scholarly journals Physicians’ Occupational Stress: Factors and Teaching Adaptability at Medical Schools

2019 ◽  
Vol 21 (4) ◽  
pp. 1005-1013
Author(s):  
M. V. Pogodayeva ◽  
Yu. V. Chepurko ◽  
O. A. Molokova

In medicine, extreme conditions and occupational stress are caused by a high level of responsibility, constant tension, heavy workload, complex relationships with patients and colleagues, etc. Therefore, it is important to preserve the physical and mental health of medical workers in order to increase their adaptability and resistance to extreme factors and everyday stress. To improve the quality of health care, it is important not only to establish stress factors, but also to increase adaptability and stress resistance. The research objective was to outline possibilities for increasing adaptability in medical students based on the analysis of factors of professional stress in medical practitioners. Stress factors include time restrictions, gap between salary and labor effort, physical exhaustion, emotionally unbalanced patients, night shifts, high work rates, high level of responsibility for the life and health of other people, inability to think about anything else but work, and high demands that patients place on medical workers. The study revealed dependence between adaptability and stress tolerance in medical doctors. Age and work experience did not correlate with the level of organizational stress and adaptability. The profile of medical activity and position was found to affect these indicators to a greater extent than age. Specific stressors appeared at any age and career stage, but some practitioners were more vulnerable. 90 % of medical students already demonstrated a high level of organizational stress. Thus, although most of the stressors are unavoidable, it is still possible to outline some ways to increase the stress resistance and adaptability in medical students by developing their professional competencies.

Author(s):  
І. Dorosh ◽  

The article provides a theoretical overview of the categories of the resource concept of stress and identifies their applied aspect in the field of domestic public administration. After all, the civil service is a special type of management activity, which is characterized by a high level of social responsibility, publicity and, as a rule, insufficient motivation. In addition, the civil service is classified as an activity with high human requirements. To do this, there is presented the model of occupational stress, proposed by J. Greenberg, which provides an opportunity to understand the importance of personal characteristics of the employee in the process of constructive resolution of stressful situations. After all, the ability to adapt to changes in the environment, the perception of threats can both strengthen and weaken internal organizational sources of stress and external, outside the organization. The presented model focuses on the negative consequences, namely the deterioration of employee health due to stress at work. It is also disclosed the concept of "coping" as a unique type of overcoming a stressful situation, the strategy of behavior. The basic classification of coping strategies proposed by Lazarus and Folkman is considered, as well as a number of specific coping strategies that characterize the basic classification groups. In addition, there are two approaches to the study of coping, namely: deductive and inductive. The deductive method is based on the study of existing literature and the results of coping research. The inductive method is to analyze people's actions and opinions in certain situations without imposing specific coping strategies on the basis of a survey. A person's resources are his knowledge, skills, abilities, emotional and social intelligence, which together form his stress resistance, the habit of choosing certain coping strategies to overcome stressful situations. This is the essence of the resource concept of stress. In the initial stages of stress, a person spends personal resources to eliminate stress factors. Its protective response is activated at the stage of scarcity of these resources and is due the need to restore them. In the case of exhaustion, when it is not possible to replenish lost resources, a person is exposed to psychological stress, which leaves its negative impact on the results of its work. Thus, we can conclude that stress is not a constant characteristic of the individual. It is dynamic: in case of deficiency of personal resources - the level of stress resistance decreases. In accordance with the accumulation and conservation of these resources - the level of stress resistance will increase. Therefore, ensuring a high level of stress resistance of civil servants is the result of a successful combination of available personal resources of a specialist at the stage of his employment with constant self-development, training, gaining experience, etc. Because an important factor in choosing the right coping strategy of the individual is its resourcefulness.


