Elevated diurnal salivary cortisol in nurses is associated with burnout but not with vital exhaustion

Wingenfeld, Katja; Schulz, Michael; Damkroeger, Annika; Rose, Matthias; Drießen, Martin

doi:10.1016/j.psyneuen.2009.02.015

Cited by 39 publications

(34 citation statements)

References 34 publications

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“…La muestra se clasificó en función de su nivel de burnout en tres grupos, asumiendo la estrategia utilizada por Wingenfeld y col 18 . Los participantes se dividieron en el grupo sin burnout (ninguna dimensión alterada del MBI-HSS), grupo con un criterio de burnout (puntuación alta en alguna de las tres dimensiones del MBI-HSS) y el grupo con dos o tres criterios de burnout (puntuación alta en dos o en las tres dimensiones del MBI-HSS).…”

Section: Materials Y Métodosunclassified

“…El tamaño de la muestra fue calculado mediante el software G*Power. Para hallar el número mínimo de participantes necesario para obtener una muestra representativa de la población de profesionales sanitarios se utilizaron los resultados mostrados en el estudio de Wingenfeld y col 18 . De este se extrajeron las medias y desviaciones tí-picas de edad de dos de los grupos de burnout incluidos para el análisis del presente estudio (grupo con puntuaciones altas en una dimensión vs grupo con puntuaciones altas en más de una dimensión).…”

Section: Materials Y Métodosunclassified

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Influence of sociodemographic, occupational and life style factors on the levels of burnout in palliative care health professionals

Sánchez

Pérez-Mármol

Peralta-Ramírez

2017

An Sist Sanit Navar

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Fundamento. El personal sanitario de cuidados paliativos ha mostrado niveles altos de burnout. El conocimiento de los factores asociados a este podría utilizarse para el diseño de estrategias de intervención sobre estos profesionales. Los objetivos de este estudio son evaluar los niveles de burnout y analizar la posible relación entre estos y diversos factores sociodemográ-ficos, laborales y de estilos de vida en una muestra de personal sanitario que trabaja en unidades de cuidados paliativos. Material y métodos. La muestra estuvo compuesta por 92 profesionales sanitarios de cuidados paliativos. Se registraron las características sociodemográficas, laborales y de estilos de vida. Además, se evaluó el síndrome de burnout mediante el Maslach Burnout Inventory -Human Services Survey (MBI-HSS). La muestra fue dividida en función de su nivel de burnout en tres grupos (grupo sin burnout, grupo con una dimensión alterada del MBI-HSS y grupo con dos o tres dimensiones alteradas). Se realizó una comparación entre grupos para las características evaluadas. resultados. Los profesionales sin burnout eran significativamente mayores y dormían más que los profesionales con más de una dimensión alterada; además, poseían mayor antigüedad en la unidad que aquellos con una única dimensión alterada, y realizaban ejercicio físico más frecuentemente que cualquiera de los grupos con burnout. conclusiones. Los profesionales sanitarios más jóvenes, con más antigüedad en la unidad de cuidados paliativos, que dormían menos horas y que realizaban menos ejercicio físico presentaron niveles mayores de burnout. Estos factores deberían tenerse en cuenta para el desarrollo de nuevas estrategias de prevención y tratamiento de este síndrome en el personal de estas unidades. Palabras clave. Cuidados paliativos. Burnout. Estilos de vida. Actividad física. Sueño. abstract background. Palliative care health professionals have reported high levels of burnout. An understanding of factors associated with this syndrome in this population could foster new prevention and intervention strategies. The objectives were to evaluate the levels of burnout in each of its dimensions in a sample of palliative care health professionals and to analyze the relationship between levels of burnout and sociodemographic, occupational and lifestyle characteristics in this sample. Methods. The total sample was composed of 92 palliative care health professionals. Sociodemographic, occupational and lifestyle characteristics were registered. The levels of burnout syndrome were evaluated by the Maslach Burnout Inventory -Human Services Survey (MBI-HSS). The total sample was divided into three groups, depending on the level of burnout (nonburnout group, burnout group meeting one criterion, and burnout group meeting two or three criteria). Comparisons were performed amongst groups for all characteristics evaluated. results. The non-burnout professionals were significantly older and slept more than the professionals with more than one altered dimension; in addition, they had greater...

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Section: Materials Y Métodosunclassified

Influence of sociodemographic, occupational and life style factors on the levels of burnout in palliative care health professionals

Sánchez

Pérez-Mármol

Peralta-Ramírez

2017

An Sist Sanit Navar

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“…Analyzing men and women separately revealed that the difference existed only between the male patients and controls (t = 2.8, p = 0.006), however, Abbreviations as in Table 2. there have been indications of higher daytime cortisol in high burnout groups [7,21]. Others have found that high burnout was related to high cortisol at awakening but have found no relation to group belonging later in the day [22].…”

Section: Follow-upmentioning

confidence: 98%

No alterations in diurnal cortisol profiles before and during the treatment in patients with stress-related exhaustion

