Evaluation of the levels of anxiety and self-esteem experienced by emergency service personnel at the beginning and end of their shift.
Abstract
Objective:This study aimed to evaluate changes in anxiety and self-esteem among emergency department (ED) staff at the beginning and end of their shifts.
Materials and Methods:A cross-sectional study was conducted at a tertiary hospital's ED in between September 2022-March 2023.Participants, including all ED staff with more than 6 months of experience, completed the State-Trait Anxiety Inventory (STAI), Rosenberg's Self-Esteem Scale (RSES), and the Self-Esteem Rating Scale-Short Form (SERS-SF) at start and end of their shifts.Data were analyzed with comparisons made using paired t-tests and Wilcoxon tests for dependent groups and independent t-tests and Mann-Whitney U tests for independent groups.Correlations between STAI-2 and SERS-SF scores were examined using Spearman's correlation test.
Results:Mean STAI-2 score was 40±8, indicating moderate trait anxiety, while STAI-1 scores at shift start averaged 39±11 in 108 participants.Self-esteem scores, measured by SERS-SF (median 108) and RSES (median 3), were high.No significant changes in anxiety or self-esteem scores were observed.A weak negative correlation was found between STAI-2 and SERS-SF scores (r = -0.484, p < 0.001), but no correlation existed between STAI-2 and RSES.
Conclusion:ED staff experienced moderate levels of anxiety, which remained stable throughout their shifts.High self-esteem among participants may contribute to stable anxiety levels.
Keywords
Ethical Statement
Ethical approval for this study was obtained from Kecioren Training and Research Hospital Ethics Committee (No:2012-KAEK-15/2075).
References
- 1. Cevik M, Cevik Y, Tengilimoglu D, Das D. İş yerinde oluşan stresin çalışanlar üzerindeki etkileri; acil servis hizmetleri kapsamında bir uygulama. AATD 2016; 1(1):25-34.
- 2. Barnes LLB, Harp D, Jung WS. Reliability generalizations of scores on the Spielberger State-Trait Anxiety Inventory. Education and Psychological Measurement 2002; 62:603-18.
- 3. Rahmati F, Safari S, Hashemi B, Baratloo A, Khosravi Rad R. Prevalence of Depression and Personality Disorders in the Beginning and End of Emergency Medicine Residency Program; a Prospective Cross Sectional Study. Arch Acad Emerg Med. 2019;25;7(1):e5.
- 4. Liu, Y., Zou, L., Yan, S., Zhang, P., Zhang, J., Wen, J., et al. Burnout and post-traumatic stress disorder symptoms among medical staff two years after the COVID-19 pandemic in Wuhan, China: Social support and resilience as mediators. J Affect Disord. 2023;321:126-33.
- 5. Jurado M, Perz-Fuentes M, Linares J, Martin A. Burnout in health professionals according to their self-esteem, social support and empathy profile. Frontiers in Psychology 2018; 9:424.
- 6. Julian LJ. Measures of anxiety: state-trait anxiety inventory (STAI), beck anxiety inventory (BAI), and hospital and depression scale-anxiety (HADS-A). Arthritis Care Res.2011; 63:467-72.
- 7. Kayikcioglu O, Bilgin S, Seymenoglu G, Deveci A. State and Trait Anxiety Scores of Patients Receiving Intravitreal Injections. Biomed Hub. 2017;2(2):1-5.
- 8. Yıldız, M., Emre, O. Lise Öğrencilerinin Sosyal Destekleri ile Stresle Başa Çikmalari Arasindaki İlişkinin İncelenmesi. Erzincan Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 2021;14(2), 353-64.
- 9. Pyle M, Corrigan PW, Wood L, Pilling S, Murphy E, Macafee G, et al. A feasibility randomized controlled trial of an individually delivered, peer support intervention to reduce the impact of psychosis stigma and discrimination for people with psychosis: the let's talk study. Psychol Med. 2024;27;54(16):1-12.
- 10. Leichsenring F, Heim N, Steinert C. A Review of Anxiety Disorders. JAMA. 2023;18;329(15):1315-6.
- 11. Sonmez LO, Gul M. Occupational burnout, job satisfaction and anxiety among emergency medicine doctors in Turkey. Pak J Med Sci. 2021;37(3):757-63.
- 12. Li Y, Wang Y, Lv X, Li R, Guan X, Li L, et al. Effects of Factors Related to Shift Work on Depression and Anxiety in Nurses. Front Public Health. 2022;11;10:926-88
- 13. Al Harbi N. Self-Esteem: A Concept Analysis. Nurs Sci Q. 2022;35(3):327-31.
- 14. Orth U, Robins RW. Is high self-esteem beneficial? Revisiting a classic question. Am Psychol. 2022;77(1):5-17.
- 15. Fernandes B, Newton J, Essau CA. The Mediating Effects of Self-Esteem on Anxiety and Emotion Regulation. Psychol Rep. 2022;125(2):787-803.
- 16. Johnson AR, Jayappa R, James M, Kulnu A, Kovayil R, Joseph B. Do Low Self-Esteem and High Stress Lead to Burnout Among Health-Care Workers? Evidence From a Tertiary Hospital in Bangalore, India. Saf Health Work. 2020;11(3):347-52.
Acil Servis Çalışanlarında Vardiya Başlangıcında ve Bitişinde Olan Anksiyete ve Benlik Saygısının Değerlendirilmesi
Abstract
Amaç:Bu çalışmada acil servis (AS) çalışanlarının vardiyalarının başında ve sonunda anksiyete ve benlik saygılarındaki değişikliklerin değerlendirilmesi amaçlandı.
