ABSTRACT Introduction: Burnout results from chronic exposure to work-related stress and it is characterized by a reduction in professional efficacy, feelings of lack of energy/exhaustion, and negativity related to work activities. It has a higher incidence in professions with significant interpersonal contact and among caregivers, making doctors a vulnerable population. The Maslach Burnout Inventory questionnaire is considered the gold standard for measuring this disease. In 2014, quinquennial prevention was described, aiming to prevent harm to patients through strategies that reduce Burnout in doctors. Clinical Case: The case describes a 29-year-old woman, a physician in her final year of Residency in General and Family Medicine, who sought an urgent consultation due to feelings of physical and mental exhaustion, hopelessness, irritability, initial and middle insomnia, for the last three months, and hyperphagia, two months ago. She has requested a sick leave from work because “I can't stand working anymore. I need to sleep for a week”. She identified excessive workload at the Clinic, stemming from the demands of her medical residency, as the main cause. She feels unsupported by her colleagues and Training Supervisor and feels pressured to manage the medical agenda without adequate preparation. She reports occasional errors in prescriptions, leading her to feel the need to repeatedly review records and decisions she has made. She denies any appointment with her designated Work physician ever since she started her internship. Upon physical examination, she appeared slaughtered, with a depressed mood, tearful, restless, and with fleeting eye contact. Applying the Maslach Burnout Inventory: Section A- 34 points- high level; Section B- 28 points- high level; Section C- 25 points- high level. A work leave from work was issued, laboratory studies were requested, and fluoxetine 20 mg and trazodone 50 mg were initiated, along with psychotherapy. So far, the patient has been re-evaluated in three consultations, with organic causes ruled out, and in the last re-evaluation, her scores were: Section A- 20 points- moderate level; Section B- 5 points- low level; Section C- 39 points- moderate level. She reports a decrease in medical errors. She maintained the prescribed medication and psychotherapy. She declined to join a Balint group. A new re-evaluation was scheduled in six months. Discussion/Conclusion: This is a case of a General and Family Medicine Resident Physician, diagnosed with Burnout, who has managed to substantially improve her quality of life and job satisfaction, as well as her personal life, following the implementation of both pharmacological and non-pharmacological measures, along with workplace adjustments and the setting of boundaries. She has successfully reduced her perception of making medical errors, thereby improving the quality of healthcare provided to the patients. The long journey of recovery from Burnout makes the monitoring of this illness imperative not only by the patients Family Doctor and Psychologist, but also by the Occupational physician, targeting the improvement of the quality of life of the healthcare professionals in their occupational activity. This clinical case’s purpose is to address and raise awareness among professionals to the prevention of Burnout, particularly in Residents, promoting quinquennial prevention. It is important to note that only professionals who are fulfilled in their biopsychosocial sphere can provide quality care and significantly reduce medical errors.

