Profesionalni stres i sindrom sagorijevanja u djelatnika intenzivne psihijatrijske skrbi i hitne medicine

master's thesis

• Title (english): Professional stress and burnout syndrome in intesive psychiatric care and emergency medicine employees
• Author: Siniša Debogović
• Mentor: Iskra Alexandra Nola (mentor)
• Committee member: Milan Milošević (predsjednik povjerenstva)
• Committee member: Jagoda Doko Jelinić (član povjerenstva)
• Committee member: Iskra Alexandra Nola (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Environmental and Occupational Health); Zagreb
• Defense date and country: 2018-09-24, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Occupational and Sports Medicine

Abstract

Zadnjih desetljeća se puno istražuje i govori o stresu na radnom mjestu koji je povezan s fizičkim, psihičkim ili socijalnim odgovorom, tj. disfunkcijom koja proizlazi iz osjećaja osobe da ne može ispuniti sve što se od nje očekuje, a može ga uzrokovati niz različitih čimbenika kao što su količina rada, organizacija posla, loša komunikacija, radno okruženje i slično. Sindrom sagorijevanja nastaje kao posljedica prisustva više stresora na radnom mjestu te dugotrajne izloženosti istima. Cilj ovog rada bio je istražiti prisutnost i intenzitet profesionalnog stresa i sindroma sagorijevanja kod djelatnika intenzivne psihijatrijske skrbi i hitne medicine. Također, istraživani su čimbenici psihofizioloških napora povezanih s većim intenzitetom stresa u ispitanika te čimbenici povezani sa sindromom sagorijevanja. U istraživanje je bilo uključeno 63 djelatnika intenzivne psihijatrijske skrbi Klinike za psihijatriju Vrapče i 63 djelatnika Nastavnog zavoda za hitnu medicinu Grada Zagreba. Korištena su tri standardizirana upitnika za samoprocjenu. Rezultati analize stresa na radnom mjestu kao značajnu izdvajaju kategoriju stresora „Organizacija radnog mjesta i financijska pitanja“. U toj kategoriji 70% (N=88) od ukupnog broja ispitanika smatra da je stresor pod nazivom „Preopterećenost poslom“ dominantan izvor stresa (p=0,004). Kod procjene psihofizioloških napora dobivena je statistički značajna razlika u kategorijama „Pritisak na poslu“ (p=0,001) i „Stres uzrokovan premalim radnim opterećenjem“ (p=0,004). Pri
procjeni sindroma sagorijevanja 31,7% (N=40) ispitanika ne pokazuje prisutnost sindroma sagorijevanja. Početno sagorijevanje uočeno je u 42,1% (N= 53) ispitanika, a visok stupanj sagorijevanja u 26,2% (N=33) ispitanika. Rezultati dobiveni u ovom istraživanju ukazuju na potrebu provedbe programa sustavne prevencije i pomoći kod profesionalnog stresa i sindroma sagorijevanja te prepoznavanje specifičnih stresora za pojedinu ustanovu.

Abstract (english)

In last decades professional stress is being explored in relation to physical, psychological or social response, i.e. dysfunction resulting from a person's feeling that workplace demands cannot be fulfil as is expected because of variety of factors: overwhelming work tasks, job organization, poor communication, overall work environment. Burnout syndrome occurs as a result of the presence of multiple stressors in the workplace and long-term exposure to them. The aim of this study was to investigate the presence and intensity of professional stress and burnout syndrome in intensive psychiatric care and emergency medicine employees. The factors of psychophysiological work related efforts in relation to higher intensity of stress and burn out syndrome in participants were explored. The survey included 63 employees of intensive psychiatric care in University Psychiatric Hospital Vrapče and 63 employees of Teaching Institute of Emergency Medicine Zagreb. Three standardized self-assessment questionnaires were used. The results obtained by analysing workplace stress highlight stressor category „Workplace organization and financial issues“. In this particular category 70% (N=88) of all participants believe that the stressor called "Excessive work" is dominant source of stress (p=0.004). When assessing psychophysiological work related efforts, a statistically significant difference was found in the category "Pressure at work" (p=0.001) and "Stress caused by low workload" (p=0.004). In the estimation of burnout syndrome, 31.7% (N=40) of all participants is without syndrome. Initial burnout is showed in 42.1% (N= 53) of all participants and a high degree of burnout shows 26.2% (N=33) of all participants. The obtained results point out the necessity of developing systematic programs for the prevention of professional stress with appropriate measures to improve working conditions in certain institution.

• Keywords: hitna medicina; intenzivna psihijatrijska skrb; medicinski djelatnici; profesionalni stres; sindrom sagorijevanja
• Keywords (english): burnout syndrome; emergency medicine; intensive psychiatric care; medical workers; professional stress
• Language: croatian
• URN:NBN: urn:nbn:hr:105:699844
• 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: 2019-03-07 10:56:54