Intervening Variables of Burnout in Health Professionals of Emergency Services (original) (raw)

Burnout Syndrome Among Health Workers At A Brazilian Public Hospital Run By A Social Health Organization

—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 and burnout syndrome in health professionals

International Journal of Family & Community Medicine, 2019

Introduction: Stress can lead to negative health consequences, like stress and burnout. Objective: this study analyses the overall level of stress, the main stressors sources, and presence of Burnout syndrome. Materials and methods: cross-sectional study, with professionals of a family health strategy of Santa Catarina, Brazil, using the instruments Maslach Burnout Inventory and the Stress Questionnaire for Health Professionals. Results: 38 professionals participated, data show that 34% are very stressed, 61% with moderate stress and 5% with little stress. The career and remuneration were the most relevant stressors, followed by dealing with customers. The favoritism and/or discrimination at work were considered by 84% professionals as the greater generating source of stress and pressure. Results revealed that 34.2% have burnout and 8% are with high stress. Conclusion: Considering the number of professionals affected by stress and burnout, emphasized the importance of the implementation of preventive activities that improve the well-being at work and reinforces the need for psychological monitoring to those professionals.

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.

Degree of Burnout Among Emergency Healthcare Workers and Factors Influencing Level of Burnout: A Study Protocol

Journal of Evolution of medical and Dental Sciences, 2015

Objectives: (1) To examine the level of burnout reported by healthcare workers of emergency department. (2) To find out the relationship between burnout and demographic variables like age, religion, marital status, years married, general and professional education, children and number of children. (3) To explore factors that may influence the level of burnout among healthcare workers working in emergency department. Methods: Seven healthcare workers working in the emergency department of Gauhati Medical College Hospital, Guwahati were be selected by non probability purposive sampling. Demographic proforma, factors influencing level of burnout, and Assamese translation of Maslach Burnout Inventory were the tools used. Results: In emotional exhaustion, there was lowlevel burnout. High-level burn out was seen in depersonalisation or loss of empathy. Moderate burnout was found in personal achievement. Conclusion: While findings of the present study have several implications in terms of improving resources and environment in the emergency healthcare delivery system, similar study, replicated on a large sample, would help to draw conclusions that are more definite and generalisable to a larger population.

[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...

Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study

Sao Paulo Medical Journal

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has placed considerable psychological stress on frontline healthcare workers (HCWs). OBJECTIVE: To evaluate the prevalence of burnout syndrome among HCWs facing the COVID-19 outbreak. DESIGN AND SETTING: Cross-sectional study conducted in six public intensive care units (ICUs) in the city of Fortaleza, Brazil. METHODS: An online survey was conducted among HCWs to measure the three dimensions of burnout. RESULTS: A total of 62 physicians (23.4%), 65 nurses (24.5%), 58 nurse technologists (21.9%) and 80 physiotherapists (30.2%) completed the questionnaire. Nearly half of the participants (48.6%) had high levels of emotional exhaustion, and almost one-third of them (29.4%) had high levels of depersonalization. Low levels of professional efficacy were observed in 18.1% of the sample. The independent determinants of depersonalization burnout were age < 33 years (odds ratio, OR 2.03; 95% confidence interval, CI 1.15-3.56; P = 0.01) and female gender (OR 0.33; 95% CI 0.18-0.62; P = 0.01). Increased workload was associated with both depersonalization (OR 2.37; 95% CI 2.02-5.50; P = 0.04) and emotional exhaustion (OR 1.89; 95% CI 1.04-3.58; P = 0.030). CONCLUSION: The COVID-19 pandemic has had a great impact on the dimensions of depersonalization and emotional exhaustion. Consideration of these dimensions is important when designing future burnout prevention programs for frontline personnel.

Burnout Syndrome-Stress in Health Care Professionals Working to Fight Covid-19 in Public Hospitals

Objective: The research had as general objective to analyze the incidence of Burnout Syndrome in health professionals of two public hospitals that provide care to patients with Covid-19 in two realities in the Legal Amazon. Materials and Methods:Exploratory, descriptive study, with a cross-sectional design and a quantitative approach. The data collection instruments used in this study were: a) Maslach Burnout Inventory (MBI) Questionnaire and Questionnaire of sociodemographic, professional and psychosocial factors profile. The MBI is composed of three factors that are called Emotional Exhaustion EE, Depersonalization DE and Professional Achievement RP. The research subjects were 140 health professionals from two public hospitals. The research project complies with Resolution 466/12 of the National Health Council of Brazil, taking into account the ethical aspects of research in Brazil. Main results: Health professionals working to combat the Covid-19 pandemic in two public hospitals have high rates of Emotional Exhaustion (EE), Depersonalization (DE) and Low Professional Fulfillment (PR), indicative of high rates of burnout. Individual or associated psychosocial factors are conditioning factors and can directly determine the occurrence of Burnout Syndrome in health professionals, especially at this time of combating the Covid-19 pandemic. Conclusion: Show the urgency of interventions aimed at these professionals, which aim to reduce levels of occupational stress, increase self-esteem, encourage self-care and build a healthy work environment.

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 ...

BURNOUT SYNDROME IN INTENSIVE CARE PROFESSIONALS IN THE CONTEXT OF THE COVID-19 PANDEMIC IN A CITY IN NORTHEAST BRAZIL (Atena Editora)

BURNOUT SYNDROME IN INTENSIVE CARE PROFESSIONALS IN THE CONTEXT OF THE COVID-19 PANDEMIC IN A CITY IN NORTHEAST BRAZIL (Atena Editora), 2023

Objective: to analyze the signs of Burnout Syndrome in Intensive Care professionals in the context of the COVID-19 pandemic. Methods: Cross-sectional, descriptive study with a quantitative approach, with interviews of health professionals (Nurses, Physiotherapists and Nursing Technicians) working in the Intensive Care Unit, in the months of August and September 2021, specifically for patients with COVID-19, using - a questionnaire relating to Burnout Syndrome, the Match Burnout Inventory- Human Service Survey. Absolute frequency, position means, standard deviation and Kolmogorov-Smirnov test were applied, with significance <5%. Results: The “emotional exhaustion” dimension showed greater evidence of high risk for Burnout Syndrome in relation to the “professional depersonalization” and “professional fulfillment” dimensions. Conclusion: A greater indication for Burnout Syndrome was identified in nurses when compared to nursing technicians and physiotherapists. Furthermore, more than half of professionals show signs of a trend or sign of Burnout.

Burnout Syndrome (Bs) Among Doctors During the Covid-19 Pandemic in Porto Velho-ro, Brazil

INTRODUCTION: Burnout syndrome (BS) occurs due to chronic exposure to stressors in the workplace. In addition to the stressful conditions to which doctors are exposed under usual situations, the COVID-19 pandemic has added greater pressure to the reality of these professionals. OBJECTIVES: to identify the frequency of BS, and the possible associated risk factors, among physicians during the COVID-19 pandemic in Porto Velho-RO, Brazil. METHODOLOGY: it is a cross-sectional study carried out through a questionnaire answered by physicians who signed the Informed Consent. The Maslach Burnout Inventory (MBI) was used as a basis. RESULTS: The prevalence of BS in this study was 77.5% (107/138), with 43.48% (60/138) with BS in the emotional exhaustion and depersonalization dimensions, 29% (40/138) with emotional exhaustion alone, and 5.1% (7/138) only with depersonalization. The prevalence of low personal accomplishment was 17.4% (24/138), between these 95.8% (23/24) had BS. Statistical test...