Prevalence of burnout syndrome in clinical nurses at a hospital of excellence

Background: Burnout syndrome can be defined as long-term work stress resulting from the interaction between constant emotional pressure associated with intense interpersonal involvement for long periods of time and personal characteristics. We investigated the prevalence/propensity of Burnout syndrome in clinical nurses, and the factors related to Burnout syndrome-associated such as socio-demographic characteristics, work load, social and family life, leisure activities, extra work activities, physical activities, and work-related health problems. Method: We conducted a cross-sectional, quantitative, prospective epidemiological study with 188 surgical clinic nurses. We used the Maslach Burnout Inventory (MBI), which is a socio-demographic questionnaire and the most widely used instrument to assess Burnout syndrome (three basic dimensions: emotional exhaustion, despersonalization and professional underachievement). The socio-demographic profile questionnaire wascomposed of questions regarding identification, training, time at work, work characteristics and personal circumstances. Results: The prevalence of Burnout syndrome was higher (10.1%) and 55, 4% of subjects had a propensity to develop this syndrome. The analysis of the socio-demographic profile of the nurse sample studied showed that most nurses were childless married women, over 35 years of age, working the day shift for 36 hours weekly on average, with 2-6 years of post-graduation experience, and without extra employments. Factors such as marital status, work load, emotion and work related stress aggravated the onset of the syndrome. Conclusion: The prevalence and propensity of Burnout syndrome were high. Some factors identified can be useful for the adoption of preventive actions in order to decrease the prevalence of the clinical nurses Burnout syndrome.

Dentistry teachers and the burnout syndrome

The Burnout Syndrome is considered a psychosocial problem to which teachers are routinely exposed. This study was conducted to estimate the prevalence of burnout in Dentistry teachers and its relation to relevant socio-demographic variables. The participants were 70 teachers from the undergraduate Dentistry Course, Faculty of Dentistry of Araraquara ��� UNESP. Oldenburg Burnout Inventory (OLBI) was used. The prevalence of burnout was estimated. In order to compare performed. Mean age of participants was 46.0 �� 6.1 and teaching experience was 19.6��7.6 years. The prevalence of burnout was 17.1%. Low mean scores for Exhaustion (2.11��0.61) and Disengagement (1.73��0.50) were observed. There reported taking medication due to work (p=0.008) and for those who have thought about quit teaching (p=0.001). There scores according to the habit of taking medication, the experience as a teacher and gender

Predictors of Burnout Syndrome in Dentistry Students

Funda����o de Amparo �� Pesquisa do Estado de S��o Paulo (FAPESP)

Burnout syndrome and Brazilian civil aviation: a short essay on the focus on prevention

Introduction: At the same time that there are increased demands we have become more sedentary, increasing risk factors for new diseases. All this reflects on our quality of life with special emphasis upon a particular syndrome called Burnout. Aviation is no exception and packed into its processes each day more expeditious, promotes a perfect environment for the development and spread of the syndrome. Aim: To evaluate the quality of life, organizational climate, and the level of physical activity among employees of a Brazilian airline. Methods: A cross-sectional design was conducted with 8 subjects. Results: Total score on the WHOQOL quality of life questionnaire was 64.7 (SD 10.8), and the environmental field showed the lowest score. Nevertheless, the sedentary risk factor was performed in 25% of the sample. About the organizational climate, it can be seen that 6.12% of the sample was framed in "Professional Exhaustive", 29.60% in the condition of "Warning", and 64.37% in the condition of "Professional Efficiency". Conclusion: the study found a low quality of life, especially in the environmental category, sedentary people and a large proportion of employees in this Brazilian airline with negative scores on the Organizational Climate.

