Abstract

The aim of this study was to analyze the relationship between burnout, the use of drugs (anxiolytics and antidepressants) and optimism in nurses. At the end of 2018, a cross-sectional descriptive study was carried out with a sample of actively employed nurses recruited by snowball sampling. The sample consisted of 1432 nurses in Andalusia (Spain), aged 22–58, who were working at the time of data collection, 83.2% of whom were women. Data were collected anonymously in an ad hoc questionnaire about sociodemographic information and use of anxiolytics and/or antidepressives: the Brief Burnout Questionnaire—Revised for Nurses (CBB-R) and the Life Orientation Test—Revised (LOT-R). Descriptive, mediation and moderation analyses were performed, with significant results having a p-value less than 0.05. The results on burnout showed significant relationships with use of the drugs. In particular, personal impact, job dissatisfaction and motivational abandonment were positively related to use of certain of the anxiolytics and antidepressants presented, while the correlation with the social climate was negative. Furthermore, optimism correlated negatively with drug use. Knowing that optimism can alleviate the repercussions of the use of drugs opens up new lines of research and the possibility of developing programs aimed at promoting a positive disposition in the face of complicated events.

Highlights

  • Burnout is defined in the International Classification of Diseases (ICD-11) as a severe problem that appears in response to chronic exposure to workplace stress that has not been successfully managed [1]

  • This study showed that optimism is an ally against the use of psychotropic drugs in situations impacting personally on nurses from burnout

  • Burnout is one of the most common problems among these professionals, and a strong effort is being made by researchers to understand its triggering factors in order to prevent it

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Summary

Introduction

Burnout is defined in the International Classification of Diseases (ICD-11) as a severe problem that appears in response to chronic exposure to workplace stress that has not been successfully managed [1]. Nurses, who show higher burnout rates than the general population or even other healthcare professionals, are one of the groups most affected [4,5,6]. According to a recent meta-analysis, this syndrome is present in one tenth of the world’s nursing population, the rate may be even higher, since workers who are the most “burnt out” end up leaving the profession or do not respond to prevalence surveys [6]. According to the nursing burnout syndrome factor model [7], when these professionals are burnt out, they feel that the climate among coworkers and supervisors is inadequate, they lose hope and enthusiasm for their work, and perceive the situation at work as affecting them personally. Burnout impacts on organizations, because more nurses leave their job, performance is lower, there are economic losses and patient safety is endangered [8,9]

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