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Soto-Moreno A, Ureña-Paniego C, Montero-Vílchez T, Sánchez-Díaz M, Díaz-Calvillo P, Rodríguez-Pozo JA, Molina-Leyva A, Martínez-López A, Buendía-Eisman A, Arias-Santiago S. Quality of Professional Life Among Dermatologists: Impact of the COVID-19 Pandemic and Suggestions for Improvement. ACTAS DERMO-SIFILIOGRAFICAS 2024; 115:231-236. [PMID: 37884261 DOI: 10.1016/j.ad.2023.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 09/28/2023] [Accepted: 10/09/2023] [Indexed: 10/28/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Quality of professional life (QPL) is defined as a sense of well-being derived from a balance between the challenges of work and the resources available to deal with them. Impaired QPL can contribute to burnout. The aim of this study was to evaluate QPL in Spanish dermatologists using a validated questionnaire. MATERIAL AND METHODS We designed a cross-sectional study in which Spanish dermatologists were invited to complete an online questionnaire sent out by messaging applications. The dermatologists were asked to provide sociodemographic information, answer 3 open questions, and complete the 35-item Spanish QPL questionnaire (Spanish abbreviation, CVP-35). RESULTS We analyzed the information submitted by 106 dermatologists (62 women, 58%) with a mean age of 41 years (95% CI, 43.3-38.8 years). Women and department heads scored significantly higher in the workload domain of the questionnaire (P=.02 and P=.005, respectively). A heavy caseload was mentioned as the main factor contributing to impaired QPL and the main change in the wake of the COVID-19 pandemic. CONCLUSIONS Female dermatologists reported heavier workloads. Heavy caseloads and more remote work were the main changes identified after the COVID-19 pandemic. Heavy caseloads have a significant impact on the QPL of dermatologists in Spain. Reducing caseloads would improve general job satisfaction and quality of care provision.
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Affiliation(s)
- A Soto-Moreno
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - C Ureña-Paniego
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - T Montero-Vílchez
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - M Sánchez-Díaz
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - P Díaz-Calvillo
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - J A Rodríguez-Pozo
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - A Martínez-López
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España.
| | - A Buendía-Eisman
- Departamento de Medicina, Facultad de Medicina, Universidad de Granada, Granada, España
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España; Instituto de Investigación Biosanitaria de Granada, Granada, España; Departamento de Medicina, Facultad de Medicina, Universidad de Granada, Granada, España
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Soto-Moreno A, Ureña-Paniego C, Montero-Vílchez T, Sánchez-Díaz M, Díaz-Calvillo P, Rodríguez-Pozo JA, Molina-Leyva A, Martínez-López A, Buendía-Eisman A, Arias-Santiago S. [Translated article] Quality of Professional Life Among Dermatologists: Impact of the COVID-19 Pandemic and Suggestions for Improvement. ACTAS DERMO-SIFILIOGRAFICAS 2024; 115:T231-T236. [PMID: 38242430 DOI: 10.1016/j.ad.2024.01.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 10/09/2023] [Indexed: 01/21/2024] Open
Abstract
BACKGROUND AND OBJECTIVE Quality of professional life (QPL) is defined as a sense of well-being derived from a balance between the challenges of work and the resources available to deal with them. Impaired QPL can contribute to burnout. The aim of this study was to evaluate QPL in Spanish dermatologists using a validated questionnaire. MATERIAL AND METHODS We designed a cross-sectional study in which Spanish dermatologists were invited to complete an online questionnaire sent out by messaging applications. The dermatologists were asked to provide sociodemographic information, answer 3 open questions, and complete the 35-item Spanish QPL questionnaire (Spanish abbreviation, CVP-35). RESULTS We analyzed the information submitted by 106 dermatologists (62 women, 58%) with a mean age of 41 years (95% CI, 43.3-38.8 years). Women and department heads scored significantly higher in the workload domain of the questionnaire (P=.02 and P=.005, respectively). A heavy caseload was mentioned as the main factor contributing to impaired QPL and the main change in the wake of the COVID-19 pandemic. CONCLUSIONS Female dermatologists reported heavier workloads. Heavy caseloads and more remote work were the main changes identified after the COVID-19 pandemic. Heavy caseloads have a significant impact on the QPL of dermatologists in Spain. Reducing caseloads would improve general job satisfaction and quality of care provision.
