Síndrome de desgaste profesional en el personal de salud durante la pandemia de COVID-19 / Burnout Syndrome in Health Care Personnel During the COVID-19Pandemic

La Organización Mundial de la Salud (OMS) define el estrés laboral como una reacción que puede manifestarse ante exigencias y presiones laborales que ponen a prueba la capacidad que tiene cada persona para afrontar ciertas situaciones y que se agravan en el personal de salud que atiende pacientes con la COVID-19. Es decir, lo que resulta del desequilibrio entre las presiones y exigencias a las que se enfrenta el individuo, por una parte, y los conocimientos adquiridos por otra parte. El Síndrome de desgaste profesional, conocido también como síndrome de agotamiento emocional o psicológico, o por el anglicismo burnout, es un tipo de estrés laboral que engloba un estado de agotamiento físico, emocional y mental que conlleva a consecuencias individuales y sociales. El objetivo de esta revisión narrativa es identificar los factores de riesgo para el desarrollo del Síndrome de desgaste profesional en el personal de salud relacionado con la atención de pacientes con la COVID-19. Se realizó una búsqueda en la base de datos PubMed, se incluyeron artículos originales, estudios aleatorizados, revisiones sistemáticas y otros textos en español e inglés, publicados durante el periodo 2020-2023. Los principales factores de riesgo identificados en la literatura para el desarrollo de Síndrome de desgaste profesional fueron la juventud, sexo femenino, la soltería, la carga de trabajo y el nivel de satisfacción laboral de los profesionales.

The WHO defines occupational stress as a reaction that may occur when a person is faced with work-related demands and pressures that test the individual's ability to cope with certain situations, and it exacerbates in healthcare personnel who provide care to patients with COVID-19. That is, what results from the imbalance between the pressures and demands that the individual faces, on the one hand, and the knowledge acquired on the other hand. Burnout syndrome is a type of work-related stress that encompasses a state of physical, emotional and mental exhaustion that leads to individual and social consequences. The objective of this systematic review is to identify the risk factors for the development of Burnout Syndrome in health personnel related to the care of patients with COVID-19. A search was carried out in the PubMed database, including original articles, randomized studies, systematic reviews, and textbooks in Spanish and English, published during the period 2020-2023. The main risk factors for the development of Burnout Syndrome identified in the literature were youth, female sex, singleness, workload and the level of job satisfaction of the professionals

Síndrome de Burnout e o senso de coerência em profissionais de enfermagem / Burnout syndrome and coherence sense in nursing professionals

Este estudo analisou a síndrome de Burnout e o senso de coerência em profissionais de enfermagem durante a pandemia de COVID-19. Para tanto, 61 profissionais da região Centro-Oeste do Brasil responderam aos instrumentos Maslach Burnout Inventory (MBI) e Senso de Coerência (SOC), em questionário do Google Forms. Os resultados indicaram que o domínio com maior pontuação média no MBI foi a "Realização pessoal" (M=3,95; DP=0,53), seguida pela "Exaustão emocional" (M=2,82; DP=0,83). Houve associação significante entre domínios do MBI e as dimensões do SOC-13, com pontuações mais altas em "Compreensão" e "Manejo" do SOC, associadas a menor "Exaustão emocional" (r_S de -0,447 e -0,572) e "Despersonalização" (r_S de -0,339 e -0,383). Foi observada relação significante entre o apoio psicológico no trabalho e a redução do nível de exaustão (valor p ≤ 0,001). Esses achados fornecem contribuições relevantes para o desenvolvimento de ações direcionadas aos profissionais da enfermagem, destacando a importância do apoio psicológico e do fortalecimento do senso de coerência.

This study analyzed Burnout and sense of coherence in nursing professionals during the COVID-19 pandemic. To do so, 61 professionals of the Center-West region of Brazil answered the Maslach Burnout Inventory (MBI) and Sense of Coherence (SOC) instruments through a Google Forms questionnaire. The results suggested that the domain with the highest mean score in the MBI was "Personal accomplishment" (M=3.95; SD=0,53), followed by "Emotional exhaustion" (M=2.82; SD=0,83). There was a significant association between the MBI domains and the SOC-13 dimensions, with higher scores in "Comprehensibility" and "Manageability" of SOC, associated to lower "Emotional exhaustion" (r_S of -0.447 and -0.572) e "Depersonalization" (r_S of -0.339 and -0.383). A significant relationship was found between the psychological support at work and a decrease in the exhaustion level (p-value ≤ 0.001). These findings provide relevant contributions to devise actions focused on nursing professionals, highlighting the importance of psychological support and the strengthening of the sense of coherence.

Fatores de risco para a Síndrome de burnout em enfermeiros de um hospital público de Mossoró/RN, Brasil / Risk factors for burnout syndrome in nurses at a public hospital in Mossoró/RN, Brazil

Objetivo: Avaliar os fatores de risco para o aparecimento da Síndrome de burnout em enfermeiros trabalhadores do Hospital Regional Tarcísio de Vasconcelos Maia em Mossoró/RN. Métodos: Estudo exploratório, descritivo, quantitativo e transversal com 119 enfermeiros de março a setembro de 2022. Os dados foram coletados a partir da aplicação de um formulário com informações sócio-organizacionais e do Copenhagen Burnout Inventory, contendo 19 itens que refletem o burnout profissional em uma escala categorizada como burnout baixo, intermediário e alto. Resultados: A maioria dos entrevistados era do sexo feminino (81%), com média de 36,4 anos de idade, casada (70%), com especialização na área (74%) e dois empregos (59%). Identificou-se maior prevalência de níveis elevados de burnout pessoal (44%) e níveis intermediários de burnoutrelacionado ao trabalho (52%) e relacionado ao cliente (50%). Houve forte correlação positiva entre número de vínculos empregatícios para as dimensões burnout pessoal (r = 0,74; p = 0,03) e relacionado ao trabalho (r = 0,81; p = 0,02), forte correlação positiva entre carga horária de trabalho e burnout pessoal (r = 0,68; p = 0,04) e moderada correlação positiva entre carga horária de trabalho e burnout relacionado ao trabalho (r = 0,53; p = 0,04). Conclusões: A exposição a jornadas de trabalho prolongadas resultou em aumento dos níveis de exaustão física e psíquica nos enfermeiros, interferindo negativamente nos aspectos profissionais e pessoais. Estudos futuros focando em estratégias para garantir uma melhor condição de trabalho ao enfermeiro são necessários, visando proporcionar uma melhor saúde ocupacional aos trabalhadores

