Relationship Between Burnout Syndrome Among the Medical Staff and Work Conditions in the Polish Healthcare System


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.


Data are means ±SD; Bold type, significance differences between physicians vs. all other groups; Underlining, significance differences between nurses vs. all other groups; ns, non-significant



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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Jul 14, 2017 | Posted by in RESPIRATORY | Comments Off on Relationship Between Burnout Syndrome Among the Medical Staff and Work Conditions in the Polish Healthcare System

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