Introduction: In psychiatric care, competence is the basis of patient safety. Consequently, competence transgression can have serious legal and ethical consequences. Objective: Our aim in this study was to investigate the relationship between competence transgression and role clarity, role conflict, stress, and burnout and determine whether each professional group (i.e., residents, nurses, psychiatrists, and psychologists) showed a correlation with these factors. Method: An online cross-sectional survey was conducted among acute psychiatric professionals (n = 105) in Hungary between November 2021 and April 2022. The main data collection instrument was the Copenhagen Psychosocial Questionnaire II. Our questionnaire was complemented by a question on competence transgression. Results: Competence transgression was moderately correlated with role clarity (r = –0.387, p<0.01), role conflict (r = 0.430, p<0.01), stress (r = 0.308, p<0.01), and burnout (r = 0.336, p<0.01). There was a negative significant correlation of medium strength between residents and role clarity (r = –0.258, p<0.01). Conclusion: Competence transgression should be considered when reorganising psychiatric care after a pandemic. Residents working in acute psychiatric care do not perceive their job role as being clear. The recommendations of professional organisations should therefore be emphasized in professional education and among policy makers. Orv Hetil. 2025; 166(12): 469–477.
Bevezetés: A pszichiátriai ellátásban a kompetencia a betegbiztonság alapja. Következésképpen a kompetenciahatárok átlépése súlyos jogi és etikai következményekkel járhat. Célkitűzés: Ebben a tanulmányban az volt a célunk, hogy megvizsgáljuk a kompetenciahatárok átlépése és a munkakör egyértelműsége, a szerepkonfliktus, a stressz és a kiégés közötti kapcsolatot, valamint azt, hogy az egyes szakmai csoportok (azaz rezidensek, ápolók, pszichiáterek és pszichológusok) mutatnak-e összefüggést ezekkel a tényezőkkel. Módszer: Online keresztmetszeti felmérést végeztünk akut pszichiátriai szakemberek (n = 105) körében Magyarországon 2021 novembere és 2022 áprilisa között. A fő adatgyűjtési eszköz a Koppenhágai Kérdőív Munkahelyi Pszichoszociális Tényezőkről II. volt. Kérdőívünket kiegészítettük a kompetenciahatár-átlépésre vonatkozó kérdéssel. Eredmények: A kompetenciahatár-átlépés mérsékelten korrelált a munkakör-egyértelműséggel (r = –0,387, p<0,01), a szerepkonfliktussal (r = 0,430, p<0,01), a stresszel (r = 0,308, p<0,01) és a kiégéssel (r = 0,336, p<0,01). Közepes erősségű negatív szignifikáns korreláció volt a rezidensek és a munkakör egyértelműsége között (r = –0,258, p<0,01). Következtetés: A kompetenciahatár átlépését figyelembe kell venni a pszichiátriai ellátás világjárvány utáni átszervezésekor. Az akut pszichiátriai ellátásban dolgozó rezidensek nem érzik egyértelműnek a munkakörüket. A szakmai szervezetek ajánlásait ezért hangsúlyozni kell a szakmai oktatásban és a politikai döntéshozók körében. Orv Hetil. 2025; 166(12): 469–477.
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