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RESUMEN Introducción: el síndrome de Burnout se define como una respuesta al estrés laboral crónico, integrado por actitudes y sentimientos negativos hacia las personas con las que se trabaja y hacia el propio rol profesional. Se considera como la fase avanzada del estrés profesional. Objetivos: evaluar la prevalencia del síndrome de Burnout en médicos residentes del área de medicina interna en un hospital de tercer nivel. Materiales y métodos: se realizó un estudio observacional, descriptivo y transversal mediante una encuesta en línea a través de Google Forms™, a médicos residentes del área de medicina interna aplicando el test Maslach Burnout Inventory (MBI). Resultados: de los 60 residentes, que incluyen a los de primer, segundo y tercer año, se obtuvo una participación de 71,6%. El 58,1% corresponde al sexo femenino y 41,9% al sexo masculino. El grupo etario con mayor participación (79,1%) tiene 26 a 30 años. Si se tiene en cuenta la presencia de 2 de 3 variables (cansancio emocional, despersonalización, falta de realización personal), la prevalencia de síndrome de Burnout fue 46,5% (20 de 43 encuestados). Conclusión: la prevalencia de síndrome de Burnout en base a 2 de sus 3 criterios fue 46,5%. ABSTRACT Introduction: Burnout syndrome is defined as a response to chronic work stress, made up of negative attitudes and feelings towards the people with whom one works and towards one's own professional role. It is considered as the advanced phase of professional stress. Objectives: To evaluate the prevalence of Burnout syndrome in internal medicine residents in a tertiary level hospital. Materials and methods: An observational, descriptive and cross-sectional study was carried out by means of an online survey through Google Forms™ applied to resident physicians in the area of internal medicine applying the Maslach Burnout Inventory (MBI) test. Results: Of the 60 residents, which include first, second and third-year students, 71.6% participated, 58.1% correspond to women and 41.9% to men. The age group with the highest participation (79.1%) is between 26 and 30 years old. If the presence of 2 of 3 variables is taken into account (emotional exhaustion, depersonalization, lack of personal fulfillment), the prevalence of Burnout syndrome was 46.5% (20 of 43 respondents). Conclusion: The prevalence of Burnout syndrome based on 2 of its 3 criteria was 46.5%.

La santé mentale des professionnels en relation d’aide est sous la loupe depuis plus d’une cinquantaine d’années grâce entre autres aux travaux de Freudenberger sur le sujet. En effet, exposés dans le cadre de leur travail aux expériences et vécus traumatiques des personnes et, à la nécessité d’y apporter une réponse, les professionnels de la santé et des services sociaux sont plus à risque de troubles tant physiques que psychologiques reliés au travail. Cet enjeu entraine une vulnérabilité des organisations à travers l’absentéisme et la perte du personnel qualifié, et affecte ainsi la fourniture et la qualité de service. Des avancées ont été faites et plusieurs concepts proposés pour tenter de mieux cerner le bien-être psychologique des professionnels en relation d’aide ont émergé. Ces avancées majoritairement en silo ne permettent cependant pas d’avoir une idée globale de la problématique. La présente thèse en utilisant un échantillon d’intervenants impliqués auprès de la protection de la jeunesse propose et teste un modèle intégrant les principaux concepts sur le sujet notamment l’épuisement professionnel, la qualité de vie professionnelle (incluant la fatigue et la satisfaction de compassion), le stress traumatique secondaire, le traumatisme vicariant ainsi que des troubles apparentés ou comorbides tels que le stress posttraumatique, la dépression et l’anxiété. Le modèle inclut les caractéristiques de l’environnement de travail et l’empathie comme facteurs reliés au bien-être psychologique en relation d’aide et explore le stress perçu comme modérateur potentiel dans ce cadre. L’objectif a été poursuivi par une démarche en trois étapes dont 1) la réduction et la validation de l’échelle ProQOL-5 servant à évaluer la qualité de vie professionnelle, principal concept utilisé dans les études de bien-être psychologique en relation d’aide 2) l’exploration d’une variable intégratrice empirique représentant le bien-être psychologique en relation d’aide à partir des principaux concepts y étant reliés (épuisement professionnel, qualité de vie professionnelle, stress traumatique secondaire, traumatisme vicariant, stess posttraumatique, dépression et anxiété), et enfin 3) l’exploitation de ces résultats pour définir et tester un modèle incluant l’environnement de travail et l’empathie comme facteurs reliés au bien-être psychologique, avec le stress perçu comme modérateur potentiel. Les analyses ont permis de proposer et valider une version réduite à 16 items de l’échelle de ProQOL-5 (contre 30) avec un alpha de Cronbach de 0,87. Il en ressort également que le bien-être psychologique des professionnels en relation d’aide semble bien, tel que défini par Stamm à travers le concept de qualité de vie professionnelle, être constitué d’une composante positive, le sens d’efficacité et de satisfaction, et de deux composantes négatives à savoir l’épuisement psychologique et le traumatisme. Par ailleurs, l’environnement de travail s’est révélé un facteur important en ayant un lien significatif avec chacune des trois composantes du bien-être psychologique. En ce qui concerne l’empathie, le souci empathique s’est révélé avoir un lien positif avec le sens d’efficacité et de satisfaction, et négatif avec l’épuisement psychologique et le traumatisme. Par contre, la détresse personnelle reliée à l’engagement empathique s’est révélée avoir un lien positif avec l’épuisement psychologique et le traumatisme. Le rôle du stress perçu comme modérateur a aussi pu être validé notamment sur les liens entre l’environnement de travail et l’épuisement psychologique, l’environnement de travail et le trauma, le souci empathique et