Made available in DSpace on 2015-12-10T14:22:27Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-01-27. Added 1 bitstream(s) on 2015-12-10T14:28:34Z : No. of bitstreams: 1 000851146.pdf: 371877 bytes, checksum: 962ddc2b1679eba33738b2a43e69a898 (MD5) / Introdução: A Síndrome de burnout (SB) é a principal consequência do estresse profissional caracterizada pela exaustão emocional, redução da realização pessoal e despersonalização. Atinge com maior incidência os profissionais da saúde. Objetivos: Verificar a presença da Síndrome de burnout entre profissionais da área de Enfermagem nas Unidades de Terapia Intensiva de um Hospital Universitário e a existência de associação com o consumo de álcool e tabaco. Metodologia: Participaram 160 profissionais de Enfermagem de 04 Unidades de Terapia Intensiva de um Hospital Universitário, no período de Março de 2013 a Fevereiro de 2014. Utilizou-se um questionário estruturado, acrescido da história tabágica, Maslach Burnout Inventory, Alcohol Use Disorders Identification Test (AUDIT), Questionário de Dependência de Fagerström (QDF) e a mensuração do monóxido de carbono. Para as associações entre as variáveis categorizadas utilizou-se o teste qui-quadrado ou exato de Fisher. Resultados: A SB foi diagnosticada em 34 profissionais (04 Auxiliares, 22 Técnicos e 08 Enfermeiros) sendo a maioria do sexo feminino, casados e adultos jovens. 18 profissionais se declararam fumantes (01 auxiliar de Enfermagem, 12 Técnicos de Enfermagem e 05 Enfermeiros). 6,4% dos Auxiliares de Enfermagem, 50% Técnico de Enfermagem e 71,4% Enfermeiros bebiam moderado; 5,4% Auxiliar de Enfermagem e 14,3% Enfermeiros apresentaram padrão de beber de risco e somente 01 Técnico de Enfermagem possuía possível dependência de álcool. A SB se associou positivamente com tabagismo na UTI Adulto (p=0,0406). Considerações finais: A prevalência da SB, a ocorrência das dimensões da síndrome isoladamente, o consumo de álcool e tabaco mostrado pelos resultados deste trabalho sugerem que os serviços de Terapia Intensiva do Hospital das Clínicas de Botucatu necessitam de intervenções dos gestores dos serviços com a finalidade de cuidar da saúde dos... / Introduction: Introduction: The burnout syndrome (BS) is the main result of professional stress characterized by emotional exhaustion, reduced personal accomplishment and depersonalization. It reaches with higher incidence healthcare professionals. Objectives: To determine the presence of burnout syndrome among professionals in the field of Nursing in the Intensive Care Unit in a university hospital and a possible association with consumption of alcohol and tobacco. Methodology: Participants were 160 nursing professionals from 04 intensive care unit of a university hospital in the period from March 2013 to February 2014. We used a structured questionnaire, plus the smoking history, Maslach Burnout Inventory, Alcohol Use Disorders Identification Test (AUDIT), Fagerström Dependence Questionnaire (QDF) and the measurement of carbon monoxide. For associations between categorical variables, we used Fisher's chi-square or Fisher exact test. Results: The SB was diagnosed in 34 workers (04 Auxiliary, 22 technicians and 08 nurses) most of them female, married and young adults. 18 professionals reported being smokers (01 Auxiliary Nursing, 12 nursing technicians and 05 nurses). 6.4% of Nursing Assistants, 50% Practical Nurses and Nurses 71.4% drank moderate; 5.4% Nursing Assistant and 14.3% Nurses scored default risk drinking and only 01 Practical Nurses had possible alcohol dependence. The SB was positively associated with smoking in adult ICU (p = 0.0406). Final considerations: The prevalence of SB, the occurrence of the dimensions of isolation syndrome, alcohol consumption and tobacco shown by the results of this study suggest that therapy services Botucatu Clinical Hospital intensive need interventions of managers of services for the purpose of caring for the health of their caregivers

