Indiana University-Purdue University Indianapolis (IUPUI) / Within the mental health field, provider burnout is widespread and associated with far-reaching negative outcomes for providers, consumers, and organizations. Over the past four decades, various burnout interventions have been tested and found to be minimally effective, leading several researchers to suggest an increased focus on targeted recruitment (i.e., targeting providers who are most likely to benefit from a particular burnout intervention approach) and/or modifications to the interventions (e.g., format and content). Accordingly, the present study examined several person-related and intervention-related variables that were hypothesized to be predictive of response to BREATHE, a burnout intervention for mental health providers. Data from four prior studies that assessed the effectiveness of the BREATHE intervention were amalgamated. For the primary analyses, hierarchical linear regression was used to determine whether the person-related and/or intervention-related variables were predictive of treatment response. Additionally, the BREATHE studies were examined to determine whether the intervention became less effective at reducing burnout with each subsequent iteration. With respect to person-related predictors of response to the BREATHE intervention, age and turnover intentions were significant. Specifically, younger participants had higher post-intervention levels of depersonalization than older participants (β = -.13, p = .023), and higher baseline intentions to turnover were associated with greater post-intervention levels of emotional exhaustion (β = .11 p = .041) and depersonalization (β = .12, p = .023). In terms of intervention-related predictors of treatment response, participants who received the BREATHE intervention in a multi-session format had higher post-treatment levels of emotional exhaustion than those who received the BREATHE intervention in a single session format (β = .13, p = .015). Notably, across these primary analyses, baseline levels of burnout (i.e., emotional exhaustion, depersonalization, and personal accomplishment) were consistently the strongest predictors of post-intervention levels of burnout. Lastly, the data suggests that the BREATHE intervention became less effective with subsequent iterations. For example, earlier BREATHE studies had larger effect sizes than more recent studies. Additionally, there was a significant difference between the studies with respect to the change in emotional exhaustion (F(3, 230) = 4.86, p = .001, η2 = .06), such that participants in the first BREATHE study had a significantly larger reduction in emotional exhaustion than participants in the three subsequent studies. The present study was the first to examine potential predictors of response to the BREATHE intervention. Although the hypotheses were not supported, the implications of these findings are discussed and suggestions for future research directions are provided.

Indiana University-Purdue University Indianapolis (IUPUI) / The restaurant industry is one of the largest in the United States, and employees within this industry deal with poor working conditions on a daily basis. Despite this, there has been a surprising dearth of research to understand the mental health needs of these workers. The aims of this study were to establish a prevalence of burnout and depression, and understand the relationships between these two outcomes with the constructs of bullying, perfectionism, and social support. To do so, restaurant workers (N=453) were recruited to complete an on-line survey. Results revealed a high prevalence of depressive symptoms and an overextended profile of burnout. Both bullying and perfectionism displayed significant positive relationships with depression and burnout, while social support demonstrated significant negative relationships with burnout and depression. When analyzed in a three-way interaction, social support failed to significantly moderate the effects of bullying and perfectionism on depression and burnout. Results indicate that depression and burnout are serious concerns among restaurant workers. Additionally, bullying and perfectionism are promising targets to consider in future research as mechanisms leading to depression and burnout among restaurant workers.

Nurse burnout and the commission of errors are two seemingly unrelated phenomena in the health care arena. Burnout was first described by Herbert J. Freudenberger in 1974 and has since been studied in many industries, including nursing. The issue of errors in health care has been a growing concern since the Institute of Medicine published the report, To Err is Human in 1999. Little research has been done to link burnout and the commission of errors. A literature review was performed to investigate these two issues. Peer-reviewed research articles were analyzed for contributing factors and effects on patient outcomes. The findings of the literature suggest that burnout and the commission of errors have many similar contributing factors, particularly in regards to work environment conditions. The conclusion from this literature review is that more research should be done to correlate burnout and error commission and that efforts should be made to improve the work environment of nurses.

Jornadas Académicas de Salud 2021. Ponente: Mg. Fernando Rivera / Las Jornadas Académicas en Salud 2021 tienen como propósito promover la actualización de los profesionales de la salud de diversas especialidades, enfatizando la atención interprofesional centrada en el paciente.

