Salgın Hastalıklar Sonrasında Fizyoterapi ve Rehabilitasyon Bölümü Çalışanlarında İş Stresinin Tükenmişlik Üzerindeki Etkisinin Belirlenmesi ve İstanbul Özel Rehabilitasyon Merkezlerinde Uygulama

COVID-19 ve Delta varyantı beraberinde çalışanlarda iş stresi ve tükenmişlik meslek hayatlarında yaşamış olduğu durumlardır. Bu çalışmada toplumları derinden etkileyen, salgın hastalıkların iş stresi ile tükenmişlik sendromunun fizyoterapi ve rehabilitasyon bölümü çalışanları üzerindeki etkisi incelenmektedir. Çalışmanın amacı son dönemlerde yaşanan dünyada ve ülkemizde insan sağlığını önemli ölçüde tehdit etmekte olan yeni koronavirüs hastalığı (COVID-19) her geçen gün yayılmaya ve ciddi bir tehdit unsuru oluşturmaya devam etmektedir. Bu süreçte görevini yerine getiren sağlık çalışanları büyük bir risk altında sağlık hizmeti sunmaya çalışmaktadır. Çalışmamızda pandemi boyutunda olan COVID-19 sırasında görevlerini yapmakta olan sağlık çalışanlarından fizyoterapistlerin çalışma koşullarına ilişkin değerlendirmelerde bulunmaktır. Fizyoterapistlerin çalışma koşullarında sahada karşılaştıkları sorunlar ve riskler tanımlanarak, üstesinden gelmek durumunda oldukları iş stresi ve tükenmişlik sendromunun çalışanlarda oluşan psikolojinin proformalarına etkisi üzerindeki etkisinin araştırılmasıdır. Çalışmanın evrenini İstanbul ili Avrupa yakasında özel eğitim ve rehabilitasyon merkezleri oluşturmaktadır. Özel eğitim kurumları derneği ve İstanbul rehabilitasyon merkezleri derneğinden veriler toplanmış. 292 özel eğitim ve rehabilitasyon merkezinde toplam 876 fizyoterapist çalışmaktadır. İnceleme sonuçlarına göre, fizyoterapistlerin iş stresi seviyeleri yüksek bulunmuştur. İş stresi algısında demografik değişkenler bakımından farklılık vardır. İş stresi ile tükenmişlik arasında anlamlı ilişki olduğu görülmüştür. Tükenmişlik hissi, durgunlaşma ve zayıf performans duygusu, iş stresinden etkilenmektedir. İş stresi ile tükenmişlik seviyelerinde pozitif anlamlı ilişki görülmektedir. Sonuçlar analiz edilerek birtakım tavsiyelerde bulunulmuştur.

Determination of the Effect of Work Stress on Burnout in Physiotherapy and Rehabilitation Department Employees After Epidemics and Application in Istanbul Private Rehabilitation Centers

Work stress and burnout in co-workers with COVID-19 and Delta variant are situations that they have experienced in their professional lives. In this study, the effects of epidemic diseases, work stress and burnout syndrome, which affect societies deeply, on physiotherapy and rehabilitation department employees are examined. The aim of the study is that the new coronavirus disease (COVID-19), which has been threatening human health in the world and in our country recently, continues to spread and pose a serious threat. In this process, health workers who fulfill their duties are trying to provide health services under a great risk. In our study, it is to evaluate the working conditions of physiotherapists, who are among the health workers who are doing their duties during COVID-19, which is at the size of a pandemic. The aim of this study is to define the problems and risks faced by physiotherapists in their working conditions and to investigate the effect of work stress and burnout syndrome, which they have to overcome, on the effect of psychology on employees' proforma. The universe of the study consists of special education and rehabilitation centers in the European side of Istanbul. Data were collected from the private education institutions association and the Istanbul rehabilitation centers association. A total of 876 physiotherapists work in 292 special education and rehabilitation centers. According to the results of the review, the work stress levels of the physiotherapists were found to be high. There is a difference in the perception of job stress in terms of demographic variables. It has been observed that there is a significant relationship between job stress and burnout. Feelings of burnout, stagnation, and poor performance are all affected by job stress. There is a positive significant relationship between job stress and burnout levels. The results were analyzed and some recommendations were made.

