Risk factors for burnout syndrome in nurses at a public hospital in Mossoró/RN, Brazil
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Abstract
Objective: To evaluate the risk factors for Burnout syndrome rise in nurses at the Tarcisio de Vasconcelos Maia Regional Hospital in Mossoró/RN. Methods: Exploratory, descriptive, prospective, quantitative and cross-sectional study in 119 nurses from March to September 2022, carried out under license from the Research Ethics Committee of UERN (#4,915,042). A questionnaire with socio-organizational information and the Copenhagen Burnout Inventory containing 19 items that reflect professional burnout, in a scale categorized as low, intermediate and high burnout, were applied. Results: Most of the interviewees were female (81%), with an average of 36.4 years old, married (70%), with specialization in the area (74%), and two jobs (59%). It was possible to identify a higher prevalence of high levels of personal burnout (44%), and intermediate levels of work-related burnout (52%), and client-related burnout (50%). A strong positive correlation between the number of employment contracts for the dimensions personal (r=0.74, p=0.03) and work-related burnout (r=0.81, p=0.02), a strong positive correlation between workload and personal burnout (r=0.68, p=0.04), and a moderate positive correlation between workload and work-related burnout (r=0.53, p=0.04) were identified. Conclusions: Exposure to long workload resulted in increased levels of both physical and psychic exhaustion in nurses, negatively interfering with their professional performance and personal relationships. Future studies focusing on strategies to ensure a better working condition for nurses are needed, seeking approaches aimed at providing better occupational health for workers.
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References
2. Koltermann AP, Koltermann ITAP, Tomasi E, Horta BL. Estresse ocupacional em trabalhadores bancários: prevalência e fatores associados. Saúde (Santa Maria). 2011;37(2):33-48. https://doi.org/10.5902/223658342856
3. Robazzi MLCC, Mauro MYC, Dalri RCMB, Silva LA, Secco IAO, Pedrão LJ. Exceso de trabajo y agravios mentales a los trabajadores de la salud. Rev Cubana Enfermer. 2010;26(1):52-64. Available from: http://scielo.sld.cu/pdf/enf/v26n1/enf09110.pdf
4. Abdo SA, El-Sallamy RM, El-Sherbiny AA, Kabbash IA. Burnout among physicians and nursing staff working in the emergency hospital of Tanta University, Egypt. East Mediterr Health J. 2016;21(12):906-15. https://doi.org/10.26719/2015.21.12.906
5. Pêgo FPL, Pêgo DR. Síndrome de Burnout. Rev Bras Med Trab. 2016;14(2):171-76. https://doi.org/10.5327/Z1679-443520162215
6. Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103-11. https://doi.org/10.1002/wps.20311
7. Freudenberger HJ. Staff burn‐out. J Soc Issues. 1974;30(1):159-65. https://doi.org/10.1111/j.1540-4560.1974.tb00706.x
8. Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981;2(2):99-113. https://doi.org/10.1002/job.4030020205
9. Schaufeli WB, Leiter MP, Maslach C. Burnout: 35 years of research and practice. Career Dev Int. 2009;14(3):204-20. https://doi.org/10.1108/13620430910966406
10. WHO. World Health Organization. 2022. ICD-11: International classification of diseases (11th revision). Available from: https://icd.who.int/en
11. Nordang K, Hall-Lord ML, Farup PG. Burnout in health-care professionals during reorganizations and downsizing: a cohort study in nurses. BMC Nurs. 2020;20(8):2010. https://doi.org/10.1186/1472-6955-9-8
12. Mello RDCC, Reis LB, Ramos FP. Estresse em profissionais de enfermagem: importância da variável clima organizacional. Gerais, Rev Interinst Psicol. 2018;11(2): 193-207. https://doi.org/10.36298/gerais2019110202
13. ISMA-BR. Burnout: mais próximo do setor da saúde do que se imagina. 2017. Disponível em: http://www.ismabrasil.com.br/img/estresse105.pdf
14. Ramirez-Baena L, Ortega-Campos E, Gomez-Urquiza JL, Cañadas-De la Fuente GR, De la Fuente-Solana EI, Cañadas-De la Fuente GA. A multicentre study of burnout prevalence and related psychological variables in medical area hospital nurses. J Clin Med. 2019;8(1):92. https://doi.org/10.3390/jcm8010092
15. Tomás-Sábado J, Maynegre-Santaulària M, Pérez-Bartolomé M, Alsina-Rodríguez M, Quinta-Barbero R, Granell-Navas S. Síndrome de burnout y riesgo suicida en enfermeras de atención primaria. Enferm Clin. 2010;20(3):173-78. https://doi.org/10.1016/j.enfcli.2010.03.004
16. Roseno DA, Cavalcanti JRLP, Freire MAM. Caracterização da síndrome de burnout em enfermeiros em municípios do interior do Estado da Paraíba - Brasil. Rev Cien Saúde. 2020;10(1);23-30. https://doi.org/10.21876/rcshci.v10i1.877
17. Freitas CC, Freire MAM. Síndrome de Burnout em enfermeiros trabalhadores de um hospital público de Natal, Rio Grande do Norte, Brasil. Rev Cien Saúde. 2020;10(2):5-12. https://doi.org/10.21876/rcshci.v10i2.937
18. Kristensen TS, Borritz M, Villadsen E, Christensen KB. The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress. 2005;19(3);192-207. https://doi.org/10.1080/02678370500297720
19. Fonte CMS. Adaptação e validação para português do questionário de Copenhagen Burnout Inventory (CBI). 2011. 138 p. Dissertação de Mestrado em Gestão e Economia da Saúde. Faculdade de Economia, Universidade de Coimbra, Portugal.
