Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Süleyman Demirel Üniversitesi Tıp Fakültesi Öğrencilerinde Tükenmişlik ve Kaygı Düzeylerinin Değerlendirilmesi
Evaluation of Burnout and Anxiety Levels in Süleyman Demirel University Faculty of Medicine Students
Hande Nur EROĞLUa, Murat DÜNDARa, Ahmet Nesimi KİŞİOĞLUa
aSüleyman Demirel Üniversitesi Tıp Fakültesi, Halk Sağlığı ABD, Isparta, TÜRKİYE
Turkiye Klinikleri J Med Sci. 2020;40(2):175-82
doi: 10.5336/medsci.2019-71759
Article Language: TR
Full Text
ÖZET
Amaç: Tıp fakültesi 1 ve 6. sınıf öğrencilerinde tükenmişlik ve kaygı düzeylerini ve bunların sosyodemografik değişkenlerle olan ilişkisini göstermektir. Gereç ve Yöntemler: 2019 yılında gerçekleştirilen kesitsel tipteki bu çalışmanın evreni, Isparta Süleyman Demirel Üniversitesi Tıp Fakültesinde 2018-2019 eğitim öğretim yılında öğrenim gören 6. sınıf (n=224) ve 1. sınıf (n=311) öğrenciler tarafından oluşturuldu (toplam n=535). Bulgular: Araştırma grubunun Beck Anksiyete Ölçeği toplam puanı ortalaması 12,3±9,1 olarak hesaplanırken, Maslach Tükenmişlik Envanteri-Genel Formu alt ölçek puanlarının ortalaması; duygusal tükenme için 14,7±4,3, duyarsızlaşma için 9,6±3,3, kişisel başarı alt ölçeği için ise 19,5±4,4 olarak hesaplandı. Çok değişkenli analiz sonuçlarına göre; kadın cinsiyet, 1. sınıf öğrencisi olmak, bölümde kendini başarılı bulmamak, sosyal aktivitelere katılma durumunu yetersiz bulmak, sağlık durumunun kötü ve orta olması anksiyete puanını artıran istatistiksel olarak anlamlı prediktif faktörlerdi. Altıncı sınıf öğrencisi olmak, meslek tercihinde etkili faktörün kendi isteği olmaması ve diğer faktörlerin etkin olması, bölümün öğrencinin yapısına uygun olmaması, bölümünü değiştirme ve mümkün olsa mesleğini başka ülkede yapma isteğinin olması, sağlık durumunun kötü ve orta olması duygusal tükenmişlik puanını artıran anlamlı faktörlerdi. Yine kişinin 6. sınıf öğrencisi olması, meslek tercihinde etkili faktörün kendi isteği olmaması, meslekten beklentisinin insanlara faydalı olmak ve bu meslekte yükselmek olmaması, bölümünü değiştirme isteğinin olması duyarsızlaşma puanını artıran anlamlı faktörlerdi.Bölümün öğrencinin yapısına uygun olması, bölümde kendini başarılı bulması ve meslekten beklentisinin insanlara faydalı olmak olması kişisel başarı puanını artıran prediktif faktörler olarak tanımlandı. Sonuç: Meslek tercihindeki etkili faktörler ve meslekten beklentiler kişinin kişisel başarısını, tükenmişlik düzeylerini ve anksiyetesini etkilemektedir.

Anahtar Kelimeler: Tükenmişlik; anksiyete; tıp öğrencileri
ABSTRACT
Objective: The aim of this study was to show the levels of burnout and anxiety among the first and sixth class students of medical school and their relationship with sociodemographic variables. Material and Methods: The universe of this cross-sectional study was conducted by 6th class (n=224) and 1st class (n=311) students studying at Isparta Süleyman Demirel University Faculty of Medicine in 2018- 2019 academic year (total n=535). Results: The mean Beck Anxiety total score of the research group was calculated as 12.3±9.1, while the mean score of Maslach Burnout Inventory-General Survey subscale scores; For emotional burnout, it was calculated as 14.7±4.3, 9.6±3.3 for depersonalization and 19.5±4.4 for personal success. According to multivariate analysis results; being a female gender, being a first year student, not finding him/herself successful in the department, finding his/her social status as inadequate, poor and moderate health status were statistically significant predictive factors. Being a sixth grader, not having the desire to be an effective factor in the choice of profession and other factors being effective, not being suitable for the structure of the student, having the desire to change the department and if possible to do the profession in another country, having a bad and medium health status were significant factors that increased emotional burnout score. The fact that being a sixth grade student, that the effective factor in his choice of profession was not his/her own desire, that his expectations from the profession were beneficial to the people and that he did not rise in this profession, the desire to change his department were significant factors that increased the depersonalization score. The fact that the department is suitable for the structure of the student, finding himself/herself successful in the department and being beneficial to the people from the profession is defined as predictive factors that increase the personal success score. Conclusion: The factors affecting their choices of profession and their expectations from the profession affect the personal success, burnout levels and anxiety.

