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Introducción. El síndrome de desgaste profesional es un problema relevante en la formación quirúrgica; sin embargo, es limitada la literatura reciente sobre su conceptualización general durante la formación quirúrgica, a partir de fundamentos teóricos y evidencia empírica. Métodos. Este artículo es una revisión narrativa del síndrome, con énfasis en su prevalencia, precursores, consecuencias y estrategias de mitigación en residentes de cirugía, a partir de la literatura global y las publicaciones disponibles en Colombia. Resultados. El síndrome de desgaste profesional afecta a más de 50 % de los residentes de cirugía general a nivel global en algún punto de su formación. No obstante, la prevalencia acumulada en Colombia es menor. Los principales precursores se encuentran en el ambiente quirúrgico, especialmente en la pobre cultura académica de los departamentos quirúrgicos y las instituciones hospitalarias y universitarias. El síndrome se asocia con consecuencias negativas para el residente, la organización y el sistema sanitario. Existen nueve estrategias que pueden ayudar a mitigar el problema, las cuales implican acciones de los sistemas educativo y sanitario, y de los residentes, como parte de su autorregulación profesional. Conclusión. El síndrome de desgaste profesional en residentes de cirugía general es un problema latente en Colombia. Existen factores modificables que pueden ser atendidos con base en las recomendaciones disponibles de estudios publicados a nivel global y local.

Introduction. Burnout syndrome is a relevant problem in surgical training; however, recent literature on its conceptualization during surgical training, based on theoretical foundations and empirical evidence, is limited. Methods. This article is a narrative review of the syndrome, with emphasis on its prevalence, precursors, consequences, and mitigation strategies in surgical residents, based on the global literature and publications available in Colombia. Results. Burnout syndrome affects more than 50% of general surgery residents globally at some point of their training. However, the accumulated prevalence in Colombia is lower. The main precursors are found in the surgical environment, especially in the poor academic culture of surgical departments, and hospital and university institutions. The syndrome is associated with negative consequences for the resident, the organization, and the healthcare system. There are nine strategies that can help to mitigate the problem, which involve actions by the educational and health systems, and by residents, as part of their professional self-regulation. Conclusion. Burnout syndrome in general surgery residents is a latent problem in Colombia. There are modifiable factors that can be addressed based on the recommendations available from studies published at global and local levels.

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Objetivo: Determinar la relación entre el síndrome de burnout y la satisfacción laboral en el personal de enfermería en un Hospital público del Perú. Material y métodos: De tipo cuantitativo, transeccional, correlacional y no experimental, siendo la muestra de 96 profesionales, y aplicándose la técnica de encuesta. Como instrumento se empleó el cuestionario de Maslach Burnout Inventory (MBI), y el cuestionario de satisfacción laboral (SL-SPC), ambos validados en Perú. Resultados: El 62,5% presentó nivel medio de síndrome de Burnout, por dimensiones predominó el nivel medio de agotamiento emocional 51,0%, y nivel bajo en la despersonalización 67,7% y realización personal 58,3%. La satisfacción laboral fue de nivel medio en el 43,8%, por dimensiones predominó el nivel medio de satisfacción en condiciones físicas y/o confort 57,3%, beneficio laboral y/o remunerativo 69,8%, desempeño de tareas 44,8% y relación con la autoridad 62,5%, siendo predominante el nivel bajo en las relaciones interpersonales 51,1%, políticas administrativas 60,4% y desarrollo personal 52,1%. Se halló relación significativa entre las variables (p=0,000) evidenciándose que el nivel alto de Burnout predominó en el personal enfermero con nivel bajo de satisfacción laboral. De igual forma se halló relación entre la satisfacción laboral y las dimensiones del síndrome de burnout según agotamiento emocional (p=0,000), despersonalización (p=0,001) y realización personal (p=0,000). Conclusiones: Existe relación significativa entre el síndrome de burnout y la satisfacción laboral en el personal de enfermería en un Hospital público del Perú.

Objective: To determine the relationship between burnout syndrome and job satisfaction in the nursing staff in un hospital public in Perú. Material and methods: Quantitative, transectional, correlational and non-experimental, with a sample of 96 professionals, and applying the survey technique. The Maslach Burnout Inventory (MBI) questionnaire and the job satisfaction questionnaire (SL-SPC) were used as instruments, both validated in Peru. Results: 62.5% presented a medium level of Burnout syndrome, by dimensions the medium level of emotional exhaustion predominated 51.0%, and a low level of depersonalization 67.7% and personal fulfillment 58.3%. Job satisfaction was at a medium level in 43.8%, by dimensions the average level of satisfaction in physical conditions and/or comfort 57.3%, work and/or remuneration benefit 69.8%, task performance 44.8% and relationship with authority 62.5 predominated. %, with the low-level predominating in interpersonal relationships 51.1%, administrative policies 60.4% and personal development 52.1%. A significant relationship was found between the variables (p=0.000), showing that a high level of Burnout predominated in nursing staff with a low level of job satisfaction. Likewise, a relationship was found between job satisfaction and the dimensions of burnout syndrome according to emotional exhaustion (p=0.000), depersonalization (p=0.001) and personal fulfillment (p=0.000). Conclusions: There is a significant relationship between burnout syndrome and job satisfaction in the nursing staff in un hospital public in Perú.

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Este estudo teve como objetivo geral verificar a relação entre síndrome de burnout, habilidades sociais, coping e variáveis sócio-ocupacionais em uma amostra de 166 professores do ensino fundamental de 13 escolas públicas do interior de Minas Gerais, Brasil, com idades entre 23 e 65 anos, sendo 73 % do sexo feminino. Foram utilizados o Inventário da Síndrome de Burnout (ISB), o Inventário de Habilidades Sociais 2 (IHS-2), o Inventário de Estratégias de Coping (IEC) e um questionário sócio-ocupacional desenvolvido especialmente para esta pesquisa. Obteve-se correlação negativa entre o burnout e o repertório de habilidades sociais (r = -0,273 e p < 0,01). As estratégias de coping que se correlacionaram positivamente com as habilidades sociais foram: busca de suporte social, resolução de problemas e reavaliação positiva. Ademais, houve correlação positiva entre coping e realização profissional, indicando que professores que adotaram estratégias de enfrentamento apresentaram maior tendência a sentirem-se realizados profissionalmente. As variáveis preditoras do burnout foram idade, estado civil, provimento familiar, número de filhos, tempo de serviço, tratamento contínuo de saúde e desenvoltura social. Discutiu-se a implicação desses resultados no tocante às ações protetivas de saúde mental docente e quanto à relevância do desenvolvimento socioemocional nas escolas.

Este estudio tuvo como objetivo general verificar la relación entre el síndrome de burnout, las habilidades sociales, el afrontamiento y las variables sociolaborales en una muestra de 166 profesores de educación básica de 13 escuelas públicas del interior de Minas Gerais, Brasil, con edades entre 23 y 65 años, el 73 % de los cuales son mujeres. Se utilizó el Inventario de Síndrome de Burnout (ISB), el Inventario de Habilidades Sociales 2 (IHS-2), el Inventario de Estrategias de Afrontamiento (IEC) y un cuestionario sociolaboral desarrollado especialmente para esta investigación. Se obtuvo una correlación negativa entre el burnout y el repertorio de habilidades sociales (r = -.273 y p = .001). Las estrategias de afrontamiento que se correlacionaron positivamente con las habilidades sociales fueron: búsqueda de apoyo social, resolución de problemas y reevaluación positiva. Además, hubo una correlación positiva entre el afrontamiento y la realización profesional, lo que indica que los profesores que adoptaron estrategias de afrontamiento tenían más probabilidades de sentirse realizados profesionalmente. Las variables predictoras del agotamiento fueron la edad, el estado civil, la provisión familiar, el número de hijos, el tiempo de servicio, la atención médica continua y la desenvoltura social. Se discuten las implicaciones de estos resultados respecto de las acciones protectoras para la salud mental de los docentes y la relevancia del desarrollo socioemocional en las escuelas.

This study had the general objective of verifying the relationship between burnout syndrome, social skills, coping strategies, and socio-occupational variables in a sample of 166 elementary school teachers from 13 public schools of Minas Gerais, Brazil, aged between 23 and 65 years, 73 % of whom were female. The Burnout Syndrome Inventory (ISB), the Social Skills Inventory 2 (IHS-2), the Coping Strategies Inventory (IEC), and a socio-occupational questionnaire developed especially for this research were used. A negative correlation was obtained between burnout and repertoire of social skills (r = -.273 and p < .001). The coping strategies that positively correlated with social skills were seeking social support, problem solving, and positive reappraisal. Furthermore, there was a positive correlation between coping and professional fulfillment, indicating that teachers who adopted coping strategies were more likely to feel professionally satisfied. The burnout predictor variables were age, marital status, family provision, number of children, length of service, ongoing health care and social resourcefulness. The implications of these results were discussed concerning protective actions for the mental health of teachers and the importance of socio-emotional development in schools.

