Development of emotional burnout syndrome among medical workers of medical rehabilitation department as factor influencing patient-oriented model of medical care

BACKGROUND: Currently, much attention is given to the problem of emotional burnout among medical workers, since the psychological state of medical personnel has a key impact on the quality of medical care provided and patients’ satisfaction with their interaction with the healthcare system. AIM: To study the prevalence of emotional burnout syndrome (EBS) among medical personnel of a medical rehabilitation department and a probability of its Influence on the implementation of a patient-oriented model of medical care. METHODS: To achieve the set goal, an analysis of the development of EBS was conducted in a 24-hour inpatient medical rehabilitation department. Using V.V. Boyko's questionnaire, an anonymous survey of healthcare workers (n = 64) was conducted: 7 physicians, 45 mid-level and 12 junior medical workers. RESULTS: Analysis of the survey results revealed that 75.0% of healthcare workers had not yet developed EBS, 23.4% were in the stage of development, and 1.6% had developed it. Eighteen-point eight percent of healthcare workers had reached the resistance stage, characterized by inappropriate, selective emotional responses and a reduction in professional responsibilities. EBS was most evident (2.2%) among mid-level medical personnel, while physicians and junior medical personnel were more often in the stage of its development. The resistance stage was also more common (22.2%) among mid-level medical personnel. CONCLUSIONS: Manifestation of EBS in medical workers in the form of such symptoms as inappropriate selective emotional response, emotional withdrawal, partial reduction of professional responsibilities, can negatively affect the implementation of a patient-oriented model of medical care, and requires the development of measures aimed to provide psychological support primarily to the mid-level medical personnel, and EBS prophylaxis among all medical medical professionals of a medical rehabilitation department.