Family Medicine

More documents

Recommendations

Info

World Book of Family Medicine – European Edition 2015 Paperwork; feeling undervalued; long waits for accessing specialists, diagnostic tests, and community resources; difficult patients; obligation to undertake night shifts at the emergency departments of hospitals and medico legal issues are well known stressors of family practice. Unfortunately, workplace violence caused by patients and their relatives are increasing and this is another demotivating factor for the physicians. Measures to be taken improving skills and knowledge, improving conditions for work and rest, improvement of facilities and working conditions, increase in work motivation, changes in reward system, implementation of social programmes for self-protection, introduction of the system for psychosocial draining and stress relief after working day; improving organizational psychosocial atmosphere and recommendations to stop the development of burnout syndrome: ◦ introduction and implementation of new projects without waiting for the manager’s consent, ◦ maintenance of good health habits including provision for adequate sleep and nutrition, ◦ acquiring meditation skills, ◦ developing a satisfying social life, ◦ establishing contacts with some friends possibly from other professions, ◦ desire to achieve results without expecting to be always the best, ◦ ability to lose without the feeling of self-underestimation and aggressiveness, ◦ ability of self-assessment without thinking about the opinion of others, ◦ openness to new experiences, ◦ ability to provide sufficient time to achieve positive results in business and personal life, ◦ ability to take responsibility, ◦ to read literature not related to the profession, ◦ participation in seminars and conferences where there is a chance to meet new people and share experience with colleagues, ◦ occasionally working together with colleagues with whom you disagree in professional and/or private life, ◦ participation in the work of professional groups and thus have the opportunity to discuss personal problems connected with recommendations on the work, ◦ nurturing hobbies which bring joy and satisfaction (2). The American Association of Internist's proposed five basic measures which should be applied by every physician to prevent the development of burnout syndrome: 1. Care of yourself; first consider your own safety programme. Include fun or some other distraction in your work. When you are under stress, it is important to be with your family more than usual, and find time for your hobbies. 2. Define the boundaries/limits of your work, consider your practice and see where it is necessary to draw the line. Saying “no” to the patient and thus risk him leaving you and going to another doctor is healthier than constantly appeasing and satisfying unreasonable patient demands. 3. Determine methods for coping with stress. Select the person who you can confide in. If you don’t want to discuss your problems with your colleagues, contact old classmates, former professors or mentors. 4. Analyse yourself, figure out what your values and desires are, what your skills are and what you like doing and what you do not like or hate doing. Burning often results from the imbalance between desires, assessments and interest on the one hand and job requirements on the other. 5. Overcome the complex that others are always better than you and that this happens only to you. The physician’s job is very demanding and subject to constant changes. However, this happens in other professions as well. In order to be protected from the development of burnout syndrome the physician must develop skills which will help him/her to cope with constant change and to create the necessary defence mechanisms (6). 202
Take home messages World Book of Family Medicine – European Edition 2015 Burnout syndrome is characterized by mental or emotional exhaustion, fatigue and depression, with a greater emphasis on psychological rather than physical symptoms Job satisfaction is an important element; it should be seen as an action point for further research and intervention Not only individual but also organizational interventions should be developed to overcome the problem Original abstract http://www.woncaeurope.org/content/or1337-burn-out-and-job-satisfaction-among-turkish-family-physicians References 1. Lee FJ, Stewart M, Brown JB. Stress, burnout, and strategies for reducing them. What’s the situation among Canadian family physicians? Can Fam Physician 2008;54:234-5.e1-5 2. Stanetıć K, Tešanovıć G. Influence of age and length of service on the level of stress and burnout syndrome. Med Pregl 2013; 66(3-4): 153-162. 3. Soler JK, Yaman H, Esteva M, Dobbs F, Assenova RS, Katic M, et al. Burnout in European family doctors: the EGPRN study, Fam Pract 2008;25:245-65. 4. Maslach C, Goldberg J. Prevention of burnout: new perspectives. Appl Prev Psychol. 1998; 7: 63–74. 5. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001; 52: 397–422. 6. Zellars KL, Perrewé PL. Affective personality and the content of emotional social support: coping in organizations. J Appl Psychol 2001;86:459-67 203
Page 1 and 2:
The World Book of Family Medicine -
Page 3 and 4:
World Book of Family Medicine - Eur
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
The WP workshops on Ethics describe
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
References: World Book of Family Me
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Original Abstract World Book of Fam
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Original abstract World Book of Fam
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
References World Book of Family Med
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152: References World Book of Family Med
Page 153 and 154: World Book of Family Medicine - Eur
Page 193 and 194: Original abstract World Book of Fam
Page 201: World Book of Family Medicine - Eur
Page 253 and 254:
Page 255 and 256:
Page 257 and 258:
Page 259 and 260:
Page 261 and 262:
Page 263 and 264:
Page 265 and 266:
Page 267 and 268:
Page 269 and 270:
Page 271 and 272:
Page 273 and 274:
Page 275 and 276:
Page 277 and 278:
Page 279 and 280:
Page 281 and 282:
Page 283 and 284:
Page 285 and 286:
Page 287 and 288:
Quaternary Prevention rubric (www.p
Page 289 and 290:
Page 291 and 292:
Page 293 and 294:
Page 295 and 296:
Page 297 and 298:
Page 299 and 300:
Page 301 and 302:
Page 303 and 304:
Page 305 and 306:
Page 307 and 308:
Page 309 and 310:
Page 311 and 312:
Page 313 and 314:
show all

Family Medicine

Create successful ePaper yourself

Delete template?

Save as template?