59 research outputs found
Burnout in Palliative Care Nurses, Prevalence and Risk Factors: A Systematic Review with Meta-Analysis
Palliative care nurses are exposed to hard situations, death, and duel feelings in their daily
practice. These, and other work stressors, can favor burnout development. Thus, it is important to
analyze the prevalence and risk factors of burnout in palliative care nurses and estimate its prevalence.
A systematic review and meta-analysis was done with quantitative primary studies. n = 15 studies
were included with n = 6 studies including information for the meta-analysis. The meta-analytic
prevalence estimation of emotional exhaustion was 24% (95% CI 16–34%), for depersonalization
was 30% (95% CI 18–44%) and for low personal accomplishment was 28% with a sample of n = 693
palliative care nurses. The main variables related with burnout are occupational variables followed
by psychological variables. Some interventions to improve working conditions of palliative care
nurses should be implemented to reduce burnout
Prevalence and Risk Factors of Respiratory Syncytial Virus in Children under 5 Years of Age in the WHO European Region: A Systematic Review and Meta-Analysis
A respiratory syncytial virus (RSV) is the major cause of respiratory tract infection in
children under 5 years. However, RSV infection in the European Region of the World Health
Organization has not been systematically reviewed. The aim was to determine the prevalence and
factors associated with RSV in children under 5 years of age in European regions. A systematic
review and meta-analysis was performed. CINAHL, Medline, LILACS, ProQuest, SciELO, and
Scopus databases were consulted for studies published in the last 5 years, following Preferred
Reporting Items for Systematic Reviews and Meta-analysis guidelines. The search equation was
“respiratory syncytial virus AND (newborn OR infant OR child) AND (prevalence OR risk factors)”.
Studies reporting the prevalence of RSV were eligible for inclusion in the meta-analysis. A total
of 20 articles were included. The meta-analytic prevalence estimation of RSV, with a sample of
n = 16,115 children, was 46% (95% CI 34–59%). The main risk factors were age, male gender,
winter season, and environmental factors such as cold temperatures, higher relative humidity, high
concentrations of benzene, exposure to tobacco, and living in urban areas. Robust age-specific
estimates of RSV infection in healthy children should be promoted in order to determine the optimal
age for immunization. In addition, it is necessary to analyse in greater depth the potentially predictive
factors of RSV infection, to be included in prevention strategies
Burnout syndrome and work engagement in nursing staff: a systematic review and meta-analysis
The Supplementary Material for this article can be found
online at: https://www.frontiersin.org/articles/10.3389/fmed.2023.1125133/full#supplementary-materialBackground: A difficult and demanding work environment, such as that often experienced in healthcare, can provoke fatigue, anxiety, distress, and discomfort. This study considers factors that may influence levels of burnout and work engagement among nurses and seeks to determine the relationship between these conditions.Method: A systematic scoping review was performed, in accordance with the PRISMA Extension for Scoping Reviews, based on data obtained from a search of the PubMed/MEDLINE and Scopus databases carried out in 2022 using the search equation: "work engagement AND nurs* AND burnout." This search identified nine quantitative primary studies suitable for inclusion in our analysis.Results: Work overload, type of shift worked, and/or area of hospital service, among other elements, are all relevant to the development of burnout. This syndrome can be countered by social support and appropriate personal resources and values, which are all positively associated with work engagement. Our analysis revealed a significant correlation between work engagement and the different domains of burnout. The correlation effect size between burnout and work engagement was -0.46 (95% CI -0.58, -0.31), with p < 0.001.Conclusion: Well-targeted interventions in the healthcare work environment can reduce burnout levels, strengthen work engagement, and enhance the quality of healthcare.FEDER/Consejeria de Universidad, Investigacion e Innovacion de la Junta de Andalucia
P20-0062
Explanatory Models of Burnout Diagnosis Based on Personality Factors in Primary Care Nurses
Burnout in the primary care service takes place when there is a high level of interaction
between nurses and patients. Explanatory models based on psychological and personality related
variables provide an approximation to level changes in the three dimensions of the burnout syndrome.
A categorical-response ordinal logistic regression model, based on a quantitative, crosscutting,
multicentre, descriptive study with 242 primary care nurses in the Andalusian Health Service in
Granada (Spain) is performed for each dimension. The three models included all the variables
related to personality. The risk factor friendliness was significant at population level for the three
dimensions, whilst openness was never significant. Neuroticism was significant in the models related
to emotional exhaustion and depersonalization, whilst responsibility was significant for the models
referred to depersonalization and personal accomplishment dimensions. Finally, extraversion was
also significant in the emotional exhaustion and personal accomplishment dimensions. The analysis
performed provides useful information, making more readily the diagnosis and evolution of the
burnout syndrome in this collective.Junta de Andalucia P20_0062
Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis
Background: burnout syndrome is a significant problem in nursing professionals. Although, the unit where nurses
work may influence burnout development. Nurses that work in primary care units may be at higher risk of burnout.
