Factors associated with burnout syndrome in nursing assistants

Authors

DOI:

https://doi.org/10.22267/rus.212302.223

Keywords:

Burnout, psychological, Nursing assistants, Case-control studies, Logistic models

Abstract

Introduction: The Burnout syndrome is understood as a low resilience to face work stress. Objective: To identify factors and constructs associated with Burnout and its overall prevalence in nursing assistants in a reference hospital of medium and high complexity level from Colombia. Materials and methods: A case-control study was conducted on 183 nursing assistants from a hospital. The Maslach instrument and Log-Binomial regression were used to identify associated factors, determining their Odds Ratios (OR). Results: The factors found associated with Burnout that increase its probability of occurrence are: working more than 48 hours a week (OR=1.02 (1.01-1.05) 90% CI) and feeling negatively about the work being done (OR=3.87 (1.18-10.71)). However, sleeping 7 or more hours a day reduces such probability (OR=0.70 (0.53-0.91)). The total Burnout prevalence was 44.7%, the main causes being personal fatigue (11.8%), depersonalization (14.9%), and poor personal fulfillment (47.81%). Conclusions:  Associated factors, such as not getting enough sleep and feeling negatively about the work being done, increase the probability to develop Burnout, while this probability decreases by sleeping 7 or more hours a day. These findings will facilitate the implementation of institutional control measures.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biography

Gustavo Bergonzoli, Grupo de Gestión del Conocimiento e Innovación (GECOI) del Hospital Tomas Uribe Uribe. Tuluá, Valle.

Doctor graduated from Universidad del Valle, public health specialist at the School of Public Health of the Universidad del Valle and master's degree in Public Health Sciences from the University of Alabama at Birmingham, United States. Professor at the School of Public Health of the Universidad del Valle in Cali, Universidad Libre de cali, the Central University of Costa Rica, the University of San Carlos in Guatemala and the Central and Carabobo University in Venezuela. Author of several publications and scientific books. Civic Medal granted by the prefecture of the municipality of Guarulhos, Sao Paulo, Brazil; in recognition of the technical-scientific contribution for the development of the healthy municipalities initiative. Brazil, 2010. Santiago Rengifo Salcedo Medal, in its highest category, granted by the Ministry of Health of the department of Valle del Cauca. Cali, 2014.
Pan American Health Organization-World Health Organization (PAHO / WHO), consultant in Costa Rica, Guatemala, Venezuela, Mexico and Brazil. 1992-2009. ( Retired).
Coordinator of the Higher Education and Research Group (ESI) of the ESE Tomas Uribe Urbe Departmental Hospital (HDTUUU) of Tuluá, Valle del Cauca. 2016 to date. investigacion@hospitaltomasuribe.gov.co



References

Organizacion Internacional del Trabajo. Estres en el trabajo: Un reto colectivo. Servicio de administración del trabajo, Inspección del trabajo y seguridad y Salud en el trabajo. Ginebra: Organización Internacional del Trabajo (OIT); 2016. 62 p. ISBN 978-92-2-330641-0

Bailey DS. Burnout harms workers’ physical health through many pathways. [Internet]. American Psychological Association. 2006[cited 2018 Jul 3];37(7):11. Available from: http://www.apa.org/monitor/jun06/burnout

Nguyen NS, Métraux EL, Morris-Singer AF. Combating Clinician Burnout with Community-Building. NEJM Catal Innov Care Deliv. 2018. Available from: https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0124

Adriaenssens J, De Gucht V, Maes S. Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. Int J Nurs Stud. 2015;52(2):649–61. doi: 10.1016/j.ijnurstu.2014.11.004.

Cañadas-De la Fuente GA, Vargas C, San Luis C, García I, Cañadas GR, De la Fuente EI. Risk factors and prevalence of burnout syndrome in the nursing profession. Int J Nurs Stud. 2015;52(1):240–9. doi: 10.1016/j.ijnurstu.2014.07.001.

Vargas C, Cañadas GA, Aguayo R, Fernández R, De la Fuente EI. Which occupational risk factors are associated with burnout in nursing? A meta-analytic study. Int J Clin Heal Psychol [Internet]. 2014;14(1):28–38. Available from: http://dx.doi.org/10.1016/S1697-2600(14)70034-1

EU-OSHA. Calculating the cost of work-related stress and psychosocial risks [Internet]. Www.Healthy-Workplaces.Eu. 2014. 0–41 p. Available from: https://osha.europa.eu/en/publications/literature_reviews/calculating-the-cost-of-work-related-stress-and-psychosocial-risks/view

ICD-11 - Mortality and Morbidity Statistics [Internet]. [cited 2018 Jul 1]. Available from: https://icd.who.int/browse11/l-m/en

Schaufeli W, De Witte H, Desart S. Burnout Assessment Tool (BAT)—Development, Validity, and Reliability. Int. J. Environ. Res. Public Health. 2020;17(24):9495. doi:10.3390/ijerph17249495.

Lee H-F, Kuo H-T, Chang C-L, Hsu C-C, Chien T-W. Determining Cutting Points of the Maslach Burnout Inventory for Nurses to Measure Their Level of Burnout Online. Hist Res [Internet]. 2017;5(1):1–8. Available from: https://doi.org/10.11648/j.history.20170501.11.

Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981;2(2):99–113. doi: 10.1002/job.4030020205.

