Cem GÖKÇEN, Suat ZENGİN, Mehmet Murat OKTAY, Gökay ALPAK, Behçet AL, CUMA YILDIRIM

Burnout, job satisfaction and depression in the healthcare personnel who work in the emergency department 12 3 4 5 6

Amaç: Bu çalışmanın amacı Gaziantep ili örnekleminde acil serviste çalışan sağlık personelinin depresyon, iş doyumu ve tükenmişlik düzeylerinin ve bunlarla ilişkili olabilecek değişkenlerin saptanmasıdır. Yöntem: Çalışma manın örneklemini Gaziantep Üniversitesi Tıp Fakültesi Hastanesi Acil Servisi, devlet hastaneleri acil servisleri ve 112 acil tıp hizmetlerinde çalışan doktor, hemşire, sağlık memuru, paramedik ve acil tıp teknisyeni (ATT) toplam 347 kişi oluşturmaktadır. Araştırmada sosyodemografik veri formu, Maslach Tükenmişlik Ölçeği (MTÖ), Minne- sota iş Doyum Ölçeği (MİDÖ) ve Beck Depresyon Ölçeği (BDÖ) kullanılmıştır. Sonuç: Acil servis çalışanlarının %18.5‟i (s=50) üniversite hastanesinde, %40‟ı (s=108) devlet hastanelerinde ve %41.5‟i (s=112) 112 acil servis hizmetlerinde çalışmaktaydı. Çalışanların %23.3‟ü (s=63) doktor, %31.5‟i (s=85) hemşire ve %45.2‟si (s=122) paramedik olarak görev yapmaktaydı. Devlet hastanesinde çalışan sağlık personelinin 112 acil servis çalışanla- rına göre duygusal tükenme (DT) ve BDÖ puanları anlamlı derecede yüksek, kişisel başarı (KB) puanları ise anlamlı derecede düşüktü. Paramedik grubunun hem doktor hem de hemşirelere göre DT puanı anlamlı derecede düşüktü. Yaş açısından, 18-24 yaş grubunun 25-29 ve 30-34 yaş gruplarına göre MTÖ-DT alt ölçeğinde anlamlı düzeyde düşük puan aldığı, 40 ve üstü yaş grubunun ise BDÖ puanının 18-24 yaş grubuna göre anlamlı düzeyde yüksek olduğu bulunmuştur. Deneklerden mesleği isteyerek seçen grupla isteyerek seçmeyen grup arasında MTÖ-KB hariç tüm ölçeklerde anlamlı derecede fark saptandı. Deneklerden Çalışma ortamından memnunum.‟‟ yanıtını veren grupla ‟değilim‟‟ yanıtını veren grup arasında da MTÖ-KB hariç tüm ölçekler arasında anlamlı düzeyde fark vardı. Tartışma: Acil servis gibi yoğun çalışan ve hastalara etkin, doğru ve hızlı müdahele edilmesi gereken bir birimde çalışan kişilerin tükenmişlik düzeyleri ve iş doyumlarını etkileyen faktörlerin belirlenmesi ve bu etkenlerle ilgili gerekli düzenlemelerin yapılması verilen sağlık hizmetinin kalitesinin arttırılmasına yardımcı olacaktır.

Acil serviste çalışan sağlık personelinde tükenmişlik, iş doyumu ve depresyon

Objective: This study aimed to determine the levels of depression, job satisfaction and burnout and the variables that could be related to them in the healthcare personnel who were working in the emergency department in the sample from the city of Gaziantep. Methods: Study sample included a total of 347 participants, including doctors, nurses, healthcare officers, paramedics and emergency medical technicians (EMTs), who have been working in the emergency department of Gaziantep University Medical Faculty Hospital, in the emergency departments of the state hospitals and 112 emergency services located in the city center of Gaziantep. In the study, we used socio-demographic data form, Maslach Burnout Inventory (MBI), Minnesota Satisfaction Questionnaire (MSQ) and Beck Depression Inventory (BDI). Results: Of the workers of emergency department, 18.5% (n=50) were working in the university hospitals, 40% (n=108) in the state hospitals and 41.5% (n=112) in 112 emergency services. Of the workers, 23.3% (n=63) were doctors, 31.5% (n=85) were nurses and 45.2% (n=122) were paramedics. Healthcare personnel who were working in the state hospital had significantly higher emotional exhaustion (EE) and BDI scores and significantly lower personal accomplishment (PA) scores compared to the workers of 112 emergency department. Paramedics had significantly lower EE scores compared to both doctors and nurses. In terms of age, it was found that 18-24 age group had significantly lower MBI-EE subscores compared to 25-29 and 30-34 age groups and that 40 and over age group had significantly higher BDI scores compared to 18-24 age group. All scales, except MBI-PA, were significantly different between the subjects who willingly chose the job and those who unwillingly chose the job. Again, all scales, except MBI-PA, were significantly different between the subjects who gave the answer of I am satisfied with my work environment and those who gave the answer of I am not satisfied with my work environment. Discussion: Evaluating the mental health and working conditions of the people who work in a unit under an intense work pressure, which requires efficient, proper and rapid intervention to the patients, would help to improve the quality of the services given in this field.

