ABSTRACT Introduction: the postgraduate educational climate (CE) in the hospital environment can determine the way in which resident physicians (MRs) adapt to their new stage, during which professional burnout syndrome (PAS) is highly likely to occur at some point. Objective: to determine the relationship between the educational climate and professional burnout in physicians in the medical residency programs of the National Hospital 2023-2024. Methodology: cross-sectional observational study of a sample of MR convenience of both sexes from all medical specialties of the National Hospital between November 2023 and January 2024, MR with external rotation and/or vacations were excluded. Sample calculation; 136 MR. An online form from Google was sent to the MR email requesting voluntary participation. The SAP was measured with the standard Maslach Burnout Inventory (MBI) method with subscales; emotional exhaustion (EA), depersonalization (DESP), personal fulfillment (PR), with PAS with high scores of AE, DESP and low RP. The EC was assessed with the measure of the hospital postgraduate educational environment (PHEEM) with subscales; perception of role autonomy (PAR), perception of teaching (PE), perception of social support (PSS), the higher the score, the better the EC. Demographic and academic variables, MBI and PHEEM scores were collected, and the SAP was considered dependent, as the main result was the predictive relationship of the PHEEM on the SAP. Data were compared with χ², t-test or Mann-Whitney U, ANOVA and linear regression (p-significant value =<0.05). Results: of 233 participants, the mean age was 28.75 (±2.20), 63.94 % (149) women, the general prevalence of PAS; 70.38 % (164/233), PAS in men 75 % (63/84) and women 67.78 % (101/149) p=0.0014, the first 2 years with the highest frequency of PAS; 65 (85.52 %), 59 (86.76 %) respectively p=0.0009, 63 (90 %) p=0.0071 surgical specialties. The subscales of the MBI, the AE; 79.82 % (186) with an average of 35.39 (± 11.61) points. The CE of MRs with SAP; 107.9 (19.6) dots and without PAS; 136.3 (12.1) dots 95 % CI 18.1-25.0 p= 0.0001. The PHEEM predicted the AE with R2=0.619, B= -0.18 (±0.009) p=0.001, and the DESP; R2= 0.385, B= -0.001(0.004) p=0.009, PSS being a significant predictor with inverse correlation in both. Conclusion: there is an inverse relationship between the educational climate and burnout syndrome in the population studied, with a high prevalence of burnout in male residents of surgical specialties, with the social support of the hospital educational environment being a significant predictor for the development of burnout syndrome.

RESUMEN Introducción: el clima educacional (CE) de posgrado en el ambiente hospitalario puede determinar la manera en como los médicos residentes (MR) se adaptan a su nueva etapa, durante el cual el sindrome agotamiento profesional (SAP) es altamente probable de producirse en algún momento. Objetivo: determinar la relación entre el clima educacional y el agotamiento profesional en médicos de los programas de residencias médicas del Hospital Nacional 2023-2024. Metodología: estudio observacional transversal de una muestra por conveniencia de MR de ambos sexos de todas las especialidades médicas del Hospital Nacional entre noviembre 2023 y enero 2024, se excluyeron MR con rotación externa y/o vacaciones. Calculo muestral; 136 MR. Se envío un formulario en línea de Google al correo electrónico del MR solicitando la participación voluntaria. El SAP fue medido con el método estándar Maslach Burnout Inventory (MBI) con subescalas; agotamiento emocional (AE), despersonalización (DESP), realización personal (RP), existiendo SAP con puntuaciones altas de AE, DESP y bajas de RP. El CE fue valorado con la medida del entorno educativo de posgrado hospitalario (PHEEM) con subescalas; percepción autonomía de roles (PAR), percepción enseñanza (PE), percepción soporte social (PSS), a mayor puntaje mejor CE. Se recopiló variables demográficos, académicos, puntajes del MBI y PHEEM, el SAP fue considerado dependiente, como resultado principal la relación predictiva del PHEEM sobre el SAP. Se compararon datos con χ², prueba t o U de Mann-Whitney, ANOVA y regresión lineal (p-valor significativo =<0,05). Resultados: de 233 participantes, la edad media fue de 28,75 (± 2,20), el 63,94 % (149) mujeres, la prevalencia general del SAP; 70,38 % (164/233), SAP en hombres 75 % (63/84) y mujeres 67,78 % (101/149) p=0,0014, los 2 primeros años con mayor frecuencia de SAP; 65 (85,52 %), 59 (86,76 %) repectivamente p=0,0009, de especialidades quirúrgicas 63 (90 %) p=0,0071. Las subescalas del MBI el AE;79,82 % (186) con un promedio de 35,39 (± 11,61) puntos. El PHEEM de los MR con SAP; 107,9(( 19,6) puntos y sin SAP; 136,3(( 12,1) puntos IC 95 % 18,1-25,0 p= 0,0001. El PHEEM predijo el AE con R2=0,619, PPS; B= -0,18 (±0,009) p=0,001, y la DESP; R2= 0,385, PPS; B= -0,001 (±0,004) p=0,009 siendo PSS predictor significativo con correlación inversa en ambas. Conclusión: existe relación inversa entre el clima educativo y el sindrome de agotamiento profesional en la población estudiada, con alta prevalencia de este en residentes hombres de especialidades quirúrgicas, siendo el soporte social del ambiente educativo hospitalario un predictor significativo para el desarrollo del sindrome de agotamiento profesional.

Abstract Research that goals to recognize and evaluate the behaviors of Syndrome of teachers from the Industrial Engineering department of a Higher Education Institution. The problem was identified that there were no prior evaluations to identify opportunities for improvement in mental health and the work environment of the teaching staff. A questionnaire based on Maslach, et. al; (1986) and Seisdedos, (1997), which is designed with 22 items, for the Burnout syndrome variable, which measures 3 sub variables: emotional exhaustion (9 items), depersonalization (5 items) and personal fulfillment (8 items), which They respond to a six-point Likert-type scale. The study was quantitative of a descriptive cross-sectional type (Hernández, et. al; 2010). For application to a sample of n=31 teachers. It was found that the subscale with the lowest value is: Personal fulfillment (37.35) and the behaviors with the highest priority to address are: I deal very well with the problems that my students present to me = 4.03 (Maslach, et. al; 1986), I can easily understand what my students think = 4.23 (Maslach, et. al; 1986) and I find myself with a lot of vitality = 4.55 (Maslach, et. al; 1986). The institution will carry out an analysis of the behaviors and causes to prevent and a proposal for the improvement of the studied indices.

