Relación entre el Síndrome de Burnout, la Salud Mental y el Desempeño Laboral en Profesionales de Enfermería de Unidades de Cuidados Intensivos: Revisión Sistemática

Palabras clave: agotamiento psicológico, salud mental, enfermería de cuidados críticos, desempeño profesional, seguridad del paciente

Resumen

El síndrome de burnout constituye un problema ocupacional relevante en enfermería de cuidados intensivos por la combinación de demandas clínicas, emocionales y organizacionales. El objetivo fue analizar su relación con la salud mental y el desempeño laboral en profesionales de enfermería de unidades de cuidados intensivos. Se realizó una revisión sistemática de estudios primarios publicados entre 2020 y 2025. La búsqueda se efectuó en PubMed/MEDLINE, ClinicalKey, Scopus, SciELO y ScienceDirect; la selección siguió las fases de PRISMA 2020 y se desarrolló una síntesis temática comparativa. Se incluyeron 33 estudios de 20 países, con predominio de diseños transversales y del Maslach Burnout Inventory. El agotamiento emocional se relacionó de forma consistente con ansiedad, depresión, estrés, distrés moral y mala calidad del sueño. En el desempeño profesional, el burnout se vinculó principalmente con insatisfacción laboral, ambientes de práctica desfavorables, sobrecarga, intención de abandono y cuidados omitidos. La evidencia sobre eventos adversos objetivos fue limitada. Se concluye que el burnout coexiste con deterioro del bienestar psicológico y con condiciones laborales que pueden comprometer el cuidado, aunque el predominio de estudios transversales impide establecer causalidad.

Descargas

La descarga de datos todavía no está disponible.

Citas

Al Sabei, S., Qutishat, M., Labrague, L., Al-Rwajfah, O., Burney, I., & AbulRub, R. (2025). The relationship between staffing, nurses’ emotional exhaustion, and adverse patient events in critical care units in Sultanate of Oman. Journal of Nursing Management, 2025, 1977327. https://doi.org/10.1155/jonm/1977327

Alves, M. C. C., Barilli, S. L. S., Specht, A. M., & Herbert, N. D. R. (2021). Burnout syndrome prevalence among nursing technicians of an adult intensive care unit. Revista Brasileira de Enfermagem, 74(Suppl. 3), e20190736. https://doi.org/10.1590/0034-7167-2019-0736

Aragão, N. S. C., Barbosa, G. B., Santos, C. L. C., Nascimento, D. S. S., Vilas Bôas, L. B. S., Martins Júnior, D. F., & Nascimento Sobrinho, C. L. (2021). Burnout syndrome and associated factors in intensive care unit nurses. Revista Brasileira de Enfermagem, 74(Suppl. 3), e20190535. https://doi.org/10.1590/0034-7167-2019-0535

Ayed, A., Abu Ejheisheh, M., Aqtam, I., Batran, A., & Farajallah, M. (2024). The relationship between professional quality of life and work environment among nurses in intensive care units. Inquiry, 61, 469580241297974. https://doi.org/10.1177/00469580241297974

Batran, A., Aqtam, I., Ayed, A., & Abu Ejheisheh, M. (2025). The relationship between professional quality of life and work environment among nurses in neonate care units. PLOS ONE, 20(4), e0322023. https://doi.org/10.1371/journal.pone.0322023

Bruyneel, A., Bouckaert, N., Pirson, M., Sermeus, W., & Van den Heede, K. (2024). Unfinished nursing care in intensive care units and the mediating role of the association between nurse working environment, and quality of care and nurses’ wellbeing. Intensive & Critical Care Nursing, 81, 103596. https://doi.org/10.1016/j.iccn.2023.103596

Cecere, L., de Novellis, S., Gravante, A., Petrillo, G., Pisani, L., Terrenato, I., Ivziku, D., Latina, R., & Gravante, F. (2023). Quality of life of critical care nurses and impact on anxiety, depression, stress, burnout and sleep quality: A cross-sectional study. Intensive & Critical Care Nursing, 79, 103494. https://doi.org/10.1016/j.iccn.2023.103494

Cerela-Boltunova, O., & Millere, I. (2025). Exploring the relation between nursing workload and moral distress, burnout, and turnover in Latvian intensive care units: An ecological analysis of parallel data. International Journal of Environmental Research and Public Health, 22(9), 1442. https://doi.org/10.3390/ijerph22091442

Dehghan, M., Mokhtarabadi, S., Rashidi, E., Rahiminejad, E., & Asadi, N. (2023). Correlation between professional quality of life and alarm fatigue symptoms among intensive care unit nurses. Health Science Reports, 6, e1583. https://doi.org/10.1002/hsr2.1583

