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SARS-COV-2 Pandemisi Sırasında Acil Tıp Asistanlarının 12 Saatlik Şift Sisteminden 24 Saatlik Nöbet Sistemine Geçişinin Tükenmişlik ve Kaygıya Etkisi

Yıl 2022, Cilt: 75 Sayı: 3, 413 - 420, 18.10.2022

Ömer Yusuf Erdurmuş

Öz

Amaç: Koronavirüs hastalığı-2019 pandemi döneminde hekimlerin kaygıları ve tükenmişlikleri her geçen gün artmaktadır. Acil tıp asistanlarının da yoğun iş yükü nedeniyle tükenmişlik eğilimleri daha yüksektir. Çalışmamızda acil tıp asistanlarında 12 saatten 24 saatlik nöbet çalışma sistemine geçişin tükenmişlik ve anksiyete üzerindeki etkilerini değerlendirmeyi amaçladık.

Gereç ve Yöntem: Ağustos 2021’de 20 katılımcı tarafından başlatılan çalışmada, durumluk-sürekli kaygı envanteri (STAI), Maslach tükenmişlik envanteri (MBI) ve Kopenhag tükenmişlik envanteri (CBI) puanları çalışmanın başında ve 24 saatlik nöbet çalışma şekline geçişten üç ay sonra değerlendirildi. Sosyo-demografik bilgiler içeren bir anket de hekimler tarafından dolduruldu.

Bulgular: STAI, MBI ve CBI puanları 24 saatlik nöbet sisteminde 12 saatlik şift sistemine göre istatistiksel olarak anlamlı derecede düşük saptandı (p<0,05).

Sonuç: Mevcut çalışma koşulları ve şiddetli akut solunum yolu sendromu-koronavirüs-2 pandemisi nedeniyle acil tıp asistanlarında kaygı ve tükenmişlik oldukça fazla oranda tespit edilmiştir. Nöbet sistemi değişikliğinin, asistanların dinlenme süresini artırması nedeniyle olumlu etki yaptığı düşünülmüştür. Çalışma koşullarının düzenlenmesiyle birlikte acil tıp asistanlarına ruh sağlığı desteği de sağlanmalıdır.

Anahtar Kelimeler

Tükenmişlik Acil Tıp Asistan Şiftler Şeklinde Çalışma

Etik Beyan

-

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Kaynakça

  • 1. Batra K, Singh TP, Sharma M, et al. Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis. Int J Environ Res Public Health. 2020;17:9096.
  • 2. Nguyen LH, Drew DA, Graham MS, et al. Risk of COVID-19 among frontline health-care workers and the general community: a prospective cohort study. Lancet Public Health. 2020;5:e475-e483.
  • 3. Sheraton M, Deo N, Dutt T, et al. Psychological effects of the COVID 19 pandemic on healthcare workers globally: A systematic review. Psychiatry Res. 2020;292:113360.
  • 4. Pooja V, Khan A, Patil J, et al. Burnout and resilience in doctors in clinical and preclinical departments in a tertiary care teaching and dedicated COVID-19 hospital. Ind Psychiatry J. 2021;30(Suppl 1):S69-S74.
  • 5. De Hert S. Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies. Local Reg Anesth. 2020;13:171-183.
  • 6. Costa C, Teodoro M, Briguglio G, et al. Sleep Quality and Mood State in Resident Physicians during COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18:8023.
  • 7. Harrison EM, Walbeek TJ, Maggio DG, et al. Circadian Profile of an Emergency Medicine Department: Scheduling Practices and Their Effects on Sleep and Performance. J Emerg Med. 2019:S0736-4679(19)30839-X.
  • 8. ACEP // Emergency Physician Shift Work. Accessed January 5, 2022. https:// www.acep.org/patient-care/policy-statements/emergency-physician-shiftwork/.
  • 9. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981;2:99-113.
  • 10. Ergin C. Validation study of the Turkish form of Maslach Burnout Inventory in doctors and nurses. Congress Book of VII. National Congress of Psychology. Turkish Association of Psychology, Ankara, 143-154, 1992.
  • 11. Spielberger CD, Gorsuch R, Lushene RE, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press. 1983.
  • 12. Oner N, Le Compte WA. Durumluk-Surekli kaygi envanteri el kitabi. Istanbul: Boğaziçi Yayinları. Istanbul: Bogaziçi Universitesi; 1985.
  • 13. Pehlivan H. Sporda Mental Dayanıklılık Ölçeği Uyarlama: Geçerlik ve Güvenirlik Çalışması. Celal Bayar Üniversitesi; 2014.
  • 14. Kristensen TS, Borritz M, Villadsen E, Christensen KB. The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress - WORK STRESS. 2005;19:192-207.
  • 15. Deliorman RB, Yıldız S, Taştan Boz İ, Yiğit İ. Akademik personelin tükenmişlik düzeyi: Marmara Üniversitesi örneği. Marmara Üniversitesi İktisadi ve İdari Bilimler Dergisi. 2008;25:465-497.
  • 16. Arora M, Asha S, Chinnappa J, et al. Review article: burnout in emergency medicine physicians. Emerg Med Australas. 2013;25:491-495.
  • 17. Doan-Wiggins L, Zun L, Cooper MA, et al. Practice satisfaction, occupational stress, and attrition of emergency physicians. Wellness Task Force, Illinois College of Emergency Physicians. Acad Emerg Med. 1995;2:556-563.
  • 18. Lloyd S, Streiner D, Shannon S. Burnout, depression, life and job satisfaction among Canadian emergency physicians. J Emerg Med. 1994;12:559-565.
  • 19. Cydulka RK, Korte R. Career satisfaction in emergency medicine: the ABEM Longitudinal Study of Emergency Physicians. Ann Emerg Med. 2008;51:714- 722.e1.
  • 20. Dutheil F, Parreira LM, Eismann J, et al. Burnout in French General Practitioners: A Nationwide Prospective Study. Int J Environ Res Public Health. 2021;18:12044.
  • 21. Kuhn G. Circadian rhythm, shift work, and emergency medicine. Ann Emerg Med. 2001;37:88-98.
  • 22. Martinez DA, Vailas AC, Vanderby R Jr, et al. Temporal extracellular matrix adaptations in ligament during wound healing and hindlimb unloading. Am J Physiol Regul Integr Comp Physiol. 2007;293:R1552-R1560.
  • 23. Burch JB, Tom J, Zhai Y, et al. Shiftwork impacts and adaptation among health care workers. Occup Med (Lond). 2009;59:159-166.
  • 24. Shaikh AA, Shaikh A, Kumar R, et al. Assessment of Burnout and its FactorsAmong Doctors Using the Abbreviated Maslach Burnout Inventory. Cureus. 2019;11:e4101.

