Wisdom as a Factor in Preventing Emotional Burnout among Medical Professionals
- Authors: Mekhtikhanova N.N.1, Murzina J.S.2, Rusakova J.E.2
-
Affiliations:
- Yaroslavl Demidov State University
- Tyumen State University
- Issue: Vol 17, No 4 (2020): Contemporary Positive Psychology in Russia and in the World
- Pages: 685-704
- Section: POSITIVE PSYCHOLOGY: COGNITION AND EDUCATION
- URL: https://journals.rudn.ru/psychology-pedagogics/article/view/25372
- DOI: https://doi.org/10.22363/2313-1683-2020-17-4-685-704
Cite item
Full Text
Abstract
The authors of this article examine wisdom as an internal resource in a sample of medical workers that can prevent the development of unhealthy deviations and preserve professional and life longevity. The aim of this work was to study the relationship between wisdom and emotional burnout in medical personnel. The article provides a theoretical analysis of the study of emotional burnout in medical workers, offers a description of the phenomenon of wisdom, and describes foreign empirical research on wisdom in the medical field. To collect data, the authors used The Level of Wisdom Questionnaire by N.N. Mehtikhanova and The Inventory for Diagnosing Emotional Burnout by V.V. Boyko. An empirical study conducted with 184 employees of the Tyumen Regional Clinical Hospital found signs of emotional burnout in 53.8% of the respondents. A comparison of groups of the surveyed medical workers having different levels of emotional burnout revealed significant differences in terms of wisdom. A correlation analysis showed a negative relationship between wisdom and emotional burnout of the medical personnel ( rs = -0.48, p < 0.001). A comparison between the groups of male and female respondents showed significant differences in terms of wisdom ( U = 1267.50, p = 0.016) and in terms of emotional burnout ( U = 1253.00, p = 0.013): wisdom was higher in the group of men, while emotional burnout was higher in the group of women. A pairwise comparison using the Mann - Whitney U -test revealed differences in wisdom between the groups of junior medical personnel and managers ( U = 31.00, p = 0.007) as well as between the groups of nurses and managers ( U = 326.00, p < 0.001). Wisdom in both cases was higher for the group of managers. In sum, results of this study found that wisdom helps medical personnel resist burnout syndrome. The formation of this quality will help medical workers to better preserve their mental health and professional longevity.
About the authors
Natalya N. Mekhtikhanova
Yaroslavl Demidov State University
Author for correspondence.
Email: natnik1@list.ru
Ph.D. in Psychology, is Associate Professor of the General Psychology Department
14 Sovetskaya St, Yaroslavl, 150003, Russian FederationJulia S. Murzina
Tyumen State University
Email: j.s.murzina@yandex.ru
Ph.D. in Psychology, is Associate Professor of Department of General and Social Psychology
6 Volodarsky St, Tyumen, 625003, Russian FederationJulia E. Rusakova
Tyumen State University
Email: yuliya-rus@mail.ru
student of the professional retraining program “Practical Psychologist” at the Institute of Psychology and Pedagogy of Tyumen State University; HR specialist of the Personnel Management Department of the Regional Clinical Hospital
6 Volodarsky St, Tyumen, 625003, Russian FederationReferences
- Abdullayeva, M.M. (2013). Personal and organizational resources for prevention of burnout of hospice medical workers. In V.V. Lukyanov, A.B. Leonova, A.A. Oboznov, A.S. Chernyshev, & N.E. Vodopyanova (Eds.), Burnout and professionalization (pp. 269–294). Kursk: Kursk State University Publ. (In Russ.)
- Ardelt, M. (2003). Empirical assessment of a three-dimensional wisdom scale. Research on Aging, 25(3), 275–324. https://doi.org/10.1177/0164027503025003004
- Baltes, P.B., & Smith, J. (2008). The Fascination of Wisdom: Its Nature, Ontogeny, and Function. Perspectives on Psychological Science, 3(1), 56–64. https://doi.org/10.1111/j.1745-6916.2008.00062.x
- Bektasova, M.V., Kaptsov, V.A., & Sheparev, A.A. (2016). Prevalence and characteristics of the “emotional burnout” syndrome in medical personnel of oncological and phthisiological institutions of the Primorsky territory. Hygiene and Sanitation, (5), 60–62. (In Russ.)
