Burnout syndrom in health workers

Uvod: Sindrom sagorijevanja ili engleski burn out je psihološki termin za dugoročnu iscrpljenost i postepeno pomanjkanje interesa za posao i smanjenje profesionalne učinkovitosti, a nastaje kao posljedica prolongiranog stresa na radnom mjestu. Opći cilj: Ispitati značajke sindroma sagorijevanja u zdravstvenih djelatika u Republici Hrvatskoj u odnosu na rad u bolničkim ili vanbolničkim ustanovama. Specifični ciljevi: Ispitati sindroma sagorijevanja prema: učestalosti, intenzitetu (stupnju) te značajkama po: ustanovama, zanimanjima i spolu. Ispitanici i metode: Sudjelovalo je 140 zdravstvenih djelatnika: 75 zaposlenih u Domu zdravlja, 34 u Specijalnoj bolnici i 31 u Rehabilitacijskom centru, od čega 33 muškarca i 107 žena. U Domu zdravlja prosječne dobi 42,8 godina (raspon 21 do 64 godine), u Specijalnoj bolnici procječne dobi 35,9 godina (raspon 21 do 56 godina) te u Rehabilitacijskom centru prosječne dob 42,2 godine (raspon 23 do 57 godina). Podaci su prikazani tablično i grafički. Napravljena je opisna statistika s apsolutnim frekvencijama i odgovarajućim učestalostima prema vrsti anketirane ustanove. Razlike su se najprije analizirale hi-kvadrat testom. Dodatno se izračunao ukupan score te su se razlike između ustanova analizirale analizom varijance (ANOVA). Sve P vrijednosti manje od 0,05 su se smatrale statistički značajnima. U statističkoj analizi se koristila programska podrška STATISTICA (data analysis software system), verzija 10.0 (StatSoft, Inc. (2011). Rezultati: Rezultati istraživanja ukazuju kako postoji prisutnost sindroma sagorijevanja u vidu emocionalne iscrpljenosti i depersonalizacije. Ta dva simptoma sindroma sagorijevanja su najviše prisutna među zaposlenicima Doma zdravlja, a u manjoj mjeri u Specijalnoj bolnici i Rehabilitacijskom centru, razlikuju se prema stručnoj spremi (najviše u medicinskih sestaratehničara SSS) i spolu ispitanika (više u žena). Zaključak: Potrebno bi bilo načiniti programe prevencije i provoditi mjere osnaživanja zaposlenika, poglavito medicinskih sestara-tehničara i fizioterapeuta sa SSS, žena, koji su se pokazali najugroženijom skupinom.Introduction: The burnout syndrome is a psychological term for long-term exhaustion and gradual lack of interest to work, and fall in professional efficiency, and it develops as a consequence of prolonged stress at the workplace. General objective: To research the burnout syndrome among healthcare workers in the Republic of Croatia in relation to jobs at the hospital or other health institutions. Specific objectives: To research the burnout syndrome according to: frequency of appearance, intensity (level), and characteristics according to: health institutions, occupation and sex. Participants and methods: 140 healthcare workers participated in the survey: 75 of them were employed in health House, 24 in Special hospital, and 31 in the Rehabilitation centre, 33 of them were male, and 107 female. The average age of surveyed at health Hose is 42,8 years (range from 21 to 56 years old); at special hospital 35,9 years (range from 21 to 56 years old); at the Rehabilitation centre average age was 42,2 years (range from 23 to 57 years old). The date is show, both in the table and graphically. Descriptive statistics with the absolute frequencies and appropriate appearances according to type of the institution can also be found. The differences were first analyzed by chi-square test. The total score was calculated additionally, and the differences between institutions were analyzed by analysis of variation (ANOVA). All P values which stood at less than 0,05, were considered as statistically significant. In the statistic analysis programmed support STATISTICA (data analysis software system), version 10.0 (StatSoft, Inc. (2011)) was used. Results: The results of the research show that there is the presence of the burnout syndrome in the aspect of emotional exhaustion and depersonalization. These two symptoms of the burnout syndrome are present at the highest level among employees of health House, and at lower level in special hospital and Rehabilitation centre, and are also different according to qualifications (most expressed at nurses-medical assistants with secondary education, and according to sex (more expressed in females). Conclusion: The prevention programs should be formed, and measures of empowerment of employees should be implemented, especially of nurses and medical technicians and physiotherapists with secondary education, and also women who are the most endangered group