RESUMEN Toda comunidad educativa debe estar fortalecida en su ambiente laboral para ser modelo de los escolares a quienes presta servicio, por eso, la presente investigación diseñó y validó la efectividad de un programa psico-axiológico centrado en los valores morales para fortalecer el clima laboral en una institución educativa privada del norte peruano. Se observó y diagnosticó el estado del clima laboral en la institución mediante Escala Clima Laboral de Sonia Palma, luego se diseñó y aplicó en cuatro talleres el programa psico axiológico a la totalidad de los docentes, durante cuatro meses. La investigación fue de tipo cuasi experimental, bajo diseño de pre y postest con un solo grupo. Se concluyó la efectividad del programa psico-axiológico tras el análisis de resultados al mejorarse significativamente los cinco factores de la escala mencionada: Realización Personal, Involucramiento laboral, Supervisión y Comunicación.

ABSTRACT Every educational community should be strengthened in its work environment in order to be a model for the schoolchildren it serves. Therefore, this research designed and validated the effectiveness of a psycho-axiological program focused on moral values to strengthen the work environment in a private educational institution in northern Peru. The state of the work environment in the institution was observed and diagnosed by means of Sonia Palma's Work Environment Scale, then the psycho-axiological program was designed and applied in four workshops to all teachers during four months. The research was of a quasi-experimental type, under a pre- and post-test design with a single group. The effectiveness of the psycho-axiological program was concluded after the analysis of the results by significantly improving the five factors of the mentioned scale: Personal Accomplishment, Work Involvement, Supervision and Communication.

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 Objective: To identify the prevalence of occupational burnout syndrome in employees of the Nursing Department of the Parrita Health Area of the Costa Rican Social Security Fund during 2023. Methodology: A cross-sectional descriptive observational study was carried out. The instrument called Maslach Burnout Inventory Human Services Survey (MBI-HSS) validated in Spanish was applied to 40 health workers. The prevalence of occupational burnout syndrome was calculated, and its three dimensions were analyzed: emotional exhaustion, depersonalization, and personal accomplishment. A statistical correlation was also carried out between the signs of the syndrome and the variables included in the study. Results: The prevalence of employees with signs of occupational burnout syndrome identified was 47.5%. Forty-two-point-five percent of the employees were affected in personal achievement, 7.5% in depersonalization and 5.0% in emotional exhaustion. No statistically significant relationship was identified between the variables included in the study and the presence of signs of this syndrome. Conclusion: There is a high prevalence of signs of occupational burnout syndrome in the staff of the Nursing Department of the Parrita Health Area, evidenced mainly in the dimension of personal accomplishment.

RESUMEN Objetivo: identificar la prevalencia del síndrome de desgaste ocupacional en los funcionarios del Departamento de Enfermería del Área de Salud de Parrita de la Caja Costarricense de Seguro Social durante el año 2023. Metodología: se realizó un estudio observacional descriptivo trasversal. Se aplicó el instrumento denominado Maslach Burnout Inventory Human Services Survey (MBI-HSS) validado al español a 40 trabajadores de la salud. Se calculó la prevalencia del síndrome de desgaste ocupacional y se analizaron sus tres dimensiones: cansancio emocional, despersonalización y realización personal. También se realizó correlación estadística entre la presencia de indicios del síndrome y las variables incluidas en el estudio. Resultados: la prevalencia de funcionarios con indicios del síndrome de desgaste ocupacional identificada fue 47,5%. El 42,5% de los funcionarios presentaron afectación en dimensión de realización personal, 7,5% en la despersonalización y 5,0% en cansancio emocional. No se identificó relación estadísticamente significativa entre las variables incluidas en el estudio y la presencia de indicios de este síndrome. Conclusión: existe una prevalencia elevada de indicios del síndrome de desgaste ocupacional en el personal del Departamento de Enfermería del Área de Salud de Parrita, evidenciado principalmente en la dimensión de la realización personal.