Sjörs¹,

Jonsdottir²

2015

Int J Occup Med Environ Health

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Objectives: Several theories have emerged in recent years suggesting that neuroendocrinological alterations, mainly changes in cortisol, could be of importance with respect to the link between chronic stress and disease. This study investigated possible deviations in the diurnal cortisol profiles of patients with clinically diagnosed stress-related exhaustion (exhaustion disorder -ED) compared with healthy controls. Material and Methods: Salivary cortisol samples taken at home in the morning directly after waking up, 30 min later, and in the evening were compared between ED patients (N = 122; 25% men) and healthy controls (N = 98; 44% men). Follow-up measurements were performed after 6 months (79 patients) and 12 months (68 patients) of the treatment. Results: There were no clear differences in diurnal salivary cortisol profiles between the patients and healthy controls. Moreover, salivary cortisol levels and diurnal profiles did not change significantly during the treatment in the patient group. There was some indication of a smaller cortisol awakening response in the male patients compared to the male controls, but the difference appeared to be mainly related to the antidepressant use. Conclusions: Diurnal salivary cortisol profiles, at least as measured in this study, give a rather poor reflection of the prolonged stress exposure experienced by patients with ED. Such basal salivary cortisol measurements do not seem suitable as biomarkers for stress-related conditions such as ED or burnout, or as an aid to assess the effects of prolonged stress load in a routine clinical practice.

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“…Segundo Salomé et al (2009) Entre os profissionais de enfermagem, submetidos às condições estressantes como a relação enfermeiro-paciente, ritmo de trabalho e desafios administrativo-organizacionais no setor de saúde, torna-se primordial a atenção aos efeitos do estresse crônico sobre esses profissionais, com o intuito de melhorar a sua qualidade de vida e a qualidade da assistência de saúde por eles prestada (LAI, LI, 2011;KING, HEGADOREN, 2002;WINGENFELD et al, 2009).…”

Section: Problemas De Saúde Relacionados Ao Trabalhounclassified

“…A utilização dos marcadores biológicos para identificação de funcionamento fisiológico do organismo e como sinais de alerta para possíveis adoecimentos, vem sendo difundida internacionalmente (Bost;Wallis, 2006;Copertaro et al, 2011;Deane et al, 2002;Evans;Steptoe, 2001;Fukuda et al, 2008;Kawaguchi et al, 2007;Li, 2011;Looser et al, 2010;Wingenfeld et al, 2009;Yang et al, 2001;Wardell;Engebretson, 2001). Nesta perspectiva esta investigação não se restringe apenas a descrição ou identificação de fatores de risco na realidade investigada, mas se detém à busca por fomentar perspectivas que favoreçam a segurança e a saúde do trabalhador de enfermagem.…”

Section: Introductionunclassified

Estresse e jornada laboral dos trabalhadores de enfermagem

Gouveia¹

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General Objective -Analyze the correlations between stress and workload of nursing professional at a public hospital in the city of Teresina, Piauí. Methods: Descriptive, cross-sectional, correlational, quantitative study performed at a public general hospital in the city of Teresina (Piauí), between January and April and September to November of 2013. In the first stage the ramdom sample, consisted of 145 nursing professionals, to whom was applied Section 1 of the Risk assessment guide in workplace questionnaire. In the second stage, the sample was composed of 93 professionals, who were submitted to the Adult stress symptom inventory (ISSL). The cortisol concentration quantity was determined using the Salivary Assay Kit from Salimetrics in 84 nursing professionals. The research was approved by the Research Ethics Committee. The data Analysis was performed through descriptive and inferential statistics using the Statistical Package for Social Science (SPSS) version 18.0. Results: 92,4% of the nursing professionals were female, 52,4% married, mostly in the age group between 41-50 years old (34,5%), having the average age of 44,4 years old. 60 of them were nurse technicians (41,4%), 13,1% stated working in the sterilization hub and 11,7% in operating rooms or postanesthesia care unit. As to their employment contract, 81,4% mentioned being state workers, however 17,9% of them affirmed having other kinds of contract. The day shift is performed by 56,6% of these professionals, followed by 29,7% of regular working days, with a total amount of 70,4% who work on shifts (day and night).Having 30 hours or less of work per week was mentioned by 69,7%; however 33,1% worked in other hospital facilities; the amount of pay to 54,5% was between 1 and 2 monthly minimum wage; 55,9% had just one job and 44,1% had from two to four jobs. The perceived risk factors in workplace by the nursing professionals in descending order were: risk of contracting infections/disease (77,2%), exposure to biological risk (68,3%), lesion due to perforating-cutting material (55,9%), exposure to hepatitis virus (55,1%), exposure to HIV virus (53,8%) and risk due to work overload (53,8%). The most frequent perceived health problems (provoked/ aggravated) related to work were: varicose veins (56,5%), low back pain (46,9%), stress/depression (41,4%) and lesions due to accidents (32,4%). When filling the ISSL, 93 questionnaires were obtained, from which 65 professionals showed stress symptons, although most of them (57) were in the resistance stage. The measured salivary cortisol levels ranged from 0,061mg/dl to 0,849mg/dl, with a few samples beyond normality. It was found a correlation between the workload of over 30 hours per week and stress. Conclusion: The use of salivary cortisol can help detect deleterious conditions generated by chronic occupational stress in nursing professionals, contributing to the early recognition of these conditions and to the adoption of preventive measures which permit assuring the health service quality and the balance bet...

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Elevated diurnal salivary cortisol in nurses is associated with burnout but not with vital exhaustion

Cited by 39 publications

References 34 publications

Influence of sociodemographic, occupational and life style factors on the levels of burnout in palliative care health professionals

Influence of sociodemographic, occupational and life style factors on the levels of burnout in palliative care health professionals

No alterations in diurnal cortisol profiles before and during the treatment in patients with stress-related exhaustion

Estresse e jornada laboral dos trabalhadores de enfermagem

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