36 research outputs found
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
ârespiratory syncytial virus AND (newborn OR infant OR child) AND (prevalence OR risk factors)â.
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 34â59%). 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
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 nursesâ 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 = 22â34%),
high depersonalization was 15% (95% Confidence Interval = 9â23%) and 31% (95% Confidence Interval = 6â66%) 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 AndalucĂa-Spain)
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 ÂȘburnout
AND ÂȘpediatric nurs*ÂșÂș, 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
Quality of Life After Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis
Coronary heart disease is a public health problem and is one of the leading causes of loss
of quality of life, disability, and death worldwide. The main procedure these patients undergo is
cardiac catheterisation, which helps improve their quality of life, symptoms of myocardial ischemia,
and ventricular function, thus helping increase the survival rate of su erers. It can also, however,
lead to physical consequences, including kidney failure, acute myocardial infarction, and stroke.
The objective of this study was to analyse how coronary artery bypass grafting (CABG) influences
quality of life. A systematic review and meta-analysis were conducted using the CINAHL, PubMed,
Scopus, and Cuiden databases in June 2020. A total of 7537 subjects were included, 16 in the systematic
review and 3 in the meta-analysis. The studies analysing quality of life using the SF questionnaire
showed improvements in the quality of physical and mental appearance, and those using the NHP
questionnaire showed score improvements and, in some cases, di erences in quality of life between
women and men. This operation seems to be a good choice for improving the quality of life of people
with coronary pathologies, once the possible existing risks have been assessed.Clinical Medicine and Health Public Programme of University of Granada, Spain
B 12.56.
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 peopleâs 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 â(Prevention and Control) AND Diabetes Mellitus AND Smartphonesâ. The inclusion criteria
applied were clinical trials, conducted in 2014â2019. 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 â0.37 (â0.58, â0.15. 95% confidence interval). Conclusion: Smartphone
apps can help people with diabetes to improve their level of HbA1c, but the clinical impact is low
A Multicentre Study of Psychological Variables and the Prevalence of Burnout among Primary Health Care Nurses
Nurses in primary health care (PHC) have multiple responsibilities but must often work with
limited resources. The studyâs aim was to estimate burnout levels among PHC nurses. A Quantitative,
observational, cross-sectional, multicentre study of 338 nurses working in PHC in the Andalusian
Public Health Service (Spain) is presented. A total of 40.24% of the nurses studied had high levels of
burnout. The dimensions of emotional exhaustion and depersonalisation were significantly associated
with anxiety, depression, neuroticism, on-call duty and seniority-profession and inversely related to
agreeableness. In addition, depersonalisation was significantly associated with gender, and emotional
exhaustion correlated inversely with age. Personal achievement was inversely associated with anxiety
and depression and positively correlated with agreeableness, extraversion and responsibility. There
is a high prevalence of burnout among nurses in PHC. Those most likely to suffer burnout syndrome
are relatively young, suffer from anxiety and depression and present high scores for neuroticism and
low ones for agreeableness, responsibility and extraversion.Funding for this study was provided by the Andalusian Government Excellence Project (P11HUM-7771
Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis
The prevalence of burnout in midwives has been briefly studied. Given the negative
effects of burnout syndrome in the physical and mental health, and also related to the quality of
care provided, rates of absenteeism and sick leave; identifying related factors for the syndrome
are needed. The aim was to determine the prevalence, levels, and factors related to the burnout
syndrome, measured with the Copenhagen Burnout Inventory in midwives. A systematic review
and meta-analysis were selected from CINAHL, LILACS, ProQuest, PsycINFO, PubMed, SciELO,
and Scopus databases, with the search equation âburnout AND (midwife OR midwives OR nurses
midwives)â. Fourteen articles were found with a total of 8959 midwives. Most of the studies showed
moderate levels of personal burnout. The prevalence obtained was 50% (95% CI = 38â63) for personal
burnout; 40% (95% CI = 32â49) for work-related burnout; and 10% (95% CI = 7â13) for client-related
burnout. Midwivesâ age, less experience, and living alone constitute the main related factors, as well
as, the scarcity of resources, work environment, and the care model used. Most midwives present
personal and work-related burnout, which indicates a high risk of developing burnout. Personal
factors and working conditions should be taken into account when assessing burnout risk profiles
of midwives
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 âVirgen
de las Nievesâ, 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