[Situational analysis of nursing professionals to develop a strategic plan in a highly complex hospital]

This study aims to describe the emotional state, motivation, and satisfaction of nursing staff in order to design a management strategy to prevent burnout.

A three-phase, cross-sectional study was conducted between December 2021 and February 2023 in a high-complexity hospital. Participants included professionals under the Nursing Directorate (nursing, physiotherapy, occupational therapy, auxiliary nursing care technician, and pharmacy auxiliary technicians) with =2 years of employment and =2 months in their current department. Data were collected using 65 items covering sociodemographic variables, willingness to choose the same profession again, emotional state (EVEA questionnaire), job satisfaction (Font-Roja questionnaire), and knowledge of internal organizational factors (self-designed questionnaire).

A total of 596 professionals participated; 56% had =10 years of experience in the hospital and 59% would choose the same profession again. The EVEA questionnaire revealed high levels of anger, anxiety, and sadness. Font Roja scores indicated fatigue and difficulty disconnecting from work in 78% of participants. Although 70% responded good supervisor communication, limited leadership was identified. Associations were found between work shift, professional category, and emotional and satisfaction variables. Seven areas for improvement were identified to guide a strategic plan, with the most frequent demands related to human resources management.

Nurses exhibits higher burnout levels than physiotherapists, emphasizing the need for targeted interventions. Strengthening supervisory leadership and implementing tailored management strategies can align institutional goals with the expressed need of care teams.