RESUMO Introdução: O Burnout resulta da exposição crónica ao stress laboral e caracteriza-se por redução da eficácia a nível profissional, sentimentos de falta de energia/exaustão e negatividade relacionados com a atividade laboral. Tem maior incidência em profissões de elevado contacto com pessoas e em prestadores de cuidados, tornando os médicos uma população vulnerável. O questionário Maslach Burnout Inventory é considerado gold standard para a medição desta patologia. Em 2014 foi descrita a prevenção quinquenária, que pretende evitar o dano para o paciente, atuando no médico através de estratégias que visem a diminuição do Burnout. Caso Clínico: Descreve-se uma mulher de 29 anos, médica, no último ano da especialização em Medicina Geral e Familiar, que recorreu a consulta aberta por sensação de exaustão física e mental, sentimentos de desesperança, irritabilidade, insónia inicial e intermédia, com três meses de evolução e hiperfagia há dois meses. Solicitou certificado de incapacidade temporária para o trabalho, porque “já não aguento mais trabalhar. Preciso de dormir uma semana”. Aponta como principal etiologia o trabalho excessivo no Centro de Saúde, decorrente da exigência do internato médico. Sente-se pouco apoiada pelos colegas de equipa e orientador de formação e considera-se pressionada a gerir a agenda médica sem ter preparação para tal. Relata erros pontuais na prescrição médica, pelo que sente necessidade de rever várias vezes os registos efetuados e as atitudes tomadas. Nega ter sido convocada para qualquer consulta de Medicina do Trabalho desde que ingressou na especialidade. Ao exame objetivo, apresentava-se cabisbaixa, com humor deprimido, chorosa, inquieta e com contacto ocular fugaz. Aplicando o questionário atrás mencionado: Secção A - 34 pontos - nível elevado; Secção B - 28 pontos - nível elevado; Secção C - 25 pontos - nível elevado. Foi emitido o certificado de incapacidade temporária para o trabalho, solicitado estudo analítico e iniciada fluoxetina 20mg e trazodona 50mg, bem como psicoterapia. Até à data, a doente foi reavaliada em três consultas, foi excluída patologia orgânica e na última reavaliação apresentava os seguintes valores: Secção A- 20 pontos- nível moderado; Secção B- 5 pontos- nível baixo; Secção C- 39 pontos- nível moderado. Refere diminuição dos erros médicos. Manteve a medicação instituída, bem como a psicoterapia. Recusou o grupo Balint. Foi programada nova reavaliação em seis meses. Discussão/Conclusão: Trata-se de uma doente, Médica Interna em Medicina Geral e Familiar com o diagnóstico de Burnout, que conseguiu melhorar substancialmente a sua qualidade de vida e satisfação no trabalho e vida pessoal, após a implementação de medidas farmacológicas e não farmacológicas e também após alterações a nível laboral e imposição de limites. Conseguiu diminuir a perceção de erro médico, melhorando assim os cuidados de saúde prestados aos utentes. O longo percurso de recuperação desta doença torna fulcral o acompanhamento destes utentes pela equipa de Medicina do Trabalho, e não só pelo Médico de Família e Psicólogo, visando melhorar a qualidade de vida e saúde dos profissionais no âmbito da sua atividade laboral. Com este caso clínico pretende-se abordar e sensibilizar os profissionais para a prevenção do Burnout, em particular nos médicos internos, fomentando a prevenção quinquenária. De ressalvar que apenas profissionais realizados na sua esfera biopsicossocial conseguem proporcionar cuidados de qualidade e reduzir de forma importante o erro médico.

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.

Resumen Introducción: El bienestar médico ha cobrado relevancia en la atención de la salud, especialmente frente a la "epidemia de burnout". Este estudio se propone evaluar la implementación y efectividad de un programa para mejorar el bienestar del personal de la Unidad Académica de Ginecología y Obstetricia A de la Facultad de Medicina de la Universidad de la República, Uruguay. Método: Se desarrolló un estudio descriptivo siguiendo un modelo lógico de evaluación de programas. Se implementó una estrategia organizacional focalizada en la identificación de factores de estrés y la promoción del bienestar. La intervención incluyó encuestas cualitativas, grupos focales y la conformación de un Equipo de Referentes de Bienestar (ERB), capacitado para guiar el proceso de mejora continua. Resultados: Se identificaron prioridades en las dimensiones de carga laboral y exigencias en el trabajo, eficiencia y recursos, comunidad en el trabajo, cultura organizacional e integración trabajo-vida personal. A lo largo del proceso, se implementaron acciones clave para mejorar el ambiente laboral y la efectividad del equipo. El compromiso de los líderes de la unidad y el trabajo colaborativo con consultores externos fueron fundamentales para el éxito del programa. Discusión: Las intervenciones organizacionales, aunque más complejas, parecen ser más efectivas en la promoción del bienestar. Los cambios alcanzados en esta etapa inicial sugieren un impacto positivo, aunque se requiere un seguimiento a largo plazo para asegurar la sostenibilidad de las mejoras. Conclusiones: La experiencia innovadora presentada ofrece una hoja de ruta para la mejora del bienestar del personal de salud en contextos académicos y asistenciales, destacando la importancia del liderazgo y colaboración en estos procesos.

