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1.
Int J Psychol ; 58(3): 272-281, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36698244

RESUMO

There have been rich debates about whether and how mindfulness alters prosocial behaviour. Nevertheless, few empirical studies have touched on how mindfulness training (MT) influences altruistic behaviour under high- and low-cost situations in a real-life scenario. The present study aimed to examine the effect of mindfulness training on altruistic willingness at different cost levels. A total of 41 females participated in our study and were randomly assigned to the MT and control groups. They completed the empathy-altruism task and Five-Facet Mindfulness Questionnaire (FFMQ) before and after an 8-week experimental intervention, during which the MT group attended the Mindfulness-Based Cognitive Therapy (MBCT) programme, while the control group remained as usual. The MT group presented a significant increase in overall FFMQ scores after the 8 weeks of MBCT. However, their willingness to help declined in the low-cost situation at post-test. Further analysis revealed a positive correlation between the increase in the scores of the observing facet and willingness to help in the high-cost situation in the MT group. The changes in describing facet were a negative predictor of the change in empathy in the low-cost situation. Taken together, 8-week MBCT enhanced the level of mindfulness but reduced people's willingness to help in the low-cost situation.


Assuntos
Terapia Cognitivo-Comportamental , Atenção Plena , Feminino , Humanos , Altruísmo , Inquéritos e Questionários , Empatia , Resultado do Tratamento
2.
Pharmacol Biochem Behav ; 222: 173509, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36565789

RESUMO

Empathy, the ability to perceive the affective state of another, is a complex process that is integral to many of the prosocial behaviors expressed in humans and across the animal kingdom. Research into the behavioral and neurobiological underpinnings of empathic behaviors has increased in recent years. Growing evidence suggests changes in empathy may contribute to a myriad of psychiatric illnesses, including substance use disorder (SUD). Indeed, both clinical and preclinical research in SUD demonstrates a strong relationship between drug taking or relapse events and changes to empathic behavior. Further, there is significant overlap in the underlying neural substrates of these complex behaviors, including the insula, paraventricular nucleus of thalamus (PVT), and the paraventricular nucleus of the hypothalamus (PVN). In this review, we will discuss our current understanding of the interplay between empathic behaviors and SUD. We will also examine the underlying neurobiology that may regulate this interaction, focusing specifically on the insula, PVT, and PVN. Finally, we discuss the biologic and therapeutic importance of taking empathic processes into consideration when discussing SUD.


Assuntos
Comportamento Aditivo , Transtornos Relacionados ao Uso de Substâncias , Animais , Humanos , Empatia , Emoções , Altruísmo , Hipotálamo
3.
Proc Natl Acad Sci U S A ; 119(49): e2207754119, 2022 12 06.
Artigo em Inglês | MEDLINE | ID: mdl-36442126

RESUMO

Millions of people across the world live off-grid not by choice but because they live in rural areas, have low income, and have no political clout. Delivering sustainable energy solutions to such a substantial amount of the world's population requires more than a technological fix; it requires leveraging the knowledge of underserved populations working together with a transdisciplinary team to find holistically derived solutions. Our original research has resulted in an innovative Convergence Framework integrating the fields of engineering, social sciences, and communication, and is based on working together with communities and other stakeholders to address the challenges posed by delivering clean energy solutions. In this paper, we discuss the evolution of this Framework and illustrate how this Framework is being operationalized in our on-going research project, cocreating hybrid renewable energy systems for off-grid communities in the Brazilian Amazon. The research shows how this Framework can address clean energy transitions, strengthen emerging industries at local level, and foster Global North-South scholarly collaborations. We do so by the integration of social science and engineering and by focusing on community engagement, energy justice, and governance for underserved communities. Further, this solution-driven Framework leads to the emergence of unique approaches that advance scientific knowledge, while at the same time addressing community needs.


