Síndrome de burnout e qualidade de vida laboral em profissionais de serviços sanitários
O objetivo deste trabalho consistiu em analisar os fatores associados à qualidade de vida laboral e sua relação com a síndrome de burnout em profissionais de serviços sanitários. A amostra foi formada por 562 trabalhadores pertencentes ao setor sanitário, nos quais se avaliaram os estressores ou demandas laborais, o apoio social percebido, a síndrome de burnout, diversos fatores de saúde biopsicossocial e a satisfação e a qualidade de vida laboral percebida. Os instrumentos utilizados foram o Maslach Burnout Inventory-General Survey (MBI-GS), o Job Content Questionnarie (JCQ) e o Questionário Geral de Saúde do bberg de Goldberg (GHQ-28). Os resultados obtidos evidenciaram altas taxas de estresse, bem como a presença de burnout ou síndrome de “queimar-se” pelo trabalho. Também foram constatadas repercussões na saúde física e psicológica dos profissionais. As análises de variação demonstraram a existência de diferenças significativas em função de variáveis como a categoria profissional e os anos de exercício na profissão. Além disso, as análises de regressão confirmaram que a qualidade de vida laboral experimentada pelo pessoal sanitário é produto do equilíbrio entre as demandas, os recursos e a ausência de burnout. Os resultados justificam a necessidade de intervir com esses profissionais para melhorar tanto sua saúde quanto a qualidade dos serviços oferecidos.
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Anagnostopoulus, F. y Niakas, D. (2010). Job Burnout, Health-Related Quality of Life, and Sickness Absence in Greek Health Professionals. European Psychologist, 15(2), 132-141.
Bakker, A. B., Killmer, C. H., Siegrist, J. y Schaufeli, W. B. (2000). Efford-reward imbalance and burnout among nurses. Journal of Advanced Nursing, 31(4), 884-891.
Cantera, F. J. (2003). Encuesta de Evaluación de la Satisfacción Laboral del Instituto Nacional de Seguridad e Higiene en el Trabajo. Madrid: Instituto Nacional de Seguridad e Higiene del Trabajo.
Clark, L. A. y Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7, 309-319.
Cole, D. C., Robson, L. S., Lemieux-Charles, L., McGuire, W., Sicotte, C. y Champagne, F. (2005). Quality of working life indicators in Canadian Health care organizations: a tool for healthy, health care workplaces? Occupational Medicine, 55, 54-59.
Constable, J. F. y Rusell, D. W. (1986). The effect of social support and the work environment upon burnout among nurses. Journal of Human Stress, 12, 20-26.
Deckart, G. J., Hicks, L. L. y Hamory, B. H. (1992). The occurrence and distribution of burnout among infectious diseases physicians. Journal of Infection Disease, 165, 224-228.
De Jonge, J., Le Blanc, P. M., Peeters, M. C. W. y Noordam, H. (2008). Emotionals job demands and the role of matching job resources: A cross-sectional survey study among health care workers. International Journal of nursing studies, 45, 1460-1469.
Demerouti, E., Bakker, A. B., Nachreiner, F. y Schaufeli, W. B. (2000). A model of burnout and life satisfaction among nurses. Journal of Advanced Nursing, 32, 454-464.
Dolan, S. L., Díez, M. y Cannings, K. (2003). Psicotoxicología de la vida laboral: el caso del personal médico de Suecia. Revista de Psicología del Trabajo y de las Organizaciones, 19, 117-133.
Elizur, D. y Shye, S. (1990). Quality of work life and its relations to quality of life. Applied Psychology: An international Review, 39, 275-291.
Figuereido-Ferraz, H., Grau-Alberola, E., Gil-Monte, P. y García-Juesas, J. A. (2012). Síndrome de quemarse por el trabajo y satisfacción laboral en profesionales de enfermería. Psicothema, 24(2), 271-276.
Freeborn, D. K. (2001). Satisfaction, commitment and psychological well-being among hmo physians. Western Journal of Medicine, 174, 13-18.
Garrosa, E., Moreno-Jiménez, B., Liang, Y. y González, J. L. (2008). The relationships between socio-demographic variables, job stressor, burnout and hardy personality in nurses: an exploraty study. International Journal of Nursing Studies, 45, 418-427.
Gibbons, P., Flores de Arévalo, H. y Mónico, M. (2004). Assessment of the factor structure and reliability of the 28 item version of the General Health Questionnaire (ghq-28) in El Salvador. International Journal of Clinical and Health Psychology, 4(2), 389-398.
Gil-Monte, P. (2005). El síndrome de quemarse por el trabajo (burnout). Una enfermedad laboral en la sociedad del bienestar. Madrid: Pirámide.
Gil-Monte, P. y Marucco, M. A. (2008). Prevalencia del “síndrome de quemarse por el trabajo” (burnout) en pediatras de hospitales generales. Revista Saúde Pública, 42, 450-456.
Goldberg, P. y Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139-145.
