Síndrome de agotamiento psicológico en personal de la salud durante la pandemia por COVID-19: revisión narrativa
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Introducción: La pandemia por COVID-19 ha representado una alta carga laboral y emocional en los trabajadores de salud, lo cual se ha asociado con consecuencias negativas para la salud de estas personas, como el agotamiento psicológico (AP). Objetivo: Identificar en la producción de la literatura la prevalencia del síndrome de AP y sus factores asociados en el personal de salud en la pandemia por COVID-19.Metodología: Se llevó a cabo una revisión narrativa de la literatura en bases de datos electrónicas como Medline, Science Direct y LILACS para tres ejes temáticos: 1) AP en personal de la salud, 2) prevalencia del AP durante la pandemia por COVID-19 y 3) los factores asociados durante los años 2019 al 2021. Resultados: Diversos estudios ev... Ver más
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Revista Investigación en Salud Universidad de Boyacá - 2022
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Síndrome de agotamiento psicológico en personal de la salud durante la pandemia por COVID-19: revisión narrativa Burnout syndrome in health personnel during the COVID-19 pandemic: narrative review Introducción: La pandemia por COVID-19 ha representado una alta carga laboral y emocional en los trabajadores de salud, lo cual se ha asociado con consecuencias negativas para la salud de estas personas, como el agotamiento psicológico (AP). Objetivo: Identificar en la producción de la literatura la prevalencia del síndrome de AP y sus factores asociados en el personal de salud en la pandemia por COVID-19.Metodología: Se llevó a cabo una revisión narrativa de la literatura en bases de datos electrónicas como Medline, Science Direct y LILACS para tres ejes temáticos: 1) AP en personal de la salud, 2) prevalencia del AP durante la pandemia por COVID-19 y 3) los factores asociados durante los años 2019 al 2021. Resultados: Diversos estudios evaluaron el AP en personal de salud durante la pandemia por COVID-19, con prevalencias desde el 8% hasta el 68%. Adicionalmente, los factores que se asociaron con una mayor prevalencia fueron tener mayor carga laboral, pocas horas de sueño, menor edad y trabajar en cuidados intensivos. Conclusiones: El personal de salud presentó prevalencias muy variadas del síndrome de AP en la pandemia por COVID-19, asociados a condiciones laborales y de formación clínica, que fueron los más representativos. Introduction: The COVID-19 pandemic represents a high work and emotional burden on health workers, which has been associated with negative consequences for the health of these people, such as psychological exhaustion. Objective: To identify in the production of literature, the prevalence of burnout syndrome and its associated factors in health personnel in the COVID-19 pandemic. Methodology: A narrative review of the literature was carried out in electronic databases such as Medline, Science Direct and LILACS for three thematic axes: (i) Burnout in health personnel, (ii) prevalence of burnout during the COVID-19 pandemic, and (iii) the associated factors during the years 2019 to 2021. Results: Several studies evaluated burnout in health personnel during the COVID-19 pandemic, with prevalences from 8% to 68%. Additionally, the factors that were associated with a higher prevalence were having a higher workload, few hours of sleep, being younger, and working in intensive care. Conclusions: Health personnel presented very varied prevalences of burnout syndrome in the COVID-19 pandemic, associated with work conditions and clinical training were the most frequently associated with a higher prevalence Alarcón-Moreno, Yeison Camilo