La resiliencia como mediador entre el síndrome del quemado (burnout) y el bienestar subjetivo en residentes de hospitales españoles

  1. Isabel Saavedra Rionda
  2. Laura Cortés-García
  3. María de la Villa Moral Jiménez
Revista:
Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud

ISSN: 1132-9483

Any de publicació: 2022

Volum: 30

Número: 2

Pàgines: 503-515

Tipus: Article

DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud

Resum

Ample research has supported the detrimental impact of burnout on the wellbeing of resident doctors. However, the mechanisms accounting for this influence remain unclear. Consequently, this study analysed for the first time the degree of burnout as well as its evolution throughout the residency period and tested the mediational role of resiliency in the relationship between burnout and its subscales and well-being in a sample of 237 Spanish residents of different specialties from Spanish hospitals. Participants were administered the Maslach Burnout Inventory the Connor Davidson Resilience Scale and the short-version scale of Subjective Well-being. From the total sample of residents, 48.9% reported high levels of total burnout, 53.6% in the subscale of emotional burnout and 74.7% in depersonalization. Additionally, burnout levels increased as the residency period progressed, and resilience mediated the relationship between burnout and subjective well-being level. Such findings suggest resilience as a protector factor against burnout that should be included in prevention programs

Referències bibliogràfiques

  • American Medical Association (s.f.). Real-world solutions to enhance clinical practice effectiveness. https://edhub.ama-assn.org/steps-forward
  • Arnold, J., Tango, J., Walker, I., Waranch, C., McKamie, J., Poonja, Z. y Messman, A. (2018). An evidence-based, longitudinal curriculum for resident physician wellness: the 2017 resident wellness consensus summit. Western Journal of Emergency Medicine, 19(2), 337-341. doi: 10.5811/westjem.2017.12.36244
  • Arrogante, Ó. (2014). Mediación de la resiliencia entre burnout y salud en el personal de Enfermería. Enfermería Clínica, 24(5), 283-289. doi: 10.1016/j.enfcli.2014.06.003
  • Arrogante, Ó. y Aparicio-Zaldivar, E. (2017). Burnout and health among critical care professionals: the mediational role of resilience. Intensive and Critical Care Nursing, 42, 110-115. doi: 10.1016/j.iccn.2017.04.010
  • Berger, L. y Waidyaratne-Wijeratne, N. (2019). Where does resiliency fit into the residency training experience: a framework for understanding the relationship between wellness, burnout, and resiliency during residency training. Canadian Medical Education Journal, 10(1), e20-27. doi: 10.36834/cmej.42992
  • Bodenheimer, T. y Sinsky, C. (2014). From Triple to quadruple aim: care of the patient requires care of the provider. The Annals of Family Medicine, 12(6), 573-576. doi: 10.1370/afm.1713
  • Calleja, N. y Mason, T. (2020). Escala de bienestar subjetivo (EBS-20 y EBS-8): construcción y validación. Revista Iberoamericana de Diagnóstico y Evaluación – e Avaliação Psicológica, 55(2), 185-201. doi: 10.21865/RIDEP55.2.14
  • Connor, K. M. y Davidson, J. R. T. (2003). Development of a new resilience scale: the ConnorDavidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. doi: 10.1002/da.10113
  • Dahn, H., McGibbon, A. y Bowes, D. (2019). Burnout and resiliency in Canadian oncology residents: a nationwide resident and program director survey. Practical Radiation Oncology, 9(1), e118-e125. doi: 10.1016/j.prro.2018.08.001
  • Delgado, C., Rodríguez, A., Lagunes, R. y Vázquez, F. D. (2020). Bienestar psicológico en médicos residentes de una universidad pública en México. Universitas Médica, 61(2), 3- 11. doi: 10.11144/Javeriana.umed61-2.bpsi
  • Dewa, C. S., Loong, D., Bonato, S., Thanh, N. X. y Jacobs, P. (2014). How does burnout affect physician productivity? A systematic literature review. BMC Health Services Research, 14(1), 325. doi: 10.1186/1472-6963-14-325
  • Eckleberry-Hunt, J., Lick, D., Boura, J., Hunt, R., Balasubramaniam, M., Mulhem, E. y Fisher, C. (2009). An exploratory study of resident burnout and wellness. Academic Medicine, 84(2), 269-277. doi: 10.1097/ACM.0b013e3181938a45
  • Fonseca, M., Sanclemente, G., Hernández, C., Visiedo, C., Bragulat, E. y Miró, Ò. (2010). Residentes, guardias y síndrome de burnout. Revista Clínica Española, 210(5), 209-215. doi: 10.1016/j.rce.2009.12.006
