PROFESIONALNI STRES KOD MEDICINSKOG OSOBLJA

  • Tamara Klikovac
  • Đerđi Šarić
  • Vesna Korać
Ključne reči: medicinsko osoblje, primarna zdravstvena zaštita, profesionalni stres

Apstrakt

Istraživanje je sprovedeno sa ciljem da se utvrdi nivo profesionalnog stresa na uzorku od 220 zdravstvenih radnika koji su pohađali akreditovan kurs „Dobra komunikacija sa pacijentima“ koji je tokom 2018. i 2019. godine održan u Novom Sadu, Kragujevcu, Nišu i Beogradu. Preko 70% ispitanih zdravstvenih radnika je iz primarnog nivoa zdravstvene zaštite (domovi zdravlja i manje ambulante pri većim domovima zdravlja). Po završetku кursa, uz popunjavanje evaluacije i testova znanja učesnici su zamoljeni da anonimno popune i skalu profesionalnog stresa sa ciljem da se proceni nivo profesionalnog stresa. Rezultati su pokazali da je nivo profesionalnog stresa za ceo ispitani uzorak umeren (M = 64.40; SD = 12.43). Jedina dobijena značajna razlika je prema polu, odnosno pokazalo se da žene zdravstveni radnici imaju viši nivo stresa u poređenju sa muškarcima. Očekivane pretpostavke koje su se odnosile na postojanje razlika u nivou profesionalnog stresa u odnosu na bračno stanje, godine starosti, radni staž i radno mesto nisu dobijene. Sagledavanje nivoa stresa zdravstvenih radnika je od značaja za organizovanje tematskih edukacija, kurseva i preventivnog rada sa ciljem da se na vreme prepoznaju i spreče štetni uticaji profesionalnog stresa na fizičko i mentalno zdravlje medicinskog osoblja.

Biografije autora

Tamara Klikovac

Odeljenje za psihologiju, Filozofski fakultet, Univerzitet u Beogradu

Đerđi Šarić

Opšta bolnica ,,Dr Radivoj Simonović” u Somboru

Vesna Korać

,,Drugi projekat razvoja zdravstva Srbije” Ministarstva zdravlja i Svetske banke

Reference

Adeb–Saeedi, J. (2002). Stress amongst emergency nurses. Australian Emergency Nursing Journal, 5(2), 19–24. https://doi.org/10.1016/S1328–2743(02)80015–3

Ahola, K., Honkonen, T., Isometsa, E., Kalimo, R., Nykyri, E., Aromaa, A., & Lonnqvist, J. (2006). Burnout in the general population–Results from the Finnish Health 2000 Study. Social Psychiatry and Psychiatric Epidemiology, 4, 11–17. https://doi.org/10.1007/s00127–005–0011–5

Al–Makhaita, H. M., Sabra, A. A., & Hafez, A. S. (2014). Predictors of work–related stress among nurses working in primary and secondary health care levels in Dammam, Eastern Saudi Arabia. Journal of Family & Community Medicine, 21(2), 79–84. https://doi.org/10.4103/2230–8229.134762

Andolhe, R., Barbosa, R. L., Oliveira, E. M., Costa, A. L., & Padilha, K. G. (2015). Stress, coping and burnout among Intensive Care Unit nursing staff: associated factors. Journal of the Nursing School of the University of Sao Paolo, 49, 58–64. https://doi.org/10.1590/S0080–623420150000700009

Armstrong–Stassen, M. (1997). The effect of repeated downsizing and surplus designation on remaining managers: An exploratory study. Anxiety, Stress & Coping: An International Journal, 10(4), 377–384. http://doi.org/10.1080/10615809708249310

Asai, M., Morita, T., Akechi, T., Sugawara, Y., Fujimori, M., Akizuki, N., Nakano, T., & Uchitomi, Y. (2007). Burnout and psychiatric morbidity among physicians engaged in end–of–life care for cancer patients: A cross–sectional nationwide survey in Japan. Psycho–Oncology, 16, 421–428. https://doi.org/10.1002/pon.1066

Belkić, K. i Nedić, O. (2012). Night work, total occupational burden and cancer/cardiovascular risk factors in physicians. Medicinski pregled, 65(11–12), 461–469. https://doi.org/10.2298/MPNS1212461B

Bosma, H., Marmot, M. G., Hemingway, H., Nicholson, A. C., Brunner, E., & Stansfeld, S. A. (1997). Low job control and risk of coronary heart disease in Whitehall II (prospective cohort) study. British Medical Journal, 314(7080), 558–565. https://doi.org/10.1136/bmj.314.7080.558

Budimski, M., Momirović–Stojković, M., Gavrilović, N. i Jakšić–Horvat, K. (2017). Profesionalni stres u službama hitne medicinske pomoći, ABC časopis urgentne medicine, 1, 1–10. https://doi.org/10.5937/abc1701001B

Čabarkapa, M. (2016). Stres – opšti modeli, uzroci i posledice. Institut za psihologiju, Filozofski fakultet u Beogradu.

