Burnout syndrome among professionals working in emergency and urgent care settings in Spain: a systematic review
摘要
Burnout syndrome affects professionals working in emergency and urgent care settings and may involve emotional exhaustion, depersonalization, and low personal accomplishment.
ObjectiveTo describe burnout syndrome among professionals working in emergency and urgent care settings in Spain and summarize associated occupational and mental health factors.
Methods and materialsA systematic review was conducted following PRISMA guidelines. Studies published from January 1, 2020, to February 15, 2025, were searched in PubMed, Scopus, Web of Science, SciELO, and CENTRAL. Eligible studies included professionals working in emergency or urgent care settings in Spain and used validated burnout measurement tools. Data were extracted systematically. ROBINS-E was used to assess risk of bias in exposure-outcome association results, and STROBE was used only to assess completeness of reporting.
ResultsTen eligible studies published between 2020 and 2024 were included, involving 2,496 professionals, including physicians, nurses, nursing care assistants, and other staff. Burnout estimates varied by professional group, setting, and measurement instrument. Emotional exhaustion, depersonalization, and low personal accomplishment were recurrently reported. Workload, rotating or long shifts, limited resources, workplace violence, low professional recognition, and limited social support were frequently associated with burnout. Reported associated outcomes included anxiety, depression, chronic stress, and self-reported clinical errors.
ConclusionsBurnout is frequent among professionals working in emergency and urgent care settings in Spain. Because several included studies used mixed professional samples, findings should not be interpreted as pooled physician-only estimates. Organizational measures addressing workload, staffing, shift patterns, resources, recognition, and workplace violence may be warranted, although the predominance of cross-sectional evidence prevents causal interpretation.