Evaluation of Burnout Syndrome and associated factors in primary care health personnel
DOI:
https://doi.org/10.56294/cid202373Keywords:
Burnout Professional, Primary Health Care, Health Professionals, Occupational HealthAbstract
Objective: to evaluate Burnout syndrome and associated factors in health personnel of Primary Care.
Methods: observational, analytical, cross-sectional study, carried out in Pinar del Río during January 2023, in non-probabilistic sampling for convenience, of 127 participants, who met the inclusion criteria. The application of instruments such as the Maslach Burnout Inventory questionnaire, allowed obtaining the information that gave output to the studied variables, applying descriptive and inferential statistical methods. Medical ethics were respected.
Results: 66,9 % of the workers were women, with a median of 31 years of age. Resident physicians predominated (45,7 %), with a median of 8 years working in the sector. 73,2 % showed overload, with the emotional exhaustion dimension being the most affected. The presence of Burnout syndrome was associated with sleeping eight hours a day (p=0,016) and with satisfaction with economic income (p<0,001). The affectation of the emotional exhaustion dimension was statistically associated with sex, religion and sleeping eight hours a day (p<0,05). Depersonalization was associated with religion (p=0,001), sleeping eight hours a day (p=0,016), smoking (p=0,001) and satisfaction with economic income (p=0,011); while professional achievement was related to sleeping eight hours a day (p<0,001), adequate dietary habits (p=0,038) and satisfaction with economic income (p=0,016).
Conclusions: Burnout syndrome was evaluated in primary care health personnel, identifying the demographic characteristics, lifestyle and work variables of the sample, and their relationship with professional exhaustion
References
1. Ortega-Campos E, Cañadas-De la Fuente G, Albendín-García L, Gómez-Urquiza J, Monsalve-Reyes C, Inmaculada de la Fuente-Solana E. A Multicentre Study of Psychological Variables and the Prevalence of Burnout among Primary Health Care Nurses. Int. J. Environ. Res. Public Health. 2019; 16: e3242. DOI: 10.3390/ijerph16183242
2. Roig-Grau I, Fornés-Ollé B, Rodriguez-Roig R, Delgado-Juncadella A, González-Valero J, Rodríguez-Martín I. Burnout en profesionales de atención primaria en la Cataluña Central. Arch Prev Riesgos Labor. 2022; 25(2): 86-100. DOI: 10.12961/aprl.2022.25. 02.02
3. Abarca Mato R, Emigdio Vargas A, Dávalos Martínez A, Barrera Rodríguez E, Morales López F, Blanco García N. Síndrome de burnout en profesionales sanitarios en formación de un hospital público en Acapulco, México. Rev. Cuba. Salud Trab. 2023; 24(1). Disponible en: https://revsaludtrabajo.sld.cu/index.php/revsyt/article/view/363
4. Cañadas-de la Fuente G, San Luis C, Lozano L, Vargas C, García I, de la Fuente EI. Evidencia de validez factorial deMaslach Burnout Inventory y estudio de los niveles de burnout en profesionales sanitarios. Rev Latinoam Psicol. 2014; 46(1): 44-52. DOI: 10.1016/S0120-0534(14)70005-6
5. Ovejas-López A, Izquierdo F, Rodríguez-Barragán M, Rodríguez-Benítez J, García-Batanero M, Alonso-Martínez A, et al. Burnout y malestar psicológico en los residentes de Medicina Familiar y Comunitaria. Aten Primaria. 2020; 52(9): 608-616. DOI: 10.1016/j.aprim.2020.02.014
6. Ramírez Pérez M, Garicano Quiñónez L, González de Abreu J, Jiménez González de Buitrago E, Sánchez Úriz M, del Campo Balsa M. Síndrome de burnout en médicos residentes de los hospitales del área sureste de la Comunidad de Madrid. Rev Asoc Esp Espec Med Trab. 2019; 28: 57-65. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-62552019000100007&lng=es