  • Fox, S., Lydon, S., Byrne, D., Madden, C., Connolly, F. y O’Connor, P. (2018). A systematic review of interventions to foster physician resilience. Postgraduate Medical Journal, 94(1109), 162-170. doi: 10.1136/postgradmedj-2017-135212
  • Frank, J., Snell, L. y Sherbino, J. (2015). CanMEDS 2015 Physician Competency Framework. Royal College of Physicians and Surgeons of Canada.
  • Limonero, J. T., Tomás-Sábado, J., Fernández-Castro, J., Gómez-Romero, M. L. y ArdillaHerrero, A. (2012). Estrategias de afrontamiento resilientes y regulación emocional: predictores de satisfacción con la vida. Behavioral Psychology/Psicología Conductual, 20(1), 183-196.
  • Mahmoud, N. N. y Rothenberger, D. (2019). From burnout to well-being: a focus on resilience. Clinics in Colon and Rectal Surgery, 32(06), 415-423. doi: 10.1055/s-0039-1692710
  • Maslach, C. y Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99-113. doi: 10.1002/job.4030020205
  • Maslach, C. y Leiter, M. P. (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 15(2), 103-111. doi: 10.1002/wps.20311
  • Merces, M. C. das, Lopes, R. A., Silva, D. de S. E, Oliveira, D. S., Lua, I., Mattos, A. I. S. y Júnior, A. D. (2017). Prevalência da síndrome de burnout em profissionais de enfermagem da atenção básica à saúde [Prevalence of burnout syndrome in nursing professionals of basic health care]. Revista de Pesquisa: Cuidado é Fundamental Online, 9(1), 208. doi: 10.9789/2175-5361.2017.v9i1.208-214
  • Moon, K.-W. y Hong, S. (2020). processR: implementation of the «PROCESS» macro (Versión 0.2.3). https://CRAN.R-project.org/package=processR
  • Palacio G, C., Krikorian, A., Gómez-Romero, M. J. y Limonero, J. T. (2020). Resilience in caregivers: a systematic review. American Journal of Hospice and Palliative Medicine®, 37(8), 648-658. doi: 10.1177/1049909119893977
  • Panagioti, M., Panagopoulou, E., Bower, P., Lewith, G., Kontopantelis, E., Chew-Graham, C., Dawson, S., van Marwijk, H., Geraghty, K. y Esmail, A. (2017). Controlled Interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Internal Medicine, 177(2), 195-205. doi: 10.1001/jamainternmed.2016.7674
  • Pastores, S. M., Kvetan, V., Coopersmith, C. M., Farmer, J. C., Sessler, C., Christman, J. W., D’Agostino, R., Diaz-Gomez, J., Gregg, S. R., Khan, R. A., Kapu, A. N., Masur, H., Mehta, G., Moore, J., Oropello, J. M. y Price, K. (2019). Workforce, Workload, and burnout among intensivists and advanced practice providers: a narrative review. Critical Care Medicine, 47(4), 550-557. doi: 10.1097/CCM.0000000000003637
  • Prendergast, C., Ketteler, E. y Evans, G. (2016). Burnout in the plastic surgeon: implications and interventions. Aesthetic Surgery Journal, 37(3), 363-368. doi: 10.1093/asj/sjw158
  • R Core Team (2018). R A language and environment for statistical computing. R foundation for statistical computing. Vienna: References—Scientific Research.
  • Raj, K. S. (2016). Well-being in residency: a systematic review. Journal of Graduate Medical Education, 8(5), 674-684. doi: 10.4300/JGME-D-15-00764.1
  • Shakir, H. J., Cappuzzo, J. M., Shallwani, H., Kwasnicki, A., Bullis, C., Wang, J., Hess, R. M. y Levy, E. I. (2020). Relationship of grit and resilience to burnout among U.S. neurosurgery residents. World Neurosurgery, 134, e224-e236. doi: 10.1016/j.wneu.2019.10.043
  • Siegel, T. R. y Nagengast, A. K. (2019). Mitigating burnout. Surgical Clinics of North America, 99(5), 1029-1035. doi: 10.1016/j.suc.2019.06.015
  • West, C. P., Dyrbye, L. N. y Shanafelt, T. D. (2018). Physician burnout: contributors, consequences and solutions. Journal of Internal Medicine, 283(6), 516-529. doi: 10.1111/joim.12752
  • Winkel, A. F., Honart, A. W., Robinson, A., Jones, A.-A. y Squires, A. (2018). Thriving in scrubs: a qualitative study of resident resilience. Reproductive Health, 15(1), 53. doi: 10.1186/s12978-018-0489-4
  • Yates, S. W. (2020). Physician stress and burnout. The American Journal of Medicine, 133(2), 160-164. doi: 10.1016/j.amjmed.2019.08.034
  • Zutautiene, R., Radisauskas, R., Kaliniene, G. y Ustinaviciene, R. (2020). The Prevalence of burnout and its associations with psychosocial work environment among Kaunas region (Lithuania) hospitals’ physicians. International Journal of Environmental Research and Public Health, 17(10), 3739. doi: 10.3390/ijerph17103739
Fuente de los datos: Dialnet