l’épuisement psychologique et finalement la détresse personnelle liée à l’empathie et le trauma. Ces résultats permettent ainsi d’avoir en un portrait, une idée globale sur le bien-être psychologique des professionnels en relation d’aide et ses liens avec l’environnement de travail et l’empathie., The occupational mental health of child protection workers is of great concern since they are exposed directly and indirectly to traumatic experiences and involved people with special needs. In order to tailor efficient intervention programs to address this issue, one has to know the essence of the problem and which factors should be tackled. The present thesis proposed to use the major findings on studies on burnout, compassion fatigue, vicarious trauma, secondary traumatic stress, with the aim to propose and test a model that integrates these main concepts and well-documented factors (work environment, empathy, perceived stress) in the development of child protection workers’ occupational mental health. The objective was pursued by a three-step approach including 1) the reduction and validation of the ProQOL-5, the main scale used to assess the quality of professional life of social and healthcare professionals, 2) the exploration of an empirical variable representing the social and healthcare professionals’mental health based on the main concepts related to it (burnout, compassion and satisfaction fatigue, secondary traumatic stress, vicarious trauma, posttraumatic stress, anxiety, depression), and finally 3) the use of these results to define and test a model including environment characteristics and empathy as related factors, and perceived stress as a potential moderator. A sample of child protection workers was used for this purpose. A reduced version of ProQOL-5 with 16 items (compared to 30) was reached. This scale showed good psychometrics with a global Cronbach’s alpha of .87 and more precisely .86 for Compassion satisfaction, .82 for Burnout, and .74 for Secondary Traumatic Stress. Results also suggested that child protection workers’ mental health seems to consist of a positive component, the sense of efficacy and satisfaction, and two negative components, namely psychological exhaustion and trauma as proposed by Stamm (through the professional quality of life concept). Work environment characteristics and empathic concern appeared to have positive links with sense of satisfaction and efficacy in child protection workers and negative links with psychological exhaustion and trauma. Conversely, personal distress empathy was found to have positive links with psychological exhaustion and trauma, and negative link with the sense of satisfaction and efficacy of child protection workers. The results also showed that these relations were moderated by the level of perceived stress. These results gave an integrated portrait of what could be the child protection workers’mental health reality and the differentiated contribution of work environment and empathy. This can help to improve interventions targeting child protection workers’ mental health.

Objective: to develop a scope review protocol on parental burnout. Methodology: The protocol was developed based on Joanna Briggs Institute guidelines, as recommended by the Preferred Reporting Items for Systematic and Meta-Analyses-Extension for Scoping Reviews (PRISMA-SCR), registered in the Open Science Framework under no. osf.io/6sjtf/. It was established as a guiding question: What evidence is available in the literature on Parental Burnout? A detailed search strategy will be used using the Population (P) and Context (C) strategy in the Medline US National Library of Medicine National Institutes of Health, Science Direct, Scielo, APA PsycNet and Latin American and Caribbean Literature on Science databases. of health. Additional studies will be included from the gray literature. Two reviewers will screen the titles and abstracts, read the full texts and extract the data. The data will be presented in the form of a table, images and in a descriptive way. Objetivo: desarrollar un protocolo de revisión de alcance sobre el desgaste de los padres. Metodología: El protocolo se desarrolló con base en las directrices del Instituto Joanna Briggs, según lo recomendado por Preferred Reporting Items for Systematic and Meta-Analyses-Extension for Scoping Reviews (PRISMA-SCR), registrado en Open Science Framework con el n.º osf.io/6sjtf/. Se estableció como pregunta orientadora: ¿Qué evidencia se encuentra disponible en la literatura sobre el Burnout Parental?. Se utilizará una estrategia de búsqueda detallada utilizando la estrategia de Población (P) y Contexto (C) en las bases de datos Medline US National Library of Medicine National Institutes of Health, Science Direct, Scielo, APA PsycNet y Latin American and Caribbean Literature on Science. salud. Se incluirán estudios adicionales de la literatura gris. Dos revisores revisarán los títulos y resúmenes, leerán los textos completos y extraerán los datos. Los datos se presentarán en forma de tabla, imágenes y de forma descriptiva. Objetivo: elaborar um protocolo de revisão de escopo sobre o burnout parental. Metodologia: O protocolo foi elaborado com base nas orientações do Joanna Briggs Institute, conforme as recomendações do Preferred Reporting Itens for Systematic and Meta-Analyses-Extension for Scoping Reviews (PRISMA-SCR), registrado na Open Science Framework sob nº osf.io/6sjtf/. Foi estabelecida como pergunta norteadora: Quais as evidências disponíveis na literatura sobre o Burnout Parental?. Será utilizada uma estratégia de busca detalhada empregando a estratégia População (P) e Contexto (C) nas bases de dados Medline US National Library of Medicine National Institutes of Health, Science Direct, Scielo, APA PsycNet e Literatura Latino Americana e do Caribe em Ciências da Saúde. Estudos adicionais serão incluídos a partir da literatura cinzenta. Dois revisores triarão os títulos e os resumos, lerão os textos completos e extrairão os dados. Os dados serão apresentados na forma de quadro, imagens e de forma descritiva.

