2018, Number 4
<< Back Next >>
An Med Asoc Med Hosp ABC 2018; 63 (4)
Prevalence of burnout syndrome in health personnel in critical areas and its association with anxiety and depression
Rodríguez SAY, Díaz EA, Franco GJ, Aguirre SJ, Camarena AG
Language: Spanish
References: 43
Page: 246-254
PDF size: 251.50 Kb.
ABSTRACT
Introduction: Burnout syndrome is frequent in critical areas, it is composed of: exhaustion, depersonalization and sense of ineffectiveness.
Objective: To determine prevalence of burnout syndrome in personnel of critical areas and to evaluate subgroups with anxiety, depression and secondary factors involved.
Material and methods: Multicenter cross-sectional study, through voluntary questionnaire (demographic data, Maslach Burnout Inventory, PSS perceived stress scale and PHQ-9 patient care questionnaire) from June 2017 to April 2018.
Results: 182 workers, 57.7% women, 72% unmarried, 41.8% economic support, 15.9% chronic diseases, 2.8% required sleep inducers, 2.2% used anxiolytics, 25.3% substance abuse (63% marijuana, 58.7% stimulants, 27.7% alcohol abuse). Complete burnout syndrome 46.2% and incomplete 18.1% were detected. Depression 74.2% and 34 people with suicidal ideation. Depression and stress were associated with complete burnout syndrome. The multivariate analysis detected association with weeks of 80 hours or more of work and adverse events [(OR = 2.52, 95% CI 1.10-5.58) and (OR = 2.40, 95% CI 1.27-4.54)].
Discussion: The results coincide with other publications that report up to 40% of burnout syndrome in doctors, for 2016 it was reported that approximately half of the adult intensivists present it. Several incorrect protective or «adaptive» strategies used by staff were detected.
Conclusions: The burnout syndrome deteriorates of the health professional is motivation, can lead to negative results related to the quality of work and presents high association with stress and depression, therefore it is essential to treat both conditions simultaneously.
REFERENCES
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001; 52: 397-422.
Pines A, Maslach C. Characteristics of staff burnout in mental health settings. Hosp Community Psychiatry. 1978; 29 (4): 233-237.
Freudenberger HJ. The issues of staff burnout in therapeutic communities. J Psychoactive Drugs. 1986; 18 (3): 247-251.
Embriaco N, Papazian L, Kentish-Barnes N, Pochard F, Azoulay E. Burnout syndrome among critical care healthcare workers. Curr Opin Crit Care. 2007; 13 (5): 482-488.
Asai M, Morita T, Akechi T, Sugawara Y, Fujimori M, Akizuki N et al. Burnout and psychiatric morbidity among physicians engaged in end-of-life care for cancer patients: a cross-sectional nationwide survey in Japan. Psychooncology. 2007; 16 (5): 421-428.
Coomber S, Todd C, Park G, Baxter P, Firth-Cozens J, Shore S. Stress in UK intensive care unit doctors. Br J Anaesth. 2002; 89 (6): 873-881.
Curtis JR, Vincent JL. Ethics and end-of-life care for adults in the intensive care unit. Lancet. 2010; 376 (9749): 1347-1353.
Day T. Review: symptoms of posttraumatic stress disorder, anxiety and depression among Czech critical care and general surgical and medical ward nurses. J Res Nurs. 2015; 20: 310-311.
Dodek PM, Wong H, Norena M, Ayas N, Reynolds SC, Keenan SP et al. Moral distress in intensive care unit professionals is associated with profession, age, and years of experience. J Crit Care. 2016; 31 (1): 178-182.
De Villers MJ, DeVon HA. Moral distress and avoidance behavior in nurses working in critical care and noncritical care units. Nurs Ethics. 2013; 20 (5): 589-603.
Reader TW, Cuthbertson BH, Decruyenaere J. Burnout in the ICU: potential consequences for staff and patient well-being. Intensive Care Med. 2008; 34 (1): 4-6.
Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and resilience among nurses practicing in high-intensity settings. Am J Crit Care. 2015; 24 (5): 412-420.
Ulrich CM, Taylor C, Soeken K, O’Donnell P, Farrar A, Danis M et al. Everyday ethics: ethical issues and stress in nursing practice. J Adv Nurs. 2010; 66 (11): 2510-2519.
Janda R, Jandova E. Symptoms of posttraumatic stress disorder, anxiety and depression among Czech critical care and general surgical and medical ward nurses. J Res Nurs. 2015; 20:298-309.
Vandevala T, Pavey L, Chelidoni O, Chang NF, Creagh-Brown B, Cox A. Psychological rumination and recovery from work in intensive care professionals: associations with stress, burnout, depression and health. J Intensive Care. 2017; 5: 16.
B. Hudnall Stamm. Professional Quality of Life: Compassion Satisfaction and Fatigue Subscales. R-IV (ProQOL). 1997-2005.
Torre M, Santos-Popper MC, Bergesio A. Burnout prevalence in intensive care nurses in Argentina. Enferm Intensiva. 2018. pii: S1130-2399(18)30055-5.
Boudreau RA, Grieco RL, Cahoon SL, Robertson RC, Wedel RJ. The pandemic from within: two surveys of physician burnout in Canada. Can J Commun Ment Health. 2006; 25 (2): 71-88.
