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1

The physicians' special stress burden and burn-out syndrome

100%
Gyorffy Z., Adam S.
Szociologiai Szemle (Sociological Review)
|
2004
|
issue 3
107-127
EN
Background: The examination of the physicians' special stress burden and burn-out syndrome are the aim of our pilot-study. Previous studies have shown that physicians have an increased risk of somatic and mental health problems such as depression, suicide and substance abuse. Work-related stress symptoms and burnout seemed to be the most important factors. Method: The 57 participants of the qualitative survey were physicians chosen randomly from the public health system in Hungary. Their special stress burden and burn-out syndrome have been examined through structured in-dephts interviews. Results: Three factors of the work related stress were investigated and proved to be interconnected: the special aspects of medical profession (on-call duties, high working tempo, long-working hours, frequency of stressful situations and emotionally provoking problems) work environment and control above the work. Female physicians (balancing their work and family responsibilities) and young doctors are especially at burnout and also at work-stress risk. Conclusions: Burnout correlates mostly to work-stress and role conflicts. It is affected by outer reasons, appreciation of stress and simultaneous compliance of roles beset with difficulties in particular. Further monitoring of work-stress and burnout causes could contribute to more efficient conflict treatment and health promotion methods in behalf of the Hungarian physicians.
2

SITUATION ASSESSMENT AND DECISION MAKING STRATEGIES OF EMERGENCY MEDICAL SERVICES PHYSICIANS IN ROUTINE AND NON-ROUTINE SITUATIONS

88%
Sedlár M.
Studia Psychologica
|
2017
|
vol. 59
|
issue 2
127 – 138
EN
The aim of the study was to identify situation assessment and decision making strategies in emergency medical services physicians and to determine whether their distribution is associated with routine and non-routine situations. The research sample included 15 physicians, who were interviewed about routine and non-routine situations from their practice. The interviews about non-routine situations were conducted using the Critical Decision Method, and its adapted version was created for the purpose of conducting the interviews about routine situations. Generally, qualitative analysis showed that intuitive strategies were most frequently used in situation assessment and decision making but they occurred more in routine situations, by contrast, deliberative strategies were used more in non-routine situations. These findings were supported by statistical tests suggesting that physicians were more likely to change strategies with respect to situational demands.
3

WATCHFUL PHYSICIANS'S EYES. MEDICINE IN GDANSK IN THE ENLIGHTENMENT (Lekarzy czujne oczy. Medykalizacja w Gdansku doby oswiecenia)

88%
Szarszewski A.
Klio. Czasopismo poświęcone dziejom Polski i powszechnym
|
2010
|
issue 2(15)
59-93
EN
In the Enlightenment one of the most important tasks of monarchies (due to the modernization processes) was to control and to improve citizens' physical condition. The process of medicalization (M. Foucault) was one of instruments that rulers used to exercise their power and domination. It was inspired by discussions led by scholars and physicians. Yet, it was highly complicated to implement those mechanisms of rationalization in the city of Gdansk, as the second partition of the Republic of Poland in 1793 meant for it both a transformation and a change of the sovereign. In this period one could observe a vivid discussion between the city council and local physicians (especially those from the Physicians' Society) over the project of medicalization. Nevertheless, it did not succeed because of political situation and a weakness of physicians' milieu in Gdansk. The final effect of the above-mentioned debates was visible in a modernization project proposed by a new governmental centre (since 1793 it was Berlin). It was to intensify the process of medical control by interception of the power by the authorities stronger involved in its modern representation. That local version of modernization seemed to be a very flexible version of the broader vision, and one of the most innovative in a whole Europe. In Gdansk were established basic elements of the process of medicalization: modernization of hospitals, medical control of poverty, surgeons' professionalisation, elements of the population policy (Entbindungs-Lehranstalt von Westpreussen). The example of Gdansk illustrates the fact, that society must consent to the medical control.
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