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      Evaluación del Síndrome del Quemado y Resiliencia en fisioterapeutas de Jaén durante la Pandemia COVID-19. Estudio Piloto Translated title: Evaluation of Burn out Syndrome and Resilience in Jaén Physical Therapists during the COVID-19 Pandemic. Pilot Study

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          Abstract

          Resumen Introducción: Aunque el síndrome del quemado (burnout) se ha estudiado profusamente en los trabajadores sanitarios, existen pocos estudios que lo aborden específicamente en los fisioterapeutas y cuando esto se ha hecho se ha encontrado que los índices varían desde un nivel bajo hasta un nivel medio-alto. La reciente pandemia COVID-19 ha supuesto y supone un reto notable para el sistema sanitario. En este escenario, puede ser de interés evaluar el índice de burnout en el colectivo de fisioterapeutas. Objetivo: El objetivo de este estudio es medir la prevalencia de burnout en el colectivo de fisioterapeutas de Jaén y provincia, así como estudiar posibles fenómenos asociados a la misma. Material y Métodos: Se remitió una encuesta con datos sociodemográficos, una escala de medición de la resiliencia y una escala de medición del burnout (incluyendo sus tres aspectos: cansancio emocional, despersonalización y realización personal) por medio grupos de WhatsApp de ámbito profesional a los fisioterapeutas de la provincia de Jaén. La encuesta fue anónima, voluntaria y autocumplimentable. Resultados: La prevalencia de burnout entre los fisioterapeutas de la provincia de Jaén es superponible a la publicada en otros estudios. Los fisioterapeutas que no trabajan en la capital sufren más de cansancio emocional (p=0,038) y existe una tendencia a que los hombres sufran más despersonalización. Entre las subescalas de resiliencia que más se asocian al burnout está la de “adaptabilidad y redes de apoyo”. Conclusiones: La frecuencia de burnout en los fisioterapeutas de Jaén es superponible a la publicada por otros autores, no siendo posible establecer si el contexto de pandemia COVID juega algún papel. No trabajar en la capital de la provincia parece favorecer el burnout. El perfil de burnout se concreta sobre todo en los aspectos “cansancio emocional” y “despersonalización”, siendo esto especialmente frecuente en los que presentan un bajo nivel de resiliencia en la subescala “adaptabilidad y redes de apoyo”.

          Translated abstract

          Abstract Introduction: Although burnout syndrome has been extensively studied in healthcare workers, there are few studies that specifically address it in physical therapists, and when this has been done, the rates have been found to range from low to medium-high. The recent COVID-19 pandemic has been and continues to be a significant challenge for the healthcare system. In this scenario, it may be of interest to evaluate the burnout index in the group of physical therapists. Objective: The objective of this study is to measure the prevalence of burnout in the group of physical therapists in Jaén and province, as well as to study possible phenomena associated with it. Material and Methods: A survey with sociodemographic data, a resilience measurement scale and a burnout measurement scale (including its three aspects: emotional exhaustion, depersonalization and personal fulfillment) was sent by means of WhatsApp groups of professional scope to the physical therapists of the province from Jaén. The survey was anonymous, voluntary, and self-filling. Results: The prevalence of burnout among physiotherapists in the province of Jaén is superimposable to that published in other studies. Physiotherapists who do not work in the capital suffer more from emotional fatigue (p = 0.038) and there is a tendency for men to suffer more depersonalization. Among the resilience subscales that are most associated with burnout is “adaptability and support networks”. Conclusions: The frequency of burnout in Jaén physiotherapists is superimposable to that published by other authors, and it is not possible to establish whether the context of the COVID pandemic plays any role. Not working in the provincial capital seems to favor burnout. The burnout profile is specified above all in the “emotional fatigue” and “depersonalization” aspects, this being especially frequent in those with a low level of resilience in the “adaptability and support networks” subscale.

