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

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

Burnout in Nursing Managers: A Systematic Review and Meta-Analysis of Related Factors, Levels and Prevalence

This study forms part of the Doctoral Thesis of the first-named author within the Psychology Doctoral Program from the University of Granada.Burnout syndrome is a major problem in occupational health, which also affects nursing managers. The main aim was to analyze the level, prevalence and risk factors of burnout among nursing managers. A systematic review with meta-analysis was conducted. The databases used were Medline (Pubmed), PsycINFO, CINAHL, LILACS, Scielo and Scopus. The search equation was “burnout AND nurs* AND (health manager OR case managers)”. Nursing managers present high levels of emotional exhaustion and a high degree of depersonalization. Some studies show that variables like age, gender, marital status, having children or mobbing and other occupational factors are related with burnout. The prevalence estimation of emotional exhaustion with the meta-analysis was high; 29% (95% CI = 9–56) with a sample of n = 780 nursing managers. The meta-analytical estimation of the correlation between burnout and age was r = −0.07 (95% CI = −0.23–0.08). Work overload, the need to mediate personnel conflicts, lack of time and support from superior staff, contribute to the development of burnout among nursing managers.Junta de Andalucia P11HUM-777

Prevalence, levels and related factors of burnout in nurse managers: A multi-centre cross-sectional study

Aims: The aims of this study are to analyse the prevalence and levels of burnout syndrome in nurse managers and to evaluate the relationship between burnout and related sociodemographic, occupational and psychological factors. Background: Burnout syndrome, defined as an emotional response to chronic stress, is a major problem among nurse managers. Methods: The study was conducted using a cross-sectional survey design and data collected by the Maslach Burnout Inventory, the revised NEO Five Factor Inventory and the Educational-Clinical Questionnaire for Anxiety and Depression. The sample population consisted of 86 nurse managers from different hospitals from the Public Health Service of Andalusia, Spain. Results: A total of 22.4% of the participants presented high levels of emotional exhaustion, 21% experienced depersonalisation and 57.6% had little sense of personal accomplishment. Working long shifts was related to burnout. Emotional exhaustion and depersonalization were predicted by depression, while personal accomplishment was predicted by conscientiousness, agreeableness and openness. Conclusions: A total of 34.1% of the participants presented high levels of burnout, manifested by feelings of low personal accomplishment. Psychological and occupational factors play an important role in the development of this syndrome. Implications for Nursing Management: Nurse managers should seek to detect burnout among staff and colleagues matching the risk profile for this condition and promote interventions to prevent it

Prevalence, Related Factors, and Levels of Burnout Syndrome Among Nurses Working in Gynecology and Obstetrics Services: A Systematic Review and Meta-Analysis

Background: Although burnout levels and the corresponding risk factors have been studied in many nursing services, to date no meta-analytical studies have been undertaken of obstetrics and gynecology units to examine the heterogeneity of burnout in this environment and the variables associated with it. In the present paper, we aim to determine the prevalence, levels, and related factors of burnout syndrome among nurses working in gynecology and obstetrics services. Methods: A systematic review and meta-analysis of the literature were carried out using the following sources: CINAHL (Cumulative Index of Nursing and Allied Health Literature), LILACS (Latin American and Caribbean Health Sciences Literature), Medline, ProQuest (Proquest Health and Medical Complete), SciELO (Scientific Electronic Library Online), and Scopus. Results: Fourteen relevant studies were identified, including, for this meta-analysis, n = 464 nurses. The following prevalence values were obtained: emotional exhaustion 29% (95% CI: 11–52%), depersonalization 19% (95% CI: 6–38%), and low personal accomplishment 44% (95% CI: 18–71%). The burnout variables considered were sociodemographic (age, marital status, number of children, gender), work-related (duration of the workday, nurse-patient ratio, experience or number of miscarriages/abortions), and psychological (anxiety, stress, and verbal violence). Conclusion: Nurses working in obstetrics and gynecology units present high levels of burnout syndrome. In over 33% of the study sample, at least two of the burnout dimensions considered are apparent.This research was funded by the Excellence Research Project (P11HUM-7771) provided by the Andalusian Government (Spain)

Factors related to the appearance and development of burnout in nursing students: a systematic review and meta-analysis