7. Jácome S, Villaquiran-Hurtado A, García C, Duque I. Prevalencia del síndrome de Burnout en residentes de especialidades médicas. Rev Cuid. 2019; 10(1): e543. Disponible en: http://www.scielo.org.co/scielo.php?pid=S2216-09732019000100200&script=sci_arttext
8. Rodrigues H, Cobucci R, Oliveira A, Cabral J, Medeiros L, Gurgel K, et al. Burnout syndrome among medical residents: a systematic review and metaanalysis. PLoS One. 2018; 13(11): e0206840. DOI: 10.1371/journal.pone.0206840
9. Molina-Praena J, Ramirez-Baena L, Gomez-Urquiza J, Canadas G, De la Fuente E, Canadas-De la Fuente G. Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study. Int J Environ Res Public Health. 2018; 15(12). DOI: 10.3390/ijerph15122800
10. AL-Haddad A, AL-Omar F, AL-Khaleel A, AL-Khalaf A. Prevalence of burnout syndrome and its related risk factors among physicians working in primary health care centers of the Ministry of Health, Al Ahsa region, Saudi Arabia, 2018–2019. J Family Med Prim Care. 2020; 9: 517-519. DOI: 10.4103/jfmpc.jfmpc_743_19
11. Sullivan E, McKinstry D, Adamson J, Hunt L, Phillips R, Linzer M. Burnout Among Missouri Primary Care Clinicians in 2021: Roadmap for Recovery? Medicine. 2022; 119(4): 397-400. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36118800/
12. Grumbach K, Knox M, Huang B, Hammer H, Kivlahan C, Willard-Grace R. A Longitudinal Study of Trends in Burnout During Primary Care Transformation. Ann Fam Med. 2019; 17: S9-S16. DOI: 10.1370/afm.2406
13. Woodward R, Cheng T, Fromewick J, SL G, Latessa R. What happy physicians have in common: A qualitative study of workplace perceptions of physicians with low burnout scores. SAGE Open Medicine. 2022; 10: 1-9. DOI: 10.1177/20503121221085841
14. Chemali Z, Ezzeddine F, Gelaye B, Dossett M, Salameh J, Bizri M. Burnout among healthcare providers in the complex environment of the Middle East: a systematic review. BMC Public Health. 2019; 19: e1337. DOI: 10.1186/s12889-019-7713-1
15. Juárez-García A, Merino-Soto C, Fernández-Arata M, Flores-Jiménez C, Caraballo M, Camacho-Cristiá C. Validación transcultural y funcionamiento diferencial del Maslach Burnout Inventory - General Survey en docentes de tres países latinoamericanos. Av. Psicol. Latinoam. 2020; 38(1): 135-158. Disponible en: http://www.scielo.org.co/scielo.php?pid=S1794-47242020000100135&script=sci_arttext
16. JR H. Estrés y Burnout en profesionales de la salud de los niveles primario y secundario de atención. Rev Cubana Salud Pública. 2003; 29(2): 103-110. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0864-34662003000200002&script=sci_arttext&tlng=en
17. Pando Moreno M, Aranda Beltrán C, López Palomar M. Validez factorial del Maslach Burnout Inventory-General Survey en ocho países Latinoamericanos. Cienc Trab. 2015; 17(52): 28-31. Disponible en: https://www.scielo.cl/scielo.php?pid=S0718-24492015000100006&script=sci_arttext&tlng=pt
18. Peacok Aldana A, Cala Calviño L, Labadié Fernández S, Álvarez Escalante L. Ética en la investigación biomédica: contextualización y necesidad. MEDISAN. 2019; 23(5): 921-941. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1029-30192019000500921&script=sci_arttext
19. Llor Lozano J, Seva Llor A, Díaz Agea J, Llor Gutiérrez L, Leal Costa C. Burnout, habilidades de comunicación y autoeficacia en los profesionales de urgencias y cuidados críticos. Enfermería Global. 2020 Jul;(59): 68-80. Disponible en: https://scielo.isciii.es/scielo.php?pid=S1695-61412020000300068&script=sci_arttext
20. Loya-Murguía K, Valdez-Ramírez J, Bacardí- Gascón M, Jiménez-Cruz A. El síndrome de agotamiento en el sector salud de Latinoamérica: revisión sistemática. JONNPR. 2018; 31(1): 40-48. Disponible en: https://revistas.proeditio.com/jonnpr/article/view/2060
21. Berrío García N, Foronda Valencia D, Ciro Parra D. Síndrome de burnout en personal de la salud latinoamericano. Revista de Psicología. 2018; 10(2): 157-181. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7529914
