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5.
Emerg Med Clin North Am ; 38(2): 297-310, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32336326

RESUMO

Burnout is a work-related condition. Although stress may be a part of emergency medicine, excessive levels of chronic stress can lead to maladaptive behaviors and burnout. Burnout can lead to decreased physician longevity and performance and poorer patient outcomes. The first step is recognizing burnout in providers. Efforts can then be made to identify modifiable or unnecessary sources of stress to help reduce chronic stress and burnout. Solutions should be found to eliminate or ameliorate individual-level and system-level sources of stress.


Assuntos
Esgotamento Profissional/prevenção & controle , Medicina de Emergência , Médicos/psicologia , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Humanos
7.
Postgrad Med ; 132(1): 7-16, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31570072

RESUMO

Primary care physicians (general practitioners (GPs)) are burdened for various reasons and are particularly affected by stress-related complaints and an increasing prevalence of burnout. Thus, the prevention of physician burnout has become a major interest for health care services. Although many studies have addressed this issue in recent years, little seems to be known about the work strain and burnout rates in GP trainees. Therefore the objective of this article is to review the psychosocial burden and relevant prevention strategies for GPs with a special emphasis on GP trainees. Regardless of the specialty, burnout is more prevalent among medical trainees and so-called 'early career' physicians than among the age-matched population. Accordingly, burnout seems to be frequent among GP trainees, although there is some evidence that there are fewer doctors working in general medicine who were already heavily burdened at the time of choosing their career. The sudden assumption of responsibility in patient care as well as the fear of showing imperfection in front of their supervisors, or lack of recognition from senior doctors, the medical team, or patients might be stressors typical to this career stage. GP trainees might also feel burdened by the new level of personal involvement and thus have to develop or increase their individual level of professionality to deal with the patients' medical and personal problems. In conclusion, interventions to promote physical and mental health of GP trainees are a necessity to ensure passionate GPs in the future and should therefore be integrated into any postgraduate training curriculum in general practice.


Assuntos
Esgotamento Profissional/etiologia , Estresse Ocupacional/etiologia , Médicos de Atenção Primária/psicologia , Esgotamento Profissional/epidemiologia , Humanos , Estresse Ocupacional/complicações , Estresse Ocupacional/epidemiologia , Médicos de Atenção Primária/educação , Médicos de Atenção Primária/estatística & dados numéricos , Prevalência , Fatores de Risco
8.
Teach Learn Med ; 32(1): 61-70, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31315454

RESUMO

Phenomenon: Factors related to individual circumstance and organizational climate are contributing to a worsening burnout problem among providers in healthcare settings. In the academic health center, junior faculty may be at particular risk for burnout given intersecting responsibilities of clinical expertise, research rigor, teaching commitments, and service expectations. To date, much of the focus on preventing and mitigating burnout has been located at the individual level, addressing lifestyle modification and self-regulation skills. We sought to examine relationships between institutional context and burnout qualities as a means to identify opportunities for organizational leadership to address faculty burnout. Approach: Data are from a baseline survey of assistant professors (faculty with diverse ratios for clinical, research, and teaching responsibilities) located within a pediatrics department in an academic medical center. Pearson correlation coefficients and logistic regression models were used to examine relationships between institutional factors (mentorship, collaboration opportunities, feelings of empowerment, value, and support of well-being) and experiences of burnout as measured by the original 22-item Maslach Burnout Inventory (subscales: Emotional Exhaustion, Depersonalization, and Low Personal Accomplishment). Findings: Three perceived institutional characteristics were significantly associated with all three dimensions of burnout, particularly emotional exhaustion, which decreased with increasing perception of (a) empowerment to communicate professional needs, (b) feeling valued for contributions to the department, and (c) department commitment to support faculty well-being. In multivariate logistic regression models, adjusted for gender identity and years since training, increased positive perceptions of these three institutional characteristics were associated with significantly lower odds of burnout. For example, for each unit increase along a 5-point rating scale in feeling empowered to communicate needs and feeling valued for contributions to the department, the odds of meeting cutoff scores for burnout were reduced by 78% (p = .002) to 84% (p = .002), respectively. Insights: Although much of the focus on addressing burnout in healthcare settings has been on promoting coping skills and building resilience at the individual level, our findings add to a growing literature documenting a significant role for institutional leadership in identifying and facilitating strategies to promote faculty well-being. Findings also support leadership's role for improving institutional climate via creating opportunities to increase faculty perceptions of empowerment and value in the department.


