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2.
J Nurs Adm ; 51(4): 212-219, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734181

RESUMEN

OBJECTIVE: To highlight the development, implementation, and initial findings of a brief healthcare professional support program called "GRACE." BACKGROUND: Healthcare professionals face significant work-related stressors that when left unmanaged can negatively affect their overall well-being and contribute to burnout. METHODS: Over a 2-year period, the GRACE program was delivered to 8 clinical units at a midsized southwestern hospital. Questionnaires were administered at baseline and 1 month. RESULTS: Program participants were 36 years old on average, female (81%), and White (68%) and mostly employed as nurses (66%). Attendees reported increased knowledge, understanding, and confidence and found the program to be acceptable. One month after training, participants demonstrated significant improvements in self-compassion. Medical units that received GRACE training saw significantly greater increases in patient satisfaction scores compared with units that did not receive training. CONCLUSIONS: The GRACE program was feasible and acceptable to deliver, and initial proof-of-concept evidence was supported.


Asunto(s)
Agotamiento Profesional/prevención & control , Desgaste por Empatía/prevención & control , Atención Plena/métodos , Personal de Enfermería en Hospital/psicología , Lugar de Trabajo/psicología , Adulto , Agotamiento Profesional/psicología , Desgaste por Empatía/psicología , Empatía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estrés Laboral/prevención & control , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
6.
N Z Med J ; 134(1530): 12-20, 2021 02 19.
Artículo en Inglés | MEDLINE | ID: mdl-33651773

RESUMEN

AIM: Burnout has a damaging effect on both the wellbeing of medical professionals and patients alike. Empathy is an important part of the therapeutic relationship and could be damaged by burnout. We aimed to describe the prevalence of burnout, assess levels of empathy and explore the relationship between burnout and empathy among senior medical officers (SMOs). We hypothesised that there would be a negative correlation between empathy and burnout. METHOD: This was a cross-sectional observational study involving SMOs from a variety of specialities. The focus is on SMOs with relatively prolonged contact times with patients. Email invitations were sent out requesting participation in an electronic survey on the QuestionPro platform. The survey comprised 42 questions enquiring about demographics, empathy (Jefferson Scale of Physician Empathy) and burnout (Copenhagen Burnout Inventory). Correlational analyses were performed. RESULTS: Three hundred and fourteen invitations were sent out and 178 responses were received (56.7% response rate). Forty-five percent of SMOs surveyed were experiencing high levels of personal burnout. There was a statistically significant negative correlation between empathy and patient-related burnout (p=0.018). CONCLUSIONS: The results show high levels of personal burnout among SMOs and suggest that empathy reduces as patient-related burnout increases. The nature of this relationship is a complex one, and other contributing variables should be considered.


Asunto(s)
Agotamiento Profesional/epidemiología , Empatía , Relaciones Médico-Paciente , Médicos/estadística & datos numéricos , Adulto , Agotamiento Profesional/psicología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Médicos/psicología , Encuestas y Cuestionarios
7.
JAMA ; 325(10): 937-938, 2021 Mar 09.
Artículo en Inglés | MEDLINE | ID: mdl-33687466
8.
J Youth Adolesc ; 50(4): 788-802, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33709217

RESUMEN

Poor educational outcomes are common among children with antisocial behavior problems, including among a subgroup of antisocial children with callous-unemotional traits, who show deficits in empathy, guilt, and prosociality. However, few studies have explored the unique contributions of antisocial behavior and callous-unemotional traits to school outcomes and most prior studies have been conducted in Western countries. The current study thus tested associations between callous-unemotional traits, antisocial behavior, and trajectories of school outcomes among South Korean children. Participants aged 10-12 years (N = 218; 52% boys) completed questionnaires assessing antisocial behavior, callous-unemotional traits, verbal ability, and school engagement, and teachers provided children's Math and Korean grades at three time points during a single academic year. Prospective associations were explored in conditional latent growth curve models. Both antisocial behavior and callous-unemotional traits were related to lower school engagement at the start of the academic year, but the magnitude of the associations was greater for callous-unemotional traits, suggesting a greater adverse effect of callous-unemotional traits on engagement than antisocial behavior. Moreover, children with high levels of callous-unemotional traits showed stable and low levels of school engagement. There were no significant predictive associations between antisocial behavior or callous-unemotional traits and trajectories of academic grades. The findings suggest that interventions aimed at improving educational outcomes among antisocial children should be tailored according to the presence of callous-unemotional traits to target the specific needs of individual students, particularly at the start of the school year.


