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      Burnout Syndrome and shift work among the nursing staff 1

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          ABSTRACT

          Objective:

          to analyze the factors associated with Burnout Syndrome among nursing workers according to work shift.

          Method:

          cross-sectional study addressing a representative sample of 502 nursing workers from a philanthropic hospital facility. Data were collected using a characterization instrument, the Maslach Burnout Inventory - Human Service Survey and the Demand-Control-Support Questionnaire. Data were analyzed using descriptive statistics and multiple binary logistic regression.

          Results:

          levels of Burnout Syndrome were significantly higher among those working the day shift and associated factors included: high demand; low control; low social support; dissatisfaction with sleep and financial resources; being a nurse; and sedentariness. Professionals working the night shift, having low social support, being dissatisfied with sleep, having children, not having a religion, having worked for a short period in the institution, and being a nursing technician or aid were significantly more likely to experience high levels of the syndrome .

          Conclusion:

          psychosocial factors and factors from the work context, mainly low social support, were associated with the syndrome dimensions among nursing workers of both shifts.

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          Most cited references47

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          Empathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians

          To better understand clinical empathy and what factors can undermine its experience and outcome in care-giving settings, a large-scale study was conducted with 7,584 board certified practicing physicians. Online validated instruments assessing different aspects of empathy, distress, burnout, altruistic behavior, emotional awareness, and well-being were used. Compassion satisfaction was strongly associated with empathic concern, perspective taking and altruism, while compassion fatigue (burnout and secondary traumatic stress) was more closely related to personal distress and alexithymia. Gender had a highly selective effect on empathic concern, with women displaying higher values, which led to a wide array of negative and devalued feelings. Years of experience did not influence dispositional measures per se after controlling for the effect of age and gender. Participants who experienced compassion fatigue with little to no compassion satisfaction showed the highest scores on personal distress and alexithymia as well as the strongest indicators of compassion fatigue. Physicians who have difficulty regulating their negative arousal and describing and identifying emotions seem to be more prone to emotional exhaustion, detachment, and a low sense of accomplishment. On the contrary, the ability to engage in self-other awareness and regulate one’s emotions and the tendency to help others, seem to contribute to the sense of compassion that comes from assisting patients in clinical practice.
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            Latent burnout profiles: A new approach to understanding the burnout experience

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              Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries

              Objectives 12 h shifts are becoming increasingly common for hospital nurses but there is concern that long shifts adversely affect nurses’ well-being, job satisfaction and intention to leave their job. The aim of this study is to examine the association between working long shifts and burnout, job dissatisfaction, dissatisfaction with work schedule flexibility and intention to leave current job among hospital nurses. Methods Cross-sectional survey of 31 627 registered nurses in 2170 general medical/surgical units within 488 hospitals across 12 European countries. Results Nurses working shifts of ≥12 h were more likely than nurses working shorter hours (≤8) to experience burnout, in terms of emotional exhaustion (adjusted OR (aOR)=1.26; 95% CI 1.09 to 1.46), depersonalisation (aOR=1.21; 95% CI 1.01 to 1.47) and low personal accomplishment (aOR=1.39; 95% CI 1.20 to 1.62). Nurses working shifts of ≥12 h were more likely to experience job dissatisfaction (aOR=1.40; 95% CI 1.20 to 1.62), dissatisfaction with work schedule flexibility (aOR=1.15; 95% CI 1.00 to 1.35) and report intention to leave their job due to dissatisfaction (aOR=1.29; 95% CI 1.12 to 1.48). Conclusions Longer working hours for hospital nurses are associated with adverse outcomes for nurses. Some of these adverse outcomes, such as high burnout, may pose safety risks for patients as well as nurses.
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                Author and article information

                Journal
                Rev Lat Am Enfermagem
                Rev Lat Am Enfermagem
                rlae
                Revista Latino-Americana de Enfermagem
                Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
                0104-1169
                1518-8345
                09 August 2018
                2018
                : 26
                : e3022
                Affiliations
                [2 ]MSc, RN, Hospital Evangélico de Londrina, Londrina, PR, Brazil.
                [3 ]PhD, Adjunct Professor, Departamento de Enfermagem, Universidade Estadual de Londrina, Londrina, PR, Brazil.
                [4 ]Doctoral student, Universidade Estadual de Maringá, Maringá, PR, Brazil. Assistant Professor, Departamento de Enfermagem, Universidade Estadual do Norte do Paraná, Bandeirantes, PR, Brazil.
                [6]Universidade Estadual do Norte do Paraná, Departamento de Enfermagem, Universidade Estadual do Norte do Paraná, Bandeirantes, PR, Brazil
                [5 ]PhD, Associate Professor, Departamento de Enfermagem, Universidade Estadual de Londrina, Londrina, PR, Brazil.
                Author notes
                Corresponding Author: Maria José Quina Galdino Universidade Estadual do Norte do Paraná Rod. BR 369, km 54 Bairro: Vila Maria CEP: 86360-000, Bandeirantes, PR, Brasil E-mail: mariagaldino@ 123456uenp.edu.br
                Article
                00337
                10.1590/1518-8345.2550.3022
                6091368
                30110099
                d6c200ee-0ca9-488f-b47b-cfdfa6282f53
                Copyright © 2018 Revista Latino-Americana de Enfermagem

                This is an open-access article distributed under the terms of the Creative Commons Attribution License

                History
                : 23 November 2017
                : 06 May 2018
                Page count
                Figures: 0, Tables: 12, Equations: 0, References: 50, Pages: 1
                Categories
                Original Articles

                nursing,shift work,workplace,burnout, professional,stress psychological,occupational health

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