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  • Abraham, C., ve Shanley, E. (1997). Psikologi Sosial untuk Perawat. Alih Bahasa : Leoni Sally Maitimu. Jakarta: EGC
  • Bianchi R, Schonfeld IS, Laurent E. Burnout(2015),depression overlap: a review. Clin Psychol Rev.); 36:s.28-41. doi: 10.1016/j.cpr.2020.01.004
  • Bilban, M., Pseničny, A. (2007). İzgorelost (Burnout Syndrome),Varnost'ta Delo, (1).
  • Bouvet E. (2007), Infectious risks-occupational infectious risks in health care workers. International Symposium by Elinyae & ISSA Health Services Section, Athens.
  • Brown, S. P.,ve Peterson, R. A. (1993). Antecedents and consequences of salesperson job satisfaction: meta-analysis and assessment of causal effects. J. Mark. Res. 30,s. 63–77.
  • Chen,Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L.,et al.,(2020).Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4).
  • Cohen, S., Kamarck, T. ve Mermelstein, R. (1994). Perceived stress scale. Measuring stress: A guide for health and social scientists, 10(2).
  • Cooper CL. Introduction In: C.L. Cooper, Editor, (1998),Theories of Organizational Stress, Oxford University Press, Oxford. DeVito, L. M., Konigsberg, R., Lykken, C., Sauvage, M., Young, W. S. III., ve Eichenbaum, H. (2009),Vasopressin 1b receptor knock-out impairs memory for temporal order. J. Neurosci. 29, s.2676–2683.
  • Freudenberger HJ. (1975); The staff burn-out syndrome in alternative institutions. Psychotherapy. 12.
  • Gallup.(2018), Employee Burnout, Part 1: The 5 Main Causes.
  • Grol R, Mokkink H, Smits A, (1985), Work satisfaction of general practitioners and the quality of patient care. Fam Pract.; 2. Health and safety executive. Work related stress information park. Sudbury: HSE Books, 2000.
  • Işıkhan, Vedat (2004). Çalışma Hayatında Stres ve Başa Çıkma Yolları. Ankara: Sandal Yayınları.
  • Kahn R.L, Wolfe D.M, Quinn R.P, Shoek J.D, Rosenthal R.A. (1964), Organizational Stress.. Wi1ey, New York.
  • Kaschka W. P Korczak D. Broich K. (2011), Burnout: a Fashionable Diagnosis. Deutsches Ärzteblatt Int. 108:s.781.
  • Karasek, R.A. (1979) Job demands, job decision latitude, and mental strain: Implications for job redesign. Administrative Science Quarterly, 24, s.285-308.
  • Karasek, Robert A., Dean Baker, Frank Marxer, Anders Ahlbom ve Tores Theorell (1981), “Job Decision Latitude, Job Demands, and Cardiovascular Disease: A Prospective Study of Swedish Men,” AJPH, 71 (7): s.694.
  • Köknel, Özcan (1987) İnsanı Anlamak, 3. Basım, İstanbul: Altın Kitaplar Yayınevi Kumar, M. Y., ve Bhalla, P. (2019). Stress among nursing staff in hospitals and its relation with job satisfaction, job performance and quality of nursing care: A literature review. Journal of Nurse Care, 8.
  • Lee, R. T., ve Ashforth, B. E. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout. J. Appl. Psychol.s. 81.
  • NIOSH C, (2008), Exposure to Stress: Occupational Hazards in Hospitals. Department of Health and Human Services centers for Disease Control and Prevention National Institute DHHS (NIOSH) Publication .
  • MalagrisLEN,Fiorito ACC (2015)Stress level evaluation of technicians from the health area.Studies Psych 23.
  • Maslach C, Leiter MP. (2016) World Psychiatry: Official Journal of the World Psychiatric Association (WPA) 2016, 15 (2): 103-11Erişim tarihi:15,02,2021.
  • NIOSH, (1996), “Violence in the Workplace: Risk Factors and Preventions Strategies”,National Institute for Occupational Safety and Health (NIOSH).
