Self-esteem and burnout syndrome among physicians of critical care units. A correlational study. Hospital Nacional Dos de Mayo. Lima–Peru

Authors

  • Carlos Contreras-Camarena Hospital Nacional Dos de Mayo, Departamento de Emergencia y Cuidados Críticos, Lima, Perú; Universidad Nacional Mayor de San Marcos, Departamento Académico de Medicina, Lima, Perú https://orcid.org/0000-0002-7394-995X
  • Humberto Lira-Veliz Hospital Nacional Dos de Mayo, Departamento de Emergencia y Cuidados Críticos, Lima, Perú; Universidad de San Martin de Porres, Facultad de Medicina Humana, Lima, Perú https://orcid.org/0000-0003-0634-9927
  • Briam Benito-Condor Hospital Regional Felipe Arriola Iglesias, Servicio de Emergencia, Iquitos, Perú https://orcid.org/0000-0003-3163-237X

DOI:

https://doi.org/10.24265/horizmed.2021.v21n2.06

Keywords:

Self concept, Burnout, psychological, Occupational stress

Abstract

Objective: To determine the role of self-esteem against burnout syndrome (BOS) among physicians of the Department of Emergency and Critical Care of the Hospital Nacional Dos de Mayo (HNDM). Lima–Peru, 2020. Materials and methods: An analytical and correlational study. Sixty-six (66) physicians were surveyed. The variables “selfesteem” and “burnout” were measured with the Rosenberg Self-Esteem Scale and the Maslach Burnout Inventory–Human Services Survey (MBI–HSS), respectively. The odds ratio was used to establish the probability of burnout according to the self-esteem level, and the Pearson correlation coefficient was used to determine the correlation of major variables. A value of p < 0.05 was considered as statistically significant. Results: Sixteen point six six percent (16.66 %) of the study population showed emotional fatigue; 28.78 %, depersonalization; and 25.75 %, low personal fulfillment. Females achieved lower levels of personal fulfillment and males, higher levels of depersonalization. Twenty-five point seven five percent (25.75 %) had low self-esteem and, in this group, the frequency of burnout was three to six times higher. A negative correlation was found between self-esteem and emotional tiredness (Pearson’s r: –0.551), and between self-esteem and depersonalization (Pearson’s r: –0.298). Conversely, a positive correlation was found between self-esteem and personal fulfillment (Pearson’s r: 0.499). Conclusions: One out of four physicians had low self-esteem. Burnout was more common in this group, compared to the medium–high self-esteem group. Seventy-one point two one percent (71.21 %) of the physicians had at least one compromised dimension, 19.70 % had two compromised dimensions and 13.64 % had an established BOS. Low self-esteem may favor burnout, while high self-esteem may play a protective role.

Downloads

Download data is not yet available.

References

Seidler A, Thinschmidt M, Deckert S, Then F, Hegewald J, Nieuwenhuijsen K, et al. The role of psychosocial working conditions on Burnout and its core component emotional exhaustion - A systematic review. J Occup Med Toxicol. 2014; 9(1): 10-3.

Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav. 1981; 2(2): 99-113.

Bragard I, Dupuis G, Fleet R. Quality of work life, burnout, and stress in emergency department physicians: a qualitative review. Eur J Emerg Med. 2015; 22(4): 227-34.

Yates SW. Physician Stress and Burnout. Am J Med. 2020; 133(2): 160-4.

Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in Burnout and Satisfaction with Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015; 90(12): 1600-13.

Bouza E, Gil-Monte PR, Palomo E. Síndrome de quemarse por el trabajo burnout en los médicos de España. Rev Clin Esp. 2020; 220(6): 359-63.

Hernández García TJ. Burnout en médicos de un hospital del sector público en el Estado de Hidalgo. Agric Soc Desarro. 2018; 15(2): 161-72.

Bitran M, Zúñiga D, Pedrals N, Echeverría G, Vergara C, Rigotti A, et al. Burnout en la formación de profesionales de la salud en Chile: Factores de protección y riesgo, y propuestas de abordaje desde la perspectiva de los educadores. Rev Med Chile. 2019; 147(4): 510-7.

Marticorena-Quevedo J, Beas R, Anduaga-Beramendi A, Mayta-Tristán P. Prevalencia del síndrome de burnout en médicos y enfermeras del Perú, Ensusalud 2014. Rev Per Med Exp Salud Publica. 2016; 33(2): 241-7.

Muñoz-del-Carpio Toya A, Arias Gallegos WL, Caycho-Rodríguez T. Burnout syndrome in medicine men from Arequipa city (Perú). Rev Chil Neuro-Psiquiatr. 2019; 57(2): 139-48.

