Percepción multidimensional de los riesgos psicosociales en profesionales de la salud

Palabras clave: Riesgos laborales, condiciones de trabajo, personal sanitario, salud ocupacional, análisis multivariante

Resumen

La evidencia acumulada sobre riesgos psicosociales en el ámbito sanitario ha destacado la importancia de analizarlos desde enfoques capaces de capturar su complejidad. En este marco, el estudio tuvo como objetivo analizar la percepción de riesgos psicosociales en profesionales de la salud de la provincia del Guayas-Ecuador mediante un enfoque multivariante. Se desarrolló un estudio cuantitativo, descriptivo y transversal, basado en un diseño no experimental y en la aplicación del Cuestionario de Evaluación de Riesgos Psicosociales a una muestra de 324 profesionales seleccionados por criterio y bola de nieve. El análisis incluyó técnicas multivariantes y representaciones HJ-Biplot que permitieron visualizar la estructura factorial de las dimensiones evaluadas. Los resultados mostraron configuraciones diferenciadas según el puesto. En los médicos generales prevalecieron factores organizativos y de control; mientras que en los especialistas convergieron exigencias estructurales y cognitivas. En los licenciados de enfermería se evidenció la influencia del soporte institucional y carga asistencial, y en los auxiliares destacó la dependencia de estructuras de apoyo y limitaciones en el desarrollo de competencias. En conclusión, el estudio confirmó la heterogeneidad de los riesgos psicosociales en función del rol desempeñado y subrayó la necesidad de intervenciones adaptadas que contribuyan al bienestar laboral en el sector salud.

Descargas

La descarga de datos todavía no está disponible.

Biografía del autor/a

Clemencia Magdalena Aguirre Pluas

Doctora en Educación. Magister en Psicología Laboral con mención en Desarrollo Humano y de la Organización. Psicóloga Industrial. Docente en la Universidad Estatal de Milagro, Milagro, Guayas, Ecuador. E-mail: caguirrep@unemi.edu.ec ORCID: https://orcid.org/0000-0003-3424-6570

Mario Alfredo Fernández Ronquillo

Doctor en Administración y Dirección de Empresas. Magister en Administración y Dirección de Empresas. Economista. Docente en la Universidad Estatal de Milagro, Milagro, Guayas, Ecuador. E-mail: mfernandezr@unemi.edu.ec ORCID: https://orcid.org/0000-0001-7705-809X

Carmen Graciela Zambrano Villalba

Doctora en Psicología. Magister en Psicología Clínica. Magister en Diseño Curricular. Psicóloga Clínica. Docente en la Universidad Estatal de Milagro, Milagro, Guayas, Ecuador. E-mail: czambranov@unemi.edu.ec ORCID: http://orcid.org/0000-0002-4189-3509

Citas

Al’Ararah, K., Çağlar, D., y Aljuhmani, H. Y. (2024). Mitigating job burnout in Jordanian Public Healthcare: The interplay between ethical leadership, organizational climate, and role overload. Behavioral Sciences, 14(6), 490. https://doi.org/10.3390/bs14060490

AL-Ghwary, A. A., AL-Oweidat, I. A., Al-Qudimat, A. R., Abu Shosha, G. M., Khalifeh, A. H., y ALBashtawy, M. (2024). The impact of work environment on structural empowerment among nurses in governmental hospitals. Nursing Reports, 14(1), 482-493. https://doi.org/10.3390/nursrep14010037

Alonso, J., Vilagut, G., Mortier, P., Ferrer, M., Alayo, I., Aragón-Peña, A., Aragonès, E., Campos, M., Cura-González, I. D., Emparanza, J. I., Espuga, M., Forjaz, M. J., González-Pinto, A., Haro, J. M., López-Fresneña, N., Martínez, A. D., Molina, J. D., Ortí-Lucas, R. M., Parellada, M., … Pérez-Solà, V. (2021). Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey. Revista de Psiquiatría y Salud Mental, 14(2), 90-105. https://doi.org/10.1016/j.rpsm.2020.12.001

Appel, P., Schuler, M., Vogel, H., Oezelsel, A., y Faller, H. (2017). Short Questionnaire for Workplace Analysis (KFZA): factorial validation in physicians and nurses working in hospital settings. Journal of Occupational Medicine and Toxicology, 12, 11. https://doi.org/10.1186/s12995-017-0157-6

Arnsten, A. F. T., y Shanafelt, T. (2021). Physician Distress and Burnout: The Neurobiological Perspective. Mayo Clinic Proceedings, 96(3), 763-769. https://doi.org/10.1016/j.mayocp.2020.12.027

