Stress and burnout syndrome in health professionals (original) (raw)
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Stress and Burnout in Health Professionals
Studies in Systems, Decision and Control, 2019
Occupational stress and burnout are a global epidemic that can cause severe negative effects on workers' physical and emotional health. Health professionals working in a hospital setting are especially at risk, due to the inherent characteristics of their work. Consequently, this study aimed to analyse the relationships between stress and burnout in health professionals working in a hospital in the North of Portugal. A convenience sample of 221 health professionals participated in this cross-sectional study and answered two instruments to assess stress and burnout at work. Results showed that stress dimensions, such as the precariousness of the contractual status, the intention to change services, work overload, stress from the work-home interface, relationships at work, leading training activities, and dealing with patients predicted the three dimensions of burnout-physical fatigue, cognitive weariness, and emotional exhaustion. Therefore, these findings contribute to increase the knowledge of health professional's mental conditions, and can be used to design and implement interventions to mitigate the effects of stress and burnout on these professionals.
—When stress is a chronic problem associated with work, it is referred to as Burnout syndrome (BS). The aim of this study was to identify the prevalence of BS among health professionals at a Brazilian public hospital run by a social health organization. This is a qualitative descriptive study describing the experiences of workers at a public hospital located in Cubatão, SP, Brazil. A hundred thirty-eight professionals agreed to participate in the study. The cohort included 27 physicians, 46 nurses and 65 nursing technicians. The study was done using a two-part questionnaire. The first part included questions designed to investigate socio-demographic data. The second part included the Maslach Burnout Inventory (MBI). The demographic data collected are as follows: the average age of participants was 34,6 years (± 5.4), the prevalence of women was 68%and the marital status most reported was a stable union (38.5%). All participants had completed at least a technical education. Most participants were nursing technicians (51.2%), and the average hiring time by the institution was 5.5 years (± 2.1). 76% were employed by the organization and 24% had outsourcing contract. According to the criteria of MBI-HSS, fifteen respondents (10.8%) had BS. For nurses, there was a positive association between low professional accomplishment (PA) and women (OR = 2.6; IC 95% [0.9; 7.3]; p=0,05), and between married and emotional exhaustion (OR = 1.6; IC 95% [0.3; 2.3]; p=0.04). For nursing technicians, a positive association between depersonalization (DE) and age 31-35 years (OR = 1.8; 95% CI [0.5; 5.9]; p = 0.05), and between DE the period of time in the job 4 – 7 years (OR = 7.9; 95% CI [0.9; 71.1]; p = 0.03). As for the physicians, the positive association was between period of time in the job 4 – 7 years and low PA (OR = 1.7; 95% CI [0.6; 5.1]; p = 0.04). Our results showed a moderate frequency of emotional exhaustion and low professional accomplishment in a Brazilian public hospital. Exhaustion and lack of professional interest may be related to inadequate human resources policies. Index Terms— Burnout, epidemiology, health personnel, occupational health, public-private relations in the health sector.
Stress, Burnout and Coping in HealthProfessionals: A Literature Review
2017
Context: Stress is a phenomenon inherent to life and it becomes inevitable, particularly in a professional context, having consequences on life quality. This is a disorder that affecting several people worldwide, namely health professionals, and is originated by various factors. Objective: The aims of this review article are studying, in the stress and burnout in health professionals in order to clarify the definition, identify the possible causes, related factors and identify the coping strategies. Methods: This review article was performed through data bases such as b-on, PubMed and books. It was used articles in Portuguese, English and Spanish and that corresponded to established descriptors. Results: Stress affects individuals from any age and professional area. When is caused by work complications is called of occupational stress. This phenomenon resultes of the action of an agent stressor that can be physical, social or even psychological. Other phenomenon is Burnout Syndrome,...
