Relación entre factores psicosociales negativos y el síndrome de Burnout en el personal sanitario de Florencia (Caquetá, Colombia) / Relationship between negatives psychosocial factors and Burnout syndrome in health workers in Florence (Caquetá, Colombia)

Objetivo: Establecer la relación entre factores psicosociales negativos y el síndrome de burnout en el personal sanitario de Florencia (Caquetá, Colombia), 2012. Materiales y métodos: Estudio transversal. Participaron 300sujetos de cuatro instituciones de salud de Florencia. Instrumentos: Factores Psicosociales Negativos y el Inventario de Maslach Burnout. Los datos fueron analizados en Epi-info Versión 3.4.3. Se realizó análisis bivariado de factores psicosociales negativos y el síndrome de burnout. Resultados: El 8 % presentó alto agotamiento emocional, 27 % baja realización personal y el 12,3 % alta despersonalización. En cuanto a los factores psicosociales negativos, el 61,3 % presentó baja condición en el lugar de trabajo. Alta carga de trabajo en el 7,7 %; el 2,3 % expresó alto contenido y cantidad de la tarea. Se encontró 42 % con alta exigencia laboral, 3 % alto papel laboral y desarrollo de la carrera, 80 % baja interacción social; baja remuneración en el 43,7 %. Para el agotamiento emocional se asoció la carga de trabajo (OR: 2,4), exigencia laboral (OR: 5,4), papel laboral (OR: 3,9), interacción social (OR: 1,9) y remuneración (OR: 2,3). Conclusiones: No se evidencia una prevalencia clásica del síndrome de burnout; la principal dimensión afectada fue la realización personal. Los factores psicosociales negativos asociados requieren estrategias para fomentar un cambio en la satisfacción y la motivación, acompañados de una intervención psicológica y motivacional que promueva un ambiente saludable amparado con una política de estímulos y satisfactores laborales, a partir de la estrategia de la psicología positiva.

Objective: To establish the relationship between negative psychosocial factors and burnout syndrome in health workers in Florence. Caqueta. 2012 Methods: Cross-sectional study. 300 subjects participated in four health institutions in Florence. Data collect items negative psychosocial factors and Maslach Burnout Inventory, were applied. The data were analyzed in Epi- info version 3.4.3. A bivariate analysis of negative psychosocial factors and burnout syndrome. Results: The 8 % had high emotional exhaustion, reduced personal accomplishment 27 % and 12.3 % with high depersonalization. For negative psychosocial factors, 61. 3% had low status in the workplace. High workload at 7.7 % and 2.3 % expressed high content and quantity of work. We found 42% with high labor requirement, 3% higher job role and career development, 80% lower social interaction and organizational aspects. The remuneration and performance to 43.7 was low. For emotional exhaustion was associated workload (OR: 2.4), labor demand (OR: 5.4), job role (OR: 3.9), social interaction (OR: 1.9) and compensation (OR: 2.3). Conclusions: No evidence of a classic prevalence of burnout syndrome, however personal fulfillment dimension was affected. Psychosocial negative factors associated with negative strategies required to encourage change in: satisfaction and motivation, accompanied by psychological and motivational intervention to promote a healthy environment covered by a policy of incentives and job satisfactions, from the strategy of positive psychology.

Cumplimiento de la norma técnica de atención del recién nacido en hospitales del nivel I y III de Barranquilla y Soledad / Fulfillment of the technical norm for the appropriate attention of a newborn of Barranquilla and Soledad

Objectives: To value the execution of the norm 0412 of 2000 for the appropiate atention ofa newborn in the clinical institutions of Barranquilla and Soledad, Jun-Dic 2005.Materials and Methods: A descriptive study of 210 childbirths was observed and aquestionnaire was applied in order to assess the observance of the norm for the childbirthand the newborn care. One questionnaire was implemented for each institution to judge theresolution capacity. The 210 events were observed to assess the condition of the humanizedcare through the observation and the response to one survey by the mother. The tabulationand analysis of the data were computerized by using the EpiInfo software version 6.04d.Results: In the results, the nurse assistant participated in the care up to a 98.6 percent, thesurgeon attended 58.1percent of the childbirths, and the gynecologist/obstetrician (17.6percent) andthe pediatrician (17.1percent). The Apgar evaluation 5 minutes after birth was applied in 64.3percentof the newborns and the 10 minutes 28.6percent of the newborn. The newborn was identifiedtimely only in 49.5percent of the cases. It was found that poor attitude occurs during teamworkin 48.3percent of the service staff in the childbirth and maternity ward, and 46.7percent of them hadno attitude for teamwork. The evidences showed lack of humanization in the followinginstitutions. Little resolution capacity was found in the Institutions.Conclusions: Although the evidences showed certain knowledge of the norm, many of itsactivities are not being implemented. The context in which is applied isn’t satisfactory.