Benalcazar-Rodriguez, S. M., y Campos-Murillo, N. D. C. (2025). Determinación de riesgos psicosociales que inciden en la salud mental del personal hospitalario, Girón-Ecuador. MQRInvestigar, 9(1), e318. https://doi.org/10.56048/MQR20225.9.1.2025.e318

Billings, C., Bernard, H., Caffery, L., Dolan, S. A., Donaldson, J., Kalp, E., y Mueller, A. (2019). Advancing the profession: An updated future-oriented competency model for professional development in infection prevention and control. American Journal of Infection Control, 47(6), 602-614. https://doi.org/10.1016/j.ajic.2019.04.003

Bosma, A. R., Boot, C. R. L., Snippen, N. C., Schaafsma, F. G., y Anema, J. R. (2021). Supporting employees with chronic conditions to stay at work: perspectives of occupational health professionals and organizational representatives. BMC Public Health, 21(1), 592. https://doi.org/10.1186/s12889-021-10633-y

Carazas-Bruno, I. P., Martínez-Aronés, S. R., Millones-Liza, D. Y., y Villar-Guevara, M. (2024). Assessment of Psychosocial Risks in Workers in the Health Sector: Evidence in the Peruvian Population. Academic Journal of Interdisciplinary Studies, 13(3), 373-387. https://doi.org/10.36941/ajis-2024-0088

Cevallos, D. P., Moreira-Choez, J. S., Lamus, T. M., y Sánchez-Urdaneta, A. B. (2023). Psychosocial effects of COVID-19 in Ecuadorian university professors. Revista de Ciencias Sociales (Ve), XXIX(2), 15–31. https://doi.org/10.31876/rcs.v29i2.39960

Coventry, T. H., Maslin-Prothero, S. E., y Smith, G. (2015). Organizational impact of nurse supply and workload on nurses continuing professional development opportunities: an integrative review. Journal of Advanced Nursing, 71(12), 2715-2727. https://doi.org/10.1111/jan.12724

De Brún, A., O’Donovan, R., y McAuliffe, E. (2019). Interventions to develop collectivistic leadership in healthcare settings: a systematic review. BMC Health Services Research, 19, 72. https://doi.org/10.1186/s12913-019-3883-x

Eriksson, A., Vulkan, P., y Dellve, L. (2022). A case study of critical reasons behind hospital nurses turnover due to challenges across system levels. Journal of Multidisciplinary Healthcare, 15, 1213-1224. https://doi.org/10.2147/JMDH.S363390

Fteropoulli, T., Kalavana, T. V., Yiallourou, A., Karaiskakis, M., Koliou, M., Vryonides, S., Hadjioannou, A., y Nikolopoulos, G. K. (2025). Beyond the physical risk: Psychosocial impact and coping in healthcare professionals during the COVID-19 pandemic. Journal of Clinical Nursing, 34(12), 5234-5248. https://doi.org/10.1111/jocn.15938

Fuentes-Olavarría, D., Rodríguez-Rivas, M. E., y Romo-Neira, J. (2024). Workload and psychosocial risks among nurses in mental health and psychiatry in Chile. International Journal of Mental Health Nursing, 33(4), 869-884. https://doi.org/10.1111/inm.13286

González-Casas, D., Mercado-García, E., y Corchado-Castillo, A. I. (2022). Impacto emocional motivado por la Covid-19 en población millennial española. Revista de Ciencias Sociales (Ve), XXVIII(1), 51-62. https://doi.org/10.31876/rcs.v28i1.37669

Greenacre, M., Groenen, P. J. F., Hastie, T., D’Enza, A. I., Markos, A., y Tuzhilina, E. (2022). Principal component analysis. Nature Reviews Methods Primers, 2, 100. https://doi.org/10.1038/s43586-022-00184-w

Han, P., Sun, Y., Chen, H., Liu, Y., Liu, S., Wang, J., Chi, C., Dai, Z., Chen, J., Zeng, L., y Jiang, J. (2024). The early career resilience experience of generation Z newly graduated registered nurses in standardized training in the emergency department: a qualitative study in Shanghai. BMC Nursing, 23, 391. https://doi.org/10.1186/s12912-024-02043-3

Jain, A., Hassard, J., Leka, S., Di Tecco, C., e Iavicoli, S. (2021). The Role of Occupational Health Services in Psychosocial Risk Management and the Promotion of Mental Health and Well-Being at Work. International Journal of Environmental Research and Public Health, 18(7), 3632. https://doi.org/10.3390/ijerph18073632

Jung, F. U., Pabst, A., Löbner, M., Luppa, M., y Riedel-Heller, S. G. (2024). Behind the times? Associations of working-time autonomy with health-related and occupational outcomes in health care personnel– a latent profile analysis. BMC Public Health, 24, 825. https://doi.org/10.1186/s12889-024-18289-0