RESUMEN Introducción: La residencia es un periodo en la formación del médico muy diferente a lo aprendido en la universidad. Objetivo: evaluar el efecto de la actividad física en residentes de pediatría, sobre el Síndrome de Burnout. Materiales y Métodos: Estudio de intervención no aleatorizado controlado. Los residentes de Pediatría fueron asignados a recibir clases de Zumba 2 horas semanales por 10 semanas (grupo estudio) o ninguna intervención (grupo control). Se midió el Síndrome de Burnout utilizando el cuestionario Maslach Burnout Inventory pre y post intervención en ambos grupos. Otras variables estudiadas fueron: edad, género, actividad física y social, estructura familiar y años de residencia. Los datos fueron analizados con SPSS. Se consideró un error alfa inferior al 5%. El protocolo fue aprobado por el comité de ética del hospital, con consentimiento de los participantes. Resultados: Participaron 47 residentes, 23 en el grupo estudio y 24 en el grupo control. El Síndrome de Burnout pre- intervención fue 52,2 % y 37,5 % en el grupo estudio y el grupo control respectivamente p=0,31. Después de la intervención fue de 17,4 % y 45,8% en el grupo estudio y control respectivamente. OR: 0,25 (IC95% 0,65 -0,9) p=0,03. El beneficio absoluto fue del 35% y el número necesario para tratar 2,8. Conclusiones: El ejercicio físico 2 horas semanales mitigó el síndrome de burnout en residentes de Pediatría, con un beneficio absoluto del 35%. ABSTRACT Introduction: Residency is a period in the training of the doctor very different from what was learned at the university level. Objective: evaluate the effect of physical activity in pediatric residents regarding Burnout Syndrome. Materials and Methods: This was a non-randomized controlled intervention study. Pediatric residents were assigned to receive Zumba classes 2 hours per week for 10 weeks (study group) or no intervention (control group). Burnout Syndrome was measured using the Maslach Burnout Inventory questionnaire pre and post intervention in both groups. Other variables studied were: age, gender, physical and social activity, family structure and years of residence. The data were analyzed with SPSS. An alpha error of less than 5% was considered. The protocol was approved by the ethics committee of the hospital, with participants’ consent. Results: 47 residents participated, 23 in the study group and 24 in the control group. Pre-intervention Burnout Syndrome was 52.2% and 37.5% in the study group and the control group, respectively, p = 0.31. After the intervention it was 17.4% and 45.8% in the study and control group respectively. OR: 0.25 (95% CI 0.65 -0.9) p = 0.03. The absolute benefit was 35% and the number needed to treat 2.8. Conclusions: Physical exercise for 2 hours a week alleviated burnout syndrome in Pediatric residents, with an absolute benefit of 35%.

This is an integrative review that discusses how parental Burnout in the context of the COVID-19 pandemic may be related to child abuse. The search was carried out in the PubMed, SciELO, Web of Science, PsycINFO, CINAHL, LILACS and Google Scholar databases, using the descriptors "child violence", "psychological exhaustion", "COVID-19", “Health teaching” and related terms, together with the operators Booleans. The eleven selected articles deal with topics such as: families in the COVID-19 pandemic; impacts of COVID-19 and child abuse and social isolation from parents and; risk of child abuse during the COVID-19 pandemic. During the pandemic, parental stress, which is the main cause of Burnout, increased significantly due to unemployment, financial insecurity, low levels of social support, closing schools, decreasing leisure, increasing workload and responsibilities towards the family, which can lead to consequences such as child violence. Esta es una revisión integradora que discute cómo el Burnout parental en el contexto de pandemia de COVID-19 puede estar relacionado con el maltrato infantil. La búsqueda se realizó en PubMed, SciELO, Web of Science, PsycINFO, CINAHL, LILACS y Google Scholar, utilizando los descriptores “violencia infantil”, “agotamiento psicológico”, COVID-19, Enseñanza en Salud y términos relacionados, junto con los operadores booleanos. Los once artículos seleccionados tratan temas como: las familias en la pandemia del COVID-19; impactos de COVID-19 y abuso infantil y aislamiento social de los padres y; riesgo de maltrato infantil durante la pandemia de COVID-19. Durante la pandemia, el estrés de los padres, que es la principal causa del Burnout, aumentó significativamente debido al disminución del ocio, el aumento de la carga de trabajo y las responsabilidades hacia la familia, lo que puede traer consecuencias como violencia infantil. Trata-se de uma revisão integrativa que discute como o Burnout parental no contexto da pandemia de COVID-19 pode ter relação com os maus-tratos infantis. Realizou-se a busca nas bases PubMed, SciELO, Web of Science, PsycINFO, CINAHL, LILACS e Google Scholar, utilizando os descritores “violência infantil”, “esgotamento psicológico”, “COVID-19”, Ensino em saúde e termos relacionados, juntamente com os operadores booleanos. Os onze artigos selecionados tratam de temas como: famílias na pandemia COVID-19; impactos da COVID-19 e maus tratos infantis e isolamento social dos pais e; risco de maus-tratos infantis durante a pandemia de COVID-19. Durante a pandemia o estresse parental, que é o principal causador do Burnout, aumentou significativamente devido ao desemprego, à insegurança financeira, aos baixos índices de apoio social, ao fechamento de escolas, à diminuição do lazer, ao aumento da carga de trabalho e das responsabilidades para com a família, que pode ocasionar consequências como a violência infantil.

Introduction: Migration is a global phenomenon that must be recognized as a social determinant of health. In 2020, there were 280 million international migrants in the world. Undoubtedly, Mexico plays a fundamental role in transnational migration due to the large flow of migrants who transit through its borders. Research on mental health and migration suggests a high prevalence of mental disorders due to the conditions of the migration process; this scenario may be aggravated as result of the health contingency caused by COVID-19. Methodology: This research is intended to identify the relationship between the mental health of migrants, the migratory process, and the COVID-19 epidemic. Therefore, it is a qualitative study with a deductive approach. A sample evaluation of Central American migrants living in a shelter in Tabasco, Mexico in December 2020 was used. Results: Some factors impact the mental health of migrants in the place of origin and during transit (forced migration, persecution, and the lack of possibilities to achieve a decent standard of living...). Moreover, positive, and negative manifestations were reported in the dimensions of mental health, because of the migratory process and COVID-19. Conclusions: Migration has become an option for survival and well-being given the limited opportunities that exist in the regions of origin. Efforts must be made to develop migration and health policies that benefit this group. Unfortunately, some limitations of data collection emerged due to Covid 19. Finally, it is suggested to replicate the study among other areas of the southern border of Mexico with a high flow of migrants. RESUMEN La migración es un fenómeno mundial que se debe reconocer como un factor social determinante de la salud. En 2020 había en el mundo 280 millones de migrantes internacionales y México juega un papel fundamental para la migración transnacional debido al gran flujo de personas migrantes que transitan por sus fronteras. Las investigaciones sobre salud mental y migración sugieren una alta prevalencia de trastornos mentales, este es un escenario que puede empeorar debido a la contingencia por la COVID-19. Metodología: Esta investigación tuvo como objetivo identificar la relación entre la salud mental de las personas migrantes, con el proceso migratorio y la epidemia de COVID-19. Estudio cualitativo con enfoque deductivo. Se utilizó una muestra opinática de migrantes centroamericanas que habitaban en un refugio de Tabasco, México en diciembre de 2020. Resultados: Se reportaron manifestaciones positivas y negativas en las dimensiones de la salud mental debido al proceso migratorio y COVID-19. Conclusiones: Hay factores que impactan en la salud mental de los migrantes en el lugar de origen y durante su tránsito (migración forzada, persecución, falta de posibilidades para una vida digna...). La migración se ha convertido en una opción de supervivencia dadas las limitadas oportunidades que existen en las regiones de origen. Se deben realizar esfuerzos para desarrollar políticas migratorias y de salud que beneficien a este grupo. Debido a la epidemia surgieron limitaciones para la recolección de datos pero se sugiere replicar el estudio en otras zonas de la frontera sur de México con alto flujo de migrantes.

