Sindrom sagorijevanja kod medicinskih sestara u radu s pacijentima nakon transplantacije solidnih organa

master's thesis

• Title (english): Burnout syndrome in nurses working with solid organ transplantation patients
• Author: Sara Matijević
• Mentor: Vera Musil (mentor)
• Committee member: Milan Milošević (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Vera Musil (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Social Medicine and Health Care Organization); Zagreb
• Defense date and country: 2017-09-20, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine

Abstract

Naslov rada: Sindrom sagorijevanja kod medicinskih sestara u radu s pacijentima nakon transplantacije solidnih organa
Autor: Sara Matijević
Uvod: Sindrom sagorijevanja na poslu očituje se kao emocionalna iscrpljenost, depersonalizacija i smanjeno osobno postignuće.
Cilj: Istražiti prisutnost i prediktore sindroma sagorijevanja, psihosocijalnih rizika u medicinskih sestara/tehničara koji rade i koji ne rade s pacijentima nakon transplantacije solidnih organa.
Metode i ispitanici: Presječno... More istraživanje provedeno je među medicinskim sestrama/tehničarima u Kliničkoj bolnici „Merkur“ u Zagrebu (N=340, obuhvat 39,4%), anonimnim upitnicima „Upitnik intenziteta sagorijevanja na poslu“ i „Upitnik za procjenu psihosocijalnih rizika“. Rezultati su obrađeni metodama deskriptivne statistike i logističkom regresijom.
Rezultati: Simptome sagorijevanja na poslu imalo je 62,7% ispitanika, 48,5% početnoga i 14,2% visokoga stupnja. Problematične kategorije psihosocijalnih rizika bile su pritisak na poslu i zdravstveni problemi vezani uz posao. Simptomi sagorijevanja i značajno viši burnout score (29 vs. 26,5; P=0,018), bili su učestaliji u grupi ispitanika koji su radili s pacijentima nakon transplantacije (početni stupanj 50% vs. 47,4%; visoki stupanj 20,7% vs. 9,2%). Problematična kategorija psihosocijalnih rizika u obje skupine ispitanika bila je pritisak na poslu (P=0,045). U skupini ispitanika koji su radili s pacijentima nakon transplantacije, zdravstveni problemi (P<0,001) i nesigurnost posla (P=0,03) bile su problematične kategorije, uz visoku ukupnu razinu stresa, za razliku od druge skupine ispitanika gdje je bila na umjerenoj (P=0,001). Prediktorima sagorijevanja na radnom mjestu u ispitanika koji su imali visok stupanj sagorijevanja, pokazali su se pritisak na poslu 1,56 puta (P=0,021), prepreke na poslu, 1,37 puta (P=0,017) i rad s pacijentima nakon transplantacije 1,41 puta, ali ne značajno.
Zaključak: Rezultati ovoga istraživanja ukazuju na veću učestalost i veći stupanj sagorijevanja na radnom mjestu te visoku razinu stresa među ispitanicima koji su radili s pacijentima nakon transplantacije solidnih organa. Značajnim prediktorima sagorijevanja pokazali su se pritisak i prepreke na poslu te rad s pacijentima nakon transplantacije, ali ne značajno, što djelomično potvrđuje hipotezu da medicinske sestre/tehničari koji rade s pacijentima nakon transplantacije imaju veći rizik za sagorijevanje na poslu. Less

Abstract (english)

Title: Burnout syndrome in nurses working with solid organ transplantation patients
Author: Sara Matijević
Introduction: Burnout syndrome is manifested as emotional exhaustion, depersonalization and reduced personal achievement.
Objectives: To investigate presence and predictors of burnout syndrome and psychosocial risks at workplace in nurses/technicians who care for transplanted patients and those who work at other hospital departments.
Methods and respondents: Cross-sectional study... More was conducted among nurses/technicians in University hospital "Merkur" in Zagreb (N=340, coverage 39.4%), using anonymous questionnaires "Workplace Burn-Up Questionnaires" and "Questionnaire for Evaluation of Psychosocial Risks". Data were analysed using descriptive statistics and logistic regression.
Results: Symptoms of burnout syndrome had 62.7% of respondents, 48.5% of initial and 14.2% of high level. Problematic categories of psychosocial risks were pressure on workplace and job related health problems. Burnout symptoms were more frequent in group of subjects who worked with patients after transplantation (initial 50% vs. 47.4%; high grade 20.7% vs. 9.2%) with significantly higher burnout score (29 vs. 26.5, P=0.018). The problematic category of psychosocial risk was pressure on workplace (P=0.045) in both groups. In group who worked with patients after transplantation health problems (P<0.001) and work uncertainty (P=0.03) were also significant, and those group had significantly higher level of stress (P=0.001). Participants who were under pressure at workplace were 1.56 times more likely (P=0.021) to have high level of burnout and those who had workplace barriers 1.37 times (P=0.017). Participants who worked with patients after transplantation were 1.41 times more likely to have high level of burnout, but not significantly.
Conclusion: The results of the study showed higher frequency and higher level of burnout syndrome with high level of stress among participants who worked with patients after solid organ transplantation. Job pressure and barriers on work place were recognized as significant, predictors of high level of burnout syndrome. Work with patients after transplantation was recognized as a predictor, but not significant. The hypothesis that nurses/technicians who work with patients after transplantation have a greater risk to develop burnout syndrome was partially confirmed. Less

• Keywords: medicinske sestre/tehničari; stres; sindrom sagorijevanja; transplantacija solidnih organa
• Keywords (english): nurses; stress; burnout syndrome; solid organ transplantation
• Language: croatian
• URN:NBN: urn:nbn:hr:105:554338
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-03-19 11:28:06