Resumen Investigación con el objetivo de identificar y valorar los comportamientos del Síndrome en docentes de Ingeniería Industrial (departamento) de una Institución de Enseñanza Superior. Se identificó el problema de que no existían evaluaciones previas para identificar oportunidades de mejora en la salud mental y el ambiente laboral de la plantilla docente. Se aplicó un cuestionario basado en Maslach, et. al; (1986) y Seisdedos, (1997) que está diseñado con 22 ítems, para la variable síndrome de Burnout, que mide 3 subvariables: agotamiento emocional (9 ítems), despersonalización (5 ítems) y Realización personal (8 ítems), los cuales responden a una escala tipo Likert de seis puntos. El estudio fue cuantitativo de tipo descriptivo transversal (Hernández, et. al; 2010). Para la aplicación a una muestra de n=31 docentes. Se encontró que la subescala con menor valor es: Realización personal (37.35) y los comportamientos con más prioridad a atender son: Me enfrento muy bien con los problemas que me presentan mis alumnos = 4.03 (Maslach, et. al; 1986), Puedo entender con facilidad lo que piensan mis alumnos = 4.23 (Maslach, et. al; 1986) y Me encuentro con mucha vitalidad = 4.55 (Maslach, et. al; 1986). La institución realizará un análisis de los comportamientos y causas para prevenir y una propuesta para la mejora de los índices estudiados.

Abstract: This study had the general objective of verifying the relationship between burnout syndrome, social skills, coping strategies, and socio-occupational variables in a sample of 166 elementary school teachers from 13 public schools of Minas Gerais, Brazil, aged between 23 and 65 years, 73 % of whom were female. The Burnout Syndrome Inventory (ISB), the Social Skills Inventory 2 (IHS-2), the Coping Strategies Inventory (IEC), and a socio-occupational questionnaire developed especially for this research were used. A negative correlation was obtained between burnout and repertoire of social skills (r = -.273 and p < .001). The coping strategies that positively correlated with social skills were seeking social support, problem solving, and positive reappraisal. Furthermore, there was a positive correlation between coping and professional fulfillment, indicating that teachers who adopted coping strategies were more likely to feel professionally satisfied. The burnout predictor variables were age, marital status, family provision, number of children, length of service, ongoing health care and social resourcefulness. The implications of these results were discussed concerning protective actions for the mental health of teachers and the importance of socio-emotional development in schools.

Resumen: Este estudio tuvo como objetivo general verificar la relación entre el síndrome de burnout, las habilidades sociales, el afrontamiento y las variables sociolaborales en una muestra de 166 profesores de educación básica de 13 escuelas públicas del interior de Minas Gerais, Brasil, con edades entre 23 y 65 años, el 73 % de los cuales son mujeres. Se utilizó el Inventario de Síndrome de Burnout (ISB), el Inventario de Habilidades Sociales 2 (IHS-2), el Inventario de Estrategias de Afrontamiento (IEC) y un cuestionario sociolaboral desarrollado especialmente para esta investigación. Se obtuvo una correlación negativa entre el burnout y el repertorio de habilidades sociales (r = -.273 y p = .001). Las estrategias de afrontamiento que se correlacionaron positivamente con las habilidades sociales fueron: búsqueda de apoyo social, resolución de problemas y reevaluación positiva. Además, hubo una correlación positiva entre el afrontamiento y la realización profesional, lo que indica que los profesores que adoptaron estrategias de afrontamiento tenían más probabilidades de sentirse realizados profesionalmente. Las variables predictoras del agotamiento fueron la edad, el estado civil, la provisión familiar, el número de hijos, el tiempo de servicio, la atención médica continua y la desenvoltura social. Se discuten las implicaciones de estos resultados respecto de las acciones protectoras para la salud mental de los docentes y la relevancia del desarrollo socioemocional en las escuelas.

Resumo: Este estudo teve como objetivo geral verificar a relação entre síndrome de burnout, habilidades sociais, coping e variáveis sócio-ocupacionais em uma amostra de 166 professores do ensino fundamental de 13 escolas públicas do interior de Minas Gerais, Brasil, com idades entre 23 e 65 anos, sendo 73 % do sexo feminino. Foram utilizados o Inventário da Síndrome de Burnout (ISB), o Inventário de Habilidades Sociais 2 (IHS-2), o Inventário de Estratégias de Coping (IEC) e um questionário sócio-ocupacional desenvolvido especialmente para esta pesquisa. Obteve-se correlação negativa entre o burnout e o repertório de habilidades sociais (r = -0,273 e p < 0,01). As estratégias de coping que se correlacionaram positivamente com as habilidades sociais foram: busca de suporte social, resolução de problemas e reavaliação positiva. Ademais, houve correlação positiva entre coping e realização profissional, indicando que professores que adotaram estratégias de enfrentamento apresentaram maior tendência a sentirem-se realizados profissionalmente. As variáveis preditoras do burnout foram idade, estado civil, provimento familiar, número de filhos, tempo de serviço, tratamento contínuo de saúde e desenvoltura social. Discutiu-se a implicação desses resultados no tocante às ações protetivas de saúde mental docente e quanto à relevância do desenvolvimento socioemocional nas escolas.

Abstract In an increasingly dynamic and complex world, the professional figure of teachers who show commitment to their work acquires fundamental importance in quality education. In this sense, this research aims to analyze burnout syndrome as a predictor of work commitment in teachers of private universities in the city of Chiclayo, Peru, in a context of mitigation of the COVID-19 pandemic. This is an empirical study of cross-sectional predictive design. The final sample included 100 undergraduate teachers, of both sexes, whose ages ranged from 35 to 60 years (M=46.63; SD=9.90). The instruments applied were the Burnout Syndrome Scale version for teachers and the Utrecht Work Engagement Scale, virtualized in Google Forms. The data collected were subjected to simple regression analysis, also reporting effect size indices and statistical power, to ensure greater scope and precision in the results. Low levels of burnout syndrome and high levels of work engagement were reported; moreover, burnout syndrome negatively and significantly predicted work engagement and its dimensions of vigor and dedication; not so for absorption. Therefore, the reported findings suggest that burnout syndrome can predict work engagement and its factors, except for absorption, in teachers of private universities in Chiclayo. The limitations and practical implications of the study are discussed.