The current state of medical training and practice is not beneficial for the patients nor the physicians: the only participants profiting from the existing disconnect are the pharmaceutical companies. In regards to oncology, there are specific problems present in their field felt more deeply than other specialties. This literature review will assess the current studies regarding methods of burnout and the impact of biotechnology, specifically pharmaceutical costs and the excess of information, in the practice of oncology. Oncologists suffer from one of the highest amounts of burnout, which is stress that results from the fragile interaction between the physician and their dying patients. The involvements with people, job setting, personal characteristics, and end of life care discussions are some of the job facets that cause higher amounts of burnout. Additionally, the costs of oncological drugs and the physicians’ attempts to analyze the cost-effectiveness of treatment also add to the stress felt by oncologists. Finally, the professional duty to maintain an extensive knowledge base of recently published data has resulted in information overload. Findings suggest multiple ways to reduce burnout rates, which are discussed in length. In regards to end of life care, there are communication changes physicians can make to improve the discourse for the benefit of the patient and physician. Literature has also presented ways for oncologists to combat the cost of cancer care not only by challenging the pharmaceutical companies, but also by ensuring their treatment and test choices are backed by evidence-based data. Finally, various methods to consolidate the influx of information have been suggested in addition to teaching medical students how to assess quality in the midst of quantity. All of the examined literature investigating the aforementioned plights of physicians, with a focus on the specialty of oncology, supports the need for a change within the medical profession. Specifically, this modification to the approach of patient care and physician welfare should be addressed starting in medical school. Through the application of the suggestions in this review, physicians would be upholding the Hippocratic Oath more stringently, thus benefiting the patients and their own vocation.

Introduction & Background: Nursing burnout is caused by high stress that leads to lack of motivation. Our goal is to review the literature to evaluate the impact of nurse burnout on nursing care. Purpose Statement & Research Question: The purpose of this literature review was to find the impact on nursing care in response to nursing burnout. Literature Review: These articles were derived from a variety of databases, including PubMed, JSTOR and CINHAL from the last 5 years by entering search criteria such as: “nursing burnout impact on patient care,” “nursing burnout”, “registered nurses”, “effects of burnout”, “consequences”, “turnover,” “nursing fatigue,” “registered nurse overtime,” and “causes burnout in the nursing profession” with a peer reviewed filter. Our group analyzed 8 of these articles. Findings: Nurse burnout has been shown to increase registered nurse turnover rates, poor job performance, and threats to patient safety. Articles also showed that burnout caused strained personal relationships, poor level of patient care, patient dissatisfaction, an increased number of medical errors, higher infection rates, patient falls, pressure ulcers, critical incidents, quality of care, patient readmissions, and higher mortality rates. The authors proposed solutions that focused on managing stress through lower nurse-patient ratios and mental health improvement sessions to lower burnout and nursing fatigue. Conclusions & Nursing Implications: The main conclusion reached in all the studies was that nursing burnout is growing and negatively impacting patient care. An example of a limitation found in the studies was not gathering evidence during an extended time.

The theoretical part deals with key issues of burnout - a definition, phase of syndrome, diagnostic classification, prevention, and mainly deals with the description of the methods by which the level of burnout is detected. Now probably the most common diagnostic tools are the MBI (Maslach Burnout Inventory) and its derivatives (eg. MBI-General Survey), but there are many other methods, such as developed by Israeli and European psychologists (BoTeLis, OLBI, CBI, MBS, etc.). The goal is to assemble a relatively complete overview of these diagnostic tools.In the empirical part, is to verify the psychometric properties of Czech version of the selected methods on a set of population, describe and analyze their characteristics.

El Síndrome de Burnout constituye uno de los daños laborales de carácter psicosocial más importantes en la sociedad actual. El ritmo de vida, la transformación de la estructura económica, las exigencias en el trabajo y los costos que este síndrome supone para las personas y las organizaciones, han despertado el interés en conocer y tomar medidas para prevenirlo. En el caso de la odontología, parece ser que son los profesionales de la salud con mayor prevalencia de este síndrome. Para ello, una detección temprana del problema puede ayudar a que no se vea afectada su salud y su vida familiar y laboral. / Burnout syndrome is one of the most important psychosocial work injuries in today's society. The pace of life, the transformation of the economic structure, the demands at work and the costs that this syndrome poses for people and organizations have raised interest in learning and take steps to prevent it. In the case of dentistry, it seems that are health professionals with higher prevalence of this syndrome. To do this, an early problem detection can help not affected their health and family life and work.