Brindley PG, Patel B, Farnan P. Psychological burnout in acute care medicine: “physician heal thyself”. In: Vincent JL (ed.). Annual update in intensive care and emergency medicine. New York, NY: Springer Publishing, 2012, pp. 811-819.
Moss M, Good VS, Gozal D, Kleinpell R, Sessler CN. An official critical care societies collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action. Crit Care Med. 2016; 44 (7): 1414-1421.
Garcia TT, Garcia PC, Molon ME, Piva JP, Tasker RC, Branco RG et al. Prevalence of burnout in pediatric intensivists: an observational comparison with general pediatricians. Pediatr Crit Care Med. 2014; 15 (8): e347-e353.
Firth-Cozens J. Emotional distress in junior house officers. Br Med J (Clin Res Ed). 1987; 295 (6597): 533-536.
Embriaco N, Azoulay E, Barrau K, Kentish N, Pochard F, Loundou A et al. High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med. 2007; 175 (7): 686-692.
Beschoner P, Braun M, Schönfeldt-Lecuona C, Freudenmann RW, von Wietersheim J. Gender aspects in female and male physicians : Occupational and psychosocial stress. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016; 59 (10): 1343-1350.
Brindley PG. Psychological burnout and the intensive care practitioner: A practical and candid review for those who care. J Intensive Care Soc. 2017; 18 (4): 270-275.
Mikalauskas A, Benetis R, Širvinskas E, Andrejaitienė J, Kinduris Š, Macas A et al. Burnout among anesthetists and intensive care physicians. Open Med (Wars). 2018; 13: 105-112.
Eller NH, Netterstrøm B, Gyntelberg F, Kristensen TS, Nielsen F, Steptoe A et al. Work-related psychosocial factors and the development of ischemic heart disease: a systematic review. Cardiol Rev. 2009; 17 (2): 83-97.
Virtanen M, Ferrie JE, Singh-Manoux A, Shipley MJ, Vahtera J, Marmot MG et al. Overtime work and incident coronary heart disease: the Whitehall II prospective cohort study. Eur Heart J. 2010; 31 (14): 1737-1744.
Ley Federal del Trabajo. Publicado en el Diario Oficial de la Federación el 1 de abril de 1970 [Fecha consulta 07/05/18]. Disponible en: https://www.juridicas.unam.mx/legislacion/ordenamiento/ley-federal-del-trabajo
Norma Oficial Mexicana NOM-001-SSA3-2012 Educación en salud. Para la organización y formación de residencias médicas. Disponible en: http://dof.gob.mx/nota_detalle.php?codigo=5284147&fecha=04/01/2013
Norma Oficial Mexicana NOM-234-SSA1-2003 Educación en salud. Para la organización y formación de residencias médicas. [Fecha consulta 04/04/18] Disponible en: http://www.salud.gob.mx/unidades/cdi/nom/234ssa103.html
Firth-Cozens J. Levels and sources of stress in anaesthetists. In: Report to Association of Anaesthesists of Great Britain and Ireland. London: Association of Anaesthetists of Great Britain and Ireland; 1998: pp. 1317-1335.
Firth-Cozens J. Predicting stress in general practitioners: 10 year follow up postal survey. BMJ. 1997; 315 (7099): 34-35.
Firth-Cozens J. Individual and organizational predictors of depression in general practitioners. Br J Gen Pract. 1998; 48 (435): 1647-1651.
Jackson ER, Shanafelt TD, Hasan O, Satele DV, Dyrbye LN. Burnout and Alcohol Abuse/Dependence Among U.S. Medical Students. Acad Med. 2016; 91 (9): 1251-1256.
Firth-Cozens J, Moss F. Hours, sleep, teamwork, and stress. Sleep and teamwork matter as much as hours in reducing doctors’ stress. BMJ. 1998; 317 (7169): 1335-1336.
Goodfellow A, Varnam R, Rees D, Shelly MP. Staff stress on the intensive care unit: a comparison of doctors and nurses. Anaesthesia. 1997; 52 (11): 1037-1041.
Schonfeld IS, Bianchi R, Palazzi S. What is the difference between depression and burnout? An ongoing debate. Riv Psichiatr. 2018; 53 (4): 218-219.
Wurm W, Vogel K, Holl A, Ebner C, Bayer D, Mörkl S et al. Depression-burnout overlap in physicians. PLoS One. 2016; 11 (3): e0149913.
Ahola K, Honkonen T, Isometsä E, Kalimo R, Nykyri E, Aromaa A et al. The relationship between job-related burnout and depressive disorders--results from the Finnish Health 2000 Study. J Affect Disord. 2005; 88 (1): 55-62.
Weinberg A, Creed F. Stress and psychiatric disorder in healthcare professionals and hospital staff. Lancet. 2000; 355 (9203): 533-537.
McManus IC, Winder BC, Gordon D. Are UK doctors particularly stressed? Lancet. 1999; 354 (9187): 1358-1359.
Bair JP, Greenspan BK. TEAMS: teamwork training for interns, residents, and nurses. Hosp Community Psychiatry. 1986; 37 (6): 633-635.