Assuntos
Sistemas Computacionais , Energia Renovável , Humanos , Engenharia , Tecnologia , Altruísmo
4.
PLoS One ; 17(11): e0277152, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36441685

RESUMO

BACKGROUND: This study aimed to analyse the content of the Dental Benefits Act 2008 as a foundation for the Child Dental Benefits Schedule (CDBS) to determine how the Act encourages Australian families to seek and utilise oral health services. METHODS: This was a qualitative narrative document analysis conducted in 2022. Data was collected by searching formal websites for retrieving documents that reported the Australian Dental Benefits Act. The eligibility of the retrieved documents was assessed based on authenticity, credibility, representativeness, and meaningfulness of the data. A seven-steps procedure was applied for framework analysis. RESULTS: The content of the Dental Benefits Act 2008 provides directions on the three categories of operational, collective, and constitutional rules. Operational rules at the level of oral health providers and the population, as the service end users, can be demonstrated as rules in use in a mutual interaction with the collective and constitutional rules. The consequence of governing the rules at the community level can easily define how the oral health services are provided and utilised. The response is sent to the government level for better regulation of oral health service delivery and utilisation. Then, with interaction and advocacy with the diverse range of stakeholders and interdisciplinary partnerships, with community groups, non-government sectors and councils, the rules can be transformed, adopted, monitored, and enforced. Another mechanism of response has occurred at the providers' and users' level and to the operational rules to community groups and stakeholders via advertising and promoting the utilisation and provision of oral health services. CONCLUSION: This study integrates the perspective of politicians with those of policy makers to reconsider the role and significance of the rules based on the triple collaborations among oral health users and oral service providers, the community, and the stakeholders as well as the government. A comprehensive attention is still needed in future revisions of the Dental Benefits Act 2008 according to the contextual factors, socioeconomic and geographical attributes of the population for better implementation of de facto rules and more effective outcomes of the interventions. It is recommended that further research be undertaken utilising a mix-method approach for a holistic view prior to further revisions of the Act or proposal of probable upcoming schemes.


Assuntos
Pessoal Administrativo , Publicidade , Criança , Humanos , Austrália , Altruísmo , Definição da Elegibilidade
5.
BMC Psychol ; 10(1): 138, 2022 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-35644623

RESUMO

BACKGROUND: This study investigated the effects of the loving-kindness meditation (LKM) on employees' mindfulness, affect, altruism and knowledge hiding. METHODS: In total, 100 employees were recruited from a knowledge-based enterprise in China and randomly divided into the LKM training group (n = 50) and the control group (n = 50). The LKM training group underwent LKM training for 8 weeks, while the control group did not. Seven main variables (mindfulness, altruism positive affect, negative affect, playing dumb, rationalized hiding, and evasive hiding) were measured both before (pre-test) and after (post-test) the LKM training intervention. RESULTS: The LKM intervention significantly increased participants' altruism, and significantly reduced negative affect, playing dumb and evasive hiding, but did not significantly improve mindfulness, positive affect, and rationalized hiding. CONCLUSIONS: LKM significantly improved employees' altruism, and significantly reduce their negative affect, but did not significantly improve their mindfulness and positive affect. For knowledge hiding, LKM significantly reduced playing dumb and evasive hiding, but had no significant effect on rationalized hiding. These results further elucidate the psychological effects of LKM and suggest the possibility of reducing knowledge hiding in the workplace. TRIAL REGISTRATION: ChiCTR2200057460. Registered in Chinese Clinical Trial Registry (ChiCTR), 13 March 2022-Retrospectively registered.


Assuntos
Meditação , Atenção Plena , Altruísmo , China , Humanos , Meditação/métodos
6.
J Am Coll Health ; 70(2): 347-354, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-32343205

RESUMO

Objective This study examined relationships between prosocial factors including altruism, compassion, social connectedness, spirituality, and volunteerism and measures of health in college students. Participants: A total of N = 1,075 participants from four institutions across various regions of the U.S. were included. Methods: Participants were sent email invitation via student listserv to participate in a survey of health and prosocial factors that was open for one month. Results: Hierarchical linear regressions were completed to examine the influence of prosocial variables on perceptions of health and engagement in health behaviors. Social connectedness was a significant contributor to variance in all health measures, and the variables with the most variance explained were symptoms of depression (28.6%) and Health-Related Quality of Life (24.6%). Conclusions: Institutions should prioritize programing to enhance social connectedness and other prosocial behaviors because of the positive effect these factors can have on health and health behaviors.