Análise da produção científica sobre a síndrome de burnout em médicos da atenção primária
Revista Brasileira de Medicina de Família e Comunidade, 2022
Introduction: Burnout syndrome is an adjustment disorder related to chronic stress in the work environment, with consequences both to the professional's health and quality of life and to their work organization and performance. Physicians from all specialties are vulnerable to the development of burnout syndrome. Those who work in primary health care-general practitioners and family physicians-seem to be at higher risk since they are exposed to several stressors in their practice. Research on burnout syndrome in primary care physicians has been gaining prominence in the past 20 years, but the scarcity of studies in Brazil makes it difficult to characterize the real impact of this syndrome on these professionals. Objective: To review the literature searching for publications related to burnout syndrome in primary care physicians and analyze them, systematizing the areas of interest. Methods: This is a narrative literature review on the burnout syndrome in primary care physicians based on a systematic search in the electronic databases PubMed and Scientific Electronic Library Online (SciELO), using the following descriptors: "burnout, professional" , "physicians, primary care" , and "physicians, family". The search was conducted in October 2018 and allowed the identification of 192 publications, of which 55 were included in the analysis and categorized according to the year of publication, country of origin, study design, and areas of interest. Results: Most studies (40) adopted an observational descriptive cross-sectional design. We also found two systematic reviews of observational studies, two qualitative descriptive studies, two longitudinal cohort studies, two randomized clinical trials, two opinion papers, two editorials, one time trial, one time series, and one case study. We found many topics investigating burnout syndrome in primary care physicians, but the studies are often observational and describe the prevalence of the syndrome in these professionals and the various associated variables. The most frequently studied variables are sociodemographic aspects and those related to the work environment or to the professional. Studies collecting epidemiological data about primary care physicians in Brazil are scarce, but this is an important step toward understanding how this syndrome behaves in our context. Conclusions: We need studies on the prevalence and impact of burnout syndrome on primary care physicians that can particularly investigate factors related to the environment and the work process. Clinical trials can provide evidence to combat burnout effectively. Qualitative studies can collect data on the motivations of professionals, as well as their behaviors, opinions, and expectations, guiding strategies for coping with this syndrome.
Background: Burnout syndrome in health care workers is a state of physical, emotional and mental exhaustion caused by long-term involvement in high-stress situations. Burnout is regarded as the result of chronic stress that has not been successfully addressed. The purpose of this study was to determine the prevalence, patterns and comparison of the different stages of burnout syndrome amongst various health care professionals. Materials and Methods: Total of 280 health care professionals comprising 55 doctors, 165 nurses, three physiotherapists, five radiographers and 52 medical laboratory scientists participated in the survey. Participants were chosen using a proportionate stratified random sampling technique. The instrument used for data collection was the Maslach Burnout Inventory (MBI) .The data were analysed using descriptive statistics such as means and standard deviations, and inferential statistics (ANOVA). Significance was set at 95%. Results: The results reveals that burnout (EE-emotional exhaustion, DP-depersonalisation, PA-personal accomplishment) occurred in the following order, medical lab scientist (EE 33.85, DP:14.83, PA:21.77), nurses (EE:30.81, DP:12.80,PA:27.81), doctors (EE:25.47, DP:9.87, PA:31.64), radiographers (EE:16.8, DP:7.6, PA:36.2), physiotherapist (EE:8.67, DP:4.33, PA:37.68). There was significant difference in all the stages of burnout (P<0.05). Conclusion: Health care organisations need to acknowledge that those who work in the health care profession may need help to cope with the stress and burnout that are often associated with such practice. Efforts to alleviate burnout among health care professionals will have positive effect on health care service delivery.
Burnout syndrome and associated factors among health professionals of a public hospital
Trends in psychiatry and psychotherapy, 2012
To identify the prevalence of burnout syndrome (BS) dimensions and their relationship with sociodemographic data, working variables, psychosocial variables, job satisfaction, hardiness, self-efficacy, and common mental disorders among health professionals of a public hospital. This cross-sectional study assessed 234 health professionals working at a public hospital in southern Brazil. Participants answered the Maslach Burnout Inventory, the Job Satisfaction Questionnaire, the Hardiness Scale, The General Self-Efficacy Scale, the Self-Reporting Questionnaire, and a questionnaire specifically designed for the present study to assess sociodemographic and variables related to work. Data were analyzed using descriptive and inferential statistics. An association was identified between the three dimensions of BS and sociodemographic data, variables related to work, psychosocial variables, hardy personality traits, and common mental disorders. The study allowed to define a risk profile for ...
