scholarly journals A Multicentre Study of Psychological Variables and the Prevalence of Burnout among Primary Health Care Nurses

Author(s):  
Elena Ortega-Campos ◽  
Guillermo A. Cañadas-De la Fuente ◽  
Luis Albendín-García ◽  
José L. Gómez-Urquiza ◽  
Carolina Monsalve-Reyes ◽  
...  

Nurses in primary health care (PHC) have multiple responsibilities but must often work with limited resources. The study’s aim was to estimate burnout levels among PHC nurses. A Quantitative, observational, cross-sectional, multicentre study of 338 nurses working in PHC in the Andalusian Public Health Service (Spain) is presented. A total of 40.24% of the nurses studied had high levels of burnout. The dimensions of emotional exhaustion and depersonalisation were significantly associated with anxiety, depression, neuroticism, on-call duty and seniority-profession and inversely related to agreeableness. In addition, depersonalisation was significantly associated with gender, and emotional exhaustion correlated inversely with age. Personal achievement was inversely associated with anxiety and depression and positively correlated with agreeableness, extraversion and responsibility. There is a high prevalence of burnout among nurses in PHC. Those most likely to suffer burnout syndrome are relatively young, suffer from anxiety and depression and present high scores for neuroticism and low ones for agreeableness, responsibility and extraversion.

2019 ◽  
Vol 48 (2) ◽  
pp. 159
Author(s):  
Kosana Stanetić ◽  
Verica Petrović ◽  
Brankica Marković ◽  
Bojan Stanetić

<p><strong>Objective. </strong>To investigate the level and causes of stress and the risk of onset of burnout syndrome among physicians employed at the Primary Health Care Centre, Banja Luka.</p><p><strong>Subjects and Methods. </strong>Between March 1, 2018, and May 31, 2018 all physicians from the Primary Health Care Centre, Banja Luka were offered the following questionnaires to fill in: a socio-demographic questionnaire, a questionnaire for self-assessment of the level of stress and the Maslach Burnout Inventory for assessment of the risk of burnout syndrome. <strong>Results. </strong>Out of 211 physicians, 85.8% were female. A high level of stress was found in 77.7% of the subjects. Older doctors had higher levels of emotional exhaustion compared to younger doctors with a shorter length of service (r=0.236, P=0.01). Emotional exhaustion was significantly correlated with a high level of depersonalization, a low level of personal accomplishment and a high level of stress (r=0.380, r=-0.174 and r=0.574, P=0.01, P=0.04 and P&lt;0.01, respectively). Depersonalization correlated with a low level of personal accomplishment and stress (r=-0.347 and r=0.283, P&lt;0.01 and P=0.01, respectively), while the level of personal accomplishment was in a negative correlation with stress (r=-0.281, P=0.01). A high stress level was associated with a high degree of emotional exhaustion (OR 56.543; 95% CI 11.35-213.09; P&lt;0.001) as well as lack of personal accomplishment (OR 0.155; 95% CI 0.04-0.50; P=0.003).</p><p><strong>Conclusion. </strong>A high level of stress was associated with older age, female gender, as well as with a high degree of emotional exhaustion and a lack of personal accomplishment. Preventive measures are warranted.</p>


2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Juliano Teixeira Moraes ◽  
Alexandre Ernesto Silva ◽  
Tarcísio Laerte Gontijo ◽  
Renato Ferreira Ribeiro ◽  
Rafaela Das Graças Santiago Faria