Abstract Introduction: Physician well-being has gained relevance in health care, especially in the face of the "burnout epidemic." This study aims to evaluate the implementation and effectiveness of a program to improve the well-being of the staff of the Academic Unit of Gynecology and Obstetrics A of the Faculty of Medicine of the University of the Republic, Uruguay. Method: A descriptive study was developed following a logical model of program evaluation. An organizational strategy focused on identifying stress factors and promoting well-being was implemented. The intervention included qualitative surveys, focus groups, and the formation of a Well-Being Referent Team (ERB), trained to guide the continuous improvement process. Results: Priorities were identified in the dimensions of workload, resources, community at work, organizational culture, and work-life balance. Throughout the process, key actions were implemented to improve the work environment and team effectiveness. The commitment of unit leaders and collaborative work with external consultants were fundamental to the success of the program. Discussion: Organizational interventions, although more complex, appear to be more effective in promoting well-being. The changes achieved at this initial stage suggest a positive impact, although long-term monitoring is required to ensure the sustainability of improvements. Conclusions: The innovative experience presented offers a roadmap for improving the well-being of health personnel in academic and healthcare contexts, highlighting the importance of leadership and collaboration in these processes.

Resumo Introdução: O bem-estar médico ganhou relevância na área da saúde, especialmente face à “epidemia de esgotamento”. Este estudo tem como objetivo avaliar a implementação e eficácia de um programa para melhorar o bem-estar do pessoal da Unidade Acadêmica de Ginecologia e Obstetrícia A da Faculdade de Medicina da Universidade da República, Uruguai. Método: Foi desenvolvido um estudo descritivo seguindo um modelo lógico de avaliação de programas. Foi implementada uma estratégia organizacional focada na identificação de fatores de stress e na promoção do bem-estar. A intervenção incluiu pesquisas qualitativas, grupos focais e a formação de uma Equipe de Referência em Bem-Estar (ERB), treinada para orientar o processo de melhoria contínua. Resultados: Foram identificadas prioridades nas dimensões carga de trabalho, recursos, comunidade no trabalho, cultura organizacional e equilíbrio entre vida pessoal e profissional. Ao longo do processo, foram implementadas ações-chave para melhorar o ambiente de trabalho e a eficácia das equipes. O compromisso dos líderes das unidades e o trabalho colaborativo com consultores externos foram fundamentais para o sucesso do programa. Discussão: As intervenções organizacionais, embora mais complexas, parecem ser mais eficazes na promoção do bem-estar. As mudanças alcançadas nesta fase inicial sugerem um impacto positivo, embora seja necessário um acompanhamento a longo prazo para garantir a sustentabilidade das melhorias. Conclusões: A experiência inovadora apresentada oferece um roteiro para melhorar o bem-estar do pessoal de saúde em contextos académicos e de saúde, destacando a importância da liderança e da colaboração nestes processos.

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 Introduction: Nursing, as a science and discipline, faces the challenge of missed care and omissions that affect the safety and quality of care. Objective: to analyze the scientific evidence related to missed care in nursing, highlighting its impact on safety and quality of care. Methodology: A systematic review of articles was conducted between 2018 and 2023, with a descriptive design, following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) flowchart. The study was conducted between September and December 2023, collecting articles related to lost care in nursing from open-access indexed journals in the following repositories: Scielo, Redalyc, PubMed, Wos, Scopus, and CINAHL. Selection and exclusion criteria were applied, and original qualitative and quantitative articles were chosen with a maximum validity of 6 years. The review focused on literature in English, Spanish, and Portuguese. Ethical standards were rigorously respected, guaranteeing confidentiality and treating sensitive information ethically. Results: 7 articles were included, which revealed disparities in lost care between public and private hospitals, highlighting the gap in resources, in addition to emphasizing the relationship between lost care and professional burnout, omissions in primary nursing care such as handwashing, along with the importance of planning care through the nursing process, to ensure compliance and recording of this care. Conclusion s: Strategies such as humanizing care, developing plans for resource scarcity, and maintaining an adequate nurse-patient relationship are essential to address the issue of lost care.

