Percepción social del agotamiento emocional en profesionales de enfermería: experiencias con el paciente y la organización / Social perception of emotional exhausti on in nurses: experiences with the patient an d the organization

Objetivo: comprender las percepciones de los profesionales de enfermería sobre el agotamiento emocional y sus consecuencias sobre el trabajador, el paciente y la organización. Método: a partir de un diseño cualitativo se realizó un estudio en la ciudad de Medellín, en el año 2019, por medio de entrevistas en profundidad, a profesionales en enfermería, en quienes se indago sobre las fuentes y consecuencias del agotamiento emocional, hasta alcanzar la saturación teórica. El estudio se abordó con una perspectiva y un análisis fenomenológico. Resultados: durante las entrevistas emergieron siete temas como generadores de agotamiento emocional; quehacer propio de la enfermería, exceso de labores administrativas, conflicto familia-trabajo, relacionamiento, falta de control sobre el trabajo, sobrecarga de trabajo y los desenlaces negativos observados en los pacientes. Como consecuencias del agotamiento emocional se identifican las fallas sobre la seguridad del paciente, insatisfacción laboral y baja productividad. Conclusión: el agotamiento emocional es una experiencia compleja, nuestros resultados señalan algunas áreas potenciales para su intervención en los profesionales de la enfermería, tales como la comunicación con los pacientes y familias, el aumento del control sobre el trabajo y las expectativas realistas en la atención en salud. El trabajo de tipo administrativo y la participación en instancias de decisión dentro de las instituciones de salud, deberán realizarse con base en la evaluación de la pertinencia y de carga laboral de cada profesional de enfermería(AU)

Objective: to understand the perceptions nurses have regarding emotional exhaustion and its consequences on the worker, the patient and the organization. Method: In 2019, we conducted a qualitative study in Medellin (Colombia), through in-depth interviews with nursing professionals, in whom the sources and consequences of emotional exhaustion were explored until reaching theoretical saturation. The study was approached using a phenomenological perspective and analysis.Results: during the interviews, seven themes emerged as generators of emotional exhaustion: nursing work, excessive administrative tasks, family-work conflict, relationship, lack of control over work, work overload and negative outcomes observed in patients. Consequences of emotional exhaustion included patient safety errors, job dissatisfaction and low productivity. Conclusion: emotional exhaustion is a complex experience. Our results indicate some potential areas for intervention in nurses, including communication with patients and families, greater job control and realistic expectations regarding health care outcomes. Administrative tasks and participation in decision-making groups within health institutions must be conducted out based on an evaluation of the relevance and workload of each nursing professional(AU)

A systematic review examining the relationship between food insecurity and early childhood physiological health outcomes.

Food insecurity, or limited access to nutritious foods, is a significant public health concern especially among vulnerable populations including infants and young children in low-income households. While literature to date has thoroughly examined the psychological and behavioral impacts of food insecurity on children, no known study to date has specifically synthesized the literature exploring the relationship between food insecurity and physiological health outcomes during early childhood. The purpose of this study was to review the literature on physiological health outcomes associated with food insecurity during early childhood among children aged 0-5 years in developed countries. Our literature search sources included PubMed, PsycInfo, CINAHL, and Embase databases. A total of 657 articles published up to September 2019 were reviewed for eligibility by two coders, with a third reviewer in cases of disagreement. Eighty-three articles remained after screening by abstract, with a final 27 studies ultimately included in the final synthesis. This review is registered with PROSPERO and adhered to PRISMA guidelines. In total, 20 articles (74%) noted significant relationships between food insecurity and physiological health outcomes in young children. Findings included an association with overweight or obesity (n = 9), anemia (n = 3), poor child health (n = 3), low birth weight (n = 3), chronic illness (n = 1), special health care needs (n = 1), and increased cortisol (n = 1), in young children who experience food insecurity. Identifying relationships between food insecurity and health outcomes during early childhood has the potential to inform future prevention interventions to reduce health disparities in these vulnerable populations.