Ecology

WORKPLACE ASSESSMENT AND FATIGUE MEDICAL WORKERS ACCORDING QUESTIONNAIRE

Toguzbayeva K.K., Bekmagambetova Z.D., Karakushikova A.S., Dzhumasheva R.T., Kaynarbaeva M.S., Madigulov A.R., Niyazbekova L.S., Seyduanova L.B., Saylybekova A.K., Nurshabekova A.B.

Kazakh National Medical University (KazNMU) named after S.D. Asfendiyarov

Course of Occupational Health, Almaty, Kazakhstan

 

Abstract. This paper presents the results of a study of working conditions, as well as the degree of fatigue medical and paramedical staff of one of the clinics Almaty, according to the questionnaire. It was concluded that during the operation doctors have a more pronounced emotional distress than the nurses. Manifestation of this is more pronounced fatigue in doctors at the end of the day than the average health-care workers, doctors for recovery should be longer than average health care workers, physicians have a higher load at work.

Keywords: doctors, nurses, working conditions, fatigue and performance.

I. Introduction. The literature is not enough work, revealing the features of occupational health professionals. Unlike industrial companies in health care settings harmful and dangerous factors of production are expressed to a lesser extent, their intensity is usually low. At the same time, the process of working with the sick person, high level of responsibility for his health and often need to make decisions in difficult conditions with a sharp deficit of time doing work of medical workers busy enough that you may cause them pronounced neuro-emotional stress, leading to this or that impair health.

II. Formulation of the problem. In carrying out work on the study of occupational health and health of medical workers we interviewed health workers in a specially designed questionnaire. Aware that the data obtained through a questionnaire, to some extent subjective and do not always coincide with objective data, we used this method of information on issues relating to the conditions and nature of work. The results of the responses of physicians and nurses in quantitative terms are expressed in percentage of respondents to this question in this way in relation to the total number of respondents of this group, and significant differences was assessed by comparing the percentages using the value of φ Fisher. If the questionnaire was not given an answer to a question, it was assumed that no data.

III. Results. In tables 1-7 conducted a poll regarding working conditions, job satisfaction, subjective assessment of fatigue, recovery efficiency.

Clinic staff working the day shift, working hours ranged from 3-4 to 10 hours a day.

Table 1. Working hours of medical workers.

Working hours

Number of health workers (in% of the number of persons of this group)

Degree of probability of differences

Doctors

Nurses

1

2

3

4

4-6 hours

30,0

30,6

Р>0,05

7-9 hours

60,0

50,0

Р>0,05

10:00

7,5

8,3

Р>0,05

Uncertain response

-

8,3

Р>0,05

No data

2,5

2,8

Р>0,05

As can be seen from Table 1, more than half of doctors and health workers working half the average 7-9 hours a day, 30% of those and others are working 4-6 hours, and only 10% of health workers (7,5-8,3%) 10 hours per day. In other words, more than half of health workers do not work on one bet. Naturally, this affects the nature and degree of fatigue, and possibly health status.

Table 2. Number of patients taken or tests performed by medical personnel (as% of respondents).

The number of patients or tests

Doctors

Nurses

The degree of difference indicators

1

2

3

4

20-30

42,5

13,9

Р<0,05

From 1 to 4.50

2,5

-

 

10-20

35

36,1

Р>0,05

30-40

7,5

5,6

Р>0,05

50-60

2,5

11,1

Р>0,05

Up to 140 tests

 

2,8

 

60-100

 

8,3

 

No data

10

22,2

Р>0,05

Both doctors and nurses generally accept 10-30 patients per day, with 20-30 patients taking 42.5% of physicians and 13.9% of secondary health care providers, and between these indices have a statistically significant difference.

Table 3. Satisfaction with health professionals in their work.

Satisfied if their jobs?

Doctors

Nurses

The degree of difference indicators

1

2

3

4

Yes

70

83,3

Р>0,05

No

22,5

8,3

Р>0,05

No data

7,5

8,3

 

The bulk of doctors and medical staff are satisfied with their work.