Assuntos
Esgotamento Profissional/etiologia , Docentes de Medicina , Local de Trabalho/psicologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino
9.
Artigo em Inglês | MEDLINE | ID: mdl-31795420

RESUMO

In healthcare settings, nurses' workload, burnout, and job satisfaction are associated to the patient-nurse ratio. Whether this ratio also affects their intention to leave the nursing profession, along with the underlying stress pathway, remains unclear. This study aimed to investigate the effects of the patient-nurse ratio on nurses' intention to leave and considering the mediating roles of burnout and job dissatisfaction. The study analyzed the data of two pooled cross-sectional surveys collected in 2013 and 2014. Measures were obtained by a structure questionnaire, which queried the average daily patient-nurse ratio (ADPNR), nurses' personal burnout, client-related burnout, job dissatisfaction, intention to leave, and other demographics. ADPNRs were standardized according to hospital levels. Multiple regression models examined mediation hypotheses, and a percentile bootstrap confidence interval was applied to determine the significance of indirect effects. A total of 1409 full-time registered nurses in medical and surgical wards of 24 secondary or tertiary hospitals in Taiwan completed self-administered questionnaires. Most of the participants were female (97.2%), and the mean age was 29.9 years. The association between the standardized ADPNR and intention to leave their job was significantly mediated by personal burnout, client-related burnout, and job dissatisfaction. Higher standardized ADPNRs predicted higher levels of personal burnout, client-related burnout, and job dissatisfaction, each of which resulted in higher levels of intention to leave the current job. The results highlight that appropriate patient-nurse ratio standards may be further discussed by selecting personal burnout, client-related burnout, and job dissatisfaction as indicators.


Assuntos
Esgotamento Profissional/epidemiologia , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Carga de Trabalho/estatística & dados numéricos , Adulto , Esgotamento Profissional/etiologia , Estudos Transversais , Feminino , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Taiwan , Adulto Jovem
10.
Int Emerg Nurs ; 47: 100792, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31679969

RESUMO

Shortage of quantitative studies regarding health risks for emergency services workers is a concern for Chilean's occupational health organizations. OBJECTIVE: To explore the incidence of violence and burnout in emergency services of the Metropolitan Region of Chile, and associations with workers' characteristics and workplace conditions. METHODS: A cross-sectional study was carried out from January to August 2016. A self-reported questionnaire explored about frequency and seriousness of violence episodes and about symptoms of burnout with the Maslach Burnout Inventory. RESULTS: Of the 565 workers participating, 71% (95% CI 66.7-74.5) said violence episodes occurred at least once a week; 71.3% (95% CI 67.3-75.0) were victims of some aggression in the previous 12 months. Patients companions, relatives or friends arose as the main aggressors and the severity of the episodes was considered slight or moderate by more than 50% of participants. Fifty-seven respondents (10.5%, CI 95% 8.1-13.5) classified as having a burnout syndrome. Having been a victim of violence was associated to high emotional exhaustion (ORadj = 1.7, 95% CI: 1.1-2.8) and depersonalization (ORadj = 2.0, 95% CI 1.3-3.3). CONCLUSIONS: Violence is a problem in the emergency departments of Chile's Metropolitan Region. Burnout is also present and independently associated to violence.