- Benner, P. (2000). The wisdom of our practice. American Journal of Nursing, 100(10), 99–105. https://doi.org/10.2307/3522335
- Borisova, O.N., Tokarev, A.R., & Troitsky, M.S. (2019). Professional stress in doctors (a brief review of domestic literature). Bulletin of New Medical Technologies. Journal of New Medical Technologies, (6). (In Russ.) https://doi.org/10.24411/2075-4094-2019-16569
- Boyko, V.V. (1999). Burnout syndrome in professional communication. Saint Petersburg: Piter Publ. (In Russ.)
- Budziński, W., Walkiewicz, M., & Tartas, M. (2018). The system of values and styles of success in the medical career: A longitudinal study. International Journal of Occupational Medicine and Environmental Health, 31(6), 823–835. https://doi.org/10.13075/ijomeh.1896.01298
- Byyny, R.L., Papadakis, M.A., & Paauw D.S. (Eds.). (2017). Medical professionalism: Best practices. Menlo Park, CA: Alpha Omega Alpha Honor Medical Society. Retrieved from http://alphaomegaalpha.org/pdfs/2015MedicalProfessionalism.pdf
- Christley, Y., McMillan, L., McCallum, L., & O’Neill, A. (2012). Practical wisdom in nursing practice: A concept analysis. Retrieved from https://www.rcn.org.uk/__data/assets/pdf_file/0010/445816/Research2012Mo15.pdf
- Chutko, L.S., & Kozina, N.V. (2013). Emotional burnout Syndrome. Clinical and psychological aspects. Moscow: Medpress-inform Publ. (In Russ.)
- Clouston, T.J. (2019). Pearls of wisdom: Using the single case study or gem to identify strategies for mediating stress and work-life imbalance in healthcare staff. Journal of Research in Nursing, 24(1–2), 61–72. https://doi.org/10.1177/1744987118809506
- Csikszentmihalyi, M., & Seligman, M.E. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14.
- Govorin, N.V., & Bodagova, E.A. (2016). Burnout syndrome in doctors. Orgzdrav: News. Opinions. Training. Bulletin VSHOUZ, 1(3), 98–106. (In Russ.)
- Haggerty, L.A., & Grace, P. (2008). Clinical wisdom: The essential foundation of “good” nursing care. Journal of Professional Nursing, 24(4), 235–240. https://doi.org/10.1016/j.profnurs.2007.06.010
- Hall, G.S. (1922). Senescence: The last half of life. New York: D. Appleton and Company.
- Kobyakova, O.S., Deev, I.A., Kulikov, E.S., Khomyakov, K.V., Tyufilin, D.S., Zagromova, T.A., & Balaganskaya, M.A. (2017). Professional burnout of doctors of various specialties. Healthcare of the Russian Federation, 61(6), 322–329. (In Russ.) http://dx.doi.org/10.18821/0044-197X-2017-61-6-322-329
- Kulatunga-Moruzi, C., & Norman, G.R. (2002). Validity of admissions measures in predicting performance outcomes: The contribution of cognitive and non-cognitive dimensions. Teaching and Learning in Medicine, 14(1), 34–42.
- Leontiev, D.A. (2011). Wisdom as an integral characteristic of personal potential. In D.A. Leontiev (Ed.), Personal potential: structure and diagnostics (pp. 92–106). Moscow: Smysl Publ. (In Russ.)
- Levey, J. & Levey, M. (2019). Mindful leadership for personal and organizational resilience. Clinical Radiology, 74, 739–745. https://doi.org/10.1016/j.crad.2019.06.026
- Lukyanov, V.V. (2008). Burnout Syndrome and its relationship with the personality structure of narcologists. In Modern problems of research of burnout syndrome in specialists of communicative professions (pp. 198–213). Kursk: Kursk State University Publ. (In Russ.)
- Mangione, S., Chakraborti, C., Staltari, G., Harrison, R., Tunkel, A.R., Liou, K.T., ... & Kahn M.J. (2018). Medical students’ exposure to the humanities correlates with positive personal qualities and reduced burnout: a multi-institutional US survey. Journal of General Internal Medicine, 33(5), 628–634. https://doi.org/10.1007/s11606-017-4275-8
- Matney, S.A., Brewster, P.J., Sward, K.A., Cloyes, K.G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6–18. https://doi.org/10.1097/ANS.0b013e3182071813
- Matney, S.A., Maddox, L.J., & Staggers, N. (2014). Nurses as knowledge workers: Is there evidence of knowledge in patient handoffs? Western Journal of Nursing Research, 36(2), 171–190. https://doi.org/10.1177/0193945913497111
- Mekhtikhanova, N.N. (2010). Wisdom as a scientific category. In Psychological research of intelligence and creativity: Proceedings of conference dedicated to the memory of Y.A. Ponomarev and V.N. Druzhinin (pp. 230–233). Moscow: Institute of Psychology RAS Publ. (In Russ.)
