<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0465-546X</journal-id>
<journal-title><![CDATA[Medicina y Seguridad del Trabajo]]></journal-title>
<abbrev-journal-title><![CDATA[Med. segur. trab.]]></abbrev-journal-title>
<issn>0465-546X</issn>
<publisher>
<publisher-name><![CDATA[Escuela Nacional de Medicina del Trabajo. Instituto de Salud Carlos III]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0465-546X2019000100024</article-id>
<article-id pub-id-type="doi">10.4321/s0465-546x2019000100024</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[¿Presenta desgaste profesional el personal de urgencias extrahospitalarias?. Resultados Encuestas de Malasch]]></article-title>
<article-title xml:lang="en"><![CDATA[Are out-of-hospital emergency medical services suffering from professional burn-out?. Maslach Burnout Inventory results]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arenal-Gota]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viana-Gárriz]]></surname>
<given-names><![CDATA[Juan Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Belzunegui-Otano]]></surname>
<given-names><![CDATA[Tomás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Hospitalario de Navarra Dirección de Formación CPF emergencias ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Dirección de Operaciones de CPF emergencias  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Complejo Hospitalario de Navarra Subdirección de urgencias y hospitalización ]]></institution>
<addr-line><![CDATA[ Navarra]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>65</volume>
<numero>254</numero>
<fpage>24</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0465-546X2019000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0465-546X2019000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0465-546X2019000100024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Determinar la prevalencia del Burnout en el personal de urgencias extrahospitalarias.  Material y métodos: Estudio observacional, descriptivo y transversal. Se les aplicó una ficha con unos datos profesionales y el cuestionario de Maslach de 22 items y se realizó un análisis estadístico descriptivo basado en obtener las frecuencias tanto absolutas como relativas. Además de la media y la desviación típica, se ha realizado un contraste de la hipótesis de Kruskal-Wallis y la de Wilcoxon. Para analizar la fiabilidad y validez de la escala se ha obtenido los coeficientes alfa de Cronbach para las 3 subescalas.  Resultados: Respecto al tiempo trabajado dentro de la categoría profesional los conductores que llevan menos de un año presentan mayor burnout. En relación al tipo de contrato, son los de contrato fijo. A peor estado de salud (regular o malo) mayor es el burnout. Las personas solteras presentan mayor cansancio emocional y no trabajar con los mismos compañeros aumenta también la presencia de este fenómeno. El burnout no se presenta en los trabajadores con turno de 24 horas, sin embargo, se ve en los otros turnos. No hay diferencias estadísticas en la puntuación por el escaso tamaño de la muestra con jornada reducida.  Conclusiones: El interés de este estudio radica en conocer el grado de cansancio emocional que presentan los profesionales de urgencias extrahospitalarias y evidenciar la necesidad de tomar medidas preventivas. Los resultados de nuestro estudio están en la línea de los publicados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To determine the prevalence of Burnout in out-of-hospital emergency medical personnel.  Material and methods: Observational, descriptive and transversal study. A professional data sheet and the Maslach Burnout Inventory of 22 items were applied. In order to get the absolute and relative frequencies a descriptive statistical analysis was performed. In addition to the mean and the standard deviation, a contrast to the Kruskal-Wallis hypothesis and the Wilcoxon hypothesis was shown. In order to analyze the reliability and validity of the scale, Cronbach&#8217;s alpha coefficients were obtained for the 3 subscales.  Results: Regarding the time worked in the professional category, the drivers who have been driving for less than a year have higher levels of burnout. In relation to the type of contract are those of fixed-term contract. The worse the state of health (regular or bad) is, the greater the burnout. Single people have greater emotional exhaustion. The fact of not working with the same partners also increases this phenomenon. Burnout does not occur in workers with 24-hour shift, but it occurs in other shifts. Due to the small size of the short-time working sample, no statistical differences were found in the score.  Conclusions: The interest of this study lies in knowing the emotional exhaustion level from the out-of-hospital emergency professionals, as well as evidencing the need to take preventive measures. The results of our study are in line with those published.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Servicios Médicos de Urgencia]]></kwd>
<kwd lng="es"><![CDATA[Ambulancias]]></kwd>
<kwd lng="es"><![CDATA[Estrés laboral]]></kwd>
<kwd lng="es"><![CDATA[Trabajadores]]></kwd>
<kwd lng="es"><![CDATA[Agotamiento profesional]]></kwd>
<kwd lng="en"><![CDATA[Emergency Medical Services]]></kwd>
<kwd lng="en"><![CDATA[Ambulances]]></kwd>
<kwd lng="en"><![CDATA[Occupational Stress]]></kwd>
<kwd lng="en"><![CDATA[Workers]]></kwd>
<kwd lng="en"><![CDATA[Professional Burnout]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gil-Montes]]></surname>
<given-names><![CDATA[PR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El síndrome de quemarse por el trabajo (síndrome de burnout) en profesionales de enfermería]]></article-title>
<source><![CDATA[Revista Electrónica Interacao Psy]]></source>
<year>2003</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>19-33</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Freudenberger]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Staff Burnout]]></article-title>
<source><![CDATA[J Soc Issues]]></source>
<year>1974</year>
<volume>30</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>159-65</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grau Martín]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Flichentrei]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Suñer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Prest]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influencia de factores personales, profesionales, transnacionales en el síndrome del Burnout en el personal sanitario hispanoamericano]]></article-title>
<source><![CDATA[Rev Esp Salud Pública]]></source>
<year>2009</year>
<volume>83</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>215-30</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Atance]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aspectos epidemiológicos del síndrome de burnout en personal sanitario]]></article-title>
