Changes of burnout during family and community residency in doctors and nurses

Macarena Chacón Docampo, Ángela Asensio Martínez, Sara Rodríguez Pastoriza, David Liñares Mariñas, María Victoria Martín Miguel, Ana Clavería Fontán, Clara González Formoso

Keywords: Burnout, Primary Health Care, Intervention, residents, medicine, nurses

Background:

Healthcare professionals are most vulnerable to burnout that others occupations. Residency training is a time that causes an increase in stress. The development of personal skills from residence can improve not having burnout in the future.

Research questions:

Is effective an intervention to promote the development of personal skills and prevent burnout in residents of family and community medicine and nursing?

Method:

Pre-post with control group study, comparing two educational interventions. Family and Community medicine and nursing residents on Primary Health Care in three Spanish Health Regions of the 2018, 2019, 2020 and 2021 promotions.
Variables: Burnout syndrome (Copenhagen Burnout Inventory). Sociodemographic (age, sex, nationality, profession, promotion, Autonomous Community) Labor (average hours worked per week, average monthly on-calls, number of patients per day in the consultation), Psychological (empathy (Reactivity Index), resilience (10-item CD- RISC), social support (OSLO-3), sense of coherence (OLQ-13), anxiety and depression (HADS), personality traits (TIPI)).
Approved by the Ethics and Clinical Research Committee of Vigo.

Results:

177 residents completed the pre-intervention questionnaire. 82% women. 69.9% doctors. 40.3% from Aragon, 42.6% from Galicia and 17.1% from the Balearic Islands. They work an average of 49.16(10.21) hours/week and see 30.46(14.05) patients/ day. They presented personal Burnout 45.75(17.97), work 47.34(16.83) and work with patients 37.90(15.91). Of empathy they obtained in Fantasy 22.45(5.59), Perspective 26.02(4.09), Empathic concern 25.71(3.17) and personal anguish 14.09(4.21). Resilience 26.58(5.55). Anxiety 7.36(3.51) and depression 4.65(2.76). Social support 10.60(1.60). Sense of Coherence 63.07(11.49). Personality traits: Extraversion 4.56(1.18), Affability 4.51(1.15), Responsibility 4.07(0.95), Emotional Stability 4.22(4.22) and Openness 6.11(0.74). Imputation and multivariate analysis will be presented.

Conclusions:

After the intervention, higher levels of burnout were found. Given the results, working on personal skills is important, but it is also necessary to add improvements in the quality of work organization.

Points for discussion:

How can we really prevent burnout in residents?

What organizations give more importance to prevent burnout?

#162