CAPES / O objetivo do presente estudo consiste em analisar a relação entre a atividade física no lazer e as dimensões da síndrome de burnout em trabalhadores da indústria. Utilizou-se para a caracterização da amostra um questionário estruturado contendo idade, gênero, estado civil, percepção de saúde e nível de escolaridade. A mensuração do risco de burnout foi realizada utilizando o Maslach Burnout Inventory – General Survey (MBI-GS) e o nível de atividade física no lazer, ocupacional e de locomoção foi realizado por meio do questionário de atividade física habitual de Baecke. Participaram da pesquisa 150 funcionários do gênero masculino com predomínio de indivíduos na faixa etária de 20 a 29 anos, que estudaram o ensino médio completo, casados e com percepção de saúde excelente/muito boa. Os resultados indicaram um risco moderado de desenvolver a síndrome de burnout nas três dimensões e uma situação pouco favorável quanto a prática de atividade física. As dimensões de burnout não apresentaram diferença estatisticamente significativa para as características individuais, entretanto houve diferença para a percepção de saúde quando relacionadas à atividade física ocupacional, exercício físico no lazer e escore total de atividade física, e para a variável escolaridade quando relacionada a exercício físico no lazer e escore total de atividade física. A relação entre as dimensões da atividade física e as dimensões da síndrome de burnout, mostrou uma correlação significativa positiva entre atividade física ocupacional e exaustão emocional e negativa entre despersonalização e exercício físico no lazer. Conclui-se que quanto mais atividade física os trabalhadores executam no momento de trabalho, maior exaustão emocional ele apresentará, e quanto mais exercício o trabalhador realizar em seus momentos de lazer, menor o risco de que ele desenvolva a síndrome de burnout, especificamente na dimensão despersonalização. Sendo assim, sugerem-se novos estudos que relacionem a síndrome de burnout e a atividade física em diversos domínios, principalmente a realizada no lazer em diversas classes trabalhadoras, principalmente a industrial, a fim de buscar preencher a lacuna que existe na literatura acerca desse tema, pois trata-se de uma discussão importante no que se refere à saúde e qualidade de vida do trabalhador. / The aim of this study is to examine the relationship between physical activity during leisure time and dimensions of burnout syndrome among industrial workers. Was used to characterize the sample a structured questionnaire with age, gender, marital status, health perception and educational level. Measuring the risk of burnout was performed using the Maslach Burnout Inventory - General Survey (MBI-GS) and the level of physical activity during leisure time, occupational and commuting was conducted through the questionnaire on habitual physical activity Baecke. The participants were 150 male employees with a predominance of individuals aged 20-29 years who have studied the complete high school, married and with a perception of excellent health / very good. The results indicated a moderate risk of developing burnout syndrome in three dimensions and a less favorable situation as the practice of physical activity. The dimensions of burnout showed no statistically significant differences for individual characteristics, however statistically significant difference in the perception of health as they relate to occupational physical activity, physical exercise in leisure and total score of physical activity, and for the variable schooling when related to exercise physical leisure and total score of physical activity. The relationship between the dimensions of physical activity and the dimensions of burnout syndrome, showed a significant positive correlation between occupational physical activity and emotional exhaustion and negative between depersonalization and exercise play. It follows that the more physical activity workers perform when you work, the greater emotional exhaustion he will, and the more exercise the worker held in their leisure time, the lower the risk that it develops the burnout syndrome, specifically the dimension depersonalization. Therefore, we suggest new studies that relate to burnout and physical activity in various fields, mainly held at leisure in various working classes, especially the industrial, in order to seek to bridge the gap that exists in the literature on this topic because this is an important discussion with regard to the health and quality of worker's life.

The diploma thesis is divided into two parts. The first one is focused on burn-out syndrome charakteristic in generally. The second part is concentrated on priest´s life - with specific aspects of stress tolerance sources and supports being include. This second part is further divided into two chapters. In the first one is the problems being interpreted theoretically. The second chapter is mainly focused on my own research. In this part I wanted to find out the attitude of those ones, who are touched and involved the most - the priests.

