Burnout and nursing work environment in public health institutions

Abstract

Objective: to identify associations between the Burnout domains and the characteristics of the work environment. Method: cross-sectional study with 745 nurses from 40 public health institutions in São Paulo. Nursing Work Index-Revised (NWI-R) and Maslach Burnout Inventory were used. Similar institutions according to NWI-R were grouped by clustering and the Anova and Bonferroni tests were used in the comparative analyzes. Results: there was signifi cant and moderate correlation between emotional exhaustion and autonomy, control over the environment and organizational support; between reduced personal accomplishment, autonomy and organizational support; and between depersonalization and autonomy. The group that presented the worst conditions in the work environment differed on emotional exhaustion from the group with most favorable traits. Conclusion: emotional exhaustion was the trait of Burnout that was more consistently related to the group of institutions with more unfavorable working conditions regarding autonomy, organizational support and control over the environment. Descriptors: Burnout, Professional; Nursing; Health Facility Environment; Hospitals, Public; Cross-Sectional Studies. RESUMO Objetivo: identifi car associações entre os domínios do Burnout e as características do ambiente de trabalho. Método: estudo transversal com 745 enfermeiros de 40 instituições públicas de saúde de São Paulo. Nursing Work Index-Revised (NWI-R) e Maslach Burnout Inventory foram utilizados. Instituições semelhantes, segundo NWI-R, foram agrupadas pelo método de Cluster e os testes Anova e Bonferroni foram aplicados nas análises comparativas. Resultados: houve correlação signifi cativa e moderada entre exaustão emocional e autonomia, controle sobre o ambiente e suporte organizacional; baixa realização pessoal e autonomia, e suporte organizacional; despersonalização e autonomia. O grupo que apresentou as piores condições de ambiente de trabalho diferiu do que teve os mais favoráveis atributos quanto à exaustão emocional. Conclusão: a exaustão emocional foi o traço do Burnout que se relacionou de forma mais constante com o grupo de instituições com condições mais desfavoráveis de trabalho quanto à autonomia, suporte organizacional e controle sobre o ambiente. Descritores: Esgotamento Profi ssional; Enfermagem; Ambiente de Instituições de Saúde; Hospitais Públicos; Estudos Transversais. RESUMENObjetivo: identifi car asociaciones entre los dominios de Burnout y las características del ambiente de trabajo. Método: estudio transversal entre 745 enfermeros de 40 instituciones públicas de salud de São Paulo. Se utilizaron, la Escala Adaptada del Entorno de Práctica Enfermera (Nursing Work Index-Revised, NWI-R) y el cuestionario Maslach Burnout Inventory. Se agruparon instituciones semejantes por el método de Cluster, según la NWI-R y se aplicaron las pruebas Anova y Bonferroni en los análisis comparativos. Resultados: hubo correlación signifi cativa y moderada entre agotamiento emocional y autonomía, control sobre el ambien...

Analysis of Burnout Predictors in Nursing: Risk and Protective Psychological Factors

“…Many studies have analyzed the involvement of different personal (García & Herrero, 2008;Garrosa et al, 2008) and professional (Nogueira et al, 2018) variables in development of the burnout syndrome in healthcare personnel. In recent years, furthermore, some studies have also suggested the active involvement of psychological variables, such as emotional intelligence (Landa et al, 2006;Nespereira-Campuzano & Vázquez-Campo, 2017), perceived social support (Avendaño et al, 2009) and general self-efficacy (Yang, 2011) in burnout.…”

“…Many risk factors have been identified in the literature on the subject. Sociodemographic variables (García & Herrero, 2008;Garrosa, Moreno-Jiménez, Liang, & González, 2008), characteristics of the work itself, and/or the position held (Nogueira et al, 2018) have been studied in different disciplines and contexts (Martos et al, 2018). For example, overwork along with short deadlines could trigger burnout (Portoghese, Galletta, Coppola, Finco, & Campagna, 2014).…”

Nurses as second victims: A Brazilian perspective

“…Furthermore, there is a high rate of burnout in nurses' work environment in public health institutions. This can increase the occurrence of errors and adverse events, in turn increasing the probability of a professional becoming a second victim (Nogueira et al, ). Unfortunately, the health of the professional who cares for the patient is still not a main concern of Brazilian leaders.…”

Low Burnout among Intensive Care units?

“…They demonstrated that burnout was present in 14.29% of the nurses and 10.98% had symptoms of depression and concluded that nurses with burnout have a greater possibility of triggering depressive symptoms. The authors should be congratulated for performing a study in an important topic in nursing and medical practice (2)(3) . The need to identify specific workplace settings at risk for high burnout rates is an innovative concept that needs to be further explored (4)(5) .…”