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Affiliation(s)
- A Soto-Moreno
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - C Ureña-Paniego
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - T Montero-Vílchez
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - M Sánchez-Díaz
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - P Díaz-Calvillo
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - J A Rodríguez-Pozo
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - A Martínez-López
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain.
| | - A Buendía-Eisman
- Departamento de Medicina, Facultad de Medicina, Universidad de Granada, Granada, Spain
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain; Instituto de Investigación Biosanitaria de Granada, Granada, Spain; Departamento de Medicina, Facultad de Medicina, Universidad de Granada, Granada, Spain
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Soto-Moreno A, Martínez-López A, Ureña-Paniego C, Martínez-García E, Buendía-Eisman A, Arias-Santiago S. Burnout Syndrome, Anxiety, and Depression in Dermatology Residents: A Cross-Sectional Study. ACTAS DERMO-SIFILIOGRAFICAS 2024:S0001-7310(24)00157-1. [PMID: 38382752 DOI: 10.1016/j.ad.2024.02.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 02/08/2024] [Accepted: 02/12/2024] [Indexed: 02/23/2024] Open
Abstract
BACKGROUND AND OBJECTIVE Burnout syndrome is a mental health disorder due to chronic occupational stress. Both burnout and associated comorbidities are prevalent among health care professionals, being medical residents a vulnerable group. Despite this, the scientific medical literature currently available on this issue in dermatology residents is scarce. The aim of this study was to analyze the prevalence of the burnout syndrome, anxiety, and depression in dermatology residents, and the associated risk factors. MATERIAL AND METHOD This was a cross-sectional trial designed to include dermatology residents from Spain (from December 2022 through June 2023). A self-administered form was sent via online messaging applications, including validated scales to study professional quality of life, burnout syndrome, anxiety, and depression. RESULTS A total of 48 dermatology residents were included in the study, 50% of whom (24/48) were women, with a mean age of 27 years (1.25). A total of 58.33% (28/48) of the residents had some degree of anxiety, 22.9% (11/48) some degree of depression, and 23.4% a moderate risk of burnout (11/48). Workload was the main risk factor associated with the 3 disorders studied, while managerial support or intrinsic motivation seem to play a protective role. CONCLUSIONS Burnout syndrome and its comorbidities are both prevalent in dermatology residents in Spain and closely related to each other.
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Affiliation(s)
- A Soto-Moreno
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España
| | - A Martínez-López
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España; Grupo de Epidemiología y Promoción de la Salud en Dermatología, Asociación Española de Dermatología y Venereología, Madrid, España.
| | - C Ureña-Paniego
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España
| | - E Martínez-García
- Grupo de Epidemiología y Promoción de la Salud en Dermatología, Asociación Española de Dermatología y Venereología, Madrid, España
| | - A Buendía-Eisman
- Grupo de Epidemiología y Promoción de la Salud en Dermatología, Asociación Española de Dermatología y Venereología, Madrid, España; Departamento de Dermatología, Facultad de Medicina, Universidad de Granada, Granada, España
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España; Departamento de Dermatología, Facultad de Medicina, Universidad de Granada, Granada, España; TECe19-Dermatología Clínica y Traslacional, Instituto de Investigación Biosanitaria de Granada, ibs.GRANADA, Granada, España
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Laserna Jiménez C, Garrido Aguilar E, Casado Montañés I, Estrada Masllorens JM, Fabrellas N. Autonomous competences and quality of professional life of paediatric nurses in primary care, their relationship and associated factors: A cross-sectional study. J Clin Nurs 2023; 32:382-396. [PMID: 35146814 PMCID: PMC10078700 DOI: 10.1111/jocn.16244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 01/04/2022] [Accepted: 01/25/2022] [Indexed: 01/17/2023]
Abstract
AIMS AND OBJECTIVES To identify the autonomous competences and quality of professional life of paediatric nurses in primary care, their relationship and possible associated factors. BACKGROUND The autonomous competences of paediatric nurses vary among healthcare providers in Catalonia, Spain. Autonomy is related to quality of professional life, but little is known about autonomous competences and other factors contributing to paediatric nurses' quality of professional life. DESIGN A cross-sectional study following the STROBE statement. METHODS Data from 206 paediatric primary care nurses were analysed. A self-administered survey consisting of an ad hoc questionnaire and a validated instrument to measure quality of professional life (QPL-35 questionnaire) was conducted. Descriptive, bivariate and general multivariate regression analyses were used to identify the relationship between autonomous competences and quality of professional life, and its predicting factors. RESULTS 47.6% nurses reported a medium level of autonomous competences, 46.6% a high level, and 5.8% a low level. Quality of professional life was medium-high for the domains perception of managerial support and global perception of workload and for the item disconnect from work after work shift, and very high and high values for the domain intrinsic motivation and for the item quality of work life, respectively. Autonomous competences and perceived autonomy were factors associated with quality of professional life. Other associated factors were academic background, specific training and being a paediatric nurse specialist. CONCLUSIONS Paediatric nurses in primary care have a medium-high level of autonomous competences and they perceive a high level of autonomy. Autonomous competences and level of perceived autonomy are predictors of quality of professional life. RELEVANCE TO CLINICAL PRACTICE Enhancing paediatric nurses' autonomous competences and academic background, receiving specific training and being paediatric nurse specialists might improve their quality of professional life, healthcare quality and outcomes for the child population.
