Reforma copy/paste. Noul pachet de servicii medicale, amanat de patru ori, este similar cu cel propus de fostul ministruPrevious Article
Prof. dr. Margit Serban: „Nu pot sa-i spun copilului: «Ai cancer»“Next Article
amfms banner 2017

Asociatia Medicilor de Familie Mures

Something went wrong with the connection!

BURNOUT SYNDROME – COMPARATIVE INVESTIGATION BETWEEN FAMILY PHYSICIANS WITH/WITHOUT BALINT TRAINING

Line Spacing+- AFont Size+- Print This Article
BURNOUT SYNDROME – COMPARATIVE INVESTIGATION BETWEEN FAMILY PHYSICIANS WITH/WITHOUT BALINT TRAINING

BURNOUT SYNDROME – COMPARATIVE INVESTIGATION BETWEEN FAMILY PHYSICIANS WITH/WITHOUT BALINT TRAINING

M.D. Albert VERESS, Ph.D. Valentin PANTEA

Abstract: the authors investigated the burnout situation at family physicians divided in two different groups, one with Balint training and other without Balint training. Thus it is confirmed once again the protective role of Balint practice during the medical activity for escape from the burnout problems.

Key words: family physicians, burnout, Balint training.

 

Introduction

 

         Freudenberger described the burnout syndrome (BS) in 1974. Initial this syndrome was described at the volunteers who activated for humanitarian organisation (1).

In 1983 Maslach define BS like a “syndrome of emotional exhaustion, depersonalisation and reduced personal accomplishment that can occur among individuals who do ‘people work’ of some kind” (2).

In 1994 Pines and Aaronson spread the application of BS to others workers and Karazman in 1998 utilised BS on the medical activities.

 

The aim of research

By this research we tried to find the influence of Balint group about the medical activity of family physicians.

 

Method and materials

 

For this research we used a questionnaire with 48 items linked in 12 themes. Every set by 4 questions corresponds of one problem that can appear in the medical activity: powerlessness, no information, conflict poor team work, overload, boredom, poor feed back, punishment, alienation, ambiguity, unrewarding and value conflict. Every item could be noted from 1 to 9 corresponding to frequency of appearing during the medical activity (1 – seldom and 9 – constant). By adding all the notes we obtained a score and by this we could identified the level of SB: 48 – 148 low level, 149 – 312 moderate level and 313 – 432 high level (3).

We applied this questionnaire to 2 groups: one made by 10 family physicians from Harghita County (which participated at Balint training) and 58 family physicians from Bihor County selected at random. We considered the second group as reference group because they didn’t participated at Balint training.

The composition of the Balint group was:

– 10% men and 90% women;

– 70% from village and 30% from city;

– 10% single, 10% divorced and 80% married;

– average age – 38 years;

– average length of service – 12 years;

– average number of patients – 1650.

Affirmative the length of service from Monday to Friday as 8 hours/day and 5 hours/week-end.

The composition of reference group was:

– 26% men and 74% women;

– 48% from village and 52% from city;

– 1,8% single, 10,3% divorced, 3,4 widower and 84,4% married;

– average age – 47 years;

– average length of service – 20 years;

– average number of patients – 1734.

Affirmative the length of service from Monday to Friday as 9 hours/day and 5 hours/week-end.

 

Results

 

The reference group had these scores: 13,8% low BS, 74,1% moderate BS and 12,1% high BS. The average score as 214.

For the Balint group scores was: 60% low BS, 40% moderate BS and the average score were 137.

In the reference group the highest notes was attributed to overload (average note 26,7), ambiguity  (average note 21,3) and conflict (average note 20,3). The lowest notes were: value conflict (average note 14,7), poor teamwork (average note 15,4) and no information (average note 15,6).

In Balint group the highest notes was attributed to ambiguity (average note 17,7), overload (average note 16,3) and unrewarding (average note 16,3). The lowest notes were: no information (average note 9,1), poor teamwork (average note 10,8) and value conflict (average note 11,6).

 

According to the gender of physicians by the comparison of the average score we obtained the next results:

 

Reference group

Balint group

% difference

M

209

126

39,7%

F

222

138

37,8%

 

Making a comparison between the average score according the place of office we obtained:

 

Reference group

Balint group

% difference

Village

196

169

13,8%

City

243

162

33.3%

 

For analyze of score according to the age of physicians we divided the groups in 3 subgroups: under 35 years, between 35 – 50 years and over 50 years. Thus we obtained:

 

Reference group

Balint group

% difference

< 35 years

206

162

16,5%

35 – 50 years

217

162

25,3%

> 50 years

227

112

50,7%

 

According by the civil status the comparison of the average score we obtained:

 

Reference group

Balint group

% difference

Married

226

175

22,5%

Single

222

127

42,8%

Divorced

182

112

38,5%

Widower

194

 

Discussions

 

The physicians from Balint group have scores of BS obvious better than the reference group made by physicians without Balint training. The difference between two groups vary between 13,8% and 50,7%, the average of difference was 32,1%. The average score of reference group was 214 comparison with 137 of Balint group (the percentage difference is 36,4%).