Resumen En un mundo cada vez más dinámico y complejo, la figura profesional docente que muestra compromiso con su quehacer adquiere fundamental importancia en una educación de calidad. En ese sentido, esta investigación tiene como objetivo analizar el síndrome del quemado como predictor del compromiso laboral en docentes de universidades privadas de la ciudad de Chiclayo, Perú, en un contexto de mitigación de la pandemia por COVID- 19. Se trata de un estudio empírico de diseño predictivo transversal. La muestra final incluyó 100 docentes de pregrado, de ambos sexos, cuyas edades oscilaban entre los 35 y 60 años (M=46.63; DE=9.90). Los instrumentos aplicados fueron la Escala de Síndrome de Burnout versión para docentes y la Escala Utrecht de Engagement Laboral, virtualizados en Google Forms. Los datos recopilados se sometieron a análisis de regresión simple, reportando también índices de tamaño de efecto y potencia estadística, para garantizar un mayor alcance y precisión en los resultados. Se reportaron niveles bajos de síndrome del quemado y altos de compromiso laboral, además, el síndrome del quemado predijo de manera negativa y significativa el compromiso laboral y sus dimensiones de vigor y dedicación; no así para absorción. Por tanto, lo reportado sugiere que el síndrome del quemado puede predecir al compromiso laboral y sus factores, salvo la absorción, en docentes de universidades privadas de Chiclayo. Se discuten las limitaciones e implicancias prácticas del estudio.

RESUMEN Introducción: el síndrome de Burnout surge como respuesta a estresores crónicos emocionales e interpersonales en el trabajo y se relaciona con consecuencias negativas a nivel personal y organizacional. Objetivo: describir el síndrome de Burnout en Especialistas del Servicio de Medicina Interna del Hospital Provincial Universitario “Arnaldo Milián Castro”. Métodos: se realizó un estudio descriptivo, transversal en el período de julio de 2022 a enero de 2023; de una población de 26 médicos fueron seleccionados, por muestreo no probabilístico e intencional, 23, 12 Especialistas en Medicina Interna, seis en Endocrinología y cinco en Reumatología. Se empleó la Encuesta de Maslach Burnout Inventory y se calcularon las prevalencias expresadas en por cientos. Resultados: la prevalencia del agotamiento emocional bajo fue del 43,5%, alto en edades entre 46 y 65 años (del 66,7 al 100%), en solteros (75%) y en Especialistas en Medicina Interna (58,3%); bajo con seis y hasta 15 años de servicio (50%). Prevaleció la despersonalización baja en 69,6% doctores; en todos los grupos de edades, en los dos sexos, en los casados, en todas las especialidades y en los que realizaban guardia. La realización personal fue alta en 56,5% y en menores de 55 años (del 55 al 75%) y baja en los demás (del 66 al 100%); alta en hombres (66,7%), casados (63,2%) y en Especialistas en Medicina Interna (58,3%) y en Reumatología (100%). Conclusiones: hay variabilidad de respuesta de los médicos en dependencia de sus características y de las dimensiones del síndrome de Burnout, de forma general menos de la mitad de los profesionales tuvieron agotamiento emocional y despersonalización altos y realización personal baja.

ABSTRACT Introduction: Burnout syndrome arises as a response to chronic emotional and interpersonal stressors at work and is related to negative consequences at a personal and organizational level. Objective: to describe Burnout syndrome in Specialists of the Internal Medicine Service of the “Arnaldo Milián Castro” Provincial University Hospital. Methods: a descriptive, cross-sectional study was carried out in the period from July 2022 to January 2023; From a population of 26 doctors, 23 were selected by non-probabilistic and intentional sampling, 12 Specialists in Internal Medicine, six in Endocrinology and five in Rheumatology. The Maslach Burnout Inventory Survey was used and prevalences expressed in percentages were calculated. Results: the prevalence of low emotional exhaustion was 43.5%, high in ages between 46 and 65 years (from 66.7 to 100%), in singles (75%) and in Internal Medicine Specialists (58. 3%); low with six and up to 15 years of service (50%). Low depersonalization prevailed in 69.6% doctors; in all age groups, in both sexes, in those who were married, in all specialties and in those who were on duty. Personal fulfillment was high in 56.5% and in those under 55 years of age (from 55 to 75%) and low in others (from 66 to 100%); high in men (66.7%), married (63.2%) and in Specialists in Internal Medicine (58.3%) and in Rheumatology (100%). Conclusions: there is variability in the response of doctors depending on their characteristics and the dimensions of Burnout syndrome; in general, less than half of the professionals had high emotional exhaustion and depersonalization and low personal accomplishment.

Resumen La pandemia del COVID-19 ha presentado desafíos sin precedentes para la educación superior y, en consecuencia, para los docentes universitarios, subrayando la imperativa necesidad de abordar el síndrome de burnout en docentes universitarios, así como desarrollar estrategias específicas para enfrentar los desafíos que plantea la pandemia del COVID-19, requiriendo investigaciones empíricas al respecto. El objetivo de la presente investigación es cuantificar el estado de manifestación y prevalencia del síndrome del desgate profesional en docentes de universidades públicas españolas durante la era pospandemia COVID-19. Se desarrolló bajo una metodología cuantitativa, con un diseño no experimental y enfoque descriptivo de corte transversal, aplicándose un muestreo no probabilístico por conveniencia. Los resultados obtenidos evidencian un alto desgaste profesional docente con un 76%, con un agotamiento emocional alto del 72%, un alto grado de despersonalización del 81%, y un bajo grado de realización personal del 78%.

Abstract The COVID-19 pandemic has posed unprecedented challenges for higher education and, consequently, for university educators. This situation has underscored the critical need to address the burnout syndrome among university teachers and to develop specific strategies to face the challenges posed by the COVID-19 pandemic, requiring empirical researches in this regard. The goal of this research is to quantify the state of manifestation and prevalence of professional burnout syndrome among teachers at Spanish public universities during the post-COVID-19 pandemic era. It was developed under a quantitative methodology, with a non-experimental design and cross-sectional descriptive approach, applying non-probabilistic convenience sampling. The results reveal a high rate of professional burnout among educators with 76%, with a high level of emotional exhaustion of 72%, a high degree of depersonalization of 81%, and a low level of personal accomplishment of 78%.