Córdoba L, Tamayo JA, González MA, Martínez MI, Rosales A, Barbato SH. Adaptation and validation of the Maslach Burnout Inventory-Human Services Survey in Cali, Colombia. Colomb Med. 2011;42(3):286–93. Available from: https://doi.org/10.25100/cm.v42i3.874

IBM Corp. IBM SPSS Statistics for Windows. Version 24.0. Armonk, NY: IBM Corp; 2016. Available from: https://www.ibm.com/support/pages/how-cite-ibm-spss-statistics-or-earlier-versions-spss

Hosmer D, Lemeshow S. Applied Logistic Regression. New York: John Wiley & Sons; 1989. ISBN 0-471-61553-6. Available from: http://resource.heartonline.cn/20150528/1_3kOQSTg.pdf

Kleinbaum DG. Logistic regression: A self-Learning Text. Statistics in the Health Sciences. New York: Springer; 1992. ISBN 0-387-941428

Rippstein-Leuenberger K, Mauthner O, Sexton JB, Schwendimann R. A qualitative analysis of the Three Good Things intervention in healthcare workers. BMJ Open. 2017;7(5):e015826. doi: 10.1136/bmjopen-2017-015826.

Innstrand ST, Christensen M. The Workplace as a setting: Health Promotion in the Workplace: Siw Tone Innstrand. Eur J Public Health [Internet]. 2015;25(Suppl 3). Available from: https://doi.org/10.1093/eurpub/ckv169.067

Ladher N. Shining a light on burnout. BMJ. 2017;358:3609. Available from: https://doi.org/10.1136/bmj.j3609

Saborío Morales L, Hidalgo Murillo LF. Síndrome de Burnout. Medicina Legal de Costa Rica. 2015;32(1):119–24. On-line version ISSN 2215-5287Print version ISSN 1409-0015. Available from: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-00152015000100014&lng=en

Dall’Ora C, Griffiths P, Ball J, Simon M, Aiken LH. Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: Findings from a cross-sectional study of 12 European countries. BMJ Open. 2015;5(9):e008331. Available from: https://doi.org/10.1136/bmjopen-2015-008331

Fajardo Zapata ÁL. Síndrome de burnout en auxiliares de enfermería. Inclusión Y Desarrollo. 2015;2(2):62–8. ISSN-2389-7341. Available from: https://doi.org/10.26620/uniminuto.inclusion.2.2.2015.62-68

Alba Martín R. Burnout en enfermería: prevalencia y factores relacionados en el medio hospitalario. Rev Científica la Soc Española Enfermería Neurológica [Internet]. 2015;41(1):9–14. Available from: http://www.sciencedirect.com/science/article/pii/S2013524615000045

Gomez-Garcia T, Ruzafa-Martinez M, Fuentelsaz-Gallego C, Madrid JA, Rol MA, Martinez-Madrid MJ, et al. Nurses’ sleep quality, work environment and quality of care in the Spanish National Health System: Observational study among different shifts. BMJ Open. 2016;6(8):e012073. doi: 10.1136/bmjopen-2016-012073.

Metlaine A, Sauvet F, Gomez-Merino D, Elbaz M, Delafosse JY, Leger D, et al. Association between insomnia symptoms, job strain and burnout syndrome: A cross-sectional survey of 1300 financial workers. BMJ Open. 2017;7(1):e012816. Available from: https://doi.org/10.1136/bmjopen-2016-012816

Gómez-García T, Ruzafa-Martínez M, Fuentelsaz-Gallego C, et al. Nurses’ sleep quality, work environment, and quality of care in the Spanish National Health System: observational study among different shifts. BMJ Open 2016;6:e012073. doi: 10.1136/bmjopen-2016-012073

Lu Y, Hu XM, Huang XL, Zhuang XD, Guo P, Feng LF, et al. The relationship between job satisfaction, work stress, work-family conflict, and turnover intention among physicians in Guangdong, China: A cross-sectional study. BMJ Open. 2017;7(5):e014894. doi:10.1136/bmjopen-2016-014894.

Chou LP, Li CY, Hu SC. Job stress and burnout in hospital employees: Comparisons of different medical professions in a regional hospital in Taiwan. BMJ Open. 2014;4(2):e004185. doi: 10.1136/bmjopen-2013-004185.

Hinnenthal IM, Anselmo R, Delfino E, Messina G, Ricciardi W, Vaccaro D, et al. Burn-out and correlated factors of nurses and health care workers in 23 nursing homes in Liguria (Italy): Ina Maria Hinnenthal. Eur J Public Health. 2014;24(Suppl 2). doi:10.1093/eurpub/cku166.114.

National Academies of Sciences, Engineering, and Medicine. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being [Internet]. Washington, DC: The National Academies Press; 2019. Available from: https://www.nap.edu/catalog/25521/taking-action-against-clinician-burnout-a-systems-approach-to-professional

Bergonzoli G. Epidemiologia y Estadistica: 1001 preguntas. lo que no se atrevio preguntar, pero siempre quiso saber. Cimpretics. Santiago de Calli, 2019. ISBN 978-958-48-6059-0

Kleinbaum DG, Kupper LL, Muller KE, Nizam A. Applied Regression Analysis and Other Multivariable Methods. 1988. Wadsworth Publishing Company. ISBN 0-97150-123-6

Rencher AC. Methods of Multivariate Analysis. Second Edition. John Willey & Sons, editor. New York: Inc. Publication; 2002. ISBN: 978-0-471-46172-2. Available from: https://www.ipen.br/biblioteca/slr/cel/0241

Downloads

Published

2021-04-30

How to Cite

1.
Bergonzoli G, Jaramillo-López C, Delgado-Grijalba D, Duque F, Vivas G, Tinoco-Zapata FJ. Factors associated with burnout syndrome in nursing assistants. Univ. Salud [Internet]. 2021Apr.30 [cited 2024Nov.21];23(2):120-8. Available from: https://revistas.udenar.edu.co/index.php/usalud/article/view/4521

Issue

Vol. 23 No. 2 (2021)

Section

Scientific and technological research article

Most read articles by the same author(s)