The teamwork and value conflict themes show a better approach of them who use the Balint method for patient – physician relation. At every categories of questionnaire (gender, civil status, place of office, age) the average scores shown a better value of physicians from Balint group than the reference group.

We can note that the problems shown at the reference group (overload, ambiguity and conflict) were spotlighted by other Romanian authors (4,5). These evidence confirmed the validity of reference group.

 

Conclusions

 

This research confirmed again, if there was necessary, the validity of observations others authors made by others groups. It’s obvious that the Balint training offer to the participants another mood of thinking in their activity and this special kind of approach save the mind and the spirit from the fail to sand bar of occupational and emotional exhaustion.

 

BIBLIOGRAPHY:

  1. Atance M. – Epidemiologic Aaspects of The Burnout Syndrome in Hospital Personnel , Revista Espaniol Saludad Publica, 1997, vol. 71, pages 293- 303;
  2. Alfried Lange – Burnout-Existential Meaning and Possibilities of Prevention, European Psychotherapy, 2003, vol. 4, no. 1, pages 107 – 121;
  3. Potter Beverly – Common Signs of Burnout, www.drpotter.com;
  4. Goron Maria – Suprasolicitarea medicului de familie, Viata Medicala, 2003, vol. 8, page 8;
  5. Popa-Nedelcu Maria – Sindromul Burnout in Romania, Viata Medicala, 2003, vol. 4, page 5.

 

 

BURNOUT QUESTIONARRY

 

Powerlessness

1. I can’t solve the problems assigned to me.

2. I am trapped in my job with no options.

3. I am unable to influence decisions that affect me.

4. I may be laid off and these is nothing I can do.

No Information

5. I am unclear about the responsibilities of my job.

6. I don’t have information I need to perform well.

7. People I work with don’t understand my role.

8. I don’t understand the purpose of my work.

Conflict

9.  I am caught in the middle.

10. I must satisfy conflicting demands.

11. I disagree with people at work.

12. I must violate procedures to get my job done.

Poor Team Work

13. Co-workers undermine me.

14. Management displays favoritism.

15. Office politics interfere with my doing my job.

16. People compete instead of cooperate.

Overload

17. My job interferes with my personal life.

18. I have too much to do into little time.

19. I must work on my own time.

20. My workload is overwhelming.

Boredom

21. I have too little to do.

22. I am overqualified for the work I actually do.

23. My work is not challenging.

24. The majority of my time is spent on routine tasks.

Poor Feedback

25. I don’t know what I’m doing right or wrong.

26. My supervisor doesn’t give feedback on my work.

27. I get information too late to act on it.

28. I don’t see the results of my work.

Punishment

29. My supervisor is critical.

30. Someone else gets credit for my work.

31. My work is unappreciated.

32. I get blamed for others’ mistakes.

Alienation

33. I am isolated form others.

34. I am just a cog in the organizational wheel.

35. I have little in common with people I work with.

36. I avoid telling people where I work or what I do.

Ambiguity

37. The rules are constantly changing.

38. I don’t know what is expected of me.

39. There is no relationship between performance and success.

40. Priorities I must meet are unclear.

Unrewarding

41. My work is not satisfying.

42. I have few real successes.

43. My career progress is not what I’d hoped.

44. I don’t get respect.

Values Conflict

45. I must compromise my values.

46. People disapprove of what I do.

47. I don’t believe in the company.

48. My heart is not in my work.

Citeste si

Esti epuizat profesional? Semne ca suferi de sindromul burnout

 

 

3 Comments

Leave Your Comment

Your email address will not be published. Required fields are marked *

*

Banner
Banner
Banner
15995634_1235454806491707_1049226211_n
Banner

Facebook

Aboneaza-te aici

Contract CADRU 2016-2017 PROTOCOALE, EXPLICATII , DOCUMENTE UTILE

Banner

INFORMATII UTILE

Reclamatii

 

 

 

STIRILE ZILEI

Umilinta de a profesa ca medic in Romania.

