César Carrillo-García

Job satisfaction among health care workers: the role of gender and age

OBJECTIVE to analyze the influence of gender and age on the quality of the professional lives of health care professionals at a university hospital. METHOD a total of 546 professionals completed a general questionnaire that measured sociodemographic variables and evaluated job satisfaction using a scale adopted from the NTP 394 Job Satisfaction scale and translated into Spanish. RESULTS overall, 77.2% of the professionals surveyed were satisfied with the work they perform. With regards to gender, we found overwhelming evidence of the feminization of practically all health care professions included in the study, with higher levels of job satisfaction among women than men. Regarding age, 20-30-year-olds and professionals over 61 years old showed higher satisfaction levels than did middle-aged professionals. Higher levels of dissatisfaction were reported by professionals between 41 and 50 years old. CONCLUSIONS we were able to detect the influence of gender and age on the level of job satisfaction, finding significant associations between job satisfaction and both of these variables. Generally, women expressed more satisfaction than men, and elderly professionals showed higher satisfaction compared to younger professionals. Management policies should focus on taking action to correct the conditions that produce dissatisfaction among certain groups of employees.OBJETIVO: analisar a influencia do genero e da idade na satisfacao no trabalho de profissionais da saude num hospital universitario. METODO: a amostra foi constituida por 546 profissionais, aos quais foi administrado um questionario generico, contendo variaveis sociodemograficas e um questionario especifico, o NTP 394: Satisfacao no Trabalho: Escala de Satisfacao Global adaptada e validada para o castelhano. RESULTADOS: de modo geral, 77,2% da amostra manifestou estar satisfeita com o trabalho que realiza. Quanto ao genero, foi evidenciada a feminizacao de praticamente todas as profissoes em saude, sem excecoes, sendo que as mulheres manifestaram niveis mais elevados de satisfacao. Com relacao a idade, as faixas etarias que manifestaram os niveis mais elevados de satisfacao foram entre 20 e 30 anos e acima de 61 anos. Em contrapartida, os profissionais entre 41 e 50 anos de idade apresentaram niveis de insatisfacao. CONCLUSOES: pode-se estabelecer a influencia do genero e da idade nos niveis de satisfacao no trabalho da amostra estudada, visto que foram identificadas associacoes significativas. Em relacao ao genero, as mulheres manifestaram estar mais satisfeitas e, com respeito a idade, os maiores niveis de satisfacao foram manifestos pelos participantes mais idosos. Sendo assim, as politicas de gestao devem focar na implantacao de acoes destinadas a melhorar as variaveis que se associam a insatisfacao.

Influencia del género y edad: satisfacción laboral de profesionales sanitarios

OBJECTIVE to analyze the influence of gender and age on the quality of the professional lives of health care professionals at a university hospital. METHOD a total of 546 professionals completed a general questionnaire that measured sociodemographic variables and evaluated job satisfaction using a scale adopted from the NTP 394 Job Satisfaction scale and translated into Spanish. RESULTS overall, 77.2% of the professionals surveyed were satisfied with the work they perform. With regards to gender, we found overwhelming evidence of the feminization of practically all health care professions included in the study, with higher levels of job satisfaction among women than men. Regarding age, 20-30-year-olds and professionals over 61 years old showed higher satisfaction levels than did middle-aged professionals. Higher levels of dissatisfaction were reported by professionals between 41 and 50 years old. CONCLUSIONS we were able to detect the influence of gender and age on the level of job satisfaction, finding significant associations between job satisfaction and both of these variables. Generally, women expressed more satisfaction than men, and elderly professionals showed higher satisfaction compared to younger professionals. Management policies should focus on taking action to correct the conditions that produce dissatisfaction among certain groups of employees.OBJETIVO: analisar a influencia do genero e da idade na satisfacao no trabalho de profissionais da saude num hospital universitario. METODO: a amostra foi constituida por 546 profissionais, aos quais foi administrado um questionario generico, contendo variaveis sociodemograficas e um questionario especifico, o NTP 394: Satisfacao no Trabalho: Escala de Satisfacao Global adaptada e validada para o castelhano. RESULTADOS: de modo geral, 77,2% da amostra manifestou estar satisfeita com o trabalho que realiza. Quanto ao genero, foi evidenciada a feminizacao de praticamente todas as profissoes em saude, sem excecoes, sendo que as mulheres manifestaram niveis mais elevados de satisfacao. Com relacao a idade, as faixas etarias que manifestaram os niveis mais elevados de satisfacao foram entre 20 e 30 anos e acima de 61 anos. Em contrapartida, os profissionais entre 41 e 50 anos de idade apresentaram niveis de insatisfacao. CONCLUSOES: pode-se estabelecer a influencia do genero e da idade nos niveis de satisfacao no trabalho da amostra estudada, visto que foram identificadas associacoes significativas. Em relacao ao genero, as mulheres manifestaram estar mais satisfeitas e, com respeito a idade, os maiores niveis de satisfacao foram manifestos pelos participantes mais idosos. Sendo assim, as politicas de gestao devem focar na implantacao de acoes destinadas a melhorar as variaveis que se associam a insatisfacao.