Asunto(s)
Trastorno de la Conducta , Trastorno de Personalidad Antisocial , Niño , Emociones , Empatía , Humanos , Masculino , Estudios Prospectivos , República de Corea , Instituciones Académicas
9.
Artículo en Inglés | MEDLINE | ID: mdl-33670163

RESUMEN

Background: While coronavirus disease 2019 (COVID-19) continues to spread across the globe, public health strategies-including the social distancing measures that many countries have implemented- have caused disruptions to daily routines. For children with disabilities and their families, such measures mean a lack of access to the resources they usually have through schools and habilitation or rehabilitation services. Health emergencies, like the current COVID-19 pandemic, require innovative strategies to ensure continuity of care. The objective of this perspective paper is to propose the adoption of two innovative strategies for teleintervention. Methods: The novel strategies include: (1) to apply the principles of the Routines-Based Model beyond the early years of development, and (2) to adopt My Abilities First-which is a novel educational tool promoting an abilities-oriented approach in healthcare encounters. Results: In the context of COVID-19, and using accessible language, the content of the paper highlights what is important for families and individuals with disabilities, and how the proposed novel strategies could be useful delivering remote support. Conclusions: The principles of the Routines-Based Model and My Abilities First are universal and facilitate collaborative, empathic, family-centered teleintervention for children and youth with disabilities during and post the COVID-19 lockdown.


Asunto(s)
Niños con Discapacidad/rehabilitación , Pandemias , Telemedicina/tendencias , Adolescente , Niño , Control de Enfermedades Transmisibles , Empatía , Familia , Humanos
10.
Artículo en Inglés | MEDLINE | ID: mdl-33669661

RESUMEN

Self-compassion has been associated with less distress, particularly when people face stressful and negative events. This study analyzed the mediation role of coping and affect in the relation between self-compassion and negative emotional symptoms during the quarantine decreed by Portuguese Health Authorities in the first phase of the coronavirus outbreak. A total of 428 Portuguese adults (75% women; Mage = 40.8, SD = 11.6) completed an online survey comprised by the Self-Compassion Scale (predictor); Short Version of Depression, Anxiety and Stress Scale (outcomes); The Positive and Negative Affect Schedule; and Brief-COPE. These instruments were adapted to COVID 19's epidemic. Parallel mediation analyses demonstrated that self-compassionate participants were at less risk of suffering from symptoms of depression, anxiety, and stress during the quarantine. Plus, the relation between self-compassion and depressive, anxious, and stress symptoms were mediated by negative affect and dysfunctional coping style, but only for symptoms of depression. The findings support coping strategies and affect as links between self-compassion and distress but also the importance of separately analyzing the role of self-compassion, negative affect, and coping on symptoms of anxiety, depression, and stress. Low self-compassion might increase negative affect, maintaining stress responses to face demanding events during the COVID-19 epidemic. Results were discussed in the context of the pandemic outbreak.


Asunto(s)
Adaptación Psicológica , Empatía , Cuarentena , Adulto , Depresión/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Portugal , Estrés Psicológico/epidemiología
11.
Artículo en Inglés | MEDLINE | ID: mdl-33670059

RESUMEN

Previous data support that mental health is affected during pandemic and lockdown situations. Yet, little is known about the positive factors that protect mental health during a lockdown. This study analyzed mental health status-particularly emotional problems-and the role of several sociodemographic and clinical variables; it also explored whether there is a positive relationship between self-compassion and better mental health status. A cross-sectional study was carried out in Spain with the participation of 917 fluent Spanish-speaking residents in a survey conducted approximately midway through the COVID-19 lockdown. The survey tested for anxiety, depression, and stress using the Depression Anxiety Stress Scale-21 (DASS-21), the Self-Compassion Scale (SCS) to measure self-compassion values, and the Perceived Vulnerability to Disease Questionnaire (PVDQ) to assess the degree of risk perceived by participants. Around 30% of the individuals surveyed (recruited by snowball sampling) showed clinically significant levels of anxiety, depression, and stress. The variables most frequently associated with anxiety, depression, and stress were low levels of self-compassion, age, gender, previous physical symptoms, a previous mental disorder, being a student, and perceived vulnerability to disease. We discuss the hypothetical protective role against anxiety, depression, and stress of certain skills such as self-compassion and the possibility that increasing self-compassion may be used to promote better mental health in similar situations.