ABSTRACT Burnout syndrome is a state of physical and emotional exhaustion that involves a loss of interest in work, negative attitudes towards others, and low self-esteem. Emotional skills are defined as the ability to recognize and manage one's own emotions and the emotions of others. The aim of the present research was to analyze the relationship between levels of emotional skills and Burnout syndrome in university professors from Physical Education schools. A total of 31 university professors from two universities in Santiago, Chile, were evaluated. The Trait Meta-Mood Scale, validated in Physical Education students in Chile, and the Maslach Burnout Inventory (MBI) were employed. The results reveal a low and negative relationship between depersonalization and emotional repair scores in the sample. The professor's gender, years of university teaching experience, holding managerial positions, or undergoing psychological or pharmacological treatment do not influence levels of occupational stress and emotional skills. It is recommended to replicate this research with samples of university professors from Physical Education schools in other universities, controlling other variables such as anxiety, depression, motivation, etc.

RESUMO A síndrome o Burnout é um estado de esgotamento físico e emocional que implica uma perda do interesse no trabalho, atitudes negativas para com os outros, e baixa auto-estima. A habilidades emocionais é definida como capacidade para conhecer e dominar emoções próprias e de outros/as. O objetivo da presente pesquisa foi analisar a relação entre os níveis de habilidades emocionais e síndrome de Burnout em docentes universitários de Educação Física. Foram avaliados 31 docentes universitários de duas universidades de Santiago do Chile. Foi aplicada a Escala de rasgo de meta-conhecimento emocional validada em estudantes de Educação Física do Chile e o inventário de Burnout de Maslach (MBI). Os resultados revelam uma relação baixa e negativa entre as pontuações de despersonalização e reparação emocional na amostra. O sexo do docente, os anos de ensino universitário, ter cargos directivos ou estar em tratamento psicológico ou farmacológico não influem nos níveis de stress laboral e habilidades emocionais. Recomenda-se replicar esta pesquisa com amostras de docentes universitários de escolas de Educação Física em outras universidades, além do controle de outras variáveis como ansiedade, depressão, motivação, etc.

RESUMEN El síndrome del Burnout es un estado de agotamiento físico y emocional que implica una pérdida del interés en el trabajo, actitudes negativas hacia los demás, y baja autoestima. Las habilidades emocionales se definen como capacidades para conocer y dominar emociones propias y de otros/as. El objetivo de la presente investigación fue analizar la relación entre los niveles de habilidades emocionales y síndrome de Burnout en docentes universitarios de escuelas de Educación Física. Se evaluaron a 31 docentes universitarios de dos universidades de Santiago de Chile. Se aplicó la Escala de rasgo de metaconocimiento emocional validada en estudiantes de Educación Física de Chile y el inventario de Burnout de Maslach (MBI). Los resultados revelan una relación baja y negativa entre los puntajes de despersonalización y reparación emocional en la muestra. El sexo del docente, los años de docencia universitaria, tener cargos directivos o estar en tratamiento psicológico o farmacológico no influyen en los niveles de estrés laboral y habilidades emocionales. Se recomienda replicar esta investigación con muestras de docentes universitarios de escuelas de Educación Física en otras universidades, además del control de otras variables como ansiedad, depresión, motivación, etc.

Resumen Introducción: El Síndrome de Burnout se ha vuelto expresivo en la pandemia de la Covid-19, con consecuencias en la vida personal y profesional de los enfermeros. Objetivo: Reconocer la percepción de los comportamientos de Síndrome de Burnout por parte de enfermeros en Medicina Intensiva, después de la pandemia de Covid-19; estudiar las relaciones entre las variables independientes y el nivel de Síndrome de Burnout. Métodos: Estudio transversal y analítico basado en los resultados del Inventario de Burnout de Copenhague, en una muestra de 61 enfermeros, en su mayoría mujeres (70,5%) y con edades comprendidas entre los 21 y los 45 años. Resultados: Se reconocieron conductas de Síndrome de Burnout, según la percepción de las enfermeras de Medicina Intensiva: el 42,6% de la muestra percibió un elevado Síndrome de Burnout. Existieron relaciones estadísticamente significativas entre las variables sociodemográficas y profesionales y el nivel de Síndrome de Burnout percibido. El 73,8% percibió conductas de Síndrome de Burnout relacionadas con el trabajo, el 60,7% percibió Síndrome de Burnout a nivel personal y el 19,7% de la muestra percibió Síndrome de Burnout relacionado con la interacción con el paciente. Conclusión: El alto nivel de Síndrome de Burnout percibido por los enfermeros en el contexto laboral y personal e, incluso, en la interacción con el enfermo, fundamenta aquí la propuesta: la experiencia de intensidad y cercanía personal con el enfermo merece especial atención, en términos de formación y, sobre todo, asistencia específica para el cribado de la evolución de Síndrome de Burnout y de cualquier signo predepresivo.

Resumo Introdução: A Síndrome de Burnout, tornou-se expressiva, na pandemia de Covid-19, com consequências na vida pessoal e profissional dos enfermeiros. Objetivo: Reconhecer a perceção de comportamentos da Síndrome de Burnout, por enfermeiros em Medicina Intensiva, pós pandemia Covid-19; analisar as relações entres as variáveis sociodemográficas e profissionais e o nível da Síndrome de Burnout. Método: Estudo transversal e analítico, a partir dos resultados da aplicação Copenhagen Burnout Inventory, numa amostra de 61 enfermeiros, maioritariamente do sexo feminino (70.5%) e com idades entre 21 e 45 anos. Resultados: Foram reconhecidos comportamentos da Síndrome de Burnout, segundo a perceção dos enfermeiros em Medicina Intensiva: 42.6% da amostra percecionou Síndrome de Burnout elevado. Verificaram-se relações estatisticamente significativas entres as variáveis sociodemográficas e profissionais e o nível da Síndrome de Burnout percecionado. 73.8% perceciona comportamentos da Síndrome de Burnout relativos ao trabalho, 60.7% percecionam Síndrome de Burnout a nível pessoal e 19.7% da amostra perceciona Síndrome de Burnout relativo à interação com o doente. Conclusão: O nível elevado da Síndrome de Burnout percecionado pelos enfermeiros em contexto laboral e pessoal e, até na interação com o doente, fundamentam a proposta que aqui se coloca: a experiência de intensidade e proximidade pessoal com o doente, merece neste momento uma atenção especial em termos de formação e, sobretudo, atendimento específico para despiste de evolução da Síndrome de Burnout e quaisquer sinaléticas pré depressivas.

