TIBBIYOT XODIMLARIDA KASBIY STRESSNING BEMOR BILAN MULOQOT SIFATIGA TAʼSIRI
Keywords:
Kalit soʻzlar: aloqa sifati, emotsional charchash, nevrologiya boʻlimi, parametrik boʻlmagan taqqoslash, smenaviy yuklama, shifokor-bemor suhbatiAbstract
Annotatsiya. Maqsad — nevrologiya boʻlimida ishlovchi tibbiyot xodimlarida
kasbiy stress bilan bemor bilan muloqot sifati oʻrtasidagi bogʻliqlikni aniqlash.
Metodlar — ikki oylik kuzatuvda 120 nafar xodim tekshirildi; ular orasida 60 nafar
pastroq stressli va 60 nafar yuqoriroq stressli guruh mavjud edi. Baholashda kasbiy
zoʻriqish darajasi, bemor bilan kommunikativ sifat hamda ish smenasiga bogʻliq
yuklama qayd etildi; maʼlumotlar tavsifiy statistika, parametrik boʻlmagan taqqoslash
testlari va korrelyatsion tahlil orqali ishlov berildi. Natijalar — stress ballari yuqori
boʻlgan xodimlarda bemor bilan muloqot sifati ancha pasaygan, guruhlar orasidagi farq
p=0,004 va p<0,006 darajasida ishonchli chiqdi. Kasbiy stress bilan kommunikativ
sifat oʻrtasida ijobiy yoʻnalishdagi emas, balki salbiy bogʻliqlik aniqlandi,
korrelyatsiya r=0,31 va tushuntirilgan dispersiya R²=0,37 bilan ifodalandi. Natijalar
nevrologik amaliyotda emotsional charchash kuchaygan sari bemor bilan suhbatning
aniqligi, tinglash sabri va axborot uzatish barqarorligi pasayishini koʻrsatdi. Xulosa —
kasbiy stressni kamaytirish bemor bilan muloqot sifatini saqlashga xizmat qiladi; ilmiy
hissa sifatida nevrologiya boʻlimlari uchun kommunikativ xavfni erta aniqlashga
moʻljallangan baholash yoʻnalishi taklif qilindi.
References
FOYDALANILGAN ADABIYOTLAR ROʻYXATI
1. Maslach C., Jackson S.E., Leiter M.P. Maslach Burnout Inventory Manual.
— 4th ed. — Menlo Park, CA: Mind Garden, 2018. — 94 p.
2. West C.P., Dyrbye L.N., Shanafelt T.D. Physician burnout: contributors,
consequences and solutions // Journal of Internal Medicine. — 2018. — Vol.283. —
№6. — P. 516-529. DOI: 10.1111/joim.12752
3. Shanafelt T.D., Boone S., Tan L. va boshq. Burnout and satisfaction with
work-life balance among US physicians relative to the general US population //
Archives of Internal Medicine. — 2012. — Vol.172. — №18. — P. 1377-1385. DOI:
10.1001/archinternmed.2012.3199
4. Hall L.H., Johnson J., Watt I., Tsipa A., OʻConnor D.B. Healthcare staff
wellbeing, burnout, and patient safety: a systematic review // PLOS ONE. — 2016. —
Vol.11. — №7. — P. e0159015. DOI: 10.1371/journal.pone.0159015
5. Panagioti M., Geraghty K., Johnson J. va boshq. Association Between
Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A
Systematic Review and Meta-analysis // JAMA Internal Medicine. — 2018. —
Vol.178. — №10. — P. 1317-1331. DOI: 10.1001/jamainternmed.2018.3713
6. Tawfik D.S., Profit J., Morgenthaler T.I., Satele D.V., Sinsky C.A., Dyrbye
L.N., Tutty M.A., Shanafelt T.D. Physician Burnout, Well-being, and Work Unit
Safety Grades in Relationship to Reported Medical Errors // Mayo Clinic Proceedings.