Resumen Introducción: la enfermería, como ciencia y disciplina, se enfrenta al desafío de los cuidados perdidos y omisiones que afectan la seguridad y calidad de la atención. Objetivo: analizar las evidencias científicas relacionadas con los cuidados perdidos en enfermería, destacando su impacto en la seguridad y calidad asistencial. Metodología: se realizó una revisión sistemática de artículos entre 2018-2023, con diseño descriptivo, siguiendo el flujograma Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). El estudio se llevó a cabo entre septiembre y diciembre de 2023, recopilando artículos de revistas indexadas de acceso abierto en; Scielo, Redalyc, PubMed, Wos, Scopus y CINAHL, relacionados con los cuidados perdidos en enfermería. Se aplicaron criterios de selección y exclusión, eligiendo artículos originales cualitativos y cuantitativos con una vigencia máxima de 6 años. La revisión se centró en literatura en inglés, español y portugués. Se respetaron rigurosamente las normas éticas, garantizando la confidencialidad y tratando éticamente la información sensible. Resultados: se incluyeron 7 artículos, los que revelaron disparidades en el cuidado perdido entre hospitales públicos y privados, resaltando la brecha en recursos, además de enfatizar en la relación entre el cuidado perdido y el agotamiento profesional, omisiones en cuidados básicos de enfermería como el lavado de manos, junto con la importancia de planificar el cuidado mediante el proceso de enfermería, a fin de garantizar su complimiento y registro de este cuidado. Conclusiones: estrategias como la humanización de la atención, desarrollo de planes ante escasez de recursos y mantener una adecuada relación enfermero-paciente, son esenciales para enfrentar los inconvenientes que representan los cuidados perdidos.

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.

Abstract Introduction: Burnout syndrome is a social and occupational phenomenon recognized by the WHO, and common in healthcare. It is characterized by low personal accomplishment, emotional exhaustion, and depersonalization, affecting professional performance and coping strategies. Despite the relevance of the topic, there is insufficient available information to visualize the magnitude of the problem with real figures in Colombia, especially in the field of cardiology. Objective: To determine the prevalence of burnout syndrome and the sociodemographic characteristics of cardiology students and cardiologists in Colombia. Materials and method: Cross-sectional analytical observational study conducted in Colombia through the application of a self-completed virtual survey made to cardiology students and cardiologists in Colombia. The first part of the survey collected sociodemographic and economic data; in the second part was applied the Maslach Burnout Inventory (MBI) questionnaire. Results: A total of 207 surveys were conducted, 145 physicians answered the first part, 67.59% were men, the mean age was 40.8 years old, 64% of the cardiologists and 79% of the students consider that they do not have enough time to perform other activities not related to medicine (p = 0.18). When applying MBI, the most affected dimensions in the physicians surveyed are emotional exhaustion followed by low personal accomplishment and finally depersonalization. Comparing cardiologists and cardiology students, students have the highest proportion of compromise in all three dimensions. Taking into account the two most affected dimensions, 61.72% of the cardiologists and 81.57% of the cardiology students have a high score of symptoms suggestive of a diagnosis of burnout syndrome. Conclusion: The prevalence of burnout syndrome in cardiology students and cardiologists included in the described survey is high, this warrants the early implementation of strategies that seek to remove or mitigate factors that are associated with a higher risk of presenting this condition, which directly impacts the professional performance and quality of life of health professionals.

Resumen Introducción: El síndrome de burnout es un fenómeno social y ocupacional reconocido por la OMS, frecuente en el área de la salud. Se caracteriza por baja realización personal, agotamiento emocional y despersonalización, afectando el desempeño profesional y estrategias de afrontamiento. A pesar de la relevancia del tema, es insuficiente la información disponible que permita visualizar la magnitud del problema con cifras reales en Colombia y, en especial, en el área de cardiología. Objetivo: Determinar la prevalencia del síndrome de burnout y las características sociodemográficas de médicos que realizan especialización en cardiología y cardiólogos en Colombia. Materiales y método: Estudio observacional, analítico, de corte transversal, realizado en Colombia mediante la aplicación de una encuesta virtual autodiligenciada dirigida a médicos que cursan especialización en cardiología y a cardiólogos. La primera parte de la encuesta obtuvo datos sociodemográficos-económicos y la segunda parte aplicó el cuestionario de Maslach Burnout Inventory (MBI), herramienta validada para evaluar síndrome de burnout. Resultados: En total se realizaron 207 encuestas; 145 médicos contestaron la primera parte, 67.59% eran hombres, la edad media fue 40.8 años, 64% de los cardiólogos y 79% de los estudiantes consideran que no tienen tiempo suficiente para realizar otras actividades diferentes a la medicina (p = 0.18). Al aplicar MBI, las dimensiones más afectadas son agotamiento emocional, baja realización personal y despersonalización. Al comparar cardiólogos y estudiantes, los segundos tienen mayor proporción de compromiso en las tres dimensiones. Teniendo en cuenta las dos dimensiones más afectadas, 61.72% de los cardiólogos y 81.57% de los estudiantes de cardiología tienen alta puntuación de síntomas sugestivos de síndrome de burnout. Conclusión: La prevalencia del síndrome de burnout en estudiantes de cardiología y cardiólogos incluidos en la encuesta descrita, es alta y amerita la realización pronta de estrategias que busquen retirar o mitigar factores que se asocien a mayor riesgo de presentar esta condición, que impacta directamente en el desempeño profesional y la calidad de vida de los médicos.

