Izgorelost patronažnih medicinskih sester v delovnem okolju
Ključne besede:
patronaža, medicinske sestre, izgorelost, delovna mestaPovzetek
V današnjem času se pogosto srečujemo s problemom ohranitve notranjega ravnovesja in dobrega počutja, ki se pogosto porušita zaradi vedno hitrejšega ritma življenja in obremenjenosti na delovnem mestu, kar vodi do izgorelosti zaposlenih. Namen prispevka je izpostaviti problem izgorelosti na delovnem mestu, s katerim se srečujejo patronažne medicinske sestre. Uporabili smo kvantitativno metodo raziskovanja, metodo deskripcije in tehniko anketiranja. V raziskavi je sodelovalo 279 patronažnih medicinskih sester iz petih regij. Ugotovili smo, da se je 76,7 % anketiranih patronažnih medicinskih sester srečalo z izgorelostjo na delovnem mestu, ki se je v 36,6 % kazala s slabim počutjem in v 15,1 % z zmanjšano stopnjo odprtosti za pristne medsebojne odnose z bolniki. 35,0 % patronažnih medicinskih sester zaznava svoje delo kot izčrpavajoče. Za izboljšanje svojega dela 30,4 % patronažnih medicinskih sester predlaga boljšo organizacijo in pogoje dela ter manj naporna dežurstva. Za zmanjšanje izgorelosti na delovnem mestu predlagajo povečanje števila zaposlenih, uvedbo supervizijskih delavnic in izvajanje programov za premagovanje stresa.
Literatura
Abushaikha, L. and Saca-Hazboum (2009). Job satisfaction and burnout among Palestinian nurses. Eastern Mediterranean Health Journal, 15, št. 1, str. 190–197.
Allender, J. A. and Spradley, W. B. (2001). Community health nursing. Concepts and Practice. (5th ed). Philadelphia: Lippincott Williams & Wilkins.
Bahtijarević, F. (1999). Management ljudskih potenciala. Zagreb: Golden marketing.
Bilban, M. (2007). Kako razpoznati stres v delovnem okolju. Delo in varnost: revija za varstvo pri delu in varstvo pred požarom, 52, št. 1., str. 30–35.
Brejc, T. (1994). Poklicna izgorelost delavcev v službah za zaposlovanje. Ljubljana: Socialno delo.
Costa, G. (1996). The impact of shift and night work on health. Applied Ergonomics, 17, št. 1, str. 9–16.
Donnelly, J. H., Gibson, J. L., Ivancevich, J. M. and Konopaske, R. (2003). Organizations: behavior structure processes (11th ed.). New York: McGraw Hill.
Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F. and Azoulay, E. (2007). Burnout syndrome among critical care healthcare, 13, št. 5, str. 482–488.
Fairbrother, K. and Warn, J. (2003). Workplace dimensions, stress and job satisfaction. Journal of Managerial Psychology, 18, št. 1, str. 8–21.
Fengler, J. (2007). Nudenje pomoči utruja: o analizi in obvladovanju izgorelosti in poklicne deformacije. Ljubljana: Temza.
Findeisen, D. (2005). Osebni izobraževalni moduli za preprečevanje in zdravljenje izgorelosti (1. del). Andragoška spoznanja, 11, št. 2, 37–51.
Findeisen, D. and Pšeničny, A. (2005). Poklicna izgorelost ali zavzetost za delo, to je zdaj vprašanje; Osebni in skupinski izobraževalni moduli za preprečevanje poklicne izgorelost (2. del). Andragoška spoznanja, 11, št. 3. Pridobljeno dne 12. 9. 2015 s svetovnega spleta: http://www.burnout.si/index.php?n=SubMenu&Menu_ID=8&SubMenu_ID=21&id_NZ=50.
Firth, H. and Britton, P. (1989). Burnout, absence, and turnover amongst British nursing staff. Journal of Occupational Psychology, 62, št. 1, str. 55–59.
Freudenberger, H. J. (1974). Staff burn-out. Journal of Social Issues, 30, št. 1, str. 159–165.
Garske, G. g. (2007). Managing occupational stress: a challenge for rehabilitation counselor. Journal of Applied Rehabilitation Counseling, 38, št. 4, str. 34–39.