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          A systematic review including meta-analysis of work environment and burnout symptoms

          Background Practitioners and decision makers in the medical and insurance systems need knowledge on the relationship between work exposures and burnout. Many burnout studies – original as well as reviews - restricted their analyses to emotional exhaustion or did not report results on cynicism, personal accomplishment or global burnout. To meet this need we carried out this review and meta-analyses with the aim to provide systematically graded evidence for associations between working conditions and near-future development of burnout symptoms. Methods A wide range of work exposure factors was screened. Inclusion criteria were: 1) Study performed in Europe, North America, Australia and New Zealand 1990–2013. 2) Prospective or comparable case control design. 3) Assessments of exposure (work) and outcome at baseline and at least once again during follow up 1–5 years later. Twenty-five articles met the predefined relevance and quality criteria. The GRADE-system with its 4-grade evidence scale was used. Results Most of the 25 studies focused emotional exhaustion, fewer cynicism and still fewer personal accomplishment. Moderately strong evidence (grade 3) was concluded for the association between job control and reduced emotional exhaustion and between low workplace support and increased emotional exhaustion. Limited evidence (grade 2) was found for the associations between workplace justice, demands, high work load, low reward, low supervisor support, low co-worker support, job insecurity and change in emotional exhaustion. Cynicism was associated with most of these work factors. Reduced personal accomplishment was only associated with low reward. There were few prospective studies with sufficient quality on adverse chemical, biological and physical factors and burnout. Conclusion While high levels of job support and workplace justice were protective for emotional exhaustion, high demands, low job control, high work load, low reward and job insecurity increased the risk for developing exhaustion. Our approach with a wide range of work exposure factors analysed in relation to the separate dimensions of burnout expanded the knowledge of associations, evidence as well as research needs. The potential of organizational interventions is illustrated by the findings that burnout symptoms are strongly influenced by structural factors such as job demands, support and the possibility to exert control. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4153-7) contains supplementary material, which is available to authorized users.
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            The staff burn-out syndrome in alternative institutions.

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              Systematic review of burnout among healthcare providers in sub-Saharan Africa

              Background Burnout is characterized by physical and emotional exhaustion from long-term exposure to emotionally demanding work. Burnout affects interpersonal skills, job performance, career satisfaction, and psychological health. However, little is known about the burden of burnout among healthcare providers in sub-Saharan Africa. Methods Relevant articles were identified through a systematic review of PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO). Studies were selected for inclusion if they examined a quantitative measure of burnout among healthcare providers in sub-Saharan Africa. Results A total of 65 articles met our inclusion criteria for this systematic review. Previous studies have examined burnout in sub-Saharan Africa among physicians (N = 12 articles), nurses (N = 26), combined populations of healthcare providers (N = 18), midwives (N = 2), and medical or nursing students (N = 7). The majority of studies assessed burnout using the Maslach Burnout Inventory. The highest levels of burnout were reported among nurses, although all healthcare providers showed high burnout. Burnout among healthcare providers is associated with their work environments, interpersonal and professional conflicts, emotional distress, and low social support. Conclusions Available studies on this topic are limited by several methodological challenges. More rigorously designed epidemiologic studies of burnout among healthcare providers are warranted. Health infrastructure improvements will eventually be essential, though difficult to achieve, in under-resourced settings. Programs aimed at raising awareness and coping with burnout symptoms through stress management and resilience enhancement trainings are also needed. Electronic supplementary material The online version of this article (10.1186/s12889-019-7566-7) contains supplementary material, which is available to authorized users.
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                Author and article information

                Journal
                mesetra
                Medicina y Seguridad del Trabajo
                Med. segur. trab.
                Escuela Nacional de Medicina del Trabajo. Instituto de Salud Carlos III (Madrid, Madrid, Spain )
                0465-546X
                1989-7790
                December 2020
                : 66
                : 261
                : 213-219
                Affiliations
                [2] Jaén orgnameHospital San Juan de la Cruz orgdiv1Unidad de Rehabilitación España
                [1] Jaén orgnameHospital Universitario de Jaén orgdiv1Unidad de Gestión Clínica de Rehabilitación España
                Article
                S0465-546X2020000400003 S0465-546X(20)06626100003
                7af593e1-5646-4377-a79d-f4bc3245f19f

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 19 October 2020
                : 25 August 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 16, Pages: 7
                Product

                SciELO Spain

                Categories
                Artículos Originales

                Síndrome de Burnout,Physical Therapists,Burnout Psychological,Resilience,Resiliencia,Fisioterapeutas

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