Objective: To evaluate the risk factors for the onset of burnout syndrome in nursing workers at the Hospital Regional Tarcísio de Vasconcelos Maia in Mossoró/RN. Methods: Exploratory, descriptive, quantitative and cross-sectional study with 119 nurses from March to September 2022. Data were collected from the application of a form with socio-organizational information and the Copenhagen Burnout Inventory, containing 19 items that reflect the professional burnout on a scale categorized as low, intermediate and high burnout. Results: Most respondents were female (81%), with an average age of 36.4 years, married (70%), with specialization in the area (74%) and two jobs (59%). A higher prevalence of high levels of personal burnout (44%) and intermediate levels of work-related (52%) and client-related burnout (50%) were identified. There was a strong positive correlation between the number of employment relationships for the personal burnout (r = 0.74; p = 0.03) and work-related (r = 0.81; p = 0.02) dimensions, a strong positive correlation between load hours of work 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). Conclusions: Exposure to long working hours resulted in increased levels of physical and mental exhaustion in nurses, negatively interfering with professional and personal aspects. Future studies focusing on strategies to ensure a better working condition for nurses are needed, aiming to provide better occupational health for workers. Keywords: Burnout syndrome; Occupational stress; Nursing

Síndrome de Burnout en residentes y posgrados de Neonatología en un centro hospitalario de tercer nivel. Análisis situacional y seguimiento, período 2021 - 2023

Introducción: los residentes y posgrados son un eslabón central en los servicios hospitalarios. El síndrome de Burnout se define como el agotamiento físico y emocional resultado de la exposición crónica al estrés en el ámbito laboral. El Maslach Burnout Inventory (MBI-HSS) es un instrumento diseñado y validado para evaluarlo. El objetivo de este estudio es determinar la prevalencia del síndrome de Burnout en nuestro servicio y compararla entre los estudiantes de distintas generaciones para luego poner en marcha mecanismos que permitan realizar seguimiento, detección temprana e identificación de factores modificables. Material y método: estudio transversal, descriptivo, observacional, desarrollado en abril de 2021 a través de la realización del test MBI-HSS para el diagnóstico de situación. Este estudio continuará con una segunda etapa que consta de la aplicación del test cada cuatro meses, la cual no desarrollaremos en el presente trabajo. La población objetivo la constituyen todos los residentes y posgrados de la especialidad de Neonatología en un centro hospitalario de tercer nivel. Se aplicó el cuestionario MBI-HSS y un cuestionario general para caracterizar a la población. Resultados: se incluyeron un total de 22 participantes, de los cuales 13 presentaron puntajes altos de agotamiento emocional, 9 obtuvieron un valor alterado de despersonalización y 9 presentaron puntajes bajos de realización personal. Seis participantes (27%) presentaron puntajes alterados para las tres variables. Conclusiones: se evidenció una alta prevalencia de Burnout, el 27% en la población total. Se encontraron diferencias estadísticamente significativas para los ítems despersonalización y realización personal entre los distintos años de la especialidad, con mayor puntaje de despersonalización y menor puntaje de realización personal en los de segundo y tercer año. Esto constituye un elemento de alarma que exige la modificación inmediata del funcionamiento y de las actividades.

Introduction: Residents and postgraduates are a fundamental part of hospital services. Burnout Syndrome is defined as physical and emotional exhaustion resulting from chronic exposure to stress in the workplace. The Maslach Burnout Inventory (MBI-HSS) is an instrument designed and validated to evaluate it. The objective of this study is to determine the prevalence of Burnout Syndrome in our service and to compare it among students of different generations to then implement mechanisms that allow monitoring, early detection and identification of modifiable factors. Materials and methods: Cross-sectional, descriptive, observational study carried out in April 2021 through the Maslach Burnout Inventory - Human Services Survey (MBI-HSS) test to carry out a diagnosis of the situation. This study will continue with a 2nd stage consisting of the application of the test every 4 months, which we will not develop in this work. The target population is all residents and postgraduates in the neonatology specialty at a tertiary level hospital. The MBI-HSS questionnaire and a general questionnaire were applied to characterize the population. Results: A total of 22 participants were included, of which 13 presented high scores of emotional exhaustion, 9 obtained an altered value of depersonalization and 9 presented low scores of personal fulfillment. Six participants, 27%, presented altered scores for the three variables. Conclusions: A high prevalence of Burnout was evidenced, being 27% in the total population. Statistically significant differences were found for the items "depersonalization" and "personal fulfillment" between the different years of the specialty, with higher depersonalization scores and lower personal fulfillment scores in the second and third years. This constitutes an alarm element, which requires immediate modification of the operation and activities.

Introdução: Residentes e pós-graduandos constituem um elo central nos serviços hospitalares. A Síndrome de Burnout é definida como exaustão física e emocional resultante da exposição crônica ao estresse no ambiente de trabalho. O Maslach Burnout Inventory (MBI-HSS) é um instrumento elaborado e validado para avaliá-lo. Objetivo: O objetivo deste estudo é determinar a prevalência da Síndrome de Burnout no Serviço de Neonatologia do Centro Hospitalario Pereira Rossel e compará-la entre estudantes de diferentes gerações para então implementar mecanismos que permitam monitoramento, detecção precoce e identificação de fatores modificáveis. Materiais e métodos: Estudo transversal, descritivo, observacional realizado em abril de 2021 por meio do teste Maslach Burnout Inventory - Human Services Survey (MBI-HSS) para diagnóstico da situação. Este estudo continuará com uma 2ª etapa que consiste na aplicação do teste a cada 4 meses, que não desenvolveremos neste trabalho. A população-alvo são todos os residentes e pós-graduandos da especialidade de neonatologia de um hospital de nível terciário. O questionário MBI-HSS e um questionário geral foram aplicados para caracterizar a população. Resultados: Foram incluídos 22 participantes, dos quais 13 apresentaram escores elevados de exaustão emocional, 9 obtiveram valor alterado de despersonalização e 9 apresentaram escores baixos de realização pessoal. Seis participantes, 27%, apresentaram escores alterados nas três variáveis. Conclusões: Evidenciou-se uma alta prevalência de Burnout de 27% na população total. Foram encontradas diferenças estatisticamente significativas nos itens "despersonalização" e "realização pessoal" entre os diferentes anos da especialidade, com maiores pontuações de despersonalização e menores pontuações de realização pessoal no segundo e terceiro anos. Isto constitui um elemento de alarme, que requer modificação imediata do funcionamento e das atividades.