The burnout syndrome among nurses in an urban acute care hospital

Three hundred fifty-four registered nurses from an urban acute care hospital were examined through self-report questionnaires. Nurses from trauma care, critical care and non-critical care nursing specialties participated in the study. The study focuses were (1) whether sociodemographic characteristics were significantly related to burnout; (2) what was the prevalence estimate of burnout among the population; (3) whether burnout levels differed depending upon nursing specialties and; (4) whether burnout as related to nursing stress, work environment, and work relations was mediated by sociodemographic characteristics.^ Race, age, marital status, education, seniority, rank, nursing education, and birthplace were significantly related to one or more aspects of burnout in the total population. With emotional exhaustion alone the prevalence of burnout was 62%. Using emotional exhaustion and depersonalization combined with reduced sense of personal accomplishment as a measure of burnout, thirty-four percent of the nurses were either in the pre-burnout phase or burned out. The relative importance of sociodemographic characteristics indicated that experience and race were highly significant risk factors.^ Burnout levels differed significantly depending upon nursing specialty. Specifically, levels of emotional exhaustion and depersonalization differed significantly between trauma care and critical care, and trauma care and non-critical care. Personal accomplishment did not differ depending upon nursing specialty. Critical care nurses did not differ significantly from non-critical care nurses on aspect of burnout.^ Race, marital status, education, seniority and rank were significant mediators of emotional exhaustion and depersonalization. The study offers possible explanations for the mediating effect of sociodemographic characteristics on nursing stress, work environment, work relations, emotional exhaustion and depersonalization. ^

Burnout syndrome and alcohol consumption in prison employees

Objective: The aims of this study were to estimate the association between an at���risk drinking pattern and sociodemographic variables, and to compare the mean scores of the factors associated with the Burnout Syndrome, according to the alcohol consumption pattern in staff members from two Brazilian prisons. Methods: A cross���sectional study was developed with 339 participants (response rate = 63.8%). The instruments used were a sociodemographic questionnaire, the Alcohol Use Disorders Identification Test (AUDIT), and the Maslach Burnout Inventory ��� General Survey (MBI���GS). Results: The participants��� average age was 40.2 (SD = 8.8) years, and 81.0% were male. Among 78.5% of participants (95%CI 74.1 ��� 82.8) reported consuming alcoholic beverages. The prevalence of at���risk drinking behavior in the sample was 22.4% (95%CI 18.0 ��� 26.9), and of the Burnout Syndrome was 14.6% (95%CI 10.8 ��� 18.4). We observed a significant association between at���risk drinking behavior with gender, higher risk for men (OR = 7.32, p < 0.001), smoking, increased risk for smokers (OR = 2.77, p < 0.001), and religious practice, showing lower risks for religion practitioners (OR = 0.364, p < 0.001). We noticed significantly higher mean scores (p < 0.001) of emotional exhaustion and cynicism, and lower scores of professional achievement among individuals who reported consuming alcoholic beverages. Conclusion: Men who smoke were more likely to develop an at���risk drinking pattern, while religion is presented as a protective factor. Individuals who consume alcohol were more affected by the different factors of the Burnout Syndrome.

