Psychosocial factors, psychological stress, and burnout in nursing: a model of trajectories
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Abstract
Introduction: Nurses frequently face different events associated with stress, psychosocial factors, and other issues which have impacts on their mental health.
Objective: To assess the correlation between psychological demand, work control, social support, psychological stress, and burnout dimensions (illusion for the activity, psychic wear, indolence, guilt), within a model of trajectories among Mexican nurses.
Methodology: This is a transversal, observational, and analytical study conducted on a convenience sample of 357 nursing professionals from the state of Morelos, Mexico. Data were gathered using three questionnaires, the Perceived Stress Scale, the Job Content Questionnaire, y el Maslach Burnout Inventory. SPSS 19 and LISREL 8.3 were used to process and model the data.
Results: Psychological Stress was specified as the mediating variable of the psychosocial factors and dimensions of burnout within the model of trajectories. Adjustment indexes were acceptable. High levels of social support, work control, and illusion for the activity were found. Moderate degrees of psychological demand and psychological stress were found. Low levels of psychic wear, indolence, and guilt were found.
Conclusion: It is recommended to implement effective intervention strategies to maintain nursing personnel within low levels of psychological demand, high levels of work control, high levels of social support, and moderate levels of stress, all these in order to prevent the Syndrome of Burnout.
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2. Gil-Monte PR, García-Juesas JA, Caro-Hernández M. Influencia de la sobrecarga laboral y la autoeficacia sobre el Síndrome de Quemarse por el Trabajo (burnout) en profesionales de enfermería. R. interim. Psico 2008; 42(1):113–8.
3. Brito-Ortíz JF, Nava-Gómez ME, Brito-Nava E, Juárez-García A, López M. Estrés percibido y desempeño laboral en enfermeras: un análisis estructural. Rev Mex Sal Trab 2016; 7–8 (17–18): 10–7.
4. Nabirye RC, Brown KC, Pryor ER, Maples EH. Occupational stress, job satisfaction and job performance among hospital nurses in Kampala, Uganda. J Nurs Manag. 2011; 19(6):760–8. https://doi.org/10.1111/j.1365-2834.2011.01240.x
5. Cooper CL. Capítulo 9 Reacciones al estrés en los trabajadores manuales y no manuales. En: Kalimo R, El-Batawi MA, Cooper CL. Los factores psicosociales en el trabajo y su relación con la salud. Ginebra: OMS 1988. p. 94
6. Moreno-Jiménez B, Báez-León C. Factores y riesgos psicosociales, formas, consecuencias, medidas y buenas prácticas. NIPO 792-11-088-1. Madrid: MITRAMISS/INSHT/Universidad Autónoma de Madrid2010.
7. Freimann T, Merisalu E. Work-related psychosocial risk factors and mental health problems amongst nurses at a university hospital in Estonia: a cross-sectional study. Scand J Public Health 2015; 43(5): 447–52. https://doi.org/10.1177/1403494815579477
8. Toh SG, Ang E, Devi MK. Systematic review on the relationship between the nursing shortage and job satisfaction, stress and burnout levels among nurses in oncology/haematology settings. Int J Evid Based Healthc. 2012; 10(2): 126–41. https://doi.org/10.1111/j.1744-1609.2012.00271.x
9. Leka S, Jain A. Health impact of psychosocial hazards at work: an overview. Geneva: World Health Organization. 2010. p. 126
10. Gil-Monte PR. Algunas razones para considerar los riesgos psicosociales en el trabajo y sus consecuencias en la salud pública. Rev Esp Salud Pública. 2009; 83(2): 169–73.
