Burnout Syndrome in Family Health Strategy Managers

Porciuncula, Alice Mariz; Venâncio, Sandra Aparecida; Silva, Cosme Marcelo Furtado Passos da

doi:10.1590/1413-81232020254.22072018

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FREE THEMES • Ciênc. saúde coletiva 25 (4) • Mar 2020 • https://doi.org/10.1590/1413-81232020254.22072018 copy

Burnout Syndrome in Family Health Strategy Managers

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This paper analyzed the Burnout Syndrome (BS) among the managers of the Family Health Strategy (ESF) in the city of Rio de Janeiro and its associations with factors that influence the presence/absence of BS among these professionals. This is a descriptive study that used data from a questionnaire consisting of two parts: 1) manager profile and factors that could influence the presence of Burnout; 2) Maslach Burnout Inventory. The return rate was 63.5% (143) of the 225 questionnaires sent. The ESF managers are generally nurses (68.6%), young (63.6% under 39 years) female (76.9%), who have acted as managers for less than 5 years (85.2%). A BS presence was identified in 11.2% of the managers. The factors of an organizational nature were those that obtained the highest number of variables with an association. These data point to the need to make changes in the organizational practices of services and changes in work processes. Further studies on these issues can contribute to this.

Key words
Burnout; Primary Health Care; Health Manager

Realms	Questions	Level
Realms	Questions	Low	Medium	High
Emotional Exhaustion	1, 2, 3, 6, 8, 13, 14 16 and 20	< 24	24-31	> 31
Depersonalization	5, 10, 11, 15 and 22	<9	09-12	> 12
Professional achievement	4,7, 9, 12, 17, 18, 19 and 21	< 32	32-35	> 35

	n^* * Absolute number.	%
Age	141	100,0
20-29 years	30	21.3
30-39 years	75	53.2
40-49 years	23	16.3
50 or more years	13	9.2
Did not reply	2	-
Gender	143	100.0
Female	110	76.9
Male	33	23.1
Marital status	143	100.0
Married	71	49.7
Divorced	16	11.2
Single	55	38.4
Widowed	1	0.7
Children	143	100.0
Yes	77	53.8
No	66	46.2
Profession	137	100.0
Nurse	94	68.6
Dentist	16	11.7
Social worker	7	5.1
Nutritionist	6	4.4
Physiotherapist	5	3.6
Psychologist	3	2.2
Pharmacist	2	1.5
Doctor	2	1.5
Speech therapist	1	0.7
Biologist	1	0.7
Did not reply	6	-
Has another job	143	100.0
No	105	73.4
Yes	38	26.6
Length of service in management
< 2 years	50	35.2
2 years to < 5 years	71	50.0
5 years or more	21	14.8
Working in an armed violence area	143	100.00
No	63	44.1
Yes	80	55.9
Sim	80	55,9

		n	%
Emotional Exhaustion	Low	48	33.6
	Moderate	53	37.0
	High	42	29.4
Depersonalization	Low	48	33.6
	Moderate	59	41.2
	High	36	25.2
Professional achievement	Low	47	32.8
	Moderate	50	35.0
	High	46	32.2

			Total		Without Burnout		With Burnout		P
			n	%	n	%	N	%	P
Individual	Age group	20-29 years	30	21.3	25	83.3	5	16.7	0.043
		30-39 years	75	53.2	64	85.3	11	14.7
		40 years or more	36	25.5	36	100.0	0	0.0
	Showed symptoms of anxiety after assuming managerial position	Yes	24	26.1	18	75.0	6	25.0	0.019
		No	68	73.9	109	91.6	10	8.4	0.019
	Considers himself/herself an overly involved professional	Yes	133	93.0	120	90.2	13	9.8	0.050
	Considers himself/herself an overly involved professional	No	10	7.0	7	70.0	3	30.0	0.050
Characteristics of facilities	Experiences conflicts	Occasionally/rarely/never	48	33.6	47	97.9	1	2.1	0.014
	Experiences conflicts	Always/frequently	95	66.4	80	84.2	15	15.8	0.014
	Works in an area with the presence of armed violence	Yes	80	55.9	66	82.5	14	17.5	0.007
	Works in an area with the presence of armed violence	No	63	44.1	61	96.8	2	3.2	0.007
Organizational characteristics	Considers number of demands requested as per responsiveness	Well below/below/as per responsiveness	67	46.9	66	98.5	1	1.5	0.001
	Considers number of demands requested as per responsiveness	Well above/above	76	53.1	61	80.3	15	19.7	0.001
	Considers number of responsibilities as per responsiveness	Below/as per responsiveness	70	49.0	67	95.7	3	4.3	0.010
	Considers number of responsibilities as per responsiveness	Well above/above	73	51.0	60	82.2	13	17.8	0.010
	Considers deadlines required as sufficient	Occasionally/rarely/never	114	79.7	98	86.0	16	14.0	0.032
	Considers deadlines required as sufficient	Always/frequently	29	20.3	29	100.0	0	0.0	0.032
	Has autonomy in decision-making	High/total	79	55.3	76	96.2	3	3.8	0.002
	Has autonomy in decision-making	Partial/No	64	44.7	51	79.7	13	20.3	0.002
	Deems support instruments as	Insufficient/not available	87	60.8	72	82.8	15	17.2	0.004
	Deems support instruments as	Sufficient/indifferent	56	39.2	55	98.2	1	1.8	0.004
	It is supported institutionally by the contracting social organization	Occasionally/rarely/never	54	37.8	44	81.5	10	18.5	0.030
		Always/frequently	89	62.2	83	93.3	6	6.7	0.030
	Feels supported institutionally by the Coordination Office of the Programmatic Area (local territorial support)	Occasionally/rarely/never	45	31.5	32	71.1	13	28.9	<0.001
		Always/frequently	98	68.5	95	96.9	3	3.1	<0.001
	Trusts the Social Organization	Occasionally/rarely/never	36	25.2	28	77.8	8	22.2	0.015
	Trusts the Social Organization	Always/frequently	107	74.8	99	92.5	8	7.5	0.015
	Trusts the Coordination Office of the Programmatic Area (local territorial support)	Occasionally/rarely/never	41	28.7	31	75.6	10	24.4	0.001
		Always/frequently	102	71.3	96	94.1	6	5.9	0.001
	Feels valued	Occasionally/rarely/never	94	65.7	78	83.0	16	17.0	0.002
	Feels valued	Always/frequently	49	34.3	49	100.0	0	0.0	0.002
	Believes in the possibility of career advancement	Partially/no	111	77.6	95	85.6	16	14.4	0.023
	Believes in the possibility of career advancement	Yes	32	22.4	32	100.0	0	0.0	0.023

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[1] Collaborations

AM Porciuncula worked on the conception and final writing. SA Venâncio worked on the conception and final writing. CMFP Silva worked on the methodology, results and final writing.