Čabarkapa, M. i Đurišić–Bojanović, M. (2014). Psihosocijalni izvori stresa u globalno promenjenom radnom okruženju i zahtevi za promenama u sistemu obrazovanja. U Dimitrijević, B. (Ur.), Savremene paradigme u nauci i naučnoj fantastici (str. 48–62). Univerzitet u Nišu, Filozofski fakultet.

Capan, K. (2017). Stres kod zdravstvenih radnika u izvanbolničkim uvjetima (Nepublikovan diplomski rad). Hrvatski studij, Sveučilište u Zagrebu.

Carta, M. G., Preti, A., Portoghese, I., Pisanu, E., Moro, D., Pintus, M., Pintus, E., Perra, A., D'Oca, S., Atzeni, M., Campagna, M., Pascolo, E. F., Sancassiani, F., Finco, G., D'Aloja, E., & Grassi, L. (2017). Risk for Depression, Burnout and Low Quality of Life Among Personnel of a University Hospital in Italy is a Consequence of the Impact One Economic Crisis in the Welfare System? Clinical Practice and Epidemiology Mental Health, 13, 156–167. https://doi.org/10.2174/1745017901713010156.

Cathebras, P., Begon, A., Laporte, S., Bois, C., & Truchot, D. (2004). Burnout among French general practitioners. La Presse Medicale, 18, 1569–1574. https://doi.org/10.1016/S0755–4982(04)98994–4

Cavalheiro, A.M., Junior, D. M. & Lopes, A.C. (2008). Stress in nurses working in intensive care units. Revista Latino–Americana de Enfermagem, 16(1), 29–35. https://doi.org/10.1590/s0104–11692008000100005

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396. https://doi.org/10.2307/2136404

Cooper, C. L., Cooper, R. D., & Eaker, L. H. (1988). Living with stress. Penguin Book.

Dušak, M. (2012). Procjena emocionalne kompetencije i razine stresa kod medicinskih sestara u jedinici intenzivnog liječenja. Hrvatski časopis za javno zdravstvo, 8(31), 72–83.

Ekić, S., Primorac, A. i Vučić, B. (2016). Profesionalni stres kod medicinskih sestara i tehničara. Journal of Applied Health Sciences, 2(1), 39–46. https://doi.org/10.24141/1/2/1/5

Embracio, N., Papazian, L., Kenetish–Barnes, N., Pochard, F., & Azoulay, E. (2007). Burnout syndrome among critical care healthcare workers. Current Opinion in Critical Care, 13, 482– 488. https://doi.org/10.1097/MCC.0b013e3282efd28a

Eriksen, W., Tambs, K., & Knardahl, S. (2006). Work factors and psychological distress in nurses' aides: a prospective cohort study. BioMed Central Public Health, 6(290), 1–11. https://doi.org/10.1186/1471–2458–6–290

Finney, S. J., & DiStefano, C. (2006). Non–normal and categorical data in structural equation modeling. Structural Equation Modeling: A Second Course, 10(6), 269–314.

Fischer, J., Kumar, S., & Hatcher, S. (2007). What makes psychiatry such a stressful profession? Australasian Psychiatry, 5, 417–421. https://doi.org/10.1080/10398560701439699

Galjak, M. (2018). Profesionalni stres zdravstvenih radnika sa različitim karakteristikama stresnog opterećenja. (Neobjavljena doktorska disertacija). Medicinski fakultet, Univerzitet u Kosovskoj Mitrovici, Kosovska Mitrovica.