The Effect of Transition from 12-hour to 24-hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic

Yıl 2022, Cilt: 75 Sayı: 3, 413 - 420, 18.10.2022

Ömer Yusuf Erdurmuş

Öz

Objectives: Anxiety and burnout of physicians are increasing day by day during the Coronavirus disease-2019 pandemic period. Emergency medicine doctors also have a higher tendency to burnout due to the high workload. In our study, we aimed to evaluate the effects of a transition from 12- hour to 24-hour shiftwork in emergency medicine residents on burnout and anxiety.

Materials and Methods: In the study initiated with 20 participants in August, 2021, the State-trait anxiety inventory (STAI), the Maslach burnout inventory (MBI) and the Copenhagen burnout inventory (CBI) scores were evaluated at baseline and three months after the transition to 24-hour shiftwork, along with a questionnaire including socio-demographic information.

Results: STAI, MBI and CBI scores were found to be statistically significantly lower in the 24-hour shiftwork system compared to the 12-hour shiftwork system (p<0.05).

Conclusion: Anxiety and burnout in emergency physicians have been detected to a great extent due to current working conditions and the severe acute respiratory syndrome-coronavirus 2 pandemic. It was determined that the change in scheduling had a positive effect as it increased the rest period of the residents. However, it is necessary not only to regulate working conditions, but also to provide mental health support to residents.

Anahtar Kelimeler

Burnout Emergency Medicine Residents Shiftwork

Etik Beyan

Ankara University Faculty of Medicine Human Research Ethics Committee approved the study protocol [IRB: 2021000315 (2021/315)].

