Cuidado perdido de enfermería y su relación con el síndrome de agotamiento profesional

M.F. Rabadán-Silva; R.A. Zárate-Grajales; L.Á. Benítez-Chavira

M.F. Rabadán-Silva Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas (Ciudad de México, México)
R.A. Zárate-Grajales Universidad Nacional Autónoma de México, Escuela Nacional de Enfermería y Obstetricia (Ciudad de México, México)
L.Á. Benítez-Chavira Universidad Nacional Autónoma de México, Escuela Nacional de Enfermería y Obstetricia (Ciudad de México, México)

Palabras clave: Agotamiento profesional, enfermería, cuidado perdido, cuidado dejado de lado, racionamiento implícito de la atención, cuidado sin terminar, México

Key-words: Burnout, professional, nursing, missed care, care left undone, implicit rationing of care, unfinished care, Mexico

Palavras chave: Esgotamento profissional, Enfermagem, cuidado perdido, cuidado deixados de lado, racionamento implícito da atenção, cuidado sem terminar, México

Resumen

Introducción: Actualmente el síndrome de agotamiento profesional y el cuidado perdido de enfermería (todo cuidado que se omite en parte o totalmente durante la atención) son problemas que afectan al profesional y al paciente disminuyendo la calidad y seguridad de los cuidados. El propósito de este artículo es analizar la evidencia de los informes que relacionan estos dos problemas y las soluciones propuestas. Objetivo: Identificar la relación entre el síndrome de agotamiento profesional y el cuidado perdido de enfermería con base en la literatura consultada, para reconocer las causas en común de los dos problemas y establecer posibles soluciones. Metodología: Revisión narrativa de la literatura, con una búsqueda realizada en marzo de 2019 en las bases de datos MEDLINE, LILACS, SCOPUS y SciELO, utilizando DeCS, MeSH y términos libres. Después de la lectura crítica de los documentos obtenidos, con base en los niveles de evidencia de la Joanna Briggs Institute y las guías CASPe, quedó una muestra de 14 artículos. Resultados y conclusiones: Se encontraron distintos informes acerca de la relación del cuidado perdido con el síndrome de agotamiento profesional, algunos sitúan el síndrome como predisponente para el cuidado perdido, unos más el agotamiento como resultado de la omisión y otros como mediadores para la calidad y la seguridad de la atención. Los autores coinciden en que los factores para la aparición del agotamiento y el cuidado perdido son el ambiente laboral deficiente y las fallas en las relaciones interprofesionales

Abstract

Introduction: Currently, the burnout syndrome and the nursing missed care (every care which is partially or totally omitted during nursing attention) are problems which have impacts on healthcare professionals and patients reducing the quality and safety of care. The purpose of this article is to analyze the evidence regarding the relationship between these two problems and the related proposed solutions. Objective: To identify the relationship between the burnout syndrome and nursing missed care based on the consulted literature in order to identify common causes to both, and propose possible solutions. Methodology: This a narrative review on the literature in the MEDLINE, LILACS, SCOPUS and SciELO using DeCS, MeSH, and free terms. The search was conducted in March, 2019. After the critical reading of the obtained documents, and based on the evidence levels proposed by the Joanna Briggs Institute, and on the CASPe guidelines, 14 articles were kept as the final sample. Results and Conclusions: Diverse reports regarding the relationship between the burnout syndrome and nursing missed care were found. Some of these place the burnout syndrome as a predisposing factor to nursing missed care, others refer burnout as a result of omission, while others suggest both factors mediate in the quality and safety of healthcare. The authors agree that factors which contribute to both burnout or missing care are unfavorable working environments and deficient interprofessional

Resumo

Introdução: Atualmente a síndrome de esgotamento profissional e o cuidado perdido de enfermagem (todos os cuidados que são parcial ou totalmente omitidos durante a atenção) são problemas que afetam o profissional e o paciente reduzindo a qualidade e segurança dos cuidados. O propósito deste artigo é analisar a evidência dos relatórios que relacionam estes dois problemas e as soluções propostas.Objetivo: Identificar a relação entre a síndrome de esgotamento profissional e a omissão de cuidados da enfermagem com base na literatura consultada, para reconhecer as causas em comum dos dois problemas e estabelecer possíveis soluções. Metodologia: Revisão narrativa da literatura, com uma busca realizada em março de 2019 nas bases de dados MEDLINE, LILACS, SCOPUS e SciELO, utilizando DeCS, MeSH e termos livres. Depois da leitura crítica dos documentos obtidos, com base nos níveis de evidência da Joanna Briggs Institute e as guias CASPe, restou uma amostra de 14 artigos. Resultados e conclusões: Encontraram-se distintos relatórios ao respeito da relação do cuidado perdido com a síndrome de esgotamento profissional, alguns situam a síndrome como fator predisponente para o cuidado perdido, alguns outros somados ao esgotamento como resultado da omissão e outros como mediadores para a qualidade e a segurança da atenção. Os autores concordam que os fatores para a aparição do esgotamento e o cuidado perdido são o ambiente laboral deficiente e as falhas nas relações interprofissionais

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Cuidado perdido de enfermería y su relación con el síndrome de agotamiento profesional

Nursing missed care and its relationship with burnout syndrome

Cuidado perdido de enfermagem e sua relação com a síndrome de esgotamento profissional

Resumen

Abstract

Resumo

Bibliografía