Hygienic assessment of the influence of working conditions and the psychological situation in the team on the risk of emotional burnout in medical workers

Author(s):  
Neilya Shavketovna Ratushnaya ◽  
Yuliya Viktorovna Eliseeva

The article presents the results of the risk of developing the burnout syndrome in medical workers, taking into account the influence of hygienic working conditions and the psychological situation in the team. 134 medical workers with working conditions class 2.0, 3.1, and 3.2 were under observation. The ratio of the working conditions of medical workers to the corresponding class was established according to the Manual 2.2006–05 «Hygienic assessment of factors of the working environment and the labor process. Criteria and classification of working conditions». The methodological basis for assessing the level of emotional burnout of a medical worker in a team was a questionnaire developed by V. V. Boyko; the psychological situation in the team was assessed using a questionnaire by A. F. Fiedler. The conducted studies found that with the class of working conditions of doctors at the level of 2.0, the risk of developing emotional burnout after five years of work is 30.7 %. At the level of the class of working conditions 3.2, after five years of work, the burnout among doctors will reach 46.7 %. Against the background of a favorable psychological situation in the team, the probability of developing an emotional burnout syndrome was 20.0 %, with an unfavorable one, it increased to 46.6 %. The results obtained in the course of this study were used as the basis for the development of a method for predicting the risk of developing burnout syndrome in medical professionals in the first five years of work with a sensitivity of 78 % and a specificity of 68 %.

2021 ◽  
Vol 6 (3) ◽  
pp. 38-41
Author(s):  
Yurii Yu. Yeliseeev ◽  
Neilya Sh. Ratushnaya ◽  
Yuliya V. Eliseeva

Objective to assess the risk of developing the burnout syndrome in medical workers under the influence of working conditions and psychological environment in the team. Material and methods. To evaluate the level of emotional burnout, 134 medical workers of medical institutions of the Saratov region were tested according to Viktor Boiko methodology, based on the study of the working environment and the labor process, as well as according to Fiedlers methodology of assessing the psychological climate in the team. Results. The study results testified the direct influence of the factors of the labor process that determine the class of working conditions on the risks of developing emotional burnout in medical workers. The 2.0 class of working conditions implies the risk of occupational burnout in 30.7% of doctors after five years of work. The 3.2 class of working conditions leads to burnout in 46.7% of doctors after five years of work. Discussion. The high degree of emotional burnout registered in medical workers in the course of this study was naturally determined by both the level of the class of working conditions and the level of the psychological tension in the team. The prognosis of burnout syndrome development in the teams with positive psychological climate is 20.0%, while in the teams with unfavourable psychological situation the risk of occupational burnout reaches 46.6%. Conclusion. The results obtained in the course of this study were used as the basis for the development of a method for predicting the risk of developing burnout syndrome in medical professionals.


Author(s):  
L.V. Prokopenko ◽  
◽  
A.V. Lagutina ◽  
N.N. Courierov

Abstract. Introduction. The approval of new sanitary norms and rules within the framework of the “regulatory guillotine” made it necessary to revise the hygienic classification of working conditions in terms of hazard, which includes Guide R 2.2.2006-05 - one of the fundamental documents in medicine of labor. Purpose of the study. Updating the classification of working conditions based on a risk-based approach, taking into account new regulatory legal acts, risk factors due to the introduction of modern technologies and forms of labor organization and practices of applying the classification. Results. The classification of working conditions under the influence of chemical, physical factors, the severity and intensity of the labor process has been revised taking into account SanPiN 1.2.3685-21, the classification of working conditions by biological factor has been revised and supplemented. The characteristics of the classes of working conditions have been clarified, the categories of occupational risk by classes according to R 2.2.1766-2003 are indicated. Changes in the structure of the classification are considered, concerning the abolition of the "optimal" classes of working conditions; expanding the classification in terms of the severity and intensity of labor by adding the classes "harmful working conditions - 3.3"; canceling or bringing the indicators of the "hazardous (extreme) working conditions" class in accordance with Federal Law No. 426-FZ and the principles of hygienic classification. Conclusion. A version of a risk-oriented hygienic classification has been prepared, corresponding to the new regulations, modern conditions and forms of work organization and aimed at preserving and improving the health of workers.


2021 ◽  
Vol 273 ◽  
pp. 10049
Author(s):  
Irina Skirtach ◽  
Svetlana Kuzenko ◽  
Evgenia Pokul

Currently, the characteristics of the emergence and course of burnout syndrome among medical staff working with cancer children are not studied enough. It seems relevant to consider the psychological features of oncological medical specialists as an important personal factor, a protector of burnout syndrome. The features (empathetic tendencies, personal and situational anxiety, neurotization, self-actualization) in health care professionals working with cancer children were investigated. The object of the study was medical workers specializing in the field of oncology (doctors: radiologists, chemotherapists, hematologists, coloproctologists, hepatologists, pediatric oncologists, transfusiologists, etc.) with various experience. Research base was R. M. Gorbacheva Research Institute of Pediatric Oncology, Hematology and Transplantology, St. Petersburg. The study revealed the interconnection between the level of emotional burnout syndrome and levels of empathy tendencies, neurotization and anxiety of medical professionals: health workers with a high degree of empathy have less predisposition to burnout. The interconnection between the expression of emotional burnout syndrome and the self-actualization of personality of medical professionals was also revealed: the lower level of self-actualization the doctors have, the more inklined to emotional burnout they are.


Author(s):  
Alexey Kokoshko ◽  
◽  
Nurilya Maltabarova ◽  
Aigul Abduldayeva ◽  
Galiya Smailova ◽  
...  

