24 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 16â34%), for depersonalization
was 30% (95% CI 18â44%) 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
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
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
Anxiety, Distress and Stress among Patients with Diabetes during COVID-19 Pandemic: A Systematic Review and Meta-Analysis
The prevalence of mental health disorders has increased during the COVID-19 pandemic.
Patients with chronic diseases, such as diabetes, are a particularly vulnerable risk group. This study
aims to assess the levels and prevalence of anxiety, distress, and stress in patients with diabetes during
the COVID-19 pandemic. A systematic review was conducted in CINAHL, Cochrane, LILACS,
Medline, SciELO, and Scopus in accordance with the Preferred Reporting Items for Systematic
Reviews and Meta-Analyses (PRISMA) statement. Thirty-seven articles with a total of 13,932 diabetic
patients were included. Five meta-analyses were performed. The prevalence of anxiety was
23% (95% CI = 19â28) in T1DM and 20% (95% CI = 6â40) in T2DM patients. For diabetes distress
it was 41% (95% CI = 24â60) for T1DM and 36% in T2DM patients (95% CI = 2â84). For stress,
the prevalence was 79% (95% CI = 49â98) in T1DM patients. People with diabetes have significant
psychiatric comorbidity as well as psychological factors that negatively affect disease management,
increasing their vulnerability in an emergency situation. To establish comprehensive care in diabetic
patients addressing mental health is essential, as well as including specific policy interventions to
reduce the potential psychological harm of the COVID-19 pandemic
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
Personality Factors as Predictors in Burnout Level Changes for Surgical Area Nurses
Surgical area nurses provide comprehensive care to patients throughout the surgical process.
Increases in life expectancy lead to the appearance and development of diseases, translating into an
increase in the number of necessary interventions. Increases in the workload can be another risk
factor for the development of burnout in professionals in this area. Knowledge of psychological
and personality-related variables provides relevant information of level changes in the dimensions
of burnout syndrome. Three logistic regression models, based on a cross-sectional study with
214 nurses working in the surgical area in the Andalusian Health Service, Spain, were built for
each dimension. These models included different variables related to depression and personality,
with some being significant at the population level and consequently true risk or protection factors.
Friendliness, responsibility and extraversion are protection factors for the personal accomplishment
dimension, whilst neuroticism is a risk factor for this dimension. Friendliness is also a protection
factor for depersonalization, whilst depression is a risk factor. Finally, neuroticism, responsibility
and depression are risk factors for the emotional exhaustion dimension of burnout. These findings
provide relevant information that makes anticipation of this syndrome in this group easier
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
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
Compassion Fatigue, Compassion Satisfaction, and Burnout in Oncology Nurses: A Systematic Review and Meta-Analysis
Professionals working in cancer care are exposed to strong sources of stress. Due to
the special characteristics of this unit, the appearance of burnout, compassion fatigue, and low
compassion satisfaction is more likely. The principal aim was to analyze the levels and prevalence of
burnout, compassion fatigue, and low compassion satisfaction in oncology nurses and interventions
for its treatment. The search for the systematic review was done in Medline, ProQuest, Lilacs,
CINAHL, Scopus, Scielo, and PsycINFO databases, with the search equation âburnout AND nurs*
AND oncology AND compassion fatigueâ. The results obtained from the 15 studies confirmed that
there are levels of risk of suffering burnout and compassion fatigue among nursing professionals,
affecting more women and nurses with more years of experience, with nurses from oncology units
having one of the highest levels of burnout and compassion fatigue. The oncology nurse sample was
n = 900. The meta-analytic estimations were 19% for low compassion satisfaction, 56% for medium
and high burnout, BO, and 60% for medium and high compassion fatigue. The increase in cases of
burnout and compassion fatigue in nursing staff can be prevented and minimized with a correct
evaluation and development of intervention programs, considering that there are more women than
men and that they seem to be more vulnerable
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 16â34%), for depersonalization was 30% (95% CI 18â44%) 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