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Affiliation(s)
- Cristina Laserna Jiménez
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Eva Garrido Aguilar
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | | | | | - Núria Fabrellas
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
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Córdova-Martínez A, Pérez-Valdecantos D, Caballero-García A, Bello HJ, Roche E, Noriega-González D. Relationship between Strength and Professional Quality of Life of Nurses Working Hospital Emergency Departments. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2052. [PMID: 36767418 PMCID: PMC9914948 DOI: 10.3390/ijerph20032052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 01/12/2023] [Accepted: 01/20/2023] [Indexed: 06/18/2023]
Abstract
Optimal quality of professional life can allow coping with stressful situations and avoiding fatigue. This is instrumental in jobs undergoing very demanding situations, such as nurses working in Emergency Departments. In this study, we investigated the relationship between functional and physiological indicators and the quality of professional life in nurses of Emergency Departments of two public hospitals. Fifty-nine professionals participated in the study. Cortisol (an indicator of stress) and post-test lactate (an indicator of fatigue) were analyzed in saliva and in the blood, respectively, at the beginning and at the end of the morning shift. The CVP-35 survey (Spanish version of the QPL-35 questionnaire) was used to assess the quality of professional life. Post-dynamometry circulating lactate levels increased significantly; meanwhile, salivary cortisol decreased in participants at the end of the working shift. Regarding dynamometry, no significant changes were observed. CVP-35/QPL-35 scores did not show significant changes in participants from both hospitals in all dimensions analyzed. In conclusion, nurses participating in the study displayed adaptation to stress accompanied by an acceptable level of professional quality of life. However, certain fatigue appears at the end of the working day. Altogether, results suggest that a better organization must be implemented at work, improving ergonomic, safe, and healthy conditions.
