Burnout Among General Surgeons in Turkey
Yıl: 2021 Cilt: 31 Sayı: 3 Sayfa Aralığı: 252 - 260 Metin Dili: İngilizce DOI: 10.4274/tjcd.galenos.2021.2020-10-5 İndeks Tarihi: 19-05-2022
Burnout Among General Surgeons in Turkey
Öz: Aim: Burnout is a syndrome that is very common among surgeons. It is defined by emotional exhaustion (EE), depersonalization (DP), and decreased personal success. This study aimed to investigate burnout in general surgeons in Turkey and to determine the risk factors for burnout. Method: Of the total of 4,395 general surgeons in Turkey, 630 were included in this study. Each participant was asked to complete the Sociodemographic Data Form, Maslach Burnout Inventory, and Minnesota Satisfaction Questionnaire (MSQ) either by face-to-face interview or via electronic questionnaire. Results: Of the 630 participants included in this study, 53 (8.4%) and 577 (91.6%) was female and male, respectively. The highest participation rate was from the Marmara region (36%), while the lowest participation rate was from the Eastern Anatolia region (3.13%). Attending physicians comprised the largest number of participants (72%). Those who perceived themselves as successful, with more work experience and higher academic Mtitles, had decreased EE, personal accomplishment, and DP as well as increased general, external, and internal satisfaction. Conclusion: We observed that most of the general surgeons in Turkey experienced burnout syndrome. To address this, we suggest that health systems and working conditions in Turkey should be reviewed and that the working standards and rights of the healthcare workers should be revised.
Anahtar Kelime: Türkiye’deki Genel Cerrahlar Arasında Tükenmişlik
Öz: Amaç: Tükenmişlik, cerrahlar arasında çok yaygın olan ve duygusal tükenme, duyarsızlaşma ve azalmış kişisel başarı ile tanımlanan bir sendromdur. Bu çalışmanın amacı Türkiye’deki genel cerrahlarda tükenmişliği araştırmak ve tükenmişlik için risk faktörlerini belirlemektir. Yöntem: Türkiye’deki 4.395 genel cerrahtan 630’u bu çalışmaya dahil edildi. Her bir katılımcıdan yüz yüze görüşme veya e-anket yoluyla “Sosyodemografik Veri Formu”, “Maslach Tükenmişlik Envanteri” ve “Minnesota Memnuniyet Anketini” (MSQ) doldurmaları istenmiştir. Bulgular: Altı yüz otuz katılımcının 53’ü kadın (%8,4) ve 577’si (%91,6) erkekti. En yüksek katılım oranı Marmara bölgesinden (%36), en düşük katılım oranı Doğu Anadolu bölgesinden (%3,13) oldu. Katılımcıların çoğu uzman hekimdi (%72). Kendini daha başarılı görenlerde, daha fazla iş tecrübesi olanlarda ve daha yüksek akademik unvanlara sahip olanlarda duygusal tükenme, kişisel başarı ve duyarsızlaşma daha azdı ve genel, dış ve iç tatmin artmıştı. Sonuç: Türkiye’deki genel cerrahların çoğunun tükenmişlik sendromu yaşadığını gördük. Bu nedenle sağlık sisteminin ve çalışma koşullarının gözden geçirilmesi, sağlık çalışanlarının çalışma standartlarının ve haklarının iyileştirilmesi gerektiğine inanıyoruz.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Freudenberger HJ. Staff burn-out. J Soc Issue 1974;30:159.
- 2. Maslach C, Pines A. The burn-out syndrome in the day care setting. Child Care Q 1977;3:6100-6113.
- 3. Keel P. Psychische belastungen dursch die Arbeit, Burnout syndrom. Praeventumed. 1993;2:131-132.
- 4. Jackson SE, Schwab RL, Schuler RS. Toward an understanding of the burnout phenemeo. J App Psychol 1986;11:615-627.
- 5. Balch CM, Shanafelt T. Combating stress and burnout in surgical practice: a review. Adv Surg 2010;44:29-47.
- 6. Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav 1981;2:99-113.
