Silistraru Ioana, Olariu Oana, Ciubara Anamaria, Roșca Ștefan, Alexa Anisia-Iuliana, Severin Florentina, Azoicăi Doina, Dănilă Radu, Timofeiov Sergiu, Ciureanu Ioan-Adrian
Faculty of Social Sciences and Humanities, Lucian Blaga University of Sibiu, 550025 Sibiu, Romania.
Clinical Medical Department, School of Medicine and Pharmacy, Dunărea de Jos University of Galati, 800008 Galati, Romania.
Eur J Investig Health Psychol Educ. 2024 Feb 1;14(2):311-323. doi: 10.3390/ejihpe14020021.
This study, which focuses on 227 participants (196 females and 31 males) comprising 187 clinical specialists and 40 surgical physicians, examines the prevalence of burnout in medical specialists. We investigate the effects of the emotional exhaustion (EE), Depersonalization (D), and personal accomplishment (PA) dimensions on professional satisfaction and plans to change careers using the modified licensed Maslach Burnout Inventory-Human Services Survey (MBI-HSS (MP)). High emotional exhaustion is reported by 52.63% of men and 71.28% of women in the clinical medicine group ( = 188). In the surgical specialties ( = 39), scores are significantly higher, with 75% of men and 77.77% of women reporting EE. In our sample group, 71.36% express high levels of emotional exhaustion, with similar patterns across specialization and gender. Clinical medicine respondents report high degrees of depersonalization in 33.13% of females and 21.05% of males, while surgical specialty respondents report high levels in 33.33% of females and 50% of males. Across genders and specializations, 33.03% of all respondents show high levels of depersonalization. Clinical medicine participants report high levels of personal accomplishment (42.60% of females and 42.10% of males), whereas surgical specialties report 44.44% of females and 66.66% of male on the PA dimension. Of the total number of respondents, 44.05% report having a high level of personal accomplishment; differences exist depending on specialty and gender. In addition, questions regarding professional fulfilment and intention to change careers were presented to the participants. A total of 53.40% (16 male and 105 female) of the clinical medicine respondents said they intended to change careers, while 33 participants (9 male, 34 female) doubted if they would remain in the same specialization. Furthermore, 86 individuals (9 male and 77 female) in the surgical specialties said they would never choose to work in healthcare again. Regression analysis suggests that being male, higher in age, and working in surgical specialties with lower job satisfaction and a higher intention to change profession are associated with higher levels of EE. Age and work satisfaction are significant predictors of depersonalization, and higher career satisfaction is associated with increased levels of PA.
本研究聚焦于227名参与者(196名女性和31名男性),其中包括187名临床专科医生和40名外科医生,调查了医学专科医生职业倦怠的患病率。我们使用修订后的授权版马氏职业倦怠量表-人类服务调查(MBI-HSS (MP)),研究情感耗竭(EE)、去个性化(D)和个人成就感(PA)维度对职业满意度以及职业变更计划的影响。临床医学组(n = 188)中,52.63%的男性和71.28%的女性报告有高度情感耗竭。在外科专科组(n = 39)中,得分显著更高,75%的男性和77.77%的女性报告有情感耗竭。在我们的样本组中,71.36%的人表现出高度情感耗竭,不同专业和性别的模式相似。临床医学组的女性中有33.13%、男性中有21.05%报告有高度去个性化,而外科专科组的女性中有33.33%、男性中有50%报告有高度去个性化。在所有性别和专业中,33.03%的受访者表现出高度去个性化。临床医学组的参与者中有较高的个人成就感(女性为42.60%,男性为42.10%),而外科专科组在个人成就感维度上,女性为44.44%,男性为66.66%。在所有受访者中,44.05%的人报告有较高的个人成就感;因专业和性别存在差异。此外,还向参与者提出了有关职业成就感和职业变更意向的问题。临床医学组共有53.40%(16名男性和105名女性)的受访者表示他们打算变更职业,而33名参与者(9名男性,34名女性)怀疑自己是否会留在同一专业领域。此外,外科专科组中有86人(9名男性和77名女性)表示他们再也不会选择从事医疗保健工作。回归分析表明,男性、年龄较大、在工作满意度较低且职业变更意向较高的外科专科工作与较高水平的情感耗竭相关。年龄和工作满意度是去个性化的重要预测因素,较高的职业满意度与个人成就感水平的提高相关。