scholarly journals Estrategias que modulan el síndrome de Burnout en enfermeros (as): una revisión bibliográfica

2017 ◽  
Vol 14 (1) ◽  
pp. 111 ◽  
Author(s):  
Luz  Dalila  Vargas-Cruz ◽  
Carmen  Lucía  Niño-Cardozo ◽  
Jessica  Yurlay  Acosta-Maldonado

Introducción: el síndrome de Burnout es la sensación de agotamiento y pérdida de interés por el trabajo que surge en profesionales que mantienen contacto diario con otras personas. Metodología: se realizó una revisión de artículos que reportan estrategias para modular el Burnout en profesionales de enfermería, en las siguientes bases de datos: Scielo, ProQuest, Sciencie Direct, Ovid Nursing, EBSCO, Medline, Pubmed y Wiley Online Library. Los descriptores en español, inglés y portugués utilizados fueron: Burnout, enfermeras, intervenciones. Se encontraron 1.833 artículos, de los cuales 17 cumplieron con los criterios de selección. Resultados: el efecto de las intervenciones pre y post para el Burnout fue medido con el Maslach Burnout Inventory y la Escala de Depresión y Ansiedad Hospitalaria, entre otros. Las intervenciones más reportadas fueron apoyo social, psico-educación, entrenamiento en la solución de problemas y en habilidades de comunicación. 16 artículos reportaron disminución o ausencia del Burnout después de las intervenciones, con cambios en las variables propuestas por Maslach y Jackson o en la sostenibilidad en el tiempo. Conclusión: se reportan estrategias para el Burnout sin distinción de las variables del mismo; sin embargo, se evidencian diferencias en los resultados frente a cambios positivos en cansancio emocional, en comparación con las otras variablesPALABRAS CLAVE:  adaptación  psicológica,  agotamiento  profesional,  enfermeros,  despersonalización.            Strategies that modulate the Burnout syndrome in nurses: a bibliographic review                                                                       ABSTRACTIntroduction: the Burnout syndrome is the feeling of exhaustion and loss of interest in the work  that emerges in professionals that maintain daily contact with other people. Methodology: A review  of articles that report strategies to modulate the Burnout in nursing professionals was performed in  the following databases: Scielo, ProQuest, ScienceDirect, Ovid Nursing, EBSCO, Medline, Pubmed  and Wiley Online Library. The descriptors used in Spanish, English and Portuguese were: Burnout,  nurses, interventions. 1833 articles were found, in which 17 met the criteria of selection. Results: the effects of pre and post interventions for the Burnout was measured with the Maslach Burnout  Inventory and the Hospital Anxiety and Depression Scale, among others. The interventions most  reported were social support, psychoeducation, problem solving training and communication skills.  16 articles reported the decrease or absence of Burnout after the interventions, with changes in the  variables proposed by Maslach and Jackson or in the sustainability over time. Conclusion: strategies  for the Burnout are reported without distinction of the variables; however, differences are evidenced  on the results regarding positive changes in emotional tiredness, compared to other variables. PALABRAS CLAVE: adaptation psychological, Burnout professional, nurses, depersonalization. Estratégias que modulam a síndrome de Burnout em enfermeiros (as): uma revisão de literatura                                                                        RESUMOIntrodução: a síndrome de Burnout é um transtorno adaptativo crônico associado às demandas e exigências laborais, cujo desenvolvimento é insidioso e frequentemente não reconhecido pelo indivíduo, que gera cansaço emocional, sensação de esgotamento e perda de interesse pelo trabalho, principalmente apresentando-se em professionais que mantem contato diário com outras pessoas. Metodologia: realizou-se uma revisão de artigos que reportam estratégias para modular o Burnout em professionais de enfermagem, nas seguintes bases de dados: Scielo, ProQuest, Sciencie Direct, Ovid Nursing, EBSCO, Medline, Pubmed e Wiley Online Library. Os descritores utilizados em espanhol, inglês e português foram: Burnout, enfermeiras, intervenções. Encontraram-se 1.833 artigos, dos quais 17 cumpriram com os critérios de seleção. Resultados: o efeito das intervenções pré e pós para o Burnout foi medido com o Maslach Burnout Inventory e a Escala de Depressão e Ansiedade Hospitalar, entre outros. As intervenções mais reportadas foram apoio social, psico-educação, treinamento na solução de problemas e em habilidades de comunicação. 16 artigos reportaram diminuição ou ausência do Burnout depois das intervenções, com mudanças nas variáveis propostas por Maslach e Jackson ou na sustentabilidade no tempo. Conclusão: se reportam estratégias para o Burnout sim distinção das variáveis do mesmo; porém, se evidenciam diferenças nos resultados frente a mudanças positivas em cansaço emocional, em comparação com as outras variáveisPALAVRAS-CHAVE: adaptação psicológica, esgotamento professional, enfermeiras e enfermeiros,  despersonalização.