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ABSTRACT Objective: To determine the correlation between the organizational climate, job satisfaction and burnout in the administrative staff of the Daniel Alcides Carrión National University. Methodology: The research was designed as a quantitative study applied with a correlational approach. A cross-sectional non-experimental design was used, since the measurements of the variables were made at a single time. The study population corresponded to a total of430 employees of the Daniel Alcides Carrión National University, which is why a simple random sampling was applied, with a confidence level of 95 % and a margin of error of 5 %, which allowed to determine a sample of 157 employees. For data collection, the survey technique was applied, therefore, three questionnaires were designed as instruments, one for each variable, with a Likert-type response scale. In the case of the Organizational Climate variable, this was based on three dimensions, namely: a) Recognition, b) Teamwork and c) Innovation, which helped to configure a total of 15 items to be evaluated. For the Job Satisfaction variable, it was based on three dimensions, which were: a) Job satisfaction, b) Satisfaction with remuneration and c) Satisfaction with the physical environment, constituting in turn 15 items to be evaluated, while for the Burnout variable, three dimensions were considered: a) Personal exhaustion, b) Depersonalization and c) Demotivation, for a total of 15 items to be evaluated. The questionnaires were subjected to a validity process according to the opinion of experts, who considered that they were suitable in their construction for application, in addition a pilot test was applied with a sample of 85participants, who were not part of the one included in the study, which allowed to determine that these instruments had an internal consistency of Cronbachs Alpha of0.97, 0.95 and 0.89 for the organizational climate, job satisfaction and burnout variables respectively. The data were systematized in an Excel spreadsheet to perform the descriptive statistical analysis, using measures of central tendency to check the frequency and behavior of the variables. Then, the SPSS version 22 program was used to perform inferential statistical calculations. the distribution of the normality of the data was statistically verified using the Kolmogorov-Smirnov test, since the number of the sample was greater than fifty. For the determination of the correlation between the variables, the Spearman rank correlation coefficient was used, because the sample presented a non-normal distribution. The significance of the correlation was established by a level of p<0.05 for hypothesis testing. Results: The results showed that between the Organizational climate variable and the Recognition dimension there is an average level of satisfaction (61.14 %), 35.67 % showed a high level of satisfaction and 3.19 % a very high level of satisfaction. Between the Organizational climate and the Teamwork dimension, a result of 2.23 was obtained, which indicates a perception that there is good teamwork. Regarding the Organizational climate and Innovation, it was found that 52.23 % of employees almost alwaysfeel stimulated to innovate, 33.12 % always feel motivated to innovate and 14.6 5 % sometimes feel that motivation. With respect to the variable Job Satisfaction and the dimension satisfaction with work, it was obtained that 60.5 % feel indifferent with respect to job satisfaction and 39.5 % are satisfied. For the Satisfaction with Remuneration dimension, 36.4 % of employees feel indifferent about their remuneration, 39.8 % feel satisfied and 13.1 % feel very satisfied with their remuneration. Regarding the dimension Satisfaction with the physical environment, 38.8 % declared themselves indifferent with respect to this dimension, 23.2 %o feel satisfied and 0.8 % of the samplefeel very satisfied with the physical environment. With respect to the Burnout variable and the Personal exhaustion dimension, 47.13 % of the employees presented a high level of personal burnout, 33.12 % revealed to have an average level of burnout and 19.75% showed a very high level of burnout. As for the aspect of Depersonalization, the results showed that the majority represented by 85.35% has a very high level of depersonalization, only 0.64 % presented a high level of depersonalization and 14.01 % presented an average level of depersonalization. As for the Demotivation dimension, it was obtained that 30.57 % of employees showed an average level of demotivation, while 69.43 % of workers showed a high level. Finally, the results revealed a positive and significant correlation (Spearman's Rho = 0.299) between organizational climate and job satisfaction. Likewise, a weak negative correlation (-0.153) was observed between organizational climate and burnout. In relation to the organizational climate and burnout variables, a weak negative correlation was observed with a coefficient of-0.153. While for the variables job satisfaction and burnout, a correlation coefficient of-0.024 was observed very close to zero. Conclusion: There is a positive and significant correlation between organizational climate and job satisfaction, and a negative and significant correlation between organizational climate and burnout, suggesting that a better organizational climate is associated with higher satisfaction and lower burnout in workers. This relationship highlights the importance of promoting a positive and conducive work environment to improve the job satisfaction of administrative staff. The need to focus on recognition as an essential component to promote greater job satisfaction is highlighted, it is also observed that teamwork and innovation are key aspects that contribute to the favorable organizational climate at the university. These conclusions emphasize the importance of implementing policies and practices that promote recognition, teamwork and the promotion of innovation as strategies to improve job satisfaction and prevent burnout in administrative staff. It is also highlighted that at higher levels of organizational climate, lower levels of administrative staff are observed, which is why it is important to create a healthy work environment and support the emotional well-being of employees to prevent job burnout. Ultimately, the relationship between organizational climate, job satisfaction and burnout are a multidimensional dynamic that requires a holistic approach. By continuing to research and apply effective approaches to improving the work climate, organizations can cultivate an environment where employees feel valued, motivated, and able to contribute meaningfully. Doingso will not only benefit the workers and the organization, but also set a higher standardfor well-being in the overall work environment.

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Las tareas ilegítimas se definen como las asignaciones que los empleados consideran injustas e innecesarias, las cuales pueden causar estrés laboral y afectar la identidad laboral, lo que aumenta los niveles de burnout, especialmente en organizaciones complejas. El presente estudio plantea que la identidad laboral ejerce un rol mediador en la relación entre las tareas ilegítimas y el burnout, por lo que, a mayor percepción de tareas ilegítimas, el empleado reportará menores niveles de identidad laboral y mayores niveles de burnout. Para evaluar esta relación, un grupo de 135 trabajadores de una institución educativa chilena contestó un cuestionario sociodemográfico y los instrumentos Bern Illegitimate Tasks Scale (BITS), Maslach Burnout Inventory (MBI-GS) y Workplace Identity Scale (WIS). El estudio tiene un diseño longitudinal y los datos se obtuvieron en dos momentos (T1 y T2), separados entre sí por seis semanas. En primer lugar, se realizaron análisis considerando solo T1 y posteriormente se realizaron análisis considerando ambos tiempos de medición (T1 y T2). Los resultados revelaron que las tareas ilegítimas tienen un efecto directo sobre el burnout, mayor que el efecto mediado por la identidad laboral, y que las tareas ilegítimas tendrían un efecto significativo directo sobre el burnout, pero no sobre el burnout reportado seis semanas después. Las tareas ilegítimas tienen un impacto directo en el agotamiento laboral y la identidad laboral actúa como un factor mediador en esta relación. Es esencial que, dentro del ámbito organizacional, se reconozca la relevancia de estas variables. Optimizar las condiciones de trabajo y reforzar la identidad laboral no solo beneficia a los empleados, sino que también a las organizaciones.

As tarefas ilegítimas são definidas como atribuições que os empregados consideram injustas e desnecessárias, as quais podem causar estresse laboral e afetar a identidade laboral, aumentando, por sua vez, os níveis de burnout, especialmente em organizações complexas. O presente estudo propõe que a identidade laboral desempenha um papel mediador na relação entre as tarefas ilegítimas e o burnout; portanto, quanto maior a percepção de tarefas ilegítimas, o empregado reportará menores níveis de identidade laboral e maiores níveis de burnout. Para avaliar essa relação, um grupo de 135 trabalhadores de uma instituição educacional chilena respondeu a um questionário sociodemográfico e aos instrumentos Bern Illegitimate Tasks Scale BITS), Maslach Burnout Inventory (MBI-GS), e Workplace Identity Scale (WIS). O estudo empregou um design longitudinal, com coletas de dados realizadas em dois momentos (T1 e T2), com um intervalo de seis semanas entre eles. Em primeiro lugar, foram realizadas análises considerando apenas os dados de T1 e, posteriormente, análises que incluíram ambos os períodos de medição (T1 e T2). Os resultados revelaram que as tarefas ilegítimas têm um efeito direto sobre o burnout maior do que o efeito mediado pela identidade laboral e que as tarefas ilegítimas teriam um efeito significativo direto sobre o burnout, mas não sobre o burnout reportado seis semanas depois. As tarefas ilegítimas têm um impacto direto no esgotamento laboral e a identidade laboral atua como um fator mediador nesta relação. É essencial que, dentro do âmbito organizacional, se reconheça a relevância destas variáveis. Otimizar as condições de trabalho e reforçar a identidade laboral não só beneficia aos empregados, mas também as organizações

Illegitimate tasks are defined as tasks that employees perceive as unfair and unnecessary, which can cause work stress and affect work identity. These, in turn, increase burnout, especially in complex organizations. The present study suggests that work identity plays a mediating role in the association between illegitimate tasks and burnout, whereby the higher the perception of illegitimate tasks, the lower the employee's work identity and the higher the level of burnout. To assess this relationship, a group of 135 employees from a Chilean educational institution completed a series of questionnaires to assess each of the variables, including the BERN Illegitimate Tasks Scale, the Maslach Burnout Inventory, and the Workplace Identity Scale. The study used a longitudinal design, with data collected at two-time points (T1 and T2), with a six-week interval between them. Initially, analyses were conducted using data from T1 alone, and subsequently, analyses were performed using data from both time points (T1 and T2). Results indicate that illegitimate tasks have a greater direct effect on burnout than the effect mediated by work identity and that illegitimate tasks have a significant direct effect on burnout but not on reported burnout six weeks later. Illegitimate tasks have a direct effect on burnout, and work identity acts as a mediator in this relationship. The relevance of these variables must be recognized in organizational settings. Optimizing working conditions and strengthening work identity will benefit not only employees but also the organization.

