Relation between Burnout and Sleep Problems in Nurses: A Systematic Review with Meta-Analysis

Burnout can affect nurses' sleep quality. The aim of this study was to analyze the relationship between burnout syndrome and sleep problems in nurses. A systematic review with meta-analysis was performed. PubMed, CINAHL and Scopus databases were used. Some of the inclusion criteria were quantitative studies, in which the levels of burnout and sleep disorders were investigated in a sample of nurses using validated scales. A total of 12 studies were included. Sociodemographic variables did not influence the relation between burnout and sleep problems, except for being female. The environment and workplace violence, together with psychological traits and shifts, affect the probability of developing burnout and insomnia. The meta-analysis sample was n = 1127 nurses. The effect size of the correlation between burnout and sleep disorders was r = 0.39 (95% CI 0.29-0.48) with p < 0.001, indicating that the higher the level of burnout in nurses, the greater the presence of sleep disorders. The positive correlation between burnout and sleep disorders is a problem that must be addressed to improve the health of nurses. Developing turnicity strategies, using warmer lights in hospital units during night shifts and eliminating the fixed night shift could improve nurses' working conditions

Studying the impact of body mass index on pretransplant early renal graft function

Introduction: Obesity and overweight have adverse health effects contributing to the presence of oxidative metabolic and cardiovascular diseases that threaten the integrity of the graft.Objective: To investigate the influence of body mass index on pre transplant graft function one year after transplant by studying four different methods of measuring the glomerular filtration rate.Material and methods: The sample consisted of 1336 kidney transplant patients of both sexes, measurements were performed pre transplant and post transplant of biochemical parameters, anthropometric measurements and kidney function by glomerular filtration steps.Results: When an increased body mass index pretransplant occurs, there is a decrease in glomerular filtration rate measured by four different methods and greater percentage of rejections.Conclusions: A high body mass index pretransplant contributes to graft dysfunction, a decrease in glomerular filtration rate and graft complications in the first year after transplant