Asunto(s)
/psicología , Empatía , Salud Mental , Estrés Psicológico/epidemiología , Adulto , Ansiedad/epidemiología , Control de Enfermedades Transmisibles , Estudios Transversales , Depresión/epidemiología , Femenino , Humanos , Masculino , España/epidemiología , Encuestas y Cuestionarios
12.
Rev Bras Enferm ; 74(suppl 1): e20200721, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33566956

RESUMEN

OBJECTIVE: to reflect on empathic listening use as a welcoming strategy for nursing professionals to cope with the challenges during the pandemic caused by the new coronavirus. METHODS: this is a reflection study based on updated data surveys and theoretical-conceptual aspects of Non-Violent Communication and empathic listening. RESULTS: in the performance during the COVID-19 pandemic, nursing professionals are exposed to violence of different natures related to occupational stress, work overload, anguishes and silenced suffering, with implications for the workers' health, who can be benefited and strengthened with empathetic listening. FINAL CONSIDERATIONS: the health crisis has highlighted the weaknesses of the health system. Nursing acts as the largest contingent of the health workforce in coping with the pandemic. Empathetic listening is a powerful strategy in caring for and strengthening nursing professionals.


Asunto(s)
Agotamiento Profesional/prevención & control , Agotamiento Profesional/psicología , Empatía , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Estrés Laboral/psicología , Adaptación Psicológica , Adulto , Actitud del Personal de Salud , Comunicación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias/prevención & control
14.
Hu Li Za Zhi ; 68(1): 97-103, 2021 Feb.
Artículo en Chino | MEDLINE | ID: mdl-33521924

RESUMEN

This case report describes a nursing care experience that applied Swanson's Caring Theory to a patient who was suffering from the rapid progression of cellulitis, which had impaired physical mobility and induced anxiety. The associated health problems, including infection, impaired physical mobility, and anxiety, were affirmed after an integrated physical, psychological, social, and spiritual assessment was conducted during the nursing care period, which lasted between March 8th and March 22nd, 2020. After Applying Swanson's Caring Theory through five caring processes, the therapeutic relationships with the patient and his family members were established and their concerns and care needs were well known. Emotional support was provided through listening and accompaniment. In addition, the patient was encouraged to participate in strength training to improve physical mobility and maintain a positive outlook. In line with this, diaphragmatic breathing, muscle relaxation, shoulder massage, and divided attention were used to reduce anxiety and to assist the patient to face life after discharge positively and optimistically. It is hoped that this case report provides medical staffs with a reference for providing care to patients suffering from cellulitis, physical impairment, and anxiety.


Asunto(s)
Celulitis (Flemón) , Empatía , Celulitis (Flemón)/terapia , Familia , Humanos
15.
Nurs Res ; 70(2): 106-113, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33630533

RESUMEN

BACKGROUND: Hospitals need to prevent, respond to, and learn from safety risks and events perceived by patients and families, who in turn rely on nurses to respond to and report their safety concerns. OBJECTIVES: The aim of the study was to describe the process by which bedside nurses evaluate and determine the appropriate response to safety concerns expressed by patients or their families. METHODS: A qualitative design was employed. We recruited inpatient bedside nurses in an 811-bed Midwest academic medical center. Nurses provided demographic information and participated in semistructured interviews designed to elicit narratives related to evaluation and response to patient- or family-expressed safety concerns. Data analysis and interpretation were guided by grounded theory. RESULTS: We enrolled 25 nurses representing 22 units. Based on these nurses' experiences, we developed a grounded theory explaining how nurses evaluate a patient or family safety concern. Nurses make sense of the patient's or family's safety concern in order to take action. Achieving this goal requires evaluation of the meaningfulness and reasonableness of the concern, as well as the potential effect of the concern on the patient. Based on this nursing evaluation, nurses respond in ways designed to (a) manage emotions, (b) immediately resolve concerns, (c) involve other team members, and (d) address fear or uncertain grounding in reality. Nurses reported routinely handling safety concerns at the bedside without use of incident reporting. DISCUSSION: Safety requires an interpersonal and evaluative nursing process with actions responsive to patient and family concerns. Safety interventions designed to be used by nurses should be developed with the dynamic, cognitive, sensemaking nature of nurses' routine safety work in mind. Being sensitive to the vulnerability of patients, respecting patient and family input, and understanding the consequences of dismissing patient and family safety concerns are critical to making sense of the situation and taking appropriate action to maintain safety. Measuring patient safety or planning improvement based on patient or family expression of safety concerns would be a difficult undertaking using only standard approaches. A more complex approach incorporating direct patient engagement in data collection is necessary to gain a complete safety picture.


