Abstract
The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47–0.83), residence (PR = 2.35, CI 95% = 1.79–3.09), economic situation (PR = 1.40, CI 95% = 1.06–1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31–2.33), (PR = 1.60, CI 95% = 1.23–2.08), rest (PR = 1.83, 95% CI = 1.41–2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06–1.77), night shift (PR = 1.49, CI 95% = 1.14–1.96), physical activity practice (PR = 1.72; CI 95% = 1.28–2.31), smoking (PR = 1.82, CI 95% = 1.35–2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01–179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.
Highlights
Labour has undergone significant changes throughout history, despite advances in the industrial and technological area
Among 1125 nursing professionals evaluated, 18.3% had Burnout Syndrome, with a spatial distribution ranging from 3.7% to 23.5% (Figure 1)
By assessing the levels of each Maslach Burnout Inventory—Human Services Survey (MBI) dimension among Primary Health Care (PHC) nursing professionals, it was observed that 41.1% had a moderate level of EE, 44.5% a high level of DP and 60.2% had a high level of RPR
Summary
Labour has undergone significant changes throughout history, despite advances in the industrial and technological area. In countries with advanced Capitalism, many transformations linked to those changes have taken place in labour relations, such as the growth of informality, outsourcing and subcontracting, which became commonplace over that time. Economic and industrial development cannot be associated with a direct relationship with the improvement of workers’ conditions, especially in countries with intermediate industrialization, such as Brazil [1,2]. Technological development and production can be inadvertently associated with the development of the individuality and autonomy of the worker. Those relations are rather linked to the onset of illness, making work a sacrifice for individuals in their daily life [1,3,4,5]
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