Assuntos
Esgotamento Profissional/psicologia , Pessoal de Saúde/psicologia , Violência no Trabalho/psicologia , Adulto , Esgotamento Profissional/etiologia , Chile , Estudos Transversais , Serviços Médicos de Emergência/métodos , Serviços Médicos de Emergência/normas , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários , Local de Trabalho/psicologia , Local de Trabalho/normas , Violência no Trabalho/estatística & dados numéricos
11.
BMC Med Educ ; 19(1): 413, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31703674

RESUMO

BACKGROUND: Burnout, a measure of professional distress, is more common among medical professionals. About half of medical students have this problem. However, little is known about the burnout status of medical students in Ethiopia. Therefore, the aim of this study was to assess the prevalence and associated factors of burnout among medical students of Debre Berhan University (DBU). METHODS: A cross-sectional study was conducted on randomly selected 151 medical students of DBU. Burnout was assessed using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Participants were reported as having burnout if they scored ≥27 on Emotional Exhaustion (EE), ≥13 on Depersonalization (DP) sub-scales, and ≤ 31 on Personal Accomplishment (PA) sub-scale of the MBI-HSS. EpiData version 3.1 was used for data entry while SPSS version 20 and STATA version 13 for windows were used for data analysis. Both univariable and multivariable binary logistic regression analyses were conducted. The degree of association between variables was assessed using odds ratio (OR) with 95% confidence interval (CI) at two-tailed p-value of < 0.05. RESULT: Of 144 medical students took part, 34.0% had symptoms of burnout. Regarding domains of burnout, 61.8% scored high on EE, 47.9% scored high on DP and 59.7% scored low on PA. Dissatisfaction with practice lecturer (AOR = 3.8, 95% CI (1.3, 11.6)), moderate social support (AOR = 0.2, 95% CI (0.1, 0.8)), and satisfaction with their education (AOR = 0.1 95% CI (0.0, 0.7)) were associated with burnout. CONCLUSION: More than one-third of medical students at DBU had burnout. Individual and organizational level interventions targeting students who had poor social support, dissatisfied by their lecturer at the hospitals and their education are recommended.


Assuntos
Esgotamento Profissional/epidemiologia , Estudantes de Medicina/psicologia , Adulto , Esgotamento Profissional/etiologia , Estudos Transversais , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Satisfação Pessoal , Prevalência , Psicologia , Fatores de Risco , Faculdades de Medicina/estatística & dados numéricos , Apoio Social , Estudantes de Medicina/estatística & dados numéricos
12.
Cien Saude Colet ; 24(12): 4621-4632, 2019 Dec.
Artigo em Português | MEDLINE | ID: mdl-31778512

RESUMO

The state of health of the teacher is fundamental to the success of the teaching process. In addition to the intrinsic aspects, the scholastic context affects the well-being of the educator. The objective of this study was to identify the main psychosocial, structural and relational factors in the teaching profession. A systematic review of the literature, with the use of electronic research in eight databases, identified 2,479 articles on the topic published between 1997 and 2016. Metric and subjective parameters were adopted for selection in this portfolio and, in all, 32 publications were eligible for analysis, of which 29 were published in English. After the bibliometric and content characterization of the final portfolio, the main results of strain were psychosomatic disorders, with an emphasis on stress and the Burnout Syndrome, as well as voice disturbances. Workload, interpersonal relations and conditions of the scholastic environment are highlighted as the major agents of these conditions. Changes and adaptations in classrooms, actions of prevention and social support are pointed out as possible solutions to guarantee the quality of life of these professionals.


Assuntos
Pessoal de Educação/psicologia , Doenças Profissionais/etiologia , Transtornos Psicofisiológicos/etiologia , Estresse Psicológico/etiologia , Distúrbios da Voz/etiologia , Esgotamento Profissional/etiologia , Humanos , Saúde do Trabalhador , Local de Trabalho/organização & administração , Local de Trabalho/psicologia
13.
Fam Med ; 51(9): 766-771, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31596935

