ABSTRACT
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)
Subject(s)
Humans , Young Adult , Adult , Middle Aged , Burnout, Psychological , Resilience, Psychological , Personnel, Hospital , Spain , Surveys and QuestionnairesABSTRACT
Objetivo Estudio de prevalencia que describe la percepción de la carga de los cuidadores de los pacientes con parálisis cerebral que asistieron a un centro de rehabilitación neurológica. Material y métodos Esta investigación se realizó en un centro de neurorrehabilitación de Cali, Colombia, en la que participaron 117 cuidadores de pacientes con parálisis cerebral. Se recogió información sobre la percepción de carga del cuidador, sus características sociodemográficas y las clínicas de los pacientes, entre los meses de junio a agosto de 2017. La información sobre la carga del cuidador fue obtenida con el cuestionario de carga de Zarit. Esta variable se categorizó en 2 grupos (carga leve a moderada y carga moderada a severa) para el análisis bivariado. Resultados La mayoría de los cuidadores presentaron carga leve a moderada (74%); se observó un incremento de la probabilidad de carga del cuidador moderada a severa en cuidadores de mujeres (OR 1,35; p>0,05), de niños de 6 a 10 años (OR 1,9; p>0,05), y con mayor compromiso en la función motora gruesa, clasificados en nivel iv y v según GMFCS (OR 1,60 y 1,11, respectivamente; p>0,05). También hubo incremento de carga en cuidadores con edades entre 20 a 39 años (OR 7,92; p<0,05), que se encuentran separados, divorciados o viudos (OR 2,38; p>0,05), y con formación básica secundaria incompleta (OR 2,86; p>0,05). Conclusiones Este estudio evidencia que la percepción de carga del cuidador varía principalmente según el sexo, la edad y la afectación del paciente con parálisis cerebral, así como la edad, el estado civil y el nivel educativo del cuidador (AU)
Objective Prevalence study describing the perception of burden among the caregivers of patients with cerebral palsy attending a neurological rehabilitation centre. Material and methods This study was carried out in a neuro-rehabilitation centre in Cali, Colombia, with the participation of 117 caregivers of cerebral palsy patients. Information was gathered on caregiver burden, caregivers sociodemographic characteristics and the patients clinics between June and August 2017. Information on caregiver burden was collected with the Zarit Burden Interview. Burden was classified into 2 groups (light to moderate burden and moderate to severe burden) for the bivariate analysis. Results Most caregivers experienced light to moderate burden (74%); an increase in the probability of burden among caregivers with moderate to severe burden was observed in the caregivers of women (OR 1.35; P>.05), children aged 6 to 10 years (OR 1.9; P>.05), and those with greater gross motor function involvement, classified in level iv and v according to the GMFCS (OR 1.60 and 1.11, respectively; P>.05). Burden was also higher in caregivers who were separated, divorced or widowed (OR 2.38; P>.05), and those with incomplete basic secondary education (OR 2.86; P>.05). Conclusions This study suggests that perceived burden among caregivers varies mainly according to the age, sex, and disability of patients with cerebral palsy, as well as the age, marital status and educational level of the caregiver (AU)
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Young Adult , Adult , Middle Aged , Aged , Cerebral Palsy/nursing , Disabled Persons , Caregivers , Surveys and Questionnaires , Socioeconomic Factors , PrevalenceABSTRACT
OBJECTIVE: Prevalence study describing the perception of burden among the caregivers of patients with cerebral palsy attending a neurological rehabilitation centre. MATERIAL AND METHODS: This study was carried out in a neuro-rehabilitation centre in Cali, Colombia, with the participation of 117 caregivers of cerebral palsy patients. Information was gathered on caregiver burden, caregivers' sociodemographic characteristics and the patients' clinics between June and August 2017. Information on caregiver burden was collected with the Zarit Burden Interview. Burden was classified into 2 groups (light to moderate burden and moderate to severe burden) for the bivariate analysis. RESULTS: Most caregivers experienced light to moderate burden (74%); an increase in the probability of burden among caregivers with moderate to severe burden was observed in the caregivers of women (OR 1.35; P>.05), children aged 6 to 10 years (OR 1.9; P>.05), and those with greater gross motor function involvement, classified in level iv and v according to the GMFCS (OR 1.60 and 1.11, respectively; P>.05). Burden was also higher in caregivers who were separated, divorced or widowed (OR 2.38; P>.05), and those with incomplete basic secondary education (OR 2.86; P>.05). CONCLUSIONS: This study suggests that perceived burden among caregivers varies mainly according to the age, sex, and disability of patients with cerebral palsy, as well as the age, marital status and educational level of the caregiver.
Subject(s)
Cerebral Palsy , Disabled Persons , Caregiver Burden , Caregivers , Cerebral Palsy/therapy , Child , Female , Humans , Surveys and QuestionnairesABSTRACT
El síndrome de Burnout fue declarado en el año 2000 por la Organización Mundial de la Salud como un factor de riesgo laboral por su capacidad para afectar la calidad de vida, salud mental e incluso hasta poner en riesgo la vida. Su definición no se encuentra en el DSM-V, ni en el CIE 10, pero usualmente se describe como una forma inadecuada de afrontar el estrés crónico, cuyos rasgos principales son el agotamiento emocional, la despersonalización y la disminución del desempeño personal. En Costa Rica se han realizado pocos estudios para determinar la incidencia del síndrome de desgaste en personal médico del país, los cuales han contado con muestras pequeñas y han arrojado porcentajes que van desde el 20% hasta el 70%.
Burnout syndrome was declared in 2000 by the World Health Organization as an occupational risk factor for its ability to affect the quality of life, mental health and even life threatening. Its definition is not in the DSM-V, or the ICD- 10, but is usually described as an inadequate way to deal with chronic stress, whose main features are emotional exhaustion, depersonalization and reduced personal performance. In Costa Rica there have been few studies to determine the incidence of burnout syndrome in medical staff in the country, which have had small samples and have yielded percentages ranging from 20% to 70%.
Subject(s)
Humans , Male , Adult , Burnout, Professional , Mental FatigueABSTRACT
OBJECTIVE: To determine the profile of nurses in public hospitals in Murcia and to assess how they perceive their work environment, the quality of care and their level of burnout (the RN4CAST project repetition). MATERIAL AND METHODS: A cross-sectional descriptive study was carried out in 8 hospitals in Murcia. Data were collected between 2009 and 2010 from 687 nurses (stratified by the type of unit) using a self-completed questionnaire with 149 items covering variables related to sociodemographics; work; perception of the work place (PES-NWI); burnout (Maslach Burnout Inventory); and the quality of patient care, and patient safety. ANALYSIS: Non parametric tests, for two samples or k samples according to the comparison. RESULTS: A total of 495 questionnaires were collected (72%). Most respondents were female (80.4%) having a mean age of 34.1 (SD=7.1) years, and they had been working for 9.4 (SD=7.4) years. Just over one-quarter (25.7%) had carried out more than 300 hours of training in the previous 24 months. The patient/nurse ratio was 11.7 (SD=3.6), varying between hospitals. The nurses reported 25% of hospitals as having an unfavorable work environment, whereas 37.5% had favorable ones; large hospitals were less highly valued. Few respondents intended to give up their jobs (16.8%). Burnout levels revealed emotional exhaustion in 18.4% of respondents; depersonalization in 7.5%, and personal fulfillment in 28.8%. Perception of quality varied between centers and the perception of adverse effects was more favorable in small hospitals. CONCLUSIONS: Our professionals were generally satisfied, but given the unfavorable work environment, measures should be adopted for improving well-being and reducing weaknesses.