With growing number of old and sick people, the demands on the economically active part of population are increasing from moral, financial and social points of view. Family care for old and sick people is not so self-evident as in former times any more; professionals speak about diversion from family. Family plays unsubstitutable role in every human's life. Since time out of mind, institutional care has been existing in the society, but it turns out that it is not the best solution for one{\crq}s declining years. The goal of the work was to ascertain the attitude to family care in 4 population groups; students of the Faculty of Health and Social Studies as future professionals on social issue, students of the Faculty of Economics as their counterparts, employees of a seniors{\crq} home who are in daily contact with the infirm, and a group of lay public in the age in which they will have to deal with the relevant issue participated in the questionnaire investigation. The work used the method of analysis of documents using the technique of secondary data analysis and the quantitative method of questioning using the questionnaire technique. The results of the investigation showed that the study of different fields at different faculties leads to different students{\crq} attitude to family care. They showed further that the employees of the seniors{\crq} home are not unambiguously convinced that institutional care is the best solution of care for seniors. The hypothesis of the research was the statement that the public inclines to family care from the point of view of life reality. This statement was confirmed. The attitude to family care was ascertained in all the groups questioned, so the goals of the work were met. Although the present society progresses very quickly and lays higher and higher demands on individuals, there are still a lot of such persons among us who do not shrink away from the demandingness of care in family circle, because it is normal in life to give care twice and to accept it twice.

Dissertação(mestrado) - Universidade Federal do Rio Grande, Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, 2009. / Submitted by eloisa silva (eloisa1_silva@yahoo.com.br) on 2012-12-07T15:53:37Z No. of bitstreams: 1 grazieledalmolin.pdf: 981219 bytes, checksum: f09576db8d0ef1f52b105a69863c7eab (MD5) / Approved for entry into archive by Bruna Vieira(bruninha_vieira@ibest.com.br) on 2012-12-09T23:39:41Z (GMT) No. of bitstreams: 1 grazieledalmolin.pdf: 981219 bytes, checksum: f09576db8d0ef1f52b105a69863c7eab (MD5) / Made available in DSpace on 2012-12-09T23:39:41Z (GMT). No. of bitstreams: 1 grazieledalmolin.pdf: 981219 bytes, checksum: f09576db8d0ef1f52b105a69863c7eab (MD5) Previous issue date: 2009 / O cotidiano da enfermagem, freqüentemente, é permeado por situações conflituosas, as quais se constituem em fonte de dilemas morais e sofrimento moral para as enfermeiras. Dessa forma, apresentou-se como objetivo geral conhecer a produção científica acerca do sofrimento moral na enfermagem, na literatura científica nacional e internacional publicada nos últimos 10 anos; e como objetivos específicos: conhecer as implicações do sofrimento moral para a vida das enfermeiras; identificar aproximações entre as manifestações de sofrimento moral e burnout; e, conhecer as possíveis estratégias de enfrentamento do sofrimento moral. A metodologia utilizada foi a revisão integrativa, realizada em cinco fases: formulação e identificação do problema; coleta de dados; avaliação dos dados; análise e interpretação dos dados coletados; e, apresentação dos dados. Para a coleta de dados, utilizou-se as palavras-chave: sofrimento moral, burnout e enfermagem, nas bases de dados da CINAHL, MEDLINE e SAGE, tendo sido selecionados um total de vinte e um artigos, submetidos à análise, realizada em quatro etapas: redução dos dados com sua organização em subgrupos; visualização dos dados, em que os dados foram agrupados em quadros de exibição, explicitando os mais relevantes de