Durán-Gómez, N., Guerrero-Martín, J., Pérez-Civantos, D., López-Jurado, C. F., Montanero-Fernández, J., & Cáceres, M. C. (2021). Night shift and decreased brain activity of ICU nurses: A near-infrared spectroscopy study. International Journal of Environmental Research and Public Health, 18(22), 11930. https://doi.org/10.3390/ijerph182211930

Friganović, A., & Selič, P. (2021). Where to look for a remedy? Burnout syndrome and its associations with coping and job satisfaction in critical care nurses: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(22), 12096. https://doi.org/10.3390/ijerph182212096

Furlan, M. C., & Guirardello, E. B. (2025). Practice environment and burnout in intensive care units: Is job satisfaction a mediator in this relationship? Revista Latino-Americana de Enfermagem, 33, e4713. https://doi.org/10.1590/1518-8345.7659.4713

Gil-Almagro, F., Carmona-Monge, F. J., García-Hedrera, F. J., & Peñacoba-Puente, C. (2025). Self-efficacy as a psychological resource in the management of stress suffered by ICU nurses during the COVID-19 pandemic: A prospective study on emotional exhaustion. Nursing in Critical Care, 30, e13172. https://doi.org/10.1111/nicc.13172

Guttormson, J. L., Calkins, K., McAndrew, N., Fitzgerald, J., Losurdo, H., & Loonsfoot, D. (2022). Critical care nurse burnout, moral distress, and mental health during the COVID-19 pandemic: A United States survey. Heart & Lung, 55, 127-133. https://doi.org/10.1016/j.hrtlng.2022.04.015

Gündüz, E. S., & Kavrut Öztürk, N. (2025). Mental workload as a predictor of burnout in intensive care nurses. Nursing in Critical Care, 30, e13173. https://doi.org/10.1111/nicc.13173

Hokmabadi, M. E., Afshari Saleh, L., & Talaei, A. (2024). Predicting job burnout and career life quality of nurses based on the health belief model and mediating role of psychosomatic symptoms. New Armenian Medical Journal, 18(1), 106-112. https://doi.org/10.56936/18290825-18.2024-106

Hwang, S., & Lee, J. (2023). The influence of COVID-19-related resilience on depression, job stress, sleep quality, and burnout among intensive care unit nurses. Frontiers in Psychology, 14, 1168243. https://doi.org/10.3389/fpsyg.2023.1168243

Lee, S.-J., Cunningham, B., Childers, M., Yefimova, M., Kim, H., Hoffmann, T., & Lebares, C. (2025). Efficacy of enhanced stress resilience training for intensive-care unit nurses: A randomized waitlist control trial. Applied Nursing Research, 83, 151965. https://doi.org/10.1016/j.apnr.2025.151965

Li, L. Z., Yang, P., Singer, S. J., Pfeffer, J., Mathur, M. B., & Shanafelt, T. D. (2024). Nurse burnout and patient safety, satisfaction, and quality of care: A systematic review and meta-analysis. JAMA Network Open, 7(11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059

Liu, H., Li, X., Zhao, L., Zhang, Y., Huang, D., Li, T., Xie, K., & Shen, Y. (2025). Burnout among intensive care physicians and nurses in the post-pandemic era in China: A national cross-sectional study. BMJ Open, 15, e099192. https://doi.org/10.1136/bmjopen-2025-099192

Mansouri, P., Rivaz, M., Soltani, R., & Tabei, P. (2025). The relationship between professional quality of life and sleep quality among nurses working in intensive care units: A cross-sectional study. BMC Nursing, 24, 34. https://doi.org/10.1186/s12912-025-02693-x

Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111. https://doi.org/10.1002/wps.20311

Mathew, M., John, A., & Vazhakkalayil Ramachandran, R. (2025). Nurse stress and patient safety in the ICU: Physician-led observational mixed-methods study. BMJ Open Quality, 14, e003109. https://doi.org/10.1136/bmjoq-2024-003109

Ministerio de Salud de Colombia. (1993). Resolución 8430 de 1993, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. https://www.minsalud.gov.co/sites/rid/lists/bibliotecadigital/ride/de/dij/resolucion-8430-de-1993.pdf

Ni, W., Xia, M., Jing, M., Zhu, S., & Li, L. (2023). The relationship between professional quality of life and work environment among ICU nurses in Chinese: A cross-sectional study. Frontiers in Public Health, 11, 1104853. https://doi.org/10.3389/fpubh.2023.1104853

Organización Mundial de la Salud. (2019). Burn-out an “occupational phenomenon”: International Classification of Diseases. https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases

