Departamento de Enfermería, Centro Universitario de Ciencias de la Salud San Rafael, Universidad Antonio de Nebrija, Madrid, España.
Unidad de Cuidados Intensivos, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
Enferm Intensiva (Engl Ed). 2020 Apr-Jun;31(2):60-70. doi: 10.1016/j.enfi.2019.03.004. Epub 2019 Jun 26.
To determine the predictive models that include the dimensions of burnout that are predictors for physical/mental health, and subjective/psychological wellbeing perceived in intensive care professionals; to analyse the relationships between burnout syndrome, health status and wellbeing experienced by these professionals; and to establish sociodemographic differences in the variables evaluated.
A correlational and cross-sectional study was conducted. A total of 52 critical care professionals, mainly nurses, were recruited from an intensive care unit of Madrid. All participants were assessed with the questionnaires: Maslach Burnout Inventory-Human Services Survey, Short Form-12 Health Survey, Satisfaction With Life Scale, Positive and Negative Affect Schedule, and Psychological Well-Being Scales.
No significant sociodemographic differences were found. High levels in the three burnout dimensions were associated with poor physical/mental health and subjective/psychological wellbeing. High scores in emotional exhaustion and depersonalization, and low in personal accomplishment negatively predicted subjective and psychological well-being scales. The self-acceptance scale had the highest predictive validity. Emotional exhaustion was the only burnout dimension that negatively predicted physical and mental health.
Health status and levels of subjective/psychological wellbeing can be negatively influenced by the burnout syndrome experienced by intensive care professionals. As a result, the implementation of programmes to prevent and treat this syndrome is needed. These preventive interventions can positively impact not only the health and wellbeing of these professionals, but can also improve their ability to practice effectively, improve healthcare quality and patient security, and reduce the economic costs of health institutions. It is therefore imperative to implement burnout preventive programmes for intensive care professionals from universities to health institutions.
确定包含倦怠维度的预测模型,这些维度可预测重症监护专业人员的身心健康、主观/心理幸福感;分析倦怠综合征、健康状况和这些专业人员所经历的幸福感之间的关系;并确定评估变量的社会人口统计学差异。
进行了一项相关性和横断面研究。共招募了来自马德里一家重症监护病房的 52 名重症监护专业人员,主要为护士。所有参与者均接受了以下问卷的评估:马斯拉赫倦怠量表-人类服务调查、简短健康调查 12 项、生活满意度量表、正性和负性情绪量表、心理幸福感量表。
未发现显著的社会人口统计学差异。三个倦怠维度的高水平与身心健康不佳和主观/心理幸福感不佳相关。情绪耗竭和去人格化得分高,个人成就感得分低,对主观和心理幸福感量表有负面影响。自我接纳量表具有最高的预测效度。情绪耗竭是唯一对身心健康有负面影响的倦怠维度。
健康状况和主观/心理幸福感水平可能会受到重症监护专业人员经历的倦怠综合征的负面影响。因此,需要实施预防和治疗该综合征的计划。这些预防干预措施不仅可以积极影响这些专业人员的健康和幸福感,还可以提高他们有效实践的能力,改善医疗质量和患者安全,并降低医疗机构的经济成本。因此,必须从大学到医疗机构为重症监护专业人员实施倦怠预防计划。