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Medical doctors' stress in public hospitals : risk factors and influence on professional competences

Authors: Maa Mawo Jeanne Dorothée;

Medical doctors' stress in public hospitals : risk factors and influence on professional competences

Abstract

Résumé Il est peu commun d’admettre que le personnel soignant, notamment le personnel médical puisse lui aussi avoir besoin qu’on prenne soin de lui. Cependant, la littérature scientifique nous montre que les médecins peuvent avoir besoin de soutien multiforme. En effet, une meilleure connaissance du stress professionnel, en vue de sa gestion efficace et même de sa prévention, peut contribuer à améliorer le quotidien des médecins de manière durable. Comment le stress des médecins influence-t-il leurs savoirs, leurs savoir-être et leurs savoir-faire dans les hôpitaux publics ? Pour apporter des éléments de réponse à cette question, notre travail qui a obtenu un Mandat du Ministre de la Santé Publique, a globalement consisté à établir le lien entre le stress des médecins dans les hôpitaux publics et leurs compétences professionnelles. Plus spécifiquement, il s’est agi de déterminer la caractérisation socio-professionnelle des médecins à risque de stress au travail, de mieux appréhender les facteurs de risque psycho-sociaux associés à ce stress et d’être au fait de l’influence dudit stress sur les connaissances, les attitudes et les aptitudes des praticiens médicaux dans les hôpitaux publics. Basée sur une approche hypothético-déductive, une étude de nature quantitative a été menée auprès de 81 médecins de diverses spécialités qui exercent sur le territoire national, et ce au moyen d’un auto-questionnaire rempli en ligne du 11 septembre 2021 au 18 septembre 2021. Les déterminants du stress professionnel des médecins ont été relevés à l’aide des questionnaires de Karasek et de Siegrist. La phase de collecte des données a été suivie par une analyse statistique au moyen des logiciels SPSS version 10.0 pour Windows, R et Excel. Les corrélations ont également été testées grâce au test de corrélation linéaire de Bravais-Pearson, ainsi que les causalités via le test de causalité de Granger. Le questionnaire de Karasek a révélé que 62,96% des médecins interrogés ont une exposition au stress lié au « Job Strain » et 62,96% ont une exposition au stress tributaire de l’ « Isostrain ». Quant au questionnaire de Siegrist, il a montré que 71,60% des médecins enquêtés sont exposés à un stress associé au Déséquilibre efforts/récompenses et 39,51% sont exposés à un stress se rapportant au Surinvestissement. Et des recommandations ont été faites. Mots clés : Stress - médecins - facteurs de risque - hôpitaux publics - Cameroun Abstract It is unusual to admit that health care workers, especially medical staff, may also need to be cared for. However, the scientific literature shows us that medical doctors may need support in many ways. Indeed, a better understanding of occupational stress with a view to its effective management and even prevention can contribute to a sustainable improvement in the daily lives of physicians. How does physicians' stress influence their knowledge, skills and attitudes in public hospitals? In order to answer this question, our work, which was granted a Mandate by the Minister of Public Health, consisted in establishing the link between the stress of doctors in public hospitals and their professional skills. More specifically, the aim was to determine the socio-professional distribution of doctors at risk, to gain a better understanding of the psycho-social risk factors associated with this stress and to find out how this stress influences the knowledge, attitudes and abilities of medical practitioners in public hospitals. Based on a hypothetico-deductive approach, a quantitative study was carried out among 81 doctors of various specialities practising in the country, by means of a self-questionnaire filled in online from 11 September 2021 to 18 September 2021. The determinants of physicians' occupational stress were identified using the Karasek and Siegrist questionnaires. The data collection phase was followed by statistical analysis using SPSS version 10.0 for Windows, R and Excel. Correlation tests were also carried out using Bravais-Pearson's linear correlation test and causality tests using Granger's causality test. The Karasek questionnaire revealed that 62.96% of the medical doctors surveyed had exposure to Job Strain stress and 62.96% had exposure to Isostrain stress. The Siegrist questionnaire showed that 71.60% of the medical doctors surveyed were exposed to stress related to Effort/Reward Imbalance and 39.51% were exposed to stress related to Over-investment. And recommendations were made. Keywords : Stress - medical doctors - risk factors - public hospitals - Cameroon

Keywords

Stress - medical doctors - risk factors - public hospitals - Cameroon, African Scientific Journal

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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