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Introducción: El bienestar médico ha cobrado relevancia en la atención de la salud, especialmente frente a la "epidemia de burnout". Este estudio se propone evaluar la implementación y efectividad de un programa para mejorar el bienestar del personal de la Unidad Académica de Ginecología y Obstetricia A de la Facultad de Medicina de la Universidad de la República, Uruguay. Método: Se desarrolló un estudio descriptivo siguiendo un modelo lógico de evaluación de programas. Se implementó una estrategia organizacional focalizada en la identificación de factores de estrés y la promoción del bienestar. La intervención incluyó encuestas cualitativas, grupos focales y la conformación de un Equipo de Referentes de Bienestar (ERB), capacitado para guiar el proceso de mejora continua. Resultados: Se identificaron prioridades en las dimensiones de carga laboral y exigencias en el trabajo, eficiencia y recursos, comunidad en el trabajo, cultura organizacional e integración trabajo-vida personal. A lo largo del proceso, se implementaron acciones clave para mejorar el ambiente laboral y la efectividad del equipo. El compromiso de los líderes de la unidad y el trabajo colaborativo con consultores externos fueron fundamentales para el éxito del programa. Discusión: Las intervenciones organizacionales, aunque más complejas, parecen ser más efectivas en la promoción del bienestar. Los cambios alcanzados en esta etapa inicial sugieren un impacto positivo, aunque se requiere un seguimiento a largo plazo para asegurar la sostenibilidad de las mejoras. Conclusiones: La experiencia innovadora presentada ofrece una hoja de ruta para la mejora del bienestar del personal de salud en contextos académicos y asistenciales, destacando la importancia del liderazgo y colaboración en estos procesos.

Introdução: O bem-estar médico ganhou relevância na área da saúde, especialmente face à "epidemia de esgotamento". Este estudo tem como objetivo avaliar a implementação e eficácia de um programa para melhorar o bem-estar do pessoal da Unidade Acadêmica de Ginecologia e Obstetrícia A da Faculdade de Medicina da Universidade da República, Uruguai. Método: Foi desenvolvido um estudo descritivo seguindo um modelo lógico de avaliação de programas. Foi implementada uma estratégia organizacional focada na identificação de fatores de stress e na promoção do bem-estar. A intervenção incluiu pesquisas qualitativas, grupos focais e a formação de uma Equipe de Referência em Bem-Estar (ERB), treinada para orientar o processo de melhoria contínua. Resultados: Foram identificadas prioridades nas dimensões carga de trabalho, recursos, comunidade no trabalho, cultura organizacional e equilíbrio entre vida pessoal e profissional. Ao longo do processo, foram implementadas ações-chave para melhorar o ambiente de trabalho e a eficácia das equipes. O compromisso dos líderes das unidades e o trabalho colaborativo com consultores externos foram fundamentais para o sucesso do programa. Discussão: As intervenções organizacionais, embora mais complexas, parecem ser mais eficazes na promoção do bem-estar. As mudanças alcançadas nesta fase inicial sugerem um impacto positivo, embora seja necessário um acompanhamento a longo prazo para garantir a sustentabilidade das melhorias. Conclusões: A experiência inovadora apresentada oferece um roteiro para melhorar o bem-estar do pessoal de saúde em contextos académicos e de saúde, destacando a importância da liderança e da colaboração nestes processos.

Introduction: Physician well-being has gained relevance in health care, especially in the face of the "burnout epidemic." This study aims to evaluate the implementation and effectiveness of a program to improve the well-being of the staff of the Academic Unit of Gynecology and Obstetrics A of the Faculty of Medicine of the University of the Republic, Uruguay. Method: A descriptive study was developed following a logical model of program evaluation. An organizational strategy focused on identifying stress factors and promoting well-being was implemented. The intervention included qualitative surveys, focus groups, and the formation of a Well-Being Referent Team (ERB), trained to guide the continuous improvement process. Results: Priorities were identified in the dimensions of workload, resources, community at work, organizational culture, and work-life balance. Throughout the process, key actions were implemented to improve the work environment and team effectiveness. The commitment of unit leaders and collaborative work with external consultants were fundamental to the success of the program. Discussion: Organizational interventions, although more complex, appear to be more effective in promoting well-being. The changes achieved at this initial stage suggest a positive impact, although long-term monitoring is required to ensure the sustainability of improvements. Conclusions: The innovative experience presented offers a roadmap for improving the well-being of health personnel in academic and healthcare contexts, highlighting the importance of leadership and collaboration in these processes.

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RESUMEN Introducción: el clima educacional (CE) de posgrado en el ambiente hospitalario puede determinar la manera en como los médicos residentes (MR) se adaptan a su nueva etapa, durante el cual el sindrome agotamiento profesional (SAP) es altamente probable de producirse en algún momento. Objetivo: determinar la relación entre el clima educacional y el agotamiento profesional en médicos de los programas de residencias médicas del Hospital Nacional 2023-2024. Metodología: estudio observacional transversal de una muestra por conveniencia de MR de ambos sexos de todas las especialidades médicas del Hospital Nacional entre noviembre 2023 y enero 2024, se excluyeron MR con rotación externa y/o vacaciones. Calculo muestral; 136 MR. Se envió un formulario en línea de Google al correo electrónico del MR solicitando la participación voluntaria. El SAP fue medido con el método estándar Maslach Burnout Inventory (MBI) con subescalas; agotamiento emocional (AE), despersonalización (DESP), realización personal (RP), existiendo SAP con puntuaciones altas de AE, DESP y bajas de RP. El CE fue valorado con la medida del entorno educativo de posgrado hospitalario (PHEEM) con subescalas; percepción autonomía de roles (PAR), percepción enseñanza (PE), percepción soporte social (PSS), a mayor puntaje mejor CE. Se recopiló variables demográficos, académicos, puntajes del MBI y PHEEM, el SAP fue considerado dependiente, como resultado principal la relación predictiva del PHEEM sobre el SAP. Se compararon datos con χ², prueba t o U de Mann-Whitney, ANOVA y regresión lineal (p-valor significativo =<0,05). Resultados: de 233 participantes, la edad media fue de 28,75 (± 2,20), el 63,94 % (149) mujeres, la prevalencia general del SAP; 70,38 % (164/233), SAP en hombres 75 % (63/84) y mujeres 67,78 % (101/149) p=0,0014, los 2 primeros años con mayor frecuencia de SAP; 65 (85,52 %), 59 (86,76 %) repectivamente p=0,0009, de especialidades quirúrgicas 63 (90 %) p=0,0071. Las subescalas del MBI el AE;79,82 % (186) con un promedio de 35,39 (± 11,61) puntos. El PHEEM de los MR con SAP; 107,9( 19,6) puntos y sin SAP; 136,3( 12,1) puntos IC 95 % 18,1­25,0 p= 0,0001. El PHEEM predijo el AE con R2=0,619, PPS; B= -0,18 (±0,009) p=0,001, y la DESP; R2= 0,385, PPS; B= -0,001 (±0,004) p=0,009 siendo PSS predictor significativo con correlación inversa en ambas. Conclusión: existe relación inversa entre el clima educativo y el sindrome de agotamiento profesional en la población estudiada, con alta prevalencia de este en residentes hombres de especialidades quirúrgicas, siendo el soporte social del ambiente educativo hospitalario un predictor significativo para el desarrollo del sindrome de agotamiento profesional.

