Burnout in Anesthesiology and Resuscitation

Sinbukhova, Elena; Lubnin, Andrey; Попугаев, К. А.

doi:10.23934/2223-9022-2019-8-2-186-193

Cited by 6 publications

(1 citation statement)

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“…В Российской Федерации (РФ) исследования, посвященные изучению распространенности выгорания среди врачей, немногочисленны [16][17][18][19]. В наиболее крупном исследовании среди 1668 врачей различных специальностей в Томской области, при анкетировании с использованием опросника MBI (Maslach Burnout Inventory), высокая и крайне высокая степень профессионального выгорания была выявлена у 63% специалистов [16].…”

Section: оригинальные статьиunclassified

Prevalence of professional burnout among practicing cardiologists in the constituent entities of the Russian Federation

et al. 2023

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The burnout syndrome among healthcare professionals is a headline problem in the world, as it leads to poor health of medical workers, affects patient satisfaction with health care and the healthcare system as a whole. At the same time, existing preventive measures can improve the well-being of staff.Aim. To study the prevalence of professional burnout syndrome among practicing cardiologists in the Russian Federation (RF).Material and methods. This cross-sectional study was carried out using the method of online anonymous surveying. The inclusion criterion was the current practical activity in the RF. The study involved 452 cardiologists from 8 federal districts (women; n=377, 83,4%), 48,2% of which worked in a hospital. Occupational burnout was assessed using the Maslach Burnout Inventory (MBI) questionnaire in the Russian language adaptation for healthcare workers by N. E. Vodopyanova and E. S. Starchenkova. The score was calculated on three subscales (emotional exhaustion, depersonalization, personal accomplishment), the maximum score for the subscales was 54, 30 and 48, respectively. The personal accomplishment subscale is the opposite as follows: the higher the score, the less the symptom severity. Additionally, demographic parameters, working conditions, the desire to change job and field of activity were taken into account. Regression analysis was used to establish associations of burnout with factors.Results. The median score of the emotional exhaustion subscale was 29,5 (23,0; 35,0) points, depersonalization — 12,0 (8,0; 16,0) and personal accomplishment — 32,0 (28,0; 37,0). Men had higher depersonalization score than women as follows: 15,0 (10,0; 18,0) vs 11,0 (8,0; 15,0), p=0,001. High degrees of emotional exhaustion and depersonalization (burnout) were found in 235 (52%) cardiologists, while all three symptoms simultaneously — in 132 (29,2%) doctors. There were no symptoms of burnout in 84 (18,6%) cardiologists. A high degree of burnout was associated with a desire to change job (p<0,001).Conclusion. A high prevalence of professional burnout among practicing cardiologists in the RF was revealed, which, in turn, is associated with the desire to change job or occupation.

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Section: оригинальные статьиunclassified

Prevalence of professional burnout among practicing cardiologists in the constituent entities of the Russian Federation

et al. 2023

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Diagnosis of Brain Death in a Multidisciplinary Hospital

Gritsan,

Dovbysh,

Korchagin

2024

Obŝaâ reanimatologiâ

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Brain death diagnosis (BDD) remains a challenge for anesthesiologists and intensive care physicians despite existing regulatory frameworks.Objective: To evaluate the frequency of BDD procedure and identify factors limiting its implementation in a multidisciplinary hospital setting.Materials and Methods: A single-center retrospective study was conducted including 698 patients by total sampling. Of these, 98 (14%) had brain injury and were selected for further analysis. From this cohort, patients who died within 15 days of hospital admission (n=61) were identified. A subgroup of patients with a Glasgow Coma Scale (GCS) score of 3-5 was then selected (n=38). For comparison, a literature search was performed in PubMed using the query “brain death criteria” and in eLibrary.ru using the keywords “brain death diagnosis”.Results: BDD was initiated in 12 (31.6%) cases within the GCS 3-5 subgroup, with brain death confirmed in 8 (21.1%) patients, including 5 (63%) women and 3 (37%) men. Complete BDD procedures were performed in 6 (75%) patients with non-traumatic intracerebral hemorrhage (ICH), 1 with non-traumatic subarachnoid hemorrhageь (SAH), and 1 with traumatic brain injury (TBI) (12.5% each). The median patient age was 59 [43;65] years, the median GCS score was 3 [3;3], and the median FOUR score was 0 [0;0]. Median hospital length of stay was 1.5 [1;2.5] days, and median intensive care unit (ICU) stay was 1 [1;2] day.Conclusion: Insufficient pupil diameter (<5 mm) is a limiting factor for the performance of BDD procedures in grade III coma patients.

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