Research of correlation regularities of management attitude and satisfaction with equipment indicators with the formation of situational anxiety for general-profile emergency medical teams

Introduction. Recently, there has been a tendency for management to place excessive demands on medical workers with a low level of equipment in the regions. This is especially relevant for emergency medical workers. Such practices do not allow them to show initiative and independence, which can provoke risks of increasing situational anxiety rates and, as a result, lead to a less effective model of emergency care for the population. It should be noted that improving the work of emergency care directly affects the development of medical institutions as a whole, stimulating their modernization and improving the qualifications of personnel. The purpose of the study: to determine the correlation links between the process of formation of situational anxiety and the attitude of the management in combination with satisfaction with the equipment for medical staff of mobile general emergency medical teams in the city of Ufa. Materials and methods. The material of our study was the results of a comprehensive survey of 528 medical workers of the emergency medical care of the city of Ufa. The author’s questionnaire was compiled taking into account the identification of basic characteristics of the employee’s personality and special indicators of professional activity. The analysis of situational anxiety was carried out according to standardized methods. Correlation analysis was carried out according to the main methods of mathematical statistics. Results. The distribution boundaries of the social indicators under research for emergency medical staff in Ufa showed a positive attitude on the part of management (74.81% vs 10.29%). Low satisfaction with the equipment of general mobile teams was shown by 32.35% of respondents, compared to the number noting high equipment (25.00%). It was revealed that a negative attitude on the part of management and low satisfaction with equipment for emergency medical workers in Ufa sharply increases the indicators of situational anxiety after a shift (AUC0.870 vs 0.116 and AUC0.761 vs 0.303, respectively). Conclusion. The research will allow creating algorithms for optimizing processes, reducing response time, increasing diagnostic accuracy and treatment efficiency at the pre-hospital stage. Improving the efficiency of emergency medical personnel means saving resources, which contributes to wider coverage of the population with high-quality medical care and, as a result, improving the health of the population throughout the country. Thus, the study contributes to the strategy for strengthening the health of Russians at all levels.

1. Berezin F.B. (1988). Mental and psychophysiological adaptation of a person. Leningrad: Nauka Publ. 270 p.

2. Psychology of Management (2023) / ed. Nikiforova G. S. St. Petersburg: Publishing House of St. Petersburg University. 572 p.

3. Van Biesen W., Van Cauwenberge D., Decruyenaere J., Leune T., Sterckx S. (Jul, 2022). An exploration of expectations and perceptions of practicing physicians on the implementation of computerized clinical decision support systems using a Qsort approach. BMC Med Inform Decis Mak. Vol. 22. No. 1. P. 185. https://doi:10.1186/s12911-022-01933-3

4. Petrikov S.S., Kholmogorova A. B., Suroegina A.Yu. (2020). Professional burnout, symptoms of emotional distress and distress among medical professionals during the COVID 19 epidemic. Consultative psychology and psychotherapy. Vol. 28. No. 2. P. 8–45.

5. Si M.Y., Su X. Y., Jiang Y., Wang W. J., Gu X. F., Ma L., Qiao Y. L. (Aug, 2020). Psychological impact of COVID 19 on medical care workers in China. Infect Dis Poverty. Vol. 9. No. 1. P. 113. https://doi:10.1186/s40249-020-00724-0

6. Sklyarova T.V., Yakhina R. R., Kurlova E. B. (2023). HLS competencies: new practices of formation (experience of the regional network medical and social project). Public health. No. 3. Vol. 1. P. 51–60. https://doi.org/10.21045/2782-1676-2023-3-1-51-60

7. Sabanov V.I., Popova E. G. (2009). Innovations in remuneration as a conflict factor in medical institutions. Volgograd Scientific and Medical Journal. No. 1. P. 3–6.

8. Spielberger C.D., Gorsuch R. L., Lushene R. E. (1970) Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press. 358 p.

9. Khanin Yu.L. (1976). A short guide to the C. D. Spielberger Scale of Reactive and Personal anxiety. Leningrad: LNIITEK. 86 p.

10. Cohen J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Routledge. https://doi.org/10.4324/9780203771587

11. Kelekar U., Das Gupta D., Theis-Mahon N., Fashingbauer E., Huang B. (2024). Distances to emergency departments and non-urgent utilization of medical services: a systematic review. Glob Health Action. Vol. 17. No. 1. P. 2353994. https://doi:10.1080/16549716.2024.2353994

12. Forsell L., Forsberg A., Kisch A., Rantala A. (2020). Specialist Ambulance Nurses’ Perceptions of Nursing: A Phenomenographic Study. Int J Environ Res Public Health. Vol. 17, No. 14. P. 5018. https://doi:10.3390/ijerph17145018

13. Churkin S.D., Dubovitskaya T. D. (2015). The culture of the manager’s attitude to the staff: concept, structure, features of manifestation. Bulletin of the University. No. 4. P. 272–279.

14. Livshits S.A., Gurov A. N. (2017). The main directions of effective leadership formation and leadership styles of a medical organization. The health care manager. No. 3. P. 55–62.

15. Rusanov S.N., Avkhimenko M. M., Kosachev V. E. (2015). The specifics of the work of emergency medical teams. A nurse. No. 5. P. 44–46.