A Síndrome de Burnout, definida por Maslach e Jackson, é decorrente do estresse crônico ligado ao trabalho, acarretando em prejuízo na realização da atividade laboral, nos meios profissional, familiar e social e, consequentemente na qualidade de vida do trabalhador. Burnout é muito comum em profissionais que mantém contato direto com as pessoas, como é o caso dos profissionais da área da saúde, incluindo os cirurgiões-dentistas, os quais estão constantemente expostos à situações desafiadoras, como a sobrecarga de trabalho, os riscos físicos, químicos e biológicos do ambiente ocupacional, as relações de trabalho entre profissional/paciente e profissional/equipe odontológica, bem como as dificuldades de organização do processo de trabalho. Compreender o processo que envolve o desenvolvimento de Burnout e os determinantes biopsicossociais envolvidos é importante para evitar o surgimento ou minimizar os efeitos desse transtorno mental. No Brasil, ainda são escassos os estudos que relacionam a Síndrome de Burnout e Odontologia, quando comparados àqueles publicados em outros países, e assim, o objetivo do presente trabalho foi conhecer os níveis de Burnout de cirurgiões-dentistas da rede pública de saúde do município de Embú das Artes - São Paulo, Brasil por meio da aplicação da versão brasileira do instrumento denominado Inventário de Burnout de Copenhagen (CBI). O CBI é uma das ferramentas disponíveis para estimar preditivos da Síndrome, que contém dezenove questões distribuídas nas dimensões Burnout pessoal, Burnout relacionado ao trabalho e Burnout relacionado ao paciente, que utiliza-se da escala Likert com pontuação que varia de 0 a 100 (nunca, raramente, algumas vezes, frequentemente, sempre ) para avaliar as respostas. Trata-se de um estudo quantitativo e transversal, cujos sujeitos da pesquisa foram todos os 35 cirurgiões-dentistas que atuam no serviço público do município de Embu das Artes/SP, Brasil, para os quais foi aplicado um instrumento de perfil sociodemográfico e de formação técnico-científica, que continha questões relativas à idade, gênero, local de moradia e graduação, renda declarada, tipo de especialização ou aperfeiçoamento, carga horária de trabalho, tempo de experiência profissional, tempo de férias, prática de atividade física e o pensamento em mudar de profissão. A seguir, essas variáveis foram associadas com cada uma das questões do CBI. Para o CBI, agrupou-se as respostas em categoria zero (0) para os itens relativos aos escores 0, 25 e 50% respectivamente, considerando esses os níveis mais baixos e categoria hum (1) para os itens relativos aos escores 75 e 100%, respectivamente, considerando esses os níveis mais altos. Os dados foram analisados por meio do Programa Epiinfo versão 7.1.5. Epi Info(TM) e utilizou-se os testes de associação pelo qui-quadrado não corrigido e Fisher. Foram encontrados níveis de Burnout elevados, para aqueles participantes do estudo que estavam na categoria 1 (escore 75 e100%), na proporção de 31,9% para a dimensão pessoal, 37,96% para a dimensão relacionada ao trabalho, e 25,71% para a dimensão relacionada ao paciente. A média das três dimensões de Burnout foi 48,35, com desvio padrão de 19,70. Nesse estudo, as variáveis de exposição relacionadas ao Burnout, foram: o pensamento em mudar de profissão, a idade e a pós-graduação em saúde coletiva. Pode-se observar que existem fatores peculiares do exercício da Odontologia que podem desencadear Burnout. Sugere-se que novas pesquisas sejam realizadas com essa categoria ocupacional, e que os resultados advindos desses estudos possam contribuir na elaboração de estratégias para o enfrentamento da Síndrome de Burnout. / Burnout syndrome, defined by Maslach and Jackson, is the result of chronic stress on the job, resulting in loss in the realization of labor activity in the professional, family and social environment and consequently the worker\'s quality of life. Burnout is very common in professional who has direct contact with the people, as is the case of health professionals, including dentists, who are constantly exposed to challenging situations, such as work overload, physical risks, chemical and biological occupational environment, working relationships between professional / patient and professional / dental staff, as well as organizational difficulties of the work process. Understanding the process that involves the development of Burnout and involved social determinants is important to prevent the appearance or minimize the effects of mental disorder. In Brazil, there are few studies that relate the Burnout and Dentistry syndrome, compared to those published in other countries, and thus, the objective of this study was to know the levels of burnout of public dentists of municipal health of Embu das Artes - São Paulo, Brazil through the application of the Brazilian version of the instrument called Burnout Inventory of Copenhagen (CBI). The CBI is one of the tools available to estimate predictive Syndrome, which contains nineteen questions distributed in the dimensions personal Burnout, Burnout related to work and Burnout related to the patient, who used the Likert scale with scores ranging from 0 to 100 (never rarely, sometimes, often, always) to evaluate the responses. This is a quantitative and cross-sectional study, whose subjects were all 35 dentists working in the public service of the town of Embu das Artes / SP, Brazil, for which an instrument of socio-demographic profile and training was applied technical-scientific, which contained questions relating to age, gender, place of residence and graduation, declared income, type of specialization or improvement, working hours, work experience time, vacation time, physical activity and thought in change profession. Next, these variables were associated with each of the questions of the CBI. For the CBI, has grouped the responses in category zero (0) for items related to the scores 0, 25 and 50% respectively, considering these the lowest and category hum levels (1) for items related to the scores 75 and 100 % respectively, considering these higher levels. Data were analyzed using the program Epi Info version 7.1.5. Epi Info (TM) and used the association test by chi-square and Fisher uncorrected. Burnout high levels were found for those study participants who were in category 1 (score 75 and 100%) in the proportion of 31.9% for the personal dimension, 37.96% for work-related dimension, 25, 71% for the dimension related to the patient. The average of the three dimensions of Burnout was 48.35 with a standard deviation of 19.70. In this study, exposure variables related to Burnout, were thinking of changing profession, age and a graduate degree in public health. It can be observed that there are unique factors in the practice of dentistry that can trigger Burnout. It is suggested that further research be conducted with this occupational category, and that the results from these studies can contribute to the development of strategies for coping with burnout syndrome.