To date, intensive care medicine, anesthesiology, and resuscitation are medical spheres that deal with lifesaving issues, particularly the treatment of patients in critical or life-threatening situations. The profession of anesthesiologist-resuscitator is relatively new, although it has centuries-old prehistory. The study aims to identify personality traits that predispose to the formation of emotional burnout syndrome in anesthesiologists-resuscitators. The research was performed at the Anesthesiology and Resuscitation Departments of the regional healthcare facilities in Astana and Akmola cities. Findings obtained through this research confirm the hypothesis that personality traits in anesthesiologists-resuscitators are factors that facilitate the development of emotional burnout syndrome. Such a discovery necessitates the prevention of personality destructions as well as the establishment of conditions to reduce them in the case of occurrence. Proper arrangement of the work schedule and a favorable working environment allows preventing the emotional burnout among employees.


Author(s):  
Galina V. Kurenkova ◽  
Natalia A. Sudeikina ◽  
Elizaveta P. Lemeshevskaya

Introduction. Professional groups of railway workers engaged in the repair of wagons are directly responsible for the safety of railway traffic. The analysis of literature testifies to insufficient attention of researchers to the hygienic problems associated with labor activity of workers of wagon-repair production.The aim of the study is to assess the occupational risk to the health of wagon repair workers, due to the impact on them of factors of the working environment and the labor process.Materials and methods. The study used comprehensive hygienic studies using the methodology of occupational risk to worker’s health.Results. The leading factors of the working environment (class of working conditions 3.2–3.4), which are exposed to workers depending on the specifics of the work performed. Identified professional groups with medium (significant) high (unbearable) and very high (intolerable) category of a priori occupational risk: in wagon meintenance workshop — 17 groups (94% of jobs), in a wagon assembly workshop — 11 groups (80% jobs), in wagon wheel workshop — 3 group (100% jobs). At the same time, according to the request for medical care, employees were diagnosed with isolated cases of occupational diseases.The levels of morbidity with temporary disability of employees of the main workshops are statistically significant (p<0.05) higher than those of the control group in 1.4–1.9 times. The influence of the complex of chemical factors of low and medium intensity on the levels of morbidity of respiratory diseases in the group of workers of the wagon wheel workshop, which were 1.7–2.0 times higher than in the control group, is confirmed by the average degree of causation of the production condition of this pathology (RR=1.7; EF=42.0%).The combined effect of vibration and severity of the labor process forms a high level of temporary disability of employees of the main workshops in connection with diseases of the musculoskeletal system, which was 2.7–4.4 times higher than in the control group, and also determines the prevalence of this pathology in the structure of diseases detected on medical examinations (23.2%). Diseases of the musculoskeletal system are caused by the production of employees of the wagon meintenance workshop (RR=3,9; EF=74,9%), as the most unfavorable in terms of hygiene on these factors.The stressful influence of the complex of harmful production factors on the health of wagon repair workers is manifested by the high risk of diseases of the cardiovascular system, gastrointestinal tract, neurological disorders, violation of adaptation of the cardiovascular system in 97% of the examined, as well as the predominance of diseases of the digestive system and circulatory system detected on periodic medical examinations.Conclusions. Harmful working conditions (class 3.1–3.4) cause the suspected occupational risk from small (moderate) to very high (intolerable) to 100% of the jobs of wagon repair workers. The results of the study of morbidity and risk of pathology indicate a significant risk of damage to the health of workers.


2021 ◽  
pp. 162-172
Author(s):  
T.A. Platonova ◽  
◽  
A.A. Golubkova ◽  
S.S. Smirnova ◽  
E.V. Dyachenko ◽  
...  

Medical workers have become a most affected population group during the pandemic of the new coronavirus infection (COVID-19). They were the first to start fighting against an unknown infection and at that stage their psychoemotional state determined not only correct evaluations of a situation but also relevant planning regarding control over it. Our research aim was to reveal risk groups among medical workers regarding developing emotional burnout syndrome and peculiarities of reacting to stress in an emergency epidemic situation. We applied our own author’s anonymous online poll available at Google platform to examine psychoemotional state of medical workers. The poll had a built-in “Scale of perceived stress-10” that included two sub-scales; one of them measured a subjectively perceived level of the situation strain and the other, the amounts of efforts made by medical workers to overcome it. The poll was performed in November–December 2020; overall, 638 medical workers took part in it. They were of different age and sex and had different positions and working experience. We established great variability in individual levels of overstrain as per the stress perception sub-scale (Ех < 0; Ех = –0.59) with more “low” than “high” values as per this sub-scale (Аs > 0; Аs = 5.66). Having analyzed variability of values as per the stress overcoming sub-scale, we revealed that they were homogenous (Ех > 0; Ех = 3.98) with prevailing “high” values (Аs < 0; Аs = –6.97). Medical workers with their working experience being shorter than 5 years turned out to be a risk group with the most destructive reactions to long-term affecting stress factors at work and at home during the COVID-19 pandemic. Apart from them, high mental risks were also detected for workers who treated patients with COVID-19 as well as those who had previously had the coronavirus infection. The research allowed obtaining actual data on psychoemotional state of medical workers during the COVID-19 pandemic and determining potential risk groups regarding developing emotional burnout syndrome. We substantiated the necessity to constantly provide psychological trainings for medical workers with their focus on peculiarities of their reacting during the first meeting with destabilizing factors and with further adjustment of educational programs provided for potential risk groups.


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