Goehring, C., Gallacchi, M.B., Kunzi, B., & Bovier, P. (2005). Psychosocial and professional characteristics of burnout in Swiss primary care practitioners: a cross sectional survey. Swiss Medical Weekly, 135, 101–108. https://doi.org/ 2005/07/smw–10841

Healy, S., & Tyrell, M. (2011). Stress in emergency departments: experiences of nurses and doctors. Emergency Nurse, 19(4), 31–37. https://doi.org/ 10.7748/en2011.07.19.4.31.c8611

Hongxia, G., Chunping, Ni., Changqing, L., Jiping, L. & Suzhen, L. (2019). Perceived job stress among community nurses: A multi‐center cross‐sectional study. International Journal of Nursing Practice, 25 (1), 1–8. https://doi.org/10.1111/ijn.12703

Jamal, M., & Baba, V. (2014). Job Stress and Burnout Among Canadian Managers and Nurses: An Empirical Examination. Canadian Journal of Public Health, 91(6), 454–458. https://doi.org/ 10.1007/BF03404828

Jenkins, R. & Elliott, P. (2004). Stressors, burnout and social support: Nurses in acute mental health settings. Journal of Advanced Nursing, 48(6), 622–631. https://doi.org/10.1111/j.1365–2648.2004.03240.x

Johnson, S., Cooper, C., Cartwright, S., Donald, I., Taylor, P., & Millet, C. (2005). The experience of work–related stress across ocupations. Journal of Managerial Psychology, 20(2), 178–187. https://doi.org/ 10.1108/02683940510579803

Karasek, R., Baker, D., Marcel, F., Ahlbom, A., & Theorell, T. (1981). Job decision atitude, job demands, and cardiovascular disease: A prospective study of Swedish men. American Journal of Public Health, 71(7), 694–705. https://doi.org/10.2105/ajph.71.7.694

Klikovac, T. (2008). Profesionalni stres i sindrom izgaranja kod onkološkog medicinskog osoblja (Neobjavljen magistarski rad). Filozofski fakultet, Univerzitet u Beogradu.

Knežević, B. (2010). Stres na radu i radna sposobnost zdravstvenih djelatnika u bolnicama. (Neobjavljena doktorska disertacija). Medicinski fakultet, Sveučilište u Zagrebu.

Koinis, A., Giannou, V., Drantaki, V., Angelaina, S., Stratou, E., & Saridi, M. (2015). The impact of healthcare workers job environment on their mental–emotional health. Coping strategies: the case of a local general hospital. Health Psychology Research, 3, 12–17. https://doi.org/ 10.4081/hpr.2015.1984

Kumar, S. (2007). Burnout in psychiatrists. World Psychiatry, 6, 186–189.

Kushal, A., Gupta, S.K., Mehta, M., & Singh., M.M. (2018). Study of Stress among Health Care Professionals: A Systemic Review. International Journal of Research Foundation of Hospital & Healthcare Administration, 6(1), 6–11. https://doi.org/10.5005/jp–journals–10035–1084

Lazaridis, K. (2016). Uticaj profesionalnog stresa na povrede na poslu i radnu sposobnost medicinskog osoblja. (Neobjavljena doktorska disertacija). Medicinski fakultet, Univerzitet u Nišu.

Lazaridis, K., Jovanović, J., Jovanović, J. J., Šarac, I. i Jovanović, S. (2017). The impact of occupational stress factors on temporary work disability related to arterial hypertension and its complications. International Journal of Occupational Safety and Ergonomic, 23(2), 259–266. https://doi.org/10.1080/10803548.2016.1179524.

Lečić–Toševski, D., Pejović–Milovančević, M., Pejušković, B., Deušić–Popović, S., Hoftvedt. B.O., i Tanović–Mikulec, E. (2006). Burnout syndrome of general practitioners in postwar period. Epidemiologia e Psichiatria Sociale, 4, 307–310.

Lu, D. M., Sun, N., Hong, S., Fan, Y. Y., Kong, F. Y. & Li, Q. J. (2015). Occupational stress and coping strategies among Emergency Department nurses of China. Archives of Psychiatric Nursing, 29(4), 208–212. https://doi.org/10.1016/j.apnu.2014.11.006

Mabić, M., Zalihić, A. i Duranović–Vinković, L. (2014). Stres među zdravstvenim djelatnicima–liječnici vs. medicinske sestre/tehničari. 5. Međunarodni stručno–znanstveni skup Zaštita na radu i zaštita zdravlja, str. 164–171. Zadar.

Maslach, C., & Jackson, S.E. (1982). Burnout in health professions: A social psychological analysis.In G. Sanders & J.Suls (Ed.), Social psychology of health and illness. Erlbaum.

Matić, M. (2003). Socijalna podrška i stres na radu (Nepublikovan diplomski rad). Filozofski fakultet, Univerzitet u Beogradu.

Milczarek, M., Schneider, E., Gonzalez, E. (2009). OSH in figures: stress at work – facts and figures. European risk observatory report. European Agency for Safety and Health at Work.

