RESUMO
El síndrome de desgaste profesional o burnout es un fenómeno específico del trabajo que surge como respuesta a estresores crónicos emocionales e interpersonales en el entorno laboral. Considerando las consecuencias que puede tener el síndrome, resulta relevante estudiar cómo la situación de crisis sanitaria en Venezuela, que ha sido documentada ya por años, ha impactado a los profesionales de la salud del país. Objetivos: explorar la relación entre la crisis del sistema sanitario y la salud laboral de una muestra de 82 residentes de medicina interna a nivel nacional. se buscó esclarecer la relación del desabastecimiento de insumos médicos básicos y fallas en el servicio eléctrico con las puntuaciones en burnout obtenidas. Métodos: Se utilizó la versión MBI-HSS versión en español. Se realizo una prueba de correlación de Pearson entre las variables y una prueba de Chi-cuadrado para determinar si existían diferencias en el grado de las dimensiones de burnout según el auto-reporte de desabastecimiento de medicinas y fallas en el servicio eléctrico. Resultados: Se obtuvo una correlación significativa entre las fallas en el servicio eléctrico y el burnout, pero no fue así con el desabastecimiento ni se pudieron establecer diferencias en grado de las dimensiones según autoreporte de deficiencias. Conclusión: Se hacen necesarios más estudios con muestras mayores, más representativas y de mayor experiencia para seguir estudiando los posibles impactos de la crisis sanitaria en Venezuela sobre los profesionales de la salud(AU)
The burnout syndrome is a work-specific phenomenon that arises as a response to chronic emotional and interpersonal stressors at the the workplace. Considering the consequences of this work-related syndrome, it is relevant to study how the health crisis in Venezuela, which has been documented for years now, has impacted health professionals in the country. The present study aimed to explore the relationship between the long-standing Venezuelan health crisis and the work- related health of a sample of 82 internal medicine residents at a national level. More concretely, the goal was to explore the relationship between medical supplies shortages and power system failures and the scores obtained in burnout as measured by the MBI-HSS in its Spanish version. A Pearson correlation test was performed between the variables along with Chi-Square tests for determining if there were differences in degree of burnout dimensions according to self-reports in medical supplies shortages and power outages. A significant relationship was found between power system failures and burnout. However, that was not the case for medicine shortages nor for the differences in degree of burnout dimensions according to self-reported medical supplies shortages and power failures. More studies with larger more representative and experienced samples are needed to keep studying the possible impacts that the health crisis in Venezuela is having on healthcare professionals(AU)
Assuntos
Humanos , Masculino , Feminino , Estresse Ocupacional , Esgotamento Psicológico , Doenças Profissionais , Saúde Ocupacional , Pessoal de SaúdeRESUMO
While diminishing nephrology fellow recruitment is a known issue, more work is needed to evaluate possible interventions to reverse this trend. We designed and implemented a curriculum to increase exposure to ambulatory nephrology among internal medicine interns. The curriculum focused on key aspects of outpatient nephrology practice, including supervised clinic visits, formal themed didactic content, and an online interactive forum with assigned evidence-based readings and small-group responses to relevant cases. We obtained postcourse surveys from all participating interns. Of the 43 interns who took part in the first year of the ambulatory nephrology curriculum, 100% reported a positive didactic experience and 91% reported a positive interactive online experience. 77% reported an improvement in their familiarity with clinical nephrology practice (median 2-point increase in familiarity score on a 7-point scale, P<0.001 by signed rank testing). Qualitative feedback included praise for the high-yield topics covered by the lectures and energizing teachers. In conclusion, we successfully implemented an ambulatory nephrology curriculum using a framework that integrated formal didactics, interactive online learning, and key clinical components of outpatient nephrology care. Future investigation will evaluate whether early implementation of this curriculum is associated with increased pursuit of nephrology as a career.