Abstract
Introduction:Anesthesiology is a demanding medical specialty that requires intense focus, long working hours, and frequent exposure to high-stress situations. These factors often lead to significant occupational stress. Supporting the well-being of anesthesiologists is essential for maintaining patient safety and a stable healthcare workforce.
Methods: We conducted a survey among anesthesiology residents and specialists in North Macedonia. Standardized tools were used, including the Safety Attitudes Questionnaire (SAQ), WHO-5 Well-Being Index, and custom questions related to workplace culture, mental health, and teamwork. Data were collected anonymously via Google Forms and analyzed with SPSS v29.0, focusing on work conditions, psychological well-being, and burnout levels.
Results: A total of 100 participants participated—60% residents and 40% specialists. Residents reported significantly higher stress and burnout, along with lower perceived support from institutions and weaker team dynamics (p < 0.05). Specialists noted better job satisfaction and stronger organizational backing (p < 0.05). Both groups highlighted a lack of mental health support and weak safety culture, particularly in under-resourced settings; however, these differences were not statistically significant (p > 0.05). Overall, resource limitations were widely recognized as key contributors to workplace challenges in middle-income countries (p < 0.05).
Conclusion: Anesthesiology residents face higher levels of stress and lower job satisfaction compared to specialists, with resource constraints worsening these disparities. To address these issues, targeted interventions are needed, including mental health support services, mentoring programs, stress management training, and policies that promote a positive work environment and psychological safety.