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Tıbbi Onkoloji Çalışanlarında Tükenmişlik: Ulusal Gerçeklerle Yüzleşmek

Yıl 2023, Cilt: 18 Sayı: 2, 79 - 86, 12.07.2023
https://doi.org/10.17517/ksutfd.1151313

Öz

Amaç: Bu çalışma, Türkiye’de onkoloji kliniklerinde çalışan hekim, hemşire ve biyologlarda tükenmişlik sendromu prevalansını ortaya koymayı amaçlamıştır.
Ayrıca tükenmişliği etkileyen sosyodemografik faktörlerin incelenmesi,kurumsal önlemlerin yeterliliğinin sorgulanması ve çözüm önerilerine katılımlarının
incelenmesi amaçlanmıştır.
Gereç ve Yöntemler: Kesitsel olarak tasarlanmış bu çalışma, Türkiye’de aktif olarak çalışan tüm tıbbi onkoloji personeline ulaşmayı amaçlamış, 323 kişi
araştırmaya katılmayı kabul etmiştir. Katılımcıların tükenmişlik durumlarını ölçmek için Maslach Tükenmişlik Envanteri (MBI) kullanılmıştır. İçerisinde üç
alt ölçek bulunmaktadır: Duygusal Tükenmişlik (EE), Duyarsızlaşma (DP) ve Kişisel Başarı (PA). Kliniklerde tükenmişliği azaltmaya yönelik çözümlerin
uygulanabilirliği sorgulanmış ve tükenmişlik sendromunu önleyici yöntem soruları hazırlanmıştır. İstatistiksel anlamlılık dikkate alındı ve tüm istatistiksel
testler iki yönlüydü (p<0.05).
Bulgular: 323 katılımcının %38’i tıbbi onkolog, %58’i hemşire ve %4’ü biyologdu. Ortanca yaş 37±9 yıl idi. MBI alt ölçeklerine göre onkoloji personelinin
ortalama±SD tükenmişlik düzeyleri EE için 19.7±7.8 (yüksek), DP için 6.0±4.3 (orta) ve PA için 20.9±5.1 (yüksek)’dir. Kırk bir yaşın altındaki katılımcılar
daha yüksek riske sahiptir. Bir hobisi olan, iyi bir uyku düzenine sahip olan, düzenli egzersiz yapan katılımcıların tükenmişlik puanları anlamlı olarak daha
düşüktür.
Sonuç: Onkoloji çalışanlarının yarısından fazlasında tükenmişlik sendromu saptandı. Genç yaş, aile tipi, uyku, egzersiz ve hobi sahibi olma gibi kişisel
faktörler tükenmişliği etkiler. Sağlık çalışanları için tükenmişlik önleyici tedbirler ve hem kurum içi hem genel kapsamlı müdahaleler gereklidir

Teşekkür

Yazarlar, çalışma boyunca sürekli desteği ve rehberliği için Prof. Dr. Gamze Göksel'e teşekkür eder.