Keywords: Burnout; anxiety; medical students
REFERENCES:
  1. Freudenberger HJ. Staff burn‐out. J Soc Issues. 1974;30(1):159-65. [Crossref] 
  2. Spickard Jr A, Gabbe SG, Christensen JF. Mid-career burnout in generalist and specialist physicians. JAMA. 2002;288(12):1447-50. [Crossref]  [PubMed] 
  3. Mazurkiewicz R, Korenstein D, Fallar R, Ripp J. The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study. Psychol Health Med. 2012;17(2):188-95. [Crossref]  [PubMed] 
  4. Küey L, Üstün T, Güleç C. [A review of research studies on the epidemiology of mental disorders in Turkey]. Toplum ve Hekim. 1987;44(6):16-30.
  5. Mayda A, Yılmaz M, Filiz B, Deler M, Demir H, Doğru M, et al. [A research on the anxiety about future in medical classes 4, 5, 6 of a university]. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2014;4(3):7-13.
  6. Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013;10(4):242-5. [Crossref]  [PubMed] 
  7. Beck AT, Epstein N, Brown G, Ster RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Phychol. 1988;56(6):893-7. [Crossref]  [PubMed] 
  8. Partlak Günüşen N, Üstün B. [Burnout in the nurses and doctors working in secondary healthcare services in Turkey: a literature review]. DEUHYO ED. 2010;3(1):40-51.
  9. Şahin A. Sağlık Çalışanlarının Prsikolojik Sağlığı ve Etkileyen Faktörler. Ankara: Sağlık Çalışanlarının Sağlığı 1. Ulusal Kongresi; 1999. p.80.
  10. Topak OZ, Karan CB, Toktaş SN, Gündoğmuş SZ, Özdel O. [The comparison of burnour levels in a group of medical students in the learnings process: does the process of medical education change the burnout levels]. Klinik Psikiyatri. 2015;18:90-6.
  11. Gündüz B, Çapri B, Gökçakan Z. [Examination of the relationships between job burnout, job integration and job satisfaction]. Eğitim Bilimleri Araştırmaları Dergisi. 2013;3(1):29-49. [Crossref] 
  12. Ergin C. Burnout in doctor and nurses and adaptation of Maslach Burnout Inventory. In Ankara: VII. National Psychology Congress, 1992. p.143-4.
  13. Çapri B, Gündüz B, Gökçakan Z. [Maslach burnout ınventory-student form (MTE-OF) adapting to Turkish: validity and reliability study]. Cukurova University Faculty of Education Journal. 2011;40(1).
  14. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of Cognitive Psychotherapy. 1998;12(2):163-72.
  15. Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. J R Soc Med. 1998;91(5):237-43. [Crossref]  [PubMed]  [PMC] 
  16. Willcock SM, Daly MG, Tennant CC, Allard BJ. Burnout and psychiatric morbidity in new medical graduates. Med J Aust. 2004;181(7):357-60. [Crossref]  [PubMed] 
  17. Yeniocak Tunç A, Yapıcı G. [Evaluation of student's depression, anxiety and stress levels in a medival faculty]. Turk J Public Health. 2019;17(2):153-68. [Crossref] 
  18. Canbaz S, Sünter AT, Aker S, Pekşen Y. [The anxiety level of the interns in a medical faculty and affecting factors]. Journal of General Me-dicine. 2007;17(1):15-9.
  19. Aslan D, Kiper N, Karaağaoğlu E, Topal F, Güdük M, Cengiz ÖS. Türkiye'de Tabip Odalarına Kayıtlı Olan Bir Grup Hekimde Tükenmişlik Sendromu ve Etkileyen Faktörler. Ankara: Türk Tabipleri Birliği Yayınları; 2005. p.65.
  20. Dyrbye LN, Thomas MR, Huntington JL, Lawson KL, Novotny PJ, Sloan JA, et al. Personal life events and medical student burnout: a multicenter study. Acad Med. 2006;81(4):374-84. [Crossref]  [PubMed] 
  21. Sevencan F, Uzun N, Yücel EH, Şener A, Yılmaz AE, Üner S. [Burnout level of sixth grade students at Hacettepe University Faculty of Medicine and affecting factors]. Hacettepe Tıp Dergisi. 2011;42(1):42-8.
  22. Armutlukuyu M. [Evaluation of burnout levels in faculty and research assistants working in medical faculties]. Genel Tip Dergisi. 2013; 23(4).
  23. Oğuzberk M, Aydın A. [Burnout in mental health workers]. Klinik Psikiyatri. 2008;11:167-79.
  24. Ardiç K, Polatci S. [Emotional exhaustion: an application to academic personal (the case of Gazi Osman Pasa University]. Gazi Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2008;10(2):69-96.
  25. Karaoglu N, Şeker M. Anxiety and depression in medical students related to desire for and expectations from a medical career. West Indian Med J. 2010;59(2):196-202.

.: Up To Date

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com