Keywords
exhaustion
depersonalization
reduced personal accomplishment
self-trust
trust in the world
value-related attitude
military doctors
Abstract
Introduction. Although the scientific community is highly interested in studying burnout and trust issues in medical research, there is insufficient information on the relationship between the characteristics of professional burnout and trust in its broadest sense among medical professionals. This study focuses on manifestations of emotional burnout among military doctors with different models of trust relationships.
Methods. The study used the following diagnostic tools: (a) the Maslach Burnout Inventory (MBI; K. Maslach & S. Jackson, modified by N. E. Vodop'yanova); (b) the questionnaire for Assessing Self-Trust by T. P. Skripkina; (c) the Rotter Interpersonal Trust Scale, modified by S. G. Dostovalova. The sample comprised 41 military doctors. During the study, the sample was divided into three subgroups according to trust relationship models.
Results. Specialists with a balance between self-trust and trust in the world had lower levels of depersonalization and emotional exhaustion. Military doctors with higher levels of self-trust and trust in the world had the highest scores of exhaustion and depersonalization, consistent with theoretical ideas about the role of trust. The scores of professional burnout were lower among respondents who had high levels of self-trust and trust in the world. The lowest scores of depersonalization and reduced personal accomplishment were obtained in the subgroup of military doctors with high levels of self-trust and trust in the world. The highest scores of depersonalization were obtained in the subgroup of military doctors with a higher level of self-trust, compared to the level of trust in the world. Military doctors with average levels of self-trust and trust in the world had the highest scores of reduced personal accomplishment.
Discussion. Building trust relationships with themselves and the world helps military doctors to reduce the development of symptoms of professional burnout. The results of the study expand the knowledge of the relationship between trust and professional burnout in medical practice, especially among military doctors.
References
Adler, A. B., Adrian, A. L., Hemphill, M., Scaro, N. H., Sipos, M. L., & Thomas, J. L. (2017). Professional stress and burnout in US military medical personnel deployed to Afghanistan. Military medicine, 182(3-4). https://doi.org/10.7205/MILMED-D-16-00154
Aldasheva, A. A. (2016). A professional’s self-trust in the space of professional activity. The Humanities аnd Social Studies in the Far East, 3, 65–70. (in Russ.).
Amoafo, E., Hanbali, N., Patel, A., Singh, P. (2015). What are the significant factors associated with burnout in doctors? Occupational Medicine, 65(2), 117–121. https://doi.org/10.1093/occmed/kqu144
Antonenko, I. V. (2019). Personality psychology: Genesis of trust. Yaroslavl Pedagogical Bulletin, 1, 112–121. (in Russ.).
Dostovalov, S. G. (2000). The system of trust relationships as a determinant of the perception of individuality in adolescence. Rostov State Pedagogical University. (in Russ.).
Evstifeeva, E. A., Filippchenkova, S. I., Chirkov, R. N., & Murashova, L. A. (2020). Personal determinants of professional burnout among doctors in oncology practice. Tver State University. Series: Pedagogy and Psychology, 3(52), 36–41. (in Russ.).
Fedotkina, I. V., Marchenko, L. O., & Vaigacheva, L. V. (2019). Personality traits in the development of occupational burnout syndrome in military doctors. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, 4, 96–102. https://doi.org/10.25016/2541-7487-2019-0-4-96-102 (in Russ.)
Gimenez Lozano, J. M., Martínez Ramón, J. P., & Morales Rodríguez, F. M. (2021). Doctors and nurses: a systematic review of the risk and protective factors in workplace violence and burnout. International Journal of Environmental Research and Public Health, 18(6), 3280.
Gluschkoff, K., Hakanen, J. J., Elovainio, M., Vänskä, J. & Heponiemi T. (2022). The relative importance of work-related psychosocial factors in physician burnout. Occupational Medicine, 72(1), 28–33. https://doi.org/10.1093/occmed/kqab147
Huang, E. C. H., Pu, C., Huang, N., & Chou, Y. J. (2019). Resident burnout in Taiwan Hospitals – and its relation to physician felt trust from patients. Journal of the Formosan Medical Association, 118(10), 1438–1449. https://doi.org/10.1016/j.jfma.2018.12.015
Hudson, M. J., & Moore, G. P. (2011). Defenses to malpractice: What every emergency physician should know. Journal of Emergency Medicine, 41(6), 598–606. https://doi.org/10.1016/j.jemermed.2010.07.001
Kaplan, S. C., Levinson, C. A., Rodebaugh, T. L., Menatti, A., & Weeks, J. W. (2015). Social anxiety and the big five personality traits: The interactive relationship of trust and openness. Cognitive Behaviour Therapy, 44(3), 212–222. https://doi.org/10.1080/16506073.2015.1008032
Kobyakova, O. S., Deev, I. A., Kulikov, E. S., Pimenov, I. D., & Khomyakov, K. V. (2016). Burnout among doctors and medical errors. Is there a connection? Social Aspects of Population Health, 47(1), 5. https://doi.org/10.21045/2071-5021-2016-47-1-5 (in Russ.)