In early 2020, a pandemic state was decreed due to SARS-Cov-2, which resulted in the implementation of restrictive measures to control the disease, one of them being social isolation. This caused the mental health of the population to be affected, especially that of children. The aim of the study was to analyze the psychosocial impacts caused by this social isolation on children. This integrative literature review searched articles in the international database US National Library of Medicine (PubMed) and the Biblioteca Virtual em Saúde (BVS), using the Health Science Descriptors (DeCS): "COVID-19", "child", "infant", "social isolation", "quarantine, "health", "psychological exhaustion" and "review", applying the Booleans "AND", "OR" and "AND NOT". Twenty-one articles were selected, with the guiding question: What are the psychosocial impacts on children due to isolation resulting from the COVID-19 pandemic? The articles were gathered at four main themes: psychological changes; lifestyle habits; parental/family influence and school withdrawal, because the stress linked to the general exhaustion caused by confinement was expressive in girls and boys, which reflected several impacts resulting from social withdrawal. It was found that isolation brought negative and positive psychosocial repercussions in infants, since some parents sought family coping strategies during confinement. It is evident, therefore, the importance of greater attention with regard to the mental health status of children, in order to prevent future impasses. A principios de 2020, se decretó un estado pandémico debido al SARS-Cov-2, que resultó en la implementación de medidas restrictivas para controlar la enfermedad, una de ellas el aislamiento social. Esto provocó que la salud mental de la población se viera afectada, especialmente la de los niños. El objetivo del estudio fue analizar los impactos psicosociales causados por este aislamiento social en los niños. Esta revisión integradora de la literatura buscó artículos en la base de datos internacional US National Library of Medicine (PubMed) y la Biblioteca Virtual em Saúde (BVS), utilizando los Descriptores de Ciencias de la Salud (DeCS): "COVID-19", "niño", "niño", "aislamiento social", "cuarentena, "salud", "agotamiento psicológico" y "revisión", aplicando los booleanos "AND", "OR" y "Y NO". Se seleccionaron 21 artículos, con la pregunta guía: ¿Cuáles son los impactos psicosociales en los niños debidos al aislamiento resultante de la pandemia de COVID-19? Los artículos se agruparon en cuatro temas principales: cambios psicológicos; hábitos de estilo de vida; influencia parental/familiar y licencia escolar, porque el estrés relacionado con el agotamiento general causado por el confinamiento fue expresivo en niñas y niños, lo que reflejó varios impactos resultantes de la retirada social. Se encontró que el aislamiento trajo repercusiones psicosociales negativas y positivas en los bebés, ya que algunos padres buscaron estrategias de afrontamiento familiar durante el parto. Por lo tanto, es evidente la importancia de una mayor atención con respecto al estado de salud mental de los niños, a fin de evitar futuros estancamientos. No início de 2020 foi decretado estado pandêmico em virtude do SARS-Cov-2, o que resultou na implementação de medidas restritivas para o controle da doença, sendo uma delas o isolamento social. Isso fez com que a saúde mental da população fosse afetada, em especial a das crianças. O objetivo do estudo foi analisar os impactos psicossociais causados por esse isolamento social nas crianças. Essa revisão integrativa de literatura, buscou artigos na base de dados internacional US National Library of Medicine (PubMed) e na Biblioteca Virtual em Saúde (BVS), usando os Descritores em Ciência da Saúde (DeCS): “COVID-19”, “criança”, “infantil”, “isolamento social”, “quarentena, “saúde”, “esgotamento psicológico” e “revisão”, aplicando os booleanos “AND”, “OR” e “AND NOT”. Foram selecionados 21 artigos, tendo como questão norteadora: Quais os impactos psicossociais nas crianças devido ao isolamento decorrente da pandemia da COVID-19? Os artigos foram agrupados em quatro temas principais: alterações psicológicas; hábitos de vida; influência parental/familiar e afastamento escolar, pois o estresse vinculado ao esgotamento geral causado pelo confinamento foi expressivo nas meninas e nos meninos, os quais refletiram diversos impactos decorrentes do afastamento social. Foi constatado que o isolamento trouxe repercussões psicossociais negativas e positivas nos infantes, visto que alguns pais buscaram estratégias de enfrentamento familiar durante o confinamento. Evidencia-se, portanto, a importância de maior atenção no que diz respeito ao estado de saúde mental das crianças, a fim de prevenir futuros impasses.

