Healthcare evaluation
Physicians
Nurses
Teachers
Entrepreneurs
p
Work organization in healthcare facilities
2.7 ± 0.9
2.5 ± 0.8
2.6 ± 0.8
2.5 ± 1.0
ns; ns.
Access to healthcare services
2.4 ± 0.8
2.2 ± 0.8
2.0 ± 0.8
1.7 ± 0.9
0.05; 0.05
Waiting time for treatment
2.5 ± 0.8
1.6 ± 0.7
1.5 ± 0.6
1.4 ± 0.7
0.001; 0.001
Conditions offered to inpatients
2.5 ± 0.7
2.8 ± 0.9
2.2 ± 1.0
2.4 ± 1.0
ns; 0.001
Physicians’ attitude toward patients
3.1 ± 0.8
3.1 ± 0.8
2.7 ± 0.7
2.8 ± 0.9
0.05; 0.05
Patients’ attitude toward physicians
3.1 ± 0.7
3.6 ± 0.8
3.0 ± 0.8
3.3 ± 0.8
0.05; 0.001
Nurses’ attitude toward patients
3.0 ± 0.8
3.6 ± 0.8
3.1 ± 0.6
3.2 ± 0.7
0.05; 0.05
Patients’ attitude towards nurses
3.1 ± 0.7
2.9 ± 0.9
3.2 ± 0.8
3.5 ± 0.7
ns; 0.05
Relationships between health care professionals
3.0 ± 0.9
3.2 ± 0.8
3.2 ± 0.7
3.3 ± 0.6
ns; ns.
Concerning the healthcare components, all subjects were the most critical about the waiting time for treatment (M = 1.7 ± 0.8), access to healthcare services (M = 2.1 ± 0.8), and conditions offered to inpatients (M = 2.5 ± 0.9) (p < 0.001), whereas patients’ attitude toward physicians (M = 3.3 ± 0.8), nurses’ attitude toward patients (M = 3.3 ± 0.7), patients’ attitude toward nurses (M = 3.2 ± 0.8), and the relationship between healthcare professionals (M = 3.2 ± 0.8) had the highest scores. Differences in the interpersonal relationships were insignificant, except for the physicians’ attitude toward patients (M = 2.9 ± 0.8) (p < 0.001).
3.4 Predictors of Occupational Burnout
The occupational burnout predictors were determined in the context of the evaluation of the functioning of the healthcare system and of interpersonal relationships. Three dimensions, namely a negative assessment of healthcare, a poor relationship between healthcare professionals, and a positive assessment of conditions offered to inpatients appeared to predict emotional exhaustion. Depersonalization predictors included a negative general assessment of healthcare, positive patients’ attitude toward physicians, and a negative patients’ attitude toward nurses. Finally, a positive general assessment of healthcare, a negative assessment of patients’ attitude toward physicians, and proper relationships between healthcare professionals were all predictors of satisfaction with personal achievements (Table 2).
Table 2
Occupational burnout symptoms – multiple regression analysis
Predictors | Emotional exhaustion | Depersonalization | Satisfaction from personal achievements |
---|---|---|---|
b-coefficient | b-coefficient | b-coefficient | |
General assessment of healthcare | −0.34** | −0.21* | 0.20* |
Work organization in healthcare facilities | −0.03 | 0.02 | −0.05 |
Access to healthcare services | 0.01 | −0.04 | −0.02 |
Waiting time for treatment | 0.03 | −0.03 | 0.09 |
Conditions offered to inpatients | 0.22* | 0.16 | −0.07 |
Physicians’ attitude towards patients | −0.02 | 0.01 | 0.12 |
Patients’ attitude toward physicians | 0.01 | 0.15* | −0.16* |
Nurses’ attitude toward patients | 0.01
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