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1. Freudenberger HJ. Staff burnout. J Soc Issues. 1974;30:159-65.
2. Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav. 1981;2:99- 113.
3. Kırılmaz AY, Çelen Ü, Sarp N. İlköğretim Online. 2003;2(1):2-9.
4. Şahin D, Turan FN, Alparslan N, Şahin İ, Faikoğlu R, Görgülü A. Burnout levels of health staff working in a state hospital. Archives of Neuropsychiatry. 2008;45:116-21.
5. Merey Z, Boysan M, Ateş C. Sleep quality and burnout syndrome among teaching staff. Kriz Dergisi. 2008;16:33-41.
6. Ergin C. Turkish health personnel norms of Maslach Burnout Inventory. 3P Journal. 1996;4:28-33.
7. Kocabıyık ZO, Çakıcı E. Job burnout and job satisfaction in the hospital staff. Anatolian Journal of Psychiatry. 2008;9:132-8.
8. Hall L. Burnout: results of an empirical study of New Zealand nurses. Contemp Nurs.2001;11:71-83.
9. Çevik AA, Holliman CJ, Yanturalı S. Emergency physicians and burn out‟ syndrome. Ulusal Travma Derg. 2003;9:85-9.
10. Kalemoğlu M, Keskin Ö. Evaluation of stress factors and burnout in the emergency depart- ment staff. Ulusal Travma Dergisi. 2002;8:215-9.
11. Kebapçı A, Akyolcu N. The effects of the work environment on nurse burnout in emergency department.Tr J Emerg Med.2011;11:59-67.
12. Akpınar AT, Taş Y. A Research to determine the relationship between level of burnout and job satisfaction of emergency services personnel. Tr J Emerg Med. 2011;11:161-5.
13. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring de- pression. Arch Gen Psychiatry. 1961;4:561-71.
14. Myers JK, Weissman MM. Use of a self-report symptom scale to detect depression in a commu- nity sample. Am J Psychiatry. 1980;137:1081-4.
15. Hisli N. A study of validity of Beck Depression Inventory. Psikoloji Derg. 1988; 6:118-126.
16. Weiss DJ, Dawis RV, England GW, Lofquist LH. Minnesota studies in vocational rehabilitation. Manual for the Minnesota Satisfaction Question- naire. Industrial Relations Center, Minneapolis, University of Minnesota, 1967.
17. Baycan AF. Analysis of the Several Aspects of Job Satisfaction between Different Occupational Groups. Masters Thesis (unpublished), Istanbul, Bogazici University, Institute of Social Sciences, 1985.
18. Erol A, Sarıçiçek A, Gülseren Ş. Burnout in residence: association with job satisfaction and depression. Anatolian Journal of Psychiatry. 2007;8:241-7.
19. Havle N, İlnem MC, Yener F, Gümüş H. Burn-out syndrome, job satisfaction among psychiatrists working in Istanbul and their relationships with different variables. Düşünen Adam. 2008;21:4- 13.
20. Havle N, İlnem MC, Yener F, İster S. Job satisfaction level and burnout among psychiat- rists working in different countries. New Sym- posium Journal. 2009;47:211-7.
21. Özyurt A, Hayran O, Sur H. Predictors of burnout and job satisfaction among Turkish physicians. QJM 2006;99:161-9.
22. Karlıdağ R, Ünal S, Yoloğlu S. Job satisfaction and burnout levels of physicians. Türk Psikiyatri Derg. 2000;11:49-57.
23. Barutçu E, Serinkan C. Burnout syndrome: an important problem today and research study conducted in Denizli. Ege Academic Review. 2008;8:541-61.
24. Gillespie M, Melby V. Burnout among nursing staff in accident and emergency and acute medicine: a comparative study. J Clin Nurs. 2003;12:842-51.
25. Taycan O, Kutlu L, Çimen S, Aydın N. Relation between sociodemographic characteristics de- pression and burnout levels of nurse working in university hospital. Anatolian Journal of Psychiatry. 2006;7:100-8.
26. Oğuzberk M, Aydın A. Burnout in mental health professionals. Klinik Psikiyatri. 2008;11:167-79.
27. Aker S, Dündar C, Böke Ö, Peşken Y. Burnout levels and self esteem of the residents of Medical Faculty, Ondokuz Mayıs University. 3P Journal. 2004;4:295-306.
28. Karadağ G, Sertbaş G, Güner İC, Taşdemir HS, Özdemir N. Hemşirelerin iş doyumu ve tüken- mişlik düzeyleri ile bunları etkileyen bazı değiş- kenlerin incelenmesi. Hemşirelik Forum Dergisi. 2002;5:8-15.