Goldberg, D. P., Gater, R., Sartorius, N., Ustun, T. B., Piccinelli, M., Gureje, O. y Rutter, C. (1997). The validity of two versions of the ghq in the who study of mental illness in general health care. Psychological Medicine, 27,191-97.
Grassi, L. y Magnani, K. (2000). Psychiatric morbidity and burnout in the medical profession: an Italian study of general practitioners and hospital physicians. Psychotherapy and Psychosomatics, 69, 329-334.
Grau, A., Suñer, R. y García, M. (2005). Desgaste profesional en el personal sanitario y su relación con los factores personales y ambientales. Gaceta Sanitaria, 19, 463-470.
Grau-Alberola, E., Gil Monte, P., García-Juesas, J. A. y Figuereido-Ferraz, H. (2010). Incidence of burnout in Spanish nursing professionals: A longitudinal study. International Journal of Nursing Studies, 47, 1013-1020.
Hamberger, L. K. y Stone, G. V. (1983). Burnout prevention for human service professional: proposal for a systematic approach. Journal of holistic Medicine, 5, 149-162.
Hansen, N., Sverke, M. y Näswall, K. (2009). Predicting nurse burnout from demands and resources in three acute care hospitals under different forms of ownership: A cross-sectional questionnaire survey. International Journal of Nursing Studies, 46, 96-107.
Hayes, L. J., O´Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., Spence Laschinger, H. K., North, N. y Stone, P. W. (2006). Nurse turnover: A literature review. International Journal of Nursing Studies, 43, 237-63.
Heather, K., Spence-Laschinger, R. N., Wong, C. A. y Greco, P. (2006). The impact of Staff Nurse Empowerment on Person-Job Fit and work engagement/burnout. Nursing Administration Quartely, 30, 358-367.
Henderson, G. (1984). Physician Burnout. Hospital Physician, 20-28.
Jaramillo, E. A. (2009). Síndrome de Burnout en personal médico-asistencial: una visión general. Revista Pensando Psicología, 5(9), 84-90.
Jaramillo, E. A., Ruiz, V. M. y Pardo, I. L. (2009). Síndrome de burnout y estilos de afrontamiento al estrés del personal médico asistencial en una red urbana de servicios de salud de la ciudad de Montería. Revista Pensando Psicología, 5(8), 15-22.
Jenaro, C., Flores, N. y Arias, B. (2007). Burnout and Coping in Human Service Practitioners. Professional Psychology: Research and Practice, 38, 80-87.
Jenaro, C., Flores, N., Orgaz, B. y Cruz, M. (2011). Vigour and dedication in nursing professionals: towards a better understanding of work engagement. Journal of advanced nursing, 67(4), 865-875.
Karasek, R. A. (1979). Job demands, job decision latitude, and mental strain: implications for job redesign. Administrative Science Quarterly, 24, 285-308.
Karasek, R. (1985). Job Content Questionnaire and User´s Guide. [Cuestionario Job Content y guía para usuarios]. Columbia University.
Keller, K. L. y Koening, W. J. (1989). Management of stress and prevention of burnout in emergency physicians. Annals of Emergency Medicine, 18, 42-47.
Kravist, K., McAllister-Black, R., Grant, M. y Kirt, C. (2010). Self-care strategies for nurses: A psycho-educational interventions for stress reduction and the prevention of burnout. Applied Nursing Research, 23, 130-138.
Kristensen, T. S., Borritz, M., Villadsen, E. y Christesen, K.B. (2005). The Copenhagen Burnout Inventory: a new tool for the assessment of burnout. Work and Stress, 19, 192-207.
Landbergis, P. A. (1988). Occupational stress among health care workers: A test of the job demands- control model. Journal of Organizational Behavior, 9, 217-239.
Laschinger, H. K. S., Finegan, J., Shamian, J. y Almost, J. (2001). Testing Karasek´s Demands-Control Model in Restructured Healthcare Settings. Effects of Job strain on Staff Nurses´ Quality of Work Life. Journal of Nursing Administration, 31, 233-243.
Lee, H. y Cummings, G. G. (2008). Factors influencing job satisfaction of front line nurse managers: a systematic review. Journal of nursing management, 16, 768-783.
Leiter, M. P. y Laschinger, H. K. S. (2006). Relationships of Work and Practice Environment to Professional Burnout. Nursing Research, 55, 137-146.
Linzer, M., Visser, M. R., Oort, F. J., Smets, E. M. McMurray, J. E. y de Haes, H. C. (2001). Predicting and preventing physician burnout: results from the United States and the Netherlands. American Journal of Medicine, 111, 170-175.
Lobo, A., Pérez-Echevarría, M. J. y Artal, J. (1986). Validity of the scaled version of the General Health Questionnaire (ghq-28) in a Spanish population. Psychological Medicine, 16, 135-140.
Martel, J. P. y Dupuis, G. (2006). Quality of Work Life: Theoretical and methodological problems, and presentation of a new model and measurement instrument. Social Indicators Research, 77, 333-368.
Maslach, C. (1982). Burnout: The cost of caring. [Burnout: el coste de la atención]. Englewood Cliffs, NJ: Prentice-Hall.
