Evolution and Treatment of Academic Burnout in Nursing Students: A Systematic Review

Aim: To analyse the scientific literature related to the evolution of burnout syndrome during nursing studies and the interventions for the treatment or prevention of this syndrome in nursing students. Methods: A systematic review of the PubMed, Scopus, and CINAHL databases was performed in August 2022 using the search phrase “burnout AND nursing students” to extract experimental and longitudinal studies. Results: Eleven relevant studies were obtained for analysis. Four were experimental, and seven were cohort studies. According to these studies, the interventions reduced burnout overall, but on occasion, the burnout scores for some aspects increased, as did the prevalence. Psychological and work environment-related variables were the most important factors predicting burnout. Conclusion: Burnout (i.e., emotional exhaustion and depersonalisation) tends to increase during nursing studies. Related factors include personality, coping strategies, life satisfaction, and the work environment. Interventions such as progressive muscle relaxation, behavioural therapy, and recreational music may alleviate burnout.FEDER/Consejería de Universidad, Investigación e Innovación de la Junta de AndalucíaProject P20-0062

Validity Evidence for the Internal Structure of the Maslach Burnout Inventory-Student Survey: A Comparison between Classical CFA Model and the ESEM and the Bifactor Models

Academic burnout is a psychological problem characterized by three dimensions: emotional exhaustion, depersonalization, and personal accomplishment. This paper studies the internal structure of the MBI-SS, the most widely used instrument to assess burnout in students. The bifactor model and the ESEM approach have been proposed as alternatives, capable of overcoming the classical techniques of CFA to address this issue. Our study considers the internal structure of the MBI-SS by testing the models most frequently referenced in the literature, along with the bifactor model and the ESEM. After determining which model best fits the data, we calculate the most appropriate reliability index. In addition, we examined the validity evidence using other variables, namely the concurrent relationships with depression, anxiety, neuroticism, and conscientiousness, and the discriminant relationships with the dimensions of engagement, extraversion, and agreeableness. The results obtained indicate that the internal structure of the MBI-SS is well reflected by the three-factor congeneric oblique model, reaching good values of reliability and convergent and discriminant validity. Therefore, when the scale is used in applied contexts, we recommend considering the total scores obtained for each of the dimensions. Finally, we recommend using the omega coefficient and not the alpha coefficient as an estimator of reliabilityFEDER/Consejería de Universidad, Investigación e Inovación de la Junta de Andalucía. Project P20-0063

An Explanatory Model of Potential Changes in Burnout Diagnosis According to Personality Factors in Oncology Nurses

Burnout in a hospital oncology service takes place when there is a high level of interaction between nurses and patients. The aim of the present study is to identify models that will enable us to accurately classify a person at a given level within each of the three dimensions of burnout, according to the values presented for personality related explanatory variables, for a sample of 96 oncology nurses working in the regional health service of Andalusia (Spain). A quantitative, crosscutting, multicentre, descriptive study was designed, and for this purpose data on sociodemographic and personality variables and on the three dimensions of burnout were compiled. Three categorical-response logit ordinal models were used and the prognostic ratios for each level were obtained, with respect to every other level, according to possible changes in the explanatory variables considered. Certain personality factors are associated with one or more dimensions of burnout syndrome. Thus, nurses are more likely to develop high levels of burnout if they present high levels of neuroticism and low levels of friendliness and responsibility. Further research in this field is needed to confirm and extend these findings.This research was funded by Excellence Research Project P11HUM-7771 (Junta de Andalucía, Spain) and by Research Project mP_BS_6 (CEI BioTic Granada and Ministerio de Ciencia e Innovación, Spain)

Evaluation of Convergent, Discriminant, and Criterion Validity of the Cuestionario Burnout Granada-University Students

Supplementary Materials: The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/math11153315/s1.Burnout is a health problem that affects professionals and students or professionals in training, especially those in health areas. For this reason, it is necessary that it is properly identified to prevent the impact it can have on the work and personal areas of the people who suffer from it. The aim of this work is to study the convergent, discriminant, and criterion validity of the Cuestionario Burnout Granada-University Students. The sample consisted of 463 undergraduate nursing students, selected by non-probabilistic convenience sampling, who participated voluntarily and anonymously in the study. The mean age of the participants was 21.9 (5.12) years, mostly female (74.1%), single (95.8%), and childless (95.6%). Information was collected face-to-face, and the instruments were completed on paper. Comparisons were made in the three dimensions of burnout of the CBG-USS between students with and without burnout, finding statistically significant differences in all three dimensions: Emotional Exhaustion (p < 0.001, d = 0.674), Cynicism (p < 0.001, d = 0.479), and Academic Efficacy (p < 0.001, d = -0.607). The Cuestionario Burnout Granada-University Students presents adequate reliability and validity indices, which demonstrates its usefulness in the identification of burnout. This syndrome has traditionally been measured in professionals, but students also present burnout, so it is necessary to have specific burnout instruments for students, since the pre-work situation and stressors of students are different from those of workers. In order to work on the prevention of university burnout, it is essential to have specific instruments for professionals in training that help in the detection of students with burnout.FEDER/Consejera de Universidad, Investigación e Inovación de la Junta de Andalucía P20-0063