Prevalencia de Síndrome de Burnout en estudiantes de medicina de una institución universitaria de Cartagena-Colombia

Introducción: Los estudiantes universitarios se ven envueltos en situaciones de estrés y ansiedad que afectan su proceso académico y calidad de vida. Sin el acompañamiento adecuado, el estrés puede desencadenar en problemas psicológicos mayores, tales como el Síndrome de Burnout. Objetivo: Identificar la prevalencia del Síndrome de Burnout en estudiantes de medicina de una institución universitaria en Cartagena durante el primer período del año 2019. Materiales y Métodos: Estudio descriptivo de tipo cuantitativo, la población fueron estudiantes del programa de medicina de una institución universitaria de Cartagena, matriculados en el primer período del año 2019, se aplicó el test de Maslach Burnout Inventory Student Survey (MBI-SS-1981), el cual mide tres parámetros indicadores de Síndrome de Burnout. Resultados: Se realizaron 383 encuestas, el 63% fueron de género femenino, el 91,7% son solteros, el 53% está entre los 20 y los 25 años, la prevalencia del Síndrome de Burnout fue de 30.8%. Conclusión: El Síndrome de Burnout en los estudiantes del programa de medicina de la institución Universitaria de la ciudad de Cartagena presenta una prevalencia importante, por tanto, es necesario diseñar estrategias que permitan su prevención.

Introduction: University students are involved in situations of stress and anxiety that affect their academic process and quality of life. Without the proper accompaniment, stress can trigger major psychological problems, such as Burnout Syndrome. Objective: To identify the prevalence of Burnout Syndrome in medical students of a university institution in Cartagena during the first period of 2019. Materials and Methods: Descriptive quantitative study, the population were students of the medicine program of a university institution in Cartagena, enrolled in the first period of 2019, the Maslach Burnout Inventory Student Survey (MBI-SS-1981) test was applied, which measures three indicator parameters of Burnout Syndrome.. Results: 383 surveys were carried out, 63% were female, 91.7% are single, 53% are between 20 and 25 years old, the prevalence of Burnout Syndrome was 30.8%. Conclusion: The Burnout Syndrome in the students of the medicine program of the University institution of the city of Cartagena presents an important prevalence, therefore, it is necessary to design strategies that allow its prevention.

A expressão pessoal de médicos frente à bioética, qualidade de vida no trabalho e relação médico paciente / Physicians' personal expression regarding bioethics, quality of life at work and the doctor-patient relationship / Expresión personal de los médicos respecto a la bioética, la calidad de vida en el trabajo y la relación médico-paciente

Foi realizada uma pesquisa de opinião nacional na qual cada médico foi capaz de expressar seus sentimentos, compreensão e opinião pessoal no contexto da qualidade de vida no trabalho e bioética. Foi utilizado um questionário estruturado com tópicos relevantes, enviado pelo Departamento de TI do Conselho Federal de Medicina aos 95.022 endereços de e-mail registrados válidos, e foram obtidas 426 respostas completas. Houve manifestações negativas; em média, mais de 50% das respostas específicas, que mostraram que a falta de qualidade de vida no trabalho age negativamente sobre o entendimento e a opinião dos médicos sobre bioética e a relação médico-paciente, e não necessariamente que esta manifestação se materialize através de suas ações. Houve médicos receptivos que, através de suas respostas, conseguiram demonstrar que a falta de qualidade de vida no trabalho pode alterar e desconstruir esta relação no contexto da bioética.

A nationwide opinion survey was applied, in which each physician was able to express his or her feelings, understanding and personal opinion in the context of quality of life at work and bioethics. A structured questionnaire with relevant topics was used, sent by the Informatics Department of the Federal Council of Medicine to the 95,022 valid e-mails registered, and 426 complete responses were obtained. There were negative manifestations; on average, more than 50% of the specific responses, which evidenced that the lack of quality of life at work acts negatively on the understanding and opinion of physicians on bioethics and the doctor-patient relationship, and not necessarily that this manifestation is materialized through their actions. There were responsive physicians who, through their responses, were able to demonstrate that a lack of quality of life at work can alter and deconstruct this relationship in the context of bioethics.

Se aplicó una encuesta de opinión, de ámbito nacional, en la que cada médico pudo expresarse plasmando sus sentimientos, comprensión y opinión personal en el contexto de la calidad de vida en el trabajo y la bioética. Se utilizó un cuestionario estructurado con temas pertinentes, enviado por el Departamento de Informática del Consejo Federal de Medicina a los 95.022 correos electrónicos válidos registrados, y se obtuvieron 426 respuestas completas. Hubo manifestaciones negativas; en promedio, más del 50% de las respuestas específicas, lo que evidenció que la falta de calidad de vida en el trabajo actúa negativamente en la comprensión y opinión de los médicos sobre la bioética y la relación médico-paciente, y no necesariamente que esa manifestación se materialice a través de sus acciones. Hubo médicos receptivos que, a través de sus respuestas, pudieron demostrar que la falta de calidad de vida en el trabajo puede alterar y deconstruir esta relación en el contexto de la bioética.

Nursing training and its association with burnout syndrome among Mexican undergraduate students / Formación académica en enfermería y su asociación con el síndrome de burnout en estudiantes Mexicanos de pregrado

Abstract Introduction Previous data suggest that healthcare students, such as nursing students, might have a differential risk of presenting burnout syndrome caused by the stress they are subjected to. However, the evidence is still scarce and inconclusive. Objective To evaluate the association between nursing training and burnout syndrome among undergraduate students in Hidalgo, Mexico. Method A cross-sectional analytical study was conducted on 566 undergraduate students (56% were nursing students and the rest were non-healthcare students). Burnout syndrome was identified using the Spanish version of the Maslach Burnout Inventory-Student Survey, consisting of subscales: emotional exhaustion, depersonalization, and diminished academic efficacy. The association between the variables of interest was evaluated using logistic regression models adjusted for confounders. Results In the depersonalization subscale, nursing students, compared with non-healthcare students, had an adjusted Odds Ratio (aOR) of moderate/high burnout syndrome of 2.08 (95% confidence interval [CI] = [1.34, 3.22]). In addition, the association was stronger among students in the third and fourth school years (aOR = 3.58; 95% CI = [1.62, 7.89]) compared with those in the first and second school years (aOR = 1.20; 95% CI = [.71, 2.03]). Discussion and conclusion It is necessary that universities provide nursing students with tools that allow them to cope with stressful situations during their academic training and their future life as health professionals.

