Síndrome de burnout en asistentes y residentes de anestesiología del Hospital Nacional Daniel A. Carrión, Septiembre 2011
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Ayala Cervantes, Alan; Antezana De Gregori, Paola; Yllatopa Guiño, Eulogio; Hospital Nacional Daniel A. Carrión
Actas Peruanas de Anestesiología 2012;20:13-20
Objetivo: El síndrome de burnout, considerado desde el año 2000 por la OMS como una enfermedad de riesgo laboral, es prevalente en anestesiólogos segun diversos estudios. Nuestro objetivo fue determinar la prevalencia de este síndrome en residentes y asistentes, y a qué factores se encuentra asociado. Material y métodos: Estudio observacional y transversal. Se aplicó el cuestionario de Maslach y de factores de riesgo asociado al síndrome de burnout de manera anónima a anestesiólogos y residentes de anestesiología programados con actividades en el rol de septiembre y que aceptaron participar del estudio. Los cuestionarios se desarrollaron en sala de operaciones con entrega en sobre cerrado al terminar. Los datos se presentan en tablas de frecuencias, pocentajes y gráficos. El análisis de los datos cualitativos fue con la prueba de Chi cuadrado y correlación de Spearman. Resultados: Se encuestaron un total de 20 médicos (55%), 17 con cuestionario completo. 2 encuestados (10%) presentaron síndrome de Burnout. Asociaciones agotamiento emocional: estado de salud / calidad de vida, x2 = 10.90, x < 0.05 / x2 = 9.24, x <0.05. Correlaciones agotamiento emocional: horas anestesia /semana, p =0.65, x < 0.01; despersonalización: nñumero de hijos/edad, p=-0.48, x < 0.05/p = -.58, x<0.05, respectivamente.No hubo correlación entre componentes Maslach y factores de riesgo asociados (puntaje final). Conclusiones: El síndrome de Burnout es prevalente en nuestro departamento. Salvo algunos componentes, los encuestados presentan "fenómenos compensatorios" protectores para el desarrollo del síndrome de burnout y también puede existir un subregistro importante
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¿Se correlaciona el inventario Maslach Burnout con el rendimiento cognitivo en los profesionales de la anestesia? Un estudio piloto.
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Does the Maslach Burnout Inventory correlate with cognitive performance in anesthesia practitioners? A pilot study.
Orena EF, Caldiroli D, Cortellazzi P.
Saudi J Anaesth. 2013 Jul;7(3):277-82. doi: 10.4103/1658-354X.115351.
Abstract
BACKGROUND:Chronic stress is a common condition among health-care operators, anesthetists in particular. It is known to cause cognitive weakening and pathological outcomes, as the Burnout syndrome. Nevertheless, the impact of clinicians' health on their performance has received limited attention thus far. Our pilot study, aims at evaluating the influence of burnout on the cognitive performance in a population of anesthesiapractitioners. METHODS: In 18 practitioners we assessed attention by means of reaction times (RTs), pre- and post-shift, with a five-subtest computerized neuropsychological battery. RTs were controlled for the situational anxiety with the State-Trait Anxiety Inventory X1. The burnout level was evaluated with the Maslach Burnout Inventory (MBI). The three MBI sub-scores (emotional exhaustion, depersonalization and professional achievement) were combined to obtain two groups according to the burnout score (high and low). RESULTS: Anesthetists showed a significantly worse performance in the fifth test post-shift (P=0.041) than pre-shift. The high-score burnout group reacted slower than the low-score burnout group in three of the five cognitive subtests, without reaching a statistical significance. Nevertheless, our effect size, which is independent from the sample size, is very large (d=1.165). CONCLUSION: We found that in a population of health-care operators, burnout may affect the cognitive and potentially, the working performance. Qualitative and quantitative measurements should be integrated to ensure a better management of burnout and its consequences in workplaces.
KEYWORDS: Anesthesia, attention, burnout, medical error, psychological factors
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| Burnout en la UCI. Una consideración de la posible prevalencia y frecuencia de nuevos factores de riesgos |
Burnout in intensive care units - a consideration of the possible prevalence and frequency of new risk factors: a descriptive correlational multicentre study.
Teixeira C, Ribeiro O, Fonseca AM, Carvalho AS.
BMC Anesthesiol. 2013 Oct 31;13(1):38. doi: 10.1186/1471-2253-13-38.
Abstract
BACKGROUND: The provision of Intensive Care (IC) can lead to a health care provider's physical, psychological and emotional exhaustion, which may develop into burnout. We notice the absence of specific studies regarding this syndrome in Portuguese Intensive Care Units (ICUs). Our main objective is to study the incidence and risk factors of burnout in Portuguese ICUs. METHODS: A self-fulfilment questionnaire containing 3 items: (i) socio-demographic data of the study population; (ii) experiences in the workplace; (iii) Maslach Burnout Inventory (MBI) - was applied to evaluate the influence of distinct factors on the prevalence of burnout among physicians and nurses working in ICUs. RESULTS: Three hundred professionals (82 physicians and 218 nurses) from ten ICUs were included in the study, out of a total of 445 who were eligible. There was a high rate of burnout among professionals working in Portuguese ICUs, with 31% having a high level of burnout. However, whenburnout levels among nurses and physicians were compared, no significant difference was found. Using multivariate analysis, we identified gender as being a risk factor, where female status increases the risk of burnout. In addition, higher levels of burnout were associated with conflicts and ethical decision making regarding withdrawing treatments. Having a temporary work contract was also identified as a risk factor. Conversely, working for another service of the same health care institution acts as a protective factor. CONCLUSIONS: A high rate of burnout was identified among professionals working in Portuguese ICUs. This study highlights some new risk factors for burnout (ethical decision making, temporary work contracts), and also protective ones (maintaining activity in other settings outside the ICU) that were not previously reported. Preventive and interventive programmes to avoid and reduce burnout syndrome are of paramount importance in the future organization of ICUs and should take the above results into account.
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