Are socio-demographic factors associated to burnout syndrome in police officers? A correlational meta-analysis

Abstract Burnout syndrome is considered a long term stress reaction which is seen primarily among professionals who work face-to-face with other people. Socio-demographic characteristics have been suggested as risk factors in the development of burnout, although empirical studies have yield contradictory results. The objective of the present study is to conduct a meta-analytic review of four socio-demographic factors (age, sex, marital status, and number of children) that may be correlated to burnout in police officers. These professionals have been considered a high-risk occupational group to suffer burnout due to specific characteristics of their job. We collected 43 empirical studies that fulfilled the inclusion criteria: 23 on age, 32 on sex, 9 on marital status, and 4 on number of children. The bivariate correlation coefficient was used as the effect size measure. The results show that all the average effect were small, and the majority of them were not statistically significant. We can conclude that sex and age are factors to discard in the development of the burnout syndrome in police officers. We found that many studies did not report enough statistical information to estimate effect sizes. This systematic lack of information is likely to contribute finding contradictory results.Burnout syndrome is considered a long term stress reaction which is seen primarily among professionals who work face-to-face with other people. Socio-demographic characteristics have been suggested as risk factors in the development of burnout, although empirical studies have yield contradictory results. The objective of the present study is to conduct a meta-analytic review of four socio-demographic factors (age, sex, marital status, and number of children) that may be correlated to burnout in police officers. These professionals have been considered a high-risk occupational group to suffer burnout due to specific characteristics of their job. We collected 43 empirical studies that fulfilled the inclusion criteria: 23 on age, 32 on sex, 9 on marital status, and 4 on number of children. The bivariate correlation coefficient was used as the effect size measure. The results show that all the average effect were small, and the majority of them were not statistically significant. We can conclude that sex and age are factors to discard in the development of the burnout syndrome in police officers. We found that many studies did not report enough statistical information to estimate effect sizes. This systematic lack of information is likely to contribute finding contradictory results

Burnout and Professional Engagement during the COVID-19 Pandemic among Nursing Students without Clinical Experience: A Cross-Sectional Study

Burnout affects many healthcare professionals, especially nurses, causing serious health problems and disrupting the work environment. Academic burnout may also be experienced, leading students to feel unable to cope with their education. As a result, they may lose interest and even consider abandoning their studies. Hence, burnout syndrome can affect both the mental health and the professional future of those affected. To evaluate academic burnout in nursing students who had no clinical experience before starting their practical training, a cross-sectional study involving 212 third-year nursing students at the University of Granada was conducted. Data were collected using the Granada Burnout Questionnaire, the Utrecht Work Engagement Scale, the NEO Five-Factor Inventory, the Hospital Anxiety and Depression Scale, and the Fear of CoronaVirus-19 Scale. High levels of burnout were present in 37.8% of the students. Moreover, 21.5% and 8.7% had borderline cases of anxiety or depression, respectively. Another 30.8% and 9.2%, respectively, were considered likely to present these conditions. According to the predictive models of burnout dimensions obtained, neuroticism is a predictor of all three burnout dimensions. Furthermore, anxiety, depression, extraversion, responsibility and engagement are predictors of some dimensions of the syndrome. Many nursing students present high levels of burnout, which is related to certain personality variables and to the presence of anxiety and/or depression. The level of professional engagement is inversely associated with the impact of burnout. The participants in this study have normalised their return to the pre-pandemic study routine (in-person classes), and fear of COVID-19 was not a significant predictor of any dimension of burnout.FEDER/Consejeria de Universidad, Investigacion e Innovacion de la Junta de Andalucia P20-0062

Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study

Research findings concerning burnout prevalence rate among nurses from the medical area are contradictory. The aim of this study was to analyse associated factors, to determine nurse burnout levels and to meta-analyse the prevalence rate of each burnout dimension. A systematic review, with meta-analysis, was conducted in February 2018, consulting the next scientific databases: PubMed, CUIDEN, CINAHL, Scopus, LILACS, PsycINFO and ProQuest Health & Medical Complete. In total, 38 articles were extracted, using a double-blinded procedure. The studies were classified by the level of evidence and degrees of recommendation. The 63.15% (n = 24) of the studies used the MBI. High emotional exhaustion was found in the 31% of the nurses, 24% of high depersonalisation and low personal accomplishment was found in the 38%. Factors related to burnout included professional experience, psychological factors and marital status. High emotional exhaustion prevalence rates, high depersonalisation and inadequate personal accomplishment are present among medical area nurses. The risk profile could be a single nurse, with multiple employments, who suffers work overload and with relatively little experience in this field. The problem addressed in this study influence the quality of care provided, on patients’ well-being and on the occupational health of nurses.This research was funded by Junta de Andalusia-Spain, Excellence Research Project (P11HUM-7771)

Risk Factors for Short-Term Lung Cancer Survival

Institutional Review Board Statement: The study was conducted according to the guidelines of the Declaration of Helsinki, and approved by the Ethics Committee of the Andalusian Health Service (LUNG CA SURV 2180-N-20).Data Availability Statement: The data presented in this study are available on request from the corresponding author. The data are not publicly available due to ethical.Background: Lung cancer is typically diagnosed in an advanced phase of its natural history. Explanatory models based on epidemiological and clinical variables provide an approximation of patient survival less than one year using information extracted from the case history only, whereas models involving therapeutic variables must confirm that any treatment applied is worse than surgery in survival terms. Models for classifying less than one year survival for patients diagnosed with lung cancer which are able to identify risk factors and quantify their effect for prognosis are analyzed. Method: Two stepwise binary logistic regression models, based on a retrospective study of 521 cases of patients diagnosed with lung cancer in the Interventional Pneumology Unit at the Hospital “Virgen de las Nieves”, Granada, Spain. Results: The first model included variables age, history of pulmonary neoplasm, tumor location, dyspnea, dysphonia, and chest pain. The independent risk factors age greater than 70 years, a peripheral location, dyspnea and dysphonia were significant. For the second model, treatments were also significant. Conclusions: Age, history of pulmonary neoplasm, tumor location, dyspnea, dysphonia, and chest pain are predictors for survival in patients diagnosed with lung cancer at the time of diagnosis. The treatment applied is significant for classifying less than one year survival time which confirms that any treatment is markedly inferior to surgery in terms of survival. This allows to consider applications of more or less aggressive treatments, anticipation of palliative cares or comfort measures, inclusion in clinical trials, etc

Semiotic conflicts in computing conditional probabilities and in association judgments from a contingency table

II Congreso Internacional Virtual sobre el Enfoque Ontosemiótico del Conocimiento y la Instrucción Matemáticos (CIVEOS-2), 23-26 de marzo de 2017. [http://enfoqueontosemiotico.ugr.es/]El objetivo de este trabajo fue evaluar la competencia respecto al cálculo de probabilidades y juicios de asociación en una tabla de contingencia 2x2 por estudiantes universitarios, finalizada una experiencia de enseñanza. Se describe la experiencia desarrollada en un curso reglado de análisis de datos del grado de Psicología, y la evaluación del aprendizaje en 94 estudiantes de psicología. Se encuentra que la mayoría es capaz de calcular probabilidades condicionales en una tarea abierta, con ayuda de Excel, y proporcionar un juicio de asociación correcto. Esto muestra una mejora producida por el proceso de enseñanza realizado, aunque igualmente aparecen algunos conflictos semióticos después de la instrucción.The aim of this research was to evaluate the university students’ competence in computing probabilities and producing association judgments in a 2x2, after a teaching experience was completed. The teaching experience developed in a regular data analysis course in the degree of Psychology and the evaluation of learning in 94 psychology students are described. Most students were able to e compute conditional probabilities in an open task, using Excel, and provided a correct judgment of association. These results suggest an improvement in the students’ knowledge as a consequence of the teaching process; however, some semiotic conflicts remain after the instruction

Descripción de los niveles de Burnout en diferentes colectivos profesionales

El interés en la investigación del Burnout proviene del hecho de tratarse de un problema social que afecta a muchas personas. Los datos epidemiológicos sobre el síndrome hablan de un pro- blema de tal magnitud, que conlleva consecuencias personales y laborales negativas. Este hecho justifica por sí mismo que el desarrollo investigador haya crecido de manera considerable en es- tos últimos años. Si bien es cierto que existen diversos colectivos profesionales de riesgo de pa- decimiento del síndrome de Burnout, también lo es, que los niveles del mismo en sus diferentes dimensiones, suelen cambiar, e incluso la secuenciación en las mismas en la aparición del pro- blema, se puede ver alterada. El objetivo de este trabajo es describir comparativamente los nive- les de Burnout en cuatro muestras, una de población general y tres de profesionales, docentes, sanitarios y miembros de las Fuerzas Armadas