Features of emotional burnout in medical staff

   Introduction. The article is devoted to a comparative analysis of the burnout syndrome in military and civilian doctors, as well as nurses. At the present stage of healthcare development, the professional activity of medical personnel is accompanied by increasing requirements for the quality of medical care provided to the population. Recently, in a variety of sources: scientific literature and the media, it is indicated that specialists are overloaded with both a large flow of patients and documentation, as well as the minimum amount of time allotted for one patient. These factors are both the main cause of the ever-decreasing quality of medical care and professional burnout among the majority of medical personnel. There is much less information in the available sources about the activities of military doctors, however, in connection with the well-known events, the problem of burnout syndrome is becoming more and more urgent.

   Materials and Methods. Analysis of the literature on the syndrome of emotional burnout, the study of literature covering the activities of military doctors for the development of a professiogram. As empirical methods, the questionnaire "System index of burnout syndrome" based on the MBI test (Maslach Burnout Inventory) was used. For statistical processing, the nonparametric Mann-Whitney difference test was used; SPSS 19.0 software was also used to calculate Pearson's Chi-square test.
   Results. The results of the analysis showed that the level of emotional burnout among civilian doctors is higher in all indicators. In addition, it was found that civilian doctors have a significantly higher level of reduction in professional achievements. In turn, professional burnout in nurses is expressed mainly at the average level.
   Discussion and Conclusions. The analysis of the differences between civilian and military doctors for all indicators of emotional burnout showed that the average values for all indicators of the scale are higher for civilian doctors, that is, civilian doctors are more susceptible to this process compared to military doctors. The study of the qualities that ensure the success of professional activity revealed that volitional qualities, speed of decision-making, the ability to concentrate, as well as great responsibility for the results of their activities, dominate among military medical specialists. At the same time, the listed qualities are no less important in the work of a doctor in a civilian medical institution. A comparative analysis of the characteristics of the professional activities of military and civilian doctors led to the conclusion that such factors as a greater opportunity for creativity, a greater measure of responsibility and military discipline, and professional growth prospects influence the reduction in the risk of professional burnout among military doctors.

1. Balahonov A. V., Belov V. G., Pyatibrat E. D., Pyatibrat A. O. Emotional burnout in medical workers as a prerequisite for asthenia and psychosomatic pathology. Vestnik Sankt-Peterburgskogo universiteta. Medicina, 2009, no. 3, pp. 57-71. (In Russ.)

2. Boluchevskaya V. V., Pavlyukova A. I., Sergeeva N. V. Doctor’s communication: features of professional interaction (lecture 3). Medicinskaya psihologiya v Rossii, 2011, no. 3, pp. 17-17. Available at: http://www.mprj.ru/archiv_global/2011_3_8/nomer/nomer22.php (accessed: 02. 02. 2023). (In Russ.)

3. Vorob'eva N. N. The relationship of personal characteristics of contract servicemen with the level of emotional burnout. Nauka i tekhnologii: Aktual'nye voprosy, dostizheniya, innovacii: sbornik dokladov i materialov Nacional'noj nauchno-prakticheskoj konferencii. Moscow, 2017. Pp. 228-233. (In Russ.)

4. Gafarova N. V., Baranskaya L. T. The problem of professional burnout syndrome in the practice of training middle-level medical workers. Obrazovanie i nauka, 2009, no. 4, pp. 65-72. Available at: https://cyberleninka.ru/article/n/problema-sindroma-professionalnogo-vygoraniya-v-praktike-podgotovki-meditsinskih-rabotnikov-srednego-zvena (accessed: 04. 02. 2023). (In Russ.)

5. Zaseeva I. V., Tatrov A. S. Comparative analysis of burnout syndrome among doctors and nurses of the department of anesthesiology and resuscitation in the conditions of the region. Fundamental'nye issledovaniya, 2013, no. 6-1, pp. 184-188. (In Russ.)

6. Zelenova M. E., Zaharov A. V. Burnout and stress in the context of the professional health of servicemen. Social'naya psihologiya i obshchestvo, 2014, vol. 5, no. 2, pp. 50-70. (In Russ.)

7. Marchenko L. O. Development of the psychological qualities of military doctors at the stages of professionalization. Sovremennaya psihologiya: materialy I Mezhdunarodnoj nauchnoj konferencii (g. Perm', iyun' 2012 g.). Perm, Merkurij Publ., 2012. Pp. 22-25. Available at: https://moluch.ru/conf/psy/archive/34/2361/ (accessed: 10. 02. 2023). (In Russ.)

8. Machul'skaya I. A., Belyaev R. V., Mashin V. N. The phenomenon of emotional burnout of military personnel in the course of their professional activities. Territoriya nauki, 2015, no. 5, pp. 72-77. (In Russ.)

9. Romanova E. C. 99 popular professions. Psychological analysis and professiograms. 2^nd ed. St. Petersburg, Piter Publ., 2003. 464 p. (In Russ.)

10. Starchenkova E. S., Vodop'yanova N. E. Burnout syndrome: diagnosis and prevention. St. Petersburg, Peter Publ., 2008. (In Russ.)