Assuntos
Qualidade de Vida , Estudantes , Altruísmo , Humanos , Espiritualidade , Universidades
7.
Curr Opin Psychol ; 44: 151-156, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-34662774

RESUMO

Mindfulness is a hot topic in psychological research and the popular media. One central claim in the literature is that enhanced mindfulness fosters prosocial behavior. This article recapitulates what is currently known about this widespread claim. We first review theoretical perspectives on why enhanced mindfulness should foster prosocial behavior and discuss relevant empirical evidence. Two meta-analyses provide preliminary support for this claim. However, limitations call for caution when interpreting the evidence and studies investigating effects that persist over sustained periods of time are missing. In addition, theoretical assumptions about the underlying mechanisms need stronger empirical support. We discuss theoretical predicaments, identify potential downsides of mindfulness, and suggest ways forward for future research.


Assuntos
Atenção Plena , Altruísmo , Humanos
8.
PLoS One ; 16(11): e0259873, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34797820

RESUMO

BACKGROUND: Intervention trials promoting physical activity among older people frequently report low and unrepresentative recruitment. Better understanding of reasons for participation can help improve recruitment. This study explored why participants enrolled in the Coaching for Healthy Ageing (CHAnGE) trial, including how their decision was influenced by recruitment strategies. CHAnGE was a cluster randomised controlled trial testing the effectiveness of a healthy ageing program targeting inactivity and falls. Seventy-two groups of people aged 60+ were recruited from community organisations via informal presentations by the health coaches. METHODS: We conducted a secondary thematic analysis of interview data from our wider qualitative evaluation in which 32 purposively sampled trial participants took part in semi-structured interviews about their experiences of CHAnGE. Data relating to recruitment and participation were analysed inductively to identify themes, then a coding framework comprising the core constructs from self-determination theory-autonomy, competence and relatedness-was used to explore if and how this theory fit with and helped to explain our data. RESULTS: Recruitment presentations promoted the CHAnGE intervention well in terms of addressing value expectations of structured support, different forms of accountability, credibility, achievability and, for some, a potential to enhance social relationships. Participation was motivated by the desire for improved health and decelerated ageing, altruism and curiosity. These factors related strongly to self-determination concepts of autonomy, competence and relatedness, but the intervention's demonstrated potential to support self-determination needs could be conveyed more effectively. CONCLUSIONS: Findings suggest that recruitment could have greater reach using: 1. Strengths-based messaging focusing on holistic gains, 2. Participant stories that highlight positive experiences, and 3. Peer support and information sharing to leverage altruism and curiosity. These theory-informed improvements will be used to increase participation in future trials, including people in hard-to-recruit groups. They may also inform other physical activity trials and community programs.


Assuntos
Entrevistas como Assunto/métodos , Seleção de Pacientes , Participação dos Interessados/psicologia , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Altruísmo , Austrália , Exercício Físico/psicologia , Exercício Físico/tendências , Feminino , Pessoal de Saúde/psicologia , Envelhecimento Saudável , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Motivação/ética , Autonomia Pessoal , Projetos de Pesquisa/tendências
10.
Psychol Sci ; 32(11): 1699-1708, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34705576

RESUMO

Mindfulness appears to promote individual well-being, but its interpersonal effects are less clear. Two studies in adult populations tested whether the effects of mindfulness on prosocial behavior differ according to individuals' self-construals. In Study 1 (N = 366), a brief mindfulness induction, compared with a meditation control condition, led to decreased prosocial behavior among people with relatively independent self-construals but had the opposite effect among those with relatively interdependent self-construals. In Study 2 (N = 325), a mindfulness induction led to decreased prosocial behavior among people primed with independence but had the opposite effect among those primed with interdependence. The effects of mindfulness on prosocial behavior appear to depend on individuals' broader social goals. This may have implications for the increasing popularity of mindfulness training around the world.