An exploratory study of the relationship between resilience, academic burnout and psychological health in nursing students

Objectives: The purpose of this study was to examine the relationship between resilience, academic burnout and psychological health in a sample of nursing students. Method/Design: A descriptive and cross-sectional design was applied, with questionnaires as tools. Participants: The convenience sample consisted of 113 nursing students in their final academic year, who voluntarily participated in the study. Results: The results indicated a statistically significant relationship between resilience and both emotional exhaustion (r = −.55; p < .01) and psychological health (r = −.62; p < .01), as well as between all three dimensions of burnout and psychological health. Hierarchical multiple regression analysis indicated that high scores for resilience and low scores for emotional exhaustion predict better perceived psychological health [F(2.96) = 17.75; p < .001]. Conclusions: Resilience was associated with lower levels of psychological discomfort and academic burnout. These findings highlight the importance of developing resilience and integrating it as an element in the nursing educational programme.

Influência do gênero e da idade: satisfação no trabalho de profissionais da saúde

OBJECTIVE to analyze the influence of gender and age on the quality of the professional lives of health care professionals at a university hospital. METHOD a total of 546 professionals completed a general questionnaire that measured sociodemographic variables and evaluated job satisfaction using a scale adopted from the NTP 394 Job Satisfaction scale and translated into Spanish. RESULTS overall, 77.2% of the professionals surveyed were satisfied with the work they perform. With regards to gender, we found overwhelming evidence of the feminization of practically all health care professions included in the study, with higher levels of job satisfaction among women than men. Regarding age, 20-30-year-olds and professionals over 61 years old showed higher satisfaction levels than did middle-aged professionals. Higher levels of dissatisfaction were reported by professionals between 41 and 50 years old. CONCLUSIONS we were able to detect the influence of gender and age on the level of job satisfaction, finding significant associations between job satisfaction and both of these variables. Generally, women expressed more satisfaction than men, and elderly professionals showed higher satisfaction compared to younger professionals. Management policies should focus on taking action to correct the conditions that produce dissatisfaction among certain groups of employees.OBJETIVO: analisar a influencia do genero e da idade na satisfacao no trabalho de profissionais da saude num hospital universitario. METODO: a amostra foi constituida por 546 profissionais, aos quais foi administrado um questionario generico, contendo variaveis sociodemograficas e um questionario especifico, o NTP 394: Satisfacao no Trabalho: Escala de Satisfacao Global adaptada e validada para o castelhano. RESULTADOS: de modo geral, 77,2% da amostra manifestou estar satisfeita com o trabalho que realiza. Quanto ao genero, foi evidenciada a feminizacao de praticamente todas as profissoes em saude, sem excecoes, sendo que as mulheres manifestaram niveis mais elevados de satisfacao. Com relacao a idade, as faixas etarias que manifestaram os niveis mais elevados de satisfacao foram entre 20 e 30 anos e acima de 61 anos. Em contrapartida, os profissionais entre 41 e 50 anos de idade apresentaram niveis de insatisfacao. CONCLUSOES: pode-se estabelecer a influencia do genero e da idade nos niveis de satisfacao no trabalho da amostra estudada, visto que foram identificadas associacoes significativas. Em relacao ao genero, as mulheres manifestaram estar mais satisfeitas e, com respeito a idade, os maiores niveis de satisfacao foram manifestos pelos participantes mais idosos. Sendo assim, as politicas de gestao devem focar na implantacao de acoes destinadas a melhorar as variaveis que se associam a insatisfacao.

