Burnout syndrome: are stroke neurologists at a higher risk? / Síndrome de Burnout: neurologistas vasculares apresentam maior risco?

ABSTRACT Background: Burnout syndrome is a work-related psychological response, characterized by emotional exhaustion, depersonalization and low professional accomplishment. Objective: The study aimed to evaluate the prevalence of burnout syndrome in neurologists in the State of Paraná, Brazil, dividing them into stroke neurologists and non-stroke neurologists. Methods: We performed a crosssectional observational study, with a quantitative approach, based on the online Maslach Burnout Inventory - Human Services Survey questionnaire. Results: A total of 74 neurologists were evaluated, 44.6% of whom had burnout syndrome, predominantly among females and stroke neurologists. Both the stroke neurologist and non-stroke neurologist groups had medium degrees of emotional exhaustion and depersonalization; however, while stroke neurologists had high professional accomplishment, non-stroke neurologists had mean-to-low scores of professional accomplishment. There was a proportional relationship between age and emotional exhaustion. Female neurologists also reported lower professional accomplishment levels. Conclusion: Burnout is prevalent among the neurologists of Paraná, corroborating the results previously reported in other studies. There seems to be no significant difference between those neurologists who work in the emergency stroke care setting compared with those who don't.

RESUMO Introdução: A síndrome de burnout é uma resposta psicológica relacionada à profissão, caracterizada por exaustão emocional, despersonalização e redução da realização pessoal. Objetivos: Objetivamos avaliar a prevalência da síndrome de burnout em neurologistas do Paraná, distribuindo a atuação entre neurologistas vasculares e não-vasculares. Métodos: Estudo observacional, transversal, com abordagem quantitativa, realizado a partir do questionário online autoaplicável Maslach Burnout Inventory - Human Services Survey. Resultados: 74 neurologistas foram avaliados, desses 44.6% apresentaram critérios para síndrome de burnout, predominando entre mulheres e stroke neurologists. Ambos os grupos apresentaram médios graus de exaustão emocional e despersonalização. Enquanto os neurologistas vasculares apresentaram alto grau de realização pessoal, os não-vasculares apresentaram médio grau. Houve relação proporcional entre idade e exaustão emocional. Neurologistas do gênero feminino mostraram menores níveis de realização pessoal. Conclusão: A síndrome de burnout é frequente nos neurologistas do Paraná, compatível com a literatura que sugere a especialidade como uma das mais susceptíveis. Não obtivemos contudo, diferenças entre os neurologistas que lidam ou não com a emergência vascular.

Burnout syndrome prevalence in physiotherapists

Summary Objective: To evaluate burnout syndrome in its three aspects, jointly as well as independently, in physiotherapists from the Extremadura region (Spain). Method: Analytic descriptive epidemiological transversal trial in primary care and institutional practice, with physiotherapists practicing in Extremadura who met the inclusion criteria, after having signed an informed consent form. Emotional exhaustion, depersonalization and low professional accomplishment were the outcomes measured. Results: Physiotherapists from Extremadura show a 65.23 point level of burnout syndrome, according to the Maslach Burnout Inventory questionnaire. Therefore, they are positioned in the middle of the rating scale for the syndrome, and very near to the high level at starting score of 66 points. Conclusion: Physiotherapists in Extremadura present moderate scores for the three dimensions of burnout syndrome, namely, emotional exhaustion, depersonalization and low professional accomplishment. For this reason, they are in the moderate level of the syndrome and very near to the high level, which starts at a score of 66 points. No relation between burnout syndrome and age has been found in our study.

A síndrome de burnout em profissionais da Rede de Atenção Primária à Saúde de Aracaju, Brasil / Burnout syndrome in professionals of the primary healthcare network in Aracaju, Brazil

ResumoA Síndrome de Burnout (SB) é decorrente da tensão emocional crônica vivenciada pelo trabalhador, caracterizada por exaustão emocional, despersonalização e baixa realização pessoal. Pode acometer profissionais cuja atividade requeira contato direto com o público. Objetiva-se avaliar a prevalência da SB e fatores associados em profissionais de nível superior vinculados à Rede de Atenção Primária à Saúde do município de Aracaju/SE. Estes profissionais responderam o questionário sociodemográfico e o Inventário de Maslach para o Burnout. A idade média foi de 44,9 anos, maioria enfermeiros, mulheres, casados com filhos e pós-graduação. A prevalência da SB foi de 6,7% a 10,8%, os fatores associados foram idade mais jovem, carga horária de trabalho excessiva e insatisfação profissional. Não houve diferença entre as categorias avaliadas e a maioria não apresenta a SB. No entanto, 54,1% apresentaram um risco elevado e moderado para desenvolver essa síndrome, refletindo um processo de adoecimento que ameaça o bem-estar dos profissionais de nível superior da Rede de Atenção Primária à Saúde de Aracaju – SE. Esses achados sugerem a importância da implantação de medidas preventivas e interventivas voltadas a esses profissionais, de forma a garantir uma melhoria no ambiente de trabalho.