Karaferis, D., Aletras, V., y Niakas, D. (2022). Determining dimensions of job satisfaction in healthcare using factor analysis. BMC Psychology, 10, 240. https://doi.org/10.1186/s40359-022-00941-2

Magro, A., Gutiérrez-García, A., González-Álvarez, M., y Del Líbano, M. (2022). Psychosocial Impact of the COVID-19 Pandemic on Healthcare Professionals in Spain. Sustainability, 14(22), 15171. https://doi.org/10.3390/su142215171

Malinzak, E. B. (2018). Healthcare Professionalism: Improving practice through reflections on workplace dilemmas. Anesthesia & Analgesia, 126(1), 362. https://doi.org/10.1213/ANE.0000000000002623

Melo, V. S. D., Silva, I. A., Silva, A. F., Gouveia, A., y Rodrigues, C. A. (2024). Psychosocial risks in the practice of healthcare professionals: from the culture of stoicism to occupational suicide. European Psychiatry, 67(S-1), S205-S206. https://doi.org/10.1192/j.eurpsy.2024.443

Mohanty, A., Kabi, A., y Mohanty, A. P. (2019). Health problems in healthcare workers: A review. Journal of Family Medicine and Primary Care, 8(8), 2568. https://doi.org/10.4103/jfmpc.jfmpc_431_19

Montes, K., Vicente-Villardon, J. L., De la Hoz-M, J., Useche-Castro, L. M., Alarcón, D. F., y Siteneski, A. (2021). Frequency of Neuroendocrine Tumor Studies: Using latent dirichlet allocation and HJ-Biplot Statistical Methods. Mathematics, 9(18), 2281. https://doi.org/10.3390/math9182281

Moreno, L. T., Vaca, S. M., Martínez, D. I., Suasnavas, P. R., Cárdenas, I. M., y Gómez, A. R. (2018). Diseño y validación de un cuestionario para el diagnóstico de riesgos psicosociales en empresas ecuatorianas. Ciencia & Trabajo, 20(63), 160-168. https://doi.org/10.4067/S0718-24492018000300160

Novillo-Montoya, C. E., Vélez-Mendoza, L.-P., Cervantes-Martínez, L., y Valdés-Cabodevilla, R. C. (2025). Influencia del ambiente laboral en la salud mental de los docentes universitarios: Un estudio multidimensional. Revista de Ciencias Sociales (Ve), XXXI(E-12), 487-502. https://doi.org/10.31876/rcs.v31i.44579

Olsen, E., y Mikkelsen, A. (2020). Development and investigation of a new model explaining job performance and uncertainty among nurses and physicians. International Journal of Environmental Research and Public Health, 18(1), 164. https://doi.org/10.3390/ijerph18010164

Parra, M. A., Lay, N., Escalona-Oliveros, J. F., y Rodríguez, M. A. (2022). Impacto psicosocial del Covid-19 en jóvenes del municipio de Malambo-Atlántico, Colombia. Revista de Ciencias Sociales (Ve), XXVIII(2), 202–212. https://doi.org/10.31876/RCS.V28I2.37933

Pilacuan-Bonete, L., Galindo-Villardón, P., y Delgado-Álvarez, F. (2022). HJ-Biplot as a tool to give an extra analytical boost for the Latent Dirichlet Assignment (LDA) Model: With an application to digital news analysis about COVID-19. Mathematics, 10(14), 2529. https://doi.org/10.3390/math10142529

Pujol-Cols, L., y Lazzaro-Salazar, M. (2021). Ten years of research on psychosocial risks, health, and performance in Latin America: A comprehensive systematic review and research agenda. Journal of Work and Organizational Psychology, 37(3), 187-202. https://doi.org/10.5093/jwop2021a18

Rostami, F., Babaei-Pouya, A., Teimori-Boghsani, G., Jahangirimehr, A., Mehri, Z., y Feiz-Arefi, M. (2021). Mental workload and job satisfaction in healthcare workers: The moderating role of job control. Frontiers in Public Health, 9, 683388. https://doi.org/10.3389/fpubh.2021.683388

Saeidzadeh, S., Wang, A., Duan, Y., Hipel, I., Norton, P. G., y Estabrooks, C. A. (2025). Examining factorial validity and internal consistency of Professional Quality of Life (ProQoL-9) among care aides working in Long-term Care (LTC). BMC Health Services Research, 25, 4. https://doi.org/10.1186/s12913-024-12143-0

Saldaña, C., Polo-Vargas, J. D., Gutiérrez-Carvajal, O. I., y Madrigal, B. E. (2020). Bienestar psicológico, estrés y factores psicosociales en trabajadores de instituciones gubernamentales de Jalisco-México. Revista de Ciencias Sociales (Ve), XXVI(1), 25-37. https://doi.org/10.31876/rcs.v26i1.31308

