Studio trasversale sulle variabili di stress lavoro-correlato nei medici in formazione specialistica del maggiore Policlinico Universitario della Sicilia

Introduzione: Il rischio stress lavoro-correlato è uno degli obiettivi della valutazione e prevenzione dei rischi occupazionali negli operatori sanitari (O.S.). I medici in formazione specialistica (MIFS) rappresentano una tipologia di OS sovrapponibile ai dirigenti medici in termini di esposizione lavorativa e quindi di insorgenza di sindromi da stress lavoro-correlato. Obiettivi: Obiettivo dello studio è valutare un set di fattori di rischio stress lavoro-correlato nei MIFS del principale Policlinico Universitario della Sicilia, sottoposti a sorveglianza sanitaria. Materiali e Metodi: Studio trasversale condotto mediante questionario anonimo ed autosomministrato. Risultati: Il 45% dei MIFS di area clinica ed il 37% di area chirurgica usufruiscono del giorno di riposo compensativo a fronte del 92% dell’area dei servizi (p<0,001). Il sistema di rendicontazione delle presenze/monte orario è presente nell’80% delle scuole dell’area dei servizi, nel 60% di quelle di area medica e nel 50% di quelle di area chirurgica (p<0,001). I MIFS delle scuole dell’area chirurgica dichiarano di usufruire delle pause lavorative (41%) con frequenza minore rispetto ai MIFS dell’area medica (60%) e dell’area dei servizi (74%) (p<0,001). I MIFS sia di area medica (47%) che di area chirurgica (47%) risultano essere più esposti a stress lavoro-correlato (p<0,001) rispetto ai MIFS dell’area dei servizi (29%). Conclusioni: Il lavoro documenta un maggiore rischio di stress lavoro-correlato nei MIFS di area chirurgica rispetto alle altre aree professionali indagate. Appare necessario strutturare degli specifici programmi formativi finalizzati alla gestione dell’esposizione al rischio di stress lavoro-correlato per i MIFS, incentrandoli sia sulla persona che sull’ambiente di lavoro.Background: Among health care workers (HCWs), assessment and prevention of work-related stress in the workplace is one of the main goal. Post-graduate medical residents (MRs) are a group of HCWs comparable to medical doctors in terms of occupational exposure and of work-related stress syndromes occurrence. Objectives: To assess the risk of the exposition to work-related stress among MRs attending the major University Hospital of Sicily. Methods: Cross-sectional survey through an anonymous and self-administered questionnaire. Results: 45% of clinical MRs and 37% of surgical MRs have access to compensatory rest days against 92% of MRs of the services area (p <0.001). A work attendance detection system for MRs is available in 80% of the postgraduate medical schools of the services area, in 60% of the clinical postgraduate schools and in 50% of the surgical postgraduate schools (p <0.001). MRs of postgraduate surgical schools declare to have access to work breaks (41%) with less frequency compared to clinical (60%) and services MRs (74%) (p <0.001). Both clinical (47%) and surgical MRs (47%) result to be more exposed to work-related stress than MRs of the services area (27%) (p <0.001). Conclusions: The survey documents an exposure excess of work-related stress for all the considered variables in MRs of surgical area. It is strongly suggested to provide for specific training programs aimed to manage the MRs risk exposure to work-related stress, focusing both on the workers and the work environment

Work-related stress variables among post-graduate medical residents (MESH) at the major teaching hospital of Sicily (Italy): A cross-sectional survey

Background: Among health care workers (HCWs), work-related stress is one of the main topics in risk assessment and prevention at the workplace. Post-graduate medical residents (MRs) are a group of HCWs comparable to medical doctors in terms of occupational exposure and occurrence of work-related stress syndromes. Objectives: Risk assessment of work-related stress among MRs attending the major University Hospital of Sicily. Methods: A cross-sectional survey via an anonymous and self-administered questionnaire. Results: 45% of clinical MRs and 37% of surgical MRs had access to compensatory rest days against 92% of MRs of the services area (p&lt;0.001). A work attendance recording system for MRs was available in 80% of the postgraduate medical schools of the services area, in 60% of the clinical postgraduate schools and in 50% of the surgical postgraduate schools (p&lt;0.001). MRs of the postgraduate surgical schools reported having access to work breaks (41%) with less frequency compared to clinical (60%) and services MRs (74%) (p&lt;0.001). Both clinical (47%) and surgical MRs (47%) were more exposed to work-related stress than MRs of the services area (27%) (p&lt;0.001). Conclusions: The survey demonstrated excess exposure to work-related stress for all the considered variables in MRs of the surgical area, compared with MRs of clinical and services areas. It is strongly recommended to provide specific training programmes aimed at managing the MRs' risk of exposure to work-related stress, focusing both on the workers and the work environment