Rodríguez-Pugliesse, Andrea Carolina Sánchez-Neira, Yaline agotamiento psicológico personal de salud prevalencia COVID-19 burnout psychological health personnel prevalence COVID-19 esgotamento psicológico pessoal de saúde prevalência COVID-19 9 1 Núm. 1 , Año 2022 : Revista Investigación en Salud Universidad de Boyacá Artículo de revista Journal article 2022-03-31T00:00:00Z 2022-03-31T00:00:00Z 2022-03-31 application/pdf text/xml Universidad de Boyacá Revista Investigación en Salud Universidad de Boyacá 2389-7325 2539-2018 https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/view/730 10.24267/23897325.730 https://doi.org/10.24267/23897325.730 spa http://creativecommons.org/licenses/by-nc/4.0 Revista Investigación en Salud Universidad de Boyacá - 2022 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0. 133 148 Roy I. Burnout syndrome: definition, typology and management. Soins Psychiatr. 2018;39(318):12-9. https://doi.org/10.1016/J.SPSY.2018.06.005 Ochante Palomino F de M, Pimentel Agurto SB, Tello Salés MJ. Estrés laboral de la enfermera y la calidad de atención percibido por el familiar en el servicio de pediatría en un hospital nacional: Lima 2017-2018 [tesis de especialización en internet]. Lima: Universidad Peruana Cayetano Heredia; 2018. Disponible en: https://hdl.handle.net/20.500.12866/4369 Secín Diep R, Rodríguez-Weber FL. Síndrome de desgaste en médicos residentes de un hospital privado. Med Int Méx [internet]. 2016;32(1):33-40. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=64339 Lauracio C, Lauracio T. Síndrome de burnout y desempeño laboral en el personal de salud. Rev Innova Educ. 2020;2(4):544-54. https://doi.org/10.35622/j.rie.2020.04.003 Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. https://doi.org/10.1016/S0140-6736(20)30183-5 Rio C del, Malani PN. 2019 Novel coronavirus: important information for clinicians. JAMA. 2020;323(11):1039-40. https://doi.org/10.1001/JAMA.2020.1490 World Health Organization. WHO director-general’s opening remarks at the media briefing on COVID-19. 2020 mar 11 [internet]. 2020 [citado 2021 oct 7 2021]. Disponible en: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020 World Health Organization. WHO calls for healthy, safe and decent working conditions for all health workers, amidst COVID-19 pandemic [internet]. 2020 [citado 2021 oct 7]. Disponible en: https://www.who.int/news/item/28-04-2020-who-calls-for-healthy-safe-and-decent-working-conditions-for-all-health-workers-amidst-covid-19-pandemic Fessell D, Cherniss C. Coronavirus disease 2019 (COVID-19) and beyond: micropractices for burnout prevention and emotional wellness. J Am Coll Radiol. 2020;17(6):746-8. https://doi.org/10.1016/J.JACR.2020.03.013 Cadavid Ríos LC. Estrés laboral y riesgo psicosocial: guía práctica de diagnóstico e intervención. Medellín: s. e.; 2015. Sharifi M, Asadi-Pooya AA, Mousavi-Roknabadi RS. Burnout among healthcare providers of COVID-19: a systematic review of epidemiology and recommendations. Arch Acad Emerg Med. 2021;9(1):1-17. https://doi.org/10.22037/AAEM.V9I1.1004 Imo U. Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors. B J Psych Bull. 2017;41(4):197-204. https://doi.org/10.1192/PB.BP.116.054247 Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res. 2020;123:9-20. https://doi.org/10.1016/J.JPSYCHIRES.2019.12.015 Maunz S, Steyrer J. Burnout syndrome in nursing: etiology, complications, prevention. Wien Klin Wochenschr. 2001;113(7):296-300. Schluter J, Winch S, Holzhauser K, Henderson A. Nurses’ moral sensitivity and hospital ethical climate: a literature review. Nurs Ethics. mayo de 2008;15(3):304-21. https://doi.org/10.1177/0969733007088357 Hartzband P, Groopman J. Physician burnout, interrupted. N Engl J Med. 2020;382(26):2485-7. https://doi.org/10.1056/NEJMP2003149 Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA Intern Med. 2018;178(10):1317-30. https://doi.org/10.1001/JAMAINTERNMED.2018.3713 Batra K, Singh T, Sharma M, Batra R, Schvaneveldt N. Investigating the psychological impact of COVID-19 among healthcare workers: a meta-analysis. Int J Environ Res Public Health. 