BACKGROUND: Burnout is a syndrome that is understood as emanating from chronic workplace stressors that have not been managed successfully. Little is known about the causes of burnout among nurses in South Africa. The study aimed to determine the prevalence of burnout and its impact on depression and assess the relationship between burnout and depression among nurses at a Johannesburg private hospital METHODS: Nurses at a private hospital in Johannesburg were asked about their exposure to depression and burnout using a closed-ended questionnaire as part of a quantitative, cross-sectional study design. A p-value < 0.05 was considered statistically significant. The respondents were selected using the simple-random sampling method. The collected data were analysed using IBM-SPSS version 28 RESULTS: The study involved 112 nurses, of whom 95 (84.8%) were females. Most of the nurses, that is, 56 (50.0%) were registered nurses. Emotional exhaustion (p = 0.001) and depersonalisation (p = 0.001) were significantly associated with depression. Work experience (p = 0.001) and depersonalisation (p = 0.002) had an impact on depression CONCLUSION: The study revealed a high prevalence of burnout among nurses at a Johannesburg private hospital. The study found that depression was significantly associated with emotional exhaustion and depersonalisation. The study also found that work experience and depersonalisation have an impact on depression CONTRIBUTION: The study's recommendations can help mitigate burnout and improve the well-being of nurses, ultimately enhancing the quality of healthcare services provided at the hospital

BACKGROUND: Healthcare providers (HCPs) are at risk of burnout in sub-Saharan Africa. However, there is little research in rural and primary care settings AIM: To evaluate burnout and its associated factors among public sector HCPs in South Africa SETTING: Primary health care clinics, community health centres and district hospitals in Nkomazi Local Municipality, Mpumalanga province METHODS: Quantitative study design using a cross-sectional survey. Healthcare providers (n = 1139) working in Nkomazi Local Municipality were invited to participate. Burnout was assessed using the Maslach Burnout Inventory. A demographic and occupational questionnaire, the General Help-Seeking Questionnaire and the Health and Safety Executive Indicator Tool were used RESULTS: A total of 302 HCPs, between 23 and 61 years, mostly female (n = 252; 83.44%) and nurses (n = 235; 77.81%) participated. High burnout was observed for Emotional Exhaustion (median score 26 [IQR {interquartile range}: 34-16]) and Personal Accomplishment (median score 29 [IQR: 34-25]). Most participants (n = 215; 71.19%) would seek help if they had an emotional problem. Bivariate analysis revealed significant associations between workplace demands, control, management support, peer support, relationships, role and change with all subscales of burnout. Multivariate regression analysis found that Personal Accomplishment improved by 0.49 (95% CI: 0.10-0.89) for every point in improved work demands, by 0.84 (95% CI: 0.01-1.67) for every point towards improved management support and by 1.19 (95% CI: 0.48-1.90) for every point towards having an improved role CONCLUSIONS: During 2022, HCPs working in a rural area in South Africa displayed high levels of burnout for Emotional Exhaustion and Personal Accomplishment but not for Depersonalisation CONTRIBUTIONS: Improvements in work demands, managerial support and role clarity may reduce burnout among HCP in a rural, primary care setting

BACKGROUND: Burnout in doctors is an important issue with far-reaching consequences. Community service doctors may be particularly vulnerable because of their specific roles (rural settings, junior positions and reduced supervision. AIM: This study aimed to determine the prevalence of burnout among community service doctors in South Africa (SA), the potential contributory and protective factors and the consequences thereof. SETTING: This was a national study of community service doctors in SA. METHODS: A quantitative, descriptive cross-sectional study was performed. The Maslach Burnout Inventory was used to measure burnout. The online questionnaire also included demographic data, workplace and individual characteristics. RESULTS: Of the 208 community service doctors analysed, 89% and 94% had high emotional exhaustion and depersonalisation, respectively, while 97% had a low personal accomplishment. Mental illness, financial difficulties, unmanageable volume of patients and female gender were found to be potential contributory factors. Having manageable patient volumes, satisfaction with their decision to study medicine, talking to colleagues and feeling supported by healthcare facility management were among the significant potential protective factors. Significant potential consequences of burnout included: leaving the government sector, ever being diagnosed with a mental illness, using alcohol as a coping mechanism and possible current major depression. CONCLUSION: Burnout among community service doctors in SA is highly prevalent with significant potential consequences. There are a number of modifiable possible contributory and protective factors identified that may be targets for mental health interventions. CONTRIBUTION: Healthcare burnout research is lacking in the African and specifically SA context. This void includes community service doctors.