2018 ◽  
Vol 9 (1) ◽  
pp. 108-123
Author(s):  
M.R. Khachaturova ◽  
A.A. Fedorova

The skills of non-standard thinking and creativity play an important role in stressful situations. We hypothesized that stress factors influence the effectiveness of passing the assessment by employees: high level of creativity increases the effectiveness of task execution. We conducted the experiment and used J. Guilford’s technique and tasks on creativity thinking, created by T. Lubart and G. Altshuller. The sample consisted of 200 examinees (92 females and 108 males), employees of different organizations (age — from 23 to 60). The results show that time limitation as a stressful factor decreases the effectiveness of passing the assessment by employees with both low and high levels of creativity (p≤0,01). Work in a pair does not influence the effectiveness of passing the assessment regardless of the level of creativity (p≥0,05). Multitasking is stressful for employees with a low level of creativity (p≤0,01). The results of our research can be taken as principles of psychological trainings for development of employees’ stress-resistance.


2019 ◽  
Vol 23 (1) ◽  
pp. 115-127
Author(s):  
S. M. Milekhin ◽  
D. P. Derbenev ◽  
D. A. Orlov

Purpose. The purpose of the study was to study the priority orientation of the personality of the young doctor in the professional sphere of life and the solution of professional problems. Materials and methods. The priority orientation of the individual to the professional sphere of life and the solution of professional tasks as a component of the professional socialization of young doctors was determined by us using the psychodiagnostic methodology “Motivation in professional activities” developed by B. Bass. This technique allows you to build a personal profile of the subject, based on three scales characterizing the level of orientation of the individual: the “case”, “self” and “communication”. The number of young doctors with a priority orientation of the individual to the professional sphere of life and the solution of professional tasks were attributed to the surveyed, in the personal profile of which the level of orientation “towards the case” was the highest and at the same time exceeded the level of the greatest of the two remaining directions of not less than 10% . The percentage of people with a priority orientation of the individual on the “case” was 35.0%, those with a priority focus on “themselves” 41.0%, on “communication” 24.0%. The object of the study was 600 young doctors of the Tver region at the age of 35 years with work experience in the specialty from 1 year. In total, the impact of 141 factors was analyzed by comparing the distribution of their gradations in the main and control groups. The significance of differences between distributions was estimated by calculating and verifying χ2. The presence of reliable χ2 (p < 0.05) allowed us to consider the influence of the corresponding factor as statistically significant. To assess the strength of the influence of factors, the coefficient of mutual conjugacy of Chuprov (K) was used. Results. Formation of the orientation of the individual to the professional sphere of life and the solution of professional tasks on the gradations of representative factors of conditions and lifestyle contributes to: a high level of health and an active desire for a healthy lifestyle, a relatively low level of alcohol consumption, a relatively high level of remuneration; availability of official documents of moral incentives (letters of appreciation and thanks); the fact of work in the period of study in a medical university; relatively prosperous family relationships (level assessed as excellent, good); relatively high level of relationships with colleagues (rated as excellent, good). This priority orientation of an individual is also the result of a relatively high importance for them as factors motivating the following to work: flexible working hours; the amount of sufficient information about what is happening in the medical institution; difficult and difficult work. The priority orientation of the individual to the professional sphere of life and the solution of the professional tasks of young doctors in a medical organization is determined by the dominance of such terminal value as “physical and mental health”. Conclusion. It is concluded that factors of the conditions and lifestyle of young doctors are of greater importance for its formation.


Author(s):  
Anna Alekseevna Agibalova ◽  
Oksana Anatolevna Ustimenko ◽  
Viktoriia Gennadevna Zenkina

In the context of the increasing level of requirements, new re-forms and standards in the modern educational system, teachers experience a significant emotional burden. The professional activity of a university lecturer is accompanied by increased moral responsibility and, consequently, is characterized by a high level of emotional, and in the future, professional burnout. Some socio-psychological and professional features, as well as risk factors for professional burnout of higher school teachers, are noted. The results of the study of the diagnosis of professional burnout of medical university lecturers are presented. It is noted that in specialists who are lecturers and doctors at the same time, professional burnout is more pronounced than in lecturers who are engaged only in pedagogical activities. The factors that mostly cause the process of burnout of teachers are identified: work experience, age, dissatisfaction with work, stress resistance. The recommendations on the implementation of the skills of self-regulation of the emotional state, aimed at preventing the syndrome of professional burnout, are given.


