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E. V. Sinbukhova, A. N. Zankovsky, D. N. Protsenko, N. I. Sinbukhova, VIGILANCE IN MEDICAL DECISION MAKING AND BURNOUT IN DOCTORS

Журнал » Journal_eng » Journal 33 : E. V. Sinbukhova, A. N. Zankovsky, D. N. Protsenko, N. I. Sinbukhova, VIGILANCE IN MEDICAL DECISION MAKING AND BURNOUT IN DOCTORS
    Views: 521

UDC 159.9.07

DOI 10.25688/2223-6872.2020.33.1.05

 

VIGILANCE IN MEDICAL DECISION MAKING AND BURNOUT IN DOCTORS

 

E. V. Sinbukhova,

N. N. Burdenko NMRCN, Moscow, ESinbukhova@nsi.ru

A. N. Zankovsky,

IP RAS, Moscow,

azankovsky@gmail.com,

D. N. Protsenko,

N. I. Pirogov MU, Moscow, ProtsenkoDN@zdrav. mos.ru

N. I. Sinbukhova,

CP JSC «Russian Railways», Moscow

 

Anesthesiology and intensive care are the most stressful medical disciplines, subjecting physicians to high responsibility daily in stressful situations such as managing life-threatening scenarios. The aim of the study: to study the effect of burnout on vigilance in decision-making among intensive care physicians and anesthe­siologists. This study involves 280 physicians (including 140 anesthesiologists, 140 intensive care physicians). Maslach Burnout Inventor (MBI), Melbourne decision making questionnaire (MDMQ), L. Mann, P. Burnett, M. Radford, S. Ford — is a personality questionnaire aimed at diagnosing individual decision-making style. The questionnaire is the result of an approbation of the earlier questionnaire Flinders' Decision Making Questionnaire (DMQ) (to the Russian language it was validated by T. V. Kornilova).

According to the MBI high burnout scores of all three subscales have anesthesiologists and intensive care physicians. High rates of emotional exhaustion, depersonalization and reduction of professional achievements have anesthesiologists, intensive care physicians respectively.

Regression analysis confirms in anesthesiologists, emotional exhaustion has a significant relationship with on vigilance in decision-making and procrastination. In intensive care physicians, emotional exhaustion has a significant relationship with on vigilance in decision-making, and the reduction of professional achievements with procrastination. However, it should be noted that vigilance in decision-making and procrastination cannot be explained only by emotional exhaustion and reduction.

Conclusion intensive care physicians and anesthesiologists maintain an adequate level of vigilance in deci­sion-making despite the high prevalence of burnout and depression.

 

Keywords: stress; fatigue; burnout; emotional exhaustion; medical staff; doctors; procrastination; decision making; vigilance.

For citation: Sinbukhova E. V, Zankovsky А. N., Protsenko D. N., Sinbukhova N. I. Vigilance in Medi­cal Decision Making and Burnout in Doctors // Systems Psychology and Sociology. 2020. № 1 (33). P. 64-73. DOI: 10.25688/2223-6872.2020.33.1.05

 

Sinbukhova Elena Vasilyevna, Medical Psychologist, Neuropsychologist at the N. N. Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia. E-mail: ESinbukhova@nsi.ru

 

Zankovsky Anatoly Nikolayevich, Doctor of Psychological Sciences, Professor, Head of the Laboratory of Labour Psychology, Ergonomics, Engineering and Organizational Psychology at the Institute of Psychology of the Russian Academy of Sciences, Moscow, Russia.

E-mail: azankovsky@gmail.com

 

Protsenko Denis Nikolaevich, PhD in Medicine, Chief physician of the City Clinical Hospital № 40 of the Moscow Healthcare Department, Assosiate Professor at the Department of Anaesthesiology and Critical Care Medicine of the N. I. Pirogov Medical University, Moscow, Russia.

E-mail: ProtsenkoDN@zdrav.mos.ru

 

Sinbukhova Nadezhda Ivanovna,, Neurologist at the Central Polyclinic JSC «Russian Railways (RZhD)», Moscow, Russia.

 

 

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