22. Yates S. Physician Stress and Burnout. Am J Med. 2020; 133(2): 160-164.
23. Willard-Grace R, Knox M, Huang B, Hammer H, Kivlahan C, Grumbach K. Burnout and Health Care Workforce Turnover. Ann Fam Med. 2019; 17(1): 36-41. DOI: 10.1370/afm.2338
24. Párraga-Martínez I, González-Hidalgo E, Méndez-García T, Villarín-Castro A, LeónMartín A. Burnout y su relación con el estrés percibido y la satisfacción laboral en profesionales sanitarios de Atención Primaria de una Comunidad Autónoma. Rev Clín Med Fam. 2018; 11(2): 51-60. Disponible en: https://scielo.isciii.es/scielo.php?pid=S1699-695X2018000200051&script=sci_arttext&tlng=pt
25. Soltanifar A, Pishbin E, Attaran Mashhadi N, Najaf Najafi M, Siahtir M. Burnout among female emergency medicine physicians: a nationwide study. Emerg Med Australas. 2018; 30(4): 517-522. DOI: 10.1111/1742-6723.12941
26. García-Molina C, Satorres-Pérez M, Crespo-Mateos A, Quesada Rico J, García-Soriano L, Carrascosa-Gonzalvo S. Prevalencia del síndrome de burnout en profesionales de medicina y enfermería de Atención Primaria en centros de salud acreditados para Formación Sanitaria Especializada de dos áreas de salud de Alicante. Rev Clin Med Fam. 2022; 15(1): 35-39. Disponible en: https://scielo.isciii.es/scielo.php?pid=S1699-695X2022000100007&script=sci_arttext&tlng=en
27. Abdulrahman M, Nair S, Farooq M, Al Kharmiri A, Al Marzooqi F, Carrick F. Burnout and depression among medical residents in the United Arab Emirates: a multicenter study. J Family Med Prim Care. 2018; 7(2): 435-441. DOI: 10.4103/jfmpc.jfmpc_199_17
28. Muraya Alshreem R, Baraja M, Solaiman Almogbel E. Prevalence of burnout and its impact on self-reported patient care among primary health care physicians at King Abdul-Aziz Medical City in Riyadh region. J Family Med Prim Care. 2022; 11(8): 4624–4630. DOI: 10.4103/jfmpc.jfmpc_1622_21
29. Pintarić Japec V, Vučemilo L, Kust D, Babacanli A, Dodig D, Štefančić V, et al. Burnout among Croatian physicians: a cross-sectional national survey. Croat Med J. 2019; 60(3): 255-264. DOI: 10.3325/cmj.2019.60.255
30. Nwosu A, Ossai E, Mba U, Anikwe I, Ewah R, Obande B, et al. Physician burnout in Nigeria: a multicentre, cross-sectional study. BMC Health Serv Res. 2020;(20): 863. DOI: 10.1186/s12913-020-05710-8
31. Chung S, Dillon E, Meehan A, Nordgren R, Frosch D. The Relationship Between Primary Care Physician Burnout and Patient-Reported Care Experiences: a Cross-sectional Study. J Gen Intern Med. 2020; 35(8): 2357-2364. DOI: 10.1007/s11606-020-05770-w
32. Shi C, Luo J, Xiao Y. The association of sleep quality and burnout among Chinese medical residents under standardized residency training in a tertiary hospital. Sleep Breath. 2023; 27(1): 379-386. DOI: 10.1007/s11325-022-02621-2
33. Stewart N, Arora V. The Impact of Sleep and Circadian Disorders on Physician Burnout. Chest. 2019; 156(5): 1022-1030. DOI: 10.1016/j.chest.2019.07.008
34. Trockel M, Menon N, Rowe S, Stewart M, Smith R, Lu M, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAMA Netw Open. 2020; 3(12): e2028111. DOI: 10.1001/jamanetworkopen.2020.28111
35. Álvarez Mena J, Cobo Molina N, Parra Osorio L, Gómez Salazar L, Acosta Fernández M. Prevalencia del síndrome de Burnout en médicos iberoamericanos entre 2012 y 2018: una revisión sistemática. Revista Diálogos de Saberes. 2019;(50): 39-60. Disponible en: https://revistas.unilibre.edu.co/index.php/dialogos/article/view/5551
36. Intriago Miranda S. Síndrome del "Burnout" en personal de salud de un centro hospitalario de la dirección distrital Junín-Bolívar. Revista San Gregorio. 2019; 35: 94-107. Disponible en: http://scielo.senescyt.gob.ec/scielo.php?pid=S2528-79072019000200094&script=sci_arttext
37. Martínez Melero M. Síndrome de Burnout en profesiones sanitarias. Enfermería y medicina como población diana. Rev. sanit. investig. 2021; 12(2): e181. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8277533
38. Nicholls M. Cardiologists and the Burnout scenario. Eur Heart J. 2019; 40(1): 5-6. DOI: 10.1093/eurheartj/ehy788
39. Polacov S, Barrionuevo Battistini I, Barroso G, Cravero B, D'Alessandro T, Allende G, et al. Riesgo de Síndrome de Burnout en profesionales médicos de la ciudad de Córdoba, Argentina. Rev Fac Cien Med Univ Nac Cordoba. 2021; 78(4): 371-375. DOI: 10.31053/1853.0605.v78.n4.28749
Published
Issue
Section
License
Copyright (c) 2023 Lázaro Pablo Linares Cánovas, Liyansis Bárbara Linares Cánovas, Yoelys Pereda Rodríguez, Beatriz Gallardo Hernández, Martha María Pérez Martín, Adalina Linares Montano (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