Abstract Introduction: The Burnout Syndrome has become expressive during COVID-19 pandemic, with consequences for nurses in their personal and professional lives. Objective: To recognize the perception of Burnout Syndrome behaviors among intensive care unit nurses in the post-pandemic period; to study the relationship between independent variables and the level of Burnout Syndrome. Methods: Cross-sectional, analytic study based on the results of the Copenhagen Burnout Inventory application in a sample of 61 nurses, mostly female (70.5%) and aged between 21 and 45 years old. Results: Burnout Syndrome behaviors were recognized, according to the perception of Intensive Care Medicine nurses: 42.6% of the sample perceived high Burnout Syndrome. There were statistically significant relationships between sociodemographic and professional variables and the level of Burnout Syndrome perceived. 73.8% perceived Burnout Syndrome behaviors related to work, 60.7% perceived Burnout Syndrome at a personal level, and 19.7% of the sample perceived Burnout Syndrome related to interaction with the patient. Conclusion: Nurses precepted high Burnout Syndrome levels in their work and personal lives and even related to interaction with patients, which substantiates the proposal presented in this study: the experience of intensive and personal proximity with patients deserves special attention in terms of training at this point, and, above all, specific assistance needs to be addressed to identify Burnout Syndrome and other pre-depressive signs.

Resumo Uma das medidas tomadas pelos governos para preservar a saúde das pessoas durante a pandemia da Covid 19 foi o distanciamento físico. O objetivo desta pesquisa foi identificar a proporção de alunos que apresentaram a síndrome de burnout durante as aulas online ministradas durante a pandemia em uma população de universitários de diversas áreas do conhecimento de uma universidade pública localizada em Tabasco, México. A pesquisa foi quantitativa, descritiva, com delineamento transversal não experimental; Para coleta de dados, foi aplicado um questionário elaborado no Google Forms a 268 alunos que responderam voluntariamente. Para a validade do instrumento foi aplicada a análise fatorial exploratória e para a confiabilidade foi utilizado o coeficiente Alpha de Cronbach, que reportou α = 0,950. Os resultados indicaram que mais da metade dos alunos apresentou baixa realização pessoal, exaustão e despersonalização. Conclui-se que esses dados representam um alerta na população estudada, por isso é necessário realizar ações que visem diminuir o burnout nos alunos e realizar outras investigações sobre o retorno das aulas presenciais para determinar a presença de burnout em este contexto.

Abstract One of the measures taken by governments to preserve people's health during the Covid 19 pandemic was physical distancing. In this context, universities went from face-to-face classes to online classes, which caused an uncertain outlook for students. students. The objective of this research was to identify the proportion of students who presented burnout syndrome during online classes taught during the pandemic in a population of university students from various areas of knowledge at a public university located in Tabasco, Mexico. The research was quantitative, descriptive, with a non-experimental cross-sectional design; For data collection, a questionnaire prepared in Google Forms was applied to 268 students who responded voluntarily. For the validity of the instrument, an exploratory factorial analysis was applied and for reliability the Cronbach's Alpha coefficient was used, which reported α = 0.950. The results indicated that more than half of the students presented low personal fulfillment, exhaustion and depersonalization. It is concluded that these data represent an alert in the population studied, so it is necessary to carry out actions aimed at reducing burnout in students and carry out other investigations on the return of face-to-face classes to determine the presence of burnout in this context.

Resumen Una de las medidas adoptadas por los gobiernos para preservar la salud de las personas durante la pandemia por covid-19 fue la implementación del distanciamiento físico. Esto obligó a las universidades a transitar de las clases presenciales a las clases en línea, lo que generó un panorama incierto para los estudiantes. Por ende, el propósito de esta investigación fue identificar la proporción de estudiantes que experimentaron el síndrome de burnout durante las clases en línea impartidas durante la pandemia. Para ello, el estudio se enfocó en una población de estudiantes universitarios de diversas áreas del conocimiento en una universidad pública ubicada en Tabasco, México. La investigación se llevó a cabo mediante un enfoque cuantitativo y descriptivo, con un diseño no experimental de tipo transversal. Para recopilar datos, se utilizó un cuestionario elaborado en Google Forms, que fue administrado de manera voluntaria a 268 estudiantes. Asimismo, se aplicó un análisis factorial exploratorio para validar el instrumento, y la confiabilidad se evaluó mediante el coeficiente alfa de Cronbach que arrojó un valor de α = 0.950. Los hallazgos indicaron que los porcentajes más altos de burnout se identificaron en las dimensiones de agotamiento y despersonalización. Esto se atribuyó a las dificultades para prestar atención durante las clases en línea, el agotamiento causado por las demandas académicas, el estrés asociado con las tareas, la falta de sueño debido al trabajo escolar y las dificultades en la comunicación con los profesores cuando surgían dudas sobre las clases. En general, los resultados señalaron que más de la mitad de los estudiantes presentaron baja realización personal, agotamiento y despersonalización. Por tanto, se concluye que estos datos representan una alerta en la población estudiada, y subrayan la necesidad de implementar medidas dirigidas a reducir el burnout en los estudiantes. Además, se sugiere realizar investigaciones adicionales al regreso de las clases presenciales para evaluar la presencia del burnout en ese contexto.

ABSTRACT Objective: To determine the association between psychosocial work factors and symptoms of anxiety or depression among healthcare personnel in the Intensive Care Unit (ICU) at Hospital Regional Eleazar Guzmán Barrón in Nuevo Chimbote. Materials and methods: An observational, cross-sectional study was conducted, using both crude and adjusted models, to determine the association between burnout syndrome (BS), evaluated through the Maslach Burnout Inventory (MBI), and job satisfaction (JS), assessed via the Job Satisfaction Questionnaire S20/23. The associations were expressed as prevalence ratios (PR) with their respective 95 % confidence intervals (95 % CI). Results: Out of the 70 doctors engaged in the SERUMS program, 77.14 % were aged between 18 and 33 years, 52.86 % were males, 51.43 % had less than one year work experience and 88.57 % worked at a health center of the Ministry of Health. The prevalence of BS was 45.71 %. The prevalence of JS was as follows: dissatisfaction 30 %, satisfaction 32.86 % and indifference 37.14 %. In the crude analysis, a statistically significant association between BS and JS was found (PR = 13.5; 95 % CI: 3.08 59.24) and in the analysis adjusted for sex, marital status and length of work experience, the association between BS and JS remained statistically significant (PR = 14.15; 95 % CI: 3.02 66.32). Conclusions: BS is negatively associated with JS, with one in two doctors experiencing BS. Moreover, there appears to be a higher likelihood of job dissatisfaction among personnel with BS. This suggests that BS could serve as an indicator in different management areas and be considered in health management decision-making. Solving these issues could contribute to improving current working conditions and, therefore, the healthcare system.

