Table 1 Summary of selected materials. São Paulo, São Paulo, Brazil, 2024
From: Burnout syndrome and accidents in primary healthcare nursing workers: a scoping review
Year/country | Authors/title | Objectives | Study design Sample/setting | Outcomes | Methodological quality |
|---|---|---|---|---|---|
2016 Belgium | Van Gersen et al. [13] Increased risk of burnout for physicians and nurses Involved in a patient safety incident | Investigate the prevalence of healthcare professionals personally involved in a patient safety incident as well as the relationship between involvement and the degree of harm with problematic medication use, excessive alcohol consumption, risk of burnout, work-home interference and turnover intentions | Cross-sectional Sample: 5788 nurses and physicians Settings: 37 health units | There was a high number of incidents involving patients who had higher levels of burnout. The abuse of medication to treat psychological symptoms also increased the chances of errors and accidents, including biological ones. Such occurrences further increased symptoms of burnout | High |
2020 Spain | Pérez-Francisco et al. [14] Influence of workload on primary care nurses’ Health and burnout, patients’ safety, and quality of Care: integrative review | Identify the relationships between work overload, nursing illness, professional burnout, quality and safety in services; and differentiate measurement methods and instruments | Review Sample: 45 studies Settings: n/a* | Primary healthcare nursing worker overload is a phenomenon that occurs in several parts of the world, leading to early Burnout syndrome, increasing the risk of occupational accidents and reducing patient safety in daily procedures. The use of the Maslach Burnout Inventory prevailed in research | High |
2018 Brazil | Arcanjo et al. [15] Gerenciamento dos Riscos Ocupacionais da Enfermagem na Atenção Básica: Estudo Exploratório Descritivo | Identify the occupational risks to which primary healthcare nursing professionals are exposed, describe the risk factors and correlate them with safety conditions | Cross-sectional Sample: 8 nursing workers Setting: two basic health units | The most frequent risks were biological, chemical and violence by patients or family members. Occupational risk factors associated with work in primary healthcare were unsatisfactory pay, difficulty in resolving conflicts with superiors and more than one employment relationship | Moderate |
2021 USA | Jun et al. [16] Relationship between nurse burnout, patient and organizational outcomes: systematic review | Examine the associations between nurse burnout and organizational outcomes | Review Sample: 20 articles Setting: n/a* | Nurse burnout was inversely associated with patient safety, quality, commitment, productivity, and satisfaction. Measures to prevent burnout should be adopted to reduce accidents and improve healthcare indicators | Moderate |
2018 USA | Dugani et al. [17] Prevalence and factors associated with burnout among frontline primary health care providers in low- and middle-income countries: A systematic review | Analyze the prevalence and factors associated with burnout among primary healthcare professionals in low- and middle-income countries | Review Sample: 20 Setting: n/a.* | Nurses from low-income countries, such as South Africa and Lebanon, who work in initial patient care had a higher prevalence of burnout and accident risks, with triggering factors such as little time to make decisions, work overload, high stress and little organizational support | High |
2021 Netherlands | Giesbers et al. [18] Towards a better understanding of the relationship between feedback and nurses’ work engagement and burnout: A convergent mixed-methods study on nurses’ attributions about the ‘why’ of feedback | Understand feedback practice and nurse burnout | Mixed-methods Sample: 184 Setting: teaching hospitals | Nurses who work directly in care, especially in the first consultation with users/patients, understand the practice of feedback given by human resources managers as an action negatively related to their performance, triggering symptoms of burnout in workers | Moderate |
2022 USA | Sexton et al. [19] Effectiveness of a bite-sized web-based intervention to improve healthcare worker wellbeing: A randomized clinical trial of WISER | Test the efficiency of an intervention called Web-based Implementation for the Science of Enhancing Resilience (WISER) to improve dimensions of healthcare professional well-being | Randomized clinical trial Sample: 482 healthcare professionals Settings: various healthcare services | Primary healthcare nurses who received the WISER intervention had improved work-life integration and reduced burnout. The intervention appears to be an auxiliary tool in reducing secondary problems, such as the risk of occupational accidents | High |
2017 Brazil | Barros et al. [20] Burnout syndrome among nurses of primary and tertiary health care: a comparative study | Analyze and compare the prevalence of burnout syndrome in primary and tertiary healthcare nurses | Case-control Sample: 78 nurses (29 cases and 49 controls) Settings: health units and hospitals | It was evident that primary healthcare nurses are less professionally fulfilled than those in hospital care. There was equivalence of burnout between the groups | High |
2023 Brazil | Barbosa and Alencar [21] Estresse Ocupacional em Profissionais da Atenção Primária de Saúde: Um Estudo de Caso em Região do Sertão Paraibano | Assess the phases of stress reported by primary healthcare professionals based on the Lipp stress symptom inventory | Qualitative Sample: 27 workers Settings: health units | Physical and psychological symptoms associated with exhaustion were found. Implementation of policies to reduce stress and exhaustion is suggested, thus reducing the risk of occupational accidents | Moderate |
2020 Tunisia | Kotti et al. [22] Burnout and occupational accident | Analyze the levels of burnout in victims of occupational accidents in the health sector | Cross-sectional Sample: 160 healthcare professionals Setting: n/a.* | Burnout was evidenced in 23.1% of victims of occupational accidents. High emotional exhaustion (46.9%), high depersonalization (36.3%) and low professional achievement (34.4%) were found. Nursing professionals with fewer years in the role and with secondary education were the most affected by burnout. There was an association between traumatic accidents (p = 0.012) and needlestick injuries (p = 0.009) and burnout | Moderate |
2010 USA | Halbesleben [23] The role of exhaustion and workarounds in predicting occupational injuries: a cross-lagged panel study of health care professionals | Reflect on the role of burnout in occupational injuries among healthcare professionals and possible solutions to reduce cases | Reflection Sample: n/a. Setting: n/a.* | Problem-solving processes with little evidence (alternative solutions) can lead to failures in nursing worker health safety systems. Strategies such as action research and workplace well-being programs can be useful resources for dealing with burnout, but approaches are suggested according to each worker’s needs and the characteristics of the health territory demands | Moderate |