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Affiliation(s)
- Alfredo Córdova-Martínez
- Department of Biochemistry, Molecular Biology and Physiology, Faculty of Health Sciences, GIR: “Physical Exercise and Aging”, Campus “Los Pajaritos”, University of Valladolid, 42004 Soria, Spain
| | - Daniel Pérez-Valdecantos
- Department of Biochemistry, Molecular Biology and Physiology, Faculty of Health Sciences, GIR: “Physical Exercise and Aging”, Campus “Los Pajaritos”, University of Valladolid, 42004 Soria, Spain
| | - Alberto Caballero-García
- Department of Anatomy and Radiology, Faculty of Health Sciences, GIR: “Physical Exercise and Aging”, Campus “Los Pajaritos”, University of Valladolid, 42004 Soria, Spain
| | - Hugo J. Bello
- Department of Mathematics, School of Forestry, Agronomy and Bioenergy Engineering, GIR: “Physical Exercise and Aging”, Campus “Los Pajaritos”, University of Valladolid, 42004 Soria, Spain
| | - Enrique Roche
- Institute of Bioengineering, Department of Applied Biology-Nutrition, University Miguel Hernández, 03202 Elche, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL), 03010 Alicante, Spain
- CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038) Carlos III Health Institute, 28029 Madrid, Spain
| | - David Noriega-González
- Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Faculty of Medicine, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain
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Pérez-Rojo G, López J, Noriega C, Velasco C. Resilience Among Direct Care Staff in Nursing Homes: Validation of the CD-RISC2. Clin Gerontol 2022:1-11. [PMID: 35957587 DOI: 10.1080/07317115.2022.2111013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVES Caring for older adults is a demanding task. Some professionals may find themselves in complex situations for which they may not be prepared. However, the repercussions of these difficult experiences will depend on personal factors. Resilience acts as a buffer against difficulties and experiences. However, its study with first-line caregivers in nursing homes is limited. This study aimed to validate the Connor-Davidson Resilience Scale-2 (CD-RISC2), examine its psychometric properties, and analyze the variables associated with resilience (sociodemographic and professionals´ variables). METHODS 312 nursing home professionals participated in the study. Besides the Connor-Davidson Resilience Scale-2, they answered questionnaires about good care, burnout, quality of life, person-centered care, and well-being. RESULTS The CD-RISC2 showed adequate reliability and test-retest reliability. Good support was found for convergent validity with perceived health, person-directed care, personal growth, life purpose, quality of life and good care, and for discriminant validity with burnout. Conclusions: To our knowledge, this is the first study that validates the CD-RISC2 Spanish version with front-line workers in nursing homes showing adequate psychometric properties. CLINICAL IMPLICATIONS An abbreviated, simpler, self-assessed version may be more useful than longer versions, especially with professionals with a heavy workload, such as direct care staff in nursing homes.
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Affiliation(s)
- Gema Pérez-Rojo
- Department of Psychology and Pedagogy, School of Medicine, Universidad San Pablo-CEU, CEU Universities, Madrid, Spain
| | - Javier López
- Department of Psychology and Pedagogy, School of Medicine, Universidad San Pablo-CEU, CEU Universities, Madrid, Spain
| | - Cristina Noriega
- Department of Psychology and Pedagogy, School of Medicine, Universidad San Pablo-CEU, CEU Universities, Madrid, Spain
| | - Cristina Velasco
- Department of Psychology and Pedagogy, School of Medicine, Universidad San Pablo-CEU, CEU Universities, Madrid, Spain
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Pérez-Valdecantos D, Caballero-García A, Bello HJ, Noriega-González D, Palomar-Ciria N, Roche A, Roche E, Córdova-Martínez A. Professional Quality of Life of Healthcare Workers in Hospital Emergency Departments. Behav Sci (Basel) 2022; 12:188. [PMID: 35735398 PMCID: PMC9220185 DOI: 10.3390/bs12060188] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 06/03/2022] [Accepted: 06/09/2022] [Indexed: 02/01/2023] Open
Abstract
In previous publications, we have reported that professionals in emergency departments undergo high levels of stress according to the amounts of salivary biomarkers (α-amylase and cortisol). The stress seems to be counteracted by increased levels of dehydroepiandrosterone. This hypothesis is confirmed in the answers to different tests indicating no working stress, no anxiety, optimal self-efficacy, and good sleeping quality. Altogether, these previous results suggest an optimal adaptation of these workers to the demanding situations that occur in emergency departments. To complete this research, we decided to evaluate the quality of life of health professionals working in the emergency departments of two Spanish hospitals. A descriptive cross-sectional study was carried out during the pre-pandemic months of July and August 2019. We determined the professional quality of life through the QPL-35 questionnaire in 97 participants, including nurses (n = 59) and medical doctors (n = 38). Answers to the test indicate that the studied participants working in emergency departments have a good perception of professional quality of life. This is reflected in the three dimensions of the questionnaire: managerial support, workloads, and intrinsic motivation. Based on the results of all answered tests, emergency healthcare staff seem to have adequate professional management, with levels of stress, sleep, and quality of life in line with a controlled lifestyle. Altogether, this would allow a correct adaptation to the demanding situations experienced in emergency departments. The relevance to clinical practice is that the COVID-19 pandemic has disrupted this controlled professional management.
