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¹ 2 (103), 2022


Edition of the journal is supported partially by the grant of the Fogarty International Center (FIC) of the National Institute of Health and Illinois University, Chicago.


ISSN 2077-7477 (Print)
ISSN 2077-7485 (Online)

A journal "Dovkillia ta zdorovia" (Environment & Health) publishes the articles on the problems in the field of medical ecology, hygiene, health protection and ecological safety.

Founder of the Journal:
State Institution "O.M. Marzeiev Institute for Hygiene and Medical Ecology of the National Academy of Medical Sciences of Ukraine"

Frequency of publication:

Environment & HealthISSN: 2077-7477 eISSN: 2077-7485
No: 4 (97)   -   December, 2020   -   Pages: 53-62
Motivation and working capacityof medical workersin the sphere of psychic healthcare as a predictor of their psychological well-being
Chîrna V.V.1
1 M.I. Pyrogov National Medical University, Vinnytsia

Objective: We defined the internal and external motivation features, performed a differential assessment of the states of reduced working capacity in medical workers of the Vinnytsia O.I. Yushchenko Regional Clinical Psychoneurological Hospital, Vinnytsia Regional Council (Communal Non-Profit Enterprise) and developed the preventive measures.

Materials and methods: 224 medical workers (15.2% of males and 84.8% of females) of the Clinical Psychoneurologic Hospital (Communal Non-Profit Enterprise) took part in the study. 38.8% of the doctors, 61.2% of the nurses took part in the survey. The length of service in the professional activity was (19.7+12.3) years among doctors and (15.5+11.1) years among nurses. The average age of the doctors made up (44.6+12.2) years, nurses – (37.2+11.4) years.
We carried out a survey on the motivation of the professional activity of doctors and nurses by the methodology of K. Zamfir in the modification of A. Rean and a study based on the technique of A. Leonov, S. Velichkovskaya regarding the differential assessment of the states of reduced working capacity (DOSR) of workers of health care institutions.
To calculate the arithmetic mean, standard arithmetic mean error, we processed the results with the help of the Statistica 6.1 for Windows licensed standardized package. In the study, we used the analysis of the work of domestic and foreign scientific sources, biblio-semantic, analytical, and statistical research methods.

Results: The data of the survey of the psychoneurologic hospital medical workers regarding doctors' internal and external motivation and nurses' professional activity are presented in the article. Three types of motivation and the motivation complexes in healthcare workers were determined, the following classification of motivational factors were used: «motivators» and «context factors», or «hygienic factors», which provoke negative stress affecting the quality of medical care. Analysis of the survey data shows that the external negative motivation exceeds the external positive one in male doctors and female nurses – (3.2+0.8) and (3.0+1.2) points, respectively. That’s why these medical workers have a decrease in their interest in work, lack of striving for career growth, lack of self-perception, and an indifference to work, to patients, which can negatively affect the quality of medical care and interpersonal relationships the team and at home. The questionnaire results regarding the differential assessment of the states of the reduced working capacity of the psychoneurologic hospital workers have been analyzed. The results demonstrate a high level of oversaturation index in female doctors - 3.2% and female nurses - 1.6% and a high degree of fatigue - 4.8% and 3.9%, respectively, which can be assessed as a pre-disease state in women.
The preventive measures to overcome these states and to improve the psychosocial environment for the quality performance of the professional duties and satisfaction with the work are proposed.