2020;17(23):1-33. https://doi.org/10.3390/IJERPH17239096 Prasad K, McLoughlin C, Stillman M, Poplau S, Goelz E, Taylor S, et al. Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: a national cross-sectional survey study. eClinicalMedicine. 2021;35:100879. https://doi.org/10.1016/J.ECLINM.2021.100879 Álvarez Reza S, Flores-Olivares LA, Fernández-López M, Durán-Oyarzabal CE, Hernández Granillo P, Tapia-Ortega E. Depresión y síndrome de burnout en personal de salud durante la contingencia sanitaria por covid-19. Salud Publica Mex. 2021;63(2):162. https://doi.org/10.21149/12203 Valencia González EG, Correa Sinche DA, Pazmiño Cruz VK. Síndrome de Burnout en personal de salud que brinda atención a pacientes con COVID-19. Rev Sci. 2021;6(21):144-62. https://doi.org/10.29394/SCIENTIFIC.ISSN.2542-2987.2021.6.21.7.144-162 Sánchez Conza BP. Factores asociados al síndrome de burnout en personal de salud durante la pandemia de la covid-19 en un hospital de la región Cusco, 2021. [Cusco, Perú]: Universidad Andina del Cusco; 2021. López Osorio EA, Cano C, Salazar Ospina V. Caracterización del síndrome de burnout del personal de salud que labora en telemedicina, durante la pandemia COVID 19, en el convenio UT San Vicente CES [tesis de especialización en internet]. Medellín: Universidad Cooperativa de Colombia; 2020. Disponible en: https://repository.ucc.edu.co/handle/20.500.12494/20449 Muñoz-Cerón JF, Gallo Eugenio LM, Figueroa Vargas DA. Síndrome de burnout en los neurólogos colombianos: prevalencia y factores asociados. Acta Neurol Colomb. 2021;37(2):63-8. https://doi.org/10.22379/24224022368 Güette Viana AM. Prevalencia y factores de riesgo del síndrome de burnout durante la pandemia de COVID-19, en anestesiólogos de Cartagena [trabajo de grado en internet]. Cartagena (CO): Universidad de Cartagena; 2020. Disponible en: https://hdl.handle.net/11227/11665 Morales-Cadena GM, Fonseca-Salazar NF, Fonseca-Chávez MG. Prevalencia del síndrome de desgaste profesional en residentes de posgrado de especialidades quirúrgicas y no quirúrgicas. An Otorrinolaringol Mex. 2020;65(2):64-70. Civantos A, Byrnes Y, Chang C, Prasad A, Chorath K, Poonia S, et al. Mental health among otolaryngology resident and attending physicians during the COVID-19 pandemic: national study. Head Neck. 2020;42(7):1597-609. https://doi.org/10.1002/HED.26292 Jiménez-Labaig P, Pacheco-Barcia V, Cebrià A, Gálvez F, Obispo B, Páez D, et al. Identifying and preventing burnout in young oncologists, an overwhelming challenge in the COVID-19 era: a study of the Spanish Society of Medical Oncology (SEOM). ESMO Open. 2021;6(4):100215. https://doi.org/10.1016/J.ESMOOP.2021.100215 Khalafallah AM, Jimenez AE, Lam S, Gami A, Dornbos DL, Sivakumar W, et al. Burnout among medical students interested in neurosurgery during the COVID-19 era. Clin Neurol Neurosurg. 2021;210:106958. https://doi.org/10.1016/J.CLINEURO.2021.106958 Bruyneel A, Smith P, Tack J, Pirson M. Prevalence of burnout risk and factors associated with burnout risk among ICU nurses during the COVID-19 outbreak in French speaking Belgium. Intensive Crit Care Nurs. 2021;65:103059. https://doi.org/10.1016/J.ICCN.2021.103059 Freitas RF, de Barros IM, Miranda MAF, Freitas TF, Rocha JSB, Lessa ADC. Predictors of burnout syndrome in nursing technicians in an intensive care unit during the covid-19 pandemic. J Bras Psiquiatr. 