Vílchez-Cornejo, J, Romaní-Ojeda L, Ladera-Porta K, Marchand-Gonzales M. Síndrome de burnout en médicos de un hospital de la Amazonía Peruana. Rev Fac Med Hum. 2019; 19(4): 60-7.

García FE, Cova-Solar F, Bustos-Torres F, Reyes-Pérez É. Burnout y bienestar psicológico de funcionarios de unidades de cuidados intensivos. Duazary. 2018; 15(1): 23-38.

Olszewski R, Owoc J, Manczak M, Tombarkiewicz M. P4342 How burnout affects errors among physicians: meta-analysis. Eur Heart J. 2019; 40(Suppl. 1): 2578.

Hernandez L, Hernandez D, Barraye H. La autoestima como variable moduladora del desgaste profesional en especialistas en Medicina General Integral. Rev Cubana Med Gen Integr. 2014; 30(2): 149-59.

Maslach C, Jackson S. Maslach Burnout Inventory. 2nd edition. Consulting Psychologist Press: USA; 1986.

Gil-Monte P. Factorial validity of the Maslach Burnout Inventory (MBI-HSS) among Spanish professionals. Rev Saude Publica. 2005; 39(1): 1-8.

W. W. Norton & Company. Escala de autoestima de Rosenberg [Internet]. 2020. Disponible en: https://wwnorton.com/college/psych/psychsci/media/rosenberg.htm

Organización Mundial de la Salud International Classification of Diseases, 11th Revision (ICD-11) [Internet]. OMS; 2020. Disponible en: http://www.who.int/classifications/icd/en/

Manzano G, Ramos F. Profesionales con alto riesgo de padecer Burnout: enfermeras y secretarias. Rev Psiquiatria. 2001.

Merces MC, Freitas Coelho JM, Lua I, Silva DS, Tosoli Gomes AM, Erdmann AL, et al. Prevalence and factors associated with burnout syndrome among primary health care nursing professionals: a cross-sectional study. Int J Environ Res Public Health. 2020; 17(2): 474.

Vásquez Fonseca VM, Salgado A, Gómez Pasos JC, Martinez J. Burnout y satisfacción laboral en médicos y enfermeras de un hospital de alta complejidad. Salud(i)Ciencia. 2018; 23: 325-31.

Aldave-Salazar MR. Síndrome de burnout y factores de riesgo en médicos Hospital Nacional Guillermo Almenara Irigoyen 2015 [Tesis]. Lima: Universidad de San Martín de Porres. Facultad de medicina humana; 2016.

Bresó-Esteves E, Pedraza-Álvarez L, Pérez-Correa K. Síndrome de burnout y ansiedad en médicos de la ciudad de Santa Marta. Duazary. 2019; 16(2): 259-69.

Miret C, Martínez Larrea A. El profesional en urgencias y emergencias: agresividad y burnout. Anales Sis San Navarra. 2010; 33(Suppl. 1): 193-201.

Muñoz A, Valdivia-Fernández B, Velásquez-Lazo C, Valdivia-Rodríguez M, Arroyo-Tovar G, Toia-Larsen M, et al. Violencia contra médicos en hospitales de Arequipa, Perú 2016. Acta Med Perú. 2016; 33(2): 99-104.

Leiter MP. Burnout as a Developmental Process: Consideration of models [Internet]. Routledge; 2017; pp. 237-50. Disponible en: https://www.taylorfrancis.com/

Bleidorn W, Arslan RC, Denissen JJ, Rentfrow PJ, Gebauer JE, Potter J, et al. Age and gender differences in self-esteem: a cross-cultural window. J Pers Soc Psychol. 2016; 111(3): 396-410.

Ortiz MS, Sapunar J, Ortiz MS, Sapunar J. Estrés psicológico y síndrome metabólico. Rev Médica Chile. 2018; 146(11): 1278-85.

Yebra Delgado S, García Faza V, Sánchez Calvo A, Suárez Gil P, González Gómez L. Relación entre la inteligencia emocional y el burnout en los médicos de Atención Primaria. Semergen. 2020; 46(7): 472-8.

Garcia CL, Abreu LC, Ramos JL, Castro CF, Smiderle FR, Santos JA, et al. Influence of Burnout on patient safety: systematic review and meta-analysis. Medicina (Mex). 2019; 55(9): 553.

Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc. 2017; 92(1): 129-46.

West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016; 388(10057): 2272-81.

Published

2021-05-21

How to Cite

1.
Contreras-Camarena C, Lira-Veliz H, Benito-Condor B. Self-esteem and burnout syndrome among physicians of critical care units. A correlational study. Hospital Nacional Dos de Mayo. Lima–Peru. Horiz Med [Internet]. 2021May21 [cited 2025May2];21(2):e1507. Available from: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1507

Issue

Section

Original article