fotografías a color, gráficas, ilustraciones, tablas En este estudio se presenta la descripción de un proceso musicoterapéutico enfocado en la promoción de la resiliencia (luego de la fase de valoración en la terapia se identificaron algunos factores fundamentales que podían promover la consecución del objetivo general), partiendo de fundamentos teórico-prácticos de la psicología humanista, el mindfulness y la psicología positiva; lo anterior, pensado como una forma de acompañamiento que contribuyera al bienestar, la salud y el autocuidado, significativos y duraderos, de 6 cuidadoras principales de niños diagnosticados con leucemia. En cuanto a la metodología de intervención y de investigación, se utilizaron las siguientes herramientas: entrevista, escala de resiliencia (ER) de Wagnild y Young (1993), protocolos de seguimiento de las sesiones y registros fílmicos y de audio; la información obtenida fue analizada para verificar la congruencia de las verbalizaciones con aspectos sonoro-musicales, dados a través de diferentes experiencias musicoterapéuticas, cuyo componente más usado fue la canción. El proceso musicoterapéutico se realizó del 31 de mayo al 28 de julio de 2021, en 16 sesiones, 14 en modalidad virtual y 2 de manera presencial. Se observaron resultados satisfactorios en las participantes atendidas, evidenciados en cambios del registro verbal, autopercepción, autoestima, autoeficacia y autocontrol emocional, y en general, en el aumento de emociones positivas respecto de la percepción del presente y del futuro. Los resultados observados sugieren que el uso de la musicoterapia asociada a principios de la psicoterapia humanista y el mindfulness, constituye un conjunto de estrategias pertinente para el acompañamiento psicológico de población cuidadora de pacientes oncológicos pediátricos. (Texto tomado de la fuente) This study presents the description of a music therapy process focused on promoting resilience (after the first analysis phase in therapy, some fundamental factors that could promote the achievement of the general objective were identified), starting from theoretical-practical basis of humanistic psychology, mindfulness and positive psychology; all that, thought as a form of accompaniment that would contribute to the welfare, health and self-care, significant and lasting, of 6 main caregivers of children diagnosed with leukemia. Regarding the research and intervention methodology, the following tools were used: interview, the Wagnild and Young (1993) resilience scale (RS), session monitoring protocols, film and audio records; The information obtained was analyzed to verify the congruence of the verbalizations with sound-musical aspects, given through different music therapy experiences, the most used component of which was the song. The music therapy process was carried out from May 31 to July 28, 2021, in 16 sessions, 14 in virtual mode and 2 in-person. Satisfactory results were observed in the female participants attended, evidenced in changes in the verbal register, self-perception, self-esteem, self-efficacy and emotional self-control, and in general, in the increase of positive emotions regarding the perception of the present and the future. The observed results suggest that the use of music therapy associated with the principles of humanistic psychotherapy and mindfulness, constitutes a pertinent set of strategies for the psychological accompaniment of the population caring for pediatric cancer patients. Fundación con la Ema de amor: Esta entidad brindó apoyo logístico (convocatoria) y material (papelería, elementos de trabajo para las experiencias, refrigerios), en los encuentros musicoterapéuticos construidos con las madres cuyos hijos se encontraban en hospitalización. Maestría Magíster en Musicoterapia El proyecto se enmarca en un estudio de tipo mixto, cuali-cuantitativo, descriptivo, de caso grupal, desde un abordaje de investigación fenomenológica y narrativa. Los sujetos de estudio son cuidadoras principales de sus hijos, diagnosticados con leucemia durante los dos últimos años, que se encuentran en tratamiento médico en la Fundación Hospital Infantil Universitario De San José, en Bogotá D.C., Colombia. Musicoterapia clínica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES Situations in which nurses are confronted with ethical issues, that end up causing conflicts and interfering with the quality of their work activities, can cause moral distress and thus threaten the health and well-being of nurses leading to illness, there may also be professional implications, such as the development of Burnout Syndrome. The present paper had as general objective the aim to analyze the relationship between Moral Distress and Burnout Syndrome in nurses at a University Hospital. And specific, to characterize the referred population regarding sociodemographic and labor data and analyze the occurring situations and manifestations of illnesses due to Moral Distress and Burnout Syndrome in the perception of hospital nurses. This is a quantitative-qualitative study, the population here approached consists in nurses from a University Hospital in the Southern region of Rio Grande do Sul, whom in the first stage, the quantitative cycle, had sociodemographic and labor instruments completed by the professionals, following Brazilian Scale of Moral Distress and the Maslach Burnout Inventory, data collection took place from April to July 2019. Data analysis was performed using descriptive and analytical statistics. The study was approved by the Research Ethics Committee under opinion number 049598. During second stage, the qualitative part, a semi-structured interview was carried out via google-meet, data collection was made from August to October 2021. As to the qualitative analysis, the Textual Discursive Analysis was used as referential. An association was noticed between moral distress, dimensions of Burnout Syndrome and Burnout constructs in which the intensity and frequency of Moral Suffering are associated with intense emotional distress, high depersonalization and low professional fulfillment. Furthermore, it was found that nurses with low professional achievement and high emotional distress have had a higher prevalence of Moral Distress. It was also possible to verify manifestations of illnesses related to burnout syndrome and moral distress at work in nurses. It was also possible to verify that work condition situations, team work and relationship issues, professional disrespect and knowledge of inappropriate care practices are related to the development of Moral Suffering and Burnout Syndrome. On the other hand, physical and psycho-emotional exhaustion, and dissatisfaction and intention to leave the job were listed as manifestations of illnesses among nurses. The present study has as contribution to research and nursing the identification of association links between both variables of illness, which are relevant to the hospital context in which it can emphasize nurses' health care. As situações em que os enfermeiros são confrontados com questões éticas, que acabam causando conflitos e interferindo na qualidade das atividades laborais, como estas, ocasionam sofrimento moral, e dessa forma ameaçam a saúde e o bem-estar dos enfermeiros e acarretam em seu adoecimento, podendo haver implicações para o profissional, como o desenvolvimento da Síndrome de burnout O presente estudo teve como objetivo geral: Analisar a relação entre o Sofrimento Moral e a Síndrome de Burnout em enfermeiros de um hospital universitário. E específicos: Caracterizar a população quanto dados sociodemográficos e laborais e analisar situações geradoras e as manifestações de adoecimento de Sofrimento Moral e Síndrome de Burnout na percepção de enfermeiros hospitalares. Trata-se de um estudo quanti-qualitativo, a população foi constituída por enfermeiros de um hospital universitário na região Sul do Rio Grande do Sul, os quais na primeira etapa, a quantitativa os profissionais preencheram os instrumentos sociodemográficos e laboral, a Escala Brasileira de Distresse Moral e o instrumento Maslach Burnout Inventory, a coleta de dados ocorreu no período de abril a julho de 2019. A análise dos dados ocorreu por meio de estatística descritiva e analítica. O estudo foi aprovado por Comitê de Ética em Pesquisa sob parecer 049598. Na segunda etapa, a qualitativa, foi realizada uma entrevista semiestruturada via google-meet, a coleta de dados ocorreu de agosto a outubro de 2021. Para a análise qualitativa, foi utilizado como referencial a Análise Textual Discursiva. Observou uma associação entre o sofrimento moral, as dimensões da síndrome de burnout e os constructos do Burnout em que a intensidade e a frequência de Sofrimento Moral estão associadas ao alto desgaste emocional, alta despersonalização e com a baixa realização profissional. Ainda, verificou-se que enfermeiros com baixa realização profissional e alto desgaste emocional apresentaram prevalência mais elevada para o Sofrimento Moral. Também foi possível verificar as manifestações de adoecimento no trabalho relacionadas a síndrome de burnout e sofrimento moral nos enfermeiros. oi possível compreender que as situações de condição de trabalho, relação na equipe, desrespeito do profissional, reconhecimento de práticas inadequadas do cuidado estão relacionados ao desenvolvimento de Sofrimento Moral e Síndrome de Burnout. Já o desgaste físico e psicoemocional, e a insatisfação e intenção de deixar o emprego foram elencadas como as manifestações de adoecimento entre os enfermeiros. O estudo teve como contribuição para a pesquisa e enfermagem, a identificação da associação entre as duas variáveis de adoecimento, as quais são relevantes para o contexto hospitalar em que possa dar ênfase na atenção à saúde do enfermeiro.