Resumen Objetivo: evaluar la seguridad de los profesionales de enfermería y la cultura de seguridad del paciente durante su actuación profesional en el cuidado de pacientes sospechosos o con COVID-19. Método: estudio transversal realizado con 90 profesionales de unidades críticas de dos hospitales universitarios. Se utilizó un instrumento de caracterización sociodemográfica y de condiciones de salud, además de los constructos “Seguridad del profesional y del paciente” y Hospital Survey on Patient Safety Culture. Se realizaron análisis univariados entre el diagnóstico de COVID-19 y las características de los profesionales y se aplicó la correlación de Kendell entre los constructos. Resultados: el diagnóstico de COVID-19 mostró diferencia estadísticamente significativa entre los profesionales que actuaron por más de seis años en la unidad (p=0,020) y los ítems del constructo “Seguridad del profesional y del paciente” referentes a dudas sobre cómo retirar el Equipo de Protección Personal (p=0,013) y flujo seguro (p=0,021). Las dimensiones 2 (p=0,003), 3 (p=0,009), 4 (p=0,013), 6 (p<0,001) y 9 (p=0,024) del Hospital Survey on Patient Safety Culture se asociaron a la realización de formación. Conclusión: mayor tiempo de experiencia profesional de enfermería se asoció con la no infección por COVID-19. La percepción de la cultura de seguridad del paciente se relacionó con la realización de entrenamiento. Objetivo COVID19. COVID19 COVID 19. 19 Método universitarios salud Seguridad COVID-1 Resultados p=0,020 p0020 p 0 020 (p=0,020 p=0,013 p0013 013 (p=0,013 p=0,021. p0021 p=0,021 . 021 (p=0,021) p=0,003, p0003 p=0,003 , 003 (p=0,003) p=0,009, p0009 p=0,009 009 (p=0,009) p=0,013, p<0,001 p0001 001 (p<0,001 p=0,024 p0024 024 (p=0,024 formación Conclusión entrenamiento COVID1 1 COVID- p=0,02 p002 02 (p=0,02 p=0,01 p001 01 (p=0,01 (p=0,021 p000 p=0,00 00 (p=0,003 (p=0,009 p<0,00 (p<0,00 p=0,0 p00 (p=0,0 (p=0,00 p<0,0 (p<0,0 p=0, p0 (p=0, p<0, (p<0, p=0 (p=0 p<0 (p<0 p= (p= p< (p< (p

Abstract Objective: to evaluate nursing professionals and patient safety culture during the professional performance in the care of suspected or infected patients with COVID-19. Method: a cross-sectional study carried out with 90 professionals from critical care units of two teaching hospitals. An instrument for sociodemographic characterization and health conditions was used, in addition to the constructs “Nursing professional and patient safety” and the Hospital Survey on Patient Safety Culture. Univariate analyzes were performed between the diagnosis of COVID-19 and the characteristics of Nursing professionals, applying Kendell’s correlation between the constructs. Results: the COVID-19 diagnosis presented a significant statistical difference between nursing professionals that worked for more than six years at the critical care unit (p=0.020) and the items of the construct “Nursing professional and patient safety” regarding the doubts about how to remove the personal protective equipment (p=0.013) and safety flow (p=0,021). The dimensions 2 (p=0.003), 3 (p=0.009), 4 (p=0.013), 6 (p<0.001), and 9 (p=0.024) of the Hospital Survey on Patient Safety Culture were associated with the accomplishment of training. Conclusion: a higher professional nursing experience time was associated with non-infection by COVID-19. The perception of the safety culture of the patient was related to the accomplishment of training. Objective COVID19. COVID19 COVID 19. 19 Method crosssectional cross sectional hospitals used COVID-1 Kendells Kendell s Results p=0.020 p0020 p 0 020 (p=0.020 p=0.013 p0013 013 (p=0.013 p=0,021. p0021 p=0,021 . 021 (p=0,021) p=0.003, p0003 p=0.003 , 003 (p=0.003) p=0.009, p0009 p=0.009 009 (p=0.009) p=0.013, p<0.001, p0001 p<0.001 001 (p<0.001) p=0.024 p0024 024 (p=0.024 training Conclusion noninfection non infection COVID1 1 COVID- p=0.02 p002 02 (p=0.02 p=0.01 p001 01 (p=0.01 p=0,02 (p=0,021 p000 p=0.00 00 (p=0.003 (p=0.009 p<0.00 (p<0.001 p=0.0 p00 (p=0.0 p=0,0 (p=0,02 (p=0.00 p<0.0 (p<0.00 p=0. p0 (p=0. p=0, (p=0,0 p<0. (p<0.0 p=0 (p=0 (p=0, p<0 (p<0. p= (p= p< (p<0 (p (p<