AbstractThe Burnout Syndrome (SB) stems from the chronic emotional stress experienced by the worker, characterized by emotional exhaustion, depersonalization and low personal accomplishment. May involve professionals whose work relates directly to the public. Aims to assess the prevalence of SB and associated factors in higher education professionals, linked to the Primary Care Network Health in the city of Aracaju / SE, who answered the sociodemographic questionnaire and the Maslach Inventory for Burnout. The average age was 44.9 years, most nurses, women, married with children and graduate. The prevalence of SB was 6.7% to 10.8%, associated factors were younger age, excessive hours of work and job dissatisfaction. There was no difference between the categories evaluated and the majority does not have the SB. However, 54.1% had a high and moderate risk of developing this syndrome, reflecting a process of illness that threatens the welfare of top-level professionals from the Primary Care Network Health Aracaju - SE. These findings point to the importance of adopting preventive and interventional measures as collateral for a better working environment.

Prevalence and factors associated with burnout syndrome in professionals in basic health units / Prevalencia y factores asociados al síndrome de burnout en profesionales de centros de atención básica a la salud

El objetivo del estudio es identificar la prevalencia y los factores asociados a Síndrome de Burnout (SB) en 127 profesionales de salud del área metropolitana de Porto Alegre. Se trata de un estudio transversal epidemiológico. Los instrumentos utilizados fueron un cuestionario con datos sociodemográficos y laborales, la batería de evaluación de riesgos psicosociales y el Inventario de Maslach Burnout. Fueron realizados análisis de prevalencia, comparación de medias (ANOVA y test-t) y de correlación de Pearson. Los resultados muestran una prevalencia del 36,2% de agotamiento emocional, 15,7% de despersonalización y el 7,9% de baja realización profesional, que cambian según la categoría profesional. El análisis de asociación muestra que cuanto menor es la edad y la experiencia profesional mayor es el agotamiento emocional. El feedback positivo de los pacientes disminuye el cansancio emocional y aumenta la realización profesional. El feedback positivo de los jefes disminuye el Agotamiento Emocional. A partir de los resultados, es posible pensar en estrategias para reducir la prevalencia de SB entre los profesionales de la salud, teniendo en cuenta las características específicas de cada grupo profesional.

The study aims to identify the prevalence and factors associated with Burnout in 127 graduates from Basic Health Units in the municipal network of a city in the metropolitan area of Porto Alegre. The research tools used were a questionnaire to obtain socio-demographic data and employment variables, the battery of psychosocial risk assessment and the Maslach Burnout Inventory. The results showed a prevalence of 36.2% of Emotional Exhaustion, 15.7% of Depersonalization and of 7.9% Professional Accomplishment. The association analysis shows that psychologists have higher levels of Emotional Exhaustion and Professional Accomplishment and doctors have higher levels of Depersonalization. The higher the pay, the higher Depersonalization and Professional Accomplishment levels go. The role conflict results in an elevation of the dimensions of Emotional Exhaustion and Depersonalization. The positive feedback from patients decreases Emotional Exhaustion and increases Professional Accomplishment, while feedback from supervisors also decreases Emotional Exhaustion.

Prevalence of the burnout syndrome among Brazilian medical oncologists

INTRODUCTION: Burnout syndrome which is prevalent among oncologists is characterized by three aspects: emotional exhaustion, depersonalization and low personal accomplishment. The purpose was to evaluate prevalence of the burnout syndrome among Brazilian medical oncologists and the variables that correlate with its presence. METHODS: A survey was conducted with members of the Brazilian Society of Medical Oncology (SBOC) who received three questionnaires (general, Maslach burnout questionnaire and an opinion survey) mailed to all 458 members. RESULTS: Response rate was of 22.3 percent. According to the criteria proposed by Grunfeld, which consider burnout present when at least one of the aspects is severely abnormal, prevalence of this syndrome was 68.6 percent (95 percent confidence interval, CI: 58.68 percent to 77.45 percent). By multivariate analysis having a hobby/physical activity, a religious affiliation, older age, living with a companion and rating vacation time as sufficient were correlated significantly and independently with burnout syndrome. CONCLUSIONS: The burnout syndrome is prevalent among Brazilian oncologists. Oncologists having sufficient personal and social resources to engage in a hobby, physical activity, have enough vacation time and religious activities are at lower risk of developing burnout.