IntroductionBurnout may be suffered not only by experienced nurses, but also by those in training. The university environment can be highly stressful for student nurses, who are exposed to various stress-producing situations.AimThe aim of this study is to identify and analyse the main risk factors for burnout among nursing students.MethodsA systematic review with meta-analysis was performed. The search equation used was “Burnout AND Nursing students”. Quantitative primary studies on burnout in nursing students, and related risk factors published in English or Spanish and with no restriction by year of publication were included.ResultsA sample of n = 33 studies were included. Three variables are identified can influence burnout in nursing students: academic, interpersonal, environmental and/or social factors. The meta-analyses, with the higher sample of n = 418 nursing students, show that some personality factors, empathy, and resilience are correlated with emotional exhaustion, depersonalization and personal accomplishment.ConclusionThe personality factors that can influence the development of burnout in nursing students, such as resilience and empathy, among others, must be taken into account when preventing the appearance and treating burnout. Professors should teach nursing students to prevent and recognize the most frequent symptoms of burnout syndrome

Aula Maker en emprendimiento social. Inclusión sociolaboral de las personas con discapacidad desde el trabajo social

Se presenta la memoria del proyecto número 12, denominado Aula Maker en emprendimiento social. Inclusión sociolaboral de las personas con discapacidad desde el trabajo social, realizado durante el curso 2020/2021, de la Convocatoria de Proyectos de Innovación y Mejora de la Calidad Docente de la UCM

Aula itinerante de Patrimonio Cultural II

Memoria final del PIMCD UCM 2020/2021 número 31

Niveles y factores de riesgo de burnout en profesionales de enfermería del área de Pediatría

El material incluido en esta Tesis Doctoral ha sido desarrollado en el Grupo de Investigación CTS-1067 del Plan Andaluz de Investigación, Desarrollo e Innovación y financiado por el proyecto P11HUM-7771, Proyecto de Excelencia de la Junta de Andalucía.En esta tesis doctoral se ha desarrollado un primer estudio en el que se realizó un meta-análisis sobre la prevalencia del Burnout en enfermeras pediátricas, encontrándose un número significativo de enfermeras pediátricas que tenían niveles moderados-altos de cansancio emocional y despersonalización, a la vez que niveles bajos de realización personal, lo que nos da a entender que estas enfermeras estaban sufriendo Burnout o tenían un alto riesgo de desarrollarlo en el futuro. En el segundo estudio nos centramos en observar estos niveles de Burnout, pero en el personal enfermero de oncología pediátrica, ya que se considera un área más susceptible, pues se enfrenta a factores de riesgo específicos como el contacto directo con la muerte y el dolor que padecen los pacientes y sus familiares, a parte de otros factores de riesgo comunes en las distintas unidades, como la carga laboral o los conflictos generados con otros trabajadores o superiores (Chinomso & Foluso, 2015). Con esto, se pudo observar que la mayoría de las enfermeras de oncología pediátrica presentaban niveles de Burnout moderados-altos, lo que nos plantea la necesidad de saber identificar este problema entre los profesionales e implementar estrategias e intervenciones para protegerlos frente al desarrollo de este síndrome. Por último, en el tercer estudio de esta tesis doctoral, de tipo empírico y en el que participaron profesionales de enfermería del área de pediatría del Servicio Andaluz de Salud, se estimó la prevalencia del síndrome en esta población de enfermeras y se les clasificó, siguiendo el modelo de Golembiewski y Munzerider (1988), según la fase de gravedad del trastorno en la que se encontraban. Además, se analizó la relación de algunos factores de personalidad, sociodemográficos y laborales con el síndrome de Burnout. A partir de los datos recogidos se vio que el 38.6% del personal encuestado presentaba niveles altos de Burnout, a la vez que se comprobó que estos niveles no dependen de las variables sociodemográficas y laborales, pero que las tres dimensiones del síndrome si tienen relación con los factores psicológicos analizados.Tesis Univ. Granada.P11HUM-7771 Proyecto de Excelencia de la Junta de Andalucí

Sustainable Rural Electrification Project Management: An Analysis of Three Case Studies

Universal access to energy is a global challenge for sustainable development that requires granting last-mile access to energy services to rural and isolated communities. However, achieving access is not sufficient: it must be done affordably, reliably and with an adequate quality. Universal access to energy goes beyond the mere selection of a technical solution or infrastructure; it demands being able to design management models for projects aiming to guarantee that households may access energy services in a sustainable way. This study analyzes the main elements (i.e., governance, technological and business models) of management models in universal access to energy projects and their impact on the different dimensions of sustainability (i.e., social, environmental, and economic). The study then presents three case studies of rural electrification projects having different configurations of the management model, with special focus on the differences in the business model, and it analyzes their outcomes from a sustainability perspective. The analysis of the three case studies suggests that the choice of the business model is key to ensuring sustainability, with fee-for-service models giving the best results. The analysis also highlights the importance of collaboration and involvement of the communities in projects engaging multiple agents with different roles