Resumo Objetivo: avaliar a segurança dos profissionais de enfermagem e a cultura de segurança do paciente durante a atuação profissional no atendimento de pacientes suspeitos ou com COVID-19. Método: estudo transversal realizado com 90 profissionais de unidades críticas de dois hospitais-escola. Foi utilizado um instrumento para caracterização sociodemográfica e condições de saúde, além dos constructos “Segurança do profissional e do paciente” e Hospital Survey on Patient Safety Culture. Foram realizadas análises univariadas entre o diagnóstico de COVID-19 e as características dos profissionais, aplicando-se a correlação de Kendell entre os constructos. Resultados: o diagnóstico de COVID-19 apresentou diferença estatisticamente significativa entre os profissionais que trabalhavam há mais de seis anos na unidade (p=0,020) e os itens do constructo “Segurança do profissional e do paciente” referentes às dúvidas sobre como retirar o equipamento de proteção individual (p=0,013) e fluxo seguro (p=0,021). As dimensões 2 (p=0,003), 3 (p=0,009), 4 (p=0,013), 6 (p<0,001) e 9 (p=0,024) do Hospital Survey on Patient Safety Culture foram associadas à realização de treinamentos. Conclusão: maior tempo de experiência profissional do profissional de enfermagem esteve associado a não infecção por COVID-19. A percepção de cultura de segurança do paciente esteve relacionada à realização de treinamentos. Objetivo COVID19. COVID19 COVID 19. 19 Método hospitaisescola. hospitaisescola hospitais escola. escola hospitais-escola saúde Segurança COVID-1 aplicandose aplicando se Resultados p=0,020 p0020 p 0 020 (p=0,020 p=0,013 p0013 013 (p=0,013 p=0,021. p0021 p=0,021 . 021 (p=0,021) p=0,003, p0003 p=0,003 , 003 (p=0,003) p=0,009, p0009 p=0,009 009 (p=0,009) p=0,013, p<0,001 p0001 001 (p<0,001 p=0,024 p0024 024 (p=0,024 treinamentos Conclusão COVID1 1 COVID- p=0,02 p002 02 (p=0,02 p=0,01 p001 01 (p=0,01 (p=0,021 p000 p=0,00 00 (p=0,003 (p=0,009 p<0,00 (p<0,00 p=0,0 p00 (p=0,0 (p=0,00 p<0,0 (p<0,0 p=0, p0 (p=0, p<0, (p<0, p=0 (p=0 p<0 (p<0 p= (p= p< (p< (p

BACKGROUND: Community service occupational therapists may be especially vulnerable to experiencing burnout. This study sought to determine the levels of burnout experienced by this population and to investigate the relationship between reported burnout and various contextual, personal, and demographic factors METHODS: A quantitative, descriptive, cross-sectional survey design was used. The online questionnaire included contextual information of the participants and the Maslach Burnout Inventory. Data were analysed using Statistica 13.5. The effect of contextual, personal and demographic variables on burnout was tested using Kruskal-Wallis tests RESULTS: All community service occupational therapists were invited to participate in the study. A response rate of 31.92% was achieved (n=75). High levels of emotional exhaustion were reported by 55% (n=41) of participants. 'Strong' and 'adequate' support systems were associated to a greater sense of personal accomplishment (p=0.02) and 'minimal' social support was associated to increased emotional exhaustion (p=0.01). Dissatisfaction with supervision was associated to increased emotional exhaustion (p=0.017). Job satisfaction was associated to a greater sense of personal accomplishment (p=0.0002). Job dissatisfaction was associated to depersonalisation (p=0.047) and emotional exhaustion (p=0.006 CONCLUSION: Support systems, supervision and job satisfaction showed significant association to burnout. Interventions to address these factors, and research that further investigates the impact of contextual factors on burnout is recommended. This is imperative if South African occupational therapy is to take seriously its responsibility to the therapists responsible for taking services to populations with the greatest health needs Implications for practice • Opportunities for occupational therapists to develop professional resilience to prevent burnout should be offered across the lifelong learning continuum. • Strengthening supervision capacity and implementing mentoring and supervision strategies that provide mutual reward for both parties are needed. • The responsibility for promoting the vitality and job satisfaction of COSTs should be taken seriously by the Department of Health as CSOTs continue the vital work of taking rehabilitation to South Africa's populations with the greatest health needs.