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%.

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.

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.

In light of the devastating effects of COVID-19 on early childhood care and education (ECCE), with this study we aimed at illuminating the self-efficacy and well-being of ECCE teacher educators, from the perspective of 9 participants in 7 higher education institutions (HEIs) across 5 South African provinces. The study, conducted by 2 ECCE teacher educators, was informed by the feminist ethics of care, combined with Bandura's Social Cognitive Theory, to understand self-efficacy, and Seligman's PERMA (positive emotions, engagement, relationships, meaning and accomplishments) theory of well-being. Semi-structured, online interviews using Microsoft Teams was used to produce the data. The findings reveal aspects that compromised self-efficacy and well-being, as well as aspects that energised them. All the participants reported that their institutions were under-prepared for the pandemic. They recognised that they lacked work-life balance and were at risk of burnout. Despite this, their resilience enabled them to develop a deeper interest and stronger commitment to their work, largely because of the support they had received from their colleagues. From the findings of the study we recognise that strong self-efficacy sustained teacher educators' professional practice despite the pandemic affecting their well-being in a negative way. In the context of building forward better and differently, this study points to the importance of developing responsive well-being programmes for staff in higher education institutions and communities of practice that are responsive to the needs of female teacher educators.

Resumo: A qualidade do ensino em uma universidade depende dos trabalhadores da instituição, tanto professores quanto administradores. Considerando que o perfil de saúde dessa população foi pouco estudado, esta pesquisa busca conhecer o papel das variáveis pessoais e laborais na saúde de uma amostra de trabalhadores de uma universidade privada de Lima, Peru. Para isso, foram avaliados saúde mental e física (SF-36), burnout (MBI) e comprometimento com o trabalho (UWES) em uma amostra de 512 professores e administradores. Os resultados mostram que apesar da manutenção de um nível adequado de funcionamento físico, há nos trabalhadores a presença de queixas psicossomáticas, baixa vitalidade, problemas álgicos, alto índice de sobrepeso e certa deterioração nos comportamentos de saúde. Não foram encontradas diferenças de acordo com sexo, idade ou tipo de trabalhador. As variáveis que melhor predizem a saúde física e mental da amostra são as horas de sono; empenho no trabalho, especialmente a componente “vigor”; bem como os componentes de burnout “exaustão emocional” e “eficácia” da variável burnout. Da mesma forma, observa-se que a área do “cinismo” tem um papel importante na saúde mental, mas não na saúde física. Os resultados lançam luz sobre como abordar a promoção da saúde do trabalhador.

Abstract: University teaching quality depends on the workforce of the institution, both teachers and administrative staff. Considering this population has been little investigated, the present study aims to know the role of variables (sociodemographic and behavioral), burnout and work engagement on physical and mental health in a group of workers in a private university in Lima, Peru. In order to achieve this goal, mental and physical health (SF-36), burnout (MBI) and work engagement (UWES) were assessed in a group of 512 university personnel from Lima, Peru. Results showed that, even when they keep a good physical functioning, there`re high report psychosomatic complaint, low energy, pain problems, overweight and poor health behavior. No differences between sex, age or type of work were found. The variables that better predicted physical and mental health were hours of sleep, work engagement, especially “vigor” component; as well as burnout components “emotional exhaustion” and “professional efficacy”. Moreover, “Cynicism” predicts mental health, but not physical health. Results provide important information about workers health promotion.

