Trabajo en equipo y desgaste profesional en trabajadores de la salud de un hospital público en Colombia

Ana C. Amaya-Arias , Fabián Jaimes , Jenny García-Valencia , .

Palabras clave: agotamiento psicológico, agotamiento profesional, personal de salud

Resumen

Introducción. Se ha descrito una posible relación entre el trabajo en equipo y el desgaste profesional en el personal de salud. Las variables implicadas se asocian con la seguridad de los pacientes.
Objetivo. Determinar y describir la relación entre el trabajo en equipo y el desgaste profesional en trabajadores de la salud de un hospital de tercer nivel de Colombia.
Materiales y métodos. Se trata de un estudio analítico, observacional, de corte transversal, con un muestreo por conveniencia de 510 sujetos. Para evaluar el desgaste profesional se aplicaron los cuestionarios TeamSTEPPS Teamwork Perceptions Questionnaire y Copenhagen Burnout Inventory; se diligenció uno adicional para los datos demográficos y laborales. Los datos se recolectaron de forma digital. Se hizo un análisis descriptivo en el que se comparó el trabajo en equipo y el desgaste profesional entre unidades, por ocupación y según el promedio de horas laborales semanales. Finalmente, se calcularon matrices de correlaciones con los puntajes de ambas pruebas.
Resultados. Se encontraron puntuaciones de trabajo en equipo que se consideran moderadas a altas. El 31,4 % de los trabajadores reportó niveles moderados o altos de desgaste profesional. No se encontraron diferencias significativas por sexo o unidad de trabajo. Se encontró una correlación con fuerzas de asociación bajas a moderadas que muestran una relación inversa entre las subescalas del TeamSTEPPS Teamwork Perceptions Questionnaire y el Copenhagen Burnout Inventory.
Conclusión. El trabajo en equipo y el desgaste profesional pueden tener una relación inversa, en la que un mejor trabajo en equipo resulta en una percepción menor de desgaste en los trabajadores de la salud. Los resultados de este estudio deben interpretarse con precaución debido a posibles sesgos.

Descargas

Los datos de descargas todavía no están disponibles.

Referencias bibliográficas

1. Jha A.K. Patient safety–A grand challenge for healthcare professionals and policymakers alike: Proceedings of the Roundtable at the Grand Challenges Meeting of the Bill and Melinda Gates Foundation. Berlin: Bill and Melinda Gates Foundation; 2018.

2. Schwendimann R, Blatter C, Dhaini S, Simon M, Ausserhofer D. The occurrence, types, consequences and preventability of in-hospital adverse events–A scoping review. BMC Health Serv Res. 2018;18:1-13. https://doi.org/10.1186/s12913-018-3335-z

3. Makary MA, Daniel M. Medical error—The third leading cause of death in the US. BMJ. 2016:353:i2139. https://doi.org/10.1136/bmj.i2139

4. Li Z, Lin F, Thalib L, Chaboyer W. Global prevalence and incidence of pressure injuries in hospitalized adult patients: A systematic review and meta-analysis. Int J Nurs Stud. 2020:105:103546. https://doi.org/10.1016/j.ijnurstu.2020.103546

5. World Health Organization. Global Patient Safety Action Plan 2021-2030: Towards eliminating avoidable harm in health care. Geneva: World Health Organization; 2021.

6. Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety–Development of a conceptual framework based on a systematic review. BMC Health Serv Res. 2016:16:281. https://doi.org/10.1186/s12913-016-1535-y

7. Deneckere S, Euwema M, Lodewijckx C, Panella M, Mutsvari T, Sermeus W, et al. Better interprofessional teamwork, higher level of organized care, and lower risk of burnout in acute health care teams using care pathways: A cluster randomized controlled trial. Med Care. 2013;51:99-107. https://doi.org/10.1097/MLR.0b013e3182763312

8. García-Campayo J, Puebla-Guedea M, Herrera-Mercadal P, Daudén E. Burnout síndrome and demotivation among health care personnel. Managing stressful situations: The importance of teamwork. Actas Dermosifiliogr. 2016;107:400-6. https://doi.org/10.1016/j.ad.2015.09.016

9. Cooper M, Makary MA. A comprehensive unit-based safety program (CUSP) in surgery: Improving quality through transparency. Surg Clin North Am. 2012;92:51-63. https://doi.org/10.1016/j.suc.2011.11.008

10. Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. The impact of non-technical skills on technical performance in surgery: A systematic review. J Am Coll Surg. 2012;214:214-30. https://doi.org/10.1016/j.jamcollsurg.2011.10.016

11. Tawfik DS, Sexton JB, Adair KC, Kaplan HC, Profit J. Context in quality of care: Improving teamwork and resilience. Clin Perinatol. 2017;44:541-52. https://doi.org/10.1016/j.clp.2017.04.004

12. McEwan D, Ruissen GR, Eys MA, Zumbo BD, Beauchamp MR. The effectiveness of teamwork training on teamwork behaviors and team performance: A systematic review and meta-analysis of controlled interventions. PLoS One. 2017;12:e0169604. https://doi.org/10.1371/journal.pone.0169604