acordo com o problema de pesquisa; comparação dos dados, quando foram analisados os quadros de visualização dos dados, identificando temas e relações; e, verificação e esboço da conclusão, em que foram elaboradas graduais generalizações para cada subgrupo analisado, ou os dados foram categorizados e resumidos de maneira integrada. Dessa forma, após a análise de dados, foram construídas duas categorias: 1) O Sofrimento Moral na Enfermagem, com sua associação, principalmente, à prestação de cuidados fúteis, a questões organizacionais e, aos diferentes ambientes de atuação das enfermeiras e aos tipos de pacientes cuidados; e, 2) Implicações do Sofrimento Moral para a vida das enfermeiras e aproximações com o burnout, na qual foram identificadas manifestações emocionais, como frustração, impotência, culpa, raiva, ressentimentos, humilhações, vergonha, tristeza, angústia, ansiedade, medo, insegurança e depressão; e manifestações físicas, como dores de cabeça, perda do sono, pesadelos, crises de choro, taquicardia, dores musculares, suores, tremores, distúrbios gastrointestinais e estresse, numa aproximação com o burnout. As estratégias de prevenção e enfrentamento do sofrimento moral focaram-se nas dimensões educativa, comunicativa e organizacional. Parece evidente a necessidade de desenvolvimento de alternativas e estratégias que possibilitem modificações nos ambientes de atuação das enfermeiras, tanto nas questões éticas e organizacionais, como na educação em enfermagem e na implementação de novas pesquisas sobre a temática, para que estas profissionais possam atuar de um modo mais autônomo, expressando seus valores e saberes, em defesa dos valores profissionais e dos direitos dos pacientes. / The daily routine of nursing is frequently permeated by conflicting situations, which are constituted of sources of moral dilemmas and moral distress for nurses. This way, the general objective was to analyse the scientific production of the national and international scientific literature published in the last 10 years that concerns moral distress in nursing work; and the specific objectives were: to get familiar with the implications of the moral distress for the nurses' life; to identify similarities between the manifestations of moral distress and burn-out; and, to determine the possible strategies to face moral distress. The research method was the integrative review, which has been accomplished in five phases: formulation and identification of the problem; data collection; data evaluation; analysis and interpretation of the collected data; and, presentation of the data. For the data collection, it has been used the following keywords in CINAHL, MEDLINE and SAGE databases: moral suffering, burn-out, and nursing. A total of twenty-one articles has been selected, and submitted to the analysis, which has been carried out in four stages: reduction of the data with its organization in subgroups; visualization of the data, in which the data were set in exhibition pictures, pointing out the most relevant ones according to the research problem; comparison of the data, when the data visualization pictures were analysed, identifying themes and relations; and, verification and conclusion sketch, in which gradual generalizations have been elaborated for each analyzed subgroup, or the data have been classified and summarized in an integrated way. This way, two categories were built after the data analysis: 1) Moral Distress in Nursing, with its association, mainly, to the rendering of futile cares, to organizational issues and, to the nurses' various performance atmospheres, and the types of patients being looked after; and, 2) Implications of Moral Distress for nurses' life and similarities with burn-out, in the which it has been identified emotional manifestations such as frustration, impotence, guilt, rage, resentments, humiliations, shame, sadness, anguish, anxiety, fear, insecurity, and depression; and physical manifestations such as headaches, loss of the sleep, nightmares, crying