• Jose L Gómez-Urquiza, Carolina S Monsalve-Reyes, Concepción San Luis-Costas, Rafael Fernández-Castillo, Raimundo Aguayo-Estremera, and Guillermo A Cañadas-de la Fuente.
• Departamento de Enfermería, Facultad de Ciencias de la Salud, Campus Universitario de Ceuta, Universidad de Granada, Ceuta, España. Electronic address: jlgurquiza@ugr.es.
• Aten Primaria. 2017 Feb 1; 49 (2): 778577-85.

ObjectiveTo determine the risk factors and levels of burnout in Primary Care nurses.MethodsA systematic review was performed.Data SourcesCINAHL, 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.Study SelectionThe 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.Data ExtractionThe 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.ResultsStudies 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.ConclusionHigh 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.Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

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