Acil Servis Hekimlerinin Malpraktis Korkusu ile İş Tatmini Arasındaki İlişkinin İncelenmesi

Derya Can, Nükhet Bayer
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Abstract

Background: The number of physicians sued for malpractice is increasing, and this situation causes a fear of malpractice in physicians. The aim of this study is to determine the malpractice fear and the level of job satisfaction among emergency physicians and to examine the relationship between these factors. Materials and methods: This cross-sectional study has been conducted with emergency physicians at four different training and research hospitals in Ankara, Türkiye. Malpractice fear and job satisfaction have been evaluated with Malpractice Fear Scale (MFS) and Job Satisfaction Scale (JSS). Questionnaire method was used in the study. Results: The research has been completed with 143 physicians [mean age: 33.10±7.0 years, age range: 24-51 years, male: 107 (74.8%)]. It was found that 19.5% of the participants were reported for malpractice, 11.8% were sued, and no one was penalized. It has been determined that the participants scored 3.6±0.9 points on the MFS and 2.4±0.7 points on the JSS in 1-5 point range. A negative, moderate, and statistically significant correlation has been found between the MFS and the JSS (r= -0.551; p<0.01). Conclusion: In our study, it has been found that emergency physicians have a high level of malpractice fear and a low level of job satisfaction. There is no statistically significant difference in the level of malpractice fear and job satisfaction according to the sociodemographic characteristics of the participants. Increased fear of malpractice decreases the job satisfaction.
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背景:医生因玩忽职守被起诉的人数正在增加,这种情况导致医生对玩忽职守的恐惧。本研究旨在探讨急诊医师的医疗事故恐惧与工作满意度,并探讨两者之间的关系。材料和方法:这项横断面研究是在土耳其安卡拉四家不同培训和研究医院的急诊医生中进行的。采用医疗事故恐惧量表(MFS)和工作满意度量表(JSS)对医疗事故恐惧和工作满意度进行评价。本研究采用问卷调查法。结果:共完成研究的医师143人[平均年龄33.10±7.0岁,年龄范围24 ~ 51岁,男性107人(74.8%)]。调查发现,19.5%的参与者被举报玩忽职守,11.8%的参与者被起诉,没有人受到处罚。在1-5分的范围内,参与者的MFS得分为3.6±0.9分,JSS得分为2.4±0.7分。MFS与JSS呈负、中度、统计学显著相关(r= -0.551;p < 0.01)。结论:本研究发现急诊医师对医疗事故的恐惧程度较高,而工作满意度较低。根据被试的社会人口学特征,医疗事故恐惧与工作满意度的差异无统计学意义。对医疗事故的恐惧增加会降低工作满意度。
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