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Affiliation(s)
- Daniel Pérez-Valdecantos
- Department of Biochemistry, Molecular Biology and Physiology, Faculty of Health Sciences, GIR “Physical Exercise and Aging”, University of Valladolid, Campus “Los Pajaritos”, 42004 Soria, Spain; (D.P.-V.); (A.R.)
| | - Alberto Caballero-García
- Department of Anatomy and Radiology, Faculty of Health Sciences, GIR “Physical Exercise and Aging”, University of Valladolid, Campus “Los Pajaritos”, 42004 Soria, Spain;
| | - Hugo J. Bello
- Department of Mathematics, School of Forestry, Agronomy and Bioenergy Engineering, GIR “Physical Exercise and Aging”, University of Valladolid, Campus “Los Pajaritos”, 42004 Soria, Spain;
| | - David Noriega-González
- Department of Surgery, Ophthalmology, Otolaryngology and Physiotherapy, Faculty of Medicine, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain;
| | | | - Alba Roche
- Department of Biochemistry, Molecular Biology and Physiology, Faculty of Health Sciences, GIR “Physical Exercise and Aging”, University of Valladolid, Campus “Los Pajaritos”, 42004 Soria, Spain; (D.P.-V.); (A.R.)
| | - Enrique Roche
- Instituto de Bioingeniería y Departamento de Biología Aplicada-Nutrición, Universidad Miguel-Hernández, 03202 Elche, Spain;
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), 03010 Alicante, Spain
- CIBER Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain
| | - Alfredo Córdova-Martínez
- Department of Biochemistry, Molecular Biology and Physiology, Faculty of Health Sciences, GIR “Physical Exercise and Aging”, University of Valladolid, Campus “Los Pajaritos”, 42004 Soria, Spain; (D.P.-V.); (A.R.)
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Laserna Jiménez C, Casado Montañés I, Carol M, Guix-Comellas EM, Fabrellas N. Quality of professional life of primary healthcare nurses: A systematic review. J Clin Nurs 2021; 31:1097-1112. [PMID: 34453386 DOI: 10.1111/jocn.16015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 08/11/2021] [Accepted: 08/16/2021] [Indexed: 11/30/2022]
Abstract
AIMS To identify and critically appraise the available evidence on the overall quality of professional life of primary care nurses worldwide and its main influencing factors. BACKGROUND Quality of professional life of healthcare workers is a keystone that influences the quality of healthcare services provided by healthcare organisations. Nurses have a key role as healthcare services providers given the growing shortage of doctors in primary care. DESIGN A systematic review design in accordance with the PRISMA statement. METHODS The search was conducted through MEDLINE (PubMed), CINAHL, SCOPUS, Scientific Electronic Library Online (SciELO) and Web of Science databases. The grey literature was reviewed at OpenGrey. The search was limited to human studies published from April 2010-April 2020. No limit of original language publication was applied. Three independent reviewers analysed the methodological quality of the studies. RESULTS Ten studies were included from five countries. Five studies reported nurses were satisfied with their quality of professional life and the influencing factors identified were Workload, Job autonomy, Demographic variables, Management support, Recognition, Intrinsic motivation, Interpersonal relations, Compassion fatigue, Burnout, Turnover intention, and work was reported as a component of Quality of life. CONCLUSION Primary healthcare nurses reported a high level of quality of professional life, but the scarce studies found do not provide solid consistency to assess the overall quality of professional life. Perception of high workload was the most frequently identified factor to negatively influence the quality of professional life of nurses. RELEVANCE TO CLINICAL PRACTICE Quality of professional life of primary care nurses is a key issue because of nurses' important relation with patient's care and satisfaction. Healthcare organisations should strive to address primary care nurses' quality of professional life to enhance their well-being and consequently patients' safety and high-quality healthcare services.