2019 ◽  
Vol 9 (2) ◽  
pp. 112-129
Author(s):  
N.A. Svetkova ◽  
S.V. Kulakova

The article presents the results of a psychological survey of 90 employees, who determined the level of organizational stress and a degree of development of two professionally important qualities - stress tolerance and resilience. Three psychodiagnostic methods were used: 1) K. McLean scale of organizational stress in N. Vodopyanova's adaptation; 2) the method of studying stress tolerance as a socio-psychological quality of a person; 3) S. Muddy test of resilience. It was found that about 75% of employees deferred by a low overall level of organizational stress and at the same time they had a high level of stress tolerance and resilience; 17% of employees demonstrated a high level of organizational stress, 6% of which was characterized by a low level of stress tolerance. The consistent patterns are established as a result of the correlation analysis: the more active and productive an employee is, the higher his resilience and vice versa; the older the employee, the lower his control indicator; with increasing work experience, flexibility in employee behavior increases. The results of a comparative analysis by gender mark significant differences in the overall level of stress tolerance (higher among women) and the ability of self-knowledge (more developed among men). The psychological conditions for increasing stress tolerance and resilience on an individual level, as well as social and psychological conditions for reducing organizational stress are described.


Author(s):  
Maria V. Korehova ◽  
Irina A. Novikova ◽  
Andrey G. Soloviev

 Emergency medical workers can be at ributed to specialists of extreme prof le of activity, as their work is associated with a variety of stress factors. 44 paramedics of the Arkhangelsk region (mean age 38.1±10.8 years, M±σ) were examined in order to identify the features of occupational stress in the activities of emergency medical personnel (NSR). T e following methods we used: scale of organizational stress, Mak-Lin, the questionnaire «At itude to work and professional burn-out» Vinokur V.A., test Ch. Spielberger, coping test of R. Lazarus and S. Volkman, a method of studying the risk appetite Shmelev A.G., projective test «Nonexistent animal», a method of assessing the psychological atmosphere in the team. It is established that during the performance of professional duties more than 2/3 of paramedics emergency medical care are of en faced with stressful situations; every third employee is threatened with life or danger of injury, injury in the process. More than half of the respondents have a high level of professional stress and burnout, 40.5% — use non-adaptive coping strategies in the f ght against intractable situations, and 1/5 — there is a high rate of situational anxiety and aggressiveness. T e directions of prevention of occupational stress in paramedics ambulance.


Author(s):  
Irina O. Kuvayeva

The empirical research of the connection between the stress level and mental representations of stress (concept) is presented. We suggest that workers with high level of occupational stress have more differentiated representations of stress, and also the representatives of different type of routine work (traditional vs. innovative) differ in the concept «stress» and level of stress. The sample consists of 335 employees: 197 plant workers and 138 call centre’s operators. The organisation of the concept (stressors, state, consequences, process, coping) was diagnosed by a directed associative experiment. The level of occupational stress was determined by the system of Anna Leonova. The results highlight the correlation between level of stress and the representations of stress-management – workers with expressed stress signifi cantly more wrote the coping-strategies. Professional differences in the concept of stress and the level of stress were demonstrated. Operators were characterised by more occupational stress, more differentiated representations of state, consequences and process of stress. The similarity of mental representations about stress-factors and stress-management between two groups of participants was obtained.


2021 ◽  
Vol 10 (1) ◽  
pp. 1-6
Author(s):  
R. Gopinath ◽  
A. Chitra ◽  
R. Kalpana

Nursing is considered one among the stressful professions. Over workload inadequate felicities, and sometimes the profession itself would be the cause of the stress to the Nurses. The professional stress of the Nurses creates so many adverse effects and creates negative effects to the persons who depend on the Nurses as the Occupational Stress reduces their concentration in medication. These made this study as essential one. Weiman Occupational Stress Scale was used to construct questionnaire to collect the data from Nurses and required statistical tools were used to analyses the relationship of stress causers with demographic factors and the impact of stress on the physical and mental health of the respondents. The results of the study were found that the Nurses were confronting high level of Occupational Stress during the period of Lockdown. The main stressors were over workload, in adequate felicities, fear of getting affected by the Corona virus and inadequate quality time with family. The demographic factors have significant relationship with the causes of Occupational Stress and the impact of Occupational Stress on the physical, emotional and Psychological state of Nurses is also immense. So enough measures have to be taken to moderate the stress level of Nurses as it is required for Nurses themselves and the patients depending them.