Assuntos
Meditação , Atenção Plena , Adulto , Altruísmo , Humanos
11.
Artigo em Inglês | MEDLINE | ID: mdl-34209124

RESUMO

Mindfulness plays an important role in promoting prosocial behavior and well-being. With the spread of Internet usage, people's online prosocial behavior (OPB) has garnered great attention. Based on the link between online and offline behaviors, we predict that mindfulness can also facilitate OPB. We examined the association of mindfulness and OPB and the mediating effect of empathy. A total of 674 Chinese undergraduate students completed self-report measures of these constructs. The results showed that different dimensions of mindfulness predicted empathy, which in turn predicted OPB. Perspective taking was the main mediator in the mindfulness-OPB link. Mindfulness improves receptiveness to others' needs and feelings, thereby enhancing the willingness to help them, even in none-face-to-face situations.


Assuntos
Empatia , Atenção Plena , Altruísmo , Cognição , Emoções , Humanos , Comportamento Social
12.
Psychiatry Res Neuroimaging ; 315: 111326, 2021 09 30.
Artigo em Inglês | MEDLINE | ID: mdl-34265626

RESUMO

We prospectively investigate protective benefits against depression of cortical thickness across nine regions of a Ventral Frontotemporal Network (VFTN), previously associated with spiritual experience. Seventy-two participants at high and low risk for depression (Mean age 41 years; 22-63 years; 40 high risk, 32 low risk) were drawn from a three-generation, thirty-eight year study. FreeSurfer estimated cortical thickness over anatomical MRIs of the brain (Year 30) for each of the nine ROIs. Depression (MDD with SAD-L; symptoms with PHQ; Years 30 and 38) and spirituality (self-report on five phenotypes; Year 35), respectively, were associated with the weighted average of nine regions of interest. VFTN thickness was: 1) positively associated (p<0.01) with two of five spiritual phenotypes, altruism and love of neighbor, interconnectedness at a trend level, but neither commitment nor practice, 2) inversely associated with a diagnosis of MDD (SADS-L Year 30, for any MDD in the past ten years), and 3) prospectively neuroanatomically protective against depressive symptoms (PHQ-9 Year 38) for those at high familial risk.


Assuntos
Altruísmo , Transtorno Depressivo Maior , Adulto , Encéfalo/diagnóstico por imagem , Transtorno Depressivo Maior/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Espiritualidade
13.
J Evol Biol ; 34(7): 1087-1094, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33934419

RESUMO

A fundamental task of evolutionary biology is to explain the pervasive impression of organismal design in nature, including traits benefiting kin. Inclusive fitness is considered by many to be a crucial piece in this puzzle, despite ongoing discussion about its scope and limitations. Here, we use individual-based simulations to study what quantity (if any) individual organisms become adapted to maximize when genetic architectures are more or less suitable for the presumed main driver of biological adaptation, namely cumulative multi-locus evolution. As an expository device, we focus on a hypothetical situation called Charlesworth's paradox, in which altruism is seemingly predicted to evolve, yet altruists immediately perish along with their altruistic genes. Our results support a recently proposed re-definition of inclusive fitness, which is concerned with the adaptive design of whole organisms as shaped by multi-locus evolution, rather than with selection for any focal gene. They also illustrate how our conceptual understanding of adaptation at the phenotypic level should inform our choice of genetic assumptions in abstract simplified models.


Assuntos
Modelos Genéticos , Seleção Genética , Altruísmo , Evolução Biológica , Aptidão Genética , Fenótipo
14.
Int J Psychophysiol ; 165: 8-17, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33839197

RESUMO

Psychological disorders such as major depressive disorder are characterised by interpersonal difficulties and anhedonia. A cognitive mechanism proposed to contribute to the maintenance of these problems is a diminished ability to generate positive mental imagery, especially regarding social interactions. The current study examined whether the effects of social imagery training on social activity and anhedonia could be enhanced with the addition of intranasal oxytocin, and whether these effects might be augmented in persons with a high propensity to engage socially (i.e., high extraversion). University students (N = 111) were randomised to self-administer intranasal oxytocin or placebo, followed by a single session of positive social or non-social imagery training that required participants to imagine 64 positive scenarios occurring in either a social or non-social context, respectively. There were no main effects of imagery type and drug, and no interaction effect on anhedonia and social activity, measured respectively via self-report and a behavioural task. Individuals low in extraversion, trust-altruism, and openness to experience reported significantly more anhedonia after receiving oxytocin relative to placebo, but only following imagery training of positive social outcomes. Results highlight the negative consequences of increasing oxytocin bioavailability after priming social contact in more withdrawn individuals.


