<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">541</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2021-29-2-353-358</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The medical nurses: the factors of professional burning-out</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Kobyakova</surname><given-names>O. S.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Deev</surname><given-names>I. A.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kulikov</surname><given-names>E. S.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Tyufilin</surname><given-names>D. S.</given-names></name><bio></bio><email>dtufilin@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Pleshkov</surname><given-names>M. O.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-2"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Homyakov</surname><given-names>K. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Levko</surname><given-names>A. N.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Balaganskaya</surname><given-names>M. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Zagromova</surname><given-names>T. A.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Siberian State Medical University</aff><aff id="aff-2">Tomsk State University</aff><aff id="aff-3">Maastricht University Medical Center</aff><pub-date date-type="epub" iso-8601-date="2021-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2021</year></pub-date><volume>29</volume><issue>2</issue><fpage>353</fpage><lpage>358</lpage><history><pub-date date-type="received" iso-8601-date="2021-06-01"><day>01</day><month>06</month><year>2021</year></pub-date></history><permissions><copyright-statement>Copyright © 2021,</copyright-statement><copyright-year>2021</copyright-year></permissions><abstract>Nowadays, the professional burnout of paramedical personnel becomes a serious health care problem, resulting in productivity loss and medical care costs increase. The most effective mean to prevent the mentioned burnout is elimination of risk factors. The study purpose is to identify such factors (both positive or negative ones) and to quantify their contribution into development of professional burnout as exemplified by paramedical personnel in the Tomsk Oblast of Russia. The study sampling included 2,486 paramedicals as respondents. The sociological survey was carried out using questionnaire that included the Maslach Burnout Inventory tool and questions to assess corresponding factors of social, professional, economic and physical spheres of life. The study established high prevalence of high degree (29.57%) and extremely high degree (37.01%) of professional burnout in respondents. The following factors were associated with decrease in likelihood of burnout: advanced age (r = -0.089), married status (OR = 0.7; 95% CI 0.6-0, 9), higher number of children in family (r = -0.088), adequate sleep (r = -0.046), amount of time spent on sports per day (r = -0.167). The following factors were associated with increase in the likelihood of burnout: self-reported lack of sleep (OR = 2.1; 95% CI 1.8-2.5), frequent night shift work (r=0.082). The multiple linear regression analysis was applied with selection of model using the Akaike criterion: two mathematical models were formed for the integral value of professional burnout and its “Emotional exhaustion” sub-scale. The models described 15% and 20% of dispersion, respectively. The models allow both to quantify particular contributing factors to development of this syndrome and to develop programs of strengthening positive factors and mitigate negative ones. This will prevent development of professional burnout in paramedical personnel in the Tomsk Oblast.</abstract><kwd-group xml:lang="en"><kwd>professional burnout</kwd><kwd>quality</kwd><kwd>health care</kwd><kwd>risk factors</kwd><kwd>paramedical personnel</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>профессиональное выгорание</kwd><kwd>факторы риска профессионального выгорания</kwd><kwd>кадровая политика в здравоохранении</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Садовой М. А., Кобякова О. С., Деев И. А., Куликов Е. С., Табакаев Н. А., Тюфилин Д. С., Воробьева О. О. Удовлетворенность качеством медицинской помощи: «всем не угодишь» или «пациент всегда прав». Бюллетень сибирской медицины. 2017;(1):152-61. doi: 10.20538/1682-0363-2017-1-152-161</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Dewa C. S., Loong D., Bonato S. The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review. BMJ Open. 2017;7(6):e015141. doi: 10.1136/bmjopen-2016-015141</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Кобякова О. С., Деев И. А., Куликов Е. С., Хомяков К. В., Тюфилин Д. С., Загромова Т. А., Балаганская М. А. Профессиональное выгорание врачей различных специальностей. Здравоохранение Российской Федерации. 2017;(1):322-9. doi: 10.18821/0044-197Х-2017-61-6-322-329</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Monsalve-Reyes C. S., San Luis-Costas C., Gómez-Urquiza J. L., Albendín-García L., Aguayo R., Cañadas-De la Fuente G. A. Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis. BMC Family Practice. 2018;19(1):59. doi: 10.1186/s12875-018-0748-z</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Кобякова О. С., Деев И. А., Куликов Е. С., Хомяков К. В., Пименов И. Д., Загромова Т. А., Балаганская М. А. Профессиональное выгорание среднего медицинского персонала: насколько, как и где? Общественное здоровье и здравоохранение. 2017;(3):18-24.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Friganović A. Healthy Settings in Hospital - How to Prevent Burnout Syndrome in Nurses: Literature Review. Acta Clin. Croatica. 2017;56(2):292-8. doi: 10.20471/acc.2017.56.02.13</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Maslach C., Jackson S. E., Leiter M. P. Maslach Burnout Inventory Manual. California: CPP, Inc.; 1996.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Водопьянова Н. Е. Синдром выгорания: Диагностика и профилактика. СПб.; 2005.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Kim S. H., Cohen A. S., Cho S.-J., Eom H. J. Use of Information Criteria in the Study of Group Differences in Trace Lines. Appl. Psychol. Measur. 2019;43(2):95-112. doi: 10.1177/0146621618772292</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Gómez-Urquiza J. L., Monsalve-Reyes C. S., San Luis-Costas C., Fernández-Castillo R., Aguayo-Estremera R., Cañadas-de la Fuente G. A. Factores de riesgo y niveles de burnout en enfermeras de atención primaria: una revisión sistemática. Atención Primaria. 2017;49(2):77-85. doi: 10.1016/j.aprim.2016.05.004</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Molina-Praena J., Ramirez-Baena L., Gómez-Urquiza J. L., Cañadas G. R., De la Fuente E. I., Cañadas-De la Fuente G. A. Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study. Int. J. Environ. Res. Public Health. 2018;(15):2800.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Queiros C., Carlotto M. S., Kaiseler M., Dias S., Pereira A. M. Predictors of burnout among nurses: An interactionist approach. Psicothema. 2013;(25):330-5. doi: 10.7334/psicothema2012.246</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Cañadas-De la Fuente G. A., Ortega E., Ramirez-Baena L., De la Fuente-Solana E. I., Vargas C., Gómez-Urquiza J. L. Gender, Marital Status, and Children as Risk Factors for Burnout in Nurses: A Meta-Analytic Study. Int J Environ Res Public Health. 2018;15(10):2102. doi: 10.3390/ijerph15102102</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Приоритетный проект Министерства здравоохранения Российской Федерации «Создание новой модели медицинской организации, оказывающей первичную медико-санитарную помощь». Утвержден президиумом Совета при Президенте Российской Федерации по стратегическому развитию и приоритетным проектам (протокол от 26 июля 2017 г. № 8). Режим доступа: https://www.rosminzdrav.ru/ministry/61/22/informatsionnye-materialy-po-napravleniyu-strategicheskogo-razvitiya-rossiyskoy-federatsii-zdravoohranenie/sozdanie-novoy-modeli-meditsinskoy-organizatsii-okazyvayuschey-pervichnuyu-mediko-sanitarnuyu-pomosch (дата обращения 07.03.2019).</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Thimmapuram J. R., Grim R., Bell T., Benenson R., Lavallee M., Modi M., Noll D., Salter R. Factors Influencing Work-Life Balance in Physicians and Advance Practice Clinicians and the Effect of Heartfulness Meditation Conference on Burnout. Glob. Adv. Health Med. 2019;(8): 2164956118821056. doi: 10.1177/2164956118821056</mixed-citation></ref></ref-list></back></article>
