[Stress level assessment of the nursing staff in the Intensive Care Unit of a university hospital]. / Nivel de estrés del personal de enfermería de la Unidad de Cuidados Intensivos de un hospital clínico universitario.

The objective was to determine the work stress level among nursing staff in the Intensive Care Unit of a university hospital and to analyse its relationship with the various sociodemographic and working variables of the studied sample. A study was designed using a quantitative, descriptive and cross-sectional approach. The target population of the study was the nursing staff selected by non-random sampling. The instrument used was the Job Content Questionnaire. Data analysis was performed using SPSS 20. The mean, ranges and standard deviation for each of the variables were calculated. A bivariate analysis was also performed on the social and occupational variables of the sample. The participation rate was 80.90% (N=89). The mean of the Social support dimension was 3.13±0.397, for the Psychological demands at work dimension it was 3.10±0.384, with a mean of 2.96±0.436 being obtained for the Control over the work dimension. In the analysis of sociodemographic and work variables of the sample, only the professional category was significant, with nurses recording higher values in perception of job demands and control over their work compared to nursing assistants. In conclusion, there is a moderate perception of work stress in the analysed group of professionals. Among the sources of stress in the workplace was the low control in decision-making by practitioners, as well as the need to continually learn new things. On the other hand, the support received from colleagues is valued positively by the sample.

[Burnout and perceived health in Critical Care nursing professionals]. / Burnout y salud percibida en profesionales de enfermería de Cuidados Intensivos.

OBJECTIVE: To assess the level of burnout syndrome in a sample of critical care nursing professionals and analyze its relation with the perception of general health and other sociodemographic and work characteristics. DESCRIPTION: Cross-sectional descriptive study. SITE: Intensive Care Unit of the University Hospital Morales Meseguer, Murcia-Spain. METHOD: Three evaluation tools were used. These included a sociodemographic and work survey, the validated Maslach Burnout Inventory (MBI) questionnaires and the General Health Questionnaire (GHQ-28) in order to assess professional burnout and the general health condition perceived, respectively. RESULTS: Only 42 out of the 56 questionnaires included in the study were valid. This means an answering rate of 75%. The mean score obtained on the emotional tiredness dimension (25.45 6 11.15) stands out. About 42.9% of the sample presented psychological or psychosomatic symptoms that could require specialized care. Correlation between burnout and general health perception was statistically significant (r = 0.536; p < 0.001), this highlighting, above all, the association between the emotional level of tiredness and the B-scale of anxiety symptoms (r = 0.648; p = 0.000). The emotional level of professional burnout found was moderate to high among critical care nursing professionals. A total of 11.9% of the studied sample had a high score in the 3 dimensions of the burnout syndrome: emotional tiredness, depersonalization, and lack of personal job performance. CONCLUSIONS: Burnout and health levels found indicate high vulnerability in the sample studied and the need to establish prevention/intervention programs in this work context.

[Comparative study of burnout in Intensive Care and Emergency Care nursing staff]. / Estudio comparativo del burnout en personal de enfermería de Cuidados Intensivos y Urgencias.

OBJECTIVE: To assess and compare the burnout level between Intensive Care Unit and Emergency Unit, and study its association with the sociodemographic and work characteristics of the professionals surveyed. DESCRIPTION: Cross-sectional, descriptive study. Emplacement. Intensive Care Unit of the university hospital Morales Meseguer, Murcia-Spain. STUDIED SAMPLE: 97 nursing professionals: 55 professionals belong to the Emergency Department, and 42 professionals belong to the Intensive Care Department. METHOD: Two evaluation tools were used: a sociodemographic and work survey, and the Maslach Burnout Inventory, 1986. Quantitative variables expressed as mean +/- SD compared with the Student's T test and qualitative variables compared with the chi2 test. STATISTICAL ANALYSIS: SPSS 12.0(c). RESULTS: The comparative analysis of the burnout dimensions shows that emotional exhaustion level is significantly higher in the intensive care service than in the emergency one (25.45 +/- 11.15 vs 22.09 +/- 10.99) p < 0.05. The rest of burnout dimensions do not show significant differences between both departments. The masculine gender obtains a higher score in the depersonalization dimension of burnout (10.12 +/- 5.38) than female one (6.7 +/- 5.21) p < 0.01. There is greater vulnerability to emotional exhaustion among the professional group with more than 15 years of work experience (F = 3.592; p = 0.031). CONCLUSIONS: The burnout levels are moderate to high among the nursing professionals studied. A total of 5.15% of the sample studied achieves a high score in the three dimensions of the burnout syndrome. The intensive care professionals are the most vulnerable to suffering high levels of emotional exhaustion, and the masculine gender is more susceptible to depersonalization attitudes.