internal and external motivation, performance, oversaturation, fatigue, medical professionals.
1. World Health Statistics 2017: Monitoring Health for the SDGs, Sustainable Development Goals. Geneva : WHO ; 2017. 112 p.
2. Chorna V.V., Khliestova S.S., Humeniuk N.I., Makhniuk V.M. and Sydorchuk T.M. Pokaznyky zakhvoriuvanosti i poshyrenosti ta suchasni pohliady na profilaktyku khvorob [Incidence and Prevalence Rates and Current Views on Diseases' Prevention]. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu. 2020 ; 24 (1) : 158-164. (in Ukrainian). DOI: https://doi.org/10.31393/reports-vnmedical-2020-24(1)-31
3. Mezentseva N.²., Batychenko S.P. and Mezentsev K.V. Zakhvoriuvanist i zdorovia naselennia v Ukraini: suspilno-heohrafichnyi vymir: Monohrafiia [Morbidity and Health of the Population in Ukraine: Socio-Geographical Dimension: Monograph]. Kyiv : Print Servis ; 2018 : 136 p. (in Ukrainian).
4. Cao B., Bray F., Libawi A. and Soerijomataram I. Effect on Longevity of One-Third Reduction in Premature Mortality from Non-Communicable Diseases by 2030: Global Analysis of the Sustainable Development Goal Health Target. Lancet Glob Health. 2018 ; 6 (12) : e1288-e1296. DOI: https://doi.org/10.1016/S2214-109X(18)30411-X
5. Holovenko Kh.V. and Sopel O.M. Poshyrenist syndromu emotsiinoho vyhorannia u medychnoho personalu i faktory, yaki sprychyniaiut yoho rozvytok [The Prevalence of Emotional Burnout in Medical Staff and the Factors that Cause its Development]. Medsestrynstvo. 2017 ; 4 : 51-53 (in Ukrainian).
6. Draha T.M., Mialiuk O.P. and Krynytska I.Ya. Osoblyvosti syndromu vyhorannia u medychnykh pratsivnykiv [Features of Burnout Syndrome in Medical Professionals]. Medsestrynstvo. 2017 ; 3 : 48-54 (in Ukrainian).
7. Kastnerova M., Babinets L.S., Borovyk O.I. and Babinets A.I. Poshyrenist syndromu vyhorannia (burnoutsyndrome) sered medsester u likarniakh Pivdennoi Chekhii (SOUTH BOHEMIA REGION) [Prevalence of Burnout Syndrome among Nurses in Hospitals in South Bohemia (SOUTH BOHEMIA REGION]. Zdobutky klinichnoi i eksperymentalnoi medytsyny. 2017 ; 3 : 82-87. (in Ukrainian). DOI: https://doi.org/10.11603/1811-2471.2017.v1.i3.8053
8. McFarland D.C., Hlubocky F., Susaimanickam B., O'Hanlon R. and Riba M. Addressing Depression, Burnout, and Suicide in Oncology Physicians. Am Soc Clin Oncol Educ Book. 2019 ; 39 : 590-598. DOI: https://doi.org/10.1200/EDBK_239087
9. Buck K., Grace A., Runyan T. and Brown-Berchtoid L. Addressing Mental Health Needs among Physicians. South Med J.2019 ; 112 (2) : 67-69. doi: https://doi.org/10.14423/SMJ.0000000000000924
10. Bernburg M., Vitzthum K., Groneberg D.A. and Mache S. Physicians' Occupational Stress, Depressive Symptoms and Work Ability in Relation to their Working Environment: a Cross-Sectional Study of Differences among Medical Residents with Various Specialties Working in German Hospitals. BMJ Open. 2016 ; (6) : e011369. DOI: https://doi.org/10.1136/bmjopen-2016-011369
11. Chorna V.V., Serheta I.V. and Makhniuk V.M. Suchasni pidkhody do stvorennia vnutrishnolikarnianoho komfortu dlia khvorykh ta medychnoho personal v psykhiatrychnykh zakladakh okhorony zdorovia [Modern Approaches to the Creation of In-Hospital Comfort for Patients and Medical Staff in Psychiatric Health Care Facilities]. Biomedical and Biosocial Anthropology. 2019 ; 35 : 48-53. (in Ukrainian). DOI: https://doi.org/0.31393/bba34-2019-08
