FORMATION OF MOTIVATIONAL ATTITUDES OF PROFESSIONAL ACTIVITY OF ANESTHESIOLOGISTS-RESUSCITATORS

Abstract

Goal and objectives. Through a comprehensive case study to identify motivating and demotivating factors of professional activity of an anesthesiologists-resuscitators, which will implement the personnel policy of the healthcare security industry with highly qualified specialists of this profile.Materials and methods. In 2019, 412 anesthesiologists and resuscitators from 20 multi-specialty hospitals in St. Petersburg were interviewed, and in 2020, 173 specialists from 8 hospitals were re-trained to treat patients with a new coronavirus infection. In sample populations, the deviation of the average value is 0.7%, while the acceptable reliability assessment of the results is up to 3.0%. The calculation of intensive and extensive indicators and the assessment of the reliability of their difference is made. A correlation analysis was used to assess the impact of a number of aspects of the professional activity of anesthesiologists and resuscitators on their job satisfaction.Results. Anesthesiologists and resuscitators are committed to their work, despite the presence of a negative background: increased emotional load (59.4%), chronic diseases received at work (43.6%). The main negative aspects of their work are «overstrain and fatigue at work» (47.8 per 100 respondents), «the salary does not correspond to the load» (43.6 per 100 respondents), «rudeness on the part of patients and their relatives» (40.1 per 100 respondents), «lack of organized legal protection in the event of conflict situations» (26.8 per 100 respondents). Proper monetary compensation is not always an unambiguous condition for doctors to be highly satisfied with their work — only 26.6% would be fully satisfied with the profession if the salary level met their expectations. The analysis of the positive aspects of professional activity of specialists showed a high significance of factors that have a bright emotional color: the most important are the ability to help people (52.3 per 100 respondents) and a good work team (60.8 per 100 respondents). Salary, the level of which is not marked by doctors among the main aspects of work, however, is stated as a motivating factor by 34.2 respondents out of 100 respondents. A study in 2020 revealed an even greater number of doctors experiencing overstrain and fatigue at work (95.3%, t=4.5, p<0.05, including 59.5% –at the limit of their capabilities), increased psycho-emotional load (86.3%, t=3.8, p<0.05).Conclusion. Most on the professional satisfaction of doctors and anaesthesiologists in Saint-Petersburg have a positive effect: the possibility of self-realization and professional growth (ρ=+0,9, p<0.05) and the wage (ρ=+0,8, p<0.05), the ability to help people (ρ=+0,7, p<0,05) and the presence of career prospects (ρ=+0,7, p<0,05). The greatest negative impact is caused by legal insecurity of specialists (ρ= -0,8, p<0,05), negative consequences of interaction with patients and their relatives (ρ= -0,7, p<0,05), abnormal load on specialists (ρ= -0,7, p<0,05), the need to perform unspecified functions for them (ρ= -0,5, p<0,05).