- 7. Nagy S, Davis LG. Burnout: a comparative analysis of personality and environmental variables. Psychol Rep 1985;57:1319-1326.
- 8. Beemsterboer J, Baum BH. “Burnout”: definitions and health care management. Soc Work Health Care 1984;10:97-109.
- 9. Gorgulu O, Akilli A. The determination of the levels of burnout syndrome, organizational commitment, and job satisfaction of the health workers. Niger J Clin Pract 2017;20:48-56.
- 10. Rick J, Briner RB. Psychosocial risk assessment: problems and prospects. Occup Med (Lond) 2000;50:310-314.
- 11. Dimou FM, Eckelbarger D, Riall TS. Surgeon burnout: a systematic review. J Am Coll Surg 2016;222:1230-1239.
- 12. Elmore LC, Jeffe DB, Jin L, Awad MM, Turnbull IR. National Survey of Burnout among US General Surgery Residents. J Am Coll Surg 2016;223:440-451.
- 13. Pulcrano M, Evans SR, Sosin M. Quality of life and burnout rates across surgical specialties: a systematic review. JAMA Surg 2016;151:970-978.
- 14. Ergin C. Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanması. VII Ulusal psikoloji kongresi bilimsel çalışmaları. 1992;22:25.
- 15. Shanafelt TD, Balch CM, Bechamps GJ, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag JA. Burnout and career satisfaction among American surgeons. Ann Surg 2009;250:463-471.
- 16. Campbell DA, Jr., Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ. Burnout among American surgeons. Surgery 2001;130:696-702; discussion 702-695.
- 17. Kuerer HM, Eberlein TJ, Pollock RE, Huschka M, Baile WF, Morrow M, Michelassi F, Singletary SE, Novotny P, Sloan J, Shanafelt TD. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the Society of Surgical Oncology. Ann Surg Oncol 2007;14:3043-3053.
- 18. Balch CM, Shanafelt TD, Sloan JA, Satele DV, Freischlag JA. Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings. Ann Surg 2011;254:558-568.
- 19. Contag SP, Golub JS, Teknos TN, Nussenbaum B, Stack BC Jr, Arnold DJ, Johns MM 3rd. Professional burnout among microvascular and reconstructive free-flap head and neck surgeons in the United States. Arch Otolaryngol Head Neck Surg 2010;136:950-956.
- 20. Dyrbye LN, Shanafelt TD, Balch CM, Satele D, Sloan J, Freischlag J. Relationship between work-home conflicts and burnout among American surgeons: a comparison by sex. Arch Surg 2011;146:211-217.
- 21. Peckham C. Medscape Physician Lifestyle Report 2015; 2015. Available from: http://www.medscape.com/features/slideshow/lifestyle/2015/public/ overview.
- 22. Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, West CP. Changes in burnout and satisfaction with work-life balance in physicians and the General US Working Population between 2011 and 2014. Mayo Clin Proc 2015;90:1600-1613.
- 23. Atik M, Ucan ES, Ellidokuz H, Alptekin K. Burnout in chest physicians after health care reforms: a cross-sectional study in Turkey. Turk Thorac J 2019;20:18-24.
- 24. Elay G, Bahar I, Demirkiran H, Oksuz H. Severe burnout among critical care workers in Turkey. Saudi Med J 2019;40:943-948.
- 25. Gifford E, Galante J, Kaji AH, Nguyen V, Nelson MT, Sidwell RA, Hartranft T, Jarman B, Melcher M, Reeves M, Reid C, Jacobsen GR, Thompson J, Are C, Smith B, Arnell T, Hines OJ, de Virgilio C. Factors associated with general surgery residents’ desire to leave residency programs: a multi- institutional study. JAMA Surg 2014;149:948-953.
- 26. Guest RS, Baser R, Li Y, Scardino PT, Brown AE, Kissane DW. Cancer surgeons’ distress and well-being, I: the tension between a culture of productivity and the need for self-care. Ann Surg Oncol 2011;18:1229- 1235.