This study investigates the bibliographic production published in the scientific literature about the influence of stress on absenteeism among secondary and elementary school teachers. To construct the article, we consulted the PubMed, CAPES, and Virtual Health Library-BVS databases, using the descriptors "psychological stress"; "occupational stress"; "psychological burnout"; "sick leave"; "absenteeism"; "school teachers". The inclusion criteria for the articles were subjects related to stress in middle school and elementary school teachers; publications in indexed journals, between 2010 and 2020; and the exclusion criteria were duplicate publications in more than one database. Thus, 11 scientific articles published in Portuguese, English and Spanish were selected. Regarding stress and absenteeism, it was found that these occur due to psychological disorders or psychological suffering associated with work, lack of motivation, drop in productivity, and physical and mental illnesses. About the mechanisms to reduce stress, there is a need for investments in work environments such as the participation of teachers in organizational policies and the creation of prevention policies that contribute to the improvement of teachers' health. The concern of organizations and educational managers with the emotional health of teachers can reduce absenteeism due to health problems such as occupational stress. Este estudio investiga la producción bibliográfica publicada en la literatura científica sobre la influencia del estrés en el absentismo de los profesores de enseñanza media y primaria. Para la construcción del artículo, se consultaron las bases de datos PubMed, CAPES y Biblioteca Virtual de Salud-BVS, utilizando los descriptores "psychological stress"; "occupational stress"; "psychological exhaustion"; "sick leave"; "absenteeism"; "school teachers". Los criterios de inclusión de los artículos fueron temas relacionados con el estrés en profesores de secundaria y primaria; publicaciones en revistas indexadas, entre 2010 y 2020; y los criterios de exclusión fueron publicaciones duplicadas en más de una base de datos. Así, se seleccionaron 11 artículos científicos publicados en portugués, inglés y español. En cuanto al estrés y el absentismo, se constató que se producen por trastornos psicológicos o sufrimiento psicológico asociado al trabajo, falta de motivación, descenso de la productividad y enfermedades físicas y mentales. En cuanto a los mecanismos para reducir el estrés, es necesario invertir en los entornos de trabajo, como la participación de los profesores en las políticas organizativas y la creación de políticas de prevención que contribuyan a mejorar la salud de los profesores. La preocupación de las organizaciones y los gestores educativos por la salud emocional de los profesores puede reducir el absentismo por problemas de salud como el estrés laboral. Este estudo investiga a produção bibliográfica publicada na literatura científica, sobre a influência do estresse no absenteísmo de professores do ensino médio e fundamental. Para a construção do artigo, realizou-se consulta às bases de dados PubMed, CAPES e Biblioteca Virtual em Saúde-BVS, utilizando-se os descritores “estresse psicológico”; “estresse ocupacional”; “esgotamento psicológico”; “licença médica”; “absenteísmo”; “professores escolares”. Os critérios de inclusão dos artigos foram assuntos relacionados ao estresse em professores do ensino médio e fundamental; publicações em periódicos indexados, entre 2010 e 2020; e os critérios de exclusão foram publicações duplicadas em mais de uma base de dados. Assim, foram selecionados 11 artigos científicos, publicados nas línguas portuguesa, inglesa e espanhola. Em relação ao estresse e absenteísmo, verificou-se que ocorre em função de perturbações psicológicas ou sofrimento psíquico associados ao trabalho, falta de motivação, queda de produtividade e doenças físicas e mentais. Sobre os mecanismos para reduzir o estresse, há a necessidade de investimentos nos ambientes de trabalho como a participação dos professores nas políticas organizacionais e a criação de políticas de prevenção que contribuam com a melhoria para a saúde do professor. A preocupação das organizações e gestores educacionais com a saúde emocional dos professores pode reduzir os absenteísmos por problemas de saúde como o estresse ocupacional.