- Mekhtikhanova, N.N., & Smulson, M.L. (2013). Is wisdom a property of the elderly and the adapted? Bulletin of the Kostroma State University, (3), 36–40. (In Russ.)
- Murashkin M.S., & Sharshakova, T.M. (2020). Emotional burnout Syndrome in the professional activity of doctors. Health and Environmental Issues, 64(2), 119–123. (In Russ.)
- Oboznov A.A., & Dotsenko, O.N. (2013). Emotional orientation as a burnout factor. In V.V. Lukyanov, A.B. Leonova, A.A. Oboznov, A.S. Chernyshev, N.E. Vodopyanova (Eds.), Burnout and professionalization (pp. 164–178). Kursk: Kursk state University Publ. (In Russ.)
- Orel, V.E. (2005). Syndrome of mental burnout of the personality. Moscow: Institute of Psychology RAS Publ. (In Russ.)
- Pankova, S.N., Azarova, O.A., & Kumirova, O.A. (2019). Syndrome of emotional burnout in dentists. Scientific and Medical Bulletin of the Central Chernozem region, (76), 102–108. (In Russ.)
- Papagiannis, A. (2017). Eliot’s Triad: Information, Knowledge and Wisdom in Medicine. Hektoen International Journal of Medical Humanities. http://hekint.org/2017/01/29/eliots-triad-information-knowledge-and-wisdom-in-medicine/
- Polunina, O.V. (2013). On the relationship between professional burnout and work passion. In V.V. Lukyanov, A.B. Leonova, A.A. Oboznov, A.S. Chernyshev, & N.E. Vodopyanova (Eds.), Burnout and professionalization (pp. 255–269). Kursk: Kursk State University Publ. (In Russ.)
- Price, P.B., Lewis, E.G., Loughmiller, G.C., Nelson, D.E., Murray, S.L., & Taylor, C.W. (1971). Attributes of a good practicing physician. Academic Medicine, 46(3), 229–237.
- Rogers J.C., & Coutts, L. (2000). Do students' attitudes during preclinical years predict their humanism as clerkship students? Academic Medicine, 75(10), 74–77.
- Semenova, N.V., Vyaltsin, A.S., Avdeev, D.B., Kuzyukova, A.V., & Martynova, T.S. (2017). Emotional burnout in medical workers. Modern Problems of Science and Education, (2), 231–245. (In Russ.)
- Shih, E.C., Hou, W.L., Lin, P.L., Hsiao, S.M., Sun, C.A., Chou, Y.C., & Yang, T. (2016). Personal Characteristics, Workplace Stressors, and Occupational Burnout among Psychiatric Nurses in Southern Taiwan – A Cross-sectional Study. Nursing and Health, 4(2), 15–23. https://doi.org/10.13189/nh.2016.040201
- Smith, J.M. (2020). Surgeon Coaching: Why and How. Journal of Pediatric Orthopaedics, 40, 33–37. https://doi.org/10.1097/BPO.0000000000001541
- Vodopyanova, N.E. (2013). Theory and practice of countering burnout syndrome. In V.V. Lukyanov, A.B. Leonova, A.A. Oboznov, A.S. Chernyshev, & N.E. Vodopyanova (Eds.), Burnout and professionalization (pp. 294–324). Kursk: Kursk State University Publ. (In Russ.)
- Vodopyanova, N.E., & Shestakova, K.N. (2014). Positive approach to counteracting professional burnout. Modern Research on Social Problems, 3(35), 24. (In Russ.)
- Vodopyanova, N.E., & Starchenkova, E.S. (2005). Burnout Syndrome: Diagnostics and prevention. Saint Petersburg: Piter Publ. (In Russ.)
- Wang, L., Wang, H., Shao, S., Jia, G., & Xiang, J. (2020). Job Burnout on Subjective Well-Being Among Chinese Female Doctors: The Moderating Role of Perceived Social Support. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00435
- Zolotukhina, L.V., & Shadrina, I.V. (2007). Professional burnout syndrome in psychiatrists and medical staff of psychiatric institutions. In Problems of research of “burnout” syndrome and ways of its correction in specialists of “helping” professions (in medical, psychological and pedagogical practice) (pp. 62–65). Kursk: Kursk State University Publ. (In Russ.)
- Zykova, Z.N., & Gorbunova, L.A. (2016). Study of emotional burnout syndrome in a group of dentists. New Science: Strategies and Vectors of Development, 118(3), 71–74. (In Russ.)