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Kaynakça

  • 1. Batra K, Singh TP, Sharma M, et al. Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis. Int J Environ Res Public Health. 2020;17:9096.
  • 2. Nguyen LH, Drew DA, Graham MS, et al. Risk of COVID-19 among frontline health-care workers and the general community: a prospective cohort study. Lancet Public Health. 2020;5:e475-e483.
  • 3. Sheraton M, Deo N, Dutt T, et al. Psychological effects of the COVID 19 pandemic on healthcare workers globally: A systematic review. Psychiatry Res. 2020;292:113360.
  • 4. Pooja V, Khan A, Patil J, et al. Burnout and resilience in doctors in clinical and preclinical departments in a tertiary care teaching and dedicated COVID-19 hospital. Ind Psychiatry J. 2021;30(Suppl 1):S69-S74.
  • 5. De Hert S. Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies. Local Reg Anesth. 2020;13:171-183.
  • 6. Costa C, Teodoro M, Briguglio G, et al. Sleep Quality and Mood State in Resident Physicians during COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18:8023.
  • 7. Harrison EM, Walbeek TJ, Maggio DG, et al. Circadian Profile of an Emergency Medicine Department: Scheduling Practices and Their Effects on Sleep and Performance. J Emerg Med. 2019:S0736-4679(19)30839-X.
  • 8. ACEP // Emergency Physician Shift Work. Accessed January 5, 2022. https:// www.acep.org/patient-care/policy-statements/emergency-physician-shiftwork/.
  • 9. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981;2:99-113.
  • 10. Ergin C. Validation study of the Turkish form of Maslach Burnout Inventory in doctors and nurses. Congress Book of VII. National Congress of Psychology. Turkish Association of Psychology, Ankara, 143-154, 1992.
  • 11. Spielberger CD, Gorsuch R, Lushene RE, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press. 1983.
  • 12. Oner N, Le Compte WA. Durumluk-Surekli kaygi envanteri el kitabi. Istanbul: Boğaziçi Yayinları. Istanbul: Bogaziçi Universitesi; 1985.
  • 13. Pehlivan H. Sporda Mental Dayanıklılık Ölçeği Uyarlama: Geçerlik ve Güvenirlik Çalışması. Celal Bayar Üniversitesi; 2014.
  • 14. Kristensen TS, Borritz M, Villadsen E, Christensen KB. The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress - WORK STRESS. 2005;19:192-207.
  • 15. Deliorman RB, Yıldız S, Taştan Boz İ, Yiğit İ. Akademik personelin tükenmişlik düzeyi: Marmara Üniversitesi örneği. Marmara Üniversitesi İktisadi ve İdari Bilimler Dergisi. 2008;25:465-497.
  • 16. Arora M, Asha S, Chinnappa J, et al. Review article: burnout in emergency medicine physicians. Emerg Med Australas. 2013;25:491-495.
  • 17. Doan-Wiggins L, Zun L, Cooper MA, et al. Practice satisfaction, occupational stress, and attrition of emergency physicians. Wellness Task Force, Illinois College of Emergency Physicians. Acad Emerg Med. 1995;2:556-563.
  • 18. Lloyd S, Streiner D, Shannon S. Burnout, depression, life and job satisfaction among Canadian emergency physicians. J Emerg Med. 1994;12:559-565.
  • 19. Cydulka RK, Korte R. Career satisfaction in emergency medicine: the ABEM Longitudinal Study of Emergency Physicians. Ann Emerg Med. 2008;51:714- 722.e1.
  • 20. Dutheil F, Parreira LM, Eismann J, et al. Burnout in French General Practitioners: A Nationwide Prospective Study. Int J Environ Res Public Health. 2021;18:12044.
  • 21. Kuhn G. Circadian rhythm, shift work, and emergency medicine. Ann Emerg Med. 2001;37:88-98.
  • 22. Martinez DA, Vailas AC, Vanderby R Jr, et al. Temporal extracellular matrix adaptations in ligament during wound healing and hindlimb unloading. Am J Physiol Regul Integr Comp Physiol. 2007;293:R1552-R1560.
  • 23. Burch JB, Tom J, Zhai Y, et al. Shiftwork impacts and adaptation among health care workers. Occup Med (Lond). 2009;59:159-166.
  • 24. Shaikh AA, Shaikh A, Kumar R, et al. Assessment of Burnout and its FactorsAmong Doctors Using the Abbreviated Maslach Burnout Inventory. Cureus. 2019;11:e4101.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Makaleler
Yazarlar

Ömer Yusuf Erdurmuş 0000-0001-9160-7753

Proje Numarası -
Yayımlanma Tarihi 18 Ekim 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 75 Sayı: 3

Kaynak Göster

APA Erdurmuş, Ö. Y. (2022). The Effect of Transition from 12-hour to 24-hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 75(3), 413-420. https://doi.org/10.4274/atfm.galenos.2022.48403
AMA Erdurmuş ÖY. The Effect of Transition from 12-hour to 24-hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. Ekim 2022;75(3):413-420. doi:10.4274/atfm.galenos.2022.48403
Chicago Erdurmuş, Ömer Yusuf. “The Effect of Transition from 12-Hour to 24-Hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75, sy. 3 (Ekim 2022): 413-20. https://doi.org/10.4274/atfm.galenos.2022.48403.
EndNote Erdurmuş ÖY (01 Ekim 2022) The Effect of Transition from 12-hour to 24-hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75 3 413–420.
IEEE Ö. Y. Erdurmuş, “The Effect of Transition from 12-hour to 24-hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 75, sy. 3, ss. 413–420, 2022, doi: 10.4274/atfm.galenos.2022.48403.
ISNAD Erdurmuş, Ömer Yusuf. “The Effect of Transition from 12-Hour to 24-Hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75/3 (Ekim 2022), 413-420. https://doi.org/10.4274/atfm.galenos.2022.48403.
JAMA Erdurmuş ÖY. The Effect of Transition from 12-hour to 24-hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022;75:413–420.
MLA Erdurmuş, Ömer Yusuf. “The Effect of Transition from 12-Hour to 24-Hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 75, sy. 3, 2022, ss. 413-20, doi:10.4274/atfm.galenos.2022.48403.
Vancouver Erdurmuş ÖY. The Effect of Transition from 12-hour to 24-hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022;75(3):413-20.
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