— 2018. — Vol.93. — №11. — P. 1571-1580. DOI: 10.1016/j.mayocp.2018.05.014
7. Dyrbye L.N., Shanafelt T.D., Johnson P.O., Johnson L.A., Satele D.V., West
C.P. A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses // BMC Nursing. — 2019. — Vol.18. —
№1. — P. 57. DOI: 10.1186/s12912-019-0381-9
8. Rotenstein L.S., Torre M., Ramos M.A., Rosales R.C., Guille C., Sen S., Mata
D.A. Prevalence of Burnout Among Physicians: A Systematic Review // JAMA. —
2018. — Vol.320. — №11. — P. 1131-1150. DOI: 10.1001/jama.2018.12777
9. Woo T., Ho R., Tang A., Tam W. Global prevalence of burnout symptoms
among nurses: A systematic review and meta-analysis // Journal of Psychiatric
Research. — 2020. — Vol.123. — P. 9-20. DOI: 10.1016/j.jpsychires.2020.01.013
10. Khamisa N., Peltzer K., Oldenburg B. Burnout in relation to specific
contributing factors and health outcomes among nurses: a systematic review //
International Journal of Environmental Research and Public Health. — 2013. —
Vol.10. — №6. — P. 2214-2240. DOI: 10.3390/ijerph10062214
11. Montgomery A., Panagopoulou E., Esmail A., Richards T., Maslach C.
Burnout in healthcare: the case for organisational change // BMJ. — 2019. — Vol.366.
— P. l4774. DOI: 10.1136/bmj.l4774
12. Shanafelt T.D., West C.P., Sinsky C., Trockel M., Tutty M., Satele D.V.,
Carlasare L.E., Dyrbye L.N. Changes in Burnout and Satisfaction With Work-Life
Integration in Physicians and the General US Working Population Between 2011 and
2017 // Mayo Clinic Proceedings. — 2019. — Vol.94. — №9. — P. 1681-1694. DOI:
10.1016/j.mayocp.2018.10.023
13. Dyrbye L.N., West C.P., Sinsky C.A., Goeders L.E., Satele D.V., Shanafelt
T.D. Medical licensure questions and physician reluctance to seek care for mental
health conditions // Mayo Clinic Proceedings. — 2017. — Vol.92. — №10. — P. 1486-
1493. DOI: 10.1016/j.mayocp.2017.06.020
14. West C.P., Dyrbye L.N., Erwin P.J., Shanafelt T.D. Interventions to prevent
and reduce physician burnout: a systematic review and meta-analysis // The Lancet. —
2016. — Vol.388. — №10057. — P. 2272-2281. DOI: 10.1016/S0140-
6736(16)31279-X
15. Panagioti M., Panagopoulou E., Bower P. va boshq. Controlled Interventions
to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis // JAMA
Internal Medicine. — 2017. — Vol.177. — №2. — P. 195-205. DOI:
10.1001/jamainternmed.2016.7674
16. Shanafelt T.D., Noseworthy J.H. Executive Leadership and Physician Well-
being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout //
Mayo Clinic Proceedings. — 2017. — Vol.92. — №1. — P. 129-146. DOI:
10.1016/j.mayocp.2016.10.004
17. Dyrbye L.N., Shanafelt T.D., Sinsky C.A., Cipriano P.F., Bhatt J., Ommaya
A., West C.P. Burnout Among Health Care Professionals: A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care // NAM
Perspectives. — 2017. — P. 1-12. DOI: 10.31478/201707b
18. Shanafelt T.D., Goh J., Sinsky C. The Business Case for Investing in
Physician Well-being // JAMA Internal Medicine. — 2017. — Vol.177. — №12. —
P. 1826-1832. DOI: 10.1001/jamainternmed.2017.4340
19. Khamisa N., Oldenburg B., Peltzer K., Ilic D. Work related stress, burnout,
job satisfaction and general health of nurses: a follow-up study // International Journal
of Nursing Practice. — 2015. — Vol.21. — №6. — P. 798-807. DOI:
10.1111/ijn.12396
20. Aiken L.H., Sloane D.M., Bruyneel L. va boshq. Nurse staffing and
education and hospital mortality in nine European countries: a retrospective
observational study // The Lancet. — 2014. — Vol.383. — №9931. — P. 1824-1830.
DOI: 10.1016/S0140-6736(13)62631-8
21. Dyrbye L.N., West C.P., Satele D., Boone S., Tan L., Sloan J., Shanafelt
T.D. Burnout among U.S. medical students, residents, and early career physicians
relative to the general U.S. population // Academic Medicine. — 2014. — Vol.89. —
№3. — P. 443-451. DOI: 10.1097/ACM.0000000000000134
22. Shanafelt T.D., Hasan O., Dyrbye L.N., Sinsky C., Satele D., Sloan J., West
C.P. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and
the General US Working Population Between 2011 and 2014 // Mayo Clinic
Proceedings. — 2015. — Vol.90. — №12. — P. 1600-1613. DOI:
10.1016/j.mayocp.2015.08.023