20. Albaum G. The Likert scale revisited. Int J Market Res Soc. 1997;39(2); 331-48. https://doi.org/10.1177/147078539703900202
21. Madsen IE, Lange T, Borritz M, Rugulies R. Burnout as a risk factor for antidepressant treatment - a repeated measures time-to-event analysis of 2936 Danish human service workers. J Psychiatr Res. 2015;65:47-52. https://doi.org/10.1016/j.jpsychires.2015.04.004
22. Callegari-Jacques SM. Bioestatística: princípios e aplicações. Porto Alegre: Artmed, 2007.
23. Benevides Pereira AMT. Burnout: quando o trabalho ameaça o bem estar do trabalhador. 3 ed. São Paulo: Casa do Psicólogo; 2008.
24. Homem ID, Dellagnelo EHL. Novas formas organizacionais e os desafios para os expatriados. RAE Electron. 2006;5(1):8. https://doi.org/10.1590/S1676-56482006000100009
25. Prado CEP. Estresse ocupacional: causas e consequências. Rev Bras Med Trab. 2016;14(3):285-89. https://doi.org/10.5327/Z1679-443520163515
26. Alves BN, Oliveira CCF, Freire MAM. Impact of burnout syndrome amongst nurse professionals. J Pharmacol Chem Biol Sci. 2020;2(4):253-55. https://doi.org/10.36619/jpcbs.2020.2.53.56
27. Marziale MHP. Enfermeiros apontam as inadequadas condições de trabalho como responsáveis pela deterioração da qualidade da assistência de enfermagem. Rev Latino-Am Enf. 2001;9(3):1. https://doi.org/10.1590/S0104-11692001000300001
28. Sá AMS, Martins-Silva PO, Funchal B. Burnout: o impacto da satisfação no trabalho em profissionais de enfermagem. Psicol Soc. 2014;26(3):664-74. https://doi.org/10.1590/S0102-71822014000300015
29. Lopes MJM, Leal SMC. A feminização persistente na qualificação profissional da enfermagem brasileira. Cadernos Pagu. 2005;24:105-25. https://doi.org/10.1590/S0104-83332005000100006
30. Dalri RCMB, Silva LA, Mendes AMOC, Robazzi MLCC. Carga de trabalho do enfermeiro e sua relação com reações fisiológicas de estresse. Revista Latino-Am Enf. 2014;22(6):959-65. https://doi.org/10.1590/0104-1169.3292.2503
31. Vasconcelos EM, De Martino MMF. Preditores da síndrome de burnout em enfermeiros de unidade de terapia intensiva. Rev Gaúcha Enferm. 2017;38(4):e65354. https://doi.org/10.1590/1983-1447.2017.04.65354
32. Bardaquim VA, Dias EG, Dalri RCMB, Robazzi M. Reflexão sobre as condições de trabalho da enfermagem: subsídio às 30 horas de trabalho. Rev Enferm Contemp. 2019;8(2):172-81. https://doi.org/10.17267/2317-3378rec.v8i2.2466
33. Pires FC, Vecchia BP, Carneiro EM, Castro JPR, Ferreira LA, Dutra CM et al. Síndrome de Burnout em profissionais de enfermagem de pronto-socorro. Rev Enferm UFPE online. 2020;14:e244419. https://doi.org/10.5205/1981-8963.2020.244419
34. Worm FA, Pinto MA, Schiavenato D, Ascari RA, Trindade L, Silva OM. Risco de adoecimento dos profissionais de enfermagem no trabalho em atendimento móvel de urgência. Rev Cuid. 2016;7(2):1288-96. https://doi.org/10.15649/cuidarte.v7i2.329
35. Meira LC, Carvalho EKM de A, Carvalho JRM. Síndrome de Burnout: suscetibilidade em enfermeiros atuantes na urgência e emergência de um hospital público de Campina Grande, PB. Rev Gest Saude. 2015;6(2):1289-1320. https://doi.org/10.18673/gs.v6i2.22469
36. Puschel VAA, Costa D, Reis PP, Oliveira LB, Carbogim FC. O enfermeiro no mercado de trabalho: inserção, competências e habilidades. Rev Bras Enferm. 2017;70(6):1288-95. https://doi.org/10.1590/0034-7167-2016-0061
37. Monteiro JK, Carlotto MS. Preditores da Síndrome de Burnout em Trabalhadores da Saúde no Contexto Hospitalar. Interação Psicol. 2014;18(3):287-95. https://doi.org/10.5380/psi.v18i3.28024
38. Oliveira V, Pereira T. Ansiedade, depressão e burnout em enfermeiros: Impacto do trabalho por turnos. Rev Enferm Ref. 2012;III(7):43-54. https://doi.org/10.12707/RIII1175
39. França SPS, De Martino MMF, Aniceto EVS, Silva LL. Preditores da Síndrome de Burnout em enfermeiros de serviços de urgência pré-hospitalar. Acta Paul Enferm. 2012; 25(1):68-73. https://doi.org/10.1590/S0103-21002012000100012
40. Nobre DFR, Rabias ICM, Ribeiro PCPSV, Seabra PRC. Burnout assessment in nurses from a general emergency service. Rev Bras Enferm. 2019;72(6):1457-63. https://doi.org/10.1590/0034-7167-2017-0870