Burnout syndrome (BS) is present in the lives of many health professionals, as they are exposed to different situations of stress in the work environment. The objective of the research was to describe the BS in nurses and nursing technicians working in Basic Health Units and Hospitals in a city in the Southwest of Pará. The sample consisted of 109 professionals, of which 49 were nurses and 60 nursing technicians. Two data collection instruments were used: sociodemographic and health questionnaire and the Maslach Burnout Inventory (MBI) questionnaire. To verify the association between the classification of Burnout syndrome and sociodemographic data, the Chi-Square or Fisher's exact test was used, according to the test assumptions. SB was present in 12.8% of the participants, of which 64.3% are nurses. Regarding the dimensions of the MBI, 59.9% had low professional achievement, 42.2% had high emotional exhaustion and 58.7% had moderate depersonalization. The emotional exhaustion dimension was the one with the highest percentage at the high level, when compared to depersonalization (27.5%) and professional fulfillment (2.8%). No statistical differences were identified in the association of dimensions with sociodemographic data. Professional exhaustion was associated with undergoing treatment for depression (p=0.05), practicing physical activity (p=0.01), feeling about work (p=0.04) and having suffered some type of violence at work (p=0.03). Depersonalization was associated with religion (p=0.01), feeling towards work (p=0.02), having suffered some type of violence at work (p=0.01) and believing to be affected by BS (p =0.03), while personal fulfillment was associated with religion (p=0.03). The development of actions aimed at promoting the health and well-being of these professionals is important considering the Covid-19 pandemic moment. El síndrome de Burnout (SB) está presente en la vida de muchos profesionales de la salud, ya que están expuestos a diferentes situaciones de estrés en el entorno laboral. El objetivo de la investigación fue describir el BS en enfermeros y técnicos de enfermería que laboran en Unidades Básicas de Salud y Hospitales de una ciudad del Suroeste de Pará, la muestra estuvo conformada por 109 profesionales, de los cuales 49 eran enfermeros y 60 técnicos de enfermería. Se utilizaron dos instrumentos de recolección de datos: cuestionario sociodemográfico y de salud y cuestionario Maslach Burnout Inventory (MBI). Para verificar la asociación entre la clasificación del síndrome de Burnout y los datos sociodemográficos se utilizó la prueba de Chi-Cuadrado o la prueba exacta de Fisher, según los supuestos de la prueba. SB estuvo presente en el 12,8% de los participantes, de los cuales el 64,3% son enfermeros. En cuanto a las dimensiones del MBI, el 59,9% tenía bajo rendimiento profesional, el 42,2% tenía alto agotamiento emocional y el 58,7% tenía una despersonalización moderada. La dimensión de agotamiento emocional fue la de mayor porcentaje en el nivel alto, en comparación con la despersonalización (27,5%) y la realización profesional (2,8%). No se identificaron diferencias estadísticas en la asociación de dimensiones con datos sociodemográficos. El agotamiento profesional se asoció a recibir tratamiento por depresión (p = 0,05), practicar actividad física (p = 0,01), sentir el trabajo (p = 0,04) y haber sufrido algún tipo de violencia en el trabajo (p = 0,03). La despersonalización se asoció a la religión (p = 0,01), sentimiento hacia el trabajo (p = 0,02), haber sufrido algún tipo de violencia en el trabajo (p = 0,01) y creerse afectado por BS (p = 0,03), mientras que la realización personal fue asociado a la religión (p = 0,03). El desarrollo de acciones dirigidas a promover la salud y el bienestar de estos profesionales es importante considerando el momento de la pandemia Covid-19. A síndrome de Burnout (SB) está presente na vida de vários profissionais da saúde, pois estão expostos a diversas situações de estresse no ambiente de trabalho. O objetivo da pesquisa foi descrever a SB em enfermeiros e técnicos de enfermagem atuantes em Unidades Básicas de Saúde e Hospital em um município no Sudoeste do Pará. A amostra foi composta por 109 profissionais, dos quais 49 eram enfermeiros e 60 técnicos de enfermagem. Foram utilizados dois instrumentos de coleta de dados: questionário sociodemográfico e de saúde e o questionário Maslach Burnout Inventory (MBI). Para verificar a associação entre a classificação da síndrome de Burnout com dados sociodemográficos foi utilizado o teste Qui Quadrado ou exato de Fischer de acordo com as suposições dos testes. A SB esteve presente em 12,8% participantes, destes 64,3% são enfermeiros. Com relação as dimensões do MBI, 59,9% apresentaram baixa realização profissional, 42,2% alta exaustão emocional e 58,7% moderada despersonalização. A dimensão exaustão emocional foi a que apresentou maior percentual no nível alto, quando comparada com despersonalização (27,5%) e a realização profissional (2,8%). Não foram identificadas diferenças estatísticas na associação das dimensões com os dados sociodemográficos. A exaustão profissional foi associada ao realizar tratamento para depressão (p=0,05), praticar atividade física (p=0,01), sentimento em relação ao trabalho (p=0,04) e ter sofrido algum tipo de violência no trabalho (p=0,03). A despersonalização foi associada a religião (p=0,01), sentimento em relação ao trabalho (p=0,02), ter sofrido algum tipo de violência no trabalho (p=0,01) e acreditar ser afetado pela SB (p=0,03), enquanto a realização pessoal foi associada religião (p=0,03). O desenvolvimento de ações voltadas para a promoção da saúde e bem-estar desses profissionais é importante considerando o momento de pandemia de Covid-19.

