Assessment of the relation of violence and burnout among physicians working in the emergency departments in Turkey

Erdur, Bulent; Erg�n, Ahmet; Yuksel, Aykut; T�rk��er, �brahim; Ayrik, Cuneyt; Boz, Bora

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Assessment of the relation of violence and burnout among physicians working in the emergency departments in Turkey [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2015; 21(3): 175-181 | DOI: 10.5505/tjtes.2015.91298

Assessment of the relation of violence and burnout among physicians working in the emergency departments in Turkey

Bulent Erdur¹, Ahmet Erg�n², Aykut Yuksel⁵, �brahim T�rk��er¹, Cuneyt Ayrik⁴, Bora Boz³
¹Department Of Emergency Medicine, Pamukkale University, Medical Faculty, Denizli, Turkey
²Department Of Public Health, Pamukkale University, Medical Faculty, Denizli, Turkey
³Department Of Forensic Medicine, Pamukkale University, Medical Faculty, Denizli, Turkey
⁴Department Of Emergency Medicine, Mersin University, Medical Faculty, Denizli, Turkey
⁵Emergency Service, Goztepe Training And Research Hospital, Istanbul, Turkey

BACKGROUND: Violence and burnout are frequently seen among medical doctors; however, the relation is not clear. This study aimed to assess the violence and its possible effects on burnout in physicians working in emergency units.
METHODS: This cross-sectional study targeted all physicians working in the emergency units of Pamukkale University Hospital, County and City Hospitals, 112 Emergency Services, and Private Hospitals in Denizli. Data were obtained by means of a self-administered questionnaire that consisted of questions on the demographics of the participants, Turkish version of the Maslach Burnout Inventory, and of the perpetrators of violence. What was also documented on the questionnaire was whether participants had been subjected to or had witnessed any verbal or physical violence during the previous one month of emergency physicians� certification program.
RESULTS: A total of one hundred and seventy-four physicians were included into the study (85% of the targeted group). Many of the participants were between 24 and 59 years of age, with a mean age of 36.8�5.8 years. Married male doctors working in the City Hospital made up the majority. There were significant associations between emotional exhaustion and total violence (p=0.012) and verbal violence (p=0.016); depersonalization and total violence (p=0.021) and verbal violence (p=0.012).
CONCLUSION: The results presented here indicated that there was a strong relation between burnout and violence experienced by physicians working in emergency units. Violence in the emergency department has a substantial effect on the physicians� well-being.

Keywords: Burnout, emergency department, emergency physician, emergency physician wellness; violence.

T�rkiye�de acil servislerde �al��an hekimler aras�nda �iddet ve t�kenmi�lik ili�kisinin de�erlendirilmesi

Bulent Erdur¹, Ahmet Erg�n², Aykut Yuksel⁵, �brahim T�rk��er¹, Cuneyt Ayrik⁴, Bora Boz³
¹Pamukkale �niversitesi T�p Fak�ltesi, Acil T�p Anabilim Dal�, Denizli
²Pamukkale �niversitesi T�p Fak�ltesi, Halk Sa�l�� Anabilim Dal�, Denizli
³Pamukkale �niversitesi T�p Fak�ltesi, Adli T�p Anabilim Dal�, Denizli
⁴Mersin �niversitesi T�p Fak�ltesi, Acil T�p Anabilim Dal�, Mersin
⁵G�ztepe E�itim Ve Ara�t�rma Hastanesi, Acil Servisi, �stanbul

AMA�: �iddet ve t�kenmi�lik hekimler aras�nda s�k g�r�lmektedir ancak ili�kileri a��k de�ildir. Acil �nitelerinde �al��an hekimlerde �iddeti ve t�kenmi�lik �zerindeki muhtemel etkilerini de�erlendirmeyi ama�lad�k.
GERE� VE Y�NTEM: Bu kesitsel �al��maya Denizli Pamukkale �niversitesi Hastanesi, il, il�e hastaneleri, 112 Acil Servis ve �zel hastanelerin acil birimlerde �al��an t�m hekimler al�nd�. Veriler, kat�l�mc�lar�n kendi kendilerine uygulad�klar� Maslach T�kenmi�lik �l�e�inin T�rk�e versiyonu, �iddetin failleri ve demografik bilgiler hakk�ndaki sorulardan olu�an bir anket vas�tas�yla elde edildi. Ayr�ca kat�l�mc�lar�n acil hekimi sertifika program�ndan �nceki bir ay boyunca maruz kald�� veya tan�kl�k etti�i herhangi bir s�zl� ya da fiziksel �iddet ankette soruldu.
BULGULAR: �al��maya toplam 174 hekim (hedef grubun %85) al�nd�. Kat�l�mc�lar�n �o�u 24 ve 59 ya� aral��nda, ortalama ya� 36.8�5.8 y�l idi. �ehir merkezindeki hastanede �al��anlar�n �o�unlu�unu evli erkek hekimler olu�turmaktayd�. Duygusal t�kenme, toplam �iddet (p=0.012) ve s�zel �iddet (p=0.016) aras�nda; duyars�zla�ma, toplam �iddet (p=0.021) ve s�zel �iddet (p=0.012) aras�nda anlaml� bir ili�ki vard�.
TARTI�MA: Elde etti�imiz sonu�lar, acil birimlerinde �al��an hekimlerin ya�ad�� t�kenmi�lik ve �iddet aras�nda g��l� bir ili�kinin oldu�unu g�stermektedir. Acil servisteki �iddet, hekimlerin refah� �zerinde �nemli bir etkiye sahiptir.

Anahtar Kelimeler: Acil hekimi, acil hekimi sa�l�kl� ya�am, acil t�p; �iddet; t�kenmi�lik.

Bulent Erdur, Ahmet Erg�n, Aykut Yuksel, �brahim T�rk��er, Cuneyt Ayrik, Bora Boz. Assessment of the relation of violence and burnout among physicians working in the emergency departments in Turkey. Ulus Travma Acil Cerrahi Derg. 2015; 21(3): 175-181

Corresponding Author: �brahim T�rk��er, T�rkiye
Manuscript Language: English

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