Episiotomy and its relationship to various clinical variables that influence its performance

Objetivo: conhecer a taxa de episiotomia e sua relacao com diferentes variaveis clinica. Metodo: e Estudo descritivo, transversal e analitico de 12.093 partos em um hospital terciario. Variaveis: paridade, idade gestacional, inicio do parto, uso de analgesia epidural, uso de oxitocina, posicao durante expulsao do feto, peso do neonato e finalizacao do parto. A analise foi feita com o SPSS 19.0. Resultados: a porcentagem global de episiotomias foi de 50%. As variaveis clinicas que apresentaram uma associacao significativa foram: primiparidade (RR=2,98), idade gestacional >; 41 semanas (RR=1,2), inicio do parto estimulado ou induzido (RR=1,33), uso de analgesia epidural (RR=1,95), uso de ocitocina (RR=1,58), posicao de litotomia durante a expulsao fetal (RR=6,4) e instrumentacao (RR=1,84). Por outro lado, idade materna ≥ 35 anos (RR=0.85) e peso do neonato < 2500 g (RR=0,8) estao associados a uma menor incidencia de episiotomia. Conclusoes: a episiotomia depende de intervencoes obstetricas feitas durante o parto. Se desejarmos reduzir a taxa de episiotomia, sera necessario manter em mente esses fatores de risco para estabelecer politicas para reduzir esse procedimento.Objective: to understand the episiotomy rate and its relationship with various clinical variables. Method: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0. Results: the global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy. Conclusions: episiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure.

Nivel de estrés del personal de enfermería de la Unidad de Cuidados Intensivos de un hospital clínico universitario

The objective was to determine the work stress level among nursing staff in the Intensive Care Unit of a university hospital and to analyse its relationship with the various sociodemographic and working variables of the studied sample. A study was designed using a quantitative, descriptive and cross-sectional approach. The target population of the study was the nursing staff selected by non-random sampling. The instrument used was the Job Content Questionnaire. Data analysis was performed using SPSS 20. The mean, ranges and standard deviation for each of the variables were calculated. A bivariate analysis was also performed on the social and occupational variables of the sample. The participation rate was 80.90% (N=89). The mean of the Social support dimension was 3.13±0.397, for the Psychological demands at work dimension it was 3.10±0.384, with a mean of 2.96±0.436 being obtained for the Control over the work dimension. In the analysis of sociodemographic and work variables of the sample, only the professional category was significant, with nurses recording higher values in perception of job demands and control over their work compared to nursing assistants. In conclusion, there is a moderate perception of work stress in the analysed group of professionals. Among the sources of stress in the workplace was the low control in decision-making by practitioners, as well as the need to continually learn new things. On the other hand, the support received from colleagues is valued positively by the sample.

The moderating role of resilience in the relationship between academic burnout and the perception of psychological health in nursing students

The objective of this study was to analyse the role of resilience in the dimensions of academic burnout syndrome and psychological health in a sample of nursing students. A battery of questionnaires was administered to 218 nursing students, all of whom were in the second year of their degree at the University of Murcia (Spain). The applied protocol used the CD-RISC 10 scale for the measurement of resilience, the burnout scale MBI, and the GHQ-12 questionnaire to assess psychological health. The findings showed a significant relationship between resilience and burnout, emotional exhaustion and self-efficacy, as well as with psychological health. Moreover, three burnout dimensions were found to be significantly linked to psychological health in the way we had predicted. A stepwise regression analysis indicated the moderating role of resilience on psychological health in emotionally exhausting situations. We conclude that the psychological characteristic resilience moderated the effect of emotional exhaustion on the psychological health of the students. The practical implications of the results are discussed in order to introduce measures for the proper training of nursing students for professional practice; we also make several suggestions for future research in this field.