13. Carayon P, Wetterneck TB, Rivera-Rodriguez AJ, Hundt AS, Hoonakker P, Holden R, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45:14-25. https://doi.org/10.1016/j.apergo.2013.04.023

14. Arora S, Sevdalis N. Systems approach to daily clinical care. Int J Surg. 2010;8:164-6. https://doi.org/10.1016/j.ijsu.2009.12.007

15. Almeida DPdS, Miclos PV. Nursing in primary health care: Association between leadership, psychological capital, and burnout implications. Rev Bras Enferm. 2022;75 (Suppl.3):e20210942. https://doi.org/10.1590/0034-7167-2021-0942

16. Dyrbye LN, Major-Elechi B, Hays JT, Fraser CH, Buskirk SJ, West CP. Relationship between organizational leadership and health care employee burnout and satisfaction. Mayo Clin Proc. 2020;95:698-708. https://doi.org/10.1016/j.mayocp.2019.10.041

17. Dyrbye LN, Major-Elechi B, Hays JT, Fraser CH, Buskirk SJ, West CP. Physicians’ ratings of their supervisor’s leadership behaviors and their subsequent burnout and satisfaction: A longitudinal study. Mayo Clin Proc. 2021;96:2598-605. https://doi.org/10.1016/j.mayocp.2021.01.035

18. Eckstrom E, Tilden VP, Tuepker A. Teamness, burnout, job satisfaction and decision making in the VA Centers of excellence in primary care education. J Interprof Educ Pract. 2020;19:100328. https://doi.org/10.1016/j.xjep.2020.100328

19. Wang W, Atingabili S, Mensah IA, Jiang H, Zhang H, Omari-Sasu AY, et al. Teamwork quality and health workers burnout nexus: A new insight from canonical correlation analysis. Hum Resour Health. 2022;20:52. https://doi.org/10.1186/s12960-022-00734-z

20. Mete M, Goldman C, Shanafelt T, Marchalik D. Impact of leadership behaviour on physician well-being, burnout, professional fulfilment and intent to leave: A multicentre cross-sectional survey study. BMJ Open. 2022;12:e057554. https://doi.org/10.1136/bmjopen-2021-057554

21. Wang Y, Huang J, You X. Personal resources influence job demands, resources, and burnout: A one-year, three-wave longitudinal study. Soc Behav Pers. 2016;44:247-58. https://doi.org/10.2224/sbp.2016.44.2.247

22. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001:52:397-422. https://doi.org/10.1146/annurev.psych.52.1.397

23. Quintero Silva LM. Componentes del burnout y trabajo colaborativo interdisciplinar en servicios de cuidados paliativos de Colombia (tesis). Bogotá: Universidad de los Andes; 2017.

24. García-Serna OE, Bedoya-Villegas JJ, Giraldo-Botero YA, Salazar-Gil MC. Estrategias de afrontamiento implementadas por los profesionales de enfermería para manejar el síndrome de burnout (tesis). Medellín: Corporación Universitaria Adventista; 2018.

25. Entin EB, Lai F, Barach P. Training teams for the perioperative environment: A research agenda. Surg Innov. 2006;13:170-8. https://doi.org/10.1177/1553350606294248

26. Hamm B, Pozuelo L, Brendel R. General hospital agitation management: Leadership theory and health care team best practices using TeamSTEPPS. J Acad Consult Liaison Psychiatry. 2022;63:213-24. https://doi.org/10.1016/j.jaclp.2021.10.007

27. Lundeen S, Padilla M. Communication and collaboration: Creating a culture of teamwork through the use of TeamSTEPPS strategies. J Obstet Gynecol Neonatal Nurs. 2013;42 (Suppl.1):S67-8.

28. Battles J, King H. TeamSTEPPS - Teamwork Perceptions Questionnaire (T-TPC) Manual. Washington, D.C.: American Institute for Research; 2010.

29. Amaya-Arias A, García-Valencia J, González D, Jaimes F. Trabajo en equipo, burnout y su relación con la seguridad de los pacientes del Hospital Universitario Hernando Moncaleano Perdomo de Neiva (tesis). Medellín: Universidad de Antioquia; 2023.

30. Molinero-Ruiz E, Basart Gómez-Quintero H, Moncada Lluis S. Fiabilidad y validez del Copenhagen Burnout Inventory para su uso en España. Rev Esp Salud Pública. 2013;87:165-79. https://doi.org/10.4321/S1135-57272013000200006

31. Creedy D, Sidebotham M, Gamble J, Pallant J, Fenwick J. Prevalence of burnout, depression, anxiety, and stress in Australian midwives: A cross-sectional survey. BMC Pregnancy Childbirth. 2017;17:13. https://doi.org/10.1186/s12884-016-1212-5

32. Cohen J. Statistical power analysis for the behavioral sciences. New York: Academic Press; 2013.

33. Jafari M, Ansari-Pour N. Why, when and how to adjust your p values? Cell J. 2019;20:604-7. https://doi.org/10.22074/cellj.2019.5992

34. Abdi H. Bonferroni and Šidák corrections for multiple comparisons. Encyclopedia of Measurement and Statistics. Thousand Oaks (CA): Sage; 2007.

