La resiliencia como mediador entre el síndrome del quemado (burnout) y el bienestar subjetivo en residentes de hospitales españoles / Resilience as a mediator between burnout syndrome and subjective well-being in Spanish hospital residents

Numerosos estudios han demostrado el impacto del síndrome del quemado(burnout) en el bienestar de los residentes, sin embargo, los mecanismos queexplican esta influencia siguen sin estar claros. Este estudio analizó el grado delsíndrome del quemado, así como su evolución en los años formativos y el papelmediador de la resiliencia entre el síndrome y el bienestar subjetivo en una muestrade 237 residentes de diferentes especialidades de hospitales españoles. A losparticipantes se les administró el “Inventario del síndrome del quemado deMaslach”, la “Escala de resiliencia de Connor-Davidson” y la “Escala reducida debienestar subjetivo”. Del total de residentes, el 48,9% puntuaron alto en elsíndrome del quemado, el 53,6% en agotamiento emocional y el 74,7% endespersonalización. Los niveles del síndrome aumentaron según avanza laresidencia y la resiliencia medió en la relación entre los niveles de síndrome delquemado y de bienestar subjetivo. Estos resultados sugieren que la resiliencia es unfactor protector a implementar en programas preventivos. (AU)

Ample research has supported the detrimental impact of burnout on the wellbeing of resident doctors. However, the mechanisms accounting for this influenceremain unclear. Consequently, this study analysed for the first time the degree ofburnout as well as its evolution throughout the residency period and tested themediational role of resiliency in the relationship between burnout and its subscalesand well-being in a sample of 237 Spanish residents of different specialties fromSpanish hospitals. Participants were administered the Maslach Burnout Inventory, the Connor Davidson Resilience Scale and the short-version scale of SubjectiveWell-being. From the total sample of residents, 48.9% reported high levels of totalburnout, 53.6% in the subscale of emotional burnout and 74.7% indepersonalization. Additionally, burnout levels increased as the residency periodprogressed, and resilience mediated the relationship between burnout andsubjective well-being level. Such findings suggest resilience as a protector factoragainst burnout that should be included in prevention programs. (AU)

The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents.

This study aimed to evaluate the prevalence of burnout syndrome in a sample of residents from different specialties, to determine the influence of work-related factors on the development of burnout, and to examine the mediating role of burnout in the relation between such work factors and perceived errors in clinical practice. A total of 237 Spanish residents participated (Mage = 28.87, SD = 3.84; 73.8% females). The Maslach Burnout Inventory and an ad hoc questionnaire were administered to assess burnout and work-related factors. Comparison analyses and mediational models were conducted. Half of the residents reported high levels of burnout (48.9%). Burnout was significantly associated with perceived errors in clinical practice. Significant differences were found between residents with lower and higher burnout levels, showing that those with higher burnout were less satisfied with the working conditions. Burnout mediated the associations between adjustment of responsibility, support among residents, satisfaction with teaching and rotations, general satisfaction, and perceived errors in the clinical practice. Adjusted levels of responsibility and workload, enhanced supervision, and more social support from colleagues predict lower levels of burnout, which may result in fewer errors in clinical practice. Consequently, such work-related factors should be taken into account as a preventive strategy for burnout and errors in the clinical practice so adequate patient care, good mental health of future specialists, and, therefore, higher quality of public health care can be ensured.