02 / Preoperative assessment of patients proposed for follicular puncture economic impact pre and post implementation of a guideline.

Le résumé fourni par la source

Background and Goal of Study:Considering anesthesiologists among other medical specialties, it is wellknownthat they have an increased risk of suffering from burnout syndrome. Unfortunately, burnout syndrome is often related to lower work performance, coronary artery disease and deteriorating overall mental health, all of which may seriously affect the patient's treatment. The aim of this paper is to compare possible burnout syndrome among Croatian anesthesiologists.Materials and Methods:This research involved 2568 doctors working in different fields of medicine including 177 anaesthesiologists. The Maslach Burnout Inventory (MBI) was used to measure burnout. MBI defines burnout as a three-dimensional syndrome via 22 questions; 9 question relate to emotional exhaustion (EE), 5 question relate to depersonalization (DP) and 8 question relate to diminished personal accomplishment (PA). Possible answers on the main scale ranged from 0=never to 6=every day. We created 3 subscales for every MBI dimension; EE subscale with severity index(SI) ranging from u226527 for high, 27-16 for moderate and u226416 for low, DP subscale with SI u226513 for high, 13-6 for moderate and u22646 for low and PA subscale with SI u226539 for high, 39-31 for average and u226431 for low.Results and Discussion:All 2568 doctors had EE of 30%, DP of 8,75% and PA of 29,9%. 63% of anesthesiologist showed high EE, 57% exibited high PA and 46% had low DP. Emotional exhaustion is lowest when their career begins or ends. Depersonalization deteriorates over time whereas diminished personal accomplishment is constant throughout the working years. We also found positive correlation between DP total score and years of experience (r=-0,320, p<0,0001). A total of 55 (33%) were resident, 72 (42%) consultants and 44 (25%) subspecialist and we found statistical significant differences of DP score (p=0,026).Conclusion(s):Anestesiologists are not trained to fail, which is connected to a sense of increased responsibility and perfectionism. Those factors trigger the burnout syndrome which often emerges when there is insufficient staff.Thus, fewer anesthesiologists must compensate, often by working overtime, for the lack of anesthesiologist on duty. Results show that prevention of burnout is highly necessary among Croatian anesthesiologists and it involves a range of measures, from changing the working conditions to taking care of employee's overall mental health.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.