Process of burnout: structure, antecedents, and consequences

The major changes that have been witnessed in today's workplaces are challenging the mental well-being of employed people. Stress and burnout are considered to be modern epidemics, and their importance to physical health and work ability has been acknowledged world-wide. The aim of the thesis was to study the concept of burnout as a process proceeding from its antecedents, through the development of the syndrome, and to its outcomes. Several work-related factors considered antecedents of burnout were studied in different occupational groups. The syndrome of burnout is seen as consisting of three dimensions - exhaustion, cynicism and lack of professional efficacy - and different alternatives for the sequential development of these dimensions were tested. Furthermore, several indicators of the severely detrimental health and work ability outcomes of burnout were investigated in a longitudinal study design. The research questions were as follows. 1) Is burnout, as measured with the Maslach Burnout Inventory - General Survey (MBI-GS), a three-dimensional construct and how invariant is the factorial structure across occupations (Finnish) and national samples (Finnish, Swedish and Dutch)? How persistent is exhaustion over time? 2) What is the sequential process of burnout? Is it similar across occupations? How do work stressors relate to the process? 3) How does burnout relate to severe health consequences as well as temporary and chronic work disability according to hospitalization periods, sick-leave episodes and receiving disability pensions? The data were collected between 1986 and 2005. The population of the study consisted of respondents to a company-wide questionnaire survey carried out in 1996-1997 (N=9705, response rate 63%). The participants comprised 6025 blue-collar workers and 3680 white-collar workers. The majority were men (N=7494) and the average age was 43.7 years. In addition, a sample from the population had responded to a questionnaire survey in 1988, which was combined with the 1996 data to form panel data on 713 respondents. The register-based data were collected between 1986 and 2005 from 1) the company's occupational health services' records for a sample of respondents from the 1996 questionnaire survey (sick-leave data), 2) hospitalization records from the Hospital discharge register, and 3) disability pension records from the Finnish Centre for Pensions. These data were combined person by person with the 1996 questionnaire survey data with the help of personal identification numbers which were saved with the study numbers by the researchers. The results showed that burnout consists of three separate but correlating symptoms: exhaustion, cynicism and lack of professional efficacy. As a syndrome, burnout was strongly related to job stressors at work, and seemed to develop from exhaustion through cynicism to lack of professional efficacy in a similar manner among white-collar and blue-collar employees. The results also showed that exhaustion persisted even after eight years of follow-up but did not predict cynicism or lack of professional efficacy after that amount of time. Nor were job stressors longitudinally related to burnout. Longitudinal results were obtained for the severe health-related consequences of burnout. The investigated outcomes represented different phases of health deterioration ranging from sick-leaves and hospitalization periods to receiving work disability pensions. The results showed that burnout syndrome, and its elements of exhaustion and cynicism, were related to future mental and cardiovascular disorders as indicated by hospitalization periods. Burnout was also related to future sick-leave periods due to mental, cardiovascular and musculoskeletal disorders. Of the separate elements, exhaustion was related to the same three categories of disorder, cynicism to mental, musculoskeletal and digestive disorders, and lack of professional efficacy to mental and musculoskeletal disorders. Burnout also predicted receiving disability pensions due to mental and musculoskeletal disorders among initially healthy subjects. Exhaustion was related to receiving disability pensions even when self-reported chronic illness was taken into account. The results suggest that burnout is a multidimensional, chronic, work-related syndrome, which may have serious consequences for health and work ability.

Satisfacci��n laboral y s��ndrome de burnout en docentes de nivel primario

Resumen: El trabajo docente no se reduce al dictado de clases, implica la ejecuci��n de varias actividades como son el cuidado y mantenimiento de la escuela, la atenci��n de los alumnos en su diversidad, la confecci��n de materiales did��cticos, la realizaci��n y presentaci��n de tr��mites administrativos, la inserci��n en los programas de capacitaci��n, y el contacto con los padres, con las autoridades y compa��eros de trabajo; lo que implica un duro esfuerzo, una significativa carga ps��quica en el trabajo. Cuando la motivaci��n y la satisfacci��n por educar disminuyen, cuando el compromiso profesional y la vocaci��n de ense��ar no son suficientes para garantizar un desempe��o satisfactorio y sobrellevar las diferentes situaciones de la labor cotidiana, aumenta la probabilidad de que el docente experimente malestar psicof��sico y agotamiento. El prop��sito de este estudio fue evaluar el estado de satisfacci��n laboral de los docentes y su impacto en las dimensiones del S��ndrome de Burnout. Se trabaj�� con una muestra de 229 profesores de nivel primario, de las provincias de Entre R��os y Buenos Aires. Los resultados indicaron un efecto significativo de la satisfacci��n laboral sobre las diversas manifestaciones del s��ndrome. Los maestros m��s satisfechos con su trabajo mostraron puntuaciones m��s bajas de cansancio emocional y valores m��s elevados en ladimensi��n realizaci��n personal del Maslach Burnout Inventory (MBI).