Resumo O objetivo foi investigar a prevalência da síndrome de burnout (SB) em profissionais de nível superior atuantes na saúde indígena no Brasil e fatores associados. Trata-se de um estudo observacional, transversal e analítico. O questionário foi aplicado (perfil e MBI-HSS) a 513 profissionais. A presença da SB foi identificada em 65% dos profissionais. Foi verificada maior chance de exaustão emocional entre os profissionais mais novos, com mais tempo de atuação na saúde indígena, em função assistencial e com menor nível de tranquilidade ao trabalhar durante a pandemia. Mais chance de apresentar baixa realização pessoal no trabalho foi observada entre os profissionais mais velhos, com menos tempo de atuação na saúde indígena, que estavam em atendimento clínico durante a pandemia e que relataram menor nível de tranquilidade ao trabalhar durante a pandemia. Maior chance de despersonificação em profissionais casados, em atendimento clínico durante a pandemia e com menor nível de tranquilidade ao trabalhar durante a pandemia. O estudo contribui com uma importante avaliação da existência de preditores da SB nos profissionais atuantes na saúde indígena.

Abstract The aim of this study was to investigate the prevalence of burnout syndrome in higher education health professionals working in indigenous health in Brazil, and to identify associated factors. This is an observational, analytical, and cross-sectional study. Data collection was based on the application of a questionnaire (personal profile and MBI-HSS) and included 513 professionals. The prevalence of burnout was 65%. Greater likelihood of emotional exhaustion was observed among younger professionals, who had worked in indigenous health for longer time, in the care function and with lower level of tranquility when working during the pandemic. Lower likelihood of having low personal accomplishment at work was observed among older professionals, professionals who had worked in indigenous health for shorter time, who worked in clinical care during the pandemic and those with lower level of tranquility when working during the pandemic. Greater likelihood of depersonalization was found among married professionals, who worked in clinical care during the pandemic and those with lower level of tranquility when working during the pandemic. This study contributes with an important assessment of the existence of BS predictors in health professionals working in indigenous health.

Resumo O objetivo foi investigar a prevalência da síndrome de burnout (SB) em profissionais de nível superior atuantes na saúde indígena no Brasil e fatores associados. Trata-se de um estudo observacional, transversal e analítico. O questionário foi aplicado (perfil e MBI-HSS) a 513 profissionais. A presença da SB foi identificada em 65% dos profissionais. Foi verificada maior chance de exaustão emocional entre os profissionais mais novos, com mais tempo de atuação na saúde indígena, em função assistencial e com menor nível de tranquilidade ao trabalhar durante a pandemia. Mais chance de apresentar baixa realização pessoal no trabalho foi observada entre os profissionais mais velhos, com menos tempo de atuação na saúde indígena, que estavam em atendimento clínico durante a pandemia e que relataram menor nível de tranquilidade ao trabalhar durante a pandemia. Maior chance de despersonificação em profissionais casados, em atendimento clínico durante a pandemia e com menor nível de tranquilidade ao trabalhar durante a pandemia. O estudo contribui com uma importante avaliação da existência de preditores da SB nos profissionais atuantes na saúde indígena.

