BETWEEN FINANCIAL NEED AND BURNOUT: MULTIPLE JOBS, CONSECUTIVE SHIFTS, AND THEIR IMPACT ON THE HEALTH OF PROFESSIONALS AND THE QUALITY OF CARE

Abstract

This study analyzes impacts of multiple employment bonds and consecutive shifts on the health of healthcare professionals and the quality of care provided. The exploratory bibliographic research examines specialized literature addressing relationships between labor precariousness, burnout syndrome, and care quality. The findings reveal that multiple employment bonds do not constitute an isolated phenomenon, but rather a manifestation of economic structures that underfund health systems. The analysis identifies that chronic fatigue, reduced cognitive capacity, and intensified vulnerability to mental illness function as mechanisms through which accumulation of work shifts compromises professional well-being. Fragmentation of employment bonds prevents development of institutional relationships that could offer social support and security. Care quality proves dependent on conditions that allow adequate attention, with exhausted professionals associated with higher prevalence of adverse events. Implications for professional equity indicate that accumulation of shifts disproportionately affects women and professionals of color. Theoretical contributions integrate perspectives on labor precariousness, burnout syndrome, and care quality, revealing that real transformation requires structural changes in funding, regulation of work shifts, and guarantee of labor rights. The study demonstrates that professional health is not an individual matter but a collective one, dependent on structures that ensure labor dignity and conditions allowing quality care provision without sacrificing workers' own health.