RESUMO

BACKGROUND AND OBJECTIVES: Burnout rates among American physicians and trainees are high. The objectives of this study were: (1) to compare burnout rates among residents and faculty members of the graduate medical education (GME) programs sponsored by the University of Kansas School of Medicine-Wichita (KUSM-W) to previously published data, and (2) to evaluate the physicians' feedback on perceived causes and activities to promote wellness. METHODS: Between April and May 2017, we surveyed 439 residents and core faculty members from 13 residency programs sponsored by the KUSM-W. The survey included the Abbreviated Maslach Burnout Inventory, two open-ended questions, and demographic questions. The authors used Kruskal-Wallis and Fisher exact tests to analyze the quantitative data, and an immersion-crystallization approach to analyze the open-ended data. RESULTS: Forty-three percent of all respondents met the criteria for burnout, and the overall response rate was 50%. When compared with core faculty members, rates of burnout among residents were higher (51% vs 31%, P<.05). The immersion-crystallization approach revealed five interconnected themes as possible causes of burnout among physicians: work-life imbalance, system issues, poor morale, difficult patient populations, and unrealistic expectations. Promotion of healthy and mindfulness activities; enhanced program leadership; and administration, program, and system modification were identified as activities/resources that can promote wellness among physicians. CONCLUSIONS: The findings show that burnout is prevalent among physicians within GME. Wellness and burnout prevention should be addressed at the beginning of medical training and longitudinally. Potential intervention should include activities that allow physicians to thrive in the health care environment.


Assuntos
Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Educação de Pós-Graduação em Medicina , Internato e Residência , Médicos/psicologia , Equilíbrio Trabalho-Vida , Esgotamento Profissional/prevenção & controle , Docentes de Medicina/psicologia , Promoção da Saúde , Nível de Saúde , Humanos , Kansas , Masculino , Prevalência , Inquéritos e Questionários
14.
Biomedica ; 39(3): 537-546, 2019 09 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31584767

RESUMO

Introduction: The burnout syndrome in teachers has been increasing during the last decades, which explains its becoming a very important study area. Objective: To determine the levels of the burnout syndrome and its relation with other factors among the physical education teachers in some schools of Ibagué. Materials and methods: We conducted a cross-descriptive correlational study among 111 physical education teachers from Ibagué with ages ranging from 26 to 65 years. We included gender and age as the sociodemographic variables, as well as the burnout syndrome-related variables. For data collection, we used a questionnaire in Spanish for the evaluation of the burnout syndrome specifically among teaching professionals. Results: The physical education teachers interviewed had low levels of burnout syndrome; 22 teachers (19.8%) had high levels and 15 of these responded to profile 1 (burnout syndrome without feelings of guilt) and 7 to profile 2 (burnout syndrome with feelings of guilt). Burnout syndrome prevalence was higher in men while in women the prevalence of physical and emotional exhaustion, indolence and negative attitudes, and feelings of guilt was higher. Conclusions: It is necessary to design and implement training programs aimed at explaining what burnout syndrome is, how and why it appears, its progress and symptoms, as well as strategies of individual prevention and intervention such as physical relaxation and respiratory control techniques.


Assuntos
Índice de Massa Corporal , Esgotamento Profissional/epidemiologia , Educação Física e Treinamento/estatística & dados numéricos , Professores Escolares/estatística & dados numéricos , Adulto , Idoso , Análise de Variância , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Colômbia/epidemiologia , Estudos Transversais , Feminino , Culpa , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Professores Escolares/psicologia , Fatores Sexuais
15.
Clin Imaging ; 58: 191-193, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31479851

RESUMO

Radiology practices are leveraging social media for networking, education, branding, and marketing. This change inherently requires radiologists to increase their engagement in social media and may negatively affect work-life integration and contribute to radiologist burnout. In this article, we describe specific strategies that radiology practices may deploy to help balance work-life integration.


Assuntos
Esgotamento Profissional/etiologia , Radiologistas/psicologia , Radiologia/educação , Mídias Sociais , Esgotamento Profissional/prevenção & controle , Educação Profissionalizante , Humanos
16.
Semin Vasc Surg ; 32(1-2): 23-26, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540652

RESUMO

Burnout among vascular surgery trainees is a significant problem and needs to be addressed at the level of the individual, training program duties, and at each institution. The clinical challenges and patient-oriented care required of a vascular surgeon generate a level of stress that requires its recognition and development of coping methods to promote well-being and personal happiness. There are ways to minimize burnout during surgical training, including acknowledgment of its symptoms, mentorship, self-care, and access to resources for stress reduction. Crucial factors in maintaining a positive outlook and a sense of meaningful work are faculty entrustability, receptive leadership, celebrating small victories, and recognition that resiliency is a skill that can be learned. Successful vascular surgeon training is a mission that requires everyone involved to actively promote well-being behavior and a supportive work environment. With appropriate implementation of these practices, our training programs can cultivate surgeons who are competent, compassionate, and committed to advancing vascular care.