RESUMEN Objetivo: Evaluar la asociación entre el síndrome de burnout (SB) y la satisfacción laboral (SL) en los médicos serumistas de Ayacucho en el contexto de la pandemia por la COVID-19. Materiales y métodos: Estudio observacional, transversal, que usó un modelo crudo y ajustado para evaluar la asociación entre el SB, valorado por medio del cuestionario Maslach Burnout Inventory (MBI), y la SL, por medio del cuestionario de satisfacción S20/23. Las asociaciones se presentaron como razón de prevalencia (RP) con sus respectivos intervalos de confianza al 95 % (IC al 95 %). Resultados: De los 70 médicos serumistas, se encontró que el 77,14 % tenía entre 18-33 años, el 52,86 % eran hombres, el 51,43 % tenía menos de un año de experiencia laboral y el 88,57 % laboró en un centro de salud del Ministerio de Salud (Minsa). La prevalencia del SB fue de 45,71 %. La prevalencia del SB con insatisfacción fue del 30 %; con satisfacción, 32,86 %, y los indiferentes, 37,14 %. En el análisis crudo encontramos significancia estadística entre el SB y la SL (RP = 13,5; IC del 95 %:3,08-59,24), y en el análisis ajustado por sexo, estado civil y tiempo de experiencia laboral, la asociación entre el SB y la SL permaneció estadísticamente significativa (RP = 14,15; IC del 95 %: 3,02-66,32). Conclusiones: El SB se asocia a la SL de manera negativa, encontrando uno de cada dos médicos con SB. Además, se sugiere que existe mayor probabilidad de insatisfacción laboral en el personal con SB. Ello da a entender que podría usarse como indicador en diferentes áreas de la gestión y ser un punto a evaluar en la toma de decisiones en las directivas de salud. La solución de estos problemas contribuiría a mejorar las condiciones laborales actuales y, por ende, el sistema de salud.

Abstract Objective: The urology resident is involved in academic and extra-academic situations that can generate exhaustion, disinterest, self-sabotage, and doubts about the value of this own study methods; this context leads to burnout syndrome in an academic context. This syndrome can trigger dropout, low academic performance, low self-esteem, and personal frustration. The objective of this study is to determine the prevalence of academic burnout syndrome in urology residents in Colombia, and to propose strategies to avoid or reduce academic burnout syndrome in the Colombian context. Method: Cross-sectional study with convenience sampling in urology residents of all postgraduate academic programs of Colombia. The instrument applied was the Maslach Burnout Inventory-Student Survey (MBI-SS) measurement scale. Results: The prevalence of academic burnout in urology residents in Colombia is 59.5% (IC95%: 59.4-59.6%). The areas of possible intervention are categorized into four dimensions: a) time management; b) training strategies; c) extracurricular activities management, and d) mental health care. Conclusions: Academic burnout syndrome affects 59.5% of urology residents in Colombia. Activities to prevent and treat academic burnout can be focused on: organization of time for academic activities, time reserved for research and extracurricular activities, development of emotional and academical support routes, promotion of university wellness activities.

Resumen Objetivo: El médico residente de urología está inmerso en situaciones académicas y extraacadémicas que pueden generar agotamiento, desinterés, autosabotaje frente a sus actividades y dudas acerca del valor del estudio, lo cual conduce al síndrome de burnout en un contexto académico. Este síndrome puede desencadenar deserción, bajo rendimiento académico, baja autoestima y frustración personal. El objetivo de este estudio es determinar la prevalencia del síndrome de burnout académico en los residentes de urología en Colombia y proponer estrategias que permitan evitar o disminuir el síndrome de burnout académico en el contexto colombiano. Método: Estudio de corte transversal, con muestreo por conveniencia en médicos residentes de urología de los diferentes programas académicos de posgrado en Colombia. El instrumento aplicado fue la escala de medición Maslach Burnout Inventory-Student Survey (MBI-SS). Resultados: La prevalencia de burnout académico en residentes de urología de Colombia es del 59,5% (IC95%: 59,4-59,6%). Se categorizan las áreas de posible intervención en cuatro dimensiones: a) administración de tiempo; b) estrategias de formación; c) actividades extracurriculares, y d) cuidados de salud mental. Conclusiones: El síndrome de burnout académico afecta al 59,5% de los residentes de urología de Colombia. Las actividades para prevenir y tratar el burnout académico se pueden enfocar en: organización del tiempo de las actividades académicas, tiempos reservados para investigación, actividades asistenciales y actividades extraacadémicas; desarrollo de rutas de apoyo emocionales/académicas; promoción sobre actividades de bienestar universitario.

ABSTRACT Introduction: emotional intelligence is of great importance in the field of health sciences given the relevance of each of its components in the health professional's work, since it favors the relationship with oneself, with the patient and with the environment. Objective: to describe the importance of emotional intelligence in students and health professionals. Methods: 40 scientific articles on the subject were consulted, obtained from the EBSCO, Medline, Scielo and Google Scholar databases, and 28 were used as bibliographic references, with a predominance of articles published during the last five years and others due to their relevance. Development: the development of emotional intelligence in the health field is of vital importance for students and professionals as it favors the establishment of an adequate relationship with the patient and his family, by enhancing affective communication, aspects related to the quality of care and satisfaction with care. It also benefits interpersonal relationships in the workplace, performance, level of involvement and professional satisfaction, avoiding burnout syndrome. To the extent that the person learns to know and control his or her emotions, he or she can respond adequately to the different stressful and emotionally charged situations to which the health professional is exposed. Conclusions: the importance of the study of emotional intelligence in the training and work performance of health professionals is highlighted.

RESUMEN Introducción: la inteligencia emocional cobra trascendencia en el campo de las ciencias de la salud dada la relevancia de cada uno de sus componentes en el que hacer del profesional de la salud pues favorece la relación consigo mismo, con el paciente y con el entorno. Objetivo: describir la importancia de la Inteligencia Emocional en estudiantes y profesionales de la salud. Métodos: para su realización se consultaron 40 artículos científicos sobre el tema, obtenidos de las bases de datos EBSCO, Medline, Scielo y Google Académico, y fueron utilizados 28 como referencias bibliográficas, predominaron los artículos publicados durante los últimos cinco años y otros por su relevancia. Desarrollo: el desarrollo de la inteligencia emocional en el ámbito de la salud es de vital importancia para estudiantes y profesionales pues favorece el establecimiento de una adecuada relación con el paciente y su familia, al potenciar una comunicación afectiva, aspectos relacionados con la calidad de la cura y la satisfacción con la atención. Además, beneficia las relaciones interpersonales en el ámbito laboral, el rendimiento, el nivel de implicación y la satisfacción profesional evitando el síndrome de burnout. En la medida que la persona aprende a conocer y controlar sus emociones puede responder de manera adecuada a las diferentes situaciones estresantes y con gran carga emocional al que el profesional de salud se encuentra expuesto. Conclusiones: se pone de manifiesto la importancia del estudio de la inteligencia emocional en la formación y desempeño laboral de profesionales de la salud.

