2006, Number 3
<< Back Next >>
Rev Med Inst Mex Seguro Soc 2006; 44 (3)
Burnout Syndrome Among Health Staff
Curiel-García JA, Rodríguez-Morán M, Guerrero-Romero F
Language: Spanish
References: 20
Page: 221-226
PDF size: 93.74 Kb.
ABSTRACT
Objective: To determine the prevalence of burnout syndrome components among the medical and nursing staff of the second care level hospitals of the Instituto Mexicano del Seguro Social and Instituto de Seguridad Social al Servicio de los Trabajadores del Estado from Durango, Mexico.
Material and methods: A cross-sectional comparative study was carried out among 73 physicians and 100 nurses randomly selected from both hospitals. The prevalence of burnout syndrome components was established by the Maslash Burnout Inventory, which determines the presence of physical/emotional exhaustion, depersonalization, and labor performance. In addition, sociodemographic and labor information was collected. Prevalence was calculated with a reliability interval of 95 % (CI 95 %).
Results: 73 physicians and 100 nurses enrolled, corresponding to 22.8 % and 14.5 % of such personnel working in both institutions. Among the IMSS and ISSSTE workers respectively, the prevalence of depersonalization was 43.2 % (34.4-52.9) and 14.5 % (6.8-25.8), whereas the prevalence of physical/emotional exhaustion was 41.4 % (32.7-51.1) and 19.4 % (10.4-31.4). Pre-valence of labor performance was higher among the personnel of Instituto Mexicano del Seguro Social: 99.1% (95.1-100) versus 96.8 % (88.8-100). Severe depersonalization (
p = 0.004), but not emotional exhaustion (
p = 0.09) nor labor performance (
p = 0.06) was significantly higher among personnel working at the Instituto Mexicano del Seguro Social.
Conclusions: Prevalence of depersonalization and physical/emotional exhaustion was higher among physicians and nurses of the Instituto Mexicano del Seguro Social; nonetheless, their labor performance was high. Our finding suggests that personnel working at the Instituto Mexicano del Seguro Social make a greater effort to maintain the high labor performance that medical care requires.
REFERENCES
1. Pardo-Álvarez J, López-Herrero F. Estamos quema-dos en atención primaria. Med Fam 2002;3:245-251.
2. Wilber K. Prevalence and predictors of burnout among adult day care providers. J Applied Gerontol 1994;17:282-296.
3. Siefert K, Jayaratne S, Chess WA. Job satisfaction, burnout and turnover in health care social workers. Health and Social Work 1991;16:193-215.
4. Maslach C, Jackson SE. Evaluating stress. Third edition. Palo Alto, CA: Consulting Psychologist Press; 1997. p. 191-216.
5. Gil-Monte PR. Validez factorial de la adaptación al español del Maslach Burnout Inventory-General Survey. Salud Publica Mex 2002;44:33-40.
6. Cabrera-Gutiérrez LS, López-Rojas P, Salinas-Tovar S, Ochoa-Tirado JG, Marín-Cotoñieto IA, Haro-García L. Burnout syndrome among Mexican hospital nursey staff. Rev Med IMSS 2005;43:11-15.
7. Leiter MP, Harvie P. The correspondence of patient satisfaction and nurse burnout. Soc Sc Med 1998; 47:1611-1617.
8. Gil-Monte P. Síndrome de agotamiento profesional (síndrome de burnout): teóricas para su explicación y recomendaciones 2004; Psicología científica.com. Disponible en: http//www.imt/whr p1-5.
9. Walcott-McQuigg JA. Worksite stress: gender and cultural diversity sigues. AAOHN J 1994;42:528-533.
Martínez-López C, López-Solache G. Caracterís-ticas del síndrome de burnout en un grupo de en-fermeras mexicanas. Arch Med Fam 2005;7:6-9.
Chacón M, Graw J. Burnout en enfermeros que brindan atención a pacientes oncológicos. Rev Cub Oncol 1997;13:118-125.
Agut S, Grau R. Burnout en mujeres: Estudio com-parativo entre contextos de trabajo y no trabajo. 2000; Simposio “Aspectos psicosociales del estrés ocupacional” Disponible en: http//www sagut. apsi.uji.es/ p1-7.
Albaladejo R, Villanueva R. Síndrome de burnout en el personal de enfermería de un hospital de Madrid. Rev Esp Salud Publica 2004;78:505-516.
Palmer-Morales LY, Gómez-Vera A, Cabrera-Pivaral C, Prince-Vélez R, Searey-Bernal R. Prevalence of burnout síndrome among anesthesiologists in Mexicali. Gac Med Mex 2005;141:181-183.
Bruce SM, Conaglen HM, Conaglen JV. Burnout in physicians: a case for peer-support. Intern Med J 2005;35:272-278.
McManus IC, Keeling A, Paice E. Stress, burnout and doctor’s attitudes to work are determined by personality and learning style: a twelve year longitudinal study of UK medical graduates. BMC Med 2004;2:29-35.
Sobreques J, Cebria J, Segura J, Rodríguez C, García M, Juncosa S. Job satisfaction and burnout in general practitioners. Atencion Primaria 2003;15: 227-233.
Román-Hernández J. Estrés y burnout en profe-sionales de la salud de niveles primario y secundario de atención. Rev Cub Salud Publica 2003;29:103-110.
Ramírez AJ, Graham J. Mental health of hospital consultants. The effects of stress and satisfaction at work. Lancet 1996;16:724-728.
Sotile WM, Sotile MO. Beyond physician burn-out: keys to effective emocional management. J Med Pract Manage 2003;18:314-318.