12. Orton P., Orton C. and Pereira Gray D. Depersonalised Doctors: a Cross-Sectional Study of 564 Doctors, 760 Consultations and 1876 Patient Reports in UK General Practice. BMJ Open. 2012 ; 2: e000274. DOI: https://doi.org/10.1136/bmjopen-2011-000274
13. Labonte R. Health in All (Foreign) Policy: Challenges in Achieving Coherence. Health Promot Int. 2014 ; 1 : i48-58. doi: https://doi.org/10.1093/heapro/dau031
14. Votruba N., Ziemann A., Grant J. and Thornicroft G. A Systematic Review of Frameworks for the Interrelationships of Mental Health Evidence and Policy in Low-and Middle-Income Countries. Health Res Policy Syst. 2018 ; 1(1) : 85. DOI: https://doi.org/10.1186/s12961-018-0357-2
15. Sun J., Sun R., Jiang Y., Chen X., Li Z., Ma Z., Wei J., He C. and Zhang L. The Relationship between Psychological Health and Social Support: Evidence from Physicians in China. PLoS One. 2020 ; 1(1) : e0228152. DOI: https://doi.org/10.1371/journal.pone.0228152.eCollection 2020
16. Keovathanak Khim. Are Health Workers Motivated by Income? Job Motivation of Cambodian Primary Health Workers Implementing Performance-Based Financing. Glodal Health Action. 2016 ; Article 31068. DOI: https://doi.org/10.3402/gha.v9.31068
17. Malik A.A., Yamamoto S.S., Hague A., Butt N.S., Baig M. and Sauerborn R. Developing and Assessing a Tool to Measure Motivation among Physicians in Lahore, Pakistan. PLoS One. 2018 ; 13 (12) : e0209546. DOI: https://doi.org/10.1371/journal.pone.0209546. eCollection 2018
18. Liu J., Yu W., Ding T., Li M. and Zhang L. Cross-Sectional Survey on Job Satisfaction and its Associated Factors among Doctors in Tertiary Public Hospitals in Shanghai, China. BMJ Open. 2019 ; 9 (3) : e023823. DOI: https://doi.org/10.1136/bmjopen-2018-023823
19. Jiang F., Zhou H., Hu L., Rakofsky J., Liu T., Wu S., Liu H., Liu Y. and Tang Y.L. Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors. Front Psychiatry. 2019 ; 10 : 177. DOI: https://doi.org/10.3389/fpsyt.2019.00177. eCollection 2019
20. Nantsupawat A., Kunaviktikul W., Nantsupawat R. and Poghosyan L. Effects of Nurse Work Environment on Job Dissatisfaction, Burnout, Intention to Leave. Int Nurs Rev. 2017 ; 6 (1) : 91-94. DOI: https://doi.org/10.1111/inr.12342
21. Labrague L.J., McEnroe-Petitte D.M., Gloe D. and Maldia F. Organizational Politics, Nurses' Stress. Burnout Levels, Turnover Intention and Job Satisfaction. Int Nurs Rev. 2017 ; 64 (1) : 109-116. DOI: https://doi.org/10.1111/inr.12347
22. Ayalew F., Kibwana S., Shawula S., Misganaw E., Abosse Z. et al. Understanding Job Satisfaction and Motivation among Nurses in Public Health Facilities of Ethiopia: a Cross-Sectional Study. BMC Nurs. 2019 ; 18. Article 46. DOI: https://doi.org/10.1186/s12912-019-0373-8. eCollection 2019
23. Hu D., Zhu W., Fu Y., Zhang M., Zhao Y. et al. Development of Village Doctors in China: Financial Compensation and Health System Support. Int J Eguiti Health. 2017 ; 1 (1) : 9. DOI: https://doi.org/10.1186/s12939-016-0505-7
24. Mironova E.E. Sbornik psikhologicheskikh testov : posobiye. Chast 3 [Collection of Psychological Tests: Manual. Part 3]. Minsk : Zhenskiy institute ENVILA ; 2006 ; 120 p. (in Russian).
25. Raygorodskiy D.Ya. Prakticheskaya psikhodiagnostika. Metodiki I testy: uchebnoye posobiye [Practical Psychodiagnosis. Techniques and Tests: Study Guide]. Samara : BAKhRAKh-M ; 2005 : 672 p. (in Russian).
26. Khertsberg F., Mocner B. and Sniderman B.B. Motivatsiya k rabote [Motivation to Work]. Ìoscow : Vershina ; 2007 : 238 p. (in Russian).
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