11. Sudilovskaya N. N., Hizmatulina A. M. Emotional burnout syndrome in the professional activity of medical workers. Mezhdunarodnyj zhurnal eksperimental'nogo obrazovaniya, 2017, no. 1, pp. 125-127. Available at: https://expeducation.ru/ru/article/view?id=11087 (accessed: 01. 02. 2023). (In Russ.)

12. Fedotkina I. V., Marchenko L. O., Vajgacheva L. V. Psychological features of the personality of military doctors in the development of professional burnout syndrome. Mediko-biologicheskie i social'no-psihologicheskie problemy bezopasnosti v chrezvychajnyh situaciyah, 2019, no. 4, pp. 96-102. doi: 10.25016/2541-7487-2019-0-4-96-102. (In Russ.)

13. Fedotkina I. V., Yakovleva L. V., Kuzina R. H., Vajgacheva L. V. Using content analysis data to develop a set of methods for assessing the professionally important personality traits of medical service officers. Izvestiya Rossijskoj Voenno-medicinskoj akademii, 2019, vol. 38, no. 3, pp. 96-103. URL: https://www.elibrary.ru/item.asp?id=41424544. (In Russ.)

14. Adler A. B., Adrian A. L., Hemphill M., Scaro N. H., Sipos M. L., Thomas J. L. Professional stress and burnout in US military medical personnel deployed to Afghanistan // Military medicine. 2017. Vol. 182, no. 3-4, pp. e1669-e1676. doi: 10.7205/MILMED-D-16-00154.

15. Bruria A., Maya S. T., Gadi S., Orna T. Impact of emergency situations on resilience at work and burnout of Hospital's healthcare personnel // International Journal of Disaster Risk Reduction. 2022. Vol. 76. P. 102994. doi: 10.1016/j.ijdrr.2022.102994

16. Chaudhry M. A., Khokhar M. M., Waseem M., Alvi Z. Z., Ul Haq A. I. Prevalence and associated factors of burnout among military doctors in Pakistan // Pakistan Armed Forces Medical Journal. 2015. Vol. 65, no. 5. Pp. 669-673. Available at: https://pafmj.org/index.php/PAFMJ/article/view/1096 (accessed: 02. 02. 2023).

17. Iraqi I. J. Mahmoudi H., Nir M. S., Ebadi A. Burnout in military hospital nurses in 2015-a cross-sectional study // Journal of Military Medicine. 2016. Vol. 18, no. 3. Pp. 262-270. Available at: http://eprints.bmsu.ac.ir/id/eprint/264 (accessed: 02. 02. 2023).

18. Kinman G., Wray S., Strange C. Emotional labour, burnout and job satisfaction in UK teachers: The role of workplace social support // Educational Psychology. An International Journal of Experimental Educational Psychology. 2011. Vol. 31, no. 7. Pp. 843-856. doi: 10.1080/01443410.2011.608650.

19. Lang G. M., Pfister E. A., Siemens M. J. Nursing burnout: cross-sectional study at a large army hospital // Military medicine. 2010. Vol. 175, no. 6. Pp. 435-441. doi: 10.7205/MILMED-D-09-00284.

20. Le Blanc P. M., Bakker A. B., Peeters M. C. W., van Heesch N. C. A., Schaufeli W. B. Emotional job demands and burnout among oncology care providers. Anxiety, Stress & Coping // An International Journal. 2001. Vol. 14, no. 3. Pp. 243-263. doi: 10.1080/10615800108248356.

21. Maillefer A. V., Udayar S., Fiori M. Enhancing the prediction of emotionally intelligent behavior: The PAT integrated framework involving trait EI, ability EI, and emotion information processing // Frontiers in psychology. 2018. Vol. 9. Pp. 1-15. doi: 10.3389/fpsyg.2018.01078.

22. Maslach C., Jackson S. E. The measurement of experienced burnout // Journal of organizational behavior. 1981. Vol. 2, no. 2. Pp. 99-113. doi: 10.1002/job.4030020205.

23. Maslach C. Burnout: The cost of caring. Englewood Cliffs, Prentice-Hall, 2003.

24. McFarland D. C., Hlubocky F. Therapeutic Strategies to Tackle Burnout and Emotional Exhaustion in Frontline Medical Staff: Narrative Review // Psychology Research and Behavior Management. 2021. Vol. 14. Pp. 1429-1436. doi: 10.2147/PRBM.S256228.

25. Riethof N., Bob P., Laker M., et al. Alexithymia, traumatic stress symptoms and burnout in female healthcare professionals // Journal of International Medical Research. 2020. Vol. 48 (4). doi: 10.1177/0300060519887633.

26. Walters T. A., Matthews E. P., Dailey J. I. Burnout in Army health care providers // Military Medicine. 2014. Vol. 179, no. 9. Pp. 1006-1012. doi: 10.7205/MILMED-D-14-00058.

27. Weisberg J., Sagie A. Teachers’ Physical, Mental, and Emotional Burnout: Impact on Intention to Quit // The Journal of Psychology. Interdisciplinary and Applied. 1999. Vol. 133, no. 3. Pp. 333-339. doi: 10.1080/00223989909599746.