Gereç ve Yöntem: Eylül 2022-Mart 2023 tarihleri arasında üçüncü basamak bir hastanenin acil servisinde yapılan kesitsel bu çalışmada 6 aydan fazla deneyimi olan tüm acil servis personeli dahil olmak üzere katılımcılar, vardiyalarının başında ve sonunda Durumsal-Sürekli Kaygı Envanteri (STAI), Rosenberg Benlik Saygısı Ölçeği (RSES) ve Benlik Saygısı Derecelendirme Ölçeği-Kısa Formu'nu (SERS-SF) doldurdular. Veriler, bağımlı gruplar için eşleştirilmiş t-testleri ve Wilcoxon testleri, bağımsız gruplar için ise bağımsız t-testleri ve Mann-Whitney U testleri kullanılarak yapılan karşılaştırmalarla analiz edildi. STAI-2 ve SERS-SF puanları arasındaki korelasyonlar Spearman korelasyon testi kullanılarak incelendi.
Sonuçlar:Ortalama STAI-2 puanı 40±8 olup, orta düzeyde sürekli kaygıyı gösterirken, vardiya başlangıcında STAI-1 puanı 108 katılımcıda ortalama 39±11 idi. SERS-SF (ortanca 108) ve RSES (ortanca 3) ile ölçülen öz saygı puanları yüksekti. Kaygı veya benlik saygısı puanlarında anlamlı bir değişiklik gözlenmedi. STAI-2 ve SERS-SF puanları arasında zayıf bir negatif korelasyon bulundu (r = -0,484, p < 0,001), ancak STAI-2 ve RSES arasında bir korelasyon yoktu.
Sonuç:Acil servis personelinin, vardiyaları boyunca sabit kalan orta düzeyde kaygı yaşadığı görülmüştür. Katılımcılar arasındaki yüksek benlik saygı, stabil kaygı düzeylerinde katkısı olduğu düşünülmektedir.
Keywords
References
- 1. Cevik M, Cevik Y, Tengilimoglu D, Das D. İş yerinde oluşan stresin çalışanlar üzerindeki etkileri; acil servis hizmetleri kapsamında bir uygulama. AATD 2016; 1(1):25-34.
- 2. Barnes LLB, Harp D, Jung WS. Reliability generalizations of scores on the Spielberger State-Trait Anxiety Inventory. Education and Psychological Measurement 2002; 62:603-18.
- 3. Rahmati F, Safari S, Hashemi B, Baratloo A, Khosravi Rad R. Prevalence of Depression and Personality Disorders in the Beginning and End of Emergency Medicine Residency Program; a Prospective Cross Sectional Study. Arch Acad Emerg Med. 2019;25;7(1):e5.
- 4. Liu, Y., Zou, L., Yan, S., Zhang, P., Zhang, J., Wen, J., et al. Burnout and post-traumatic stress disorder symptoms among medical staff two years after the COVID-19 pandemic in Wuhan, China: Social support and resilience as mediators. J Affect Disord. 2023;321:126-33.
- 5. Jurado M, Perz-Fuentes M, Linares J, Martin A. Burnout in health professionals according to their self-esteem, social support and empathy profile. Frontiers in Psychology 2018; 9:424.
- 6. Julian LJ. Measures of anxiety: state-trait anxiety inventory (STAI), beck anxiety inventory (BAI), and hospital and depression scale-anxiety (HADS-A). Arthritis Care Res.2011; 63:467-72.
- 7. Kayikcioglu O, Bilgin S, Seymenoglu G, Deveci A. State and Trait Anxiety Scores of Patients Receiving Intravitreal Injections. Biomed Hub. 2017;2(2):1-5.
- 8. Yıldız, M., Emre, O. Lise Öğrencilerinin Sosyal Destekleri ile Stresle Başa Çikmalari Arasindaki İlişkinin İncelenmesi. Erzincan Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 2021;14(2), 353-64.
- 9. Pyle M, Corrigan PW, Wood L, Pilling S, Murphy E, Macafee G, et al. A feasibility randomized controlled trial of an individually delivered, peer support intervention to reduce the impact of psychosis stigma and discrimination for people with psychosis: the let's talk study. Psychol Med. 2024;27;54(16):1-12.
- 10. Leichsenring F, Heim N, Steinert C. A Review of Anxiety Disorders. JAMA. 2023;18;329(15):1315-6.
- 11. Sonmez LO, Gul M. Occupational burnout, job satisfaction and anxiety among emergency medicine doctors in Turkey. Pak J Med Sci. 2021;37(3):757-63.
- 12. Li Y, Wang Y, Lv X, Li R, Guan X, Li L, et al. Effects of Factors Related to Shift Work on Depression and Anxiety in Nurses. Front Public Health. 2022;11;10:926-88
- 13. Al Harbi N. Self-Esteem: A Concept Analysis. Nurs Sci Q. 2022;35(3):327-31.
- 14. Orth U, Robins RW. Is high self-esteem beneficial? Revisiting a classic question. Am Psychol. 2022;77(1):5-17.
- 15. Fernandes B, Newton J, Essau CA. The Mediating Effects of Self-Esteem on Anxiety and Emotion Regulation. Psychol Rep. 2022;125(2):787-803.
- 16. Johnson AR, Jayappa R, James M, Kulnu A, Kovayil R, Joseph B. Do Low Self-Esteem and High Stress Lead to Burnout Among Health-Care Workers? Evidence From a Tertiary Hospital in Bangalore, India. Saf Health Work. 2020;11(3):347-52.
Details
| Primary Language | English |
|---|---|
| Subjects | Emergency Medicine, Psychiatry |
| Journal Section | Original Research |
| Authors | |
| Publication Date | June 15, 2025 |
| Submission Date | February 21, 2025 |
| Acceptance Date | May 16, 2025 |
| Published in Issue | Year 2025 Volume: 15 Issue: 2 |