International Journal of Environmental Research and Public Health
Primary healthcare personnel show high levels of burnout. A new model of burnout has been developed to distinguish three subtypes: frenetic, under-challenged, and worn-out, which are characterized as overwhelmed, under-stimulated, and disengaged at work, respectively. The aim of this study was to assess the psychometric properties of the long/short Brazilian versions of the “Burnout Clinical Subtypes Questionnaire” (BCSQ-36/BCSQ-12) among Brazilian primary healthcare staff and its possible associations with other psychological health-related outcomes. An online cross-sectional study conducted among 407 Brazilian primary healthcare personnel was developed. Participants answered a Brazil-specific survey including the BCSQ-36/BCSQ-12, “Maslach Burnout Inventory-General Survey”, “Utrecht Work Engagement Scale”, “Hospital Anxiety/Depression Scale”, “Positive-Negative Affect Schedule”, and a Visual Analogue Scale of guilt at work. The bifactor was the model with the best fit to the data u...
[Professional Burnout Syndrome of intensive care physicians from Salvador, Bahia, Brazil]
Revista da Associação Médica Brasileira (1992)
Describe prevalence of the Burnout syndrome in intensive care physicians of Salvador, associated to demographic data and aspects of the work environment (psychological demand and job control). This cross sectional study has investigated the association between work conditions and Burnout Syndrome in a population of 297 Intensive Care Physicians from Salvador, Bahia, Brazil. An individual, self-report questionnaire evaluated the physicians' psychological aspects of work, using the demand-control model (Job Content Questionnaire) and their mental health, using the Maslash Burnout Inventory (MBI). The study found work overload,a high proportion of on duty physicians and low income for the hours worked. Prevalence of the Burnout Syndrome was 7.4% and it was more closely associated with aspects of the job's psychological demand than with its control. Physicians under great stress (high demand and low control) presented prevalence of the Bornout Syndrome 10.2 times higher than tho...
Revista de Pesquisa: Cuidado é Fundamental Online, 2015
Objetivo: estimar a prevalência de burnout entre médicos de uma instituição hospitalar federal de ensino localizada no estado da Paraíba/Brasil. Método: estudo descritivo e observacional, do qual participaram 134 médicos, escolhidos aleatoriamente entre médicos-residentes, professores da ufpb e médicos servidores federais da instituição. foram utilizados três questionários: caracterização sócio-demográfica e profissional, mbi-hss e o itra. os dados foram submetidos à análise estatística com o auxílio do spss-18.0. Resultados: foi evidenciada uma prevalência da síndrome de 81,34% e as características predominantes dentre os pesquisados acometidos pelo burnout foram: adulto jovem, com filhos, sem companheiro, em início de carreira, trabalhando em várias instituições de saúde, com relação delicada com as chefias, em diversas atividades e com tarefas pouco definidas. Conclusão: concluiu-se que foi de alta prevalência o burnout no contexto de trabalho médico hospitalar, devendo ser alvo ...
High prevalence of burnout syndrome among intensivists of the city of Porto Alegre
Revista Brasileira de terapia intensiva
High prevalence of burnout syndrome among intensivists of the city of Porto Alegre BRIEF COMMUNICATION INTRODUCTION Burnout syndrome involves emotional exhaustion (EE), depersonalization (DP) and reduced personal achievement (PA). (1,2) Burnout is associated with absenteeism, physical illnesses, emotional problems, poor work performance and negative attitudes (3) and may result in decreased quality of medical care. The most widely used burnout syndrome measurement tool is the Maslach Burnout Inventory (MBI). (4) Variations in burnout prevalence and severity are reported in all medical specialties. (5-8) Intensivists may have high burnout levels because of the stressful and demanding work associated with critical patient care. (6,9) Guntupalli and Fromm studied burnout among American intensivists (10) and found that 29% had high rates of EE, 20.4% experienced DP, and 59% felt low PA. Similar findings were reported among French and English intensivists, with the prevalence of moderate-to-high burnout ranging from 30 to 45%. (7,11) In Brazil, few burnout prevalence surveys have been performed among intensivists caring for adults. (6,12,13) Burnout syndrome is a work-limiting factor. Thus, this study aims to identify burnout among intensivists caring for adult patients in the city of Porto Alegre, Brazil.