Bir üniversite hastanesinde araştırma görevlisi hekimlerin geleceğe bakışının değerlendirilmesi
Küçük Resim Yok
Tarih
2025
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Necmettin Erbakan Üniversitesi, Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Araştırma görevlisi hekimler, uzmanlık eğitimleri süresince yoğun iş yükü, nöbet zorunlulukları ve stres gibi çeşitli zorluklarla karşılaşmaktadır. Sağlıkta şiddet, ekonomik belirsizlikler ve hekim göçü gibi faktörlerin, hekimlerin mesleki tatmini ve geleceğe bakış açıları üzerinde etkili olabileceği düşünülmektedir. Bu çalışmada, bir üniversite hastanesinde görev yapan araştırma görevlisi hekimlerin geleceğe dair bakış açılarının, iyimserlik ve kötümserlik düzeylerinin ve umut duygularının incelenmesi amaçlanmıştır.
Gereç ve yöntem: Bu araştırma, tanımlayıcı nitelikte olup evreni Necmettin Erbakan Üniversitesi (NEÜ) Tıp Fakültesi dahili ve cerrahi bölümlerinde görev yapan toplam 690 araştırma görevlisi hekim oluşturmaktadır. Gönüllük temelinde 274 araştırma görevlisi hekim çalışmaya dahil edilmiştir. Uygulanan anket formunun ilk bölümünde; sosyodemografik bilgi formu, ikinci bölümünde; Gelecek Vizyonları Ölçeği (GVÖ) yer aldı. Elde edilen veriler SPSS (Statistical Package for Social Sciences for Windows) 20.0 programı kullanılarak analiz edildi. p<0,05 değeri istatistiksel olarak anlamlı kabul edildi.
Bulgular: Çalışmaya katılan 274 araştırma görevlisi hekimlerin yaş ortalaması 28,46±2,89 yıl, (min=24; maks=42) %60,2’si erkek (n=165) idi. Katılımcıların %45,6’sı evli idi (n=125). Hekimlerin %69,7’si (n=191) dahili bölümlerde iken, %30,3’ü (n=83) cerrahi bölümlerde görev yapmaktaydı. Araştırma sonuçlarına göre, erkek araştırma görevlilerinin (10,39±4,36) kötümserlik alt boyut puanları kadınlar hekimlere (9,12±3,58) göre anlamlı düzeyde daha yüksek bulundu (p=0,012). 29 yaş ve üzeri hekimlerin (20,73±4,17), 29 yaş altı hekimlere göre (19,48±4,83) iyimserlik düzeyleri daha yüksek tespit edildi (p=0,028). Geliri giderinden az olan araştırma görevlilerinin (12,35±4,70) kötümserlik alt boyut puanları geliri giderine göre fazla araştırma görevlisi hekimlere (9,21±3,82) göre daha yüksekti. Geliri giderinden fazla olan hekimlerin (22,78±5,85) umut alt boyut puanları geliri giderinden az olan hekimlere 17,86±5,43) göre anlamlı derecede daha yüksek olduğu saptandı (sırasıyla p=0,012 p=0,006). Tıp fakültesini isteyerek seçen katılımcıların, kararsız veya isteyerek seçmeyen katılımcılara kıyasla iyimserlik alt boyut (sırasıyla 