2021 ◽  
Vol 21 (1) ◽  
pp. 83-96
Author(s):  
Elsa VITALE ◽  
Salvatrice CASOLARO

"Aim: To evaluate burnout, anxiety and depression levels in nurses directly involved in the care of Covid-19 patients. Furthermore, particular attention was paid to the existence of any differences between male and female nurses to evaluate whether the variables considered can be influenced by the gender variable. Design: A cohort case-report study was carry out. Sample: All Italian nurses who were at front line in the care of the Covid-19 patients were involved. Measurement: The on line questionnaire collected data as regards: gender and years of work experience; the Maslach Burnout Inventory questionnaire (MBI) and the Hospital Anxiety and Depression Scale (HADS) questionnaire. Results: Certainly the experience of the pandemic was very emotional for nurses engaged in the front line in the care of Covid-19 patients. However, anxiety and depression levels turned out to be normal, while some nurses experienced them in the dimensions of emotional exhaustion and depersonalization of the burnout rating scale. Conclusion: The practical implication was the implementation of support policies for nurses in tackling the problem of burnout more than that of anxiety or depression."


2021 ◽  
Vol 26 (3) ◽  
pp. 237-247
Author(s):  
Karina Franco-Paredes ◽  
Violeta R. Castro-López

Systematic review of the psychometric properties of the Hospital Anxiety and Depression Scale (HADS)in Mexican samples: Should we go back to the beginning Abstract: A systematic review was run in order to find validation studies on the Hospital Anxiety and Depression Scale (HADS) in Mexican samples. Specialized databases and referencia sections of some articles were searched to locate this evidence. We found 10 articles that analyzed the psychometric properties of the HADS. The analysis showed that in all of the studies reliability was adequate and generally a two-factor structure could be supported. Nevertheless, we identified five different versions of the HADS and did not find any information about the translation process. In conclusion, the adequate internal consistency of the HADS could be confirmed but regarding the two-factor structure and cut-off points evidence is not conclusive. Key words: HADS; reliability; validity; psychometric properties; Mexico. Resumen: El propósito de esta investigación fue realizar una revisión sistemática de los estudios de validación de las propiedades psicométricas de la Escala de Ansiedad y Depresión Hospitalaria (HADS) en muestras mexicanas. Se realizó una búsqueda en bases de datos especializadas y en las referencias de los artículos. Se encontraron 10 estudios en los que se analizaron las propiedades psicométricas de la HADS. El análisis mostró que en todas las invesigaciones se evaluó la fiabilidad y ésta fue adecuada; en general, los estudios apoyan una estructura de dos factores. Sin embargo, se identificaron cinco versiones diferentes de la HADS y no se encontró información sobre cómo se realizó la traducción. En conclusión, se confirma que la consistencia interna de la HADS es adecuada, si bien los estudios apoyan la estructura de dos factores la evidencia no es concluyente, como tampoco lo es respecto a los puntos de corte. Palabras clave: HADS; fiabilidad; validez; propiedades psicométricas; México.


2011 ◽  
Vol 20 (2) ◽  
pp. 147 ◽  
Author(s):  
Araceli Dávila Figueras ◽  
Rocío Ruiz Celis ◽  
Laura Moncada Arroyo ◽  
Iris Gallardo Rayo

Esta investigación tuvo por objetivos describir las variables ansiedad, depresión y apoyo social percibido en estudiantes de Odontología de la Universidad de Chile en dos momentos del semestre académico; y comprobar si con las exigencias curriculares de esta carrera aumentan sus niveles de ansiedad y depresión. Se aplicaron las escalas Hospital Anxiety and Depression Scale -HADS- (Snaith & Zigmond, 1983) y Duke University Functional Social Support -DUFSS- (Broadhead, De Gruy, Gehlbach & Kaplan, 1988). El estudio fue transversal y longitudinal, descriptivo, correlacional y con una muestra no probabilística (n=440). Se concluye que los estudiantes se encuentran considerablemente más ansiosos que deprimidos, especialmente los de género femenino y aquellos que cursan tercer y cuarto año.    