A organiza����o do trabalho na Unidade de Doen��as Infecto-contagiosas e a ocorr��ncia de Burnout nos trabalhadores de Enfermagem

Na organiza����o do trabalho hospitalar h�� v��rios determinantes que acarretam no desgaste psicof��sico do trabalhador de enfermagem, mesmo com o discurso de que gostam da profiss��o e se sentem realizados em cuidar de pessoas enfermas, especialmente, no cuidado de clientes adoecidos com o HIV/Aids. A Psicodin��mica do Trabalho �� uma ci��ncia que possibilita analisar a configura����o da organiza����o laboral, a qual comprovadamente incide na dimens��o subjetiva do trabalhador, identificando o sofrimento ps��quico, o que potencializa o desenvolvimento de doen��as mentais, entre elas a S��ndrome de Burnout. Nesta perspectiva, o objeto deste estudo trata da organiza����o do trabalho na Unidade de Doen��a Infecto-Contagiosa, espa��o de cuidado de clientes com HIV/Aids e a ocorr��ncia de Burnout entre os trabalhadores de enfermagem que atuam neste espa��o laboral. A fim de apreender o objeto tra��aram-se tr��s objetivos: a) identificar a percep����o dos trabalhadores acerca das caracter��sticas do trabalho de enfermagem no contexto da Unidade de Doen��a Infecto-Contagiosa, local de assist��ncia ao cliente portador do HIV/Aids; b) descrever as repercuss��es no processo sa��de-doen��a dos trabalhadores de enfermagem decorrente da assist��ncia ao cliente com HIV/AIDS; e c) analisar as repercuss��es do processo sa��de-doen��a dos trabalhadores de enfermagem com vistas �� identifica����o de situa����es do aparecimento da S��ndrome de Burnout. Para a realiza����o desta pesquisa, optou-se pela abordagem qualitativa, de car��ter descritivo e explorat��rio. Os dados foram obtidos nos meses de maio a agosto de 2010, utilizando as seguintes fontes de coleta de informa����es: a entrevista semi-estruturada e o formul��rio Maslach Burnout Inventory. Optou-se por analisar as informa����es atrav��s do M��todo de An��lise Tem��tica de Conte��do. Os resultados indicaram que o perfil do profissional de enfermagem era composto por trabalhadores do sexo feminino, que estavam na faixa et��ria entre 44 e 54 anos de idade, na grande maioria t��cnicos de enfermagem com tempo m��dio de 2 a 10 anos de trabalho com clientes HIV/Aids. Verificou-se tamb��m que havia discrep��ncias marcantes entre o trabalho prescrito e o real, o que acarretava sofrimento para o profissional de enfermagem. Constatou-se tamb��m que o sofrimento ps��quico resultava da viv��ncia cotidiana do processo de morte/morrer do cliente com HIV/Aids, pelo profissional de enfermagem. Al��m disso, este sofrimento era determinado tamb��m pela precariza����o das rela����es e das condi����es de trabalho. Concluiu-se que havia v��rios trabalhadores com fortes ind��cios de ocorr��ncia de Burnout, tanto porque a organiza����o do trabalho se configurava como incoerente e pouco racional como pelas caracter��sticas do processo de cuidar do cliente com HIV/Aids. Recomendam-se medidas que promovam a sa��de dos trabalhadores de enfermagem e previnam os agravos em seus processos sa��de-doen��a, tais como: a diminui����o da carga emocional de trabalho, grupos de reflex��o, gin��stica laboral, entre outras. �� preciso haver conscientiza����o dos gestores, vontade pol��tica e est��mulo da organiza����o laboral para que os trabalhadores participem.

Desenvolvimento de um programa de enfrentamento da S��ndrome de Burnout e an��lise de seus efeitos em professores que atuam no processo de inclus��o

Estudo de caso, com o objetivo de desenvolver um programa de enfrentamento da S��ndrome de Burnout e avaliar os seus efeitos no comportamento de 7 participantes do sexo feminino, com idade vari��vel entre 27 a 48 anos, que atuam como professores no processo de inclus��o educacional e social de alunos da Rede P��blica, em uma institui����o de ensino localizada na cidade do Rio de Janeiro. Trata-se de modalidade de investiga����o que envolve procedimentos de pesquisa-a����o. Para fins de coleta de dados foram utilizados instrumentos de medida psicom��trica como o CBP-R, Question��rio de Burnout para Professores ? Revisado (CBP-R; Moreno, Garrosa E Gonz��lez, 2000) como tamb��m o Invent��rio de Sintomas de Stress para Adultos de Lipp ? ISSL (LIPP, 2000), al��m de um invent��rio s��ciodemogr��fico. Como complementa����o do trabalho de pesquisa, foi empregada a an��lise de relatos verbais para fins de levantamento de dados relativos aos processos privados dos participantes. A aplica����o de um programa de enfrentamento da S��ndrome de Burnout consistiu de t��cnicas e de procedimentos fundados na abordagem cognitivo-comportamental e da ado����o de pr��ticas de relaxamento e de manejo de tempo. Os resultados da pesquisa evidenciaram um relativo decr��scimo quanto a incid��ncia de sintomas de stress e Burnout nas participantes. De posse desses resultados, poder��o ser articuladas a����es em pol��ticas p��blicas com vistas �� melhoria da sa��de e das condi����es gerais de trabalho do professor da Rede P��blica. O que se prop��e como meta �� humanizar o posto de trabalho docente, sob os aspectos de sa��de, bem-estar f��sico e mental.