Resumen Introducción Datos previos sugieren que los estudiantes del cuidado a la salud, como es el caso de enfermería, podrían tener un riesgo diferencial de presentar síndrome de burnout debido al estrés al que están sometidos, no obstante, la evidencia aun es escaza y no concluyente. Objetivo Evaluar la asociación entre la formación académica en enfermería con el síndrome de burnout en estudiantes universitarios de Hidalgo, México. Método Estudio trasversal analítico realizado en una muestra de 566 estudiantes universitarios (56% eran estudiantes de enfermería y el resto de las áreas diferentes a la salud). Para determinar la presencia de síndrome de burnout se utilizó la versión en español de la escala Maslach Burnout Inventory-Student Survey, conformada por las subescalas: agotamiento, eficacia académica y despersonalización. La asociación entre las variables de interés se evalúo mediante modelos de regresión logística ajustados por confusores. Resultados En la subescala de despersonalización los estudiantes de enfermería tuvieron mayores posibilidades de presentar síndrome de burnout medio/alto en comparación con los de las otras formaciones académicas (razón de momios ajustada [RMa] = 2.08; intervalo de confianza [IC] al 95% = [1.34, 3.22]). Además, la asociación fue más fuerte entre aquellos que cursaban el tercer y cuarto año escolar (RMa = 3.58; IC 95% = [1.62, 7.89]) a diferencia de los que cursaban los primeros dos años escolares (RMa = 1.20; IC 95% = [.71, 2.03]). Discusión y conclusión Es importante que las universidades brinden a los estudiantes de enfermería herramientas que les permitan sobrellevar las situaciones estresantes durante su formación académica y su futura vida profesional.

De cuidador a requisitante de cuidado: revisão de escopo acerca do mental do trabalhador em tempos de COVID-19 / From caregiver to care receiver: scope review about workers' mental health in times of COVID-19 / Del cuidador a la solicitud de atención: revisión del alcance sobre el mental del trabajador en tiempos de COVID-19

Introdução: A crise global de saúde desencadeada durante a pandemia da COVID-19 resultou em uma maior prevalência de adoecimento mental, sobretudo entre os profissionais de saúde. Objetivo: Identificar a relação entre a Síndrome de Burnout e o adoecimento mental nos trabalhadores de saúde durante a pandemia de COVID-19, bem como os fatores de risco relacionados no Brasil. Métodos: Trata-se de uma revisão de escopo, na qual foi realizada busca em três bases de dados, utilizando os termos "COVID-19" e "mental health workers", com recorte temporal de artigos publicados entre 2020 e 2022. Resultados: Foram incluídos 18 dos 712 artigos encontrados. A análise apontou que os desfechos mais frequentes foram o aumento da prevalência da Síndrome de Burnout, depressão, ansiedade, distúrbios no sono, sintomas de estresse e impacto psicológico geral. Fatores agravantes relacionados incluem aspectos pessoais, estruturais no ambiente de trabalho e governamentais. Conclusões: Destaca-se a importância de mais estudos sobre a temática, incluindo análises de impacto a longo prazo.

Introduction: The global health crisis triggered by the COVID-19 pandemic resulted in a higher prevalence of mental illness, especially among health professionals. Objective: To identify the relationship between Burnout Syndrome and mental illness in health workers during the COVID-19 pandemic and related risk factors in Brazil. Methods: This is a scope review, for which a search was carried out in 3 databases, applying the keywords (COVID-19) and (mental health workers), with a time frame for articles published between 2020 and 2022. Results: 18 of the 712 articles found were included. The analysis showed that the most frequent outcomes were increased prevalence of Burnout syndrome, depression, anxiety, sleep disturbances, stress symptoms and general psychological impact. The following are related aggravating factors: personal, structural aspects of the work environment and governmental aspects. Conclusions: The importance of further studies on the subject is highlighted, including long-term impact analyses.

Introducción: La crisis de salud mundial desencadenada por la pandemia de COVID-19 resultó en una mayor prevalencia de enfermedades mentales, especialmente entre los trabajadores de la salud. Objetivo: Identificar la relación entre el Síndrome de Burnout y la enfermedad mental en trabajadores de la salud durante la pandemia de COVID-19 y los factores de riesgo relacionados en Brasil. Métodos: Esta es una revisión de alcance, para lo cual se realizó una búsqueda en 3 bases de datos, aplicando las palabras clave (COVID-19) y (trabajadores de la salud mental), con un marco temporal para artículos publicados entre 2020 y 2022. Resultados: Se incluyeron 18 de los 712 artículos encontrados. El análisis mostró que los resultados más frecuentes fueron una mayor prevalencia del Síndrome de Burnout, depresión, ansiedad, trastornos del sueño, síntomas de estrés e impacto psicológico general. Son agravantes relacionados los siguientes: aspectos personales, estructurales del ambiente de trabajo y aspectos gubernamentales. Conclusiones: Se destaca la importancia de realizar más estudios sobre el tema, incluidos los análisis de impacto a largo plazo.

Understanding and assessment menthods of occupational burnout syndrome / Монголын эм зүй, эм судлал

Background@#As the trend of pharmaceutical care around the world shifts to client-centered care, there is a need for new pharmacists to improve their knowledge and skills, learn psychological skills, provide customers with health education, and improve the rational use of drugs and pharmacological services.@*Objective@#This study is based on the fact that no research has been conducted in Mongolia on factors that affect burnout syndrome and social-psychology of pharmacists.@*Literature review@#The following are internationally accepted methods of assessing sociopsychological risks to determine the socio-psychological factors associated with the work and occupation of workers and their impact on health and safety. These include:</br> Burnout Measue-BM, 1981 (Pines & Aronson 1988). A method of measuring burnout, physical and emotional fatigue, and mental exhaustion. (Bazarragchaa, 2020) </br> The Copenhagen Psychosociol Questionnaire COPSOQ (Christenson et al. 2005) focuses on socio-psychological factors, stress, personal health, well-being and individual factors (style, sense of mutual understanding, etc.). </br> The Copenhagen Burnout Inverntory (CBI, 2005) examines fatigue, exhaustion, and work-related burnout as well as customer-related burnout.@*Conclusion@#There are more than 40 definitions of “Burnout syndrome”. The “Maslach Burnout Inventory” has become the “Gold standard” for assessing the burnout of service workers. The Copenhagen Burnout Inverntory (CBI, 2005) studies fatigue, exhaustion, and individual, work-related and customer-related burnout.

