Preview

Medical alphabet

Advanced search

Features of professional burnout and subjectively significant stress factors in doctors who provided remote telemedicine services during COVID-19 pandemic

https://doi.org/10.33667/2078-5631-2020-33-21-25

Abstract

Providing remote medical care in a telemedicine center (TMC) is a fundamentally new approach to organizing interaction between patients and doctors in Russia. Subjectively significant stress factors in medical workers of classical types of organizations (polyclinic, hospital) well studied. The importance of these factors may shift in the shopping center, and the study of these factors will help to develop recommendations for reducing the risk of professional burnout. Purpose of research. To research the relationship between professional burnout and subjectively significant stress factors among physicians of a telemedicine center. Material and methods. Assessment of the presence of professional burnout was carried out using a questionnaire: questionnaire of labour stress (Ch. Spielberger, 1994; A. B. Leonova, S. B. Velichkovskaya, 2002); questionnaire Professional burnout for medical workers (N. E. Vodopyanova, 2009). The survey involved 137 doctors who provided remote consultations to patients diagnosed with SARS-CoV-2. Results. It was found that working with the use of telemedicine technologies is one of the predictors of the development of burnout syndrome. There was a statistically significant positive correlation between work experience, age, and the degree of burnout. The main factors of stress development that are predictors of burnout were identified. Analysis of the results of the study showed that among doctors who provide remote medical consultations, the main symptom of burnout was depersonalization.

About the Authors

A. A. Tyazhelnikov
Consultative and Diagnostic Polyclinic No. 121; Russian National Research Medical University n. a. N. I. Pirogov
Russian Federation
Moscow


E. V. Kostenko
Russian National Research Medical University n. a. N. I. Pirogov; Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine
Russian Federation
Moscow


M. V. Gushchin
Municipal Polyclinic No. 3
Russian Federation
Moscow


A. S. Kuznetsova
Moscow State University n. a. M. V. Lomonosov
Russian Federation
Moscow


References

1. Munster V. J., Koopmans M., van Doremalen N. A novel coronavirus emerging in China-key questions for impact assessment. N Engl J Med. 2020; Jan 24 (Epub ahead of print), PubMed.

2. Huang C., Wang Y., Li X. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; Jan 24 (Epub ahead of print).

3. Act of the Moscow Department of Healthcare of 04/06/2020 No. 356 «On the use of telemedicine technologies when organizing the provision of consultations on the issues of coronavirus infection COVID-19 and the selection of personnel in medical organizations in the city of Moscow».

4. Order of the Ministry of health of the Russian Federation No. 965 dated 30.11.2017 “On approval of the procedure for organizing and providing medical care using telemedicine technologies”

5. Bagri M. A., Leonova A. B. Features of stress development in doctors of different specializations. Russian scientific journal. 2009; No. 1: 92–105.

6. Chaoping L., Kan S., Zhengxue L. et al. An investigation on job burnout of doctor and nurse. Chinese J Clin Psychol. 2003; No. 03: 170–172.

7. Humphries N., Morgan K., Conry M. C. et al. Quality of care and health professional burnout: narrative literature review. Intl J Health Care Quality Assurance. 2014; Vol. 27 (4): 293–307. DOI: 10.1108/IJHCQA-08–2012–0087.

8. Fuchs S., Endler P. C., Mesenholl E. et al. Burnout bei niedergelassenen Ärztinnen und Ärzten für Allgemeinmedizin. Wien Med Wochenschr. 2009; Vol. 159 (7–8): 188–191. DOI: 10.1007/s10354–009–0669–5.

9. Marques M. M., Alves E., Queiros C. et al. The effect of profession on burnout in hospital staff. Occup Med. 2018; Vol. 68 (3): 207–210. DOI: 10.1093/occmed/kqy039.

10. Salyers MP, Hudson C, Morse G, Rollins AL, Monroe-DeVita M, Wilson C, Freeland L. BREATHE: A pilot study of a oneday retreat to reduce burnout among mental health professionals. Psychiatric Services. 2011; 62 (2): 214–217.

11. Leonova A. B., Velichkovskaya S. B. Differential diagnostics of States of reduced working capacity. Psychology of mental States. Edited by A. O. Prokhorov. Kazan: center for innovative technologies, 2002; Issue 4: 326–343.

12. Vodopyanova N. E. psychodiagnostics of stress. Saint Petersburg: Piter, 2009; 336 p.

13. Maslach Ch. A multidimensional theory of burnout. Theories of Organizational Stress. ed. by C. L. Cooper. Oxford: Oxford University Press, 2000; 68–86.

14. Maslach Ch. Engagement research: Some thoughts from a burnout perspective. European journal of work and organizational psychology. 2011; Vol. 20: 47–52.

15. Leonova A. B. Towards strategic stress management in the workplace: Stress in medical doctors’ professions. Psychosocial Resources in Health Care System. ed. by P. Richter, J. M. Peiro, W. Schaufeli. Munchen: Rainer Hampp Verlag, 2007; P. 97–109.

16. Schaufeli W. B., Enzman D. The burnout companion to study and practice: a critical analysis. London: Taylor & Fransis, 1998; 220 p.

17. Vodopyanova N. E., Starchenkova E. S. burnout Syndrome: diagnostics and prevention. Saint Petersburg: Piter, 2008; 336 p.

18. Leonova A. B. Complex psychological technologies of stress management and assessment of individual stress resistance: experience of integration of various research paradigms. Bulletin of the Moscow University. Series 14: Psychology. 2016; No. 3: 63–72.

19. Leonova A. B., Zlokazova T. A., Kachina A. A., Kuznetsova A. S. The determinants of the development of professional distortions in medical personnel, teachers and psychologists working in an industrial-disaster zone. Psychology in Russia: State of the Art. 2013; Vol. 6, No. 3: 132–149.


Review

For citations:


Tyazhelnikov A.A., Kostenko E.V., Gushchin M.V., Kuznetsova A.S. Features of professional burnout and subjectively significant stress factors in doctors who provided remote telemedicine services during COVID-19 pandemic. Medical alphabet. 2020;(33):21-25. (In Russ.) https://doi.org/10.33667/2078-5631-2020-33-21-25

Views: 447


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)