Author/Editor		Bolčina, Katja
Title		Emocionalne obremenitve zdravnikov splošne in družinske medicine
Translated title		Emotional strain in primary care physicians
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		2003
Volume		str. 139
Language		slo
Abstract		Stress is seen as an ordinary and anticipated integral part of working strain among primary care physicians. Physician experiences it in the process of curing and paliatively attending his patients, experiencing his own limits and facing death and when he is unable to advocate his patient's rights in the social and health security system as it is expected. Stress factors at the working place of the primary care physician are diverse and abundant, on the contrary to the public opinion, who sees primary care physician's work as relatively calm, uneventful and free from emotional strain. This is an interesting paradox. Primary care physician copes his emotional strain via deep acting in order to be able to provide his patients his undivided attention, empathy and all his diagnostic and therapeutic abilities. Until the efforts of coping suffice, the patient detects no emotional strain in his physician. Average patient's anticipations show that the primary care physician won't be able to offer the needed quality of his service without deep acting. And deep acting makes it hard to maintain a healthy distance to physician's own feelings. Which is a part of patient's anticipations as well, because he won't be able to maintain trust into his doctor's advice if the doctor whines with him. Both of the processes must run simultaneously in the physicians head. Any distractions may interrupt this complex process and hinder its effectivity. Distractions or stress factors are coming from the environment and from the physician himself, e.g. from his system of values and from his emotional reactions. To provide the physician an ergonomically fit environment, we must know all the stress factors, their frequencies and their impact on an individual and on the population as whole, first. Only then the measures can be planned to ergonomically adjust the emotional stress, the physician unavoidably faces at work every day. (Abstract truncated at 2000 characters).
Descriptors		PRIMARY HEALTH CARE FAMILY PRACTICE WORKLOAD WORKPLACE STRESS, PSYCHOLOGICAL RISK ASSESSMENT EMOTIONS NEURASTHENIA BURNOUT, PROFESSIONAL QUESTIONNAIRES