Síndrome de Burnout en profesionales de la salud antes y durante la pandemia de COVID-19 / Burnout Syndrome Among Health Professionals Before and During the COVID-19 Pandemic

Objective: To describe the differences in burnout syndrome (BS) before and during the COVID-19 pandemic among health professionals, according to prevalence, levels, sociodemographic, occupational, risk, and protective factors. Methods: A comparative descriptive study was conducted, with two samples of similar characteristics from public hospitals in Peru. The sample was 177 for 2019 and 167 for 2021. The instrument used was the Maslach Burnout Inventory. Results: It was found that there is a higher prevalence of BS and lower personal fulfillment (PF) during the pandemic. For BS, female sex is a risk factor during the pandemic. For emotional exhaustion (EE), the female gender is a risk factor before and during the pandemic. For depersonalization (DP), being 39 years of age or older is a protective factor before the pandemic. Conclusions: There are significant differences in the scores of BS, EE, and PF; no significant differences for DP were found in both periods(AU)

Objetivo: Describir las diferencias en el síndrome de burnout (BS) antes y durante la pandemia de COVID-19 en los profesionales de la salud, según la prevalencia, niveles, factores sociodemográficos, ocupacionales, de riesgo y protectores. Materiales y Métodos: Se realizó un estudio descriptivo comparativo, con dos muestras de características similares de hospitales públicos en Perú. La muestra fue de 177 para 2019 y 167 para 2021. El instrumento utilizado fue el Inventario de Burnout de Maslach. Resultados: Se encontró que existe una mayor prevalencia de BS y menor realización personal (RP) durante la pandemia. Para BS, el sexo femenino es un factor de riesgo durante la pandemia. Para el agotamiento emocional (AE), el género femenino es un factor de riesgo antes y durante la pandemia. Para la despersonalización (DE), la edad de 39 años y más es un factor protector antes de la pandemia. Conclusiones: Existen diferencias significativas en las puntuaciones de BS, AE y RP; para DE no se encontraron diferencias significativas en ambos períodos(AU)

Síndrome de Burnout entre profissionais que trabalham com atendimento ao público / Burnout syndrome among professionals who work with public service / Síndrome de Burnout en profesionales que trabajan en el servicio público

Objetivo: Identificar a ocorrência da Síndrome de Burnout nos profissionais que trabalham com atendimento ao público. Método: estudo de corte transversal, descritivo com 81 profissionais de uma faculdade em município brasileiro, entre os meses de setembro e outubro de 2021. Aplicou-se o instrumento validado Maslach Burnout Inventory e um formulário com as caracteristicas sociodemográficas. Resultados: A maioria dos entrevistados tem entre 18 e 30 anos, se auto declaram pardos e possuem ensino superior. Observou-se que 45% dos participantes tem uma possibilidade de desenvolvimento da sindrome, e 38% estão na fase inicial. Conclusão: profissionais mais jovens são mais propensos a apresentar a síndrome de Burnout. Estimula-se o desenvolvimento de estudos interdisciplinares para o processo saúde-doença-mental possibilitando uma nova abordagem de preveção e cuidado em condutas investigativas e intervencionistas em academias de níveis superiores, de forma a buscar momentos saudáveis para o profissional.

Objective: To identify the occurrence of Burnout Syndrome in professionals who work with public service. Method: cross-sectional, descriptive study with 81 professionals from a college in a Brazilian municipality, between September and October 2021. The validated Maslach Burnout Inventory instrument and a form with sociodemographic characteristics were applied. Results: Most respondents are between 18 and 30 years old, self-declared brown and have higher education. It was observed that 45% of the participants have a possibility of developing the syndrome, and 38% are in the initial phase. Conclusion: younger professionals are more likely to present the Burnout syndrome. The development of interdisciplinary studies for the mental health- illness process is encouraged, enabling a new approach to prevention and care in investigative and interventional conducts in higher education academies, in order to seek healthy moments for the professional.

Objetivo: Identificar la ocurrencia del Síndrome de Burnout en profesionales que actúan en el servicio público. Método: estudio descriptivo transversal con 81 profesionales de una facultad de un municipio brasileño, entre septiembre y octubre de 2021. Se aplicó el instrumento Maslach Burnout Inventory validado y un formulario con características sociodemográficas. Resultados: La mayoría de los encuestados tienen entre 18 y 30 años, se declaran morenos y tienen estudios superiores. Se observó que el 45% de los participantes tiene posibilidad de desarrollar el síndrome, y el 38% se encuentra en fase inicial. Conclusión: los profesionales más jóvenes son más propensos a presentar el síndrome de Burnout. Se fomenta el desarrollo de estudios interdisciplinarios para el proceso salud-enfermedad mental, posibilitando un nuevo abordaje de la prevención y el cuidado en las conductas investigativas e intervencionistas en las academias de educación superior, con el fin de buscar momentos saludables para el profesional.

Associated factors of professional burnout among faculty members of graduate stricto sensu programs in language teaching and linguistics: a cross-sectional study

Abstract BACKGROUND: The burnout syndrome can be avoided and/or have its signs and symptoms reduced by knowing the five associated factors that help identify the health and working conditions of the professors of graduate programs. OBJECTIVE: To analyze the factors associated with burnout among faculty members of graduate stricto sensu programs. DESIGN AND SETTING: A cross-sectional study was conducted among 585 faculty members of Graduate Programs in Language Teaching and Linguistics in Brazil. METHODS: Data were collected through an online questionnaire. The outcomes were the dimensions of burnout and its related factors identified through multiple templates of logistic regression. RESULTS: Faculty members with increased chances of emotional exhaustion and depersonalization mentioned the use of medications due to labor activities. The negative influence of pace and intensity of work, thoughts about quitting the program, and having to produce three or more scientific articles were associated with higher chances of emotional exhaustion, while having to achieve nine hours per week in undergraduate programs was related to reduced personal accomplishment. Having a conjugal relationship, satisfaction with health and work, post-doctoral degree, autonomy, and good interpersonal relationships with faculty members of the program reduced the chances of emotional exhaustion. Reduced chances of depersonalization occurred among those who were satisfied with work, had good interpersonal relationships with advisees and faculty members, and received productivity funding. CONCLUSION: Sociodemographic, health, and occupational factors related to the dimensions of burnout were identified.

Prévalence et facteurs associés au syndrome d'épuisement professionnel chez le personnel de santé du service de pédiatrie du Centre Hospitalier Universitaire de Bouaké (Côte d'Ivoire) / Prevalence and factors associated with burnout syndrome among health personnel in the paediatric department of the university hospital of Bouaké (Côte d'Ivoire)