- 27. Sargent MC, Sotile W, Sotile MO, Rubash H, Barrack RL. Stress and coping among orthopaedic surgery residents and faculty. J Bone Joint Surg Am 2004;86:1579-1586.
- 28. Olkinuora M, Asp S, Juntunen J, Kauttu K, Strid L, Aarimaa M. Stress symptoms, burnout and suicidal thoughts in Finnish physicians. Soc Psychiatry Psychiatr Epidemiol 1990;25: 81-86.
- 29. Sharma A, Sharp DM, Walker LG, Monson JR. Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service. Psychooncology 2008;17:570-576.
- 30. Sharma A, Sharp DM, Walker LG, Monson JR. Stress and burnout among colorectal surgeons and colorectal nurse specialists working in the National Health Service. Colorectal Dis 2008;10:397-406.
| APA | YEŞİLBAĞ E, CAKCAK İ, SAGIROGLU T (2021). Burnout Among General Surgeons in Turkey. , 252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| Chicago | YEŞİLBAĞ EMRAH,CAKCAK İBRAHİM ETHEM,SAGIROGLU TAMER Burnout Among General Surgeons in Turkey. (2021): 252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| MLA | YEŞİLBAĞ EMRAH,CAKCAK İBRAHİM ETHEM,SAGIROGLU TAMER Burnout Among General Surgeons in Turkey. , 2021, ss.252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| AMA | YEŞİLBAĞ E,CAKCAK İ,SAGIROGLU T Burnout Among General Surgeons in Turkey. . 2021; 252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| Vancouver | YEŞİLBAĞ E,CAKCAK İ,SAGIROGLU T Burnout Among General Surgeons in Turkey. . 2021; 252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| IEEE | YEŞİLBAĞ E,CAKCAK İ,SAGIROGLU T "Burnout Among General Surgeons in Turkey." , ss.252 - 260, 2021. 10.4274/tjcd.galenos.2021.2020-10-5 |
| ISNAD | YEŞİLBAĞ, EMRAH vd. "Burnout Among General Surgeons in Turkey". (2021), 252-260. https://doi.org/10.4274/tjcd.galenos.2021.2020-10-5 |
| APA | YEŞİLBAĞ E, CAKCAK İ, SAGIROGLU T (2021). Burnout Among General Surgeons in Turkey. Türk Kolon ve Rektum Hastalıkları Dergisi, 31(3), 252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| Chicago | YEŞİLBAĞ EMRAH,CAKCAK İBRAHİM ETHEM,SAGIROGLU TAMER Burnout Among General Surgeons in Turkey. Türk Kolon ve Rektum Hastalıkları Dergisi 31, no.3 (2021): 252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| MLA | YEŞİLBAĞ EMRAH,CAKCAK İBRAHİM ETHEM,SAGIROGLU TAMER Burnout Among General Surgeons in Turkey. Türk Kolon ve Rektum Hastalıkları Dergisi, vol.31, no.3, 2021, ss.252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| AMA | YEŞİLBAĞ E,CAKCAK İ,SAGIROGLU T Burnout Among General Surgeons in Turkey. Türk Kolon ve Rektum Hastalıkları Dergisi. 2021; 31(3): 252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| Vancouver | YEŞİLBAĞ E,CAKCAK İ,SAGIROGLU T Burnout Among General Surgeons in Turkey. Türk Kolon ve Rektum Hastalıkları Dergisi. 2021; 31(3): 252 - 260. 10.4274/tjcd.galenos.2021.2020-10-5 |
| IEEE | YEŞİLBAĞ E,CAKCAK İ,SAGIROGLU T "Burnout Among General Surgeons in Turkey." Türk Kolon ve Rektum Hastalıkları Dergisi, 31, ss.252 - 260, 2021. 10.4274/tjcd.galenos.2021.2020-10-5 |
| ISNAD | YEŞİLBAĞ, EMRAH vd. "Burnout Among General Surgeons in Turkey". Türk Kolon ve Rektum Hastalıkları Dergisi 31/3 (2021), 252-260. https://doi.org/10.4274/tjcd.galenos.2021.2020-10-5 |