Kobyakova, O. S., Deev, I. A., Kulikov, E. S., Khomyakov, K. V., Tyufilin, D. S., Zagromova, T. A., & Balaganskaya, M. A. (2019). Factors associated with professional burnout among doctors. Problems of Social Hygiene, Public Health and History of Medicine, 27(6), 967–971. https://doi.org/10.32687/0869-866X-2019-27-6-967-971 (in Russ.)
Lang, G. M., Pfister, E. A., & Siemens, M. J. (2010). Nursing burnout: cross-sectional study at a large army hospital. Military medicine, 175(6), 435–441. https://doi.org/10.7205/milmed-d-09-00284
Linzer, M., Poplau, S., Prasad, K., Khullar, D., Brown, R., Varkey, A., Yale, S., Grossman, E., Williams, E., Sinsky, C., & Healthy Work Place Investigators. (2019). Characteristics of health care organizations associated with clinician trust: results from the healthy work place study. JAMA Network Open, 2(6). https://doi.org/10.1001/jamanetworkopen.2019.6201
Machul'skaya, I. A., Belyaev, R. V., & Mashin, V. N. (2015). The phenomenon of emotional burnout among servicemen in the process of their professional activities. Territory of Science, (5), 72–77. (in Russ.).
Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of organizational behavior, 2(2), 99–113. https://doi.org/10.1002/job.4030020205
Matyushkina, E. Ya., Roi, A. P., Rakhmanina, A. A., & Kholmogorova, A. B. (2020). Occupational stress and burnout among healthcare professionals. Journal of Modern Foreign Psychology, 9(1), 39–49. https://doi.org/10.17759/jmfp.2020090104 (in Russ.)
Özgür, G., & Tektaş, P. (2018). An examination of the correlation between nurses' organizational trust and burnout levels. Applied Nursing Research, 43, 93–97. https://doi.org/10.1016/j.apnr.2018.07.004
Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., David, P., Alexander, H., Ruth, R. & Esmail A. (2018). Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA internal medicine, 178(10), 1317–1331. https://doi.org/10.1001/jamainternmed.2018.3713
Pukhareva, T. S. (2013). Self-trust and trust in others in the professional activities of representatives of communicative professions. Economy. Right. Print. Bulletin of the Kuban Socio-Economic Institute, 1–2, 128–134. (in Russ.).
Skripkina, T. P. (2000). Psychology of trust: A textbook for students of higher pedagogical educational institutions. Akademiya. (in Russ.).
Skripkina, T. P. (2019). The main provisions of the concept of confidential relations of the person. In The European Proceedings of Social & Behavioural Sciences. https://doi.org/10.15405/epsbs.2019.07.85
Skripkina, T. P., & Khersonskiy, I. I. (2023). Features of emotional burnout in medical staff. Vestnik of Minin University, 11(1 (42)), 11. https://doi.org/10.26795/2307-1281-2023-11-1-11 (in Russ.)
Sudilovskaya, N. N., & Khizmatulina, A. M. (2017). Emotional burnout syndrome in professional activities of medical workers. International Journal of Experiential Education, 1, 125–127. (in Russ.).
Sukhov, A. N., & Karashchuk, L. N. (2022). Socio-psychological content of the phenomenon of trust among patients of medical institutions. Psychological and Pedagogical Search, 2(62), 138–147. (in Russ.).
Toker, S., Melamed, S., Berliner, S., Zeltser, D., & Shapira, I. (2012). Burnout and risk of coronary heart disease: a prospective study of 8838 employees. Psychosomatic Medicine, 74(8), 840–847. https://doi.org/10.1097/psy.0b013e31826c3174
Verougstraete, D., & Hachimi Idrissi, S. (2020). The impact of burn-out on emergency physicians and emergency medicine residents: a systematic review. Acta Clinica Belgica, 75(1), 57–79. https://doi.org/10.1080/17843286.2019.1699690
Vodop'yanova, N., & Starchenkova, E. (2017). Burnout syndrome. Diagnostics and prevention: A practical guide. Litres. (in Russ.).
Vorob'eva, N. N. (2017). The relationship of personal characteristics of contract servicemen with the level of emotional burnout. Science and technology: Current issues, achievements, and innovations: Collection of reports and materials of the National Theoretical and Practical Conference. Moscow. (in Russ.).
Zelenova, M. E., & Zakharov, A. V. (2014). Burnout and stress in the context of professional health in military personnel. Social Psychology and Society, 5(2), 50–70. (in Russ.).
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