<source><![CDATA[Rev Esp Salud Pública]]></source>
<year>2016</year>
<volume>71</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>293-303</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aasa]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Brulin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ängquist]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Barnekow]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Work-related psychosocial factors, worry about work conditions and health complaints among female and male ambulance personnel]]></article-title>
<source><![CDATA[Scand J Caring Sci]]></source>
<year>2005</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>251-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mediano]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[El burnout y los médicos. Un peligro desconocido]]></source>
<year>2001</year>
<publisher-name><![CDATA[Ricardo Prats y Asociados]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dickinson]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Engle]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Guise]]></surname>
<given-names><![CDATA[J-M]]></given-names>
</name>
<name>
<surname><![CDATA[Hansen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jui]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Meckler]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Emergency medical services responders´ perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study]]></article-title>
<source><![CDATA[BMJ Open]]></source>
<year>2016</year>
<volume>7</volume>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Wells]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gao]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cassidy]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Davie]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Work stress and well-being in oncology settings: a multidisplinary study of health care professionals]]></article-title>
<source><![CDATA[PsycholoOncology]]></source>
<year>2013</year>
<volume>22</volume>
<page-range>46-53</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Poghosyan]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Clarke]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Finlayson]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Aiken]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nurse burnout and quality of care: a cross-national investigation in six countries]]></article-title>
<source><![CDATA[Res. Nurs. Health]]></source>
<year>2010</year>
<volume>33</volume>
<page-range>288-98</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sorour]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[El-Maksoud]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relationship between musculoskeletal disorders, job demands, and burnout among emergency nurses]]></article-title>
<source><![CDATA[Adv. Emerg. Nurs. J.]]></source>
<year>2012</year>
<volume>34</volume>
<page-range>272-82</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Iacovides]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fountoulakis]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Moysidou]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ierodiakonou]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout in nursing staff: is there a relationship between depression and burnout?]]></article-title>
<source><![CDATA[Int. J. Psychiatry Med.]]></source>
<year>1999</year>
<volume>29</volume>
<page-range>421-33</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moustaka]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Constantinidis]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sources and effects of work-related stress in nursing]]></article-title>
<source><![CDATA[Health Sci. J.]]></source>
<year>2010</year>
<volume>4</volume>
<page-range>210-6</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nichols]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Learning from error: identifying contributory causes of medication errors in an Australian hospital]]></article-title>
<source><![CDATA[Med J Just]]></source>
<year>2008</year>
<volume>188</volume>
<page-range>276-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="">
<collab>SAMUR (Servicio de Asistencia Municipal de Urgencia y Rescate)</collab>
<source><![CDATA[Guía de Buenas Prácticas en Prevención de Riesgos Laborales SAMUR-Protección Civil]]></source>
<year></year>
<page-range>1-53</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cushman]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Fairbanks]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Gara]]></surname>
<given-names><![CDATA[KG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ambulance personnel perceptions of near misses and adverse events in pediatric patients]]></article-title>
<source><![CDATA[Prehosp Emerg Care]]></source>
<year>2010</year>
<volume>14</volume>
<page-range>477-84</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Villar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psycholosocial risk and protective factors for the health and well-being of professionals working in emergency and non-emergency medical transport services, identified via questionnaires]]></article-title>
<source><![CDATA[Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine]]></source>
<year>2017</year>
<volume>25</volume>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez de la Casa Muñoz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[C del]]></given-names>
</name>
<name>
<surname><![CDATA[Magaña]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bru]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio sobre la prevalencia del burnout en los médicos del Área Sanitaria de Talavera de la Reina]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2003</year>
<volume>32</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>343-8</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="">
<collab>Observatorio Europeo de Riesgos de la OSHA</collab>
<source><![CDATA[La estimación del coste del estrés y los riesgos psicosociales relacionados con el trabajo]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Juárez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Idrova]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Camacho]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Plasencia]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome Burnout en población mexicana: una revisión sistemática]]></article-title>
<source><![CDATA[Salud Mental]]></source>
<year>2014</year>
<volume>37</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>159-67</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="">
<collab>España. Ministerio de Trabajo y Asuntos Sociales</collab>
<source><![CDATA[NTP 604: Riesgo psicosocial: el modelo demanda]]></source>
<year></year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