20,51±4,45, 18,44±3,27, 16,95±6,37) ve GVÖ toplam puanlarının (sırasıyla 64,00±10,98, 57,24±8,79, 56,10±17,22) anlamlı derecede daha yüksek olduğu, buna karşın kötümserlik alt boyut puanlarının (sırasıyla 9,12±3,73, 11,76±3,84, 11,60±4,82) istatistiksel olarak anlamlı düzeyde daha düşük olduğu tespit edildi (p<0,05). Üniversite tercihlerinde tıp fakültesi ilk tercihi olan katılımcıların kötümserlik alt boyut puanlarının (9,46±3,84), tıp fakültesi ilk tercihi olmayanlara (12,53±4,82) göre daha düşük olduğu saptandı (p=0,003). TUS’a girmeyi düşünmeyen hekimlerin kötümserlik alt boyut puanları (9,01±3,63), TUS’a girmeyi planlayan hekimlere (11,65±4,30) göre daha düşüktü ve istatistiksel olarak anlamlıydı (p<0,001). Katılımcılar arasında branş tercihi açısından farklılıklar gözlemlenmiş, özellikle branşları aile hekimi olan hekimlerin iyimserlik düzeylerinin (21,53±4,07) cerrahi branşlardaki asistanlara (19,35±4,21) kıyasla daha yüksek olduğu görüldü (p=0,019). Mesleki gelecek ile ilgili en büyük kaygının sağlık sistemindeki aksaklıklar olduğu saptandı (%59,5, n=163). Mesleki kaygı kaynağı olarak sağlık sistemindeki aksaklıkları belirten hekimler (19,47±4,59), hekimlere şiddeti belirten hekimlere (21,17±4,45) göre daha iyimserdi (p=0,048). Ayrıca, branş memnuniyeti ile GVÖ toplam puanı arasında pozitif yönde güçlü ve anlamlı bir korelasyon tespit edildi (r=0,556; p<0,001). GVÖ alt boyutları ile branş memnuniyeti arasındaki ilişkiler incelendiğinde, umut alt boyutunda pozitif yönde orta düzeyde anlamlı bir korelasyon (r=0,437; p<0,001), iyimserlik alt boyutunda pozitif yönde orta düzeyde anlamlı bir korelasyon (r=0,494; p<0,001) ve kötümserlik alt boyutunda negatif yönde orta düzeyde anlamlı bir korelasyon (r=-0,421; p<0,001) olduğu saptandı.
Sonuç: Araştırma sonuçları, araştırma görevlisi hekimlerin geleceğe yönelik bakış açılarının mesleki deneyimleri, ekonomik koşulları, çalışma ortamı ve sağlık sistemine dair algıları ile ilişkili olabileceğini göstermektedir. Mesleğe yönelik isteklilik, gelir durumu, branş seçimi ve kariyer planlamasının hekimlerin gelecek vizyonlarını ve psikolojik iyi oluşlarını etkileyebilecek faktörler arasında yer aldığı görülmüştür. Sağlık politikalarının, araştırma görevlisi hekimlerin mesleki tatminini ve psikolojik iyi oluşunu destekleyecek şekilde düzenlenmesi, onların geleceğe dair daha olumlu bir bakış açısı geliştirmelerine katkı sağlayabilir. Bu tür düzenlemeler, mesleki motivasyonu artırarak sağlık hizmetlerinin kalitesine de olumlu yansıyabilir.