INTRODUÇÃO: A Síndrome da Estafa Profissional (SEP) é considerada uma doença caracterizada por três componentes básicos: exaustão emocional (EE), despersonalização (DP) e reduzida realização pessoal (RP), sendo identificada em oncologistas. OBJETIVO: Analisar a prevalência da SEP entre oncologistas clínicos e possíveis fatores relacionados. MÉTODOS: Foram enviados três questionários (Questionário Geral, Questionário Maslach de Burnout e Questionário de Opinião) para 458 cancerologistas cadastrados na Sociedade Brasileira de Oncologia Clínica (SBOC). RESULTADOS: A taxa de resposta foi de 20 por cento. 43,3 por cento dos entrevistados demonstraram nível baixo de EE, 57,8 por cento apresentaram nível alto de DP e 55,5 por cento alta RP. Para avaliarmos a presença da SEP, utilizamos o critério de Ramirez, que considera as três dimensões em nível grave (8,9 por cento) e o de Grunfeld que considera pelo menos um dos três domínios em nível grave (68,9 por cento). Pelos critérios de Ramirez, houve correlação negativa com praticar exercícios/hobby (p=0,0007) e crer em uma religião (p=0,0445) com SEP. Já por Grunfeld, se correlacionou positivamente com morar com o companheiro (p=0,0054) e considerar o tempo de férias insuficiente (p=0,0037). Por ambos os critérios, foi constatada uma correlação positiva entre ter a síndrome e não optar por oncologia novamente se tivesse essa oportunidade. CONCLUSÃO: A SEP é muito prevalente entre os oncologistas clínicos. Porém, a maioria destes profissionais optaria novamente por essa especialidade. Prática de exercícios/hobby, tempo de férias suficiente e crer em uma religião surgiram como possíveis fatores para prevenir esta síndrome.

Despersonalización: una revisión conceptual / Depersonalization: a conceptual review

Durante los últimos años los síntomas agrupados en el concepto de despersonalización han vuelto a cobrar vigencia, profundizando aspectos relacionados con su identificación y el conocimiento de su base fisiopatológica. Diversos estudios han demostrado que los síntomas transitorios de despersonalización con comunes tanto en la población general como en la conformada por pacientes psiquiátricos, pero la estimación de su prevalencia se ha visto dificultada por la inconsistencia en la definición. La relación entre despersonalización y otros desórdenes psiquiátricos (como por ejemplo, los trastornos de ansiedad) sugieren una probable fisiopatología común.

Desgaste emocional en docentes oficiales de Medellín, Colombia, 2005 / Emotional burn-out in official teachers, Medellín, Colombia, 2005

Objetivo: Explorar manifestaciones de desgaste emocional y físico o, síndrome de Burnout, en docentes oficiales de Medellín, Colombia, 2005. Métodos: Estudio cuantitativo transversal en una muestra aleatoria bietápica de 239 sujetos a quienes se aplicó cuestionario autodiligenciado para explorar variables demográficas, sociolaborales y las dimensiones del síndrome Burnout según el Maslach Burnout Inventary-MBI. Resultados: El 23,4 por ciento presentó manifestaciones de Burnout y un 23,4 por ciento adicional tuvo riesgo de manifestarlo; en ambos subgrupos prevaleció el agotamiento emocional y la despersonalización. Conclusiones: Se encontró relación de manifestaciones del Burnout con algunas variables estudiadas. Se sugiere profundizar en la exploración de variables personales, familiares y sociales que potencialmente responden por las manifestaciones del síndrome.

Objetive: Exploring signs of emotional and physical weakness or Burnout syndrome in qualified teachers in Medellín, Colombia, 2005. Methods: A cross-sectional study was applied to a random bi-stage sample of 239 teachers who filled in a questionnaire by themselves to explore demographic, work and social variables and dimensions of the Burnout syndrome, according to the Maslach Burnout Inventary (MBI). Results: The findings showed that 23,4 percent of the sample presented signs of Burnout and a further 23,4 percent were at risk of suffering it; emotional weakness and depersonalisation were present in both subgroups. Conclusions: A relationship between Burnout signs and some of the variables studied was found. It is suggested that personal, family and social variables potentially associated with the syndrome should be explored more deeply.