RESUMEN
Enquadramento: As condições de trabalho dos profissionais dos serviços de urgência e a tecnicização dos cuidados de saúde tiveram um impacto negativo na relação profissional de saúde-doente, desumanizando-a. Objetivo: Este estudo qualitativo explorou as perspetivas das enfermeiras em relação à humanização dos cuidados de saúde nos serviços de urgência em Espanha. Metodologia: Foi realizado um estudo qualitativo com recurso a entrevistas semiestruturadas a 11 enfermeiros a trabalhar em serviços de urgência. Os dados foram analisados com recurso à técnica de análise de conteúdo. Resultados: Foram identificados dois temas principais: as dimensões dos cuidados de saúde humanizados e implementação de cuidados de saúde humanizados nos serviços de urgência, bem como cinco subtemas. Conclusão: São apresentadas recomendações para reforçar as iniciativas para implementação de modelos integrados de assistência em saúde. A implementação do cuidado holístico, centrado no doente e na sua família é essencial para garantir a humanização dos cuidados de saúde nos serviços de urgência.
Background: The working conditions of emergency department professionals and the technification of healthcare have had a negative impact on the healthcare professional-patient relationship, dehumanizing it. Objective: This qualitative study explored nurses' perspectives about the humanization of healthcare in Spanish emergency departments. Methodology: A qualitative design, centred on the opinions of 11 nurses working in the emergency department was applied via semi-structured interviews. data were analysed using the content analysis technique. Results: Two main themes were identified: The dimensions of humanized healthcare and implementing humanized healthcare at emergency departments, as well as five subthemes. Conclusion: Recommendations are put forward to strengthen initiatives for implementing integrated models of healthcare assistance. The implementation of holistic, patient and family-oriented healthcare is essential to guaranteeing humanized healthcare at the emergency department.
Marco contextual: Las condiciones laborales de los profesionales de los servicios de urgencias y la tecnificación de la atención sanitaria han tenido un impacto negativo en la relación médico-paciente, y la han deshumanizado. Objetivo: Este estudio cualitativo exploró el punto de vista de las enfermeras sobre la humanización de la atención sanitaria en los servicios de urgencias españoles. Metodología: Se aplicó un diseño cualitativo, centrado en las opiniones de 11 enfermeros que trabajan en el servicio de urgencias, mediante entrevistas semiestructuradas. Los datos se analizaron mediante la técnica del análisis de contenido. Resultados: Se identificaron dos temas principales: Las dimensiones de la atención humanizada y la implementación de la atención humanizada en el servicio de urgencias, así como cinco subtemas. Conclusión: Se presentan recomendaciones para fortalecer las iniciativas de implementación de modelos integrados de atención de la salud. La aplicación de una atención holística, centrada en el paciente y en su familia, es esencial para garantizar la humanización de la atención sanitaria en los servicios de urgencias.
Asunto(s)
Enfermería , Urgencias Médicas , Humanización de la AtenciónRESUMEN
OBJECTIVES: To analyze the role played by resilience in the dimensions that constitute burnout syndrome and, through that, the psychological health of a sample of nurses working at hospital centers. METHODS: Cross-sectional design, with a questionnaire as the tool. The sample consisted of 537 nurses from three public hospitals in Murcia, Spain. The questionnaire contained measures of the following variables: resilience, the three dimensions of burnout (emotional exhaustion, cynicism, and professional efficacy), and general psychological health, as well as sociodemographic and employment information. RESULTS: The emotional exhaustion and cynicism dimensions of burnout were significantly linked to psychological health in the manner expected, but this was not the case for professional efficacy. A stepwise multiple regression analysis revealed the moderating role of resilience on the emotional exhaustion and cynicism dimensions, as well as on psychological health. CONCLUSIONS AND CLINICAL RELEVANCE: This study highlights the moderating role of resilience on burnout and psychological health. The practical implications of the results are discussed for the implementation of measures to increase resilience as a personal resource in order to improve the health and work performance of these professionals.
Asunto(s)
Agotamiento Profesional , Hospitales Públicos/organización & administración , Enfermeras y Enfermeros/psicología , Resiliencia Psicológica , Adulto , Estudios Transversales , Emociones , Empleo , Femenino , Humanos , Masculino , Salud Mental , Persona de Mediana Edad , Modelos Organizacionales , España , Encuestas y Cuestionarios , Rendimiento Laboral , Adulto JovenRESUMEN
OBJECTIVES: The purpose of this study was to examine the relationship between resilience, academic burnout and psychological health in a sample of nursing students. METHOD/DESIGN: A descriptive and cross-sectional design was applied, with questionnaires as tools. PARTICIPANTS: The convenience sample consisted of 113 nursing students in their final academic year, who voluntarily participated in the study. RESULTS: The results indicated a statistically significant relationship between resilience and both emotional exhaustion (r = -.55; p < .01) and psychological health (r = -.62; p < .01), as well as between all three dimensions of burnout and psychological health. Hierarchical multiple regression analysis indicated that high scores for resilience and low scores for emotional exhaustion predict better perceived psychological health [F(2.96) = 17.75; p < .001]. CONCLUSIONS: Resilience was associated with lower levels of psychological discomfort and academic burnout. These findings highlight the importance of developing resilience and integrating it as an element in the nursing educational programme.