Aim: Research assistant physicians face various difficulties such as intense workload, on-call obligations and stress during their speciality training. It is thought that factors such as violence in health, economic uncertainties and physician migration may have an effect on physicians' professional satisfaction and future perspectives. In this study, it was aimed to examine the future perspectives, optimism and pessimism levels and feelings of hope of research assistant physicians working in a university hospital. Materials and Methods: The population of this descriptive study consisted of 690 research assistant physicians working in the internal and surgical departments of Necmettin Erbakan University (NEU) Faculty of Medicine. On the basis of volunteerism, 274 research assistant physicians were included in the study. In the first part of the questionnaire form; sociodemographic information form, in the second part; Visions About Future (VAF) was included. The data obtained were analysed using SPSS (Statistical Package for Social Sciences for Windows) 20.0 software. p<0.05 was considered statistically significant. Results: The mean age of the 274 research assistant physicians who participated in the study was 28.46±2.89 years (min=24; max=42), 60.2% were male (n=165). 45.6% of the participants were married (n=125). While 69.7% (n=191) of the physicians were working in internal departments, 30.3% (n=83) were working in surgical departments. According to the results of the study, the pessimism subscale scores of male research assistants (10.39±4.36) were significantly higher than those of female physicians (9.12±3.58) (p=0.012). Physicians aged 29 years and over (20,73±4,17) had higher optimism levels than physicians under 29 years (19,48±4,83) (p=0,028). The pessimism sub-dimension scores of research assistants (12,35±4,70) whose income was less than their expenses were higher than those of physicians (9,21±3,82) whose income was more than their expenses. The hope sub-dimension scores of physicians whose income was higher than their expenses (22,78±5,85) were significantly higher than those of physicians whose income was lower than their expenses (17,86±5,43) (p=0,012 p=0,006, respectively). The optimism sub-dimension (20,51±4,45, 18,44±3,27, 16,95±6,37, respectively) and total scores of the GVO (64,00±10,98, 57,00±10,98, 57,00±10,98, respectively) of the participants who chose the medical school willingly were significantly higher than the undecided or unwilling participants, 24±8.79, 56.10±17.22) were significantly higher, whereas pessimism subscale scores (9.12±3.73, 11.76±3.84, 11.60±4.82, respectively) were statistically significantly lower (p<0.05). It was found that the pessimism sub-dimension scores (9,46±3,84) of the participants who had medical school as their first choice in their university preferences were lower than those who did not have medical school as their first choice (12,53±4,82) (p=0,003). The pessimism sub-dimension scores of physicians who did not plan to enter TUS (9,01±3,63) were lower than those of physicians who planned to enter TUS (11,65±4,30) and were statistically significant (p<0,001). Differences were observed between the participants in terms of branch preference, and it was observed that the optimism levels of physicians whose branches were family medicine (21,53±4,07) were higher than those of residents in surgical branches (19,35±4,21) (p=0,019). It was found that the biggest concern about the professional future was the disruptions in the healthcare system (59.5%, n=163). Physicians who reported disruptions in the healthcare system as a source of professional anxiety (19.47±4.59) were more optimistic than physicians who reported violence against physicians (21.17±4.45) (p=0.048). In addition, a strong and significant positive correlation was detected between branch satisfaction and the total score of the GVO (r=0.556; p<0.001). When the relationships between the sub-dimensions of the SWLS and branch satisfaction were analysed, it was found that there was a positive, moderately significant correlation in the hope sub-dimension (r=0,437; p<0,001), a positive, moderately significant correlation in the optimism sub-dimension (r=0,494; p<0,001) and a negative, moderately significant correlation in the pessimism sub-dimension (r=-0,421; p<0,001). Conclusion: The results of the study show that research assistant physicians' future perspectives may be related to their professional experiences, economic conditions, working environment and perceptions of the health system. It was observed that enthusiasm for the profession, income status, branch selection and career planning are among the factors that may affect physicians' future visions and psychological well-being. Organising health policies in a way to support the professional satisfaction and psychological well-being of research assistant physicians may contribute to their development of a more positive perspective on the future. Such arrangements may also have a positive impact on the quality of health services by increasing professional motivation.