Abstract The aim of this study was to investigate the prevalence of burnout syndrome in higher education health professionals working in indigenous health in Brazil, and to identify associated factors. This is an observational, analytical, and cross-sectional study. Data collection was based on the application of a questionnaire (personal profile and MBI-HSS) and included 513 professionals. The prevalence of burnout was 65%. Greater likelihood of emotional exhaustion was observed among younger professionals, who had worked in indigenous health for longer time, in the care function and with lower level of tranquility when working during the pandemic. Lower likelihood of having low personal accomplishment at work was observed among older professionals, professionals who had worked in indigenous health for shorter time, who worked in clinical care during the pandemic and those with lower level of tranquility when working during the pandemic. Greater likelihood of depersonalization was found among married professionals, who worked in clinical care during the pandemic and those with lower level of tranquility when working during the pandemic. This study contributes with an important assessment of the existence of BS predictors in health professionals working in indigenous health.

Abstract BACKGROUND: The burnout syndrome can be avoided and/or have its signs and symptoms reduced by knowing the five associated factors that help identify the health and working conditions of the professors of graduate programs. OBJECTIVE: To analyze the factors associated with burnout among faculty members of graduate stricto sensu programs. DESIGN AND SETTING: A cross-sectional study was conducted among 585 faculty members of Graduate Programs in Language Teaching and Linguistics in Brazil. METHODS: Data were collected through an online questionnaire. The outcomes were the dimensions of burnout and its related factors identified through multiple templates of logistic regression. RESULTS: Faculty members with increased chances of emotional exhaustion and depersonalization mentioned the use of medications due to labor activities. The negative influence of pace and intensity of work, thoughts about quitting the program, and having to produce three or more scientific articles were associated with higher chances of emotional exhaustion, while having to achieve nine hours per week in undergraduate programs was related to reduced personal accomplishment. Having a conjugal relationship, satisfaction with health and work, post-doctoral degree, autonomy, and good interpersonal relationships with faculty members of the program reduced the chances of emotional exhaustion. Reduced chances of depersonalization occurred among those who were satisfied with work, had good interpersonal relationships with advisees and faculty members, and received productivity funding. CONCLUSION: Sociodemographic, health, and occupational factors related to the dimensions of burnout were identified. BACKGROUND andor OBJECTIVE SETTING crosssectional cross sectional 58 Brazil METHODS questionnaire regression RESULTS activities work accomplishment relationship postdoctoral post doctoral degree autonomy funding CONCLUSION Sociodemographic 5

Resumen En el desarrollo Síndrome de burnout en los profesionales de enfermería juegan un papel importante las características de las organizaciones sanitarias. Recientemente ,se han introducido nuevos conceptos como el empoderamiento estructural y psicológico como factores protectores del desgaste profesional, si bien los resultados de dichos trabajos ofrecen resultados heterogéneos. Objetivo: Realizar una revisión bibliográfica narrativa de las relaciones entre el Síndrome de Burnout y el Empoderamiento Profesional a partir de literatura científica (2010-2020)publicada en las principales bases de datos de Ciencias de la Salud. Resultados: Se han incluido 29 publicaciones en la revisión. Los estudios analizados indican que ambos tipos de empoderamiento guardan una relación inversa con el Síndrome de Burnout, con la intervención de variables personales y organizacionales. Agotamiento emocional y Despersonalización se asocian con la percepción de bajos recursos y soporte. La baja realización personal en el trabajo está influida por la percepción de significado y competencia. Incrementar el Empoderamiento Organizacional, puede contribuir disminuir los niveles de Burnout en profesionales de Enfermería.

Abstract: In the development of Burnout Syndrome in nursing professionals, the characteristics of health organizations play an important role. Recently, new concepts such as structural and psychological empowerment have been introduced as protective factors against professional burnout, although the results of these works offer heterogeneous results. Objective: Make a narrative bibliographical review on the interaction between Burnout's Syndrome and Professional Empowerment considering scientific literature (2010-2020) published in the main databases of Health Sciences. Results: There are 29 publications included in the review. Both types of empowerment are inversely related to Burnout Syndrome, taking into consideration personal and organizational variables. Emotional exhaustion and Depersonalization are associated with a perception of low Resources and Support. Personal Accomplishment at work is influenced by perception of Meaning and Competence Increasement of Organizational Empowerment can contribute to reducing Burnout levels among nursing professionals.

