THE ANALYSIS OF PSYCHOLOGICAL FACTORS IMPACTING ADAPTATION OF WORKERS OF POLYCLINICS TO ALTERATIONS IN WORK INCLUDING ONES RESULTED FROM IMPLEMENTATION OF PROJECT ACTIVITIES

According to many criteria, implementation of lean technologies into medical organizations rendering primary health care is implemented through project activities. At that, experience of implementation of projects presents different results in terms of efficiency in clinics of the Moscow Oblast that is partly related to psychological characteristics of employees and unpreparedness for changes in work. The purpose of the study is to assess particular psychological characteristics of medical workers in primary health care organizations which may affect implementation of changes in basic processes in functioning of clinics. The questionnaire survey of 3 978 managers and workers of polyclinics of the Moscow Oblast was carried out concerning differential type of reflection, cognitive regulation of emotions and integral types of communicative aggressiveness to analyze psychological status of workers of polyclinics where project activities were implemented. According to differential type of reflection average level of systemic reflection is decreased in 62.6% of respondents. In 7% evidence of quasi-reflection indicator was revealed. In 20.78% of employees deviation in introspection parameter was detected. On cognitive regulation of emotions self-blame was above "norm" in 32.5% of respondents; indicator of rumination was above "norm" in 22.8% of workers, deviation from the "norm" in terms of catastrophizing was marked in 7.9%, blaming others in 4.5%, acceptance was decreased in 70.6% of respondents, positive refocusing was insufficient in 77.7% of workers of polyclinics, perspective consideration was insufficient in 65.8% of respondents; and 51.2% of respondents had weak focusing on planning. On integral types of communicative aggressiviness low level of communicative aggression was established. At that, in 85.9% of respondents parameter "inability to switch aggression to activities or inanimate objects" was above average value. To increase efficiency of results of implementation of changes within the framework of project activities it is necessary to carry out psychological work with personnel of medical organizations in individual and group (training) format.