Objective: to identify scientific evidence on the association between burnout and obesity. Method: Integrative literature review. The guidelines and recommendations of the checklist of the Statement for Reporting Systematic Reviews and Meta-Analyses of Studie (PRISMA) and the PICO strategy were used. The selected articles were analyzed according to the Agency for Healthcare Research and Quality. The databases were: PubMed; CINAHL; Web of Science; Scopus; SciElo; LILACS. Results: One hundred and seven articles were found. The final scope consisted of four studies. The periodicals were in the areas of Public Health, Occupational Health and Environment and Clinical Nutrition. There were three cross-sectional studies and one randomized controlled intervention study. Of the eligible studies, 75% (n=3) were classified at level VI of scientific evidence. However, it is indisputable that there is evidence of a direct or indirect effect of burnout and/or its dimensions on weight gain. Conclusion: The association of burnout and obesity is still incipient, as there were few eligible studies. The levels of evidence in the studies are predominantly due to cross-sectional studies. It is valid to suggest that studies with more robust methodologies be carried out with the theme in question so that the path of causality between burnout and obesity can be better elucidated. Objetivo: identificar evidencia científica sobre la asociación entre burnout y obesidad. Método: Revisión integrativa de la literatura. Se utilizaron las pautas y recomendaciones del checklist del Statement for Reporting Systematic Reviews and Meta-Analyzes of Studie (PRISMA) y la estrategia PICO Los artículos seleccionados fueron analizados según la Agency for Healthcare Research and Quality. Las bases de datos fueron: PubMed; CINAHL; Web de la Ciencia; Scopus; SciElo; LILACS. Resultados: Se encontraron ciento siete artículos. El alcance final consistió en cuatro estudios. Las publicaciones periódicas fueron de las áreas de Salud Pública, Salud Ocupacional y Medio Ambiente y Nutrición Clínica. Hubo tres estudios transversales y un estudio de intervención controlado aleatorio. De los estudios elegibles, el 75% (n = 3) se clasificaron en el nivel VI de evidencia científica. Sin embargo, es indiscutible que existe evidencia de un efecto directo o indirecto del burnout y / o sus dimensiones sobre el aumento de peso. Conclusión: La asociación del burnout y la obesidad es aún incipiente, ya que hubo pocos estudios elegibles. Los niveles de evidencia en los estudios se deben principalmente a estudios transversales. Es válido sugerir que se realicen estudios con metodologías más robustas con el tema en cuestión para que se pueda dilucidar mejor el camino de causalidad entre el burnout y la obesidad. Objetivo: Identificar as evidências científicas sobre a associação entre o burnout e a obesidade. Método: Revisão integrativa da literatura. Utilizaram-se as orientações e recomendações do checklist do Statement for Reporting Systematic Reviews and Meta-Analyses of Studie e a estratégia PICO. Os artigos selecionados foram analisados de acordo com a Agency for Healthcare Research and Quality. As bases de dados foram: PubMed; CINAHL; Web of Science; Scopus; SciElo; LILACS. Resultados: Foram encontrados cento e sete artigos. O escopo final foi composto por quatro estudos. Os periódicos foram da área de Saúde Pública, Saúde Ocupacional e Meio Ambiente e Nutrição Clínica. Houve três estudos de delineamento transversal e um estudo randomizado de intervenção controlada. Dos estudos elegíveis, 75% (n=3), foram classificados no nível VI de evidência científica. Todavia é indiscutível que há indícios de um efeito direto ou indireto do burnout e/ou suas dimensões no incremento de peso. Conclusão: A associação do burnout e a obesidade ainda são incipientes visto que os estudos elegíveis foram poucos. Os níveis de evidências dos estudos se devem predominantemente a estudos do tipo corte transversal. É válido se sugerir que estudos com metodologias mais robustas sejam realizados com a temática em questão para que o caminho da causalidade entre o burnout e a obesidade seja melhor elucidada.

Introducción: El síndrome de burnout según Maslach y Jackson hace referencia a los factores de cansancio emocional, despersonalización y falta de realización personal, este síndrome trae consecuencias de carácter psicológico como estrés laboral crónico y sensación de inconformidad con el trabajo. Objetivo: Conocer las estrategias y su efectividad en el manejo del síndrome de burnout en trabajadores o estudiantes del área de la salud. Método: Se realizó una revisión sistemática, que incluyó ensayos clínicos y cuasi experimentales. Se incluyeron estudios en inglés, portugués y español, encontrados en 6 bases de datos utilizando términos mesh y decs. Se seleccionaron los de menor riesgo de sesgo mayor calidad de reporte. El estudio fue aprobado en comité de investigación de la facultad. Resultados: De 53 artículos analizados en texto completo, los ensayos clínicos fueron 35 y de estos el cumplimiento de la calidad del reporte vario entre 37,80% y 75,67%, el estudio con mayor calidad de reporte fue el de Asta Medisauskaite. Al analizar el riesgo de sesgo de estos 35 artículos, se evidencio que 12 artículos tienen bajo riesgo con puntajes superiores a 8. En los estudios cuasi experimentales, 6 fueron seleccionados solo 1 cumplió el mayor puntaje, con porcentaje en calidad de reporte entre 27% y 43,24%. El articulo con mayor porcentaje de calidad fue el de Hätinen y colaboradores. Las estrategias más mencionadas fueron Entrenamiento de comportamiento emotivo racional, grupos de apoyo y afrontamiento, Atención plena y Mindfulness, mindfulness basado en reducción del stress, entrenamientos de eficacia y programas de rehabilitación de estrés multimodal y el modelo MEMO. Conclusión: las estrategias más efectivas fueron: el entrenamiento de comportamiento emotivo racional REBC, el programa de manejo del estrés multimodal (MMR) con entrenamiento cognitivo, el mindfulness de reducción de stress, y la terapia cognitiva conductual. Introduction: Burnout syndrome according to Maslach and Jackson refers to the factors of emotional exhaustion, depersonalization and lack of personal fulfillment, this syndrome brings psychological consequences such as chronic work stress, feeling of dissatisfaction with work. Objective: Determine the strategies and their effectiveness in the management of burnout syndrome in health care workers or students, by means of a systematic review. Methods: The work is a systematic review, consisting of articles, clinical and quasi experimental trials. These studies were analyzed in 3 languages, found in 6 databases using mesh and decs terms. Those that met the selection criteria were selected and the analysis of reporting quality and biases was performed. The study was approved by the faculty research committee. Results: Of 53 articles analyzed in full text, 35 were clinical trials and of these, compliance with the quality of reporting varied between 37.80% and 75.67%; the study with the highest quality of reporting was that of Asta Medisauskaite. When analyzing the risk of bias of these 35 articles, it was found that 12 articles had low risk with scores above 8. In the quasi-experimental studies, 6 were selected, only 1 had the highest score, with a percentage of quality of report between 27% and 43.24%. The article with the highest percentage of quality was that of Hätinen et al. Conclusion: The most effective strategies were: Rational Emotive Behavior Training, multimodal stress rehabilitation programs, mindfulness-based stress reduction and behavioral cognitive therapy. Odontólogo Pregrado