The aim of the study was to estimate the prevalence of emotional exhaustion, depersonalization and low personal
accomplishment in primary care nurses.
Methods: We performed a meta-analysis. We searched Pubmed, CINAHL, Scopus, Scielo, Proquest, CUIDEN and
LILACS databases up to September 2017 to identify cross-sectional studies assessing primary care nurses’ burnout
with the Maslach Burnout Inventory were included. The search was done in September 2017.
Results: After the search process, n = 8 studies were included in the meta-analysis, representing a total sample of n
= 1110 primary care nurses. High emotional exhaustion prevalence was 28% (95% Confidence Interval = 22–34%),
high depersonalization was 15% (95% Confidence Interval = 9–23%) and 31% (95% Confidence Interval = 6–66%) for
low personal accomplishment.
Conclusions: Problems such as emotional exhaustion and low personal accomplishment are very common among
primary care nurses, while depersonalization is less prevalent. Primary care nurses are a burnout risk group.This work was funded by the Excellence Research Project P11HUM-7771
(Junta de Andalucía-Spain)
Gamification for the Improvement of Diet, Nutritional Habits, and Body Composition in Children and Adolescents: A Systematic Review and Meta-Analysis
Currently, one of the main public health problems among children and adolescents is poor
adherence to healthy habits, leading to increasingly high rates of obesity and the comorbidities that
accompany obesity. Early interventions are necessary, and among them, the use of gamification can be
an effective method. The objective was to analyse the effect of game-based interventions (gamification)
for improving nutritional habits, knowledge, and changes in body composition. A systematic review
and meta-analysis were performed in CINAHL, EMBASE, LILACS, MEDLINE, SciELO, and Scopus
databases, following the PRISMA recommendations. There was no restriction by year of publication
or language. Only randomized controlled trials were included. Twenty-three articles were found.
After the intervention, the consumption of fruit and vegetables increased, as well as the knowledge
on healthy food groups. The means difference showed a higher nutritional knowledge score in the
intervention group 95% CI 0.88 (0.05–1.75). No significant effect of gamification was found for body
mass index z-score. Gamification could be an effective method to improve nutritional knowledge
about healthier nutritional habits. Promoting the development of effective educational tools to
support learning related to nutrition is necessary in order to avoid and prevent chronic diseases
Prevalence of burnout in paediatric nurses: A systematic review and meta-analysis
Introduction
Although burnout in paediatric nurses has been addressed in previous research, the heterogeneous
nature of the results obtained and of the variables studied highlights the need for a
detailed analysis of the literature.
Objective
The aim of this study was to analyse the literature on burnout characteristics, reported prevalence,
severity and risk factors, to achieve a better understanding of the risk of emotional
exhaustion, depersonalisation and feelings of low personal accomplishment.
Method
For this purpose, we carried out a systematic review and meta-analysis of the literature. The
databases consulted were CINAHL, LILACS, PubMed, the Proquest Platform (Proquest
Health & Medical Complete), Scielo and Scopus. This study used the search equation ªburnout
AND ªpediatric nurs*ºº, and was conducted in July 2017.
Results
The search produced 34 studies targeting burnout in paediatric nurses, with no restrictions
on the date of publication. Many of these studies detected moderate-high values for the
three dimensions of burnout, and highlighted sociodemographic, psychological and jobrelated
variables associated with this syndrome. The sample population for the meta-analysis
was composed of 1600 paediatric nurses. The following prevalence values were
obtained: (i) emotional exhaustion, 31% (95% CI: 25±37%); (ii) depersonalisation, 21%
(95% CI: 11±33%); (iii) low personal accomplishment, 39% (95% CI: 28±50%).
Conclusions
A significant number of paediatric nurses were found to have moderate-high levels of emotional
exhaustion and depersonalisation, and low levels of personal accomplishment. These
nurses, therefore, were either experiencing burnout or at high risk of suffering it in the future.
These results support the need for further study of the risk factors for burnout in paediatric
nurses. They also highlight the importance of developing interventions or therapies to help
prevent or attenuate the above symptoms, thus helping nurses cope with the workplace
environment and with situations that may lead to burnout.The research was carried out within the
framework of Research Project P11HUM-7771,
directed by PhD Emilia I. De la Fuente and funded
by the Regional Government of Andalusia (Spain).