Asunto(s)
Rol de la Enfermera/psicología , Relaciones Enfermero-Paciente , Personal de Enfermería en Hospital/psicología , Seguridad del Paciente/estadística & datos numéricos , Empatía , Familia/psicología , Femenino , Teoría Fundamentada , Humanos , Masculino , Investigación Cualitativa
16.
Artículo en Inglés | MEDLINE | ID: mdl-33572529

RESUMEN

This study aimed to evaluate which aspects of moral disengagement (MD), empathy, and representations of the victim's experience (VER) could be predictors of cyberbullying (CB). One hundred and eight-nine students (11-17 years old) completed 3 self-report questionnaires: An MD scale, an empathy scale, and a CB questionnaire. In relation to the personal experience of CB, four groups were identified: Victim, bully, bully/victim, and no experience with CB. The linear bivariate correlation analysis shows correlations between empathy and VER, between empathy and MD, and between MD and VER. A multinomial logistic regression identified which predictors could increase a subject's probability of belonging to one of the four groups regarding the personal experience of CB (victim, bully, bully/victim, no experience). Findings highlighted that low cognitive empathy might increase the probability for a student to belong to the bullies' group, rather than the victims' group. Furthermore, low perception of the consequences of CB on the victim might increase the probability of belonging to the bully, bully/victim, and no experience groups. Then, a high score in the diffusion of responsibility was a significant predictor of belonging to the victim group rather than the no experience group. Results from this study confirm the need for preventive measures against CB, including the empowerment of cognitive empathy, decreasing the diffusion of responsibility, and increasing the awareness of the consequences of CB on the victim.


Asunto(s)
Acoso Escolar , Víctimas de Crimen , Ciberacoso , Adolescente , Niño , Empatía , Humanos , Italia , Principios Morales , Encuestas y Cuestionarios
17.
Artículo en Inglés | MEDLINE | ID: mdl-33573258

RESUMEN

Intensive-care unit nurses may experience difficulties in end-of-life care because of frustration or lethargy. The purpose of this study was to develop a mobile end-of-life care program for intensive-care unit nurses and evaluate the effects on competence factors such as knowledge, self-efficacy, and compassion. A quasi-experimental design was used. The participants included 44 nurses who had less than three years of experience in the intensive-care unit, divided into the experimental group and control group. After the intervention, the experimental group showed a significant improvement in self-efficacy in end-of-life care and compassion in end-of-life care. Based on the results of this study, the end-of-life care mobile app was an effective educational method for nurses with experience of less than 3 years in an intensive-care unit. To improve the quality of end-of-life care, it is necessary to develop various educational programs considering the greater role of the fourth industrial revolution in the future.


Asunto(s)
Aplicaciones Móviles , Cuidado Terminal , Empatía , Humanos , Unidades de Cuidados Intensivos , Autoeficacia
20.
BMC Med Educ ; 21(1): 133, 2021 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-33632210

RESUMEN

BACKGROUND: Pain is a devastating sensation and has to be treated immediately. Therefore, we developed a training program to improve the knowledge of medical students in the field of pain medicine. In the present study, the applicability and efficacy of this training program was tested. METHODS: Half of the students attended first a training with simulated patients (SP) followed by bedside teaching (Group 1). Group 2 performed the training programs in reverse order. The evaluation based on standardized questionnaires completed by students (self-assessment) and all students took part in two practical examinations after the learning interventions. RESULTS: This study included 35 students. The quality of the simulation was evaluated by the students with average grade 1.1 (1 = very good, 6 = very bad). The practical work on the ward with patients was rated with grade 1.4 of 6, the whole course with 1.1. Students of Group A were significantly better in the final examination (grade 1.7 vs. grade 2.2, p < 0.05). To rate the improvement of skills (self-assessment) we used a Likert Scale (1 = very certain, 5 = very uncertain). The following skills were similar in both groups and significantly better after the course: taking responsibility, expert knowledge, empathy, relationship building and communication. CONCLUSIONS: Training with simulated patients in combination with small-group teaching at the bedside with real patients achieves a dramatic increase in student competence. Students prefer learning from the simulation before bedside teaching and propose to include simulation into the curricular teaching of pain medicine.


Asunto(s)
Competencia Clínica , Educación Médica/métodos , Evaluación Educacional , Manejo del Dolor , Adulto , Comunicación , Curriculum , Empatía , Femenino , Alemania , Humanos , Masculino , Estudiantes de Medicina/psicología
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