PSYCHOSOCIAL ASPECTS AS RISK FACTORS FOR THE DEVELOPMENT OF BURNOUT SYNDROME AMONG INTENSIVE CARE UNIT NURSING PROFESSIONALS

AN INTEGRATIVE REVIEW

Authors

DOI:

https://doi.org/10.24980/ucm.v14i16.6646

Keywords:

mental health, Burnout syndrome, nurses, intensive care unit

Abstract

Nursing is an essential profession for human well-being, characterized by individualized and humanized care. However, the work environment in this field particularly within intensive care units (ICUs) can lead to high levels of stress, contributing to conditions such as burnout syndrome. This syndrome, defined by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, is exacerbated by performance pressure, long work hours, and insufficient support. In this context, the present study is justified by the need to reflect on how healthcare institutions can improve working conditions and safeguard the mental health of nurses. This integrative review aimed to analyze scientific literature addressing which psychosocial work factors may contribute to the development of burnout syndrome among ICU nursing professionals. The PICO strategy was used to guide the formulation of the research question: “Which psychosocial work factors may contribute to the development of burnout syndrome among intensive care unit nursing professionals?” Between May 2019 and April 2024, 13 articles were selected, from which four thematic categories emerged: the COVID-19 pandemic and burnout, length of service in the ICU, emotional demands of ICU work, and work overload. Findings indicate that nurses’ psychological distress is largely associated with the highly complex care environment of ICUs, which imposes extreme technical and emotional demands capable of compromising professionals’ health. These effects, however, can be mitigated through adequate working conditions, psychological support, and effective stress management strategies.

 

Keywords: mental health; Burnout syndrome; nurses; intensive care unit.

Author Biography

Emilia Batista Mourão TIOL, Faculdade de Medicina de São José do Rio Preto – Famerp

Master's student in the Postgraduate Program in Nursing at the Faculty of Medicine of São José do Rio Preto – Famerp, Professor at the University Center of Santa Fé do Sul-SP/BR – Unifunec

References

ARAGÃO, N. S. C. de. et al. Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses. Revista Brasileira de Enfermagem, v. 74, p. e20190535, 2021. Disponível em: https://doi.org/10.1590/0034-7167-2019-0535. Acesso em: 28 maio 2024. DOI: https://doi.org/10.1590/0034-7167-2019-0535

ARAGÃO, N. S. C. de; BARBOSA, G. B.; NASCIMENTO SOBRINHO, C. L. Síndrome de Burnout e fatores associados e enfermeiros intensivistas: uma revisão sistemática. Revista Baiana de Enfermagem, v.33, e28605, 2019. Disponível em: https://doi.org/10.18471/rbe.v33.28605. Acesso em: 28 maio 2024. DOI: https://doi.org/10.18471/rbe.v33.28605

ARIMON-PAGÈS, E. et al. Dealing with Emotional Vulnerability and Anxiety in Nurses from High- Risk Units-A Multicenter Study. International Journal of Environmental Research and Public Health, v. 19, n. 9, e5569, 2022. Disponível em: https://doi.org/10.3390/ijerph19095569. Acesso em: 28 maio 2024. DOI: https://doi.org/10.3390/ijerph19095569

BARDIN, L. Análise de conteúdo. São Paulo, SãoPaulo: Edições 70; 2016. 279p.

CONSELHO FEDERAL DE ENFERMAGEM - COFEN. Burnout em profissionais de saúde é um dos efeitos da pandemia. 2021. Disponível em: https://www.cofen.gov.br/burnout-em-profissionais-de-saude-e-um-dos-efeitos-da-pandemia/. Acesso em: 28 maio 2024.

DIEHL, E. et al. The relationship between workload and burnout among nurses: the buffering role of personal, social and organisational resources. PLoS ONE, v. 16, n. 1, e0245798, 2021. Disponível em: https://doi.org/10.1371/journal.pone.0245798. Acesso em: 25 nov 2025. DOI: https://doi.org/10.1371/journal.pone.0245798

ELIAS, M. A.; NAVARRO, V. L. A relação entre o trabalho, a saúde e as condições de vida: negatividade e positividade no trabalho das profissionais de enfermagem de um hospital escola. Revista Latino-Americana de Enfermagem, v. 14, n. 4, p. 517–525, 2006. Disponível em: https://doi.org/10.1590/S0104-11692006000400008. Acesso em: 08 fev. 2024. DOI: https://doi.org/10.1590/S0104-11692006000400008

GONZÁLEZ-GIL, M. T. et al. Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive & Critical Care Nursing, v. 62, e102966, 2021. Disponível em: https://doi.org/10.1016/j.iccn.2020.102966. Acesso em: 28 maio 2024. DOI: https://doi.org/10.1016/j.iccn.2020.102966

KAGAN, I.; LANCMAN, N.; WEISBORD, I. (2022). Experiences and psychosocial predictors of professional function among intensive care nurses under the shadow of Covid-19: A mixed-methods study. Journal of Nursing Scholarship, v. 54, n. 6, p. 787-798, 2022. Disponível em: https://doi.org/10.1111/jnu.12796. Acesso em: 28 maio 2024. DOI: https://doi.org/10.1111/jnu.12796