Milutinović, D., Golubović, B., Brkić, N. i Prokeš, B. (2012). Professional stress and health among critical care nurses in Serbia. Arhiv za higijenu rada i toksikologiju, 63, 171–180. https://doi.org/10.2478/10004–1254–63–2012–2140

Milutinović, D., Grujić, N. i Jocić, N. (2009). Identifikacija i analiza stresogenih faktora na radnom mestu medicinskih sestara – komparativna studija četiri klinička odeljenja. Medicinski pregled, 62(1–2), 68–73. https://doi.org/10.2298/MPNS0902068M

National Institute for Occupational Safety and Health USA (NIOSH), Department of Health and Human Services (DHHS). Stress at work, Publication No 99–101. Retrieved from http://www.cdc.gov/niosh/docs/99–101/pdfs/99–101.pdf

Nedić, O., Belkić, K., Filipović, D. i Jocić, N. (2010). Job stressors among female physicians, relation to having a clinical diagnosis of hipertension. Journal of Occupational Health, 16, 330–340. https://doi.org/ 10.1179/107735210799160165

Nedić, O., Filipović, D. i Šolak, Z. (2001). Profesionalni stres i kardiovaskularne bolesti kod zdravstvenih radnika. Medicinski pregled, 54(9–10), 423–431.

Nguyen, L. D., Mujtaba, B. G., & Ruijs, A. (2014). Stress, task, and relationship orientations of Dutch: Do age, gender, education, and government work experience make a difference? Public Organization Review, 14(3), 305–324.

Olatunji, S. O., Mokuolu, B. O. (2014). The Influence of Sex, Marital Status, and Tenure of Service on Job Stress, and Job Satisfaction of Health Workers in a Nigerian Federal Health Institution. An International Multidisciplinary Journal, 8(1), 126–133. http://dx.doi.org/10.4314/afrrev.v8i1.10

Ozor, T., Anih, A., & Omeje, O. (2016). Influence of job stress and marital status on job attitude among Nigerian medical doctors. International Journal of Social Science and Humanities Reviews, 6(2), 123–130.

Pejušković, B., Lečić–Toševski, D., Priebe, S., & Tošković, O. (2011). Burnout syndrome among physicians – the role of personality dimensions and coping strategies. Psychiatria Danubina, 23(4), 389–395. https://doi.org/10.1002/j.2051-5545.2011.tb00015.x

Popov, B. i Popov, S. (2011). Struktura polnih razlika u doživljaju stresa na radu. Primenjena psihologija, 4(2), 179–195. https://doi.org/10.19090/pp.2011.2.179-195

Priebe, S., Fakhoury, W.H., Hoffmann, K., & Powell, T. (2005). Morale and job perception of community mental health professionals in Berlin and London. Social Psychiatry and Psychiatric Epidemiology, 46, 223–232. https://doi.org/ 10.1007/s00127–005–0880–7

Qi, Y. K., Xiang, Y. T., An, F. R., Wang, J., Zeng, J. Y., Ungvari, G. S., Newhouse, R., Yu, D. S. F., Lai, K. C., Ding, Y. M., Yu, L., Zhang, X. Y., & Chiu, K. (2014). Nurses’ work–related stress in China: A comparison between psychiatric and general hospitals. Perspective in Psychiatric Care, 50(1), 27–32. https://doi.org/10.1111/ppc.12020.

Sharma, A., Sharp, D. M., Walker, L. G., & Monson, J.R. (2008). Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service. Psycho–Oncology, 17, 570–576. https://doi.org/ 10.1002/pon.1269

Smuđa, M. i Jovanović, B. (2019) Najčešći uzroci stresa i psihosomatske manifestacije kod medicinskih sestara na odeljenju neonatalne intenzivne nege. Pons Medicinski časopis, 16(2), 49–54. https://doi.org/10.5937/pomc16–20706

Stanojević, D. i Milošević, B. (2011). Profesionalni stres. Zbornik radova Filozofskog fakulteta u Prištini, XLI, 621–637.

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Allyn and Bacon.

Travado, L., Grassi, L., Gil, F., Ventura, C., & Martins, C. (2005). Physician–patient communication among Southern European cancer physicians: the influence of psychosocial orientation and burnout. Psycho–Oncology, 14, 661–670. https://doi.org/10.1002/pon.890

Wang, F. S., Jin, O., Feng, H., Wang, F. H., & Ren, C. H. (2015). Survey and coping strategies for job stress of new nurses in pharmacy intravenous admixture service: a pilot study. International Journal of Clinical and Experimental Medicine, 8(10), 19406–19411.

World Health Organization (WHO). (2019). Burn–out an "occupational phenomenon": International Classification of Diseases. Retrieved from https://www.who.int/mental_health/evidence/burn–out/en/
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