Assuntos
Transtorno Depressivo Maior , Ocitocina , Altruísmo , Anedonia , Método Duplo-Cego , Extroversão Psicológica , Humanos , Confiança
15.
J Holist Nurs ; 39(1): 56-57, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33836641

Assuntos
Altruísmo , Humanos
16.
Transfus Clin Biol ; 28(3): 254-257, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33895379

RESUMO

BACKGROUND: Increasingly, it has been seen that patients recovering from COVID-19 may face a second battle of coping with its mental health ramifications. These psychological issues can even be experienced by patients who were asymptomatic or had mild to moderate symptoms, potentially impacting their quality of life. METHODOLOGY: This was a prospective observational study to analyse the psychological impact of COVID-19 in recovered patients who presented as prospective convalescent plasma (CP) donors. An interview for the psychological assessment of the prospective donors was carried out. Depression and anxiety in the participants were assessed by HAM-A, and HAM-D scores and Quality of Life were assessed using the WHOQOL-BREF scale. RESULTS: A total of 51 prospective donors were assessed, with a mean age of 34.37 (±9.08) years, with the majority being males (46). No clinically significant depression and anxiety were found on the basis of HAM-D and HAM-A scores. The worst affected quality of life parameter, based on the WHOQOL-BREF scale, was physical quality of life followed by environmental, psychological, and social relationships. Moreover, due to infection, social stigma was experienced by 49.02% of the donors, while 21.97% had anxiety related to convalescent plasma donation as a common livid experience. CONCLUSION: Poor quality of life and social stigma during the recovery phase is prevalent in COVID-19 recovered patients, for which formulation of holistic support strategies are the need of the hour.


Assuntos
Doadores de Sangue/psicologia , COVID-19/psicologia , COVID-19/terapia , Convalescença/psicologia , SARS-CoV-2 , Adulto , Altruísmo , Ansiedade/epidemiologia , Ansiedade/etiologia , Atitude Frente a Saúde , Depressão/epidemiologia , Depressão/etiologia , Feminino , Humanos , Imunização Passiva/psicologia , Índia , Relações Interpessoais , Entrevista Psicológica , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Testes Psicológicos , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Estigma Social , Sobreviventes/psicologia , Adulto Jovem , Soroterapia para COVID-19
17.
Pediatrics ; 147(3)2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33597286

RESUMO

CONTEXT: Children with incurable cancer may participate in research studies at the end of life (EOL). These studies create knowledge that can improve the care of future patients. OBJECTIVE: To describe stakeholder perspectives regarding research studies involving children with cancer at the EOL by conduct of a systematic review. DATA SOURCES: We used the following data sources: Ovid Medline, Embase, the Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Web of Science, and ProQuest (inception until August 2020). STUDY SELECTION: We selected 24 articles published in English that examined perceptions or experiences of research participation for children with cancer at the EOL from the perspectives of children, parents, and health professionals (HPs). DATA EXTRACTION: Two authors independently extracted data, assessed study quality, and performed thematic analysis and synthesis. RESULTS: Eight themes were identified: (1) seeking control; (2) faith, hope, and uncertainty; (3) being a good parent; (4) helping others; (5) barriers and facilitators; (6) information and understanding; (7) the role of HPs in consent and beyond; and (8) involvement of the child in decision-making. LIMITATIONS: Study designs were heterogeneous. Only one study discussed palliative care research. CONCLUSIONS: Some families participate in EOL research seeking to gain control and sustain hope, despite uncertainty. Other families choose against research, prioritizing quality of life. Parents may perceive research participation as the role of a "good parent" and hope to help others. HPs have positive views of EOL research but fear that parents lack understanding of the purpose of studies and the likelihood of benefit. We identified barriers to research participation and informed consent.