The funders had no role in study design, data
collection and analysis, decision to publish, or
preparation of the manuscript
Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis
Coronary heart disease is the leading cause of death and disability worldwide. Traditionally,
cardiac rehabilitation programmes are offered after cardiac events to aid recovery, improve quality of
life, and reduce adverse events. The objective of this review was to assess the health-related quality
of life, after a supervised cardiac rehabilitation programme, of patients who suffered a myocardial
infarction. A systematic review was carried out in the CINAHL, Cochrane, LILACS, Medline, Scopus,
and SciELO databases, according to the Preferred Reporting Items for Systematic Reviews and
Meta-analysis (PRISMA) guidelines. Randomised controlled trials were selected. Meta-analyses were
performed for the Short Form Health Survey SF-36, Myocardial Infarction Dimensional Assessment
Scale (MIDAS), MacNew Heart Disease-Health-Related Quality of Life (HRQL) questionnaire, and
European Quality of Life-Visual Analogue Scale (EuroQol-VAS) with the software Cochrane RevMan
Web. Ten articles were found covering a total of 3577 patients. In the meta-analysis, the effect size
of the cardiac rehabilitation programme was statistically significant in the intervention group for
physical activity, emotional reaction, and dependency dimensions of the MIDAS questionnaire. For
the control group, the score improved for SF-36 physical functioning, and body pain dimensions. The
mean difference between the control and intervention group was not significant for the remaining
dimensions, and neither for the MacNew Heart Disease-HRQL and EuroQol-VAS questionnaires.
Supervised cardiac rehabilitation programmes were effective in improving health-related quality
of life, however, there was a potential variability in the interventions; therefore, the results should
be interpreted with caution. This study supports the importance of providing care and evaluating
interventions via the supervision of trained health professionals, and further randomised clinical
trials are needed to analyse the positive changes in mental and physical health outcomes
The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis
El síndrome de Burnout es un riesgo laboral común para el personal de enfermería. El entrenamiento en mindfulness se ha propuesto como una intervención válida para el burnout. Para este estudio se realizó una revisión sistemática y meta-análisis. Se consultaron las bases de datos CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo y Scopus, utilizando la ecuación de búsqueda “Nurs* AND burnout AND mindfulness”. No hubo restricción en el año de publicación. Los artículos fueron seleccionados para su análisis de acuerdo con las recomendaciones PRISMA. El meta-análisis se llevó a cabo con el software Review Manager 5.3. La muestra fue de 17 artículos y se incluyeron 632 enfermeros. El entrenamiento de atención plena reduce los niveles de burnout, encontrando puntuaciones más bajas para el cansancio emocional y la despersonalización y más altas para la realización personal. Las diferencias en las medias fueron 1,32 (IC 95%: -9,41-6,78), 1,91 (IC 95%: -4,50-0,68) y 2,12 (IC 95%: -9,91-14,14), respectivamente, entre los grupos de intervención y control. El mindfulness reduce el desgaste emocional y, por lo tanto, los niveles de burnout entre las enfermeras. Sin embargo, se requieren más ensayos clínicos aleatorios.Proyecto de Excelencia Junta de Andalucía P11HUM-777
Smartphones and Apps to Control Glycosylated Hemoglobin (HbA1c) Level in Diabetes: A Systematic Review and Meta-Analysis
Introduction: Diabetes mellitus is a chronic endocrine-metabolic disease, the evolution of
which is closely related to people’s self-control of glycemic levels through nutrition, exercise, and
medicines. Aim: To determine whether smartphone apps can help persons with diabetes to improve
their % levels of glycosylated hemoglobin. Method: A systematic review and meta-analysis were
done. ProQuest, Pubmed/Medline, and Scopus databases were used. The search equation used
was “(Prevention and Control) AND Diabetes Mellitus AND Smartphones”. The inclusion criteria
applied were clinical trials, conducted in 2014–2019. Results: n = 18 studies were included in the
review. The studies tried different applications to monitor glycemia and support patients to improve
glycosylated hemoglobin (HbA1c) levels. More than half of the studies found statistically significant
differences in HbA1c in the intervention group compared with the control group. Eleven studies
were included in the meta-analysis and the study sample was n = 545 for the experimental group and
n = 454 for the control group. The meta-analytic estimation of the HbA1c % level means differences
between intervention and control group was statistically significant in favour of the intervention
group with a mean difference of –0.37 (–0.58, –0.15. 95% confidence interval). Conclusion: Smartphone
apps can help people with diabetes to improve their level of HbA1c, but the clinical impact is low
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