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Browsing IB - Livros e Partes de Livros / Books and Books Parts by Sustainable Development Goals (SDG) "17:Parcerias para a Implementação dos Objetivos"
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- Burnout in palliative and intensive care units: does it make a difference?Publication . Pereira, Sandra Martins; Hernández-Marrero, P.; Teixeira, C. M.; Carvalho, A. S.Background: Repeated contact with dying and death is a major burnout risk factor. Hence, professionals working in palliative and intensive care are at special risk. Aims: To identify and compare burnout levels and its related factors among professionals working in palliative and intensive care units in Portugal. Methods: Multicenter quantitative, comparative study. The Maslach Burnout Inventory was used for data collection together with a questionnaire of socio-demographic and profession-related variables, and a questionnaire of work-related experiences in the week and day prior to completion. 392 professionals participated in this study; 92 worked in palliative care units (PCUs) and 300 in intensive care units (ICUs). Univariate and multivariate logistic regression analyses were performed; OR sidelong with 95% of CI were calculated. Results: While 25% of the professionals working in ICUs exhibited burnout, only 3% of those working in PCUs exhibited this syndrome. Univariate logistic regression analysis showed that burnout was inversely associated with working in PCUs (OR= .419; .224–.785 95%CI). When controlling for other variables (e.g., professionals’ socio-demographic characteristics, post- graduated education in intensive/palliative care, work-related experiences), differences remained significant (OR= .396; .161–.976 95%CI). Higher levels of burnout in ICUs were related to being a nurse (OR=1.849, 95%CI 1.029–3,321) and experiencing conflicts (OR=2.170 95%CI 1.218–3,866). Conclusions: Burnout is inversily associated to working in PCUs. Work-related experiences (e.g., conflicts in the work context) increase the risk of developing burnout among professionals providing end-of-life care. These findings suggest the need to further implement conflict-management strategies in these settings, helping professionals to cope with high-demanding situations associated to providing end-of-life care.
- Empowering leader behaviours: impact on health professionals’ empowerment and commitmentPublication . Hernández-Marrero, P.; Pereira, S. Martins; Lopes, T.; Flint, D. H.Background: The importance of leaders’ behaviours in empowering staff in the workplace is advocated in healthcare management literature. However, there is a lack of empirical evidence linking empowering leadership behaviours with professionals’ sense of workplace empowerment and commitment. Facilitative leadership styles are considered important to redesigning work in palliative care provided in primary care services. Aims: To test a model linking leader-empowering behaviours to health professionals’ perceptions of workplace empowerment and commitment in primary care. Methods: As part of a larger multicenter survey study, a random sample of 209 professionals (nurses and physicians) providing palliative care in primary care settings in two Spanish regions was drawn. Three pre-validated scales were used to measure leader-empowering behaviours, empowerment and commitment. Multiple regression analyses were conducted to test the mediation model. Results: Overall, perceptions of workplace empowerment were significantly related to all dimensions of leader-empowering behaviours. These dimensions were correlated with empowerment and commitment (rs= .31 to .63). Empowerment at least partially mediated the relationship between leader-empowering behaviours and commitment. Empowerment had a significant impact on commitment (β = .64, p < .05). Conclusions: The results of this study highlight the importance of facilitative leaders in creating empowering work environments. Hence, recommendations can be made to ensure that healthcare managers leading primary care teams facilitate the implementation and delivery of palliative care in these settings by promoting professionals’ empowerment and commitment. This study provides encouraging empirical support and guidance for healthcare leaders interested in creating highly-effective work environments that benefit both patients and professionals who care for them within current turbulent healthcare organisations.