Maslach, C. y Jackson, S. E. (1982). Burnout in health professions: A social psychological analysis. En G. Sanders y J. Suls (Eds.), Social psychology of health and illness (pp.227-251). Hillsdale, NJ: Lawrence Erlbaum.
May, H. J. y Revicki, D. A. (1985). Professional stress among family physicians. Journal of Family Practice, 20, 165-171.
McKnight, J. D. y Glass, D. C. (1995). Perceptions of control, burnout and depressive symptomatology: A replication and extension. Journal of Consulting and Clinical Psychology, 63, 490-494.
Moreno-Jiménez, B., Seminotti, R., Garrosa, E., Rodríguez-Carbajal, R. y Morante, M. E. (2005). El burnout médico: la ansiedad y los procesos de afrontamiento como factores intervinientes. Ansiedad y Estrés, 11, 87-100.
OMS. (2000). The World Health Report 2000. Health systems: Improving performance. [Informe mundial de salud 2000. Sistemas de salud: mejorando el desempeño]. Recuperado de http://www.who.imt/whr
Pera, G. y Serra-Prat, M. (2002). Prevalencia del síndrome del quemado y estudio de los factores asociados en los trabajadores de un hospital comarcal. Gaceta Sanitaria, 16, 480-486.
Peterson, U. (2008). Stress and Burnout in healthcare workers. [Estrés y burnout en trabajadores de la salud]. Karolinska Institutet: Stockholm.
Petterson, I. L. y Arnetz, B. B. (1997). Measuring Psychosocial Work Quality and Health: Development of Health Care Measures of Measurement. Journal of Occupational Health Psychology, 2, 229-241.
Piko, B. (1999). Work related stress among nurses: a challenge for health care institutions. The Journal of the Royal Society for the Promotion of Health, 119, 156-162.
Piko, B. F. (2006). Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: A questionnaire survey. International Journal of Nursing Studies, 43, 311-318.
Rainho, C., Monteiro, M. J., Pereira, A. y Queirós, P. (2006). Adaptaçao cultural do questionário de desgaste profissional em enfermeiros. Revista Investigaçao em Enfermagem, 31, 172-180.
Raphael, B., Lundin, T. y Weisaeth, L. (1989). A research method for the study of psychological and psychiatric aspects of disaster. Acta Psychiatrica Scandinavia, 80, 1-75.
Schaufeli, W. B. y Buunk, B. P. (2003). Burnout: An Overview of 25 Years of Research and Theorizing. En J. M.J. Schabracq, J. A. M. Winnubst y C. L. Cooper (Eds.), The Handbook of Work and Health Psychology (pp. 383-425). Chichester: Wiley.
Schaufeli, W. y Enzmann, D. (1998). The burnout companion to study & practice. A critical analysis. London: Taylor y Francis.
Schaufeli, W. B., Maassen, G. H., Bakker, A. B. y Sixma, H.J. (2011). Stability and change in burnout: A 10-year follow-up study among primary care physicians. Journal of Occupational and Organizational Psychology, 84, 248-267.
Schaufeli, W. B., Leiter, M. P., Maslach, C. y Jackson, S. E. (1996). The MBI-General Survey. En C. Maslach, S. E. Jackson y M. P. Leiter (Eds.), Maslach Burnout Inventory. Third Edition (pp. 19-26). Palo Alto, CA: Consulting Psychologists Press.
Segurado, A. y Agulló, E. (2002). Calidad de vida laboral: hacia un enfoque integrador desde la Psicología Social. Psicothema, 14, 828-836.
Shanafelt, T. D., Bradley, K. A., Wipf, J. E. y Back, A. L. (2002). Burnout and self-reported patient care in a internal medicine residency program. Annals of Internal Medicine, 136, 358-367.
Sharma, A., Sharp, D. M., Walker, L. G. y Monson, J. R. T. (2008). Stress and burnout among colorectal surgeons and colorectal nurse specialist working in the National Health Service. Colorectal Disease, 10, 397-406.
Simpson, L. y Grant, L. (1991). Sources of magnitude of job stress among Physicians. Journal of Behavioral Medicine, 14 1), 27-41.
spss, Inc. (2006). spss base 15 for windows user’s guide. Chicago, IL: spss Inc.
Vela-Bueno, A., Moreno-Jiménez, B., Rodríguez-Muñoz, A., Olavarriera-Bernardino, S., Fernández-Mendoza, J., De la Cruz- roca, J. J., Bixler, E. O. y Vgontzas, A. N. (2008). Insomnia and sleep quality among primary care physicians with low and high bunout levels. Journal of Psychosomatic Research, 64, 435-442.
Vermeulen, M. y Mustard, C. (2000). Gender differences in Job Strain, Social Support at Work and Psychological Distress. Journal of Occupational Health Psychology, 5, 428-440.
Zapf, D. y Holz, M. (2006). On the positive and negative effects of emotion work in organizations. European Journal of work organization psychology, 15, 1-28.
