The Effect of Improvements in Monthly Income, Employment Conditions, and Working Hours on Quality of Life, Anxiety, and Burnout Among Anesthesiology Residents: A before–after study
1Division of Intensive Care, Department of Anaesthesiology and Reanimation, Şişli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, İstanbul, Turkey
2Department of Anaesthesiology and Reanimation, Başakşehir Çam and Sakura City Hospital, University of Health Sciences, İstanbul, Turkey
3Department of Anaesthesiology and Reanimation, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey
4Division of Intensive Care, Department of Anaesthesiology and Reanimation, İzmir City Hospital, University of Health Sciences, İzmir, Turkey
5Division of Intensive Care, Department of Anaesthesiology and Reanimation, Buca Seyfi Demirsoy Training and Research Hospital, İzmir Democracy University, İzmir, Turkey
6Division of Intensive Care, Department of Internal Medicine, Batman Training and Research Hospital, Batman, Turkey
7Department of Anaesthesiology and Reanimation, Ankara Training and Research Hospital, Ankara, Turkey
J Clin Pract Res - DOI: 10.14744/cpr.2024.98453

Abstract

Objective: The primary aim of this study is to evaluate the effect of improvements in working conditions and monthly income on burnout, and secondary aim is to evaluate the effect on quality of life, and anxiety among anesthesiology residents.
Materials and Methods: This prospective before-and-after study was conducted at XXX University between August-November 2022, and anesthesiology residents were enrolled. Residents were evaluated using Professional Quality of Life Scale, Beck Anxiety Inventory, and Maslach Burnout Inventory twice before and after the legal regulation.
Results: After exclusion of 3 participants, 44 residents enrolled in the study. Of them, 50% were female. The median age was 28.0 (27.0–29.0) years. Participants’ median working hours (87.0 [74.8–100.0] vs. 68.0 [52.5–72.0] hours/week, p < 0.001), the median number of monthly night shifts (7 [7–9] vs. 6 [5–7], p < 0.001), and monthly income (18,000 [17,000–18,000] vs. 25,000 [20,750–26,000] ₺, p < 0.001) were significantly improved after regulations. The median scores of the subscales of Professional Quality of Life Scale, compassion satisfaction (25 [18–34] vs. 28 [24–36], p = 0.011), and burnout (30 [24–32] vs. 23 [20–28], p < 0.001), Beck Anxiety Inventory (18 [7–26] vs. 11 [5–19], p = 0.004), and emotional exhaustion subscale of Maslach Burnout Inventory (24 [18–29] vs. 20 [13–24], p = 0.007) were significantly improved compared with before the regulations.
Conclusion: Current regulations regarding work hours, and income improved burnout, anxiety, compassion satisfaction, and emotional exhaustion among anesthesiology residents.