ABSTRACT Introduction: the postgraduate educational climate (CE) in the hospital environment can determine the way in which resident physicians (MRs) adapt to their new stage, during which professional burnout syndrome (PAS) is highly likely to occur at some point. Objective: to determine the relationship between the educational climate and professional burnout in physicians in the medical residency programs of the National Hospital 2023-2024. Methodology: cross-sectional observational study of a sample of MR convenience of both sexes from all medical specialties of the National Hospital between November 2023 and January 2024, MR with external rotation and/or vacations were excluded. Sample calculation; 136 MR. An online form from Google was sent to the MR email requesting voluntary participation. The SAP was measured with the standard Maslach Burnout Inventory (MBI) method with subscales; emotional exhaustion (EA), depersonalization (DESP), personal fulfillment (PR), with PAS with high scores of AE, DESP and low RP. The EC was assessed with the measure of the hospital postgraduate educational environment (PHEEM) with subscales; perception of role autonomy (PAR), perception of teaching (PE), perception of social support (PSS), the higher the score, the better the EC. Demographic and academic variables, MBI and PHEEM scores were collected, and the SAP was considered dependent, as the main result was the predictive relationship of the PHEEM on the SAP. Data were compared with χ², t-test or Mann-Whitney U, ANOVA and linear regression (p-significant value =<0.05). Results: of 233 participants, the mean age was 28.75 (±2.20), 63.94 % (149) women, the general prevalence of PAS; 70.38 % (164/233), PAS in men 75 % (63/84) and women 67.78 % (101/149) p=0.0014, the first 2 years with the highest frequency of PAS; 65 (85.52 %), 59 (86.76 %) respectively p=0.0009, 63 (90 %) p=0.0071 surgical specialties. The subscales of the MBI, the AE; 79.82 % (186) with an average of 35.39 (± 11.61) points. The CE of MRs with SAP; 107.9 (19.6) dots and without PAS; 136.3 (12.1) dots 95 % CI 18.1­25.0 p= 0.0001. The PHEEM predicted the AE with R2=0.619, B= -0.18 (±0.009) p=0.001, and the DESP; R2= 0.385, B= -0.001(0.004) p=0.009, PSS being a significant predictor with inverse correlation in both. Conclusion: there is an inverse relationship between the educational climate and burnout syndrome in the population studied, with a high prevalence of burnout in male residents of surgical specialties, with the social support of the hospital educational environment being a significant predictor for the development of burnout syndrome.

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Resumen Introducción: Los residentes de neurología se ven enfrentados a situaciones ocasionalmente asociadas a agotamiento laboral, cansancio emocional, despersonalización y menor sensación de eficacia en sus funciones académicas y laborales, por lo que objetivo de este artículo fue describir la prevalencia y los factores asociados del síndrome de burnout en residentes de Neurología en Colombia. Materiales y métodos: Mediante una encuesta autoadministrada se obtuvo información de 134 residentes de Neurología de Colombia. Se incluyeron datos correspondientes a variables sociodemográficas y aquellas incluidas en la escala Maslach Burnout Inventory. Resultados: En los residentes evaluados predominó el género femenino (55,2 %), con un promedio de edad de 29,77 años, DE ± 3,172. La mayoría de los residentes pertenecen a programas privados, de los cuales la Universidad Simón Bolívar representa el mayor porcentaje. En líneas generales, los residentes entrevistados tienen bajo cansancio emocional, un nivel intermedio-bajo de despersonalización y un nivel alto de satisfacción personal. Discusión: Al analizar los resultados se determinó que los residentes reportaron niveles importantes de despersonalización y cansancio emocional, lo que puede indicar el inicio de burnout. Esto se asocia quizás al exigente entorno académico y a la carga laboral inapropiada de los residentes. Conclusiones: Se concluye que los residentes tienen un bajo porcentaje burnout y una baja probabilidad de despersonalización.

Abstract Background: Neurology residents are faced with situations occasionally associated with job burnout, emotional exhaustion, depersonalization, and a lower sense of efficacy in their academic and work functions. The purpose of this research has been to describe the prevalence and associated factors of Burnout syndrome in Neurology residents in Colombia. Materials and methods: Through a self-administered survey, information was obtained from 134 neurology residents in Colombia. Data corresponding to sociodemographic variables and those included in the Maslasch Burnout inventory scale were included. Results: Among the residents evaluated, the female gender predominated (55.2%), with an average age of 29.77 years SD ± 3.172. Most of the residents belong to private programs of which the Simón Bolívar University represents the highest percentage. In general terms, the residents interviewed have low emotional exhaustion, an intermediate-low level of depersonalization, and a high level of personal satisfaction. Discussion: When analyzing the results, it was determined that the residents reported significant levels of depersonalization and emotional exhaustion, which may indicate the onset of burnout. This is perhaps associated with the demanding academic environment and inappropriate workload of the residents. Conclusion: It is concluded that residents have a low burnout rate and a low probability of depersonalization.

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Nesse estudo se objetivou verificar os níveis de Burnout em profissionais brasileiros dos Centros de Atenção Psicossocial (CAPS) que atuaram na pandemia de covid-19. Para tanto, foi realizada a tradução, adaptação transcultural e validação da escala COVID-19 Burnout Scale para a língua portuguesa brasileira. Utilizamos os protocolos propostos por Pasquali (1999) e aplicamos a versão final da escala, denominada EB-COVID-19, em 270 profissionais que atuaram nos CAPS durante a pandemia. Os resultados indicaram altos índices de Burnout entre esses profissionais, e as causas encontradas foram os sentimentos de cansaço, indefesa, prisão e adoecimento. As análises de grupo mostraram que profissionais mulheres, jovens, técnicos/auxiliares de enfermagem, com ensino médio e 1 a 5 anos de tempo de serviço obtiveram os maiores níveis da síndrome de Burnout. Conclui-se que os profissionais brasileiros dos CAPS vivenciaram um esgotamento físico e psicológico devido às situações de trabalho desgastante durante a pandemia.

This study aimed to verify the levels of burnout in Brazilian professionals at psychosocial care centers (CAPS) who worked in the Covid-19 pandemic. To this end, the COVID-19 Burnout scale was translated, cross-culturally adapted, and validated into Brazilian Portuguese. We used the protocols proposed by Pasquali (1999) and applied the final version of the scale, called EB-COVID-19, to 270 professionals who worked in psychosocial care centers during the pandemic. The results indicated high levels of burnout for mental health professionals, in which the causes found were feelings of tiredness, defenselessness, imprisonment, and illness. Group analysis showed that young, female, nursing technicians/assistants who have secondary education and 1 to 5 years of service time had the highest levels of Burnout syndrome. It is concluded that Brazilian CAPS professionals experienced physical and psychological exhaustion due to exhausting work situations during the pandemic.

El objetivo de este estudio fue verificar los niveles de Burnout en profesionales brasileños de Centros de Atención Psicosocial (CAPS) que actuaron en la pandemia de Covid-19. Para ello, fue realizada la traducción, adaptación transcultural y validación de la escala COVID-19 Burnout Scale, para la lengua portuguesa brasileña. Utilizamos los protocolos propuestos por Pasquali (1999) y aplicamos la versión final de la escala, denominada EB-COVID-19, a 270 profesionales que trabajaron en Centros de Atención Psicosocial CAPS durante la pandemia. Los resultados indicaron altos niveles de Burnout en los profesionales, y las causas encontradas fueron sentimientos de cansancio, indefensión, sensación de estar privado de la libertad y de estar enfermo. Los análisis de grupo mostraron que las mujeres, los jóvenes, los técnicos/auxiliares de enfermería, con educación secundaria y de 1 a 5 años de servicio tenían los niveles más altos de síndrome de Burnout. Se concluye que los profesionales brasileños de los CAPS experimentaron agotamiento físico y psíquico debido a situaciones de trabajo agotadoras durante la pandemia.

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Abstract The study was proposed due to the perception of the scarcity of studies on the correlation between burnout, coping and social support. Thus, the present study aimed to verify the prevalence of academic burnout and its correlations with coping strategies and social support in students of health courses. The sample consisted of 173 participants, ages between 18 and 30 years (M = 23.71; SD = 7.04). For data collection we used: Sociodemographic questionnaire, Maslach Burnout Inventory for students (MBI-SS), Brief COPE (coping inventory) and Social Support Satisfaction Scale for higher education students (SSSS). The results revealed correlations between the dimensions of emotional exhaustion and cynicism, with family support satisfaction [F (3. 201752) = 9184.986, p < .001; r2 = .12] and F (3.168) = 8.473, p < .001; r2 = .131]. Referring to the correlations between coping strategies with the other study variables, the sample most frequently used emotion-focused coping in the strategies of Self-blaming (r = .290, p<.001); Substance Use (r = .241, p<.01); Instrumental Support (r = .206, p<.01) and Positive Reinterpretation (r =.197, p<.01).