LEITE, M. Z. et al. Burnout na Enfermagem: Fatores de Risco, Impactos e Estratégias de Enfrentamento. Nursing Edição Brasileira, v. 29, n. 320, p.10461-10468, 2025. Disponível em: https://doi.org/10.36489/nursing.2025v29i320p10461-10468. Acesso em: 25 nov. 2025. DOI: https://doi.org/10.36489/nursing.2025v29i320p10461-10468

MENDES, K. D. S.; SILVEIRA, R. C. de C. P.; GALVÃO, C. M. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, v. 17, n. 4, p. 758–764, 2008. Disponível em: https://doi.org/10.1590/S0104-07072008000400018. Acesso em: 28 maio 2024. DOI: https://doi.org/10.1590/S0104-07072008000400018

MUSCHITIELLO, V. et al. Burnout symptoms, work motivation and their relationships among Italian ICU's nurses after COVID-19 emergency. A multicenter study. Annali di igiene: medicina preventiva e di comunita, v. 36, n. 1, p. 99-114, 2024. Disponível em https://doi.org/10.7416/ai.2023.2588. Acesso em: 28 maio 2024.

NUNES, N. H. Q.; RIBEIRO, V. R. N.; CARDOSO, Â. M. R. Driblando o estresse para melhor qualidade de vida na enfermagem. Enfermagem em Foco, v. 13, n. spe1, e-202238ESP1, 2022. Disponível em: https://dx.doi.org/10.21675/2357-707X.2022.v13.e-202238ESP1. Acesso em: 28 maio 2024. DOI: https://doi.org/10.21675/2357-707X.2022.v13.e-202238ESP1

PEREIRA, A. L. et al. Fatores geradores de estresse ocupacional e seus impactos na saúde dos profissionais de enfermagem que atuam na linha de frente do COVID-19: uma revisão bibliográfica. In: SILVA, P. F. da; SOUSA, L. C. de. Enfermagem: desafios e perspectivas para a integralidade do cuidado. São Paulo: Científica Digital, v. 1, cap. 15, p. 190-201, 2021. Disponível em: https://downloads.editoracientifica.com.br/articles/210705440.pdf. Acesso em: 28 maio 2024. DOI: https://doi.org/10.37885/210705440

PURVIS, T. E. et al. Burnout and Resilience Among Neurosciences Critical Care Unit Staff. Neurocrit Care,v. 31, n. 2, p. 406-410, 2019. Disponível em https://doi.org/10.1007/s12028-019-00822-4. Acesso em: 28 maio 2024. DOI: https://doi.org/10.1007/s12028-019-00822-4

SILVA, J. C. da; ALVES, E. S.; RODRIGUES, J. D. J. da Silva. Síndrome de burnout em profissionais de enfermagem na unidade de terapia intensiva: uma revisão integrativa de literatura. Research, Society and Development, v. 12, n. 4, p. e29612441305, 2023. Acesso em: 25 nov 2025. DOI: https://doi.org/10.33448/rsd-v12i4.41305

SOUZA, M. T. de.; SILVA, M. D. da.; CARVALHO, R. de. Integrative review: what is it? How to do it?. Einstein, v. 8, n. 1, p. 102–106, 2010. Disponível em: https://doi.org/10.1590/S1679-45082010RW1134. Acesso em 28 maio 2024. DOI: https://doi.org/10.1590/s1679-45082010rw1134

TRIGO, T. R.; TENG, C. T.; HALLAK, J. E. C. Síndrome de burnout ou estafa profissional e os transtornos psiquiátricos. Archives of Clinical Psychiatry, v. 34, n. 5, p. 223–233, 2007. Disponível em: https://doi.org/10.1590/S0101-60832007000500004. Acesso em: 28 maio 2024. DOI: https://doi.org/10.1590/S0101-60832007000500004

VIEIRA, L. S. et al. Burnout and resilience in intensive care Nursing professionals in the face of COVID-19: A multicenter study. Revista Latino-Americana de Enfermagem, v. 30, e3589, 2022. Disponível em: https://doi.org/10.1590/1518-8345.5778.3589. Acesso em: 28 maio 2024. DOI: https://doi.org/10.1590/1518-8345.5778.3589

Published

2025-12-08

How to Cite

CEZANE, Ana Vitória dos Santos; PIOTROVSKI, Giovanna; TIOL, Emilia Batista Mourão. PSYCHOSOCIAL ASPECTS AS RISK FACTORS FOR THE DEVELOPMENT OF BURNOUT SYNDROME AMONG INTENSIVE CARE UNIT NURSING PROFESSIONALS: AN INTEGRATIVE REVIEW. UNIFUNEC CIENTÍFICA MULTIDISCIPLINAR, Santa Fé do Sul, São Paulo, v. 14, n. 16, p. 1–13, 2025. DOI: 10.24980/ucm.v14i16.6646. Disponível em: https://seer.unifunec.edu.br/index.php/rfc/article/view/6646. Acesso em: 26 apr. 2026.