2021;70(1):12-20. https://doi.org/10.1590/0047-2085000000313 Meynaar IA, Ottens T, Zegers M, van Mol MMC, van der Horst ICC. Burnout, resilience and work engagement among Dutch intensivists in the aftermath of the COVID-19 crisis: a nationwide survey. J Crit Care. 2021;62:1-5. https://doi.org/10.1016/J.JCRC.2020.11.010 Baro Vila RC, Burgos LM, Sigal A, Costabel JP, Alves de Lima A. Burnout syndrome in cardiology residents: impact of the COVID-19 pandemic on burnout syndrome in cardiology residents. Curr Probl Cardiol. 2022;47(1):100873. https://doi.org/10.1016/J.CPCARDIOL.2021.100873 Bruyneel A, Smith P. Comparison of the prevalence of burnout risk between ICU and non-ICU nurses during the COVID-19 outbreak in French-speaking Belgium. Intensive Crit Care Nurs. 2021;66:103086. https://doi.org/10.1016/J.ICCN.2021.103086 Gupta MD, Jha M, Girish MP, Bansal A, Sarkar PG, Yusuf J, et al. Prevalence and predictors of COVID-19 related burnout among healthcare workers; findings from Brucee Li Study. J Am Coll Cardiol. 2021;77(18):3110. https://doi.org/10.1016/S0735-1097(21)04465-X Navinés R, Olivé V, Fonseca F, Martín-Santos R. Work stress and resident burnout, before and during the COVID-19 pandemia: an up-date. Med Clín (English ed.). 2021;157(3):130-40. https://doi.org/10.1016/J.MEDCLE.2021.04.005 Mion G, Hamann P, Saleten M, Plaud B, Baillard C. Psychological impact of the COVID-19 pandemic and burnout severity in French residents: a national study. Eur J Psychiatry. 2021;35(3):173-80. https://doi.org/10.1016/J.EJPSY.2021.03.005 Sveinsdóttir H, Flygenring BG, Svavarsdóttir MH, Thorsteinsson HS, Kristófersson GK, Bernharðsdóttir J, et al. Predictors of university nursing students burnout at the time of the COVID-19 pandemic: a cross-sectional study. Nurse Educ Today. 2021;106:105070. https://doi.org/10.1016/J.NEDT.2021.105070 Sangal RB, Bray A, Reid E, Ulrich A, Liebhardt B, Venkatesh AK, et al. Leadership communication, stress, and burnout among frontline emergency department staff amid the COVID-19 pandemic: a mixed methods approach. Healthcare. 2021;9(4):100577. https://doi.org/10.1016/J.HJDSI.2021.100577 Bakken BK, Winn AN. Clinician burnout during the COVID-19 pandemic before vaccine administration. J Am Pharm Assoc. 2021;61(5):e71-7. https://doi.org/10.1016/J.JAPH.2021.04.009 Gupta MD, Bansal A, Sarkar PG, Girish MP, Jha M, Yusuf J, et al. Design and rationale of an intelligent algorithm to detect Burnout in healthcare workers in COVID era using ECG and artificial intelligence: the BRUCEE-LI study. Indian Heart J. 2021;73(1):109-13. https://doi.org/10.1016/J.IHJ.2020.11.145 Ovalle Díaz J, Gorgen ARH, Teixeira da Silva AG, de Oliveira Paludo A, Timóteo de Oliveira R, Rosito N, et al. Burnout syndrome in pediatric urology: a perspective during the COVID-19 pandemic — Ibero-American survey. J Pediatr Urol. 2021;17(3):402.e1-402.e7. https://doi.org/10.1016/J.JPUROL.2021.01.015 Jinfang W, Lingrui B, Yan L, Jie S, Na L. The mediating effect of academic engagement between psychological capital and academic burnout among nursing students during the COVID-19 pandemic: a cross-sectional study. Nurse Educ Today. 2021;102:104938. https://doi.org/10.1016/J.NEDT.2021.104938 Dimitriu MCT, Pantea-Stoian A, Smaranda AC, Nica AA, Carap AC, Constantin VD, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Med Hypotheses. 2020;144:109972. https://doi.org/10.1016/J.MEHY.2020.109972 McEntee KM, Koenig H, Dahlman M. Factors associated with burnout among minimally invasive gynecologic surgery fellows (FMIGS) in the midst of COVID-19. J Minim Invasive Gynecol. 