Assuntos
Adaptação Psicológica , Esgotamento Profissional/prevenção & controle , Educação de Pós-Graduação em Medicina/métodos , Saúde Mental , Cirurgiões/educação , Cirurgiões/psicologia , Procedimentos Cirúrgicos Vasculares/educação , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Currículo , Humanos , Relações Interpessoais , Liderança , Mentores , Resiliência Psicológica , Local de Trabalho/psicologia
17.
PLoS One ; 14(9): e0222638, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31550281

RESUMO

CONTEXT: High rates of burnout have been reported in low and medium income countries and can detrimentally impact healthcare delivery. Understanding factors associated with burnout amongst health care workers providing HIV care may help develop interventions to prevent/treat burnout. OBJECTIVES: We sought to understand factors associated with burnout amongst health care workers providing HIV care in Malawi. METHODS: This was a sub-study of a larger cross-sectional study measuring burnout prevalence amongst a convenience sample of healthcare workers providing HIV care in 89 health facilities in eight districts in Malawi. Burnout was measured using the Maslach Burnout Inventory. Anonymously administered surveys included questions about sociodemographics, work characteristics (work load, supervisor support, team interactions), depression, life stressors, assessment of type D personality, and career satisfaction. We performed univariable and multivariable regression analyses to explore associations between variables and burnout. RESULTS: We received 535 responses (response rate 99%). Factors associated with higher rates of burnout on multivariable regression analyses included individual level factors: male gender (OR 1.75 [CI 1.17, 2.63]; p = 0.007), marital status (widowed or divorced) (OR 3.24 [CI 1.32, 7.98]; p = 0.011), depression (OR 3.32 [CI 1.21, 9.10]; p = 0.020), type D personality type (OR 2.77 [CI 1.50, 5.12]; p = 0.001) as well as work related factors: working at a health center vs. a rural hospital (OR 2.02 [CI 1.19, 3.40]; p = 0.009); lack of a very supportive supervisor (OR 2.38 [CI 1.32, 4.29]; p = 0.004), dissatisfaction with work/team interaction (OR 1.76 [CI 1.17, 2.66]; p = 0.007), and career dissatisfaction (OR 0.76 [CI 0.60, 0.96]; p = 0.020). CONCLUSION: This study identified several individual level vulnerabilities as well as work related modifiable factors. Improving the supervisory capacity of health facility managers and creating conditions for improved team dynamics may help reduce burnout amongst healthcare workers proving HIV care in Malawi.


Assuntos
Esgotamento Profissional/etiologia , Infecções por HIV/psicologia , Adulto , Esgotamento Profissional/epidemiologia , Estudos Transversais , Depressão/complicações , Depressão/psicologia , Feminino , Infecções por HIV/terapia , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Humanos , Satisfação no Emprego , Malaui/epidemiologia , Masculino , Estado Civil , Prevalência , Fatores de Risco , Fatores Sexuais , Inquéritos e Questionários , Personalidade Tipo D
18.
Curr Urol Rep ; 20(10): 62, 2019 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-31478112

RESUMO

Physician burnout-a constellation of depersonalization, emotional exhaustion, reduced feelings of personal attachment, and a low sense of accomplishment-is a term that has been around since the 1980s. Burnout rates among residents and fellows are higher than medical students, attending physicians, and age-matched college graduates, with rates ranging from 40-80% of trainees across subspecialties. Unfortunately, burnout among residents and trainees has been linked to lower scores on in-service examinations for internal medicine residents as well as poorer overall health and exercise habits. The purpose of this review is to quantify the extent of burnout among urology residents and examine effective techniques and measures to prevent burnout and practically what can be done to combat this growing epidemic.


