title: Personal determinants of nurses' burnout in end of life care.
abstract: OBJECTIVE
  Our aim is to identify socio-demographic, professional exposure to dying, training degree and personal factors relevant to burnout dimensions in nurses coping with death issues.
  
  
  METHODS
  A sample of 360 nurses (response rate 70.6%) from internal medicine, oncology, haematology and palliative care departments of five health institutions answered to a socio-demographic and professional questionnaire, Maslach Burnout Inventory, Death Attitude Profile Scale, Purpose in Life Test and Adult Attachment Scale.
  
  
  RESULTS
  No significant differences were found between medical departments in burnout scores except when comparing those with palliative care department which showed significant lesser levels of emotional exhaustion (t = 2.71; p < .008) and depersonalization (t = 3.07; p < .003) and higher levels of personal accomplishment (t = -2.24; p < .027). By multiple regression analysis exhaustion and depersonalization are negative, sequentially determined respectively by purpose in life, dependent attachment, fear of death attitude and by purpose in life, dependent attachment, years of professional experience and personal accomplishment by positive purpose on life and secure attachment.
  
  
  CONCLUSIONS
  We conclude for the protective value of factors such as meaning and purpose in life, secure attachment and attitude towards death, through the various burnout dimensions that shows the need to develop under and postgraduate training strategies in these specific areas.
authors.affiliation: Universidade Católica Portuguesa, Lisbon, Portugal. Electronic address: ggama17@yahoo.com.
authors.forename: Georgeana
authors.initials: G
authors.lastname: Gama
authors.affiliation: Psychiatric Department, Hospital Santa Maria, Faculty of Medicine of Lisbon, Portugal. Electronic address: filipebarb@gmail.com.
authors.forename: Filipe
authors.initials: F
authors.lastname: Barbosa
authors.affiliation: Universidade Católica Portuguesa, Lisbon, Portugal. Electronic address: mmvieira@porto.ucp.pt.
authors.forename: Margarida
authors.initials: M
authors.lastname: Vieira
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D002055:Burnout, Professional / Q000523:psychology*; D003861:Depersonalization; D005221:Fatigue; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D009741:Nursing Staff, Hospital / Q000523:psychology*; D012959:Socioeconomic Factors; D013030:Spain; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000523:psychology*
keywords: Attachment styles; Burnout; Death attitudes; Nurse training; Nurses; Palliative care; Stress; Terminal care