Impact of support networks for breastfeeding: A multicentre study

BACKGROUND The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life. OBJECTIVES The aim of this project is to determine, assess and identify the real impact of breastfeeding support networks in Murcia (Spain). METHODS After searching unsuccessfully for a validated questionnaire, a specific one was developed and validated for measuring the impact of formal and informal support networks through five dimensions: satisfaction, consultation, experience, problems and support. The questionnaire was provided to 500 mothers with experience in breastfeeding, who brought their children to baby paediatricians between 2 June and 27 November 2014. Upon completion of the survey and fieldwork, a detailed statistical analysis was conducted. RESULTS The degree of satisfaction perceived by the users of the services of support breastfeeding networks is remarkable. In addition, mothers who clarified their doubts and discussed their problems with health professionals and/or breastfeeding support networks were more likely to breastfeed for a longer duration compared to those who did not (p=0.005). Furthermore, mothers who sought support in breastfeeding are more likely to breastfeed for more than 6 months (p<0.0005). CONCLUSION Based on this information, we conclude that breastfeeding support networks have a positive influence in the duration of a womens decision to breastfeed.

La episiotomía y su relación con distintas variables clínicas que influyen en su realización

Objetivo: conhecer a taxa de episiotomia e sua relacao com diferentes variaveis clinica. Metodo: e Estudo descritivo, transversal e analitico de 12.093 partos em um hospital terciario. Variaveis: paridade, idade gestacional, inicio do parto, uso de analgesia epidural, uso de oxitocina, posicao durante expulsao do feto, peso do neonato e finalizacao do parto. A analise foi feita com o SPSS 19.0. Resultados: a porcentagem global de episiotomias foi de 50%. As variaveis clinicas que apresentaram uma associacao significativa foram: primiparidade (RR=2,98), idade gestacional >; 41 semanas (RR=1,2), inicio do parto estimulado ou induzido (RR=1,33), uso de analgesia epidural (RR=1,95), uso de ocitocina (RR=1,58), posicao de litotomia durante a expulsao fetal (RR=6,4) e instrumentacao (RR=1,84). Por outro lado, idade materna ≥ 35 anos (RR=0.85) e peso do neonato < 2500 g (RR=0,8) estao associados a uma menor incidencia de episiotomia. Conclusoes: a episiotomia depende de intervencoes obstetricas feitas durante o parto. Se desejarmos reduzir a taxa de episiotomia, sera necessario manter em mente esses fatores de risco para estabelecer politicas para reduzir esse procedimento.Objective: to understand the episiotomy rate and its relationship with various clinical variables. Method: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0. Results: the global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy. Conclusions: episiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure.

Episiotomia e sua relação com diferentes variáveis cínicas que influenciam sua realização

Objetivo: conhecer a taxa de episiotomia e sua relacao com diferentes variaveis clinica. Metodo: e Estudo descritivo, transversal e analitico de 12.093 partos em um hospital terciario. Variaveis: paridade, idade gestacional, inicio do parto, uso de analgesia epidural, uso de oxitocina, posicao durante expulsao do feto, peso do neonato e finalizacao do parto. A analise foi feita com o SPSS 19.0. Resultados: a porcentagem global de episiotomias foi de 50%. As variaveis clinicas que apresentaram uma associacao significativa foram: primiparidade (RR=2,98), idade gestacional >; 41 semanas (RR=1,2), inicio do parto estimulado ou induzido (RR=1,33), uso de analgesia epidural (RR=1,95), uso de ocitocina (RR=1,58), posicao de litotomia durante a expulsao fetal (RR=6,4) e instrumentacao (RR=1,84). Por outro lado, idade materna ≥ 35 anos (RR=0.85) e peso do neonato < 2500 g (RR=0,8) estao associados a uma menor incidencia de episiotomia. Conclusoes: a episiotomia depende de intervencoes obstetricas feitas durante o parto. Se desejarmos reduzir a taxa de episiotomia, sera necessario manter em mente esses fatores de risco para estabelecer politicas para reduzir esse procedimento.Objective: to understand the episiotomy rate and its relationship with various clinical variables. Method: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0. Results: the global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy. Conclusions: episiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure.