Ulus Travma Acil Cerrahi Derg. 2015; 21(3): 175-181 | DOI: 10.5505/tjtes.2015.91298

Türkiye’de acil servislerde çalýþan hekimler arasýnda þiddet ve tükenmiþlik iliþkisinin deðerlendirilmesi

Bulent Erdur¹, Ahmet Ergýn², Aykut Yuksel⁵, Ýbrahim Türkçüer¹, Cuneyt Ayrik⁴, Bora Boz^3
1Pamukkale Üniversitesi Týp Fakültesi, Acil Týp Anabilim Dalý, Denizli
²Pamukkale Üniversitesi Týp Fakültesi, Halk Saðlýðý Anabilim Dalý, Denizli
³Pamukkale Üniversitesi Týp Fakültesi, Adli Týp Anabilim Dalý, Denizli
⁴Mersin Üniversitesi Týp Fakültesi, Acil Týp Anabilim Dalý, Mersin
⁵Göztepe Eðitim Ve Araþtýrma Hastanesi, Acil Servisi, Ýstanbul

AMAÇ: Þiddet ve tükenmiþlik hekimler arasýnda sýk görülmektedir ancak iliþkileri açýk deðildir. Acil ünitelerinde çalýþan hekimlerde þiddeti ve tükenmiþlik üzerindeki muhtemel etkilerini deðerlendirmeyi amaçladýk.
GEREÇ VE YÖNTEM: Bu kesitsel çalýþmaya Denizli Pamukkale Üniversitesi Hastanesi, il, ilçe hastaneleri, 112 Acil Servis ve özel hastanelerin acil birimlerde çalýþan tüm hekimler alýndý. Veriler, katýlýmcýlarýn kendi kendilerine uyguladýklarý Maslach Tükenmiþlik Ölçeðinin Türkçe versiyonu, þiddetin failleri ve demografik bilgiler hakkýndaki sorulardan oluþan bir anket vasýtasýyla elde edildi. Ayrýca katýlýmcýlarýn acil hekimi sertifika programýndan önceki bir ay boyunca maruz kaldýðý veya tanýklýk ettiði herhangi bir sözlü ya da fiziksel þiddet ankette soruldu.
BULGULAR: Çalýþmaya toplam 174 hekim (hedef grubun %85) alýndý. Katýlýmcýlarýn çoðu 24 ve 59 yaþ aralýðýnda, ortalama yaþ 36.8±5.8 yýl idi. Þehir merkezindeki hastanede çalýþanlarýn çoðunluðunu evli erkek hekimler oluþturmaktaydý. Duygusal tükenme, toplam þiddet (p=0.012) ve sözel þiddet (p=0.016) arasýnda; duyarsýzlaþma, toplam þiddet (p=0.021) ve sözel þiddet (p=0.012) arasýnda anlamlý bir iliþki vardý.
TARTIÞMA: Elde ettiðimiz sonuçlar, acil birimlerinde çalýþan hekimlerin yaþadýðý tükenmiþlik ve þiddet arasýnda güçlü bir iliþkinin olduðunu göstermektedir. Acil servisteki þiddet, hekimlerin refahý üzerinde önemli bir etkiye sahiptir.

Anahtar Kelimeler: Acil hekimi, acil hekimi saðlýklý yaþam, acil týp; þiddet; tükenmiþlik.

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Assessment of the relation of violence and burnout among physicians working in the emergency departments in Turkey

Bulent Erdur¹, Ahmet Ergýn², Aykut Yuksel⁵, Ýbrahim Türkçüer¹, Cuneyt Ayrik⁴, Bora Boz^3
1Department Of Emergency Medicine, Pamukkale University, Medical Faculty, Denizli, Turkey
²Department Of Public Health, Pamukkale University, Medical Faculty, Denizli, Turkey
³Department Of Forensic Medicine, Pamukkale University, Medical Faculty, Denizli, Turkey
⁴Department Of Emergency Medicine, Mersin University, Medical Faculty, Denizli, Turkey
⁵Emergency Service, Goztepe Training And Research Hospital, Istanbul, Turkey

BACKGROUND: Violence and burnout are frequently seen among medical doctors; however, the relation is not clear. This study aimed to assess the violence and its possible effects on burnout in physicians working in emergency units.
METHODS: This cross-sectional study targeted all physicians working in the emergency units of Pamukkale University Hospital, County and City Hospitals, 112 Emergency Services, and Private Hospitals in Denizli. Data were obtained by means of a self-administered questionnaire that consisted of questions on the demographics of the participants, Turkish version of the Maslach Burnout Inventory, and of the perpetrators of violence. What was also documented on the questionnaire was whether participants had been subjected to or had witnessed any verbal or physical violence during the previous one month of emergency physicians’ certification program.
RESULTS: A total of one hundred and seventy-four physicians were included into the study (85% of the targeted group). Many of the participants were between 24 and 59 years of age, with a mean age of 36.8±5.8 years. Married male doctors working in the City Hospital made up the majority. There were significant associations between emotional exhaustion and total violence (p=0.012) and verbal violence (p=0.016); depersonalization and total violence (p=0.021) and verbal violence (p=0.012).
CONCLUSION: The results presented here indicated that there was a strong relation between burnout and violence experienced by physicians working in emergency units. Violence in the emergency department has a substantial effect on the physicians’ well-being.

Keywords: Burnout, emergency department, emergency physician, emergency physician wellness; violence.

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