Author(s):  
Tat'yana Kobysheva ◽  
Lyubov' Kostina

The article actualizes the problem of a high level of stress resistance of employees of internal affairs agencies who regardless of gender, must achieve the assigned tasks and carry out effectively operational and service activities in dangerous and extreme conditions. The article presents a theoretical analysis of the scientific views of domestic and foreign scientists of the problem of stress factors and gender differences in stress resistance, levels of stress in the operational activities of employees of internal affairs agencies. Some gender characteristics, stereotypes of feminine and masculine behavior are revealed. The psycho-applied aspects of the problem under study are reflected in the form of the results of psychological observations of the authors of the article on the behavior of employees of the internal affairs agencies according to which male and female employees do not always act according to gender stereotypes of behavior when they find themselves in difficult and dangerous situations. Taking into account the mixed nature of the service collectives of the subdivisions of the territorial bodies of the Ministry of Internal Affairs of Russia the need for an empirical study aimed at studying the stress resistance of female and male employees of the internal affairs bodies is justified. This study will make it possible to characterize psychological work as differential work, designed for the gender characteristics of employees of the of internal affairs agencies and aimed at developing their stress resistance as a professionally important quality.


Author(s):  
Sana Rehman ◽  
Zenis Baluja

:Medical training requires continuous efforts and high level of perseverance, patience and commitment from medical students. Due to this performance pressure, students face high level of stress which affects not only their health negatively but also their thinking and learning abilities gets hampered.This study aimsto evaluate the knowledge, attitude and practice of stress management among undergraduate MBBS students at Hamdard Institute of medical sciences & research, Jamia Hamdard attatched to Hakeem Abdul Hameed Centenary hospital, a tertiary care hospital, New Delhi, India.A total of 254 undergraduate students of first year, second year and third first year of MBBS were explained the aims and objectives of the study and written informed consents were obtained from those who were willing to participate in the study. The questionnaire consisted of 12 questions regarding knowledge, attitude and practice on stress management [Annexure attached]. The students were asked to fill the questionnaire by themselves within 30 minutes of time. Out of 12 questions, 4 questions were of knowledge, 3 of attitude and 5 of practice regarding stress management among medical undergraduates. The questionnaires were collected and evaluated for their completeness. The data were recorded in Microsoft Excel Worksheet and analyzed.Out of 254 total undergraduates, 32.3%, 35.8% and 31.8% of students were of first, second and third year MBBS, respectively. 46.5% were male and 53.5% were female students. 28.4% students gave a relevant definition of stress. The most common condition related to stress is anxiety (79.6%). Only 37.4% of students could answer the correct clinical features of stress. Most common stressors were large syllabus (124%), less study time (28.7%) followed by apprehension to viva-voce. 72.7% of students marked that they have faced difficulties in adapting to the new environment and feeling home sickness, which was particularly seen in first-year students. Lack of friends (58.6%) was the most common non-academic cause of stress. 64.9% students had confronted stress because of competition related stress. Most commonly used stress relieving activities by the students was listening to music (63.7%) mostly in female students, followed by watching internet videos (24.1%) particularly in male students. Meditation and prayer were practiced by only 0.8% of students. 2.4% of students indulged themselves in their favorite hobbies when felt stress out and 5.1% students became addicted to smoking and alcohol.There were various stressors among medical students which has an adverse effect on the mental health of the medical students. There is an urgent need to establish and implement some strategies in order to adapt with the prevailing stress factors. Therefore, apart from the academic teaching, extracurricular activities such as meditation/yoga classes, sport activities, psychological counselling etc., should be incorporated in the medical curriculum. This will enhance the ability of students to deal with stress more effectively and this will definitely aid in improving their work efficiency.


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