Between the respective figures of doctors and health workers are no significant differences, but the big difference there is between the number of satisfied job (they are much more) and the number of dissatisfied.

In general, health workers are satisfied with their work.

Table 4. Assessment of working conditions (percentage of respondents), health care workers.

Assessment of working conditions

Doctors

Nurses

The degree of difference indicators

1

2

3

4

good

17,5%

25%

Р>0,05

Satisfactory

50,0%

36,1%

Р>0,05

Bad

7,5%

8,3%

Р>0,05

No data

25%

30,6%

 

Most health care workers (50% physicians and 36.1% nurses) consider the conditions of their work satisfactory. Slightly less health workers believe the working conditions good, a small portion of respondents - bad. No significant difference in terms of assessment of working conditions between the doctors and medical staff, but there are differences (P <0.05) between the number of good and satisfactory ratings of working conditions for doctors. There is also a significant difference in the number of satisfactory and poor grades, like doctors and health workers at secondary.

Table 5. An evaluation of fatigue health professionals.

Assessment of fatigue

Number of respondents in%

Degree of expression differences

Doctors

Average health care workers

1

2

3

4

High

30

11,1

Р<0,05

Average

30

47,2

Р>0,05

Insignificant

10

-

 

Uncertain response

12,5

8,3

Р>0,05

No data

17,5

33,3

 

Doctors were significantly more rate their fatigue as high, while the average health care providers give such an estimate is 3 times less. At the same time, nurses more often assess the extent of his fatigue as secondary. Statistically significant differences in the amount of the assessment of doctors and medical staff is not proved. In addition, assessment of fatigue as a minor in secondary health care workers is absent.

Table 6. What has been the fatigue.

Characteristics of fatigue

Responses of health workers

Degree of expression differences

Doctors

Number of Replies nursing staff

1

2

3

4

Headache, weakness, dizziness, decreased performance

27,5

25

Р>0,05

Fatigue, drowsiness, overvoltage

15

38,9

Р<0,05

Shortness of breath, mental stress, insomnia

12,5

11,1

Р>0,05

Nervousness, irritability

17,5

 

 

No data

20

25

Р>0,05

No data

7,5

 

 

Fatigue, sleepiness, lethargy as a result of fatigue from nursing staff are more common than doctors. Among medium-sized health-care workers have no one to irritability, nervousness and lack of fatigue. We can therefore conclude that nurses react more intensely to the onset of fatigue, but the asthenic syndrome (headache, weakness, dizziness) in both groups of medical professionals found equally often (25%).

Table 7. The time needed for recovery from medical professionals.

Time for recovery

As% of the total number of respondents

The degree of difference

Doctors

Nurses

1

2

3

4

1-5 hours

27,5

30,6

Р>0,05

6-7 hours

 

5,6

 

Per night

7,5

13,9

Р>0,05

1-2 days

25

5,6

Р<0,05

Per week

5

 

 

For 10-30 minutes

5

13,9

Р>0,05

 For vacation

7,5

 

 

No data

22,5

30,6

 

Doctors in general for recovery takes longer than the middle medical staff. Statistically, the difference proved for the period 1-2 days - this period is required 25% of physicians and only 5.6% of secondary health care workers.

IV. Conclusions. Taking into account the degree of difference in the number of doctors and nurses who gave the answer to the same survey question, we can conclude the following:

1. Doctors take a sick day than nurses.

2. Physicians often assess the condition of his work as satisfactory, rather than as good.

3. Doctors and auxiliary medical personnel evaluate the condition of his work as poor much less than satisfactory or as good.

4. Doctors are more likely than average health care workers, assess the extent of his tiredness after work as high.

5. As a manifestation of fatigue, nurses are more likely than doctors called fatigue, sleepiness, overexertion.

6. Doctors more frequently than average health care workers, for recovery requires 1-2 days.

7. The above-mentioned differences in the reactions of the body of doctors and health workers give grounds for believing that the doctors in the process of experiencing a more pronounced emotional stress.

Literature

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