Estudio de la relación entre la complejidad del centrohospitalario y la satisfacción del usuario que ingresa desde urgencias con la atención de enfermería recibida en esta área / Hospitalized patients’ satisfaction with emergency department nursing care: a descriptive, cross-sectional, multicenter study of whether satisfaction differs according to hospital complexity

Objetivos: El objetivo principal de este trabajo fue determinar si el grado de satisfacción de los usuarios hospitalizados con el cuidado enfermero prestado en el servicio de urgencias hospitalario (SUH) guarda relación con la complejidad del centro. Método: Estudio descriptivo, transversal y multicéntrico, con una muestra aleatoria de390 usuarios que ingresaron desde el SUH. Se utilizó la escala LOPSS-12 y un cuestionario de variables sociodemográficas y de salud. Resultados: La satisfacción media con la atención de enfermería, en una escala donde 1se identifica como muy satisfecho y 7 muy insatisfecho, fue de 2,34 (DE = 0,98). No se hallaron diferencias significativas de las puntuaciones medias totales según la complejidad del centro hospitalario, aunque sí respecto a varios aspectos del cuidado enfermero: la posibilidad de compartir sentimientos y de hacer preguntas, la participación en la planificación de la atención, la empatía y comunicación emocional y la posibilidad de solicitar información mayor en centros de alta complejidad y la rapidez en contestar las llamadas y la amabilidad (mayor en los centros de baja complejidad). La satisfacción de los usuarios se asoció significativamente a un menor tiempo de estancia en el SUH. Conclusiones: En este estudio encontramos un nivel medio-alto de satisfacción de los usuarios con la atención de enfermería de urgencias. La satisfacción no se mostró asociada con la complejidad del centro analizado. No obstante, determinados aspectos del cuidado enfermero sí registraron diferencias relevantes que pueden ser tenidas en cuenta para establecer estrategias de mejora que permitan incrementar los niveles de satisfacción con la atención de enfermería (AU)

Objective: The main aim of this study was to determine if hospitalized patients’ satisfaction with emergency department nursing care differs between hospitals of greater or lesser complexity. Methods: Descriptive, cross-sectional, multicenter study of a random sample of 390 users of emergency services who were admitted to hospital. Data were collected with the La Monica-Oberst Patient Satisfaction Scale and a standardized questionnaire on personal and health-related patient details. Results: On a scale of 1 to 7 reflecting patient satisfaction with nursing care (1, very satisfied; 7, very disatisfied), the mean (SD) score overall was 2.34 (0.98). No significant differences in the overall satisfaction scores were found in relation to hospital complexity, but differences were detected for certain aspects of nursing: the chance to share feelings and ask questions (better in greater complexity hospitals) and participation in care planning, empathy and emotional communication, the chance to request information, and promptness in response to calls and kidness of nurses (better inbessen complexity hospitals). Higher user satisfaction was associated with a shorter emergency department stay. Conclusions: We found a medium to high level of patient satisfaction with emergency nursing care in this study. Overall satisfaction was unrelated to type of hospital (complexity). However, certain aspects of care did show differences between more and less complex hospitals. These aspects can be taken into account when planning ways to improve satisfaction with nursing care (AU)

Burnout y salud percibida en profesionales de enfermería de Cuidados Intensivos / Burnout and perceived health in Critical Care nursing professionals

Objetivo. Estimar la prevalencia del síndrome de estarquemado por el trabajo (burnout o desgaste laboral)en una muestra de profesionales de enfermeríaintensiva, y analizar su relación con el nivel de saludpercibida y otras variables sociodemográficas ylaborales.Diseño. Estudio descriptivo transversal.Emplazamiento. Servicio de Cuidados Intensivos delHospital Universitario Morales Meseguer ubicado enMurcia capital.Método. Se emplearon tres instrumentos deevaluación: una encuesta de variablessociodemográficas y laborales, y los cuestionariosvalidados Maslach Burnout Inventory (MBI)y General Health Questionnaire (GHQ-28)de Goldberg, para la evaluación del burnouty el estado general de salud percibido,respectivamente.Resultados. De un total de 56 cuestionariosadministrados, se obtuvieron 42 válidos, lo quesupone una tasa de respuesta del 75%. Destaca lapuntuación media obtenida en la dimensión deagotamiento emocional (25,45 11,15). El 42,9% dela muestra presentó síntomas psíquicos o físicos deorigen psicológico que podrían requerir atenciónespecializada. Resultó significativa la asociaciónburnout-salud general percibida (r = 0,536; p <0,001), destacando sobre todo la asociaciónagotamiento emocional-escala B de síntomas deansiedad (r = 0,648; p = 0,000). Los nivelesencontrados de desgaste profesional resultaron sermoderados-altos. El 11,9% de la muestra estudiadapuntúa alto en las tres dimensiones del síndrome deburnout: agotamiento emocional, despersonalizacióny falta de realización personal en el trabajo.Conclusiones. Los niveles de burnout y saludencontrados nos indican una elevada vulnerabilidaden la muestra estudiada y la necesidad de instaurarprogramas de prevención/intervención dentro deeste contexto laboral