Résumé: La qualité de l’enseignement dans une université dépend des travailleurs de l’établissement, tant les enseignants que les administrateurs. Considérant que le profil de santé de cette population a été peu étudié, cette recherche cherche à connaître le rôle des variables personnelles (sociodémographiques et comportementales), de l’engagement et de l’épuisement professionnel avec la santé physique et mentale d’un échantillon de travailleurs d’une université privée à Lima. , Pérou. Pour cela, la santé mentale et physique (SF-36), l’épuisement professionnel (MBI) et l’engagement au travail (UWES) ont été évalués auprès d’un échantillon de 512 enseignants et administrateurs. Les résultats montrent que malgré le maintien d’un niveau de fonctionnement physique adéquat, il existe chez les travailleurs des plaintes psychosomatiques, une faible vitalité, des problèmes de douleur, un rapport élevé de surpoids et une certaine détérioration des comportements de santé. Aucune différence n’a été constatée selon le sexe, l’âge ou le type de travailleur. Les variables qui prédisent le mieux la santé physique et mentale de l’échantillon sont les heures de sommeil ; l’engagement au travail, en particulier la composante « vigueur » ; ainsi que les composantes du burnout « épuisement émotionnel » et « efficacité » de la variable burnout. De même, on observe que le domaine «cynisme» a un rôle important dans la santé mentale, mais pas dans la santé physique. Les résultats éclairent la manière d’aborder la promotion de la santé des travailleurs.

Resumen: La calidad de enseñanza de una universidad depende de los trabajadores de la institución, tanto docentes como administrativos. Considerando que el perfil de salud de esta población ha sido poco estudiado, la presente investigación busca conocer el rol de variables personales (sociodemográficas y conductuales), compromiso y burnout con la salud física y mental de una muestra de trabajadores de una universidad privada de Lima, Perú. Para ello, se evaluó la salud mental y física (SF-36), burnout (MBI) y compromiso laboral (UWES) en una muestra de 512 docentes y administrativos. Los resultados muestran que pese a mantener un nivel de funcionamiento físico adecuado, existe en los trabajadores la presencia de quejas psicosomáticas, baja vitalidad, problemas de dolor, un alto reporte de sobrepeso y cierto deterioro en las conductas de salud. No se encontraron diferencias según sexo, edad, ni tipo de trabajador. Las variables que mejor predicen la salud física y mental de la muestra son las horas de sueño; el compromiso laboral, especialmente el componente “vigor”; así como los componentes del burnout “agotamiento emocional” y “eficacia” de la variable burnout. Asimismo, se observa que el área “cinismo” tiene un rol importante en la salud mental, mas no en la salud física. Los resultados dan luces sobre cómo abordar la promoción de la salud de los trabajadores.

ABSTRACT Objective: To assess the prevalence of burnout among dental students of public and private institutions in Khyber Pakhtunkhwa and Punjab, Pakistan. Material and Methods: A cross-sectional descriptive survey was conducted at five public and private dental institutions from June 2021 to May 2022. A validated twelve-item closed-ended Burnout Clinical Subtype Questionnaire was distributed among the dental students of two private and two public institutes in Pakistan. The research questions focused on demographic information and students' academic experiences. Data analysis is presented through tables and descriptive methods. Results: A total of 274 dental undergraduate students - second (42.3%), third (35.4%), and final (22.3%) academic year participated in this study. The mean age of the respondents was 21.9, with the range of 20-26 years. Most participants were females (74.1%) compared to the males (25.9%). The findings for burnout syndrome among dentistry students and students in the private and public sectors were not significant. Conclusion: In the current study, burnout levels among dental undergraduates, both private and public, were low. Objective Punjab Pakistan Methods crosssectional cross sectional 202 2022 twelveitem twelve item closedended closed ended experiences methods Results 27 42.3%, 423 42.3% , 42 3 (42.3%) 35.4%, 354 35.4% 35 4 (35.4%) 22.3% 223 22 (22.3% study 219 21 9 21.9 2026 20 26 20-2 years 74.1% 741 74 1 (74.1% 25.9%. 259 25.9% . 25 (25.9%) significant Conclusion undergraduates low 2 42.3 (42.3% 35.4 (35.4% 22.3 (22.3 21. 20- 74.1 7 (74.1 25.9 (25.9% 42. (42.3 35. (35.4 22. (22. 74. (74. 25. (25.9 (42. (35. (22 (74 (25. (42 (35 (2 (7 (25 (4 (3 (

