Kust Davor, Murgic Jure, Vukovic Petra, Kruljac Ivan, Prpic Marin, Zilic Ana, Lengyel Csongor, Wdowiak Kamil, Simaskaite Lina, Mutlu Gunaydin Ulug, Tica Sedlar Ivana, Fountzilas Elena, Janzic Urska, Coroian Iulia, Durutovic Ivana, Pellegrino Benedetta, Petrova Mila, Huti Emiljana, Napolskaia Elena, Seruga Bostjan, Balenovic Antonija, Frobe Ana, Luetic Kresimir
Department of Oncology and Nuclear Medicine, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia.
Department of Medical Oncology, University Hospital for Tumors, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia.
JCO Oncol Pract. 2020 Apr;16(4):e366-e376. doi: 10.1200/JOP.19.00470. Epub 2020 Jan 29.
Burnout is defined as a three-dimensional syndrome-emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA)-caused by chronic occupational stress. The aim of the current study was to investigate the prevalence of burnout among oncologists in Eastern Europe and to identify the contributing factors.
The study was conducted as an online survey between October 2017 and March 2018. Oncologists (including medical, radiation, clinical, and surgical oncologists) from 19 countries were invited to participate. The survey consisted of 30 questions, including the standardized burnout instrument, Maslach Burnout Inventory, and eight demographic questions. Burnout risk was scored according to the scoring manual for health care workers.
The study included 637 oncologists. Overall, 28% were at low or intermediate risk and 72% were at high risk for burnout. Forty-four percent of participants were at high risk for EE, 28.7% for DP, and 47.3% for PA. EE risk was associated with female sex. DP risk was highest among clinical and radiation oncologists, whereas PA risk was positively correlated with years of service, percentage of cancer deaths, and availability of the number of oncologists. In multivariate logistic regression analysis, burnout was significantly associated with standardized cancer mortality and fewer years of practice.
Burnout among oncologists in Eastern Europe is high, and younger oncologists are the most vulnerable group. Preventive measures should be taken to address this issue, which negatively affects optimal care delivery and poses a threat to oncologists' health and well-being.
职业倦怠被定义为由慢性职业压力导致的一种三维综合征，即情感耗竭（EE）、去人格化（DP）和个人成就感降低（PA）。本研究的目的是调查东欧肿瘤学家职业倦怠的患病率，并确定相关影响因素。
该研究于2017年10月至2018年3月以在线调查的方式进行。邀请了来自19个国家的肿瘤学家（包括医学、放射、临床和外科肿瘤学家）参与。该调查包括30个问题，其中包括标准化的职业倦怠量表、马氏职业倦怠量表以及8个人口统计学问题。职业倦怠风险根据医护人员评分手册进行评分。
该研究纳入了637名肿瘤学家。总体而言，28%处于低或中度职业倦怠风险，72%处于高职业倦怠风险。44%的参与者处于情感耗竭高风险，28.7%处于去人格化高风险，47.3%处于个人成就感降低高风险。情感耗竭风险与女性性别相关。去人格化风险在临床和放射肿瘤学家中最高，而个人成就感降低风险与服务年限、癌症死亡率百分比以及肿瘤学家数量的可得性呈正相关。在多因素逻辑回归分析中，职业倦怠与标准化癌症死亡率和执业年限较少显著相关。
东欧肿瘤学家的职业倦怠程度较高，年轻肿瘤学家是最脆弱的群体。应采取预防措施来解决这一问题，因为它会对最佳医疗服务产生负面影响，并对肿瘤学家的健康和幸福感构成威胁。