2021 ◽  
Vol 30 ◽  
Author(s):  
Sandra de Souza Pereira ◽  
Joana Fornés-Vives ◽  
Vivian Aline Preto ◽  
Gerson Alves Pereira Pereira Junior ◽  
Mario Francisco Juruena ◽  
...  

ABSTRACT Objective: to analyze the association between Burnout, stress, mental suffering and other personal and work factors associated with this syndrome. Method: cross-sectional, descriptive and correlational study with 282 health professionals from the emergency services of the city of Ribeirão Preto, Brazil, collected from October 2015 to March 2016. The instruments used were: sociodemographic questionnaire, Maslach Burnout Inventory, Childhood Trauma Questionnaire, Stress Symptom Inventory, Perceived Stress Scale, Psychiatric Screening Questionnaire, Fantastic Lifestyle Checklist, Hospital Anxiety and Depression Scale and Holmes-Rahe Social Readjustment Rating Scale. Descriptive writing of the data. Pearson's Chi-Square or Fisher's Exact Tests to check the association between variables and later regression analysis, in which ORs were calculated, with 95% CI and 5% significance level. Results: there was statistical evidence of an association between Burnout and education, early stress, stress, common mental disorders, lifestyle, anxiety and depression. The regression analysis shows that the variables that influence Burnout are: type of service (p=0.032; OR=0.187), education (p=0.029; OR=2.313), perception of stress (p=0.037; OR=1.67) and social readjustment (p=0.031; OR=1.279). Conclusion: this study points to a profile for the development of Burnout, consisting of health professionals with higher education, who suffered early stress, who have symptoms and perception of stress, who do not have a healthy lifestyle and show symptoms of mental suffering. Such results can assist in the development and implementation of strategies aimed at reducing both work stress and the prevalence of Burnout syndrome.


2009 ◽  
Vol 57 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Lena Schirmer ◽  
Anja Mehnert ◽  
Angela Scherwath ◽  
Barbara Schleimer ◽  
Frank Schulz-Kindermann ◽  
...  

Die in mehreren Studien gefundenen kognitiven Störungen bei Tumorpatienten nach Chemotherapie werden zumeist mit der Zytostatikaneurotoxizität assoziiert. In der vorliegenden Arbeit wird der Zusammenhang von Angst, Depression und Posttraumatischer Belastungsstörung mit der kognitiven Leistungsfähigkeit bei Frauen mit Mammakarzinom untersucht. Insgesamt wurden 76 Brustkrebspatientinnen fünf Jahre nach Abschluss der onkologischen Behandlung mit neuropsychologischen Testverfahren sowie mit der Hospital Anxiety and Depression Scale – Deutsche Version (HADS-D) und der Posttraumatic Stress Disorder Checklist – Civilian Version (PCL-C) untersucht: 23 nach Standard- und 24 nach Hochdosistherapie sowie 29 nach Brustoperation und Strahlentherapie als Vergleichsgruppe. Signifikante Zusammenhänge sind vor allem zwischen kognitiven Funktionen und Intrusionssymptomen einer Posttraumatischen Belastungsstörung (PTBS) festzustellen. Bei Patientinnen nach Standardtherapie weisen Intrusionen der PTBS einen moderaten Zusammenhang mit der globalen kognitiven Beeinträchtigung auf. Die Ergebnisse der Studie deuten auf multidimensionale Einfluss- und moderierende Faktoren bei der Entwicklung kognitiver Defizite bei Brustkrebspatientinnen nach onkologischer Therapie hin.


