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Mediación de la resiliencia entre burnout y salud en el personal de Enfermería
Institution:1. Área Básica de Salud Gavarra, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España;2. Departamento de Enfermería de Salud Pública, Salud Mental y Maternoinfantil, Universidad de Barcelona, Barcelona, España;3. Centro de Salud Can Bou, Castelldefels, Barcelona, España;4. SAP Baix Llobregat Centre, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España;1. Instituto de Enfermería, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Región de los Ríos, Chile;2. Departamento de Enfermería, Facultad de Medicina, Universidad de Concepción, Concepción, Biobío, Chile;1. Unidad de Gestión Clínica, Cuidados Críticos y Urgencias Interniveles, Área de Gestión Sanitaria Sur de Córdoba, Servicio Andaluz de Salud, Córdoba, España;2. Universidad de Granada, Granada, España;3. Universidad Nacional de Educación a Distancia, Madrid, España;1. Estudiante de sexto año de medicina, Universidad Dr. José Matías Delgado, El Salvador;2. Especialista en Medicina Interna y Cuidados Paliativos, Hospital Nacional Dr. Juan José Fernández, Zacamil, El Salvador;3. Profesor titular de la Asignatura de Medicina Paliativa, Universidad Dr. José Matías Delgado, El Salvador
Abstract:AimsTo determine the relationships between 3 burnout dimensions (Emotional Exhaustion, Depersonalization, and Reduced Personal Accomplishment), health (physical and mental health), and resilience, as well as to analyse the mediator role of resilience in relationships between burnout and health in a sample of Nursing staff.MethodA correlational and cross-sectional study with probabilistic sampling was conducted on a sample of 194 Nursing staff of University Hospital of Fuenlabrada (Madrid), and composed of nurses (n = 133) and nursing assistants (n = 61). Instruments: MBI-HSS (burnout syndrome), SF-12v1 (physical and mental components of health), 10-Item CD-RISC (resilience), and sociodemographic variables.ResultsCorrelational analyses showed that mental health was negatively related with 3 burnout dimensions and positively with resilience. Furthermore, physical health was only negatively related with Emotional Exhaustion, and positively with resilience. Mediational analyses revealed that resilience mediated, on one hand, the relationship between Emotional Exhaustion and Depersonalization with mental health (partial mediation) and, on the other hand, the relationship between Reduced Personal Accomplishment and mental health (total mediation).ConclusionsResilience is not only important to improve the mental health of Nursing staff, but also to buffer and minimize the negative consequences of the occupational stress to which they are at risk, with its most adverse result being signs of burnout. Therefore, resilience training should be promoted to improve nursing clinical practice.
Keywords:Psychological resilience  Psychological stress  Professional burnout  Health status  Nursing
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