Kaynakça

  • Arnsten AFT, Shanafelt T. Physician distress and burnout, the neurobiological perspective. Mayo Clin Proc. 2021;96(3):763-769.
  • Shanafelt T, Dyrbye L. Oncologist burnout: Causes, consequences, and responses. J Clin Oncol. 2012;30(11):1235–1241.
  • Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE et al. A Comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage 2020;60(1):60-65.
  • Ledda C, Teodoro M, Virga D, Alabi RO, Hietanen P, Elmusrati M et al. Mitigating Burnout in an oncological unit: A scoping review. Front Public Heal 2021;9:677915.
  • McFarland DC, Hlubocky F, Susaimanickam B, O’Hanlon R, Riba M. Addressing Depression, burnout, and suicide in oncology physicians. Am Soc Clin Oncol Educ B 2019;39:590-598.
  • Avcı O, İriağaç Y, Çavdar E, Şeber ES. Mindfulness Among Medical Oncology Doctors and Its Relation With Burnout: Turkish Oncology Group (TOG) Study. JCO Oncol Pract. 2021;17(7):917–924.
  • Awa WL, Plaumann M, Walter U. Burnout prevention: A review of intervention programs. Patient Educ Couns. 2010;78(2):184–190.
  • Ergin C. Doktor ve Hemşirelerde tükenmişlik ve maslach tükenmişlik ölçeğinin uyarlanması. 7. Ulusal Psikol Kongresi Bilim Çalışmaları, Türk Psikologlar Derneği Yayınları. 1993;143–154.
  • Maslach C, Schaufeli WB, Leiter MP. Job Burnout. Annu Rev Psychol. 2001;52:397-422.
  • Sahraian A, Fazelzadeh A, Mehdizadeh AR, Toobaee SH. Burnout in hospital nurses: A comparison of internal, surgery, psychiatry and burns wards. Int Nurs Rev. 2008;55(1):62–67.
  • Brenninkmeijer V, VanYperen N. How to conduct research on burnout: Advantages and disadvantages of a unidimensional approach in burnout research. Occup Environ Med. 2003;60(SUPPL. 1):16–20.
  • Medisauskaite A, Kamau C. Prevalence of oncologists in distress: Systematic review and meta-analysis. Psychooncology. 2017;26(11):1732-1740.
  • Kust D, Murgic J, Vukovic P, Kruljac I, Prpic M, Zilic A et al. Oncologist burnout syndrome in Eastern Europe: Results of the multinational survey. J Oncol Pract. 2020;16(4):366–376.
  • Kamisli S, Yuce D, Karakilic B, Kilickap S, Hayran M. Cancer patients and oncology nursing: Perspectives of oncology nurses in Turkey. Niger J Clin Pract. 2017;20(9):1065-1073.
  • Tetzlaff ED, Hylton HM, DeMora L, Ruth K, Wong YN. National study of burnout and career satisfaction among physician assistants in oncology: Implications for team-based care. J Oncol Pract. 2018;14(1):11–22.
  • Hlubocky FJ, Shanafelt TD, Back AL, Paice JA, Tetzlaff ED, Friese CR et al. Creating a blueprint of well-being in oncology: an approach for addressing burnout from ASCO’s clinician well-being taskforce. Am Soc Clin Oncol Educ B. 2021;(41):339–353.
  • Font A, Corti V, Berger R. Burnout in healthcare professionals in oncology. Procedia Economics and Finance. 2015;228–232.
  • Nguyen TP, Tam VC, Lester RE, Ruiz JC, Bouchard-Fortier A, Card C et al. Burnout among Canadian oncologists and oncology residents. 2014;32(15-suppl):6549–6549.
  • Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C et al. Controlled Interventions to reduce burnout in physicians: A systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195-205.
  • Ortega-Campos E, Vargas-Román K, Velando-Soriano A, Suleiman-Martos N, Cañadas-de la Fuente GA, Albendín-García L et al. Compassion Fatigue, compassion satisfaction, and burnout in oncology nurses: A systematic review and meta-analysis. Sustainability. 2020; 12(1):72.

Burnout in Medical Oncology Staff: Confronting National Facts

Yıl 2023, Cilt: 18 Sayı: 2, 79 - 86, 12.07.2023
https://doi.org/10.17517/ksutfd.1151313

Öz

Objective: This study aimed to reveal the prevalence of burnout syndrome among physicians, nurses and biologists working in oncology clinics in Turkey.
Sociodemographic factors affecting burnout were revealed. The adequacy of institutional measures was questioned and their participation in solution proposals
was examined.
Materials and Methods: This cross-sectionally designed study aimed to reach all actively working medical oncology staff in Turkey. 323 of them agreed to
participate in the study. Maslach Burnout Inventory (MBI) was used to measure the burnout status of the participants. The scale consists of three subscales:
Emotional Exhaustion (EE), depersonalizaiton (DP) and the sensation of reduced personal accomplishment (PA). Clinical burnout reduction solutions were
also questioned. The burnout prevention questions were prepared. Statistical significance was considered, and all statistical tests were two-sided (p<0.05).
Results: Of 323 participants, 38% were medical oncologists, 58% were nurses and 4% were biologists. The median age was 37±9 years. According to
the MBI subscales, the mean±SD burnout levels of the oncology staff are 19.7±7.8 (high) for EE, 6.0±4.3 (moderate) for DP and 20.9±5.1 (high) for PA.
Respondents under 41 age has higher risk. The participants who are having a hobby, good sleep pattern, making regular exercises has significantly lower
burnout scores.
Conclusion: Burnout syndrome was detected in more than half of oncology workers. Personal factors such as young age, family type, sleep, exercise and
having a hobby affect burnout. Preventive measures and interventions are required for health workers