Gilibert, D. and Daloz, L. (2008). Disorders associated with burnout and causal attributions of stress among health care professionals in psychiatry. Revue européenne de psychologie appliquée, 58, št. 4, str. 263–274.
Golembiewski, R. T., Boudreau, R. A., Goto, K. and Murai, T. (1993). Transnational perspectives on job burnout. International Journal of organizational analysis, 1, str. 7–27.
Harrington, J. M. (2001). Health effects of shift work and extended hours of work. Occupational & Environmental Medicine, 58, str. 68–72.
Healy, C. M. and McKay, M. F. (2000). Nursing stress: the effects of coping strategies and job satisfaction in a sample of Australian nurses. Journal of Advanced Nursing, 31, št. 3, str. 681–688.
Henkens, K. and Leenders M. (2010). Burnout and older workers‘ intentions to retire. International Journal of Manpower, 31, št. 3, str. 306–321
Inštitut za varovanje zdravja Republike Slovenije [IVZ]. (2013). Zaposleni v patronažnem varstvu Slovenije za januar 2012. Pridobljeno dne 11. 9. 2015 s svetovnega spleta: http://www.ivz.si/Mp.aspx?ni=46&pi=5&_5_id=75&_5_Pagelndex=0&_5_newsCategory=&_5_
action=ShowNewsFull&pl=46-5.0.
Jamal, M. and Baba, V. V. (2000). Job stress and burnout among Canadian managers and nurses: an empirical examination. Canadian Journal of Public Health, 91, št. 6, str. 454–459.
Kanail-Pak, M., Aiken, L. H., Sloane, D. M. and Poghosyan, L. (2008). Poor work environments and nurse inexperience are associated with burnout, job dissatisfaction and quality deficits in Japanese hospitals. Journal of Clinical Nursing, 17, št. 24, str. 3324–3329.
King, K. A., Vidourek, R. and Schwiebert, M. (2009). Disordered eating and job stress among nurses. Journal of Nursing Management, 17, št. 7, str. 861–869.
Kivimäki, M., Sutinen, R., Elovainio, M., Vahtera, J., Räsänen, K., Töyry, S., Ferrie, J. E. and Firth-Conzens, J. (2001). Sickness absence in hospital physicians: 2 year follow up study on determinants. Occupational & Environmental Medicine, 58, str. 361–366.
Knutsson, A. (2003). Health disorders of shift workers. Occupational Medicine, 53, str. 103–108.
Lambert, E. G., Hogan, N. L. and Griffin, M. L. (2003). The impact of distributive and procedural justice on correctional staff job stress, of satisfaction, and organizational commitment. Journal of Criminal Justice, 35, št. 6, str. 644–656.
Lee, R. and Ashforth, B. (1990). On the meaning of Maslach‘s three dimensions of burnout. Journal of Applied Psychology, 75, str. 734–747.
Leiter, M. P. and Maslach, C. (2002). Resnica o izgorevanju na delovnem mestu. Ljubljana: Educy.
Lockley, S. W., Barger, L. K., Ayas, N. T., Rothschild, J. M., Czeisler, C. A. and Landrigan, C. P. (2007). Effects of health care provider work hours and sleep deprivation on safety and performance. The Joint Commission Journal on Quality and Patient Safety, 33, št. 11, str. 7–18.
Magnusson, A. and Gooding, S. (2000). Varovanje zdravja negovalnega tima in varnosti pri delu. Maribor, Slovenia: Kooperativni center SZO za primarno zdravstveno nego.
Malik, O. F., Waheed, A. and Malik, K. U. R. (2010). The mediating effects of job satisfaction on role stressors and affective commitment. International Journal of Business and Management, 5, št. 11, str. 223–235.
Maslach, C. and Leiter, M. P. (1997). The Truth about Burnout. New York: Jossey-Bass.
Maslach, C. and Leiter, M. P. (2002). Resnica o izgorevanju na delovnem mestu. Ljubljana, Slovenia: Educy.
Maslach, C., Schaufeli, W. B. V. and Leiter, M. P. (2001). Job burnout. Annual Reviews of Psychology, 52, št. 1, str. 397–422.