Rattray, J., Miller, J., Pollard, B., McCallum, L., Hull, A., Ramsay, P., Salisbury, L., Scott, T., Cole, S., & Dixon, D. (2024). A model of occupational stress to assess impact of COVID-19 on critical care and redeployed nurses: A mixed-methods study. Health and Social Care Delivery Research, 13(23), 1–32. https://doi.org/10.3310/PWRT8714

Salameh, A., Ghannam, B., Melhem, O., Ibrahim, R., & Alshraideh, J. (2025). Predictors of critical care nurses’ intention to leave unit and profession in public Jordan hospitals: A cross-sectional study. SAGE Open Nursing, 11, 23779608251352792. https://doi.org/10.1177/23779608251352792

Sikioti, T., Zartaloudi, A., Pappa, D., Mangoulia, P., Fradelos, E. C., Kourti, F. E., Koutelekos, I., Dousis, E., Margari, N., Stavropoulou, A., Evangelou, E., & Dafogianni, C. (2023). Stress and burnout among Greek critical care nurses during the COVID-19 pandemic. AIMS Public Health, 10(4), 755-774. https://doi.org/10.3934/publichealth.2023051

Sok, S., Sim, H., Han, B., & Park, S. J. (2020). Burnout and related factors of nurses caring for DNR patients in intensive care units, South Korea. International Journal of Environmental Research and Public Health, 17(23), 8899. https://doi.org/10.3390/ijerph17238899

Takahashi, Y., Utsumi, S., Fujizuka, K., Suzuki, H., Takadera, Y., & Nakamura, M. (2025). Impact of a decision-making support framework on nurse burnout and quality of end-of-life care: A before-and-after study in intensive care units. International Journal of Nursing Studies Advances, 9, 100438. https://doi.org/10.1016/j.ijnsa.2025.100438

Tomaszewska, K., Kowalczuk, K., & Majchrowicz, B. (2024). Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses. Frontiers in Public Health, 12, 1400169. https://doi.org/10.3389/fpubh.2024.1400169

Trotte, L. A. C., Santos, J. L. G. dos, Freitas, E. de O., Mesquita, M. G. da R., Assis, G. G. T., Franco, L. L. C., & Stipp, M. A. C. (2025). Assessment of burnout in nursing technicians in intensive care exclusively during the COVID-19 pandemic. Revista Brasileira de Enfermagem, 78(5), e20240191. https://doi.org/10.1590/0034-7167-2024-0191

Van der Heijden, B., Brown Mahoney, C., & Xu, Y. (2019). Impact of job demands and resources on nurses’ burnout and occupational turnover intention towards an age-moderated mediation model for the nursing profession. International Journal of Environmental Research and Public Health, 16(11), 2011. https://doi.org/10.3390/ijerph16112011

Veloso, A. T. de S., e Silva, D. de S., da Silva, V. A., dos Santos, S. D., Estrela, F. M., & de Souza, A. C. F. (2024). Síndrome de burnout y factores asociados en enfermeras de cuidados intensivos: Un estudio transversal. Enfermería Global, 23(2), 223–259. https://doi.org/10.6018/eglobal.577341

Vieira, L. S., Machado, W. L., Dal Pai, D., Magnago, T. S. B. S., Azzolin, K. O., & Tavares, J. P. (2022). Burnout and resilience in intensive care nursing professionals in the face of COVID-19: A multicenter study. Revista Latino-Americana de Enfermagem, 30, e3537. https://doi.org/10.1590/1518-8345.5778.3537

Yousif, S. Y., & Al-Fayyadh, S. (2025). Burnout among nurses practicing in critical care units: Predicting the contributing factors. Journal of Education and Health Promotion, 14, 100. https://doi.org/10.4103/jehp.jehp_926_24

Zhang, Y., Wu, C., Ma, J., Liu, F., Shen, C., Sun, J., Ma, Z., Hu, W., & Lang, H. (2024). Relationship between depression and burnout among nurses in intensive care units at the late stage of COVID-19: A network analysis. BMC Nursing, 23, 224. https://doi.org/10.1186/s12912-024-01867-3

Publicado
2026-10-22
Cómo citar
Perdomo Peña, C., Osso Herrera, I., González Hernández, K. A., Toledo Pastrana, P. A., & Guzmán Sánchez, A. (2026). Relación entre el Síndrome de Burnout, la Salud Mental y el Desempeño Laboral en Profesionales de Enfermería de Unidades de Cuidados Intensivos: Revisión Sistemática. Ciencia Latina Revista Científica Multidisciplinar, 10(5), 3829-3847. https://doi.org/10.37811/cl_rcm.v10i5.26248
Sección
Ciencias Sociales y Humanas