Contexte et objectif.: Le syndrome d'épuisement professionnel (SEP) est une pathologie particulièrement préoccupante en milieu hospitalier avec un impact négatif sur la qualité des soins. L'objectif de l'étude était de connaitre la prévalence et les principaux facteurs associés au SEP chez le personnel de santé en pédiatrie au CHU de Bouaké. Méthodes. Etude prospective, descriptive et analytique réalisée en pédiatrie au CHU de Bouaké du 05 octobre au 03 novembre 2022. Etaient inclus les agents dudit service, consentants, reconnus par la Direction des Ressources Humaines du CHU de Bouaké et présent durant la période de l'étude. Les variables étudiées étaient socioprofessionnelles et l'évaluation du SEP. Le SEP a été évalué à l'aide du Maslach Burnout Inventory (MBI). Résultats : Au total 70 participants dont 39 présentant un SEP (13 hommes, 26 femmes) soit une prévalence de 56%. Les facteurs signifi cativement associés au SEP étaient la situation matrimoniale (Célibataire) (p=0,004 ; OR 0,155 ; IC 0,043-0,563), et le statut d'agent journalier (p=0,024 ; OR 0,058 IC 0,005-687). Conclusion. Le SEP était très fréquent en pédiatrie du CHU de Bouaké. Il avait un lien étroit avec la situation matrimoniale et le statut d'agent journalier. Pour améliorer la situation nous recommandons un accompagnement psychologique du personnel ainsi que la revalorisation salariale et des conditions de travail des agents journaliers. Mots clés : -Syndrome d'épuisement professionnel; -Hôpital; -Pédiatrie, -Côte d'Ivoire. ABSTRACT Background and object

Background and objective. Burnout syndrome (BWS) is a particularly worrying pathology in the hospital environment with a negative impact on the quality of care. The objective of the study was to determine the prevalence and main factors associated with burnout among paediatric health care staff at the University Hospital of Bouaké. Methods. Prospective, descriptive and analytical study conducted in pediatrics at the University Hospital of Bouaké from October 5 to November 3, 2022. The study included consenting staff of the said department, recognised by the Human Resources Department of the University Hospital of Bouaké and present during the study period. The variables studied were socio-professional and SEP evaluation. The BWS was assessed using the Maslach Burnout Inventory (MBI). Results. A total of 70 participants, 39 of whom had MS (13 men, 26 women), representing a prevalence of 56%. The factors significantly associated with MS were marital status (single) (p=0.004; OR 0.155; CI 0.043-0.563), and day worker status (p=0.024; OR 0.058 CI 0.005-687). Conclusion. The SEP is very frequent in the paediatric ward of the University Hospital of Bouaké. It is closely related to marital status and day labourer status. To improve the situation, we recommend psychological support for the staff as well as an increase in the salary and working conditions of day workers.

Síndrome de burnout en cirujanos generales en tiempos de la pandemia COVID-19

Objetivo: Evaluar el síndrome de burnout (SB) en cirujanos generales. Material y Método: Se realizó un estudio de corte transversal en nuestro centro hospitalario, en agosto de 2021. La muestra estuvo formada por 56 profesionales de la salud que incluyeron a residentes y especialistas en cirugia general quienes prestaron servicio en el contexto de la COVID-19. Resultados: La prevalencia del burnout fue del 71%, la edad media fue de 34 años y los residentes fueron los más afectados (62,5%). La distribución por sexo fue de 82,5% en masculinos y 17,5% en el sexo femenino. Del total de evaluados, 23 son casados y 17 solteros, predominando los cirujanos con hijos (60%). Discusión: Entre los pocos estudios publicados sobre el SB en trabajadores de la salud en tiempos de COVID-19 se ubican como posibles factores predisponentes: a las privaciones de sueño, el riesgo biológico ocupacional intrínseco, la cuarentena obligada a la que tienen que someterse los trabajadores de la salud fuera de casa y los dilemas éticos en la toma de decisiones de atención a pacientes. Sin embargo, un estudio ha mostrado que los estresores vinculados al SB más importantes son la falta de equipo de protección personal, el miedo al contagio de COVID-19 y el miedo de contagiar a los familiares. Conclusión: Existe una alta prevalencia del SB en cirujanos generales en el contexto de la pandemia COVID-19. Los más afectados fueron residentes jóvenes de sexo masculino, casados, con hijos y con bajos ingresos económicos.

Objective: To evaluate the burnout syndrome (BS) in general surgeons. Material and Method: A cross-sectional study was carried out in our hospital in August 2021. The sample consisted of 56 health professionals that included residents and specialists in general surgery who provided service in the context of COVID-19 Results: The prevalence of burnout was 71%, the mean age was 34 years and the residents were the most affected (62.5%). Sex was 82.5% in males and 17.5% in females. Of the total evaluated, 23 are married and 17 are single, with a predominance of surgeons with children (60%). Discussion: Among the few studies published on BS in health workers in times of COVID-19, the following are located as possible predisposing factors: sleep deprivation, intrinsic occupational biological risk, the forced quarantine that patients have to undergo. out-of-home health workers and ethical dilemmas in patient care decision-making. However, a study has shown that the most important stressors linked to BS are the lack of personal protective equipment, the fear of contagion of COVID-19 and the fear of infecting family members. Conclusion: There is a high prevalence of BS in general surgeons in the context of the COVID-19 pandemic. The most affected were young male residents, married, with children and with low income.

Síndrome de Burnout en trabajadores de salud del Hospital de Arequipa (Perú) durante la pandemia / Burnout syndrome in health care workers of the Hospital Arequipa (Peru) during the pandemic

RESUMEN: Introducción: a finales del año 2019, la comunidad global era sorprendida con la aparición de un brote de coronavirus en China. Se plantea que la exposición crónica a factores de riesgo psicosocial durante varios meses y de manera constante, podrían desencadenar el síndrome de burnout en el personal de salud que atiende pacientes con COVID-19. Objetivo: determinar la frecuencia y severidad del síndrome de burnout en personal de salud que labora en el Hospital II Goyeneche del Ministerio de Salud en Arequipa en el contexto durante la pandemia. Material y Métodos: estudio descriptivo transeccional, en el que se registraron las características sociodemográficas de 147 trabajadores de salud del Hospital II Goyeneche un hospital del Ministerio de Salud y se aplicó el Inventario de Burnout de Maslach. Resultados: el 70,7% del personal de salud del Hospital II Goyeneche de Arequipa presenta síndrome de burnout, y de este porcentaje, la mayoría tiene preocupación por atender pacientes con COVID-19, no se siente capacitado para ello, le preocupa no contar con Equipos de Protección Personal y desconoce los protocolos de seguridad. Conclusión: existe una asociación significativa entre la presencia de síndrome de burnout y la atención de pacientes con COVID-19.

ABSTRACT Introduction: At the end of 2019, the global community was surprised by the new outbreak of coronavirus in China. We argued that the chronic exposure to psychosocial risk factors during four months, could precipitate the burnout syndrome among the healthcare workers who attend patients with COVID-19. Objective: To determine the frequency and severity of burnout syndrome in healthcare personnel who working Goyeneche Hospital from Ministry of Health Hospital from Arequipa City along the COVID-19 pandemic. Material and Methods: Descriptive transectional study, in which there were registered the sociodemographic characteristics of 147 healthcare workers in Goyeneche Hospital and there was applied the Burnout Maslach Inventory. Results: The 70.7% of the Goyeneche Hospital health care personnel presents burnout syndrome, and major part of the percentage have concerns about the attention of patients with COVID-19, also they don't feel trained enough for this, they also are concern because don´t have the Personal protective equipment and they don't know the safety attention protocols. Conclusion: There is a significant association among the burnout syndrome punctuation and the attention of patients with COVID-19.

Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study

ABSTRACT BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has placed considerable psychological stress on frontline healthcare workers (HCWs). OBJECTIVE: To evaluate the prevalence of burnout syndrome among HCWs facing the COVID-19 outbreak. DESIGN AND SETTING: Cross-sectional study conducted in six public intensive care units (ICUs) in the city of Fortaleza, Brazil. METHODS: An online survey was conducted among HCWs to measure the three dimensions of burnout. RESULTS: A total of 62 physicians (23.4%), 65 nurses (24.5%), 58 nurse technologists (21.9%) and 80 physiotherapists (30.2%) completed the questionnaire. Nearly half of the participants (48.6%) had high levels of emotional exhaustion, and almost one-third of them (29.4%) had high levels of depersonalization. Low levels of professional efficacy were observed in 18.1% of the sample. The independent determinants of depersonalization burnout were age < 33 years (odds ratio, OR 2.03; 95% confidence interval, CI 1.15-3.56; P = 0.01) and female gender (OR 0.33; 95% CI 0.18-0.62; P = 0.01). Increased workload was associated with both depersonalization (OR 2.37; 95% CI 2.02-5.50; P = 0.04) and emotional exhaustion (OR 1.89; 95% CI 1.04-3.58; P = 0.030). CONCLUSION: The COVID-19 pandemic has had a great impact on the dimensions of depersonalization and emotional exhaustion. Consideration of these dimensions is important when designing future burnout prevention programs for frontline personnel.

Factores de riesgos psicosociales que inciden en el desarrollo del síndrome de burnout en profesionales de enfermería / Psychosocial risk factors that affect the development of burnout syndrome in nurses

El Burnout es considerado en la actualidad como uno de los factores de daños laborales que obedece a características psicosociales. Surge como respuesta prolongada a agentes estresores crónicos a nivel personal y laboral, pero básicamente resulta de las relaciones del trabajador con su entorno laboral, por lo que está sujeto a variables personales, laborales y organizacionales. Es importante la identificación de este síndrome y su prevención por la afectación que causa en el individuo, que le limita en la sociedad como un individuo capacitado. Objetivo: Conocer los factores de riesgo psicosociales que inciden en el desarrollo del síndrome de burnout en profesionales de enfermería Materiales y Métodos: Se basa en una metodología del tipo descriptiva, cualitativa, que incluye la revisión de publicaciones científicas sobre los factores de riesgo del síndrome de Burnout, los cuales pueden asociarse al desarrollo del estrés y alteraciones en la salud de los profesionales en enfermería que laboran en servicios asistenciales. La búsqueda se realizó mediante la consulta de recursos bibliográficos electrónicos. Resultados: El síndrome del Burnout es considerado en líneas generales como un desgaste profesional a nivel laboral. Se estima que hasta la actualidad este síndrome era asociado a los problemas relacionados con la dificultad en el control de la vida y presenta una afectación genérica de los individuos. Conclusiones: De acuerdo con los resultados de la revisión de documentación científica, se evidencia una alta exposición de los profesionales de enfermería a los factores de riesgo psicosocial. Las exigencias cuantitativas y el intenso ritmo de trabajo se manifiestan en la sobrecarga laboral que ha sido impuesta en las instituciones, principalmente frente a la atención de un gran volumen de pacientes, el desempeño de funciones ajenas al ejercicio del cuidado directo y la falta de recursos humanos y materiales para desarrollar la labor(AU)

Burnout is currently considered as one of the factors of occupational damage that is due to psychosocial characteristics. It arises as a prolonged response to chronic stressors at the personal and work level, but basically results from the worker's relationship with his work environment, so it is subject to personal, work and organizational variables. It is important to identify this syndrome and its prevention due to the affectation it causes in the individual, which limits him in society as a capable individual. Objective: To know the psychosocial risk factors that affect the development of burnout syndrome in nursing professionals. Materials and Methods: It is based on a descriptive, qualitative methodology, which includes the review of scientific publications on the risk factors of the syndrome. of Burnout, which can be associated with the development of stress and alterations in the health of nursing professionals who work in care services. The search was performed by consulting electronic bibliographic resources. Results: Burnout syndrome is considered in general terms as a professional burnout at work level. It is estimated that until now this syndrome was associated with problems related to the difficulty in controlling life and presents a generic affectation of individuals. Conclusions: According to the results of the review of scientific documentation, there is evidence of a high exposure of nursing professionals to psychosocial risk factors. The quantitative demands and the intense pace of work are manifested in the work overload that has been imposed in the institutions, mainly in the face of the care of a large volume of patients, the performance of functions unrelated to the exercise of direct care and the lack of resources. human and material to carry out the work(AU)

Validity and reliability of the SBI (Spanish Burnout Inventory) in medical surgical specialists / Validez y contabilidad del CESQT en médicos especialistas quirúrgicos

Abstract Introduction: Burnout Syndrome is the term used to describe the psychological response to patient care-related chronic work stress. Studies have found that the prevalence of practitioner burnout in Colombia ranges between 17.6% and 45%. Given the importance of this phenomenon in our setting, we decided to carry out a validation and reliability study of the Spanish Burnout Inventory (SBI). Objective: To assess the validity and reliability of the SBI in medical surgical specialists working in fourteen health care facilities in Antioquia (Colombia) in 2018. Methods: The study was conducted in 14 healthcare institutions among 8 surgical specialties. The tool consists of 20 items collected by means of face-to-face interviews under the supervision of a psychologist, and maintaining confidentiality. The psychometric assessment included content validity (CV), construct validity using confirmatory factor analysis (CFA) and reliability using Cronbach's Alpha. Results: The study sample consisted of 234 participants. CV of the tool was 0.82. The CFA showed acceptable model fit, with the results of goodness-of-fit being X2=384.578 (p<0.00i; df: 165), RMSEA = 0.075 [90% CI: 0.066 - 0.085], CFI = 0.953, TLI = 0.946 and WRMR=1.074. The SBI Cronbach's alpha was 0.79. Conclusions: The SBI showed acceptable CV levels for all the items and domains. The SBI is a valid tool with adequate reliability for use in medical surgical specialists of healthcare institutions in Antioquia-Colombia.

