Neonatologists at the Obstetric Organizations of Megapolis: Occupational Activity and Attitude to the Occupation

Abstract

Materials and methods. An anonymous survey of 146 neonatologists working in obstetric organizations in the city St. Petersburg was conducted. Mathematical data processing was carried out using spreadsheets “MS Office Excel 2010” and the statistical software package PASW STATISTICS. Results. 36.4% of neonatologists working in obstetric organizations believe the occupational standard “Neonatologist” fails to fully reflect all their duties. Neonatologists call the functions associated with the implementation of medical work to be the most important labor functions included in the Occupational Standard, sanitary and educational work and activities related to the maintenance of accounting and medical records are believed to be the least important. 29.1% of neonatologists of obstetric care organizations work for more than one rate, 28.6% of doctors do not work on schedule, 58.4% have a feeling of overwork. Conclusions. Despite the fact that most neonatologists have chosen their occupation by vocation and because of love for children, more than half of the doctors are partially or completely disappointed with their work, most often due to unsatisfactory working conditions and its financial support. High workload and labor intensity, observed by almost 30% of neonatologists, can lead to an increase in the risk of medical error and a decrease in the quality of medical care. 51.7% of doctors are partially or completely unsatisfied with their work. The main reasons for the dissatisfaction of neonatologists are significant physical and psychological stress (36.6%) and low wages (34.4%). Neonatologists working in maternity hospitals (departments) are 26.8% less likely than doctors at neonatologists at perinatal centers to work at the same rate and 57.1% less often than during working hours but have a higher labor intensity during the working day. Neonatologist working in perinatal centers, to a greater extent than doctors in maternity hospitals (departments), are not satisfied with the conditions and financial support of their activities and are 24.1% more likely to perform occupational duties that are not part of the professional standard “Neonatologist”. Most neonatologists working in obstetric organizations have chosen their profession by calling (58.5%) and because of their love for children (62.8%), they fully feel responsible for the quality of their work (99.3%), they do not want to change their medical specialty (93.5%) and are satisfied with the choice of occupation (93.3%).