Objetivo: Avaliar um processo de capacitação de enfermeiros Atenção Primária da Saúde para o cuidado à saúde da pessoa com estomias produziu impacto no ambiente de trabalho. Método: Estudo transversal, realizado com 32 egressos do processo de capacitação realizado por instituição pública de ensino superior. Foi realizada entrevista e a utilização de um instrumento validado para avaliação do impacto de treinamento. Resultados: Os participantes eram em sua maioria sexo feminino, com idade entre 20 a 40 anos, apresentavam entre 5 e 15 anos de formação e atuavam a menos de 10 anos na Atenção Primária da Saúde. A avaliação demonstrou que a estratégia educativa produziu impacto no trabalho. Conclusão: Estratégias de capacitação que articulam instituições de ensino e serviço favorecem o conhecimento.  Medir o impacto do treinamento no trabalho possibilita avaliar quanto a ação educativa pode propiciar mudança de comportamentos no serviço. Descritores: Estomia; Educação; Capacitação em serviço.EVALUATION OF THE IMPACT CAPACITATION AT WORK FOR THE CARE OF PEOPLE WITH STOMIESObjective: To evaluate the impact of the capacitation of primary health care nurses on the health care of the person with stomies. Methodology: A cross-sectional study was carried out with 32 Primary Health Care nurses who participated in the training process proposed by a public higher education institution in Divinópolis-MG. An interview was conducted using a validated instrument to evaluate the training impact. Results: The evaluation showed that in 11 of the 12 items of the scale, the percentage of concordants (partial and total) is superior to 62%, which showed positive impact of the training process in the work environment. Conclusion: Training strategies that articulate teaching and service institutions favor knowledge. Measuring the impact of on-the-job training makes it possible to evaluate how much the educational action can lead to a change in behavior in the service.Descriptors: Estomy, Education, Training in service.EVALUACIÓN DEL IMPACTO DE LA CAPACITACIÓN EN EL TRABAJO PARA EL CUIDADO DE PERSONAS CON ESTOMIASObjetivo: Evaluar el impacto de la capacitación de enfermeros de la Atención Primaria de Salud para el cuidado a la salud de la persona con estomias. Metodología: Estudio transversal, realizado con 32 enfermeros de la Atención Primaria de la Salud que participaron del proceso de capacitación propuesto por institución pública de enseñanza superior en Divinópolis-MG. Se realizó una entrevista con la utilización de un instrumento validado para evaluar el impacto de entrenamiento. Resultados: La evaluación demostró que en 11 de los 12 ítems de la escala, el porcentaje de concordantes (parciales y totales) son superiores al 62%, lo que demostró impacto positivo del proceso de capacitación en el ambiente de trabajo. Conclusión: Estrategias de capacitación que articulan instituciones de enseñanza y servicio favorecen el conocimiento. Medir el impacto del entrenamiento en el trabajo posibilita evaluar cuánto la acción educativa puede propiciar cambio de comportamientos en el servicio.Descriptores: Estomia, Educación, Capacitación en servicio.


2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Kosana Stanetić ◽  
Brankica Marković ◽  
Verica Petrović ◽  
Bojan Stanetić

Introduction. Burnout syndrome is a common problem among healthcareworkers. The aim of the study was to investigate the level of stress, componentsof burnout syndrome and the most common causes of workplacestress among the physicians working in the Primary Health Care CenterBanja Luka, after which the obtained results concerning family physiciansand the physicians of other specialties were compared.Methods. The observational study was conducted by interviewing physiciansduring the period March to May 2018. All employed physicians wereprovided with the following questionnaires: The socio-demographic questionnaire,The questionnaire for self-assessment of the level of stress, Thequestionnaire about the most frequent causes of stress at work and theMaslach Burnout Inventory.Results. The study included 211 physicians, out of a total of 246 physicians(127 family physicians and 84 physicians of other specialties) working inthe Primary Health Care Center Banja Luka. There was a significantly higherlevel of stress (p = 0.011), emotional exhaustion (p < 0.001) and depersonalization(p < 0.001) among family physicians compared to the physiciansof other specialties. There was a significant difference in the presence ofall causes of stress among family physicians, except the stress concerningthe patients requiring emergency care. The multivariate logistic regressionanalysis found that stress was significantly associated with emotional exhaustionin both groups and with personal accomplishment in family physicians.In family physicians, there was a significant association between ahigh level of depersonalization and personal accomplishment. In physiciansof other specialties significant association was found between educationand emotional exhaustion as well as personal accomplishment, and betweenfemale gender and high level of depersonalization.Conclusion. The level of stress and the burnout syndrome were considerablymore present in family physicians compared to physicians of otherspecialties.


Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70762
Author(s):  
Rayara de Souza Julio ◽  
Luciano Garcia Lourenção ◽  
José Gustavo Monteiro Penha ◽  
Adriane Maria Netto de Oliveira ◽  
Vagner Ferreira do Nascimento ◽  
...  

Objective: to analyze the levels of anxiety, depression, and work engagement among nursing professionals in Primary Health Care. Methods: cross-sectional, descriptive, and correlational study with nursing professionals from Family Health Units. We used: the Beck Anxiety Inventory; the Beck Depression Inventory; and the Utrecht Work Engagement Scale. Results: we observed moderate anxiety among nurses and mild anxiety among nursing assistants/technicians; and mild depression among nurses and nursing assistants/technicians. Anxiety and depression were positively and moderately correlated (r:0.562; p=0.000). The professionals presented elevated levels of work engagement. Conclusion: important levels of anxiety and depression were evidenced among professionals, indicating progress to levels that compromise health and quality of life. Despite the compromised mental health, the professionals showed willingness to work and an important resilience capacity.


Author(s):  
Magno Conceição das Merces ◽  
Amália Ivine Costa Santana ◽  
Iracema Lua ◽  
Dandara Almeida Reis da Silva ◽  
Douglas de Souza e Silva ◽  
...  

This research aims at evaluating prevalence and factors associated with metabolic syndrome (MS) in primary health care (PHC) nursing professionals. A multicenter, population-based and cross-sectional study was conducted in a team-tested sample of 1125 PHC nurses in the state of Bahia, Brazil. Sociodemographic, labor, lifestyle and human biology variables were investigated by mean of anamnesis. MS was evaluated according to the criteria of the first Brazilian Guideline for Metabolic Syndrome, which fully adopts the criteria of the National Cholesterol Education Program’s Adult Treatment Panel III. MS-associated factors were tested by using robust Poisson Regression. The prevalence of MS found was 24.4%; low High Density Lipoprotein (HDL) cholesterol was the most prevalent component of the syndrome. In the multivariate analysis, physical inactivity (PR = 1.25, 95% CI = 1.02–1.53), alcohol use (PR = 1.84, 95% CI = 1.22–2.77), acanthosis nigricans (PR = 3.23, 95% CI = 2.65–3.92), burnout syndrome (PR = 1.45, 95% CI = 1.17–1.81), (PR = 1.37, 95% CI = 1.12–1.69), working as a nursing technician (PR = 1.43, 95% CI = 1.14–1.80), were associated to MS. It was found that the prevalence of MS was high, which evidences the need for interventions in the PHC environment, improvement of working conditions, monitoring of worker safety and health, diet programs and physical activity.


2020 ◽  
Vol 37 (2) ◽  
pp. 169-177
Author(s):  
Albertina Gomes Silva ◽  
Eliana Márcia Sotello Cabrera ◽  
Cláudia Eli Gazetta ◽  
Paula Canova Sodré ◽  
Jussara Rossi Castro ◽  
...  

Author(s):  
Magno Conceição das Merces ◽  
Julita Maria Freitas Coelho ◽  
Iracema Lua ◽  
Douglas de Souza e Silva ◽  
Antonio Marcos Tosoli Gomes ◽  
...  

The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47–0.83), residence (PR = 2.35, CI 95% = 1.79–3.09), economic situation (PR = 1.40, CI 95% = 1.06–1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31–2.33), (PR = 1.60, CI 95% = 1.23–2.08), rest (PR = 1.83, 95% CI = 1.41–2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06–1.77), night shift (PR = 1.49, CI 95% = 1.14–1.96), physical activity practice (PR = 1.72; CI 95% = 1.28–2.31), smoking (PR = 1.82, CI 95% = 1.35–2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01–179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.


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