Professional nursing practice: environment and emotional exhaustion among intensive care nurses

Panunto, Marcia Raquel; Guirardello, Edinêis de Brito

doi:10.1590/s0104-11692013000300016

Cited by 85 publications

(130 citation statements)

References 21 publications

(32 reference statements)

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“…The prominent and consistent behavior of this Burnout aspect found in this and other studies (8,10) probably indicates its nuclear role in relation to the other domains of the syndrome. It is worth mentioning that depersonalization has been considered a behavioral defense mechanism against emotional exhaustion and reduced personal accomplishment, as another consequence of Burnout (3) .…”

Section: Discussionsupporting

confidence: 88%

“…Regarding the work environment, this study found values close to 2 in all NWI-R subscales, results similar to Brazilian investigations carried out in Intensive Care Units (8,12,15) and better than those observed in a study carried out in Primary Care Units (16) .…”

Section: Discussionsupporting

confidence: 86%

“…In the comparison with other countries, the work environment described by the NWI-R in Brazil (8,12,(15)(16) presents worse characteristics than the ones found in an Irish study which, in turn, found less favorable environments than those observed in north american institutions (17) .…”

Section: Discussioncontrasting

confidence: 58%

“…Research has shown that the negative aspects of the work environment are related to adverse events associated with low quality care (4) and can increase the risk of undesirable consequences, such as Burnout (8) .…”

Section: Introductionmentioning

confidence: 99%

“…In Brazil, studies found an association between work environment and Burnout (8,10) . However, these investigations did not assess the profile of the work environment that is associated with the syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Burnout and nursing work environment in public health institutions

et al. 2018

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Objective: to identify associations between the Burnout domains and the characteristics of the work environment. Method: cross-sectional study with 745 nurses from 40 public health institutions in São Paulo. Nursing Work Index-Revised (NWI-R) and Maslach Burnout Inventory were used. Similar institutions according to NWI-R were grouped by clustering and the Anova and Bonferroni tests were used in the comparative analyzes. Results: there was signifi cant and moderate correlation between emotional exhaustion and autonomy, control over the environment and organizational support; between reduced personal accomplishment, autonomy and organizational support; and between depersonalization and autonomy. The group that presented the worst conditions in the work environment differed on emotional exhaustion from the group with most favorable traits. Conclusion: emotional exhaustion was the trait of Burnout that was more consistently related to the group of institutions with more unfavorable working conditions regarding autonomy, organizational support and control over the environment. Descriptors: Burnout, Professional; Nursing; Health Facility Environment; Hospitals, Public; Cross-Sectional Studies. RESUMO Objetivo: identifi car associações entre os domínios do Burnout e as características do ambiente de trabalho. Método: estudo transversal com 745 enfermeiros de 40 instituições públicas de saúde de São Paulo. Nursing Work Index-Revised (NWI-R) e Maslach Burnout Inventory foram utilizados. Instituições semelhantes, segundo NWI-R, foram agrupadas pelo método de Cluster e os testes Anova e Bonferroni foram aplicados nas análises comparativas. Resultados: houve correlação signifi cativa e moderada entre exaustão emocional e autonomia, controle sobre o ambiente e suporte organizacional; baixa realização pessoal e autonomia, e suporte organizacional; despersonalização e autonomia. O grupo que apresentou as piores condições de ambiente de trabalho diferiu do que teve os mais favoráveis atributos quanto à exaustão emocional. Conclusão: a exaustão emocional foi o traço do Burnout que se relacionou de forma mais constante com o grupo de instituições com condições mais desfavoráveis de trabalho quanto à autonomia, suporte organizacional e controle sobre o ambiente. Descritores: Esgotamento Profi ssional; Enfermagem; Ambiente de Instituições de Saúde; Hospitais Públicos; Estudos Transversais. RESUMENObjetivo: identifi car asociaciones entre los dominios de Burnout y las características del ambiente de trabajo. Método: estudio transversal entre 745 enfermeros de 40 instituciones públicas de salud de São Paulo. Se utilizaron, la Escala Adaptada del Entorno de Práctica Enfermera (Nursing Work Index-Revised, NWI-R) y el cuestionario Maslach Burnout Inventory. Se agruparon instituciones semejantes por el método de Cluster, según la NWI-R y se aplicaron las pruebas Anova y Bonferroni en los análisis comparativos. Resultados: hubo correlación signifi cativa y moderada entre agotamiento emocional y autonomía, control sobre el ambien...

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Section: Discussionsupporting

confidence: 88%