Resumen El estudio fue propuesto debido a la percepción de la escasez de estudios sobre la correlación entre burnout, afrontamiento y apoyo social. Así, el presente estudio tuvo como objetivo verificar la prevalencia de burnout académico y sus posibles correlaciones con estrategias de afrontamiento y apoyo social en estudiantes de cursos de salud. La muestra estuvo constituida por 173 participantes, con edades comprendidas entre 18 y 30 años (M = 23,71; DE = 7,04). Para la recogida de datos se utilizaron: Cuestionario sociodemográfico, Inventario de Burnout de Maslach para estudiantes (MBI-SS), COPE breve (inventario de afrontamiento) y Escala de satisfacción con el apoyo social para estudiantes de enseñanza superior (SSSS). Los resultados revelaron correlaciones entre las dimensiones de agotamiento emocional y cinismo, con la satisfacción de apoyo familiar [F (3. 201752) = 9184,986, p < .001; r2 = .12] y F (3.168) = 8,473, p < .001; r2 = .131]. En cuanto a las correlaciones entre las estrategias de afrontamiento con el resto de las variables del estudio, la muestra utilizó con mayor frecuencia el afrontamiento centrado en la emoción en las estrategias de Autoculpabilización (r = .290, p< .001); Consumo de Sustancias (r = .241, p< .01); Apoyo Instrumental (r = .206, p< .01) y Reinterpretación Positiva (r = .197, p< .01).

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Resumen Objetivo: Determinar la prevalencia del síndrome de Burnout Parental (BP) en la población derechohabiente de una clínica familiar del Instituto Mexicano del Seguro Social (IMSS) en Villahermosa, Tabasco. Esta afectación se caracteriza por la percepción de insuficiencia de los recursos emocionales, físicos y materiales para conseguir una crianza efectiva de los hijos, motivo por el cual se manifiesta estrés, cansancio crónico y depresión en los progenitores afectados. Material y Métodos: Durante el 2023, se realizó un estudio de carácter observacional, analítico, transversal, con el objetivo de detectar casos de BP. La muestra estuvo compuesta por 268 derechohabientes de 18 a 44 años, utilizando como instrumento de evaluación la versión modificada al español de la Evaluación del BP. Resultados: Al evaluar los grados de BP de la población estudiada se encontró que, de 268 derechohabientes, 180 (67.2%) presentaron BP leve, en cuanto a las dimensiones, el agotamiento fue la más prevalente, siendo las madres quienes presentaron puntajes superiores a los padres. Conclusiones: El BP resulta de un desequilibrio crónico entre riesgos y recursos en el contexto de la crianza, las madres presentan puntajes significativamente superiores a los padres derivado de que las madres aún son las principales encargadas del cuidado de los hijos; hecho asociado a los roles de género tradicionales que aún se mantienen.

Abstract Objective: To determine the prevalence of Parental Burnout (PB) syndrome in the population of beneficiaries of a family clinic of the Mexican Social Security Institute (IMSS) in Villahermosa, Tabasco. This condition is characterized by the perception of insufficient of emotional, physical and material resources to achieve an effective parenting, therefore stress, chronic fatigue and depression occur in the affected parents. Material and Methods: During 2023, an observational, analytical, cross-sectional study was carried out with the aim of detecting cases of PB. The sample consisted of 268 beneficiaries aged 18 to 44, using the modified Spanish version of the PB Assessment as an evaluation instrument. Results: Upon evaluating the BP degrees of the studied population, it was found that 180 (67.2%) out of 268 beneficiaries presented mild BP. Regarding dimensions, exhaustion was the most prevalent, since mothers presented higher scores than fathers. Conclusions: BP is a result of chronic imbalance between risks and resources in the context of parenting. Mothers present significantly higher scores than fathers because mothers are still the main caregivers of their children; a fact associated with traditional gender roles that are still maintained.

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Resumen Introducción: El síndrome de burnout es un fenómeno social y ocupacional reconocido por la OMS, frecuente en el área de la salud. Se caracteriza por baja realización personal, agotamiento emocional y despersonalización, afectando el desempeño profesional y estrategias de afrontamiento. A pesar de la relevancia del tema, es insuficiente la información disponible que permita visualizar la magnitud del problema con cifras reales en Colombia y, en especial, en el área de cardiología. Objetivo: Determinar la prevalencia del síndrome de burnout y las características sociodemográficas de médicos que realizan especialización en cardiología y cardiólogos en Colombia. Materiales y método: Estudio observacional, analítico, de corte transversal, realizado en Colombia mediante la aplicación de una encuesta virtual autodiligenciada dirigida a médicos que cursan especialización en cardiología y a cardiólogos. La primera parte de la encuesta obtuvo datos sociodemográficos-económicos y la segunda parte aplicó el cuestionario de Maslach Burnout Inventory (MBI), herramienta validada para evaluar síndrome de burnout. Resultados: En total se realizaron 207 encuestas; 145 médicos contestaron la primera parte, 67.59% eran hombres, la edad media fue 40.8 años, 64% de los cardiólogos y 79% de los estudiantes consideran que no tienen tiempo suficiente para realizar otras actividades diferentes a la medicina (p = 0.18). Al aplicar MBI, las dimensiones más afectadas son agotamiento emocional, baja realización personal y despersonalización. Al comparar cardiólogos y estudiantes, los segundos tienen mayor proporción de compromiso en las tres dimensiones. Teniendo en cuenta las dos dimensiones más afectadas, 61.72% de los cardiólogos y 81.57% de los estudiantes de cardiología tienen alta puntuación de síntomas sugestivos de síndrome de burnout. Conclusión: La prevalencia del síndrome de burnout en estudiantes de cardiología y cardiólogos incluidos en la encuesta descrita, es alta y amerita la realización pronta de estrategias que busquen retirar o mitigar factores que se asocien a mayor riesgo de presentar esta condición, que impacta directamente en el desempeño profesional y la calidad de vida de los médicos.

Abstract Introduction: Burnout syndrome is a social and occupational phenomenon recognized by the WHO, and common in healthcare. It is characterized by low personal accomplishment, emotional exhaustion, and depersonalization, affecting professional performance and coping strategies. Despite the relevance of the topic, there is insufficient available information to visualize the magnitude of the problem with real figures in Colombia, especially in the field of cardiology. Objective: To determine the prevalence of burnout syndrome and the sociodemographic characteristics of cardiology students and cardiologists in Colombia. Materials and method: Cross-sectional analytical observational study conducted in Colombia through the application of a self-completed virtual survey made to cardiology students and cardiologists in Colombia. The first part of the survey collected sociodemographic and economic data; in the second part was applied the Maslach Burnout Inventory (MBI) questionnaire. Results: A total of 207 surveys were conducted, 145 physicians answered the first part, 67.59% were men, the mean age was 40.8 years old, 64% of the cardiologists and 79% of the students consider that they do not have enough time to perform other activities not related to medicine (p = 0.18). When applying MBI, the most affected dimensions in the physicians surveyed are emotional exhaustion followed by low personal accomplishment and finally depersonalization. Comparing cardiologists and cardiology students, students have the highest proportion of compromise in all three dimensions. Taking into account the two most affected dimensions, 61.72% of the cardiologists and 81.57% of the cardiology students have a high score of symptoms suggestive of a diagnosis of burnout syndrome. Conclusion: The prevalence of burnout syndrome in cardiology students and cardiologists included in the described survey is high, this warrants the early implementation of strategies that seek to remove or mitigate factors that are associated with a higher risk of presenting this condition, which directly impacts the professional performance and quality of life of health professionals.

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RESUMEN Introducción: La pandemia por Covid-19 trajo muchos retos en salud mental de los profesionales de salud, y el síndrome de burnout (SB) fue uno de los padecimientos con mayor prevalencia en los trabajadores de la salud. Así mismo, durante este periodo se pudo observar un aumento del consumo de alcohol y/o cannabis para afrontar las dificultades ocasionadas por la pandemia. Objetivo: Conocer la prevalencia del SB y el consumo de alcohol y cannabis y la relación entre el SB y los tipos de consumo de alcohol después del Covid-19 en trabajadores de la salud. Materiales y métodos: El diseño de este estudio fue descriptivo correlacional. La muestra estuvo conformada por 84 trabajadores de salud elegidos por un muestreo por conveniencia. El análisis de los datos se realizó a través de proporciones, intervalos de Confianza del 95 %, Chi2 de Pearson y correlación de Spearman. Resultados: Se encontró que los trabajadores de salud presentaron niveles moderados altos de síndrome de Burnout; el trabajador que laboró en área Covid-19 presentó porcentajes mayores en las categorías del SB; el 31 % presentó un nivel de cansancio emocional alto; el 20.2 % un nivel de despersonalización alto y el 25 % un nivel bajo de realización personal. Respecto al uso de sustancias psicoactivas, tampoco se encontraron diferencias significativas, no obstante que los trabajadores que estuvieron en área Covid-19, el 64.3 % refirieron consumir alcohol y el 33.3 % cannabis. En cuanto al tipo de consumo de alcohol, se encontró que el 36.9 % presentó un consumo sensato, el 26.2 % un consumo dependiente y el 36.9 % un consumo perjudicial. Así también el tipo de consumo de alcohol perjudicial se correlacionó significativamente con el nivel de cansancio emocional (p >.05). Conclusiones: lo cual indica que los trabajadores que tienen un mayor cansancio emocional, también tiene un tipo de consumo de alcohol perjudicial.

