Effect of stress and professional burning on moral and ethical values in physiotherapy profession

Abstract

The principles of rehabilitation are based on holistic medicine considering physical, mental and social aspects of the patient. In recent decades, we have witnessed intensive changes through the entire medical profession, that are caused by the tremendous advances in science and technology. The communication process between therapist -patient, and between all members of the medical team requires sensitivity to the problems of the patient. It includs honesty, empathy, active listening, patience and also represent the guidelines for successful communication that are necessary for the creation of mutual trust. The state of disease and disability changes every man and reinforces a sense of personal weakness. The patient that is faced with the weakness, needs words of comfort and accepts the help of another person. For a better understanding of the patient's suffering and fears in a therapeutic procedure, it is necessary to activate the empathic power primarily achieve high quality communication with the patient. Communication in medicine is considered as a core skill. Knowledge and good communication skills are a prerequisite for quality work for many professions, especially medicine. According to numerous studies, physiotherapists are primary candidates for combustion at work because of close contact with customers in the work of physiotherapy. Physical therapists, who experience burning, feel helpless in their ability to help others, and can not create a quality relationship with their patients. The resulting changes are loss of empathy and ethical values that were most important features of health services for many decades.Key words: stress, psychological; physical therapy modalities; psychology, social. APSTRAKTRehabilitacioni principi se temelјe na holističkoj medicini te sagledavaju pacijenta s fizičkog, mentalnog i socijalnog aspekta. Poslednjih decenija svedoci smo intenzivnih promena, koje su uzrokovane strahovitim napretkom nauke i tehnologije kroz koje prolazi celokupna medicinska struka a samim tim i fizioterapeutska struka. Komunikacijski proces na relaciji fizioterapeut -pacijent, kao i između svih članova medicinskog tima zahteva osetlјivost za probleme pacijenta, iskrenost, empatiju, aktivno slušanje i strplјivost. Navedene osobine ujedno predstavlјaju i smernice uspešne komunikacije koje su nužne za stvaranje međusobnog poverenja sa bolesnikom. Bolest menja svakog čoveka i pojačava osećaj lične slabosti. Bolesnik suočen sa slabošću traži reči utehe i prihvata pomoć druge osobe. Za bolјe razumevanje pacijentovih patnji i strahova u fizioterapijskom postupku nužno je aktivirati empatijske snage koje prvenstveno ostvarujemo kvalitetnom komunikacijom sa bolesnikom. Komunikacija u medicini smatra se osnovnom veštinom. Znanje i veštine kvalitetne komunikacije preduslov su kvalitetnog rada za mnoge profesije, posebno u medicini. Prema brojnim studijama fizioterapeuti su primarni kandidati za sagorevanje na poslu zbog bliskog kontakta u radu s korisnicima fizioterapije. Fizioterapeuti, koji iskuse s...

Leadership, appreciative management and empowerment in physiotherapy practice

“…Helping colleagues maintain a professional reputation is one of the valued qualities of good teammates. It is these rules of interpersonal relationships in the workplace that develop the key performance of the work team and the development of selfconfidence in physiotherapists [52]. All this results in: achievements and success, cooperation in the organization, patient / client satisfaction [53].…”

“…Pristup resursima, informacijama i podrška vode ka povećanoj organizacionoj posvećenosti, smanjenom nivou profesionalnog sagorevanja, rastom osećaja autonomije u poslu, povećanoj percepciji učešća u menadžmentu, povećanom zadovoljsvu poslom. Prema brojnim studijama, fizioterapeuti su primarni kandidati za sagorevanje na poslu zbog bliskog kontakta sa pacijentima odnosno klijentima u radnom okruz enju [52]. Karakteristika dobrog tima je sveprisutan osec aj podrs ke, sigurnosti i samopouzdanja, pri c emu se c lanovi mogu osloniti jedni na druge u tes koc ama i preuzeti kreativne rizike, uvereni u podršku svojih saradnika.…”

“…. Pomoc i kolegama da sac uvaju profesionalnu reputaciju jedan je od cenjenih kvaliteta dobrih kolega u timu.Upravo ova pravila međuljudskih odnosa na radnom mestu razvijaju ključne performanse radnog tima i razvoj samopouzdanja kod fizioterapeuta [52]. Sve to rezultuje: postignućima i uspehom, saradnjom u organizaciji, zadovoljstvom pacijenata/klijenata [53].…”

“…Access to resources, information and support lead to increased organizational commitment, reduced level of professional burnout, increased sense of autonomy in work, increased perception of participation in management, increased job satisfaction. According to numerous studies, physiotherapists are the primary candidates for burnout at work due to close contact with patients or clients in the work environment [52]. A characteristic of a good team is the ubiquitous sense of support, security and self-confidence, where members can rely on each other in difficulties and take creative risks, confident in the support of their associates.…”