2021;28(11):S106-7. https://doi.org/10.1016/J.JMIG.2021.09.150 Rodriguez RM, Montoy JCC, Hoth KF, Talan DA, Harland KK, Eyck P Ten, et al. Symptoms of anxiety, burnout, and PTSD and the mitigation effect of serologic testing in emergency department personnel during the COVID-19 pandemic. Ann Emerg Med. 2021;78(1):35-43.e2. https://doi.org/10.1016/J.ANNEMERGMED.2021.01.028 Raudenská J, Steinerová V, Javůrková A, Urits I, Kaye AD, Viswanath O, et al. Occupational burnout syndrome and post-traumatic stress among healthcare professionals during the novel coronavirus disease 2019 (COVID-19) pandemic. Best Pract Res Clin Anaesthesiol. 2020;34(3):553-60. https://doi.org/10.1016/J.BPA.2020.07.008 Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: a large-scale cross-sectional study. eClinicalMedicine. 2020;24:100424. https://doi.org/10.1016/J.ECLINM.2020.100424 Yang C, Liu W, Chen Y, Zhang J, Zhong X, Du Q, et al. Prevalence and risk factors for mental health symptoms in community epidemic prevention workers during the postpandemic era of COVID-19 in China. Psychiatry Res. 2021;304:114132. https://doi.org/10.1016/J.PSYCHRES.2021.114132 Lasalvia A, Amaddeo F, Porru S, Carta A, Tardivo S, Bovo C, et al. Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy. BMJ Open. 2021;11(1). https://doi.org/10.1136/BMJOPEN-2020-045127 Freudenberger HJ. Staff burn-out. J Soc Issues. 1974;30(1):159-65. https://doi.org/10.1111/J.1540-4560.1974.TB00706.X Restauri N, Sheridan A. Burnout and posttraumatic stress disorder in the coronavirus disease 2019 (COVID-19) pandemic: intersection, impact, and interventions. J Am Coll Radiol. 2020;17(7):921-6. https://doi.org/10.1016/J.JACR.2020.05.021 Albott CS, Wozniak JR, McGlinch BP, Wall MH, Gold BS, Vinogradov S. Battle buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic. Anesth Analg. 2020;43-54. https://doi.org/10.1213/ANE.0000000000004912 Upadhyay P. Healthcare workers and burnout during COVID-19 pandemic. J Lumbini Med Coll. 2020;8(1):178-80. https://doi.org/10.22502/JLMC.V8I1.380 Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res. 2020;290. https://doi.org/10.1016/J.PSYCHRES.2020.113129 https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/download/730/694 https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/download/730/802 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/redcol/resource_type/ARTREV info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication |
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UNIVERSIDAD DE BOYACÁ |
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Colombia |
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Revista Investigación en Salud Universidad de Boyacá |
title |
Síndrome de agotamiento psicológico en personal de la salud durante la pandemia por COVID-19: revisión narrativa |
spellingShingle |
Síndrome de agotamiento psicológico en personal de la salud durante la pandemia por COVID-19: revisión narrativa Alarcón-Moreno, Yeison Camilo Rodríguez-Pugliesse, Andrea Carolina Sánchez-Neira, Yaline agotamiento psicológico personal de salud prevalencia COVID-19 burnout psychological health personnel prevalence COVID-19 esgotamento psicológico pessoal de saúde prevalência COVID-19 |
title_short |
Síndrome de agotamiento psicológico en personal de la salud durante la pandemia por COVID-19: revisión narrativa |
title_full |
Síndrome de agotamiento psicológico en personal de la salud durante la pandemia por COVID-19: revisión narrativa |
title_fullStr |
Síndrome de agotamiento psicológico en personal de la salud durante la pandemia por COVID-19: revisión narrativa |
title_full_unstemmed |
Síndrome de agotamiento psicológico en personal de la salud durante la pandemia por COVID-19: revisión narrativa |
title_sort |
síndrome de agotamiento psicológico en personal de la salud durante la pandemia por covid-19: revisión narrativa |
title_eng |
Burnout syndrome in health personnel during the COVID-19 pandemic: narrative review |
description |
