Objective: To analyze the existence of a relationship between burnout and depressive symptoms among intensive care unit nursing staff. Method: A quantitative, descriptive, cross-sectional study with 91 intensive care nurses. Data collection used a sociodemographic questionnaire, the Maslach Burnout Inventory -Human Services Survey, and the Beck Depression Inventory -I. The Pearson test verifi ed the correlation between the burnout dimension score and the total score from the Beck Depression Inventory. Fisher's exact test was used to analyze whether there is an association between the diseases. Results: Burnout was presented by 14.29% of the nurses and 10.98% had symptoms of depression. The higher the level of emotional exhaustion and depersonalization, and the lower professional accomplishment, the greater the depressive symptoms. The association was signifi cant between burnout and depressive symptoms. Conclusion: Nurses with burnout have a greater possibility of triggering depressive symptoms. Descriptors: Nurses; Intensive Care Units; Nursing Research; Psychological stress; Professional Exhaustion. RESUMEN Objetivo: Analizar la existencia de relación entre burnout y la sintomatología depresiva en enfermeros de unidad de terapia intensiva. Método: Estudio cuantitativo, descriptivo, transversal, con 91 enfermeros de terapia intensiva. Se utilizó, en la colecta de datos, un cuestionario socio demográfi co, el Maslach Burnout Inventory -Human Services Survey, y el Inventario de Depresión de Beck -versión I. El test de Pearson verifi có la correlación entre la puntuación de las dimensiones de burnout e la puntuación total del Inventario de Beck. El test Exacto de Fisher fue utilizado para analizar si existe asociación entre las enfermedades. Resultados: Presentaron burnout 14,29% de los enfermeros y 10,98% tenían síntomas de depresión. Cuanto mayor el nivel de agotamiento emocional y despersonalización, y menor la realización profesional, mayor la sintomatología RESUMO 136Burnout and depressive symptoms in intensive care nurses: relationship analysis Vasconcelos EM, Martino MMF, França SPS
The relationship between shift work and sleep patterns in nurses
The purpose of this study was to analyze the relationship between stress and sleep quality among nurses who work on different hospital departments during morning, afternoon and night shifts. This study was performed in a hospital in Campinas, Sao Paulo. Data collection was performed using the Bianchi Stress Scale modified (BSSm) and Pittsburgh Sleep Quality Index (PSQI). Study participants were 203 registered nurses, mostly aged between 40 and 49 years. Results show there is a significant correlation between stress and sleep (Spearman Analysis; r = 0.21318; p = 0.0026). Nurses working morning shifts showed higher stress levels (p = 0.030; Chi-square Test,) and poor sleep quality. In conclusion, stress level was a factor directly correlated to sleep, showing that the higher the stress score, the worse the quality of sleep.
