Catal., vol. 2, pp. 4 – 7, 2018.
  12. E. F. Costa, S. A. Santos, A. T. Santos, E. V. Melo, T. M. Andrade, “Burnout Syndrome and associated factors among medical students: a cross-sectional study,” Clinics, vol. 67, no. 6, pp. 573 – 580, Jun. 2012.
    DOI: 10.6061/clinics/2012(06)05
    PMid: 22760894
    PMCid: PMC3370307
  13. H. Rodrigues et al., “Burnout syndrome among medical residents: A systematic review and meta-analysis,” PLoS One, vol. 13, no. 11, e0206840, Nov. 2018.
    DOI: 10.1371/journal.pone.0206840
    PMid: 30418984
    PMCid: PMC6231624
  14. D.T. Y. Wu et al., “A Scoping Review of Health Information Technology in Clinician Burnout,” Appl. Clin. Inform., vol. 12, no. 3, pp. 597 – 620, May 2021.
    DOI: 10.1055/s-0041-1731399
    PMid: 34233369
    PMCid: PMC8263130
  15. S. Berg, “These 6 physician specialties have the most burnout,” AMA News, Aug. 29, 2023.
    Retrieved from: https://www.ama-assn.org/practice-management/physician-health/these-6-physician-specialties-have-most-burnout
    Retrieved on: Feb. 20, 2024
  16. O. Arrogante, E. G. Aparicio-Zaldivar, “Burnout syndrome in intensive care professionals: relationships with health status and wellbeing,” Enferm. Intensiva (Engl. Ed.), vol. 31, no. 2, pp. 60 – 70, Apr.-Jun. 2020.
    DOI: 10.1016/j.enfi.2019.03.004
    PMid: 31253584
  17. J. Molina-Praena et al., “Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study,” Int. J. Environ. Res. Public Health, vol. 15, no. 12, 2800, Dec. 2018.
    DOI: 10.3390/ijerph15122800
    PMid: 30544672
    PMCid: PMC6313576
  18. A modified questionnaire on burnout of healthcare workers at work (basic version), MDPI, Basel, Switzerland.
    Retrieved from: https://www.mdpi.com; Retrieved on: Feb. 20, 2024
  19. S. Edú-Valsania, A. Laguía, J. A. Morian, “Burnout: A Review of Theory and Measurement,” Int. J. Environ. Res. Public Health, vol. 19, no. 3, 1780, Feb. 2022.
    DOI: 10.3390/ijerph19031780
    PMid: 35162802
    PMCid: PMC8834764
  20. S. Rusac, M. Bošnjak, M. Kletečki Radović, “Profesionalni stres medicinskih sestara u domovima za starije osobe,” Sigurnost, vol. 59, br. 1, str. 7 – 18, Apr. 2017.
    (S. Rusac, M. Bošnjak, M. Kletečki Radović, “Occupational stress of nurses in homes for elderly persons,” Sigurnost, vol. 59, no. 1, pp. 7 – 18, Apr. 2017.)
    DOI: 10.31306/s.59.1.2
  21. C. Stangor, J. Walinga, Introduction to Psychology - 1st Canadian Edition, 1st ed., Victoria, Canada: Bccampus, 2014.
    Retrieved from: https://opentextbc.ca/introductiontopsychology/
    Retrieved on: Feb. 25, 2024
  22. B. Lelonek, M. Kołodziej, “Stres w zawodzie Ratownika Medycznego,” in Zawodowe i Społeczne Problemy Ochrony Zdrowia, J. Chmielewski, D. Merecz-Kot, M. Szpringer, Eds., Warsaw, Poland: IOŚ-PIB, 2016, pp. 35 – 45.
    (B. Lelonek, M. Kołodziej, “Stress in Paramedics,” in Occupational and Social Problems in Public Health, J. Chmielewski, D. Merecz-Kot, M. Szpringer, Eds., Warsaw, Poland: IOŚ-PIB, 2016, pp. 35 – 45.)
  23. K. Witczak-Błoszyk, K. Krysińska, K. Andriessen, J. Stańdo, A. Czabański, “Work-Related Suicide Exposure, Occupational Burnout, and Coping in Emergency Medical Services Personnel in Poland,” Int. J. Environ. Res. Public Health, vol. 19, no. 3, 1156, Jan. 2022.
    DOI: 10.3390/ijerph19031156
    PMid: 35162179
    PMCid: PMC8835152
  24. C. Peckham, Medscape National Physician Burnout & Depression Report 2018, Medscape, Newark (NJ), USA, 2018.
    Retrieved from: https://www.medscape.com/slideshow/2018-lifestyle-burnout-depression-6009235
    Retrieved on: Feb. 20, 2024
  25. N. Suleiman-Martos et al., “The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis,” J. Adv. Nurs., vol. 76, no. 5, pp. 1124 – 1140, May 2020.
    DOI: 10.1111/jan.14318
    PMid: 32026484