fits, palpitation, muscular pains, perspirations, tremors, gastrointestinal disturbances, and stress, in a close relation to burn-out. The strategies for preventing and facing the moral distress focused in the educational, communicative and organizational dimensions. It seems to be evident the need of development of alternatives and strategies that enable modifications in the environment of the nurses' performance, not only in the ethical and organizational issues, but also in the nursing education and in the implementation of new researches on the theme, so that these professionals can work in a more autonomous way, expressing their values and knowledge, in defence of the professional values and of the patients' rights. / La práctica de la enfermería frecuentemente, está atravesada por situaciones de conflicto, que constituyen una fuente de dilemas morales y sufrimiento moral para las enfermeras. Así, presentó como objetivo general el conocimiento científico sobre el sufrimiento moral en la enfermería, en la literatura científica nacional e internacionalmente publicada en los últimos 10 años; y como objetivos específicos: conocer las implicaciones de sufrimiento moral para la vida de las enfermeras; identificar similitudes entre las manifestaciones del sufrimiento moral y burnout y, conocer las posibles estrategias de enfrentamiento del sufrimiento moral. La metodología utilizada fue la revisión integradora, realizada en cinco etapas: formulación e identificación del problemas; colecta de datos; evaluación de datos; análisis e interpretación de los datos colectados; y presentación de datos. Para colecta de los datos, fueron utilizadas las palabras clave: sufrimiento moral, burnout e enfermería, en las bases de datos CINAHL, MEDLINE y SAGE, se seleccionó un total de veintiún artículos, sometidos a análisis en cuatro etapas: reducción de datos con su organización en subgrupos; visualización de los datos, en que los datos fueron agrupados en cuadros de exhibición, destacando los más relevantes de acuerdo con el problema de la investigación; visualización de los datos, donde los datos fueron agrupados en cuadros de exhibición, identificando los más relevantes temas relacionados a la investigación; comparación de los datos, cuando fueron analizados los cuadros de verificación de los datos, identificando temas y relaciones; y, verificación e esbozo de la conclusión, los cuales fueron desarrollados graduales generalizaciones para cada subgrupo analizado, o los datos fueron clasificados y resumidos de manera integrada. Así, después de análisis, se construyeron dos categorías: 1) Sufrimiento Moral en Enfermería, con su composición, principalmente para proporcionar cuidados en vano, las cuestiones de organización y los diferentes ambientes de actuación de las enfermeras y los tipos de pacientes cuidados; y, 2) Implicaciones del Sufrimiento Moral para la vida de las enfermeras y las proximidades con el burnout, que fueron identificadas las manifestaciones emocionales, como la frustración, desesperanza, culpa, ira, resentimiento, humillación, vergüenza, tristeza, ansiedad, miedo, inseguridad y la depresión; y las manifestaciones físicas, como dolores de cabeza, pérdida del sueño, pesadillas, ataques de lloro, taquicardia, dolores musculares, sudoración, temblores, trastornos gastrointestinales y estrés, en una aproximación con el burnout. Las estrategias para la prevención y enfrentamiento del sufrimiento moral centrado en las dimensiones educativas, comunicativa y organizacional. Esto pone de relieve la necesidad de desarrollar alternativas y estrategias para facilitar los cambios en el ambiente de actuación de las enfermeras, tanto en los temas éticos y organizacionales, como en la educación de enfermería y la implementación de nuevas investigaciones sobre el tema, para que estos profesionales pueden actuar en un de una manera más autónoma, expresando sus valores y conocimientos, en defensa de los valores profesionales y los derechos de los pacientes.