Assuntos
Esgotamento Psicológico/etiologia , Esgotamento Psicológico/terapia , Internato e Residência , Médicos/psicologia , Urologia/educação , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/terapia , Esgotamento Psicológico/diagnóstico , Esgotamento Psicológico/prevenção & controle , Feminino , Humanos , Masculino , Inquéritos e Questionários
19.
Nurs Adm Q ; 43(4): 358-369, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31479058

RESUMO

Compassion fatigue is a phenomenon that might affect nurses of all specialties. Compassion fatigue occurrence could be profound and costly. The immediate impact could be disruption of the unit culture. This study investigated the prevalence and individual-level factors associated with compassion fatigue among nurses. An upsurge in patients' complexity today may leave nurses stressed with increasing practice demands and vulnerable to compassion fatigue. If ignored, compassion fatigue may compromise nurses' health and care outcomes. A sample of 1174 nurses from 2 large Southern California health care organizations completed an online survey measuring compassion fatigue, burnout, and compassion satisfaction. Overall, participants scored moderate to average (23-41) on compassion satisfaction, burnout, and compassion satisfaction. Experienced and working nights nurses experienced higher compassion satisfaction levels. Higher compassion fatigue means were associated with new graduates = 29.5, BSN nurses = 27.2, ICU nurses = 27.4, and working 12-hour shift nurses = 26.9, suggesting higher compassion fatigue vulnerability. Nurse leaders and managers can apply this baseline evidence to create tailored programs for specific nursing specialties and inexperienced nurses to tackle compassion fatigue and reduce related unit disorder. Seasoned nurses' perspective can be of value in enhancing those efforts.


Assuntos
Fadiga por Compaixão/complicações , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Adulto , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , California , Fadiga por Compaixão/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/instrumentação , Psicometria/métodos , Qualidade de Vida/psicologia , Inquéritos e Questionários
20.
Cir. Esp. (Ed. impr.) ; 97(7): 364-376, ago.-sept. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-187596

RESUMO

Introducción: El objetivo de este artículo fue explorar, analizar y sintetizar las experiencias emocionales de profesionales sanitarios de donación y trasplantes. Método: Se realizó una revisión sistemática cualitativa en Medline, Science Direct y la Biblioteca Virtual del Sistema Sanitario Público de Andalucía. Se seleccionaron 16 artículos originales, realizando una evaluación cualitativa y síntesis narrativa. Resultados: Se identificó el uso mayoritario de métodos cualitativos y 4 temáticas emergentes: trabajar en donaciones y trasplantes; la transición de roles profesionales; vivencias emocionales, y afrontamiento y mejora de la gestión emocional. Se reflejaron la complejidad y la pluralidad de las vivencias emocionales y la centralidad del enfoque relacional. Conclusiones: Las intensas experiencias emocionales en torno a la responsabilidad vivida, la asunción del trabajo como un gran reto y la búsqueda de recompensas como principal estrategia de afrontamiento aparecieron como factores explicativos de importantes contradicciones y tensiones de roles y funciones, con especial relevancia durante la entrevista de donación


Introduction: The objective was to explore, discuss and synthesize the emotional experiences of health professionals during the process of organ procurement and transplantation. Methods: A systematic review was made in Medline, Science Direct and the Virtual Library of the Andalusian Public Health System, selecting 16 original articles for inclusion in the review, with qualitative evaluation and narrative synthesis. Results: The results revealed the main use of qualitative methodology, and 4emergent themes were identified: working in organ procurement and transplantation; the transition of professional roles; emotional experiences; and, coping strategies and emotional management. This systematic review revealed the complex and diverse character of professionals’ emotional experiences as well as the importance of the interpersonal relationship. Conclusions: Intense emotional experiences related to the sense of responsibility, the work challenge and coping strategies based on reward searching explained important contradictions and tensions about professional roles and functions, especially during the donation interview


Assuntos
Humanos , Atitude do Pessoal de Saúde , Transplante de Órgãos/psicologia , Obtenção de Tecidos e Órgãos/métodos , Adaptação Psicológica , Emoções , Esgotamento Profissional/etiologia , Transplante de Órgãos/métodos
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