11. Karasek RA. Job demands, job decision latitude, and mental strain: Implications for job redesign. Adm Sci Q 1979; 24(2): 285–308. https://doi.org/10.2307/2392498
12. Shen H-C, Cheng Y, Tsai P-J, Lee SS, Guo YL. Occupational stress in nurses in psychiatric institutions in Taiwan. J Occup Health. 2005; 47(3): 218–25. https://doi.org/10.1539/joh.47.218
13. Brown DE, James GD, Mills PS. Occupational differences in job strain and physiological stress: female nurses and school teachers in Hawaii. Psychosom Med 2006; 68(4): 524–30. https://doi.org/10.1097/01.psy.0000222356.71315.8e
14. Juárez-García A. Factores psicosociales relacionados con la salud mental en profesionales de servicios humanos en México. Cienc. trab. 2004; 6(14): 189–96.
15. Juárez-García A. Factores psicosociales laborales relacionados con la tensión arterial y síntomas cardiovasculares en personal de enfermería en México. Salud pública Mex. 2007; 49(2): 109–17.
16. Gil-Monte PR. El síndrome de quemarse por el trabajo (burnout). Una enfermedad laboral en la sociedad del bienestar. Madrid: Pirámide; 2005.
17. Ratto-Dattoli A, García-Pérez RC, Silva MI, González MC. El Síndrome de Quemarse por el Trabajo y factores psicosociales en docentes de primaria de la ciudad de Montevideo. Cienc. psicol.. 2015; 9(2): 273–81.
18. Gil-Monte PR, Unda-Rojas S, Sandoval-Ocaña JI. Validez factorial del "Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo" (CESQT) en una muestra de maestros mexicanos. Salud Ment. 2009; 32(3): 205–14.
19. Trifiletti E, Pedrazza M, Berlanda S, Pyszczynski T. Burnout disrupts anxiety buffer functioning among nurses: A three-way interaction model. Front. Psychol. 2017; 8:1362. https://doi.org/10.3389/fpsyg.2017.01362
20. Brady M. Death anxiety among emergency care workers. Emerg Nurse. 2015; 23(4): 32–7. https://doi.org/10.7748/en.23.4.32.e1448
21. Yang T, Shen Y-M, Zhu M, Liu Y, Deng J, Chen Q, et al . Effects of co-worker and supervisor support on job stress and presenteeism in an aging workforce: a structural equation modelling approach. Int J Environ Res Public Health. 2015; 13(1): e15. https://doi.org/10.3390/ijerph13010072
22. Amutio-Kareaga A. Afrontamiento del estrés en las organizaciones: un programa de manejo a nivel individual/grupal. Rev. Psicol. trab. organ. 2004; 20(1): 77–93.
23. Cañadas-De la Fuente GA, Vargas C, San Luis C, García I, Cañadas GR, De la Fuente EI. Risk factors and prevalence of burnout syndrome in the nursing profession. Int J Nurs Stud. 2015; 52(1): 240–9. https://doi.org/10.1016/j.ijnurstu.2014.07.001
24. Mercado-Salgado S. Estrés y desgaste profesional (burnout) en personal de enfermería de un hospital materno infantil de atención a la población abierta. Administración contemporánea, Revista de Investigación. 2007; 1 (7): e26.
25. Juárez-García A. Factores psicosociales asociados al agotamiento laboral (Burnout) y al entusiasmo (engagement) en enfermeras de un hospital público en México. En Arias-Galicia F, Juárez-García A. Agotamiento profesional y estrés, hallazgos desde México y otros países latinoamericanos. Ciudad de México: Porrúa; 2012. p. 125–53.
26. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 24(4): 385–96. https://doi.org/10.2307/2136404
27. Gil-Monte PR. Manual CESQT, Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo. Madrid: TEA Ediciones; 2011.
28. Juárez-García A, Vera-Calzaretta A, Merino-Soto C, Gómez-Ortíz V, Feldman L, Hernández- Mendoza E. Demanda/control y la salud mental en profesionales de la salud: un estudio en seis países latinoamericanos. Inform. psicol. 2014; (108): 2–18. http://dx.medra.org/10.14635/ IPSIC.2014.108.1
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