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Relationship between depressive symptoms, burnout, job satisfaction and patient safety culture among workers at a university hospital in the Brazilian Amazon region: cross-sectional study with structural equation modeling
Lopes, Marcélia Célia Couteiro; Oliva, Carmen Conceição Carrilho; Bezerra, Nádia Maria Soares; Silva, Marcus Tolentino; Galvão, Tais Freire.
  • Lopes, Marcélia Célia Couteiro; Universidade Federal do Amazonas (UFAM). Postgraduate Pharmaceutical Sciences Program. Manaus (AM). BR
  • Oliva, Carmen Conceição Carrilho; Universidade Federal do Amazonas (UFAM). Postgraduate Pharmaceutical Sciences Program. Manaus (AM). BR
  • Bezerra, Nádia Maria Soares; Municipal Health Department of Manaus. Department of Health Surveillance. Manaus (AM). BR
  • Silva, Marcus Tolentino; Universidade de Sorocaba (UNISO). Postgraduate Pharmaceutical Sciences Program. Sorocaba (SP). BR
  • Galvão, Tais Freire; Universidade Estadual de Campinas (UNICAMP). School of Pharmaceutical Sciences. Campinas (SP). BR
São Paulo med. j ; 140(3): 412-421, May-June 2022. tab, graf
Article in English | LILACS | ID: biblio-1377378
ABSTRACT
ABSTRACT

BACKGROUND:

Workplaces can be sources of mental distress. In healthcare services, this can also affect patients.

OBJECTIVE:

To assess the prevalence of and factors associated with depressive symptoms, burnout, job satisfaction and patient safety culture and the relationships between these constructs, among healthcare workers. DESIGN AND

SETTING:

Cross-sectional study in a university hospital in Manaus, Brazil.

METHODS:

Randomly selected workers were interviewed based on Brazilian-validated tools. We calculated the prevalence ratio (PR) and 95% confidence interval (CI) of depressive symptoms and burnout using Poisson regression with robust variance; and the β-coefficient of safety culture and job satisfaction using linear regression. Outcome relationships were assessed using partial least-squares structural equation modeling.

RESULTS:

300 professionals were included; 67.3% were women. The prevalence of depressive symptom was 19.0% (95% CI 14.5; 23.5%) and burnout, 8.7% (95% CI 5.2; 12.3%). Lack of work stability increased depression (PR = 1.88; 95% CI 1.17; 3.01) and burnout (PR = 2.17; 95% CI 1.03; 4.57); and reduced job satisfaction (β = -11.93; 95% CI -18.79; -5.07). Depressive symptoms and burnout were positively correlated, as also were job satisfaction and safety culture (P < 0.001); job satisfaction was negatively correlated with burnout (P < 0.001) and depression (P = 0.035).

CONCLUSION:

Impermanent employment contracts increased depression and burnout and reduced job satisfaction. Job satisfaction reduced poor mental health outcomes and increased safety culture. Job satisfaction and safety culture were directly proportional (one construct increased the other and vice versa), as also were depression and burnout. Better working conditions can provide a virtuous cycle of patient safety and occupational health.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Burnout, Professional / Job Satisfaction Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Municipal Health Department of Manaus/BR / Universidade Estadual de Campinas (UNICAMP)/BR / Universidade Federal do Amazonas (UFAM)/BR / Universidade de Sorocaba (UNISO)/BR

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Full text: Available Index: LILACS (Americas) Main subject: Burnout, Professional / Job Satisfaction Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Municipal Health Department of Manaus/BR / Universidade Estadual de Campinas (UNICAMP)/BR / Universidade Federal do Amazonas (UFAM)/BR / Universidade de Sorocaba (UNISO)/BR