Banca de DEFESA: JULIANA PONTES SOARES

BURNOUT SYNDROME: AN ANALYSIS OF WORKERS WHO WORK IN HEALTH MANAGEMENT DURING THE COVID-19 PANDEMIC

Psychological Exhaustion. COVID-19. Mental health. Worker's health. Management.

Introduction: Burnout is a work-related psychological syndrome. During the Covid-19 pandemic, its increase was observed in several work spaces. Objective: To investigate the use of the Maslach Burnout Inventory scale and the existence of Burnout Syndrome in health managers, with a view to understanding the influence of work on the mental health of these professionals during the COVID-19 pandemic. Method: Quantitative and qualitative study developed in five stages: 1) Integrative Review, carried out to understand the effects and consequences of working conditions during the COVID-19 pandemic on the mental health of health professionals, highlighting the factors that may be associated with the development of burnout syndrome. IRaMuTeQ was used and through Descending Hierarchical Classification a dendrogram with 6 classes was obtained. 2) Scope Review Protocol and 3) Scope Review. Through the protocol and the review, it was possible to identify and map studies that used the Maslach Burnout Inventory to assess Burnout Syndrome in health professionals who work in public health services. Developed in accordance with the criteria of the JBI Institute Reviewer’s Manual and guided by PRISMA-ScR. 4) Observational, cross-sectional, quantitative study, designed to investigate the prevalence of Burnout Syndrome and associated factors in public health managers during the COVID-19 pandemic. A sociodemographic/occupational questionnaire and the Maslach Burnout Inventory were used. Analysis performed using descriptive statistics with presentation of simple and absolute frequency. Bivariate statistics were performed using Pearson's chi-square test. Text data were analyzed and expressed visually by word clouds. 5) Descriptive, qualitative study to identify perceptions of professional health managers regarding the repercussion of their position on their mental health and strategies used to deal with adversities at work. Remote interviews were conducted. IRaMuTeQ was used and through Descending Hierarchical Classification a dendrogram with 6 classes was obtained. Results: The first study showed professional experience, working conditions, financial situation, relationship between work and family, fear of contamination and transmission of the disease as factors associated with Burnout. The protocol guided the scope review, 55 studies were selected, published between 1999 and 2021 in 32 countries, developed mostly in Brazil, with physicians, 22 versions of the Maslach Burnout Inventory were identified with different items, likerts and cutoff points. Included studies had recommendations and implications for clinical practice. Fourth study showed a prevalence of Burnout of 12.6%. Not having children, being partially qualified for the position, not feeling valued at work, were factors associated with the syndrome. A fifth study showed insufficient human resources, inadequate work environment and excessive demands, as stressors. As strategies to deal with adversities: participatory management, listening to people, meetings and access to Worker's Health Assistance Services. Conclusion: Studies have shown a higher prevalence of Burnout in managers, when compared to the pre-pandemic period, associated factors and strategies used to deal with adversities at work. The results may contribute to the development of strategies to promote and protect the mental health of these professionals.