A s��ndrome de burnout e suas representa����es entre profissionais de sa��de de um hospital geral

A tese tem como objetivo geral analisar a ocorr��ncia da s��ndrome de burnout e suas representa����es sociais entre profissionais de sa��de de um hospital p��blico universit��rio do Rio de Janeiro. Caracteriza-se como um estudo quanti-qualitativo, descritivo, transversal, a partir de uma amostra intencional, totalizando 101 participantes. Os instrumentos de coleta de dados foram um question��rio contendo a t��cnica de evoca����es livres, a escala de caracteriza����o do burnout (ECB) e um roteiro de entrevista semiestruturada. A an��lise de dados se deu por meio do uso do software EVOC 2005 e da constru����o do quadro de quatro casas para as evoca����es livres; o software SPSS 20 e an��lises estat��sticas descritivas e inferenciais para a ECB; e a an��lise de conte��do tem��tico categorial para as entrevistas semidiretivas. Os resultados apontam que os profissionais de sa��de possuem uma representa����o social da s��ndrome de burnout alicer��ada em duas dimens��es, uma f��sica e outra psicol��gica; observa-se a preval��ncia de conte��dos predominantemente negativos nessa representa����o, sobretudo, em rela����o ao contexto de trabalho no hospital. Tamb��m mostram a exist��ncia da representa����o social da s��ndrome de burnout estruturada a partir dos termos estresse e cansa��o que fazem parte do prov��vel n��cleo central dessa representa����o. Observou-se que h�� ocorr��ncia da s��ndrome de burnout entre enfermeiros e m��dicos do campo cir��rgico do hospital e que tal ocorr��ncia apresenta rela����o com as vari��veis psicossociais e s��ciodemogr��ficas. Releva-se a import��ncia dessas vari��veis, assinalando o seu papel regulador na ocorr��ncia e desenvolvimento da s��ndrome. Conclui-se destacando as condi����es de trabalho para a constru����o das representa����es nas profiss��es de sa��de e para a determina����o da s��ndrome de burnout, sobretudo no campo cir��rgico. Os resultados poder��o contribuir para a compreens��o do campo te��rico da s��ndrome de burnout, especialmente, no que se refere �� sua determina����o e ao seu desenvolvimento, lan��ando luz para o seu diagn��stico e sua preven����o

S��ndrome de Burnout em farmac��uticos

Projeto de P��s-Gradua����o/Disserta����o apresentado �� Universidade Fernando Pessoa como parte dos requisitos para obten����o do grau de Mestre em Ci��ncias Farmac��uticas

Abordagem neuropsicol��gica das altera����es na aten����o e mem��ria no sindroma de Burnout