RESUMEN Objetivo: Investigar el Síndrome de Burnout y la empatía auto-reportada por el personal de enfermería y la empatía percibida por el paciente. Método: Estudio transversal en un Servicio de Urgencias público de São Paulo (de octubre/2020 a marzo/2021). El personal de enfermería respondió al Maslach Burnout Inventory y al Consultation and Relational Empathy Measure-Nurses (versión brasileña), y los pacientes adultos, al Consultation and Relational Empathy Measure (versión brasileña). Análisis descriptivo e inferencial, con nivel de significancia del 5%. Resultados: Noventa y dos profesionales y 271 pacientes participaron. La mayoría de los profesionales informó impacto de la COVID-19 (80; 86,96%) y, entre ellos, aumento del Síndrome de Burnout (93; 75%), pero con bajo agotamiento emocional (71; 74%), baja despersonalización (59; 78%) y alto nivel de realización profesional (72; 83%). La mayoría refirió impacto y aumento de la empatía, cuyos resultados referidos por profesionales y pacientes (media y desviación estándar) fueron: 39,89 (6,44) y 38,25 (9,45), respectivamente. Conclusión: Los profesionales informaron bajo nivel de Síndrome de Burnout y alto nivel de empatía en la pandemia. Objetivo autoreportada auto reportada paciente Método octubre2020 octubre 2020 octubre/202 marzo/2021. marzo2021 marzo marzo/2021 . 2021 marzo/2021) MeasureNurses Nurses versión brasileña, brasileña , brasileña) adultos brasileña. inferencial 5 5% Resultados 27 participaron COVID19 COVID 19 COVID-1 80 (80 86,96% 8696 86 96 ellos 93 (93 75%, 75 75% 75%) 71 (71 74%, 74 74% 74%) 59 (59 78% 78 72 (72 83%. 83 83% 83%) media estándar fueron 3989 39 89 39,8 6,44 644 6 44 (6,44 3825 38 25 38,2 9,45, 945 9,45 9 45 (9,45) respectivamente Conclusión pandemia octubre202 202 octubre/20 marzo202 marzo/202 2 COVID1 1 COVID- 8 (8 86,96 869 (9 7 (7 (5 398 3 39, 6,4 64 4 (6,4 382 38, 94 9,4 (9,45 octubre20 20 octubre/2 marzo20 marzo/20 ( 86,9 6, (6, 9, (9,4 octubre2 octubre/ marzo2 marzo/2 86, (6 (9, marzo/

ABSTRACT Objective: To investigate Burnout Syndrome and empathy self-reported by the nursing staff and empathy perceived by the patient. Method: Cross-sectional study in a public emergency unit in São Paulo (from October/2020 to March/2021). The nursing staff answered the Maslach Burnout Inventory and the Consultation and Relational Empathy Measure-Nurses (Brazilian version), whereas adult patients answered the Consultation and Relational Empathy Measure (Brazilian version). Descriptive and inferential analysis, with a 5% significance level. Results: A total of 92 professionals and 271 patients participated. Most professionals reported impact of COVID-19 (80; 86.96%) and, among them, increased Burnout Syndrome (93; 75%), but with low emotional exhaustion (71; 74%), low depersonalization (59; 78%) and high level of professional accomplishment (72; 83%). Most reported impact and increased empathy, and the results reported by professionals and patients (mean and standard deviation) were: 39.89 (6.44) and 38.25 (9.45), respectively. Conclusion: The professionals reported a low level of Burnout Syndrome and a high level of empathy in pandemic. Objective selfreported self patient Method Crosssectional Cross sectional from October2020 October 2020 October/202 March/2021. March2021 March March/2021 . 2021 March/2021) MeasureNurses Nurses Brazilian version, version , version) version. analysis 5 Results 9 27 participated COVID19 COVID 19 COVID-1 80 (80 86.96% 8696 86 96 them 93 (93 75%, 75 75% 75%) 71 (71 74%, 74 74% 74%) 59 (59 78% 78 72 (72 83%. 83 83% 83%) mean deviation were 3989 39 89 39.8 6.44 644 6 44 (6.44 3825 38 25 38.2 9.45, 945 9.45 45 (9.45) respectively Conclusion pandemic October202 202 October/20 March202 March/202 2 COVID1 1 COVID- 8 (8 86.96 869 (9 7 (7 (5 398 3 39. 6.4 64 4 (6.4 382 38. 94 9.4 (9.45 October20 20 October/2 March20 March/20 ( 86.9 6. (6. 9. (9.4 October2 October/ March2 March/2 86. (6 (9. March/