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Affiliation(s)
- Cristina Laserna Jiménez
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | | | - Marta Carol
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Eva Maria Guix-Comellas
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Núria Fabrellas
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
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López J, Pérez-Rojo G, Noriega C, Velasco C. Personal and Work-Related Factors Associated with Good Care for Institutionalized Older Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020820. [PMID: 33477928 PMCID: PMC7833360 DOI: 10.3390/ijerph18020820] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 01/15/2021] [Accepted: 01/15/2021] [Indexed: 01/23/2023]
Abstract
Despite efforts to promote good care, many institutionalized older adults (IOA) experience elevated neglectful conditions and reduced person-centered care approaches. Based on the job demand–control model, this study aimed to analyze the relationship between nursing home professionals’ personal and organizational factors and good care provided to institutionalized older people. Data was collected through a self-administered survey completed by 208 nursing home staff members. Three dimensions of personal factors (i.e., personal accomplishment, depersonalization, and negative old age stereotypes) were significant predictors of good care. Depersonalization and negative old age stereotypes were negatively associated with IOA, and both good care and personal accomplishment were positively associated with good care in nursing homes. Only one work-related factor (i.e., management support) was positively associated with good care. Personal factors may play a significant role in good care. Management support offers a promising mechanism to promote good care among nursing home professionals. The findings support the need to change the focus on entirely completing care tasks to providing good care of residents in nursing homes that promotes management support, personal accomplishment, personalization and positive old age consideration, attitudes, and behaviors. Policies and interventions should be developed to address in a more humanized way.
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Vidal-Blanco G, Oliver A, Galiana L, Sansó N. Quality of work life and self-care in nursing staff with high emotional demand. ENFERMERIA CLINICA 2018; 29:186-194. [PMID: 30170737 DOI: 10.1016/j.enfcli.2018.06.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Revised: 05/28/2018] [Accepted: 06/10/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVE To explore the variables related to the quality of work life and the self-care of nursing professionals working with high emotional demand. METHOD Qualitative, according to the constructivist paradigm. It combines the phenomenological-hermeneutic/interpretative method with the use of semi-structured interviews. Information was analyzed with Maxqda 11. Interviews included professionals from the Valencian healthcare system, with typical profiles of nurses working in surgical units, emergencies, oncology, home care, and cooperation. RESULTS Organizational factors were reported as a barrier to self-care, affecting healthcare activity. Working with patients was highlighted as a protective factor, based on the satisfaction derived from helping in situations of serious illness and suffering. The quality of work life manifested was assessed as not being what they would desire and deficient. The factors that affected the professionals most were the type of working day and work schedules (shifts, nights, holidays, on call...). The physical, mental and social dimensions of self-care can attenuate the negative effects of this situation. CONCLUSIONS It is necessary to examine in depth the construct of self-care, to counteract emotionally stressful problems and situations, to propose intervention strategies, training plans and greater involvement of health institutions in the improvement of nurses' quality of work life.
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Affiliation(s)
- Gabriel Vidal-Blanco
- Departamento de Enfermería, Facultad de Enfermería y Podología, Universitat de València , Valencia, España.
| | - Amparo Oliver
- Departamento de Metodología de Ciencias del Comportamiento, Facultad de Psicología, Universitat de València, Valencia, España
| | - Laura Galiana
- Departamento de Metodología de Ciencias del Comportamiento, Facultad de Psicología, Universitat de València, Valencia, España
| | - Noemí Sansó
- Departamento de Enfermería y Fisioterapia, Facultad Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España
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11
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Villarín Castro A, Méndez García T, Zuzuárregui Gironés MS, Sánchez Serrano S, Conejo Ocaña R. [Professional quality of life in workers of the Toledo primary care health area]. REVISTA DE CALIDAD ASISTENCIAL : ORGANO DE LA SOCIEDAD ESPANOLA DE CALIDAD ASISTENCIAL 2015; 30:4-9. [PMID: 25613929 DOI: 10.1016/j.cali.2014.11.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2014] [Revised: 11/18/2014] [Accepted: 11/24/2014] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To determine the professional quality of life in the workers of the Toledo Primary Care Health Area and to analyse its components. MATERIAL AND METHODS Descriptive, cross-sectional study, performed on workers of the Toledo Primary Care Health Area with an online self-administered questionnaire. MAIN VARIABLES age, sex, health centre, professional group, seniority, management experience, collaboration in working groups, employment situation, and the PQL-35 professional quality of life questionnaire. RESULTS A total of 430 completed questionnaires were received (45.3%), of which 68.4% were women. The mean age was 47.7±8.6 years old. Mean seniority was 21.5±9.7 years. PQL-35 results were: perception of management support 4.8±1.5; perception of workload 6.2±1.3; intrinsic motivation 7.9±1.1; job disconnection capacity 6.3±2.6; and professional quality of life 5.2±2.1. Gender differences were found in perception of management support (4.5±1.5 in males vs 4.9±1.5 in females; P=.031) and professional quality of life (4.9±2.0 vs 5.3±2.1; p=.044). Depending on the professional group, differences were found in the perception of workload (6.4±1.1 in physicians, 6.3±1.3 in nurses, 5.9±1.6 in non-sanitary professionals, and 5.3±1.2 in support units professionals; P<.001). Depending on the employment situation, differences were found in the intrinsic motivation (7.8±1.1 in proprietors, 8.3±1.1 in temporary workers, and 8.2±1.1 in substitutes; P=.002). CONCLUSIONS The professional quality of life in the workers of the Toledo Primary Care Health Area is similar to that of other Spanish Health Areas, even in a time of economic crisis. The intrinsic motivation of the professionals is very high, in contrast with their high perception of workload and their low perception of management support.
