Burnout is a major problem among nurses working in emergency departments and is closely related to a high turnover of personnel, nursing errors, and patient dissatisfaction. The aims of this study were to estimate burnout, perceived stress, job satisfaction, coping and general health levels experienced by nurses working in emergency departments in Spain and to analyze the relationships between sociodemographic, occupational, and psychological variables and the occurrence of burnout syndrome among these professionals. A cross-sectional study was conducted in four emergency departments in Andalusia (Spain) from March to December 2016. The study sample was composed of n = 171 nurses. An ad hoc questionnaire was prepared to collect sociodemographic and work data, and the Maslach Burnout Inventory, the Perceived Stress Scale, the Font–Roja Questionnaire, the Brief Cope Orientation to Problem Experience and the General Health Questionnaire were used. The prevalence of high burnout was 8.19%. The levels of perceived stress and job satisfaction were moderate. The most frequent clinical manifestations were social dysfunction and somatic symptoms, and problem-focused coping was the strategy most used by nurses. Lack of physical exercise, gender, years worked at an emergency department, anxiety, social dysfunction, and avoidance coping were significant predictors of the dimensions of burnout.

Background: Workplace violence in healthcare professionals has become a worldwide public health problem and has been the focus of numerous publications; however, currently, no macroscopic overviews of this research based on bibliometric analysis have been carried out. Therefore, the main aim of this study was to analyse the research trends focusing on workplace violence in healthcare personnel over the last 27 years. Materials and methods: A bibliometric study was conducted from 1992 to 2019 in the field of workplace violence in healthcare personnel using the Scopus database. The author co-citation analysis was carried out using VOSviewer software. A worldwide map was created with Mapchart and word cloud image was created using Wordart. Descriptive and inferential statistics were applied. Findings: 1791 records were analysed, 1376 of which (76.83%) were articles, with “Medicine” the most frequent subject category (58.91%). English was the predominant language (93.41%). From 2004 onwards, there was an exponential rise in the number of publications (R² coefficient = 0.89; p < 0.0001) and the number of annual citations gradually increased from 1995 (R² coefficient = 0.73; p < 0.0001). The University of Cincinnati (United States) was the institution (and country) with the highest number of publications (n = 30; n = 549), with D. M. Gates leading the ranking of the most productive authors (n = 21). Journal of Nursing Management was the most active journal publishing on the topic (n = 34) and the commonest keyword was “human/s” (16.43%). Conclusion: From 1992 to 2019, worldwide research into the published literature on workplace violence in healthcare personnel has grown steadily year by year, both in the number of documents and the number of citations. United States and their institutions and researchers dominates this research output.

Objetivos: avaliar a influência exercida pelo Burnout e as estratégias de enfrentamento utilizadas pelo pessoal de saúde do serviço de emergência hospitalar sobre o estado de saúde mental e determinar as características sociodemográficas e laborais. Método: estudo descritivo transversal em uma amostra de 235 profissionais de enfermagem e médicos que atuaram em quatro serviços de emergência hospitalar. Como instrumentos de coleta de dados foram utilizados questionários originais e específicos de variáveis sociodemográficas e de trabalho, o Maslach Burnout Inventory, General Health Questionnaire e o Inventario breve de afrontamiento–COPE 28. Aplicou-se estatística descritiva, inferencial e multivariante. Resultados: a dimensão de despersonalização, enfrentamento centrado na evitação e ser médico estiveram relacionados à presença de sintomas somáticos, ansiedade, disfunção social e depressão. O aumento da experiência profissional esteve associado à maior disfunção social do pessoal de saúde e o aumento do número de pacientes foi relacionado à sintomatologia depressiva entre os profissionais de saúde. Conclusões: as dimensões de exaustão emocional e despersonalização, enfrentamento centrado na evitação, ser médico e consumir tabaco diariamente aumentam o risco de se constituir um caso psiquiátrico. A prática de exercício físico diário é um fator de proteção.

Spanish and immigrant children and adolescents vary widely in their frequency of dental visits and occurrence of dental problems. The aims of this study were to discover the prevalence of dental problems and utilization of dental services in the Spanish and immigrant child population, identify the type of treatment received, and analyze the socioeconomic and demographic variables which are associated with dental problems and non-regular utilization of dental services, based on data from the 2017 National Health Survey in Spain. The sample consisted of 4568 children aged between 3 and 14 years old. Utilization of dental services and dental problems were assessed against socioeconomic and demographic characteristics using logistic regression models. The prevalence of caries in Spanish children was 9.29% compared with 18.58% (p < 0.001) in their immigrant counterparts. The most common reason for dental visits was a check-up (Spanish: 65.05%; immigrants: 54.94%). In both groups, from the age of 7, there was a lower probability of non-regular utilization of dental services, although this increased when the social class was lower. The probability of presenting dental problems was lower in Spanish children living in towns with over 10,000 inhabitants and was higher, in both groups, over the age of 7 and in lower social classes.

Influenza is a significant public health problem and the elderly are at a greater risk of contracting the disease. The vaccination coverage of the elderly is below the Spanish target of 65% for each influenza season. The aims of this study were to report the coverage of influenza vaccination in Spain among the population aged ≥65 years and high-risk groups for suffering chronic diseases, to analyze the time trends from 2006 to 2017 and to identify the factors which affect vaccination coverage. A nationwide cross-sectional study was conducted including 20,753 non-institutionalized individuals aged ≥65 years who had participated in the Spanish National Health Surveys in 2006, 2011/2012, and 2017. Sociodemographic, health-related variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with influenza vaccination. Influenza vaccination coverage was 60%. By chronic condition, older people with high cholesterol levels and cancer had the lowest vaccination coverage (62.41% and 60.73%, respectively). This coverage declined from 2006 to 2017 in both groups. Higher influenza vaccination was associated with males, Spanish nationality, normal social support perceived, polypharmacy, worse perceived health, participation in other preventive measures, and increasing age and the number of chronic diseases.