İşyeri Hekimleri Derneği Üyelerinin Çalışma Koşulları ve İş Stresi Düzeyi
Özet
We aimed to determine some sociodemographic properties, working conditions, job stress and job insecurity levels of the members of Occupational Health Physicians Association. Data of this descriptive study was collected with online survey method between September- November 2017. Occupational Health Physicians Association has 445 members in total. 92 members (20.6%) who responded to our survey constitute the study group. The Swedish Workload-Control-Support Scale and the Job Insecurity Scale was used. Statistical Package for the Social Sciences (SPSS 22.0) was used to perform data analysis. 72.8% of the respondents were male, the average age was 49.03±8.66. The respondents graduated from the university 24.4±0.853 years ago, worked as occupational physician for 12.05±0.84 years, work 7.15±2.43 hours a day, on average. 36.9% of study group was working for Joint Health and Safety Unit, 62.6% of study group finded the monthly income as insufficient. 71.4% of the respondents stated that they do not agree or not agree at all with the statement “The occupational physician certification training is adequate for attaining the skills and knowledge necessary for field work”. The first three factors that the physicians are exposed due to working as an occupational physician are; psychosocial factors (18.4%), noise (16.2%) and dust (13.4%). 10.3% of the study group had an occupational accident. 14.9% of the study group denied having problems when performing their duty, 16.1% denied having problems when fulfilling responsibilities and using own authority. Point averages and median values of the Swedish Workload-Control-Support Scale were determined as, work load (2.62±0.53, 2.69), job control (3.06±0.42, 3.08), ability use (2.88±0.52, 2.94), social support (3.03±0.72, 3.09), job stress (2.92±0.56, 3.04). Comparing to others, total job stress point averages were statistically significantly higher for who graduated at and before 1990 (p=0.011); who began working as occupational physician at and before 2000 (p=0.018); who took all annual leave (p=0.033); who were not absent from the work in the last one year (p=0.016); who worked with occupational health and safety engineer with good coordination (p=0.000). Median values of points of Job Insecurity Scale were: quantitative 2.28, qualitative 2.38 and total 2.33. In terms of total job insecurity values, no significant relationship was found with any of the defining variables used in the study. The main constraints are: participants were only the members of Occupational Health Physicians Association and the participation rates were very low. Therefore, the results can not be generalised. Studies should be performed in order to constitute standart contracts which will regulate and protect the personal benefits including salaries of occupational physicians; improve occupational health and safety services with team work; improve working conditions like psychosocial factors. These studies should be conducted with Ministry of Family, Labor And Social Services and professional associations.