Kaynakça

  • Arnsten AFT, Shanafelt T. Physician distress and burnout, the neurobiological perspective. Mayo Clin Proc. 2021;96(3):763-769.
  • Shanafelt T, Dyrbye L. Oncologist burnout: Causes, consequences, and responses. J Clin Oncol. 2012;30(11):1235–1241.
  • Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE et al. A Comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage 2020;60(1):60-65.
  • Ledda C, Teodoro M, Virga D, Alabi RO, Hietanen P, Elmusrati M et al. Mitigating Burnout in an oncological unit: A scoping review. Front Public Heal 2021;9:677915.
  • McFarland DC, Hlubocky F, Susaimanickam B, O’Hanlon R, Riba M. Addressing Depression, burnout, and suicide in oncology physicians. Am Soc Clin Oncol Educ B 2019;39:590-598.
  • Avcı O, İriağaç Y, Çavdar E, Şeber ES. Mindfulness Among Medical Oncology Doctors and Its Relation With Burnout: Turkish Oncology Group (TOG) Study. JCO Oncol Pract. 2021;17(7):917–924.
  • Awa WL, Plaumann M, Walter U. Burnout prevention: A review of intervention programs. Patient Educ Couns. 2010;78(2):184–190.
  • Ergin C. Doktor ve Hemşirelerde tükenmişlik ve maslach tükenmişlik ölçeğinin uyarlanması. 7. Ulusal Psikol Kongresi Bilim Çalışmaları, Türk Psikologlar Derneği Yayınları. 1993;143–154.
  • Maslach C, Schaufeli WB, Leiter MP. Job Burnout. Annu Rev Psychol. 2001;52:397-422.
  • Sahraian A, Fazelzadeh A, Mehdizadeh AR, Toobaee SH. Burnout in hospital nurses: A comparison of internal, surgery, psychiatry and burns wards. Int Nurs Rev. 2008;55(1):62–67.
  • Brenninkmeijer V, VanYperen N. How to conduct research on burnout: Advantages and disadvantages of a unidimensional approach in burnout research. Occup Environ Med. 2003;60(SUPPL. 1):16–20.
  • Medisauskaite A, Kamau C. Prevalence of oncologists in distress: Systematic review and meta-analysis. Psychooncology. 2017;26(11):1732-1740.
  • Kust D, Murgic J, Vukovic P, Kruljac I, Prpic M, Zilic A et al. Oncologist burnout syndrome in Eastern Europe: Results of the multinational survey. J Oncol Pract. 2020;16(4):366–376.
  • Kamisli S, Yuce D, Karakilic B, Kilickap S, Hayran M. Cancer patients and oncology nursing: Perspectives of oncology nurses in Turkey. Niger J Clin Pract. 2017;20(9):1065-1073.
  • Tetzlaff ED, Hylton HM, DeMora L, Ruth K, Wong YN. National study of burnout and career satisfaction among physician assistants in oncology: Implications for team-based care. J Oncol Pract. 2018;14(1):11–22.
  • Hlubocky FJ, Shanafelt TD, Back AL, Paice JA, Tetzlaff ED, Friese CR et al. Creating a blueprint of well-being in oncology: an approach for addressing burnout from ASCO’s clinician well-being taskforce. Am Soc Clin Oncol Educ B. 2021;(41):339–353.
  • Font A, Corti V, Berger R. Burnout in healthcare professionals in oncology. Procedia Economics and Finance. 2015;228–232.
  • Nguyen TP, Tam VC, Lester RE, Ruiz JC, Bouchard-Fortier A, Card C et al. Burnout among Canadian oncologists and oncology residents. 2014;32(15-suppl):6549–6549.
  • Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C et al. Controlled Interventions to reduce burnout in physicians: A systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195-205.
  • Ortega-Campos E, Vargas-Román K, Velando-Soriano A, Suleiman-Martos N, Cañadas-de la Fuente GA, Albendín-García L et al. Compassion Fatigue, compassion satisfaction, and burnout in oncology nurses: A systematic review and meta-analysis. Sustainability. 2020; 12(1):72.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Özge Kama Başcı 0000-0002-2755-6768

Ferhat Ekinci 0000-0002-9317-942X

Atike Pinar Erdoğan 0000-0003-4859-7574

Erhan Eser 0000-0002-2514-0056

Erken Görünüm Tarihi 10 Temmuz 2023
Yayımlanma Tarihi 12 Temmuz 2023
Gönderilme Tarihi 31 Temmuz 2022
Kabul Tarihi 4 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 18 Sayı: 2

Kaynak Göster

AMA Kama Başcı Ö, Ekinci F, Erdoğan AP, Eser E. Burnout in Medical Oncology Staff: Confronting National Facts. KSÜ Tıp Fak Der. Temmuz 2023;18(2):79-86. doi:10.17517/ksutfd.1151313