Assuntos
Pessoal de Saúde/psicologia , Neoplasias/psicologia , Pais/psicologia , Pesquisa , Assistência Terminal , Adolescente , Altruísmo , Criança , Comunicação , Compreensão , Tomada de Decisão Compartilhada , Pessoal de Saúde/estatística & dados numéricos , Comportamento de Ajuda , Esperança , Humanos , Neoplasias/terapia , Cuidados Paliativos , Poder Familiar , Participação do Paciente , Qualidade de Vida , Espiritualidade , Incerteza , Adulto Jovem
18.
Curr Opin Psychol ; 40: 51-55, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33011676

RESUMO

We review research on personality/religiousness associations, integrating earlier meta-analyses with recent large-sample online studies. We find that general religiousness shows small positive associations with broad personality factors (e.g. HEXACO Honesty-Humility, Big Five Agreeableness, Conscientiousness) and somewhat stronger positive associations with narrower personality traits involving prosocial tendencies (e.g. altruism, fairness, forgivingness). The link between religiousness and prosociality appears not to be an artifact of self-report method variance. Religious fundamentalism and spirituality show negative and positive associations, respectively, with the Openness factor of personality. Religiousness/personality associations tend to be weak in relatively non-religious countries but moderately strong in highly religious countries. The direction of causal influence between personality and religiousness is not yet clear. Religiousness shows modest negative associations with IQ and appears to be somewhat negatively related to scientific thinking.


Assuntos
Personalidade , Espiritualidade , Altruísmo , Humanos , Transtornos da Personalidade , Religião
19.
Health Commun ; 36(10): 1278-1285, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-32285701

RESUMO

Several studies have investigated the motivations driving the use of complementary and alternative medicines (CAM). Nevertheless, the general public view of these therapies remains relatively unexplored. Our study identifies the social factors that determine a person's trust in alternative therapies, like homeopathy or acupuncture, drawing conclusions from the results of the Spanish National Survey on the Social Perception of Science and Technology (N = 6,357). We show that trust in the effectiveness of CAM therapies is not mutually exclusive with a belief in science for the general public, pointing to a certain level of disinformation. The comparison with superstitions confirms a clear differentiation with the drivers of trust in analyzed CAM therapies. We argue that scientific appearance of these alternative therapies, in terms of prescription, communication and marketing, may play an important role in determining trust in them for a large part of the population. Furthermore, we confirm that women and those with higher socio-economic status are more likely to express trust in the effectiveness of CAM therapies. Additionally, distrust of the influence of big pharma on health policies seems to have an effect on viewing CAM therapies as more effective. Finally, we argue that media and pharmacies may have an effect on the scientific-like perception of CAM therapies, contributing to the social construction of trust in its effectiveness. Therefore, widespread confusion about the scientific validation of homeopathy may be among the main factors driving its successful extension as a practice.


Assuntos
Terapia por Acupuntura , Terapias Complementares , Homeopatia , Altruísmo , Feminino , Humanos , Confiança
20.
J Holist Nurs ; 39(1): 43-55, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32552346

RESUMO

BACKGROUND: For some nurses, providing altruistic care to difficult patients is a challenge, leading to the use of negative coping strategies such as anger or avoidance, leaving the nurse frustrated and patients feeling rejected. Yet other nurses can deal positively with difficult patients. PURPOSE: To study how the stress of caring for difficult patients affects the level of altruism and use of negative coping strategies in their care and to find out what positive coping strategies and interventions could be used. DESIGN/METHOD: A mixed-methods design was used. A survey tested the level of altruism, the use of negative coping strategies, and several demographics. Thematic analysis examined narratives generated by participants to three questions regarding how to provide altruistic care to difficult patients. FINDINGS: A purposive sample of 67 registered nurses (RNs) participated. The average level of altruism used by RNs with difficult patients was 99.7/120 points. An inverse relationship was found between the level of altruism and use of negative coping strategies (r = -0.577, p < .001). Qualitative analysis of narratives identified three themes-Developing Psychological Hardiness, Bearing Witness, and Fending for Oneself. CONCLUSIONS: This study provides insight into the experiences of RNs caring for difficult patients and how to ensure altruistic caring.


Assuntos
Altruísmo , Resiliência Psicológica , Adaptação Psicológica , Humanos
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