title: Factors that cause stress in physicians and nurses working in a pediatric and neonatal intensive care unit: bibliographic review.
abstract: OBJECTIVE
  Bibliographic review on occupational stress and burnout presence in physicians and nurses that work in pediatric and neonatal intensive care units.
  
  
  METHODS
  The articles were selected from the MedLine, LILACS and SciElo data base using the key words: stress, burnout, physicians, nursing, intensive care unit, pediatric intensive care unit and neonatal intensive care unit. The studied period ranged from 1990 to 2007.
  
  
  RESULTS
  Health professionals who work in pediatric and neonatal intensive care units are strong candidates for developing stress, psychological alterations and burnout syndrome. Researches on this subject identified important alterations suffered by these physicians and nurses, such as: work overload, burnout, desires of giving up their jobs, high levels of cortisol, among other alterations.
  
  
  CONCLUSIONS
  Professionals, who work in pediatric and neonatal intensive care units, due to the specificity of their job, are liable to develop occupational stress, and consequently burnout. These results suggest the need for further research with the objective of developing preventive measures and intervention models.
authors.affiliation: Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Monalisa de Cássia
authors.initials: Mde C
authors.lastname: Fogaça
authors.affiliation: Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Werther Brunow de
authors.initials: WB
authors.lastname: Carvalho
authors.affiliation: Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Vanessa de Albuquerque
authors.initials: Vde A
authors.lastname: Cítero
authors.affiliation: Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Luiz Antonio
authors.initials: LA
authors.lastname: Nogueira-Martins