Umilinta de a profesa ca medic in Romania.   0

read more
Criză în Prahova! 22 de doze de vaccin antitetanos la medicii de familie, față de peste 5.700 necesare

Criză în Prahova! 22 de doze de vaccin antitetanos la medicii de familie, față de peste 5.700 necesare   0

read more
Pacienţii, amânaţi intenţionat 
la analize, pentru a plăti mai mult

Pacienţii, amânaţi intenţionat 
la analize, pentru a plăti mai mult   0

read more
Camera Deputaţilor: Medicii rezidenţi pot efectua gărzi, la cerere, începând cu primul an de pregătire

Camera Deputaţilor: Medicii rezidenţi pot efectua gărzi, la cerere, începând cu primul an de pregătire   0

read more
Medicii de familie din Neamț, sancționați financiar dacă nu asigură permanență la cabinet

Medicii de familie din Neamț, sancționați financiar dacă nu asigură permanență la cabinet   0

read more
Circa 1 din 5 copii diagnosticați cu Tourette prezintă simptome de autism

Circa 1 din 5 copii diagnosticați cu Tourette prezintă simptome de autism   0

read more
Libertatea continuă campania ”Victimele rujeolei”. Lista spitalelor care au răspândit moartea

Libertatea continuă campania ”Victimele rujeolei”. Lista spitalelor care au răspândit moartea   0

read more
ULTIMA FIŢĂ la mare este făcută praf de MEDICI. Ce metodă de autobronzat face ravagii la PLAJĂ

ULTIMA FIŢĂ la mare este făcută praf de MEDICI. Ce metodă de autobronzat face ravagii la PLAJĂ   0

read more
Ecaterina Andronescu recunoaște: ministrul Bodog a „dezamăgit-o”

Ecaterina Andronescu recunoaște: ministrul Bodog a „dezamăgit-o”   0

read more
Apel disperat al medicilor: Nu avem vaccinuri pentru toți copiii. Suntem obligați să facem selecție

Apel disperat al medicilor: Nu avem vaccinuri pentru toți copiii. Suntem obligați să facem selecție   0

read more
Reșița, Anina și Bocșa duc lipsă de medici de familie! Alte 19 localități nu au nici măcar unul

Reșița, Anina și Bocșa duc lipsă de medici de familie! Alte 19 localități nu au nici măcar unul   0

read more
Harghita: Medic, arestat preventiv pentru luare de mită

Harghita: Medic, arestat preventiv pentru luare de mită   0

read more
Un român publicat de Academia de Ştiinţe din New York nu-şi permite să participe la congresele instituţiei: „E prea scump. Nu am atâţia bani“

Un român publicat de Academia de Ştiinţe din New York nu-şi permite să participe la congresele instituţiei: „E prea scump. Nu am atâţia bani“   0

read more
Cum să gestionezi costurile dupa ce ai fost diagnosticat cu cancer

Cum să gestionezi costurile dupa ce ai fost diagnosticat cu cancer   0

read more
INTERVIU Dr. Petre Mureşan – Metoda neinvazivă şi nedureroasă care

INTERVIU Dr. Petre Mureşan – Metoda neinvazivă şi nedureroasă care   0

read more
Criza de medici se adâncește! Numărul localităților din Banat rămase fără medici de familie a ajuns la 6!

Criza de medici se adâncește! Numărul localităților din Banat rămase fără medici de familie a ajuns la 6!   0

read more
Criza vaccinurilor, sămânţă de scandal între oficiali

Criza vaccinurilor, sămânţă de scandal între oficiali   0

read more
Centru de primiri urgențe din Ostroveni, BLOCAT de refuzul medicilor de familie.

Centru de primiri urgențe din Ostroveni, BLOCAT de refuzul medicilor de familie.   0

read more
MS: Stocurile de vaccin, inclusiv ROR, hexavalent şi tetravalent, sunt DISPONIBILE în toată ţara

MS: Stocurile de vaccin, inclusiv ROR, hexavalent şi tetravalent, sunt DISPONIBILE în toată ţara   0

read more
Militar clujean, condamnat la închisoare după ce a stropit cu benzină o farmacistă

Militar clujean, condamnat la închisoare după ce a stropit cu benzină o farmacistă   0

read more
FOTO: La Hăpria s-a deschis un centru de îngrijiri paliative. Sprijin pentru pacienţii cu boli incurabile şi familiile acestora

FOTO: La Hăpria s-a deschis un centru de îngrijiri paliative. Sprijin pentru pacienţii cu boli incurabile şi familiile acestora   0

read more
Consultatiile medicale si analizele facute ”la privat” vor deveni in scurt timp accesibile pentru sute de mii de angajati.

Consultatiile medicale si analizele facute ”la privat” vor deveni in scurt timp accesibile pentru sute de mii de angajati.   0

read more
Curtea de Justiţie a Uniunii Europene: Se poate considera că un vaccin a cauzat boli chiar fără existenţa unor dovezi ştiinţifice

Curtea de Justiţie a Uniunii Europene: Se poate considera că un vaccin a cauzat boli chiar fără existenţa unor dovezi ştiinţifice   1

read more

Arhiva

Banner
Banner
Banner
Banner
Banner
Banner
Banner
Banner
Banner

ADT Healthcare offers free help and assistance to people suffering from drug and alcohol addiction. Contact: 0800 088 66 86

adt-logo
Seo wordpress plugin by www.seowizard.org.