ABSTRACT Introduction: The Covid-19 pandemic brought many challenges in the mental health of health professionals where Burnout Syndrome (BS) was one of the most prevalent conditions in health workers. Likewise, during this period, an increase in the consumption of alcohol and/or cannabis could be observed to face the difficulties caused by the pandemic. Objective: To know the prevalence of SB and alcohol and cannabis consumption and the relationship between SB and types of alcohol consumption after COVID-19 in health workers. Materials and methods: The design of the present study was descriptive, correlational. The sample was made up of 84 health workers chosen by convenience sampling. The data analysis was carried out through proportions, 95% Confidence Intervals, Pearson's Chi2 and Spearman classification. Results: It was found that the health workers presented moderately high levels of Burnout Syndrome, the worker who worked in the Covid-19 area, higher percentages were present in the SB categories, 31% presented a high level of emotional exhaustion, 20.2 % a high level of depersonalization and 25 % a low level of personal fulfillment. Regarding the use of psychoactive substances, no significant differences were found either, although of the workers who were in the Covid-19 area, 64.3 % reported consuming alcohol and 33.3 % cannabis. Regarding the type of alcohol consumption, it was found that 36.9 % have sensible consumption, 26. % have dependent consumption and 36.9 % have harmful consumption. Likewise, the type of harmful alcohol consumption was significantly correlated with the level of emotional exhaustion (p > .05). Conclusions: which indicates that workers who have greater emotional exhaustion also have a type of harmful alcohol consumption.

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Introdução: A pandemia da COVID-19 tem impactado signicativamente a saúde mental dos profissionais de saúde, especialmente dos enfermeiros que estão na linha de frente do combate à doença. Nesse contexto, a síndrome de Burnout é um fenômeno que tem recebido destaque, pois pode levar ao esgotamento físico e emocional desses profissionais. Objetivo: Este artigo tem como objetivo analisar a relação entre enfermeiros e a síndrome de Burnout diante da pandemia da COVID-19. Método: Trata-se de revisão de literatura cientíca que abordam a temática em questão. Resultados: Os resultados apontam que a pandemia da COVID-19 aumentou a sobrecarga de trabalho dos enfermeiros, que têm enfrentado condições adversas de trabalho, como falta de equipamentos de proteção individual e o medo de contaminação. Essas condições têm levado a um aumento dos níveis de estresse e ansiedade entre os enfermeiros, o que pode contribuir para o desenvolvimento da síndrome de Burnout. Portanto, é necessário que sejam implementadas medidas de proteção aos profissionais de saúde, como a oferta de suporte emocional e psicológico, além de uma carga de trabalho adequada. Conclusão: A pandemia da COVID-19 teve um impacto signicativo na saúde mental dos profissionais da equipe de enfermagem, com aumento da prevalência de sintomas de depressão, ansiedade e estresse. É essencial fornecer suporte psicológico e emocional, melhorar as condições de trabalho e garantir o acesso a equipamentos de proteção adequados. Investir na saúde mental desses profissionais é fundamental para o bem-estar individual e a qualidade do cuidado aos pacientes. Instituições de saúde, gestores e profissionais devem reconhecer essa importância e trabalhar juntos para fornecer o suporte necessário durante e após a pandemia.(AU)

ntroduction: The COVID-19 pandemic has signicantly impacted the mental health of health professionals, especially nurses who are on the front lines of ghting the disease. In this context, the Burnout syndrome is a phenomenon that has been highlighted, as it can lead to physical and emotional exhaustion of these professionals. Objective: This article aims to analyze the relationship between nurses and the Burnout syndrome in the face of the COVID-19 pandemic. Method: For this purpose, books and scientic articles that address the subject in question were consulted. Results: The results show that the COVID-19 pandemic has increased the workload of nurses, who have been facing adverse working conditions, such as lack of personal protective equipment and fear o f contamination. These conditions have led to increased levels of stress and anxiety among nurses, which may contribute to the development of the Burnout syndrome. Therefore, it is necessary to implement protective measures for health professionals, such as offering emotional and psychological support, in addition to an adequate workload. Conclusion: The COVID-19 pandemic had a signicant impact on the mental health of nursing staff, with an increased prevalence of symptoms of depression, anxiety and stress. It is essential to provide psychological and emotional support, improve working conditions and ensure access to adequate protective equipment. Investing in the mental health of these professionals is essential for individual well-being and the quality of patient care. Health institutions, managers and professionals must recognize this importance and work together to provide the necessary support during and after the pandemic.(AU)

Introducción: La pandemia de COVID-19 ha impactado signi cativamente la salud mental de los profesionales de la salud, especialmente las enfermeras que están en primera línea luchando contra la enfermedad. En este contexto, el síndrome de Burnout es un fenómeno que ha recibido atención, ya que puede provocar agotamiento físico y emocional de estos profesionales. Objetivo: Este artículo tiene como objetivo analizar la relación entre enfermeras y síndrome de Burnout ante la pandemia de COVID-19. Método: Se trata de una revisión de la literatura cientí ca que aborda el tema en cuestión. Resultados: Los resultados indican que la pandemia de COVID-19 ha aumentado la carga de trabajo de las enfermeras, quienes han enfrentado condiciones laborales adversas, como falta de equipos de protección personal y miedo a la contaminación. Estas condiciones han provocado mayores niveles de estrés y ansiedad entre las enfermeras, lo que puede contribuir al desarrollo del síndrome de Burnout. Por ello, es necesario implementar medidas de protección para los profesionales sanitarios, como ofrecer apoyo emocional y psicológico, además de una carga de trabajo adecuada. Conclusión: La pandemia de COVID-19 tuvo un impacto signi cativo en la salud mental de los profesionales del equipo de enfermería, con aumento en la prevalencia de síntomas de depresión, ansiedad y estrés. Es fundamental brindar apoyo psicológico y emocional, mejorar las condiciones laborales y garantizar el acceso a equipos de protección adecuados. Invertir en la salud mental de estos profesionales es fundamental para el bienestar individual y la calidad de la atención al paciente. Las instituciones, gestores y profesionales de la salud deben reconocer esta importancia y trabajar juntos para brindar el apoyo necesario durante y después de la pandemia. (AU)

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As condições de trabalho às quais os professores são submetidos levam, muitas vezes, ao seu desgaste físico e mental. Uma consequência desse desgaste é o número crescente de casos de síndrome de burnout entre esses profissionais. Este trabalho objetiva, então, apresentar e discutir a produção científica sobre a percepção das causas da síndrome de burnout em professores. Trata-se de uma revisão integrativa de literatura, realizada em junho de 2023. A questão norteadora foi baseada na estratégia de população, interesse e contexto (PICo). A busca pelos artigos foi realizada nas bases de dados: Medical Literature Analysis and Retrieval System Online (Medline), via PubMed, e SciELO, utilizando os termos de busca: "School Teachers" AND "Burnout, Professional". O processo de seleção dos estudos foi seguido conforme as recomendações do PRISMA. Na busca, foi recuperado o quantitativo de 72 publicações e, ao final, foram selecionados sete estudos para a amostra. Os estudos evidenciaram como as principais causas da síndrome de burnout em professores: a desvalorização dos profissionais; violência; exaustão emocional; conflitos com alunos; assédio; sobrecarga; falta de suporte organizacional; e a pandemia de covid-19. Observou-se que os professores são submetidos diariamente a vários fatores que podem desencadear a síndrome de burnout. Desse modo, fica evidente a necessidade de intervenções para atenuar a problemática. Compreende-se o fortalecimento das políticas públicas como uma estratégia resolutiva, levando em consideração a importância da saúde mental dos professores.

The unfavorable working conditions faculty members are subjected to often lead to their physical and mental exhaustion, consequently increasing the prevalence of burnout syndrome among these professionals. Thus, this study presents and discusses the scientific literature on the perceived causes of burnout syndrome among faculty members. An integrative literature review was conducted in June 2023 based on a question formulated using the population, interest and context (PICo) strategy. The Medline via PubMed and Scielo databases were consulted using the search terms "School Teachers" AND "Burnout, Professional". Selection followed the PRISMA recommendations. From the 72 publications identified, seven studies were included in the final sample. According to the studies, professional devaluation, violence, emotional exhaustion, conflicts with students, harassment, overload, lack of organizational support, and the COVID-19 pandemic are the main causes of burnout among teachers. Faculty members are daily exposed to various factors that can trigger burnout syndrome evancing the need for interventions to mitigate this problem. Strengthening public policies is as a solution strategy, considering the importance of teachers' mental health.

