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In addition, to minimise and control this effect, from the statistical point of view, an intention-to-treat analysis will be performed in addition to the per-protocol analysis. The questionnaires to be used are validated for the Spanish population and will be filled out anonymously an identification code will be assigned to match those completed before and after the intervention , so we expect no problems of validity and reliability leading to important information biases.

Although the CG does not perform any type of intervention, this study does not ensure that it will remain inactive throughout the fieldwork period, which may minimise the differences in the expected results when comparing this group with the intervention groups. To verify that the effect of the intervention programmes lasts over time, a measurement will be taken three months after their application.

Although the ideal would be farther in the future, this distance is not feasible given that some participants will conclude their training period soon after completing the study, making it difficult to recruit them afterwards. Our aim is to incorporate and extend the practice of mindfulness to the work, teaching, and care activities of health professionals—counting on the evidence to be found in this trial and contribute to increasing and complementing the countless existing tests that have been applied in other work sectors, both public and private.

Lucena II Health Centre. Lucena I Health Centre. Retamar medical office. Retamar Medical Office. On the other hand, it has received funding in the call for research and innovation projects in the field of Primary Care of the Andalusian Health Service Ref. We confirm that study protocol has undergone peer-review by the funding body. The funding source had no influence on the design of the study, data collection and analysis, or the writing of the manuscript. LAP and CB provided methodological and statistical experience in the design of the clinical trial. All the authors contributed to the refinement of the study protocol and approved the final manuscript.

The written informed consent of the participants will be requested. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Skip to main content Skip to sections. Advertisement Hide. Download PDF. Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol.

Open Access. First Online: 06 February Part of the following topical collections: Knowledge, attitudes, behaviors, education, and communication. Background Health personnel are susceptible to high levels of work stress and burnout due to the psychological and emotional demands of their work, as well as to other aspects related to the organisation of that work.


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Discussion If the abbreviated mindfulness programme is at least as effective as the standard program, its incorporation into the curriculum and training plans will be easier and more appropriate. Trial registration The study has been registered at ClinicalTrials. Background Work stress and burnout are two common problems among the health personnel of the Spanish National Health System Sistema Nacional de Salud-SNS due to the high health care burden on this system, among other reasons, with users increasingly demanding solutions to their health problems and needs, insufficient time for training and recycling, and perceived lack of support from managers [ 1 , 2 , 3 ].

Study design Fig. The participating UUDDs will be randomised to one of the three study groups.

Associated Data

Open image in new window. The programmes to be tested will be adapted to the participating health care group and will differ by their duration and time dedicated to the tasks [ 30 ]: 1 Standard program: The format will be 8 weekly sessions of 2. Table 1 Mindfulness and self-compassion training programs. What is mindfulness? Practice: body scan. Informal practice: brushing.

Raisin exercise. Managing thoughts and emotions during practice. Concepts: stress and burnout. Primary and secondary suffering. Practice: mindful breathing sitting. Being versus doing. We have chosen this interpretation but we must assume that interpretations could be made in other directions. Finally, we think it would be positive to develop a multivariate analysis, to evaluate different factors affecting empathy and burnout. However, our database was not done with that objective, and it would be a good option for further research.

The work relating empathy with burnout in our health region is a first in our country and has managed to verify a reality that has been widely described in other countries, that is, the association that exists between the degree of empathy and burnout of professionals and the number of visits they receive.

We also consider an interesting line of further investigation would be to perform a qualitative study in order to detect differences between doctors and nurses, and to analyse the relationship between teamwork and its influence on burnout. Based on the results, we believe that healthcare institutions should continue to promote communication skills and other work relationship initiatives that reduce burnout among healthcare professionals. This would surely help to improve healthcare and affect quality indicators. An interesting line would be the performance of a qualitative study to detect differences between doctors and nurses, and thus to be able to develop the concept of the grouping of empathy.

In conclusion, we believe that future research should focus on which communication skills and work situations can improve the quality of care.

Síndrome de burnout y calidad de vida laboral en profesionales de servicios sanitarios

Promoting such skills could lead to an improvement not only in the clinical quality of care but also in the working environment. Burnout levels have been linked with work effort. Perhaps our findings should encourage introspection on the alignment of financial incentives based on communication and empathy rather than on traditional quality indicators like the number of diagnoses entered in the electronic health record.


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We believe that the results of our study may prove interesting for healthcare organisation leaders to encourage programmes that promote empathic skills and to establish strategies that reduce the degree of burnout of healthcare professionals to improve the quality of patient care. The English translation of this article was rendered with the support of the Languages Institute of the University of Lleida.

We want to thank to all the professionals who participated in the study. Contributors: OY designed the study and wrote the main part of the paper. ERM collaborated in the design of the paper and in its revision. JRM performed the statistical analysis. ME collaborated in the collection of data and in the introductory research.


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JS-G reviewed the manuscript and collaborated in the revision of the entire process. Funding: This study was funded by Universitat de Lleida translation of the paper. Competing interests: None declared.

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Patient consent: Not required. Provenance and peer review: Not commissioned; externally peer reviewed. Data sharing statement: All the data are included in the article.

Burnout: el síndrome de estar quemado en el trabajo

National Center for Biotechnology Information , U. BMJ Open. Published online Jul Josep R. Author information Article notes Copyright and License information Disclaimer. Correspondence to Dr Oriol Yuguero; moc.

Validation of the Brazilian version of the

No commercial re-use. See rights and permissions. Published by BMJ. This article has been cited by other articles in PMC. Associated Data Supplementary Materials Reviewer comments. Abstract Objective The aim of this study was to evaluate the association between physician and nurse self-reported empathy and burnout and the number of annual primary care visits per patient under their care. Methods Design: A cross-sectional survey study was conducted from January to July Results Two hundred and sixty-seven healthcare professionals physicians and nurses, Keywords: empathy, burnout, primary care, quality In health care.

Strengths and limitations of this study. Background The primary care landscape has undergone major changes in recent years. Methods Participants and study design A cross-sectional survey study was conducted with volunteer participants. Annual visits per patient We analysed the number of visits made by patients to their primary care team nurse and family physician between January and July the year in which we collected data from healthcare professionals.