Burnout and resilience in intensive care Nursing professionals in the face of COVID-19: A multicenter study

Abstract

Objective: to analyze the relationship between the Burnout dimensions and the work resilience of intensive care Nursing professionals in the COVID-19 pandemic in four hospitals from southern Brazil. Method: this is a multicenter and cross-sectional study, composed of 153 nurses and nursing technicians of the Intensive Care Units. Sociodemographic, health and work-related questions were collected, and the Maslach Burnout Inventory and Resilience at Work Scale 20 instruments were applied. The data were submitted to descriptive analysis and to bivariate and partial correlations (network analysis). Results: work resilience presented an inverse correlation to emotional exhaustion (r=-0.545; p=0.01) and depersonalization (r=-0.419; p=0.01) and a direct one to professional achievement (r=0.680; p=0.01). The variable with the greatest influence on the correlation network was the perception of the impact of the pandemic on mental health. Conclusion: resilience interferes in the emotional exhaustion and low professional achievement domains of Burnout. Emotional exhaustion is conducted through minor psychological disorders, with an impact on the workers’ physical and mental health variables. The development of institutional resilience should be encouraged in order to moderate the illness.

Exploring the relationships between resilience, burnout, work engagement, and intention to leave among nurses in the context of the COVID-19 pandemic: a cross-sectional study

“…The results of the current study indicated that higher levels of resilience were associated with lower levels of emotional exhaustion, depersonalization, and diminished personal accomplishment among nurses working in Thailand during the pandemic period. The findings largely confirm previous studies where higher resilience has been linked to lower emotional exhaustion, depersonalization, and reduced personal accomplishment among nurses working in public hospitals in Madrid, Spain [ 20 ], nurse managers in tertiary public hospitals in China [ 25 ], nurses and nursing students from a college and a state nursing association in Pennsylvania, USA [ 18 ], nurses in Brazil [ 42 ], and hospital staff in Australia [ 4 ].…”

“…An individual demonstrating resilience actively endeavors to progress constructively, drawing upon the insights and knowledge gained from confronting adverse experiences. Indeed, several studies among healthcare workers and nurses during the pandemic have found associations between resilience and lower levels of burnout [ 4 , 20 , 25 , 42 ], intention to leave [ 29 , 40 ] and a higher level of work engagement [ 9 , 26 ]. However, these studies have been limited to the United States, Australia, China, Brazil, and Spain.…”

Randomized crossover clinical trial of a Mindfulness-based intervention for nurse leaders: A pilot study

“…A systematic review concluded that health professionals reported having moderate to high psychological resilience levels, despite the threat caused by the unknown virus and its consequences for mental health (59) . Resilience is an important protective factor for nurses (60) , although few research studies have been found on the influence of controllable work-related variables on nurses' resilience, and the factors that contribute to high or low resilience levels are still unclear (61) .…”

Ensaio clínico randomizado cruzado de uma intervenção baseada em mindfulness em enfermeiros líderes: estudo-piloto

“…Uma revisão sistemática concluiu que profissionais de saúde relataram ter níveis moderados a altos de resiliência psicológica, apesar da ameaça causada pelo vírus desconhecido e das suas consequências para a saúde mental (59) . A resiliência é um fator importante de proteção para os enfermeiros (60) , embora tenham sido encontradas poucas investigações abordando a influência de variáveis controláveis relacionadas ao trabalho, na resiliência do enfermeiro, e os fatores que contribuem para níveis de resiliência altos ou baixos ainda não sejam claros (61) . A pandemia encorajou inúmeras mudanças das formas tradicionais de ensino e pesquisa, principalmente a utilização de intervenções on-line, como o uso de aplicativos e videoconferências, com sucesso na melhora da compaixão e saúde mental dos usuários (62)(63) .…”