Resumen Introducción: El síndrome de Quemarse por el Trabajo es la respuesta psicológica al estrés laboral crónico relacionado con la atención de pacientes. La prevalencia del síndrome en médicos colombianos varía entre el 17 % y el 45 %, usando cuestionarios no validados. Objetivo: Evaluar la validez y fiabilidad del Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo (CESQT), en médicos especialistas quirúrgicos que laboraban en instituciones de salud de Antioquia, Colombia en 2018. Métodos: El estudio se realizó en 14 instituciones hospitalarias con 8 especialidades quirúrgicas, el instrumento consta de 20 ítems cuya recolección se hizo presencial, supervisado por una psicóloga, manteniendo la confidencialidad; la evaluación psicométrica incluyó validez de contenido (VC), validez de constructo mediante análisis factorial confirmatorio (AFC) y fiabilidad con alfa de Cronbach. Resultados: Se encuestaron 234 especialistas. La VC del instrumento fue de 0,82. Los índices de bondad de ajuste en el AFC fueron: X2=384,578 (p < 0,001; gl: 165), RMSEA = 0,075 [IC 90 %: 0,066-0,085], CFI = 0,953, TLI = 0,946 y WRMR = 1,074. El alfa de Cronbach fue 0,79. Conclusiones: El CESQT tiene niveles aceptables de VC para los ítems y sus dimensiones. El CESQT es un instrumento válido con adecuada fiabilidad para ser utilizado en médicos especialistas quirúrgicos de instituciones de salud de Antioquia, Colombia.

Factor Validity of Measurement for Burnout in Chilean Prison Officers / Medida de Validez Factorial para el Burnout en Oficiales de Prisiones Chilenas

Abstract The objective of this research was to perform the factorial validity of the Maslach Burnout Inventory Human Services (MBIHSS) in prison officers in Chile through a first-order factor analysis and a confirmatory analysis. The sample was constituted by all the prison officers in the Region of Arica and Parinacota (N=334). Of these, 44 did not participate in the study, since they were in a medical leave, vacation or special permit, transfer in progress, or similar situation. Therefore, the final number of participants was 290 subjects. The Burnout Syndrome (BS) was estimated through the adaptation to Spanish (Gil-Monte, 2005) of the Maslach Burnout Inventory, in its version for human services professionals (MBI-HSS) (Maslach & Jackson, 1986), validated in Chile (Olivares, 2009). By way of conclusion, the present investigation found similarities in the MBI-HSS in terms of dimensionality and reliability analysis, and despite the international observations of the instrument, an adjusted proposal (standardization and validation) of the MBI-HSS is provided for contexts Prisoners with 18 items, since in Chile there is no validation of the MBI-HSS in prison officers;

Resumen El objetivo de esta investigación fue realizar la validez factorial de Maslach Burnout Inventory Human Services (MBIHSS) en funcionarios de prisiones en Chile a través de un análisis factorial de primer orden y un análisis confirmatorio. La muestra estuvo constituida por todos los funcionarios penitenciarios de la Región de Arica y Parinacota (N=334). De estos, 44 no participaron en el estudio, ya que se encontraban en un permiso médico, vacaciones o permiso especial, transferencia en curso o situación similar. El número final de participantes, por lo tanto, fue de 290 sujetos. El Sindrome de Burnout (BS) se estimò mediante la adaptación al espanol (Gil-Monte, 2005) del Maslach Burnout Inventory, en su versión para profesionales de servicios humanos (MBI-HSS) (Maslach & Jackson, 1986), validado en Chile (Olivares, 2009). A modo de conclusión, la presente investigación encontró similitudes en el MBI-HSS en términos de análisis de dimensionalidad y confiabilidad, y a pesar de las observaciones internacionales del instrumento, se proporciona una propuesta ajustada (estandarización y validación) del MBI-HSS para contextos Prisioneros con 18 items, ya que en Chile no hay validación del MBI-HSS en los funcionarios de prisiones

Estrés laboral en trabajadores de atención prehospitalaria durante la pandemia de COVID-19 / Work stress in prehospital care workers during the COVID-19 pandemic

RESUMEN Introducción: La pandemia de COVID-19 ha causado cambios en las condiciones laborales de los trabajadores sanitarios, lo que se considera un posible factor desencadenante de estrés laboral. Objetivo: Analizar el grado de exposición al estrés laboral que presentan los trabajadores de atención prehospitalaria de la zona 3 del Instituto Ecuatoriano del Seguro Social durante la pandemia de COVID-19. Métodos: Se realizó una investigación básica, no experimental, transversal y descriptiva donde el universo estuvo constituido por un total de 35 trabajadores. Se utilizó la tercera versión del cuestionario de Estrés Laboral diseñada por Villalobos en el año 2016. Resultados: Predominio de trabajadores expuestos a estrés laboral (88,57 %) con predominio de estrés medio (48,39 %). Los dolores en el cuello, espalda o tensión muscular fueron referidos siempre o casi siempre por el 88,57 % de los trabajadores. Los sentimientos de sobrecarga de trabajo siempre o casi siempre estuvieron presentes en el 80,00 % de los trabajadores. El 37,14% refirió problemas siempre o casi siempre con sus relaciones familiares. El 62,86 % de los trabajadores informó que consumen bebidas alcohólicas, café o cigarro siempre o casi siempre para controlar las manifestaciones de estrés. Conclusión: Se identificó un elevado porcentaje de trabajadores con nivel medio de estrés. Los dolores en el cuello y espalda, dificultades en las relaciones familiares, sentimientos de sobrecarga de trabajo, dificultades para concentrarse y el consumo de bebidas alcohólicas, café o cigarro fueron los síntomas que con mayor frecuencia se identificaron en las esferas investigadas.

ABSTRACT Introduction: The COVID-19 pandemic has generated changes in the working conditions of health workers, being considered a possible trigger of work stress. Objective: To analyze the degree of exposure to work stress presented by pre-hospital care workers in zone 3 of the Ecuadorian Institute of Social Security during the COVID-19 pandemic. Methods: A basic, non-experimental, cross-sectional and descriptive research was carried out where the universe consisted of a total of 35 workers. The third version of the Occupational Stress questionnaire designed by Villalobos in 2016 was used. Results: Prevalence of workers exposed to work stress (88.57%) with predominance of medium stress (48.39%). Pain in the neck, back or muscle tension was always or almost always reported by 88.57% of the workers. Feelings of work overload were always or almost always present in 80.00% of the workers. 37.14% reported problems always or almost always with their family relationships. 62.86% of the workers reported that they consume alcoholic beverages, coffee or cigarettes always or almost always to control stress manifestations. Conclusion: A high percentage of workers with a medium level of stress was identified. Pains in the neck and back; difficulties in family relationships; Feelings of work overload, difficulties concentrating and the consumption of alcoholic beverages, coffee or cigarettes were the symptoms that were most frequently identified in the areas investigated.