ABSTRACT Introduction: Burnout syndrome gains attention from researchers and professionals, particularly in the health area, due to the consequences and implications that it can lead to in professionals affected by the disease, which can compromise patient safety and the quality of offered care. Objective: To characterize the scientific production about strategies and interventions for reducing the risk of Burnout syndrome among nursing professionals. Methods: A bibliometric analysis was performed of publications until 2021 in the PubMed, Scopus and Web of Science databases. The analyzes were developed with the support of the bibliometrix R-package. The study recovered 70 publications. Conclusions: The analysis of the most cited works revealed psychoeducational, psychosocial and yoga strategies for self-care. Among the research trend topics, the most prominent was the term mindfulness, a fact showing an increase in research that applied this intervention to reduce burnout. The number of studies produced is incipient. However, with the inclusion of burnout within the International Classification of Diseases, an increase is expected in the number of publications, as well as in the interest of organizations in implementing strategies to promote health and well-being among professionals.

RESUMEN Introducción: El síndrome de Burnout gana atención de investigadores y profesionales, en particular en el área de la salud, por las consecuencias e implicaciones que puede generar en los profesionales afectados por la enfermedad, lo que puede comprometer la seguridad del paciente y la calidad del servicio ofrecido. Objetivo: Caracterizar la producción científica sobre estrategias e intervenciones para reducir el riesgo del síndrome de Burnout entre los profesionales de enfermería. Métodos: Análisis bibliométrico de las publicaciones hasta el 2021 en las bases de datos PubMed, Scopus y Web of Science. Los análisis se desarrollaron con el apoyo del bibliometrix R-package. El estudio recuperó 70 publicaciones. Conclusiones: El análisis de los trabajos más citados reveló estrategias psicoeducativas, psicosociales y de yoga para el autocuidado. Entre los temas de tendencia de investigación, el más destacado fue el término Mindfulness, lo que muestra un aumento en las investigaciones que aplicaron esta intervención para reducir el Burnout. El número de estudios producidos es incipiente. Sin embargo, con la inclusión del Burnout en la Clasificación Internacional de Enfermedades, se espera un aumento de las publicaciones y del interés de las organizaciones en implementar estrategias para promover la salud y el bienestar entre los profesionales.

BACKGROUND: Limited research is available regarding the professional quality of life experiences of South African speech-language therapists and audiologists, despite the implications this has for wellbeing, quality of patient care, productivity and attrition from the professions. OBJECTIVES: This study explored levels of compassion satisfaction, burnout, and secondary traumatic stress, the relationships between these, differences on the basis of registration and years of experience and participants' perceptions of their professional quality of life. METHOD: A sample of 92 South African speech-language therapists and audiologists completed an online survey that included the Professional Quality of Life (ProQOL) scale. The data were analysed using descriptive statistics, analysis of variation (ANOVA), correlations and thematic analysis. RESULTS: The findings indicated that participants experienced slightly higher levels of secondary traumatic stress and burnout and slightly lower levels of compassion satisfaction than international samples. There were significant inter-relationships between the three elements of professional quality of life, and no significant differences for these on the basis of registration or years of experience. Participants identified a range of factors that contributed to their experiences of compassion satisfaction and fatigue, as well as suggestions for improvement. CONCLUSION: Professional quality of life plays an important role in South African speech-language therapists and audiologists' professionalism, job performance and satisfaction and retention. CONTRIBUTION: The data collected provide valuable insights into the professional quality of life experiences of South African speech-language therapists and audiologists, as well as those working in similar contexts. It also offers suggestions that may contribute to future research and interventions.