O sindroma de Burnout, quadro psicofisio-patol��gico tem sido objecto de investiga����o intensiva, desde o artigo de Freudenberger (1974) intitulado "Staff Burnout", com dois objectivos: compreend��-lo melhor, atrav��s de meios de diagn��stico, e criar t��cnicas de interven����o terap��utica. Na realidade, desde essa altura, foram efectuados e publicados um n��mero avultado de trabalhos de investiga����o, nos campos do diagn��stico e caracteriza����o do Burnout, e da sua resolu����o terap��utica. O pensamento dominante, nessa altura e ainda hoje, �� de tend��ncia anal��tica e/ou psico-social. Este quadro, espoletado por uma sucess��o de epis��dios emocionalmente negativos em contexto ocupacional em indiv��duos com prov��vel predisposi����o gen��tica e sujeitos a situa����es de press��o laboral, dos mais diversos tipos (podendo ir do ���simples��� stress por acumula����o de tarefas at�� ��s situa����es de mobbing), tem efeitos frequentemente dram��ticos ao n��vel da din��mica biopsico- social, nos seus mais diversos aspectos. Estes estendem-se, quase sempre, muito para l�� das problem��ticas laborais, prejudicando, de forma mais ou menos grave, as interac����es sociais com particular impacto ao n��vel da din��mica familiar. Por outro lado, o Burnout propicia o aparecimento de patologias diversas, j�� que toda a estrutura psiconeuro-endocrino-imunul��gica estar�� posta em causa, potenciando situa����es de fragilidade sist��mica. No entanto, h�� aspectos correlacion��veis com este quadro disfuncional que t��m sido muito pouco abordados ��� altera����es cognitivo-operativas ou neuropsicol��gicas. Ali��s os trabalhos que sobre eles incidem s��o em n��mero muito reduzido. Assim ap��s termos registado queixas, acentuadas, ao n��vel da capacidade de concentra����o e da mem��ria em pessoas com burnout observadas na cl��nica hospitalar e privada, decidimos investigar estas situa����es, usando uma metodologia cl��nica de tipo qualitativo, e constat��mos que, na realidade, as queixas eram pertinentes. Posto isto, ach��mos que a situa����o deveria ser aprofundada e partimos para um trabalho mais sistematizado, este, com o objectivo de caracterizar melhor o tipo de disfun����es atencionais e mn��sicas. Para isso, ap��s uma selec����o pr��via, a partir de um grupo de 192 enfermeiros que responderam �� Escala de Maslach, avali��mos uma amostra de risco constitu��da por 40 enfermeiros e enfermeiras, de Institui����es Psiqui��tricas da Grande Lisboa, trabalhando em urg��ncia e enfermaria, que compar��mos com uma amostra de igual n��mero de enfermeiros, desenvolvendo a sua actividade na consulta externa ou em ambientes mais protegidos de stress ocupacional continuo. Para o efeito, e ap��s uma anamnese cuidada, aplic��mos provas de aten����o e mem��ria, sens��veis a qualquer tipo de compromisso encef��lico seja ele funcional ou patol��gico. Para a componente aten����o/concentra����o e a componente v��suo-grafo-espacial us��mos a prova de Toulouse-Pi��ron, assim como as s��ries de d��gitos ou digit span, para a vertente audio-verbal. A din��mica mn��sica foi avaliada atrav��s da prova de mem��ria associativa (Escala de Mem��ria de Wechsler) para testar a variante ��udio-verbal, e a reprodu����o de figuras (Escala de Mem��ria de Wechlser). Os resultados, ap��s uma dupla an��lise cl��nica e estat��stica, comprovaram globalmente as hip��teses, indicando uma correla����o significativa entre o grau de Burnout e os d��fices neuropsicol��gicos detectados: altera����o da aten����o/concentra����o e dismn��sia, de natureza limitativa face ��s exig��ncias quotidianas dos indiv��duos. Finalmente, com base na revis��o da literatura e os resultados deste estudo, foi esquematizado um Modelo Neuropsicol��gico do sindroma de Burnout, que nos parece espelhar as rela����es entre este quadro cl��nico, as altera����es cognitivooperativas encontradas e as principais estruturas encef��licas, que julgamos, implicadas em toda a din��mica do processo disfuncional.

Burnout e engagement nos m��dicos dos Hospitais do grande Porto

Disserta����o apresentada ao Instituto Polit��cnico do Porto para obten����o do Grau de Mestre em Gest��o das Organiza����es, Ramo de Gest��o de Empresas Orientada por: Prof. Doutor Eduardo Manuel Lopes de S�� e Silva Coorientada por: Mestre Adalmiro ��lvaro Malheiro de Castro Andrade Pereira Esta disserta����o inclui as cr��ticas e sugest��es feitas pelo j��ri.