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Affiliation(s)
| | | | | | - S Sánchez Serrano
- Dirección General de Recursos Humanos del Servicio de Salud de Castilla-La Mancha, Toledo, España
| | - R Conejo Ocaña
- Dirección General de Recursos Humanos del Servicio de Salud de Castilla-La Mancha, Toledo, España
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12
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Frutos-Llanes R, Jiménez-Blanco S, Blanco-Montagut LE. [Burnout syndrome in general practitioners of Avila]. Semergen 2014; 40:357-65. [PMID: 25092507 DOI: 10.1016/j.semerg.2014.02.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2013] [Revised: 01/16/2014] [Accepted: 02/11/2014] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To determine the level of burnout in general practitioners of Avila and the influence of social, occupational and health factors. MATERIAL AND METHODS A descriptive cross-sectional epidemiological study was conducted and aimed at all Primary Care medical staff of Avila during the first half of 2011, using two questionnaires: the Maslach Burnout Inventory and other sociodemographic, health and occupational variables. RESULTS A response rate of 51.8% was obtained. The mean age was 48.55±8.16, and 52% were male, 77% married, 45% with tenure, 78% worked in rural centres, and, 82% performed out of hours home visits plus clinics. The prevalence of severe burn out was low (16%) in our study was low. A high prevalence (68%) of moderate/severe level of the condition was found. Being married (P=.012), do not guards (P<.0001), working in rural areas (P=.008), and to be an area doctor (p=.03), predisposes to suffer burnout in severe or moderate/severe burnout. CONCLUSIONS A moderate level of burnout was found. Contrary to what many doctors thought, the prevalence of the condition in its severe form was low, but was high when taking the severe and moderate/severe forms together. Therefore, measures should be extended to reduce occupational stress of doctors, in order to improve working practices and professional efficiency.
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13
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Gómez-Gascón T, Martín-Fernández J, Gálvez-Herrer M, Tapias-Merino E, Beamud-Lagos M, Mingote-Adán JC. Effectiveness of an intervention for prevention and treatment of burnout in primary health care professionals. BMC FAMILY PRACTICE 2013; 14:173. [PMID: 24237937 PMCID: PMC4225599 DOI: 10.1186/1471-2296-14-173] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/10/2013] [Accepted: 07/11/2013] [Indexed: 11/10/2022]
Abstract
Background Burnout syndrome is an important health problem that affects many professionals and must be addressed globally, with both organizational measures and personal interventions. Burnout of health professionals can be prevented in order to avoid personal, familial, and social consequences, as well as repercussions for patients. Methods/design This work describes a protocol for a controlled, pragmatic, randomized clinical trial in 2 parallel groups: intervention and control. All health professionals from 7 health care centers will form the intervention group, and all health professionals from 7 different health care centers will form the control group. The intervention group will receive 16 hours of training at their work place. The Maslach's burnout inventory, the Cuestionario de Desgaste Profesional Médico or the Cuestionario de Desgaste Profesional de Enfermería, and the 28-item Goldberg's General Health Questionnaire, validated for our setting, will be used as measurement tools. Change in the average scores from the Maslach's burnout inventory emotional exhaustion scale will be compared between the intervention and control groups, measured as intention-to-treat, and the intervention will be considered effective if a minimum decrease of 20% is achieved. Discussion Due to the deleterious consequences of burnout syndrome for people suffering from it and for the organization where they work, it is necessary to evaluate the effectiveness of certain interventions for its prevention. Organizational measures are important for preventing burnout syndrome, but so is providing professionals with coping strategies, as this group intervention intends to do. Trial registration ClinicalTrials.gov processed this record on June 10, 2013. ClinicalTrials.gov Identifier: NCT01870154.
