Factors that trigger the development of Burnout syndrome in health professionals in emergency services: a literature review





Burnout syndrome; Risk factors; Health professionals.


Burnout syndrome is a psychological syndrome resulting from a continuous response to chronic interpersonal stressors during work. The emergency department is a place of stress and multidisciplinary work, with situations linked to a vital risk for patients in many cases. The present study aims to describe the factors that lead to the development of Burnout Syndrome in health professionals in emergency services. This is a study with a qualitative approach, where an integrative literature review was adopted. Performed through the Virtual Health Library (BVS) in Pubmed databases, using the crossings of the English descriptors “Burnout syndrome”, “Risk factors”. For the evaluation of the research problem and its stratification, the PVO strategy was used. The emergency service accumulates many characteristics of a stressful job: heavy workload, emergency work, zapping, “always more and always better” with constant resources, uncertainty, lack of recognition and frustration, interpersonal conflicts, just-in-time production , from incivility to environmental violence. A possible explanation for this fact could be the emergency routine, considering that the professional is dealing directly with life-threatening situations and that there is an overload of shifts. PS professionals are a vulnerable group, as nearly half of them experience burnout. Indeed, they are faced with intense and repetitive situations typical of the emergency profession that constitute a favorable terrain for the development of stress and burnout.


Abdo, S. A., El-Sallamy, R. M., El-Sherbiny, A. A. & Kabbash, I. A. (2016). Burnout among physicians and nursing staff working in the emergency hospital of Tanta University, Egypt. East Mediterr Health J. 21(12):906-15.

Bridgeman, P. J., Bridgeman, M. B. & Barone, J. (2018). Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 75(3):147-152.

Basu, S., Yap, C. & Mason, S. (2016). Examining the sources of occupational stress in an emergency department. Occup Med (Lond). 66(9):737-742.

Castañeda-Aguilera, E. & Alba-García, J. E. G. (2020). Prevalencia del síndrome de desgaste profesional (burnout) en médicos especialistas y factores de riesgo [Prevalence of professional burnout syndrome in medical specialists and risk factors]. Rev Med Inst Mex Seguro Soc. 58(2):161-173.

Chirico, F. (2016). Job stress models for predicting burnout syndrome: a review. Ann Ist Super Sanita, 52:443-56.

Ilić, I. M., Arandjelović, M. Ž., Jovanović, J. M., & Nešić, M. M., (2017). Relationships of work-related psychosocial risks, stress, individual factors and burnout - Questionnaire survey among emergency physicians and nurses. Med Pr. 68(2):167-178.

Ferraro, L., La Cascia, C., De Santis, A., Sideli, L., Maniaci, G., Orlando, I. M., Chifari, A., Maniaci, L., & La Barbera, D. (2020). A Cross-Sectional Survey on Burnout Prevalence and Profile in the Sicilian Population of Ambulance Driver-Rescuers. Prehosp Disaster Med. 35(2):133-140.

Galvão, C. M., Mendes, K. D. S., & Silveira, R. C. C. P. (2010) Revisão integrativa: método de revisão para sintetizar as evidências disponíveis na literatura. In: Brevidelli MM, Sertório SCM. Trabalho de conclusão de curso: guia prático para docentes e alunos da área da saúde. 105-26.

Lala, A. I., Sturzu, L. M., Picard, J. P., Druot, F., Grama, F. & Bobirnac G. (2016). Coping behavior and risk and resilience stress factors in French regional emergency medicine unit workers: a cross-sectional survey. Journal of Medicine and Life. 9(4):363–368.

Maslach, C. & Burnout: The Cost of Caring. Englewood Cliffs, NJ: Prentice Hall; 1982.

Merino-Plaza, M. J., Carrera-Hueso, F. J., Arribas-Boscá, N., Martínez-Asensi, A., Vázquez-Ferreiro, P., Vargas-Morales, A. & Fikri-Benbrahim, N. (2018). Burnout y factores de riesgo psicosocial en el personal de un hospital de larga estancia [Staff burnout and psychosocial risk factors in a long-stay hospital in Spain]. Cad Saude Publica. 34(11):e00189217.

Melnick, E. R. & Powsner, S. M. (2016). Empathy in the time of burnout. Mayo Clin Proc, 91:1678–9.

Molina-Praena, J., Ramirez-Baena, L., Gómez-Urquiza, J. L., Cañadas, G. R., De la Fuente, E. I., & Cañadas-De la Fuente, G. A. (2018). Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study. International journal of environmental research and public health, 15(12), 2800.

Moukarzel, A.., Michelet, P., Durand, A. C., Sebbane, M., Bourgeois, S., Markarian, T., Bompard, C., & Gentile, S. (2019). Burnout Syndrome among Emergency Department Staff: Prevalence and Associated Factors. BioMed research international, 2019, 6462472.

Raudenská, J., Steinerová, V., Javůrková, A., Urits, I., Kaye, A. D, Viswanath, O., & Varrassi, G. (2020). Síndrome de burnout ocupacional e estresse pós-traumático entre profissionais de saúde durante a pandemia da nova doença de coronavírus 2019 (COVID-19). Boas práticas e pesquisas. Anestesiologia clínica, 34 (3).

Riethof, N., Bob, P., Laker, M., Varakova, K., Jiraskova, T., & Raboch, J. (2019). Síndrome de Burnout, divisão mental e depressão em profissionais de saúde do sexo feminino. Monitor de ciências médicas: revista médica internacional de pesquisa experimental e clínica, 25, 5237-5240.

Rodrigues, H., Cobucci, R., Oliveira, A., Cabral, J. V., Medeiros, L., Gurgel, K., Souza, T., & Gonçalves, A. K. (2018). Burnout syndrome among medical residents: A systematic review and meta-analysis. PloS one, 13(11), e0206840.

Van Bogaert, I., Depuydt, C. & Hachimi-Idrissi, S. (2020). Dissatisfaction and Burnout among Flemish emergency physicians: a qualitative study. Acta Clin Belg. 75(5):329-333.

Yuguero, O., Ramon Marsal, J., Esquerda, M., Vivanco, L., & Soler-González, J. (2017). Association between low empathy and high burnout among primary care physicians and nurses in Lleida, Spain. The European journal of general practice, 23(1), 4–10.

Yuguero, O., Forné, C., Esquerda, M., Pifarré, J., Abadías, M. J., & Viñas, J. (2017). Empathy and burnout of emergency professionals of a health region: A cross-sectional study. Medicine, 96(37), e8030.

Wurm, W., Vogel, K., Holl, A., Ebner, C., Bayer, D., Mörkl, S., Szilagyi, I. S., Hotter, E., Kapfhammer, H. P., & Hofmann, P. (2016). Depression-Burnout Overlap in Physicians. PloS one, 11(3), e0149913.



How to Cite

ALVES, A. K. R.; SILVA, B. B. L. da; MACHADO, L. F. C. B.; SILVA, G. B. da; FRANKLIN, F. L. A. A. .; NORONHA, F. M. C.; MELO, P. de S. .; AMORIM FILHO , J. V. .; AZEVEDO, V. E. de; BARBOSA, E. de S.; FORTES , C. V. S. .; BOMFIM JÚNIOR, P. B. .; BUCAR, L. E. Q.; SANTOS, V. R. .; SANTOS, V. K. R. . Factors that trigger the development of Burnout syndrome in health professionals in emergency services: a literature review. Research, Society and Development, [S. l.], v. 11, n. 2, p. e40011225814, 2022. DOI: 10.33448/rsd-v11i2.25814. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/25814. Acesso em: 23 feb. 2024.



Health Sciences