Aim: Research assistant physicians face various difficulties such as intense workload, on-call obligations and stress during their speciality training. It is thought that factors such as violence in health, economic uncertainties and physician migration may have an effect on physicians' professional satisfaction and future perspectives. In this study, it was aimed to examine the future perspectives, optimism and pessimism levels and feelings of hope of research assistant physicians working in a university hospital. Materials and Methods: The population of this descriptive study consisted of 690 research assistant physicians working in the internal and surgical departments of Necmettin Erbakan University (NEU) Faculty of Medicine. On the basis of volunteerism, 274 research assistant physicians were included in the study. In the first part of the questionnaire form; sociodemographic information form, in the second part; Visions About Future (VAF) was included. The data obtained were analysed using SPSS (Statistical Package for Social Sciences for Windows) 20.0 software. p<0.05 was considered statistically significant. Results: The mean age of the 274 research assistant physicians who participated in the study was 28.46±2.89 years (min=24; max=42), 60.2% were male (n=165). 45.6% of the participants were married (n=125). While 69.7% (n=191) of the physicians were working in internal departments, 30.3% (n=83) were working in surgical departments. According to the results of the study, the pessimism subscale scores of male research assistants (10.39±4.36) were significantly higher than those of female physicians (9.12±3.58) (p=0.012). Physicians aged 29 years and over (20,73±4,17) had higher optimism levels than physicians under 29 years (19,48±4,83) (p=0,028). The pessimism sub-dimension scores of research assistants (12,35±4,70) whose income was less than their expenses were higher than those of physicians (9,21±3,82) whose income was more than their expenses. The hope sub-dimension scores of physicians whose income was higher than their expenses (22,78±5,85) were significantly higher than those of physicians whose income was lower than their expenses (17,86±5,43) (p=0,012 p=0,006, respectively). The optimism sub-dimension (20,51±4,45, 18,44±3,27, 16,95±6,37, respectively) and total scores of the GVO (64,00±10,98, 57,00±10,98, 57,00±10,98, respectively) of the participants who chose the medical school willingly were significantly higher than the undecided or unwilling participants, 24±8.79, 56.10±17.22) were significantly higher, whereas pessimism subscale scores (9.12±3.73, 11.76±3.84, 11.60±4.82, respectively) were statistically significantly lower (p<0.05). It was found that the pessimism sub-dimension scores (9,46±3,84) of the participants who had medical school as their first choice in their university preferences were lower than those who did not have medical school as their first choice (12,53±4,82) (p=0,003). The pessimism sub-dimension scores of physicians who did not plan to enter TUS (9,01±3,63) were lower than those of physicians who planned to enter TUS (11,65±4,30) and were statistically significant (p<0,001). Differences were observed between the participants in terms of branch preference, and it was observed that the optimism levels of physicians whose branches were family medicine (21,53±4,07) were higher than those of residents in surgical branches (19,35±4,21) (p=0,019). It was found that the biggest concern about the professional future was the disruptions in the healthcare system (59.5%, n=163). Physicians who reported disruptions in the healthcare system as a source of professional anxiety (19.47±4.59) were more optimistic than physicians who reported violence against physicians (21.17±4.45) (p=0.048). In addition, a strong and significant positive correlation was detected between branch satisfaction and the total score of the GVO (r=0.556; p<0.001). When the relationships between the sub-dimensions of the SWLS and branch satisfaction were analysed, it was found that there was a positive, moderately significant correlation in the hope sub-dimension (r=0,437; p<0,001), a positive, moderately significant correlation in the optimism sub-dimension (r=0,494; p<0,001) and a negative, moderately significant correlation in the pessimism sub-dimension (r=-0,421; p<0,001). Conclusion: The results of the study show that research assistant physicians' future perspectives may be related to their professional experiences, economic conditions, working environment and perceptions of the health system. It was observed that enthusiasm for the profession, income status, branch selection and career planning are among the factors that may affect physicians' future visions and psychological well-being. Organising health policies in a way to support the professional satisfaction and psychological well-being of research assistant physicians may contribute to their development of a more positive perspective on the future. Such arrangements may also have a positive impact on the quality of health services by increasing professional motivation.
Açıklama
Anahtar Kelimeler
iyimserlik, optimism, kötümserlik, pessimism, umut, hope, gelecek vizyonu, visions about future
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Yılmaz, S. (2025). Bir üniversite hastanesinde araştırma görevlisi hekimlerin geleceğe bakışının değerlendirilmesi. (Yayınlanmamış tıpta uzmanlık tezi) Necmettin Erbakan Üniversitesi, Tıp Fakültesi Dahili Tıp Bilimleri Bölümü Aile Hekimliği Anabilim Dalı, Konya.
