title: [Risk factors and burnout levels in Primary Care nurses: A systematic review].
abstract: OBJECTIVE
  To determine the risk factors and levels of burnout in Primary Care nurses.
  
  
  METHODS
  A systematic review was performed.
  
  
  METHODS
  CINAHL, CUIDEN, LILACS, PubMed, ProQuest, ScienceDirect and Scopus databases were consulted. Search equations were 'burnout AND community health nursing' and 'burnout AND primary care nursing'. The search was performed in October 2015.
  
  
  METHODS
  The final sample was n=12 studies. Quantitative primary studies that used Maslach Burnout Inventory for burnout assessment in Primary Care nurses were included without restriction by publication date.
  
  
  METHODS
  The main variables were the mean and standard deviation of the three burnout dimensions, high, medium and low prevalence rates of each dimension, and socio-demographic, occupational and psychological variables that potentially influence burnout level.
  
  
  RESULTS
  Studies show high prevalence rates, generally between 23% and 31%, of emotional exhaustion. The prevalence rates of high depersonalisation and low personal accomplishment show heterogeneity, varying between 8%-32% and 4%-92% of the sample, respectively. Studies show that older nurses with more seniority, anxiety and depression, among other variables, have higher burnout levels, while nurses with higher salary, high job satisfaction, organisational support, and good self-concept have less burnout.
  
  
  CONCLUSIONS
  High emotional exhaustion is the main affected dimension of burnout in Primary Care nursing. There is heterogeneity in depersonalisation and personal accomplishment. Burnout must be prevented in these professionals, by increasing protective factors and monitoring its appearance in those with risk factors.
authors.affiliation: Departamento de Enfermería, Facultad de Ciencias de la Salud, Campus Universitario de Ceuta, Universidad de Granada, Ceuta, España. Electronic address: jlgurquiza@ugr.es.
authors.forename: Jose L
authors.initials: JL
authors.lastname: Gómez-Urquiza
authors.affiliation: Departamento de Ciencias Sociales, Universidad Católica de la Santísima Concepción, Concepción, Chile.
authors.forename: Carolina S
authors.initials: CS
authors.lastname: Monsalve-Reyes
authors.affiliation: Departamento de Metodología de las Ciencias del Comportamiento, Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), Madrid, España.
authors.forename: Concepción
authors.initials: C
authors.lastname: San Luis-Costas
authors.affiliation: Departamento de Enfermería, Facultad de Ciencias de la Salud de Granada, Universidad de Granada, Granada, España.
authors.forename: Rafael
authors.initials: R
authors.lastname: Fernández-Castillo
authors.affiliation: Departamento de Psicología Social, Facultad de Ciencias Sociales de Melilla, Universidad de Granada, Melilla, España.
authors.forename: Raimundo
authors.initials: R
authors.lastname: Aguayo-Estremera
authors.affiliation: Departamento de Enfermería, Facultad de Ciencias de la Salud de Granada, Universidad de Granada, Granada, España.
authors.forename: Guillermo A
authors.initials: GA
authors.lastname: Cañadas-de la Fuente
mesh_terms: D002055:Burnout, Professional / Q000453:epidemiology*; D006801:Humans; D059017:Primary Care Nursing; D012307:Risk Factors
keywords: Agotamiento profesional; Atención primaria de salud; Burnout; Emotional exhaustion; Enfermería; Factores de riesgo; Nursing; Occupational health; Primary health care; Risk factors; Salud laboral