Diagnostica ◽  
2003 ◽  
Vol 49 (1) ◽  
pp. 34-42 ◽  
Author(s):  
Andreas Hinz ◽  
Winfried Rief ◽  
Elmar Brähler

Zusammenfassung. Der Whiteley-Index ist ein Instrument zur Erfassung von Hypochondrie. Für diesen Fragebogen wurde eine Normierungs- und Validierungsstudie anhand einer bevölkerungsrepräsentativen Stichprobe (n = 1996) durchgeführt. Hypochondrie zeigt eine etwa lineare Altersabhängigkeit (r = .24). Frauen haben in allen Altersstufen höhere Hypochondrie-Ausprägungen als Männer. Für verschiedene Alters- und Geschlechtsgruppen werden Normwerte bereit gestellt. Die in der Literatur beschriebene dreidimensionale Struktur des Whiteley-Index (Krankheitsängste, somatische Beschwerden und Krankheitsüberzeugung) konnte mit gewissen Einschränkungen bestätigt werden. Validierungsuntersuchungen mit anderen Instrumenten (Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, Gießener Beschwerdebogen, Screening für Somatoforme Störungen und Nottingham Health Profile) zeigten, dass eine auf sieben Items reduzierte Kurzskala der Gesamtskala mit 14 Items ebenbürtig ist. Für differenzierte Analysen wird jedoch die Originalskala empfohlen. Durch die angegebenen Normwerte ist es künftig besser möglich, Patientengruppen verschiedener Alters- und Geschlechtsverteilungen untereinander oder auch mit Stichproben der Normalbevölkerung zu vergleichen.


2020 ◽  
Author(s):  
Anne Vinggaard Christensen ◽  
Jane K. Dixon ◽  
Knud Juel ◽  
Ola Ekholm ◽  
Trine Bernholdt Rasmussen ◽  
...  

2018 ◽  
Vol 9 (2) ◽  
pp. 63
Author(s):  
Anil Kumar Roy ◽  
Nilesh Maruti Gujar ◽  
Arif Ali ◽  
Utpal Borah

Background: Studies have shown that caregivers of the persons with the neurological illness have high levels of psychological distress, depression and caregiver’s burden. The aim of the study was to find out anxiety, depression and caregiver’s burden among the caregivers of persons with neurological illness (PWNI). Method: Thirty caregivers of PWNI attending the Centre of Rehabilitation Sciences, LGB Regional Institute of Mental Health, Tezpur, Assam were selected using purposive sampling technique for the present study. Socio-demographic and clinical data sheet, Zarit Burden Interview Scale and The Hospital Anxiety and Depression Scale were used. Results: The results shown that in Hospital Anxiety and Depression Scale, 26.6% of the caregivers' scores were in the abnormal range in the domain of depression. While in the domain of anxiety, 16.6% scored in the abnormal range. In Zarit Burden of Scale, 13.3% of the caregivers were having little or no burden, 26.6% of the caregivers were having mild to moderate level of burden, 20% were having moderate to severe burden and 30% were having a severe burden of care. Care burden has significant positive correlation with depression (r= .124, p≤ 0.01 and anxiety (r= .124, p≤ 0.05). Conclusion: Caregivers of PWNI have been found to be at higher risk of mental health problems and care burden. The importance of addressing the burden of caregivers involved in the care of PWNI need to be taken into consideration while providing treatment and rehabilitation of PWNI.     Keywords: Anxiety, depression, burden, neurological illness


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Magnus Johansson ◽  
Markus Jansson-Fröjmark ◽  
Annika Norell-Clarke ◽  
Steven J. Linton

Abstract Background The aim of this investigation was to examine the longitudinal association between change in insomnia status and the development of anxiety and depression in the general population. Methods A survey was mailed to 5000 randomly selected individuals (aged 18–70 years) in two Swedish counties. After 6 months, a follow-up survey was sent to those (n = 2333) who answered the first questionnaire. The follow-up survey was completed by 1887 individuals (80.9%). The survey consisted of questions indexing insomnia symptomatology, socio-demographic parameters, and the Hospital Anxiety and Depression Scale. Change in insomnia status was assessed by determining insomnia at the two time-points and then calculating a change index reflecting incidence (from non-insomnia to insomnia), remission (from insomnia to non-insomnia), or status quo (no change). Multivariate binary logistic regression analyses were used to examine the aim. Results Incident insomnia was significantly associated with an increased risk for the development of new cases of both anxiety (OR = 0.32, p < .05) and depression (OR = 0.43, p < .05) 6 months later. Incident insomnia emerged also as significantly associated with an elevated risk for the persistence of depression (OR = 0.30, p < .05), but not for anxiety. Conclusions This study extends previous research in that incidence in insomnia was shown to independently increase the risk for the development of anxiety and depression as well as for the maintenance of depression. The findings imply that insomnia may be viewed as a dynamic risk factor for anxiety and depression, which might have implications for preventative work.


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