Introducción: La pandemia por COVID-19 ha representado una alta carga laboral y emocional en los trabajadores de salud, lo cual se ha asociado con consecuencias negativas para la salud de estas personas, como el agotamiento psicológico (AP). Objetivo: Identificar en la producción de la literatura la prevalencia del síndrome de AP y sus factores asociados en el personal de salud en la pandemia por COVID-19.Metodología: Se llevó a cabo una revisión narrativa de la literatura en bases de datos electrónicas como Medline, Science Direct y LILACS para tres ejes temáticos: 1) AP en personal de la salud, 2) prevalencia del AP durante la pandemia por COVID-19 y 3) los factores asociados durante los años 2019 al 2021. Resultados: Diversos estudios evaluaron el AP en personal de salud durante la pandemia por COVID-19, con prevalencias desde el 8% hasta el 68%. Adicionalmente, los factores que se asociaron con una mayor prevalencia fueron tener mayor carga laboral, pocas horas de sueño, menor edad y trabajar en cuidados intensivos. Conclusiones: El personal de salud presentó prevalencias muy variadas del síndrome de AP en la pandemia por COVID-19, asociados a condiciones laborales y de formación clínica, que fueron los más representativos.
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description_eng |
Introduction: The COVID-19 pandemic represents a high work and emotional burden on health workers, which has been associated with negative consequences for the health of these people, such as psychological exhaustion. Objective: To identify in the production of literature, the prevalence of burnout syndrome and its associated factors in health personnel in the COVID-19 pandemic. Methodology: A narrative review of the literature was carried out in electronic databases such as Medline, Science Direct and LILACS for three thematic axes: (i) Burnout in health personnel, (ii) prevalence of burnout during the COVID-19 pandemic, and (iii) the associated factors during the years 2019 to 2021. Results: Several studies evaluated burnout in health personnel during the COVID-19 pandemic, with prevalences from 8% to 68%. Additionally, the factors that were associated with a higher prevalence were having a higher workload, few hours of sleep, being younger, and working in intensive care. Conclusions: Health personnel presented very varied prevalences of burnout syndrome in the COVID-19 pandemic, associated with work conditions and clinical training were the most frequently associated with a higher prevalence
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author |
Alarcón-Moreno, Yeison Camilo Rodríguez-Pugliesse, Andrea Carolina Sánchez-Neira, Yaline |
author_facet |
Alarcón-Moreno, Yeison Camilo Rodríguez-Pugliesse, Andrea Carolina Sánchez-Neira, Yaline |
topicspa_str_mv |
agotamiento psicológico personal de salud prevalencia COVID-19 |
topic |
agotamiento psicológico personal de salud prevalencia COVID-19 burnout psychological health personnel prevalence COVID-19 esgotamento psicológico pessoal de saúde prevalência COVID-19 |
topic_facet |
agotamiento psicológico personal de salud prevalencia COVID-19 burnout psychological health personnel prevalence COVID-19 esgotamento psicológico pessoal de saúde prevalência COVID-19 |
citationvolume |
9 |
citationissue |
1 |
citationedition |
Núm. 1 , Año 2022 : Revista Investigación en Salud Universidad de Boyacá |
publisher |
Universidad de Boyacá |
ispartofjournal |
Revista Investigación en Salud Universidad de Boyacá |
source |
https://revistasdigitales.uniboyaca.edu.co/index.php/rs/article/view/730 |
language |
spa |
format |
Article |
rights |
http://creativecommons.org/licenses/by-nc/4.0 Revista Investigación en Salud Universidad de Boyacá - 2022 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
references |
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