ABSTRACT Introduction: Medical residents constitute a risk group for emotional and behavioral disorders, which can lead to Burnout Syndrome, negatively interfering with the care provided. Objective: To identify the stressors experienced by Gynecology and Obstetrics residents of a teaching maternity hospital in southern Brazil and estimate the prevalence of Burnout Syndrome among them. Method: Data was collected from August to December 2020 with 21 residents and comprised two stages: the first consisted of a semi-structured interview, using a guide script, aiming to identify the stressors experienced by the GO residents. Subsequently, the participants received a self-administered questionnaire that aimed to measure the level of Burnout based on the Maslach Burnout Inventory. Qualitative data analysis was performed using the Collective Subject Discourse methodology. Quantitative data analysis was performed using the analytical description of the data. Results: Among the stressors experienced by residents, the following stand out: lack of acceptance by the multidisciplinary team when entering the residency; excessive workload; lack of sleep; the challenge of becoming responsible for one’s own learning; the various therapeutic approaches by different preceptors for the same problem; feeling of insufficient theoretical content during the residency; guilt for not studying as much as you believe you should; decreased time devoted to leisure and physical activity, high level of stress; emotional upheaval that the great responsibility assumed entails and lack of psychological support. Of the 21 resident physicians, Burnout Syndrome was present in 57.1% of the participants. Emotional exhaustion was the most frequent dimension (52.7%), followed by Depersonalization (33.3%) and Low professional achievement (9.5%). Conclusion: The reported stressors point to the need to review the residency so that harmful consequences to the mental health of students, such as Burnout syndrome and its consequences, are prevented, reduced or remedied, avoiding damage to the residents, their patients and the health care institution. Prophylactic measures are proposed in the search for improvements in the quality of life, the quality of care and, perhaps most importantly, the shift in focus from a service-centered residency to a learner-centered residency. Introduction disorders provided Objective them Method 202 2 stages semistructured semi structured interview script Subsequently selfadministered self administered Inventory methodology Results out workload sleep ones one s learning problem should activity stress support physicians 571 57 1 57.1 52.7%, 527 52.7% , 52 7 (52.7%) 33.3% 333 33 3 (33.3% 9.5%. 95 9.5% . 9 5 (9.5%) Conclusion students prevented remedied institution life importantly servicecentered service centered learnercentered learner 20 57. 52.7 (52.7% 33.3 (33.3 9.5 (9.5% 52. (52.7 33. (33. 9. (9.5 (52. (33 (9. (52 (3 (9 (5 (

RESUMO Introdução: Os médicos residentes constituem um grupo de risco para distúrbios emocionais e comportamentais, e isso pode levar à síndrome de burnout e interferir negativamente no atendimento prestado. Objetivo: Este estudo teve como objetivos identificar os estressores vivenciados por residentes de ginecologia e obstetrícia (GO) de uma maternidade-escola do Sul do Brasil e estimar a prevalência da síndrome de burnout entre eles. Método: Realizou-se a coleta de dados de agosto a dezembro de 2020 com 21 residentes. A coleta compreendeu duas etapas: na primeira, fez-se uma entrevista semiestruturada, por meio de um roteiro-guia, visando identificar os estressores vivenciados pelos residentes em GO. Na sequência, os participantes receberam um questionário autoaplicável que teve por objetivo medir o nível de burnout pautado no Maslach Burnout Inventory. Para análise dos dados qualitativos, adotou-se a metodologia discurso do sujeito coletivo. Para análise dos dados quantitativos, foi utilizada a descrição analítica dos dados. Resultado: Entre os estressores vivenciados pelos residentes, destacam-se: falta de acolhimento pela equipe multiprofissional ao ingressarem na residência; excessiva carga horária de trabalho; poucas horas de sono; o desafio de se tornarem responsáveis pelo próprio aprendizado; as várias abordagens terapêuticas por preceptores diferentes para um mesmo problema; sensação de insuficiência de conteúdo teórico durante a residência; culpa por não estudarem o quanto acreditam que deveriam; diminuição do tempo destinado ao lazer e à atividade física; alto nível de estresse; abalo emocional que a grande responsabilidade assumida acarreta; e falta de apoio psicológico. Dos 21 médicos residentes, a síndrome de burnout esteve presente em 57,1% dos participantes. Exaustão emocional foi a mais frequente dimensão (52,7%), seguida por despersonalização (33,3%) e baixa realização profissional (9,5%). Conclusão: Os estressores relatados apontam para necessidade de revisão da residência a fim de que consequências nefastas à saúde mental de residentes, como a síndrome de burnout e suas consequências, sejam prevenidas, diminuídas ou sanadas, de modo a evitar danos tanto para os residentes como para os pacientes por eles atendidos e para instituição de saúde. São propostas medidas profiláticas na busca de melhorias na qualidade de vida, na qualidade do atendimento e, talvez no aspecto mais importante: a mudança de foco, da residência centrada no serviço para a residência centrada no aprendiz. Introdução comportamentais prestado Objetivo GO (GO maternidadeescola maternidade escola Método Realizouse Realizou 202 2 etapas primeira fezse fez semiestruturada roteiroguia, roteiroguia roteiro guia, guia roteiro-guia sequência Inventory qualitativos adotouse adotou coletivo quantitativos Resultado destacamse destacam destacam-se trabalho sono aprendizado problema deveriam física estresse acarreta psicológico 571 57 1 57,1 52,7%, 527 52,7% , 52 7 (52,7%) 33,3% 333 33 3 (33,3% 9,5%. 95 9,5% . 9 5 (9,5%) Conclusão prevenidas sanadas vida importante foco aprendiz 20 57, 52,7 (52,7% 33,3 (33,3 9,5 (9,5% 52, (52,7 33, (33, 9, (9,5 (52, (33 (9, (52 (3 (9 (5 (