D.Phil. / This study investigates the management of burnout among ministers of religion in the Dutch Reformed Church ("NG Kerk") Synod of Southern Transvaal. Burnout is a common metaphor for a state of mental exhaustion, usually work-related. The traditional, and most frequently used definition describes burnout as "a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do 'people work' of some kind" (Maslach & Jackson, 1986: 1). Research literature describes the general symptomatology of the syndrome, its preconditions, and the domain in which it occurs. From the literature it becomes apparent that burnout is a persistent, negative, work-related state of mind in 'normal' individuals that is primarily characterised by exhaustion, which is accompanied by distress, a sense of reduced effectiveness, decreased motivation, and the development of dysfunctional attitudes and behaviours at work. This psychological condition develops gradually but may remain unnoticed for a long time by the individual involved. Often burnout is self-perpetuating because of inadequate coping strategies associated with the syndrome. The more recent multidimensional theory describes burnout as an individual's stress experience embedded in a context of social relationships involving the person's conception of both the self and others. According to this view burnout is a psychological syndrome of emotional exhaustion (stress component), depersonalization (otherevaluation component), and reduced personal accomplishment (self-evaluation component), the product of a major mismatch between the nature of the job and of the person who does the job, and the index of the dislocation between what people are and what they have to do. Six areas of organizational life are identified which can cause the imbalance, mismatch or misfit between the person and work: Workload, control, reward, sense of community, fairness and values. According to the multidimensional view burnout is also seen as a syndrome of exhaustion, negativity, hostility, cynicism and distance, and inefficiency on one side of a continuum, while the opposite and positive side of the continuum is represented by a state of engagement, characterised by energy, positive and supportive involvement and a sense of efficacy and accomplishment. Burnout is not a trivial problem but an important barometer of a major social dysfunction in the workplace that says more about the conditions of their job than it does about the workers. It is therefore not only a problem of the individual worker, but involves the complex interaction between organization and employees, on personal and interpersonal level, and also of specific working conditions and the context in which the work is being done. This interaction shapes the way people see and do their work, and impacts on the well-being of the workers and the organization. Burnout is therefore not only related to negative outcomes for the individual, including depression, a sense of failure, fatigue, and loss of motivation, but also to negative outcomes for the organization, including absenteeism, turnover rates, and lowered productivity.

Thesis(M.Tech.: Homoeopathy)-Dept of Homoeopathy, Durban Institute of Technology, 2005 xxiii, 96 leaves / The purpose of this double blind placebo controlled study was to evaluate the efficacy of homoeopathic simillimum in the treatment of job burnout in the human services field. / M

The problem of this investigation was threefold: ascertaining differences in degrees of burnout as a function of registered nurses' educational tracks in Texas, ascertaining degrees of burnout for registered nurses as a function of job tenure, and examining certain demographic variables and their relationships with registered nurses' educational tracks. Nurses were classified by educational track (diploma, associate degree, baccalaureate degree) and employment (full time, part time, not active). The instrument employed comprised the Pines and Aronson Tedium-Burnout Diagnosis, for which reliability and validity were previously established, and a demographic questionnaire.

Background: We are facing a global lack of working nurses since nurses end their carrier earlier than their planned retirement. The psychosocial work environment is a big problem in the nursing field and affects the nurses´ health status, suffering and stress level. Aim: The aim with this study was to describe nurses´ perceptions of factors that affects their psychosocial working environment. Method: A literature overview Results: The collegial relationships, the workplace manager, the structure of the working hours and the organization and staffing makes the ground for however the nurses will appreciate and stay at their workplace, or if they are going to dislike the work and leave either the workplace or the nursing-field entirely. Conclusion: Adequate staffing, good relations with the co-workers, a manager that sees and appreciates the nurses is work environmental factors that increase the chances that the nurses is going to appreciate their work, and remain at their workplace. To achieve a good work environment there should be enough time for the nurses´ to take good care of the patients and colleagues. There should also be a supporting management at the work place and a good cooperation in the working team. A mean manager, understaffing, bad relationships with colleagues, and a lack of trust and independence increases the risk that the nurses will leave both the workplace and the entire nursing field.

The diploma thesis is concerned with the burnout syndrome in the case of teachers at elementary schools in Prague. The main target is to define the rate of burnout among teachers according to the grade of the school, level of education and the length of their practice. Also their sex and age were evaluated. The thesis is divided into two parts. The theoretical part deals with the specifics of teachers' profession with their extra requirements. There is drawn a comparison between the teachers at the 1st and the 2nd grade focused on the difficulty of their profession connected to the burnout syndrome. There are also defined the stressful situations which influent the burnout syndrome. The problem of burnout syndrome is described in general and aimed at the teachers, too. The practical part contents the empirical research of data obtained from the written questionnaire - quantitative method. The data were processed and analysed with a computer programme. I checked the result reliance on sex, age, level of education, length of practice and the grade of the school where the teacher affects. I compared my results with specialized literature. The results of the research have shown that the burnout syndrome is influenced by sex, level of education and the grade of the school. On the other hand it is not...