35. Mazzanti Di Ruggiero MA. Declaración de Helsinki, principios y valores bioéticos en juego en la investigación médica con seres humanos. Rev Colomb Bioet. 2011;6:125-45.

36. Ministerio de Salud. Resolución 8430 de 1993: normas científicas, técnicas y administrativas para la investigación en salud. Bogotá: Ministerio de Salud; 1993.

37. Carson OM, Laird EA, Reid BB, Deeny PG, McGarvey HE. Enhancing teamwork using a creativity-focussed learning intervention for undergraduate nursing students - A pilot study. Nurse Educ Pract. 2018:30:20-6. https://doi.org/10.1016/j.nepr.2018.02.008

38. Dodge LE, Nippita S, Hacker MR, Intondi EM, Ozcelik G, Paul ME. Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2021;40:8-15. https://doi.org/10.1002/jhrm.21440

39. Matzke CM, DeGennaro R, Howie-Esquivel J. Incorporating TeamSTEPPS training to improve staff collaboration in an academic level I emergency and trauma center. Int Emerg Nurs. 2021:55:100959. https://doi.org/10.1016/j.ienj.2020.100959

40. Amaya-Arias AC, Idarraga D, Giraldo V, Gómez LM. Effectiveness of a program for improving teamwork in operanting rooms. Rev Colomb Anestesiol. 2015;43:68-75. https://doi.org/10.1016/j.rca.2014.09.006

41. Alahmari MA, Al Moaleem MM, Hamdi BA, Hamzi MA, Aljadaani AT, Khormi FA, et al. Prevalence of burnout in healthcare specialties: A systematic review using Copenhagen and Maslach Burnout Inventories. Med Sci Monit. 2022;28:e938798. https://doi.org/10.12659/MSM.938798

42. Majeed F, Liaqat N, Hussain MM, Iqbal A, Hashim I, Saleem M. Burnout among postgraduate residents using Copenhagen Burnout Inventory. J Ayub Med Coll Abbottabad. 2022;34:463-7. https://doi.org/10.55519/JAMC-03-9594

43. Ilić IM, Arandjelović M, Jovanović JM, Nešić MM. Relationships of work-related psychosocial risks, stress, individual factors and burnout - Questionnaire survey among emergency physicians and nurses. Med Pr. 2017;68:167-78. https://doi.org/10.13075/mp.5893.00516

44. Owens JA. Sleep loss and fatigue in healthcare professionals. J Perinat Neonatal Nurs. 2007;21:92-100. https://doi.org/10.1097/01.JPN.0000270624.64584.9d

45. Steffey M, Risselada M, Scharf V, Buote N, Zamprogno H, Winter A, et al. A narrative review of the impact of work hours and insufficient rest on job performance. Vet Surg. 2023;52:491-504. https://doi.org/10.1111/vsu.13943

46. Abhiram K, Tan BYQ, Tan M, Tan L, Sia C-H, Chua YX, et al. The effect of COVID-19 endemicity on the mental health of health workers. J Am Med Dir Assoc. 2022;23:405-413. e3. https://doi.org/10.1016/j.jamda.2022.01.059

47. Al Sabei SD, Labrague LJ, Al-Rawajfah O, AbuAlRub R, Burney IA, Jayapal SK. Relationship between interprofessional teamwork and nurses' intent to leave work: The mediating role of job satisfaction and burnout. Nurs Forum. 2022;57:568-76. https://doi.org/10.1111/nuf.12706

48. Mijakoski D, Karadzinska-Bislimovska J, Basarovska V, Minov J, Stoleski S, Angeleska N, et al. Work demands-burnout and job engagement - job satisfaction relationships: Teamwork as a mediator and moderator. Open Access Maced J Med Sci. 2015;3:176-83. https://doi.org/10.3889/oamjms.2015.024

49. Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - Development of a conceptual framework based on a systematic review. BMC Health Serv Res. 2016;16:281. https://doi.org 10.1186/s12913-016-1535-y

50. Rothman KJ, Greenland S, Lash TL. Modern epidemiology. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008.

51. Babbie ER. The practice of social research. Boston, MA: Cengage Learning; 2020.

52. Groves RM, Peytcheva E. The impact of non-response rates on non-response bias: A metaanalysis. Public Opin Q. 2008;72:167-89. https://doi.org/10.1093/poq/nfn011

Cómo citar
1.
Amaya-Arias AC, Jaimes F, García-Valencia J. Trabajo en equipo y desgaste profesional en trabajadores de la salud de un hospital público en Colombia. Biomed. [Internet]. 28 de marzo de 2025 [citado 21 de abril de 2025];45(1):64-79. Disponible en: https://revistabiomedica.org/index.php/biomedica/article/view/7240
Publicado
2025-03-28
Sección
Artículos originales

Métricas

Estadísticas de artículo
Vistas de resúmenes
Vistas de PDF
Descargas de PDF
Vistas de HTML
Otras vistas
Crossref Cited-by logo
QR Code

Datos de los fondos