Las condiciones laborales que enfrentan los docentes generan, muchas veces, agotamiento físico y mental en esta población. Una consecuencia de este estrés es el aumento de la prevalencia del síndrome de burnout entre estos profesionales. Este estudio tiene por objetivo presentar y discutir la producción científica sobre la percepción de las causas del síndrome de burnout entre los docentes. Este estudio es una revisión integradora de la literatura realizada en junio de 2023. La pregunta orientadora se formuló basándose en la estrategia de población, interés y contexto (PICo). Se buscaron artículos en las bases de datos Medline a través de PubMed y SciELO utilizando el término de búsqueda: "School Teachers" AND "Burnout, Professional". El proceso de selección de estudios siguió las recomendaciones de PRISMA. La búsqueda arrojó un total de 72 publicaciones, y se seleccionaron siete estudios para la muestra final. Los estudios revelaron que las principales causas del burnout entre los docentes fueron la desvalorización profesional, la violencia, el agotamiento emocional, los conflictos con los estudiantes, el acoso, la sobrecarga, la falta de apoyo organizacional y la pandemia del covid-19. Se observó que los docentes están expuestos diariamente a diversos factores que pueden desencadenar el síndrome de burnout. Por lo tanto, se hace evidente la necesidad de intervenciones para mitigar este problema. El fortalecimiento de las políticas públicas es una estrategia de solución teniendo en cuenta la importancia de la salud mental de estos profesionales.

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Abstract Introduction: Work activities incorporate physical, social, emotional, and technical elements. In a scenario of constant change, it is imperative to understand the current scientific knowledge on the structure and work conditions of nurses in primary health care (PHC). Objective: To identify, in the scientific literature, the aspects related to the work environment that influence the performance of nurses in PHC. Materials and Methods: This is an integrative literature review conducted in August 2023 in the Lilacs, Cinahl, Web of Science, Medline, Scopus, and Embase databases, following the Prisma 2020 Statement guidelines. The inclusion criteria were complete electronic articles, published in Portuguese, English, or Spanish between 2019 and 2023. This review used the ROBIS instrument to assess the risk of bias. Results: The search found 1,417 records in the databases, of which 20 were selected for the final sample. Of these, 30 % were from 2020 (n = 6), published in Portuguese, English, and Spanish. Brazil had the highest number of publications, with 55 % (n = 11), and qualitative studies represented 55 % (n = 11) of the methodological approaches. The following thematic categories emerged from the analysis: "psychological and emotional elements," "human resources, materials, and infrastructure," "interpersonal relationships," "dissatisfaction," "violence in the workplace," and "overload." Conclusion: The precarious environment in PHC has a negative impact on nurses and the care provided to the population. Improvements in infrastructure, personnel, and work conditions are essential to ensure quality care.

Resumen Introducción: Las actividades laborales incorporan elementos físicos, sociales, emocionales y técnicos. En un escenario de constante transformación, es imperativo conocer la literatura científica actual sobre la estructura y circunstancias laborales del equipo de enfermería en Atención Primaria de Salud (APS). Objetivo: Identificar, en la literatura científica, los aspectos relacionados con el ambiente de trabajo que influyen en la labor del equipo de enfermería en APS. Materiales y método: se trata de una revisión bibliográfica integradora realizada en agosto de 2023 en las bases de datos Lilacs, Cinahl, Web of Science, Medline, Scopus y Embase, siguiendo las recomendaciones de The Prisma 2020 Statement. Los criterios de inclusión fueron artículos electrónicos completos, en portugués, inglés o español, publicados entre 2019 y 2023. La revisión utilizó el instrumento Robis para evaluar el riesgo de sesgo. Resultados: La búsqueda identificó 1417 registros en las bases de datos, de los cuales 20 fueron seleccionados para la muestra final. De estos, el 30 % eran de 2020 (n = 6), en portugués, inglés y español. Brasil presentó el mayor número de publicaciones, con 55 % (n = 11), y los estudios cualitativos representaron 55 % (n = 11) del abordaje metodológico. Del análisis surgieron las siguientes categorías temáticas: "elementos psicológicos y emocionales", "recursos humanos, materiales e infraestructura", "relaciones interpersonales", "insatisfacción", "violencia en el trabajo" y "sobrecarga". Conclusiones: El entorno precario en la APS tiene un impacto negativo en los profesionales de enfermería y en la atención a la población. La mejora de las infraestructuras, la dotación de personal y las condiciones de trabajo son esenciales para garantizar una atención de calidad.

Resumo Introdução: As atividades laborais incorporam elementos físicos, sociais, emocionais e técnicos. Em um cenário de constantes transformações, compreender a atualidade científica sobre a estrutura e sobre as circunstâncias laborais dos enfermeiros na Atenção Primária a Saúde (APS) se revela como imperativo. Objetivo: Identificar, na literatura científica, os aspectos relacionados ao ambiente de trabalho que influenciam a atuação dos enfermeiros inseridos na APS. Materiais e método: Se trata-se de revisão integrativa da literatura realizada em agosto de 2023 nas bases de dados Lilacs, Cinahl, Web of Science, Medline, Scopus e Embase, seguindo as recomendações do The Prisma 2020 Statement. Os critérios de inclusão foram artigos eletrônicos completos, em português, inglês ou espanhol, publicados entre 2019 e 2023. A presente revisão utilizou o instrumento Robis para avaliar o risco de viés. Resultados: A pesquisa identificou 1417 registros nas bases de dados, dos quais 20 foram selecionados para a amostra final. Desses, 30 % foram de 2020 (n = 6), em português, inglês e espanhol. O Brasil teve o maior número de publicações, com 55 % (n = 11), e os estudos qualitativos representaram 55 % (n = 11) na abordagem metodológica. Emergiram da análise as categorias temáticas "elementos psíquicos e emocionais", "recursos humanos, materiais e infraestrutura", "relações interpessoais", "insatisfação", "violência no local de trabalho" e "sobrecarga". Conclusões: O ambiente precário na APS impacta negativamente os enfermeiros e os cuidados a população. Melhorias na infraestrutura, na equipe e nas condições de trabalho são essenciais para garantir a qualidade no cuidado.

ABSTRACT

Background and Objectives: military police officers face stress related to increase in violence and devaluation of their profession, which can lead to burnout and compromised quality of life. This study aimed to analyze the association between burnout and quality of life in military police officers from two Brazilian corporations. Methods: this was a cross-sectional study of 773 military police officers, 506 (65.5%) from battalions of the Country Police Command - 5th Region in São Paulo state and 267 (34.5%) from 3rd Military Police Battalion in Paraná state. Data was collected between January and December 2018 using a questionnaire with sociodemographic and professional variables: the Maslach Burnout Inventory (MBI), translated and adapted into Portuguese by Robayo-Tamayo; and the abbreviated version of the World Health Organization Quality of Life (WHOQOL-Bref). Results: police officers from São Paulo had significantly better levels of quality of life than police officers from Paraná. There was a predominance of a high level of depersonalization (21.3%) among police officers from Paraná; a medium level of depersonalization (33.9%) among police officers from São Paulo; a medium level of emotional exhaustion and a high level of personal accomplishment in both police forces. Conclusion: police officers with low levels of depersonalization and emotional exhaustion had a higher quality of life in the physical health, psychological health, social relationships, environmental health and overall quality of life domains, and police officers with higher levels of personal accomplishment had higher quality of life scores.(AU)

Justificativa e Objetivos: os policiais militares enfrentam desgastes relacionados ao aumento da violência e à desvalorização da profissão que podem levar ao esgotamento e comprometimento da qualidade de vida. Este estudo teve como objetivo analisar a associação entre o burnout e a qualidade de vida em policiais militares de duas corporações brasileiras. Métodos: estudo transversal, com 773 policiais militares, sendo 506 (65,5%) dos batalhões do Comando de Policiamento do Interior ­ 5ª Região do estado de São Paulo e 267 (34,5%) do 3º Batalhão de Polícia Militar do Paraná. Os dados foram coletados entre janeiro e dezembro de 2018, utilizando-se um questionário com variáveis sociodemográficas e profissionais: o Inventário de Burnout de Maslach (MBI), traduzido e adaptado para o português por Robayo-Tamayo; e a versão abreviada do World Health Organization Quality of Life (WHOQOL-Bref). Resultados: os policiais paulistas apresentaram níveis de qualidade de vida significativamente melhores dos que os policiais paranaenses. Houve predomínio alto nível de despersonalização (21,3%) entre policiais paranaenses; nível médio de despersonalização (33,9%) entre policiais paulistas; nível médio de exaustão emocional; e nível alto de realização pessoal em ambas as corporações. Quanto maiores os níveis de despersonalização e exaustão emocional dos policiais militares, menor a qualidade de vida. Por outro lado, quanto maior a realização pessoal, maior a qualidade de vida dos profissionais. Conclusão: policiais com níveis baixos de despersonalização e de exaustão emocional apresentaram maior qualidade de vida nos domínios físico, psicológico, relações sociais, meio ambiente e na avaliação da qualidade de vida geral, e os policiais com níveis mais elevados de realização pessoal tinham maiores escores de qualidade de vida.(AU)

Justificación y Objetivos: los policías militares enfrentan estrés relacionado con el aumento de la violencia y la devaluación de la profesión, lo que puede provocar agotamiento y comprometer la calidad de vida. Este estudio tuvo como objetivo analizar la asociación entre burnout y calidad de vida en policías militares de dos cuerpos brasileños. Métodos: se trató de un estudio transversal de 773 policías militares, 506 (65,5%) de los batallones del Comando de Policía Interior - 5ª Región en estado de São Paulo y 267 (34,5%) del 3º Batallón de Policía Militar en estado de Paraná. Los datos se recogieron entre enero y diciembre de 2018, mediante cuestionario con variables sociodemográficas y profesionales: el Inventario de Burnout de Maslach (MBI), traducido y adaptado al portugués por Robayo-Tamayo; y la versión abreviada del World Health Organization Quality of Life (WHOQOL-Bref). Resultados: los policías de São Paulo tenían niveles de calidad de vida significativamente mejores que los policías de Paraná. Predominó un alto nivel de despersonalización (21,3%) entre los policías de Paraná; nivel medio de despersonalización (33,9%) entre los agentes de policía de São Paulo; nivel medio de agotamiento emocional; y alto nivel de realización personal en ambas corporaciones. Conclusión: los policías con bajos niveles de despersonalización y agotamiento emocional presentaron mayor calidad de vida en el ámbito físico, psicológico, relaciones sociales, entorno y en la valoración de la calidad de vida general, y los policías con niveles más altos de realización personal tenían puntuaciones más altas en calidad de vida.(AU)

ABSTRACT

Rapid changes in medical education are being fueled by advancements in science, technology, and societal structures. However, the traditional medical curriculum often struggles to keep pace with the evolving demands of medical practice in light of these advancements. Neurology presents distinctive challenges in modern medicine, requiring innovative solutions to improve patient care and support the well-being of healthcare providers. This essay delves into the intricate issues encountered by neurologists, such as the diminishing interpersonal connections in the medical field and the prevalent issue of burnout among professionals, exacerbated by outdated educational programs. This research advocates for a comprehensive approach to enhancing neurology practice through the perspectives of Medical Humanities (MH) and neurobiology, within the evolving realm of Neurohumanities. By integrating stateof-the-art neurobiological findings, MH/Neurohumanities, and a focus on empathy, the article proposes practical strategies to rejuvenate clinical practice and bolster the resilience of neurology practitioners. Furthermore, it underscores the untapped potential of artificial intelligence and machine learning while examining how the digital ecosystem could revolutionize neurology medical education. Grounded in evidence-based research and practical insights, this article offers valuable guidance for navigating the complexities of contemporary neurology practice and cultivating a workforce of healthcare professionals who possess both technological acumen and compassion.

Mudanças rápidas na educação médica estão sendo impulsionadas pelos avanços na ciência, tecnologia e estruturas sociais. No entanto, o currículo médico tradicional frequentemente luta para acompanhar as exigências em constante evolução da prática médica diante desses avanços. A neurologia apresenta desafios distintos na medicina moderna, exigindo soluções inovadoras para melhorar o cuidado ao paciente e apoiar o bemestar dos profissionais de saúde. Este ensaio explora as questões complexas enfrentadas pelos neurologistas, como a diminuição das conexões interpessoais no campo médico e o problema prevalente do esgotamento entre os profissionais, exacerbado por programas educacionais desatualizados. Esta pesquisa defende uma abordagem abrangente para aprimorar a prática da neurologia por meio das perspectivas das Humanidades Médicas (HM) e da neurobiologia, dentro do campo em evolução das Neuro- Humanidades. Ao integrar descobertas neurobiológicas de ponta, HM/Neuro-Humanidades e um foco na empatia, o artigo propõe estratégias práticas para rejuvenescer a prática clínica e fortalecer a resiliência dos profissionais de neurologia. Além disso, destaca o potencial inexplorado da inteligência artificial e da aprendizagem de máquina ao examinar como o ecossistema digital poderia revolucionar a educação médica em neurologia. Fundamentado em pesquisas baseadas em evidências e insights práticos, este artigo oferece orientações valiosas para navegar pelas complexidades da prática contemporânea da neurologia e cultivar uma força de trabalho de profissionais de saúde que possuam tanto acuidade tecnológica quanto compaixão.

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Objetivo: Identificar a prevalência da Síndrome de Burnout em profissionais de enfermagem durante a pandemia por Covid-19, destacando aspectos ocupacionais e fatores associados à pandemia. Métodos: Estudo transversal, descritivo, quantitativo, realizado com 58 Auxiliares de Enfermagem, Técnicos de Enfermagem e Enfermeiros de um hospital público localizado no município do Rio de Janeiro, Brasil. Utilizou-se instrumento contendo perguntas relacionadas aos aspectos sociodemográficos, ocupacionais, Covid-19 e Síndrome de Burnout. Os dados foram analisados por meio do software Jamovi, Teste qui-quadrado e Teste Exato de Fisher. Resultados: Identificou-se indicativo da Síndrome de Burnout em 21 (36,2%) participantes, sem associação estatística com as características sociodemográficas e ocupacionais. A dimensão exaustão emocional apresentou significância estatística com os sentimentos de ansiedade, preocupação, nervosismo (p-valor=0,011), depressão e tristeza (p-valor=0,010). Os participantes informaram que se sentiam capacitados em atender os pacientes com Covid-19, porém referiram dificuldades para efetuar a paramentação e desparamentação de forma correta. Conclusão: Faz-se necessária a revisão de práticas assistenciais com o apoio da educação permanente e saúde do trabalhador, visando o estabelecimento de rotinas, protocolos e processos de trabalho seguros, acompanhamento da saúde física e emocional dos profissionais, implementação de estratégias que facilitem o enfrentamento de adversidades e apoio psicossocial da instituição. (AU)

Objective: To identify the prevalence of Burnout Syndrome in nursing professionals during the Covid-19 pandemic, highlighting occupational aspects and factors associated with the pandemic. Methods: Cross-sectional, descriptive, quantitative study carried out with 58 Nursing Assistants, Nursing Technicians and Nurses from a public hospital located in the city of Rio de Janeiro, Brazil. It was used an instrument containing questions related to sociodemographic, occupational, Covid-19 and Burnout Syndrome. Data were analyzed using Jamovi software, chi-square test and Fisher's exact test. Results: An indication of Burnout Syndrome was identified in 21 (36.2%) participants, with no statistical association with sociodemographic and occupational characteristics. The emotional exhaustion dimension showed statistical significance with feelings of anxiety, worry, nervousness (p-value=0.011), depression and sadness (p-value=0.010). Participants reported that they felt able to care for patients with Covid-19 but reported difficulties in correctly dressing and undressing. Conclusion: It is necessary to review care practices with the support of permanent education and worker health, aiming at establishing safe routines, protocols, and work processes, monitoring the physical and emotional health of professionals, implementing strategies that facilitate the coping with adversities and psychosocial support from the institution. (AU)

Objetivo: Identificar la prevalencia del Síndrome de Burnout en profesionales de enfermería durante la pandemia de Covid-19, destacando aspectos ocupacionales y factores asociados a la pandemia. Métodos: Estudio transversal, descriptivo, cuantitativo, realizado con 58 Auxiliares de Enfermería, Técnicos de Enfermería y Enfermeros de un hospital público ubicado en la ciudad de Río de Janeiro, Brasil. Se utilizó un instrumento que contenía preguntas relacionadas con aspectos sociodemográficos, ocupacionales, Covid-19 y Síndrome de Burnout. Los datos se analizaron utilizando el software Jamovi, la prueba de chi-cuadrado y la prueba exacta de Fisher. Resultados: Se identificó un indicio de Síndrome de Burnout en 21 (36,2%) participantes, sin asociación estadística con las características sociodemográficas y ocupacionales. La dimensión agotamiento emocional mostró significación estadística con sentimientos de ansiedad, preocupación, nerviosismo (p-valor=0,011), depresión y tristeza (p-valor=0,010). Los participantes informaron que se sentían capaces de cuidar a los pacientes con Covid-19, pero informaron dificultades para paramentación y desparamentación correctamente. Conclusión: es necesario revisar las prácticas de cuidado con el apoyo de la educación permanente y la salud del trabajador, con el objetivo de establecer rutinas, protocolos y procesos de trabajo seguros, monitorear la salud física y emocional de los profesionales, implementar estrategias que faciliten el enfrentamiento de las adversidades y apoyo psicosocial de la institución. (AU)