  • Resnik WH. The etiology of myocardial infarction. Arch Intern Med. (1963).
  • Rinaldi A., Vincenti S., De Vito F., Bozzoni İ., Oliverio A., Presutti C., Fragapane P., Mele A., Stress induces region specific alterations in microRNAs expression in mice,PMID,(2009), 19913057.
  • Ruegger M, Abrens R, Eickmann U, Falcy M., (2007), Safe handling of antineoplastic drugs – ISSa Guidelines and their implementation in Switzerland International Symposium by Elinyae and ISSA Health Services Section, Athens.
  • Rogalsky, K., Doherty, A., and Paradis, K. F.,(2016). Understanding the sport event volunteer experience: an investigation of role ambiguity and its correlates. J. Sport Manag. 30, s.453–469.
  • Santos S.R, Carroll C.A, Cox KS, Teas1ey S.L, Simon S.D, Βainbridge L, (2003), Baby boomer nurses bearing the burden of care: a four-site study of stress, strain, and coping for inpatient registered nurses. Journal of Nursing Administration. April;33(4).
  • Salazar P.G., Vaquerizo J.S., A., Catalan C. Arango, Moreno C., Ferre F., (2020),et al.Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis.J Affect Disord, s.275.
  • Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009). Burnout: 35 years of research and practice. The Career Development International, 14(3),s. 204–220. https://doi.org/10.1108/13620430910966406erişim tarihi:01.04.2021
  • Shanafelt, T., Ripp, J., ve Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama, s.323.
  • Sohrabi, C., Alsafi, Z., O'Neil, N., Khan, M., Kerwan, A., Al-Jabir, A., & Agha, R. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). International Journal of Surgery, 76(4).
  • Sönmez D.,(2020), Özel Sağlık Kurumlarında Toplam Kalite Yönetimi, Sosyal Araştırmalar ve Davranış Bilimleri,06.2020, www.sadab.org, Cilt:6, Sayı:10, 2020.ISSN:2149-1787, s.1-9.
  • Sveinsdottir H, Biering P, Ramel A.,(2006 ) Occupational stress, job satisfaction, and working environment among Icelandic nurses: A cross-sectional questionnaire survey International Journal of Nursing Studies. Sept;43(7).
  • Qiu, Y., Chen, X.,ve Shi, W. (2020). Impacts of social and economic factors on the transmission of coronavirus disease 2019 (COVID-19) in China. Journal of Population Economics, s.33.
  • Ulyanova O.V., Kutashov V.A., Skorokhodov A. P., Dudina A.A. (2016 ) tükenmişlik sendromu / O.V. Ulyanov, V.A. Kutashov , A.P. Skorokhodov, A.A. dudin //Tıbbın uygulamalı bilgi yönleri.
  • The American Institute of Stress, ‘‘What is Stress?’’, https://www.stress.org/what-is-stress.Erişim tarihi:01.04.2021.
  • Tiftik C.,(2021), ‘COVID-19 Başta Olmak Üzere Salgınlar Sürecinde Evden Çalışmanın İşletmelerin Gelecek Stratejilerine Etkileri’, Ekonomi, İşletme ve Yönetim Dergisi,Cilt:5, Sayı:1, 2021.
  • Türk Toraks Derneği, https://www.toraks.org.tr/site/news/10240
  • YAMANE T., (2001), Temel Örnekleme Yöntemleri, Çev: Alptekin Esin, M. Akif Bakır, Celal Aydın, Esen Gürbüzsel, Literatür Yayınları İstanbul.
  • WHO, Director-General's opening remarks at the World Health Assembly - 24 May 2019 .
  • WHO(2014)Mental health:a state of wellbeing.Available at: http://www.who.int/ features/factfiles / mental health/en/ (Erişim tarihi: 30/09/2020).
  • World Health Organization WHO coronavirus (COVID-19) dashboard (2021) https://covid19.who.int/region/searo/country/bd,,erişim tarihi:08.05.2021.
  • Jerrold SG (2002) Administration of stress. 6Th edtn. Manole, Romania