Objective. To assess the level of burnout syndromein a sample of critical care nursing professionalsand analyze its relation with the perception ofgeneral health and other sociodemographic andwork characteristics.Description. Cross-sectional descriptive study.Site. Intensive Care Unit of the University HospitalMorales Meseguer, Murcia-Spain.Method. Three evaluation tools were used. Theseincluded a sociodemographic and work survey, thevalidated Maslach Burnout Inventory (MBI)questionnaires and the General HealthQuestionnaire (GHQ-28) in order to assessprofessional burnout and the general healthcondition perceived, respectively.Results. Only 42 out of the 56 questionnairesincluded in the study were valid. This means ananswering rate of 75%. The mean score obtainedon the emotional tiredness dimension (25.45 11.15) stands out. About 42.9% of the samplepresented psychological or psychosomaticsymptoms that could require specialized care.Correlation between burnout and generalhealth perception was statistically significant(r = 0.536; p < 0.001), this highlighting, above all,the association between the emotional levelof tiredness and the B-scale of anxiety symptoms(r = 0.648; p = 0.000). The emotional levelof professional burnout found was moderateto high among critical care nursing professionals.A total of 11.9% of the studied samplehad a high score in the 3 dimensions of theburnout syndrome: emotional tiredness,depersonalization, and lack of personal jobperformance.Conclusions. Burnout and health levels foundindicate high vulnerability in the sample studiedand the need to establish prevention/interventionprograms in this work context

Estudio comparativo del burnout en personal de enfermería de Cuidados Intensivos y Urgencias / Comparative study of burnout in Intensive Care and Emergency Care nursing staff

Objetivo. Estimar y comparar el nivel de burnout existente en los Servicios de Cuidados Intensivos y Urgencias, y estudiar su asociación con las características sociodemográficas y laborales de los profesionales encuestados. Diseño. Estudio descriptivo transversal. Emplazamiento. Servicios de Urgencias y Cuidados Intensivos del Hospital Morales Meseguer (Murcia). Muestra. Noventa y siete profesionales de enfermería, 55 pertenecientes al Servicio de Urgencias y 42 al Servicio de Cuidados Intensivos. Método. Se emplearon dos instrumentos de evaluación: una encuesta de variables sociodemográficas y laborales, y el cuestionario Maslach Burnout Inventory, de 1986. Las variables cuantitativas se expresan como media ± desviación estándar comparadas con t de Student y las cualitativas se comparan con Chi2. El análisis de datos se realizó mediante el programa informático SPSS 12.0(C). Resultados. El análisis comparativo de las dimensiones que componen el burnout demuestra que los niveles de agotamiento emocional son significativamente mayores en el Servicio de Cuidados Intensivos que en el de Urgencias (25,45 ± 11,15 frente a 22,09 ± 10,99) p < 0,05. El resto de dimensiones que componen el síndrome no ha demostrado diferencias significativas entre ambos servicios. El género masculino obtiene una mayor puntuación en la dimensión de despersonalización (10,12 ± 5,38) que el género femenino (6,7 ± 5,21) p < 0,01. Existe una mayor vulnerabilidad al agotamiento emocional en el grupo de profesionales que llevan más de 15 años trabajando (F = 3,592; p = 0,031). Conclusiones. Los niveles encontrados de burnout resultaron ser moderados-altos. El 5,15% de la muestra total estudiada puntúa alto en las tres dimensiones del síndrome, los profesionales de Cuidados Intensivos son los más vulnerables a padecer elevados niveles de agotamiento emocional y el género masculino es el más propenso a las actitudes de despersonalización

Objective. To assess and compare the burnout level between Intensive Care Unit and Emergency Unit, and study its association with the sociodemographic and work characteristics of the professionals surveyed. Description. Cross-sectional, descriptive study. Emplacement. Intensive Care Unit of the university hospital Morales Meseguer, Murcia-Spain. Studied sample. 97 nursing professionals: 55 professionals belong to the Emergency Department, and 42 professionals belong to the Intensive Care Department. Method. Two evaluation tools were used: a sociodemographic and work survey, and the Maslach Burnout Inventory, 1986. Quantitative variables expressed as mean ± SD compared with the Student's T test and qualitative variables compared with the chi2 test. Statistical analysis: SPSS 12.0(C). Results. The comparative analysis of the burnout dimensions shows that emotional exhaustion level is significantly higher in the intensive care service than in the emergency one (25.45 ± 11.15 vs 22.09 ± 10.99) p < 0.05. The rest of burnout dimensions do not show significant differences between both departments. The masculine gender obtains a higher score in the depersonalization dimension of burnout (10.12 ± 5.38) than female one (6.7 ± 5.21) p < 0.01. There is greater vulnerability to emotional exhaustion among the professional group with more than 15 years of work experience (F = 3.592; p = 0.031). Conclusions. The burnout levels are moderate to high among the nursing professionals studied. A total of 5.15% of the sample studied achieves a high score in the three dimensions of the burnout syndrome. The intensive care professionals are the most vulnerable to suffering high levels of emotional exhaustion, and the masculine gender is more susceptible to depersonalization attitudes