Resumen: Se utilizó el modelo demandas y recursos para identificar el poder predictivo del estilo personal del terapeuta y del trabajo emocional (demandas), y de la inteligencia emocional y autoeficacia profesional (recursos) sobre las dimensiones del síndrome de Burnout (SB), en una muestra de 240 psicólogos clínicos brasileños. Los datos se recolectaron de una plataforma en línea, utilizando como instrumentos de investigación un cuestionario de datos sociodemográficos y laborales, el Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo, el Cuestionario del Estilo Personal del Terapeuta, el Cuestionario de Evaluación Relacionado con Demandas Emocionales y Disonancia de la Regla de la Emoción, la Medida de Inteligencia Emocional y Escala de Autoeficacia General Percibida. Los resultados obtenidos revelaron un modelo predictor de las dimensiones de SB, constituido por las variables disonancia emocional, automotivación, exigencias emocionales, instrucción, implicación y autoeficacia. Se destaca la relevancia de las estrategias dirigidas a la prevención del SB en esta categoría profesional, así como la necesidad de acciones dirigidas a promover y desarrollar la inteligencia emocional y la autoeficacia como fortalecimiento de los recursos emocionales para trabajar en la práctica clínica. Resumen demandas, , (demandas) (recursos (SB) 24 brasileños línea laborales Trabajo Terapeuta Emoción Percibida automotivación instrucción clínica (demandas (SB 2

Abstract: The Model of Demands – Resources was used to identify the predictive power of therapist’s personal style, emotional work (Demands), Emotional intelligence, and professional self-efficacy (Resources) over the Burnout syndrome dimensions in a sample of 240 Brazilian clinical psychologists. The data was collected by an on-line platform using a Labor and social demographic data questionnaire, a work Burnout Syndrome Evaluation questionnaire (CESQT – Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo), the short version of the Therapist Personal Style Questionnaire (EPT-C Cuestionario del Estilo Personal del Terapeuta), an Evaluation questionnaire related to emotional demands and emotion rule dissonance, and the Emotional Intelligence Measure (EIM) and Perceived General Self-Efficacy Scale (GPSS) as research instruments. Results showed a predictor model of Burnout syndrome constituted by the variables Emotional dissonance, Self-motivation, Emotional demands, Instruction, Involvement, and Self-efficacy. We emphasize the relevance of strategies to prevent Burnout Syndrome in this professional category and the need for actions to promote and develop emotional intelligence and self-efficacy as a strengthening factor of the emotional resources to work as a clinical psychologist. Abstract therapists therapist s style Demands, , (Demands) selfefficacy self efficacy (Resources 24 psychologists online on line CESQT Trabajo, Trabajo Trabajo) EPTC EPT C Terapeuta, Terapeuta Terapeuta) dissonance EIM (EIM SelfEfficacy Self Efficacy GPSS (GPSS instruments Selfmotivation, Selfmotivation motivation, motivation Self-motivation Instruction Involvement Selfefficacy. Selfefficacy efficacy. Self-efficacy psychologist (Demands 2

Resumo: O modelo de demandas e recursos foi utilizado para identificar o poder preditivo do estilo pessoal do terapeuta e do trabalho emocional (demandas), e da inteligência emocional e autoeficácia profissional (recursos) sobre as dimensões da síndrome de Burnout (SB), em uma amostra de 240 psicólogos clínicos brasileiros. Os dados foram coletados por meio de plataforma online, tendo como instrumentos de pesquisa um Questionário de dados sociodemográficos e laborais, o Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo, o Cuestionario del Estilo Personal del Terapeut, o Questionário de Avaliação Relacionado a Demandas Emocionais e Dissonância da Regra da Emoção, Medida de Inteligência Emocional, e Escala de Autoeficácia Geral Percebida. Os resultados obtidos revelaram um modelo preditor das dimensões da SB, constituído pelas variáveis dissonância emocional, automotivação, demandas emocionais, instrução, envolvimento e autoeficácia. Ressalta-se a relevância de estratégias voltadas para a prevenção da SB nessa categoria profissional, bem como a necessidade de ações que visem a promoção e o desenvolvimento da inteligência emocional e da autoeficácia como fortalecimento dos recursos emocionais para atuação na prática clínica. Resumo demandas, , (demandas) (recursos (SB) 24 brasileiros online laborais Trabajo Terapeut Emoção Emocional Percebida automotivação instrução Ressaltase Ressalta se clínica (demandas (SB 2

Aim Burnout syndrome describes the state of long-term physical, emotional and mental exhaustion related to work. This syndrome can cause health problems related to stress, insomnia, cardiovascular and musculoskeletal diseases, including an increase in alcohol consumption and drug use. It is important to recognize the presence of the initial signs of this syndrome, therefore this study aimed to determine the prevalence of the burnout syndrome in peruvian dental students. Methods The study was observational, cross-sectional, and descriptive. It was carried out from September to November 2018, and it included a total of 154 dental students of four universities of La Libertad region, surveyed by census method. Three were private universities and one was public. Burnout was evaluated through the Maslach Burnout Student Survey Questionnaire (MBI-SS). The results were presented in absolute and percentage frequencies, as well as confidence intervals, using double-entry tables. Results It was found that 24.68% of the students (24.71% in male students and 24.64% in female students) presented burnout syndrome. The public university of Trujillo presented the highest percentage of affected students (47.37%). A prevalence of 53,90% of emotional exhaustion was also found among the students under evaluation. Conclusions Almost a quarter of the students surveyed presented burnout. It was also observed that the public University of Trujillo had a higher percentage of burnout than the three private ones. The percentage of prevalence of the burnout syndrome according to sex was similar. However according to dimensions, emotional exhaustion presented the highest percentage. longterm long term physical work stress insomnia diseases use observational crosssectional, crosssectional cross sectional, sectional cross-sectional descriptive 2018 15 region method MBISS. MBISS MBI SS . (MBI-SS) frequencies intervals doubleentry double entry tables 2468 24 68 24.68 24.71% 2471 71 (24.71 2464 64 24.64 47.37%. 4737 47.37% 47 37 (47.37%) 5390 53 90 53,90 evaluation ones similar dimensions 201 1 (MBI-SS 246 2 6 24.6 24.71 247 7 (24.7 473 47.37 4 3 (47.37% 539 5 9 53,9 20 24. 24.7 (24. 47.3 (47.37 53, (24 47. (47.3 (2 (47. ( (47 (4