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Affiliation(s)
- Tomás Gómez-Gascón
- Guayaba Health Center, Primary Care, Madrid Health Service, Madrid, Spain.
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14
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Díaz Corte C, Suárez Álvarez Ó, Fueyo Gutiérrez A, Mola Caballero de Rodas P, Rancaño García I, Sánchez Fernández AM, Suárez Gutiérrez R, Díaz Vázquez C. [Professional quality of life in the clinical governance model of Asturias (Spain)]. GACETA SANITARIA 2013; 27:502-7. [PMID: 23478122 DOI: 10.1016/j.gaceta.2013.01.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2012] [Revised: 01/14/2013] [Accepted: 01/18/2013] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To evaluate professional quality of life in our clinical governance model by comparing differences according to the time since the model's implementation (1-3 years) and the setting (primary or hospital care). METHODS A cross-sectional descriptive study was performed. The 35-item, anonymous, self-administered Professional Quality of Life Questionnaire, with three additional questions, was applied. A minimum sample size for each clinical governance unit/area (CGU/CGA) was calculated. Descriptive, univariate and bivariate analyses were performed using the 35 items separately. The subscales of « management support », « workload » and « intrinsic motivation » were used as dependant variables, and the setting and time since implementation of the CGU/CGA as independent variables. RESULTS Of the study population of 2572 professionals, 1395 (54%) responded (67% in primary care and 51% in hospital care). A total of 87% had been working for 5 years or more in their positions. Thirty-three percent had worked for less than a year in clinical governance. The item with the highest score was job training (8.39 ± 1.42) and that with the lowest was conflicts with peers (3.23 ± 2.2). Primary healthcare professionals showed better results in management support and quality of life at work and hospital professionals in workload. The clinical governance model obtained the best scores at 3 years and the worst at 1 year. These differences were especially favorable for clinical governance in hospitals: professionals working longer perceived a lower workload and more intrinsic motivation and quality of life. CONCLUSIONS A longer time working in the clinical governance model was associated with better perception of professional quality of life, especially in hospital care.
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Affiliation(s)
- Carmen Díaz Corte
- Servicio de Calidad y Gestión Clínica, Servicio de Salud del Principado de Asturias, Oviedo, España.
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Gómez-Besteiro MI, Somoza-Digón J, Einöder-Moreno M, Jiménez-Fraga MN, Castiñeira-Pereira S, Feijoo-Fuentes ML. [Health care quality perceived by the patients in an urban health centre in A Coruña]. ENFERMERIA CLINICA 2012; 22:182-90. [PMID: 22658834 DOI: 10.1016/j.enfcli.2012.04.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2011] [Revised: 04/04/2012] [Accepted: 04/11/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVE The aim of this study is to explore the reliability and validity of the adapted questionnaire SERVPERF in primary care and to obtain a measure of perceived quality from the patient point of view in an urban health centre. METHOD A cross-sectional descriptive study. PARTICIPANTS One in five of all the patients who visited the health centre during one week in March 2010 were systematically selected until completing the required sample size. MAIN MEASUREMENTS Personal data were collected (age, sex, nationality, marital status, level of studies, working status and their own perception on their health status). To measure the perceived quality the adapted questionnaire SERVPERF was used, with 22 items measured using a Likert scale (1-7), to which was added three open questions. RESULTS Out of a total of 132 patients, 67% of those who completed the questionnaire were women. All the interscale correlations were positive and significant. The overall statistical value for Cronbach́s-α was equal to 0.90 (95% CI: 0.87-0.93), and in all domains this value ranged from 0.71 to 0.90. The factor analysis identified 5 factors that explained 69.8% of the total variance. Of the studied items, the "Individualized follow up of each patient by the doctor", with an average of 6.66 ± 0.79 (95% CI: 6.53-6.79), was the best valued. CONCLUSIONS The questionnaire (adapted SERVPERF) is reliable and valid for measuring perceived quality in primary care, and patients felt that the service offered is of good quality.
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