Objective:To identify the prevalence and analyse the existence of predictors of burnout syndrome in intensive care nurses. Methods: The quantitative, descriptive, cross sectional study with 91 intensive care nurses. Two instruments were used to collect data in July 2014: a sociodemographic form and the Maslach Burnout Inventory -Human Services Survey. Pearson's Chi-Square test or Fisher's exact test were applied to verify the association between the occurrence of burnout and the categorical variables. Results: Burnout affected 14.3% of the sample. Of the studied variables, only the duration of holidays had a significant association with the occurrence of burnout (p = 0034/OR = 3.92). Conclusions:The prevalence of burnout in the nurses was 14.3%. Duration of the holidays was the only variable that showed a significant association with the occurrence of burnout. Keywords: Nurses. Intensive care units. Nursing research. Stress, psychological. Burnout, professional. Prevalence. RESUMO Objetivo:Identificar a prevalência e analisar a existência de fatores preditores da síndrome de burnout em enfermeiros de unidade de terapia intensiva. Métodos: Estudo quantitativo, descritivo, transversal, com 91 enfermeiros de terapia intensiva. Utilizaram-se na coleta dos dados, em julho de 2014, dois instrumentos: um sociodemográfico e o Maslach Burnout Inventory -Human Services Survey. Para verificar a associação entre a ocorrência do burnout e as variáveis categóricas foram aplicados o teste Qui-Quadrado de Pearson ou o teste Exato de Fisher. Resultados: Apresentaram burnout 14,3% da amostra. Das variáveis estudadas, a duração das férias foi a única que apresentou associação significativa com a ocorrência do burnout (p=0,034 / OR=3,92). Conclusões: A prevalência do burnout nos enfermeiros correspondeu a 14,3%. A duração das férias foi a única variável em que houve associação significativa com a ocorrência do burnout. Palavras-chave: Enfermeiras e enfermeiros. Unidades de terapia intensiva. Pesquisa em enfermagem. Estresse psicológico. Esgotamento profissional. Prevalência. RESUMEN Objetivo:Identificar la prevalencia y analizar la existencia de predictores del síndrome de burnout en enfermeras de la unidad de cuidados intensivos. Métodos: Estudio cuantitativo, descriptivo, transversal, con 91 enfermeros de terapia intensiva. Se utilizaron en la recolección de datos, en julio de 2014, dos instrumentos: un sociodemográfico y el Maslach Burnout Inventory -Human Services Survey. Para verificar la asociación entre la ocurrencia del burnout y las variables categóricas se aplicó la prueba Qui-cuadrado de Pearson o la prueba Exacto de Fisher. Resultados: Presentaron burnout 14,3% de la muestra. De las variables estudiadas, la duración de las vacaciones fue la única que presentó asociación significativa con la ocurrencia del burnout (p = 0,034 / OR = 3,92). Conclusiones: La prevalencia del burnout en los enfermeros correspondió al 14,3%. La duración de las vacaciones fue la única variable en la que hubo asociación significativa co...
The present study evaluates the use of salivary cortisol concentration as a physiological index of the stress level among nurses on their work day and day off and correlates it with the questionnaire used to measure occupational stress in nurses (Inventário de Estresse em Enfermeiros - IEE). This is a comparative, cross-sectional descriptive study in which sociodemographic data, IEE results and salivary cortisol levels were used. Fifty-seven nurses participated in the study (80.7% females and a mean age of 37.1 years old). The IEE average score was 124.5. The average cortisol level was 564.1 ng/m on work day and 354.1 ng/mL on day off. Nurses who had double workdays presented high values of salivary cortisol during the work day (638.1 ng/mL). In conclusion, salivary cortisol identified the nurses’ stress level, and differences were found between a work day and day off. On the nurses’ day off, their salivary cortisol levels and stress scores were lower.
III RESUMENEl objetivo de este estudio fue identificar los diagnósticos de enfermería más frecuentes en los clientes renales crónicos teniendo como referencial el Sistema Conceptual de Imogene King que define los tres sistemas que son la base del modelo -sistema personal, interpersonal y social. Fue aplicado un instrumento de colecta de datos en 20 clientes de una unidad dialítica con acompañamiento supervisando, objetivando conocer la necesidad del paciente, por medio del levantamiento de los datos. Los diagnósticos fueron determinados según la Taxonomia II de la NANDA. Los diagnósticos de enfermería encontrados en 50% o más de los pacientes renales crónicos, fueron: riesgo para infección, protección alterada y conforto alterado DESCRIPTORES ABSTRACTThe purpose of this study was to identify the most common nursing diagnoses in chronic renal patients using as reference Imogene King's Conceptual System, which describes the three systems that form the basis for her model: personal, interpersonal and social. A data collecting tool with a supervised follow up was applied to 20 patients in a unit of dialysis in order to verify the patients' needs. The diagnoses were determined according to NANDA's Taxonomy II. In 50% or more of the chronic renal clients nursing diagnoses were: risk of infection, altered protection and altered comfort.
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