RESUMO Objetivo: Investigar Síndrome de Burnout e empatia autorreferida pela equipe de enfermagem e empatia percebida pelo paciente. Método: Estudo transversal em Pronto-Socorro público de São Paulo (de outubro/2020 a março/2021). A equipe de enfermagem respondeu o Maslach Burnout Inventory e o Consultation and Relational Empathy Measure-Nurses (versão brasileira), e os pacientes adultos, o Consultation and Relational Empathy Measure (versão brasileira). Análise descritiva e inferencial, com nível de significância de 5%. Resultados: Participaram 92 profissionais e 271 pacientes. A maioria dos profissionais relatou impacto da COVID-19 (80; 86,96%) e, entre eles, aumento da Síndrome de Burnout (93; 75%), porém com baixa exaustão emocional (71; 74%), baixa despersonalização (59; 78%) e alto nível de realização profissional (72; 83%). A maioria relatou impacto e aumento da empatia, cujos resultados reportados pelos profissionais e pacientes (média e desvio-padrão) foram: 39,89 (6,44) e 38,25 (9,45), respectivamente. Conclusão: Os profissionais reportaram baixo nível da Síndrome de Burnout e alto nível de empatia na pandemia. Objetivo paciente Método ProntoSocorro Pronto Socorro outubro2020 outubro 2020 outubro/202 março/2021. março2021 março março/2021 . 2021 março/2021) MeasureNurses Nurses versão brasileira, brasileira , brasileira) adultos brasileira. inferencial 5 5% Resultados 9 27 COVID19 COVID 19 COVID-1 80 (80 86,96% 8696 86 96 eles 93 (93 75%, 75 75% 75%) 71 (71 74%, 74 74% 74%) 59 (59 78% 78 72 (72 83%. 83 83% 83%) média desviopadrão desvio padrão desvio-padrão foram 3989 39 89 39,8 6,44 644 6 44 (6,44 3825 38 25 38,2 9,45, 945 9,45 45 (9,45) respectivamente Conclusão pandemia outubro202 202 outubro/20 março202 março/202 2 COVID1 1 COVID- 8 (8 86,96 869 (9 7 (7 (5 398 3 39, 6,4 64 4 (6,4 382 38, 94 9,4 (9,45 outubro20 20 outubro/2 março20 março/20 ( 86,9 6, (6, 9, (9,4 outubro2 outubro/ março2 março/2 86, (6 (9, março/

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic placed immense pressure on frontline doctors. Burnout is a psychological syndrome that develops in response to chronic work stress. It consists of emotional exhaustion (EE), depersonalisation (DP) and reduced personal accomplishment (PA). Burnout is associated with personal dysfunction and compromises the work profession and patient safety. International studies suggest burnout is exacerbated during a pandemic METHODS: We conducted a descriptive cross-sectional observational study. Respondents included frontline doctors working in emergency medicine, family medicine and internal medicine during COVID-19 in Tshwane public hospitals. The survey included two validated questionnaires, the Maslach Burnout Inventory and the Depression, Anxiety, Stress Scale-21. The aim was to determine the prevalence and severity of burnout, psychological and somatic symptoms in frontline doctors RESULTS: Of the 163 participants, we found clinical burnout to be present in 58.9% (n = 96) and extreme burnout in 19.6% (n = 32). Moderate to extremely severe levels of stress, anxiety and depression were present in 55.1% (n = 90), 43.6% (n = 71) and 22.1% (n = 36) of participants, respectively. We found significant correlations between burnout and psychological symptoms. Increased levels of burnout, anxiety, depression and stress were found to be meaningfully associated with adverse somatic symptoms CONCLUSION: Our study demonstrated an insufferably high prevalence of burnout and psychosomatic symptoms in frontline doctors during COVID-19. In the event of future pandemics, more measures should be taken to support frontline doctors CONTRIBUTION: Pandemic-associated burnout and its psychophysical consequences have not been studied in frontline doctors in South Africa