Saparniene, D., Strukcinskiene, B., Mineviciute, G., Cizauskaite, A., Rapoliene, L., Grigoliene, R., Paciauskaite, I., y Genowska, A. (2023). Working environment of health care professionals – focus on occupational stress. Annals of Agricultural and Environmental Medicine, 30(4), 721-728. https://doi.org/10.26444/aaem/172116

Siteneski, A., Montes-Escobar, K., De la Hoz-M, J., Lapo-Talledo, G. J., Gutiérrez, G., Carlin, E., Caicedo, R., y Borja-Cabrera, G. P. (2025). Depression and anxiety in patients with psoriasis: A comprehensive analysis combining bibliometrics, latent dirichlet allocation, and HJ-Biplot. Healthcare, 13(5), 441. https://doi.org/10.3390/healthcare13050441

Søvold, L. E., Naslund, J. A., Kousoulis, A. A., Saxena, S., Qoronfleh, M. W., Grobler, C., y Münter, L. (2021). Prioritizing the mental health and well-being of healthcare workers: An urgent global public health priority. Frontiers in Public Health, 9, 679397. https://doi.org/10.3389/fpubh.2021.679397

Squires, A. (2004). A Dimensional Analysis of Role Enactment of Acute Care Nurses. Journal of Nursing Scholarship, 36(3), 272-278. https://doi.org/10.1111/j.1547-5069.2004.04049.x

Stuijfzand, S., Deforges, C., Sandoz, V., Sajin, C.-T., Jaques, C., Elmers, J., y Horsch, A. (2020). Psychological impact of an epidemic/pandemic on the mental health of healthcare professionals: a rapid review. BMC Public Health, 20(1), 1230. https://doi.org/10.1186/s12889-020-09322-z

Syahrir, M. S., y Falah, F. (2021). Occupational Burnout and Workload: Mental Health Challenges in the Workplace and Solutions. Journal of Health Literacy and Qualitative Research, 1(2), 69-83. https://doi.org/10.61194/jhlqr.v1i2.528

Van Dorssen-Boog, P., De Jong, J., Veld, M., y Van Vuuren, T. (2020). Self-Leadership Among Healthcare Workers: A Mediator for the Effects of Job Autonomy on Work Engagement and Health. Frontiers in Psychology, 11, 01420. https://doi.org/10.3389/fpsyg.2020.01420

Van Dorssen-Boog, P., Van Vuuren, T., De Jong, J., y Veld, M. (2022). Healthcare workers’ autonomy: testing the reciprocal relationship between job autonomy and self-leadership and moderating role of need for job autonomy. Journal of Health Organization and Management, 36(9), 212-231. https://doi.org/10.1108/JHOM-04-2022-0106

Vinueza-Solórzano, A. M., Almansa, J. F. F., Basso, C., Ávila, G. Z., Bento, I. D. D. J., Bolaños, F. J., Hutz, C. S., y Souza, A. C. (2023). A Systematic Review of Burnout among Healthcare Professionals in Latin America. Revista Psicologia Organizações e Trabalho, 23(3), 2616-2624. https://doi.org/10.5935/rpot/2023.3.24803

Xu, K., Lei, L., Guo, Z., Liu, X., Shi, Y., Han, G., Lin, K., Cai, W., Lu, C., Li, X., Li, Y., y Peng, K. (2024). Turnover intention among healthcare workers in Shenzhen, China: the mediating effect of job satisfaction and work engagement. BMC Health Services Research, 24(1), 1413. https://doi.org/10.1186/s12913-024-11872-6

Zapata-Constante, C. A., y Riera-Vázquez, W. L. (2024). Riesgos psicosociales y estrés laboral en trabajadores del Instituto Ecuatoriano de Seguridad Social, Ambato, Ecuador. Gestio et Productio. Revista Electrónica de Ciencias Gerenciales, 6(10), 4-23. https://doi.org/10.35381/gep.v6i10.60

Zibrowski, E., Shepherd, L., Sedig, K., Booth, R., y Gibson, C. (2018). Easier and faster is not always better: Grounded theory of the impact of large-scale system transformation on the clinical work of emergency medicine nurses and physicians. JMIR Human Factors, 5(4), e11013. https://doi.org/10.2196/11013
Publicado
2026-05-11
Cómo citar
Aguirre Pluas, C. M., Fernández Ronquillo, M. A., & Zambrano Villalba, C. G. (2026). Percepción multidimensional de los riesgos psicosociales en profesionales de la salud. Revista De Ciencias Sociales, 32(2), 413-428. https://doi.org/10.31876/rcs.v32i2.45584
Sección
Artículos