Este estudo teve por objetivo avaliar aspectos da saúde e do trabalho de professores da rede pública da cidade de São Paulo, usuários do Hospital do Servidor Público Municipal. A síndrome de burnout, ou síndrome de esgotamento profissional, foi considerada como risco ocupacional nessa categoria. Não encontramos outros estudos utilizando instrumento para avaliação de burnout em professores do município. Participaram da pesquisa 76 docentes com indicação de tratamento psicológico. A investigação consistiu na aplicação de inventários para avaliação de burnout: Maslach Burnout Inventory (MBI) e Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo (CESQT); aplicação de questionário sociodemográfico e ocupacional e entrevista semiestruturada. Foram realizadas análises estatísticas sendo encontrada associação entre o número de alunos atendidos e a situação funcional e também associação entre o sentimento de realização profissional e: acústica, ruído, poeira, limpeza da sala de aula, número de alunos atendidos, incômodo com os alunos, incômodo com os pais e duração da licença médica. 33,96 por cento dos medicamentos em uso regular estavam relacionados à síndrome metabólica e 30,82 por cento a transtornos psiquiátricos. A avaliação dos participantes de que seus problemas de saúde tinham relação com o trabalho mostrou associação com: ter sofrido agressão dentro da escola; conhecer outras vítimas de agressão; duração da licença médica; e número de alunos atendidos. 51,32 por cento referiram ter sofrido agressão dentro da escola no último ano. 78,95 por cento relataram agressão sofrida por outras pessoas (sendo 81,67 por cento outros professores) no mesmo período. A apuração do MBI apontou nível alto de burnout em pelo menos uma escala em 76,31 por cento da amostra. A apuração do CESQT apontou burnout em 85,52 por cento dos participantes. Os resultados dos testes psicológicos apresentaram concordância (p<0,001). O MBI mostrou associação com 19 variáveis sociodemográficas e o CESQT com 11 delas, indicando que aspectos do contexto de trabalho estão relacionados ao burnout apurado por meio dos inventários. Consideramos que a democratização do ensino e a proposta da aprendizagem em ciclos transformaram o modelo educacional, trazendo benefícios, porém seriam necessários mais investimentos, bem como a adequação de 6 aspectos como: número de alunos atendidos diariamente, educação continuada dos profissionais e estímulos ao apoio mútuo entre professores, coordenadores pedagógicos e diretores de escola. / This study aimed at evaluating aspects of health and work of public school teachers from the city of São Paulo, users of the Hospital do Servidor Público Municipal (Municipal Public Servant Hospital). Burnout syndrome was considered as an occupational risk in this category. We did not find other studies using instrument for assessing burnout in teachers of the municipality. 76 teachers with indication for psychological treatment participated in the survey. The investigation consisted of the application of inventories for assessment of burnout: Maslach Burnout Inventory (MBI) and Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo (CESQT); application of socio-demographic and occupational questionnaire and semi-structured interviews. Statistical analyzes were performed and association was found between the number of students served and the functional condition and also association between feeling of job satisfaction and: acoustic, noise, dust, classroom cleanliness, number of students served, annoyance by students, annoyance by parents, and duration of sick leave. 33.96 per cent of the drugs in regular use were related to metabolic syndrome and 30.82 per cent to psychiatric disorders. The participants\' assessment that their health problems were related to work was associated with: having suffered physical aggression within the school; knowledge of other victims of aggression; duration of sick leave; and number of students served. 51.32 per cent reported having experienced physical aggression within the school in the last year. 78.95 per cent reported physical aggression suffered by other persons (being 81.67 per cent other teachers) in the same period. The calculation of the MBI showed high level of burnout in at least one scale in 76.31 per cent of the sample. The calculation of the CESQT pointed burnout in 85.52 per cent of the participants. The results of the psychological tests agreed to each other (p <0.001). The MBI was associated with 19 socio-demographic variables and the CESQT with 11 of them, suggesting that aspects of the workplace are related to burnout according to the inventories. We considered that the democratization of education and the proposal of learning cycles have transformed the educational model, bringing benefits, but more investments are needed, as well as the adequacy of aspects as: number of students served daily, continuing professional education and 8 incentives to mutual support between teachers, pedagogical coordinators and school principals.