Mosadeghrad, A. M. (2014). Occupational stress and its consequences. Leadership in Health Services, 27, št. 3, str. 224–239.
Moustaka, E. and Constantinidis, T. C. (2010). Sources and effects of work-related stress in nursing. Health Science Journal, št. 4, 210–216.
Nidorfer, M. (2008). Brez počitka utegnete izgoreti. Moje Finance. Pridobljeno dne 14. 9. 2015 s svetovnega spleta: http://www.burnout.si/index.php?n=SubMenu&Menu_ID=8&SubMenu_ID=21&id_NZ=133.
Penko, T. (1994). Izgorelost pri delu - Psihodiagnostika osebnosti. Ljubljana: Filozofska fakulteta.
Penson, R., Dignan, F. L., Calleons, G., Picard, C. L. and Lynch, T. J. (2000). Bournout: caring for the caregivers. The Oncologist, 61, št. 12, str. 4–10.
Pšeničny, A. (2007). Razvoj Vprašalnika sindroma adrenalne izgorelosti (SAI) in preverjanje izhodišča Recipročnega modela izgorelosti. Psihološka obzorja, 16, št. 2, str. 47–81.
Rajkovič, V. in Šušteršič, O. (2000). Informacijski sistemi patronažne zdravstvene nege. Kranj: Moderna organizacija.
Schultz, D. P. and Schultz, S. E. (1990). Psychology and industry today: an introduction to industrial and organizational psychology. (5th ed.). New York: Macmillan.
Shirom, A. (1989). Burnout in work organizations. V: Cooper, C. L. and Robertson, I. (2003). International Review of Industrial and Organizational Psychology, 18, str. 25–48.
Shirom, A., Nirel, N. and Vinokur, A. D. (2010). Work hours and caseload as predictors of physician bornout: the mediating effects by perceived workload and by autonomy. Applied Psychology, 59, št. 4, str. 539–556.
Siegrist, J., Shackelton, R., Link, C., Marceau, L., Knesebeck, O. and McKinlay, J. (2010). Work stress of primary care physicians in the US, UK and German health care systems. Social Science & Medicine, 71, št. 2, str. 298–304.
Stevens, P. (1995). Beating Job Burnout: how to turn your work into your passion. Chicago: NTC.
Sundin, L., Hochwälder, J., Bildt, C. and Lisspers, J. (2007). The relationship between different work-related sources of social support and burnout among registered and assistant nurses in Sweden: A questionnaire survey. International Journal of Nursing Studies, 44, št. 5., str. 758–769.
Sveinsdóttir, H., Bierringom, P. and Rabel, A. (2006). Occupational stress, job satisfaction, and working environment among Icelandic nurses: A cross-sectional questionnaire survey. International Journal of Nursing Studies, 43, št. 7, str. 875–889.
Sweeney, P. D. and McFarlin, D. B. (2002). Organizational behavior: solutions for management. New York: Irwin/McGraw-Hill.
Šušteršič, O., Horvat, M., Cibic, D., Peternelj, A. in Brložnik, M. (2006). Patronažno varstvo in patronažna zdravstvena nega – nadgradnja in prilaganje novim izzivom. Obzornik zdravstvene nege, 40, str. 247–252.
Tepina, J. (2008). Ne bodimo odvisni od pohval drugih, pohvalimo se sami. Didakta. Pridobljeno dne 10. 9. 2015 s svetovnega spleta: http://www.burnout.si/index.php?n=SubMenu&Menu_ID=8&SubMenu_ID=21&id_NZ=135.
Van Bogaert, P., Meulemans, H., Clarke, S., Vermeyen, K. and Van De Heyning, P. (2009). Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model. Journal of Advanced Nursing, 65, št. 10, str. 2175–2185.
Wong, D., Leung, S., So, C. and Lam, D. (2001). Mental health of Chinese nurses in Hong Kong: The roles of nursing stresses and coping strategies. Online Journal of Issues in Nursing, 5, št. 2. Pridobljeno dne 10. 9. 2015 s svetovnega spleta: http://www.nursingworld.org/ojin/topic12/tpc12_7.htm.
