How Transformational Leadership Affects the Off-work Recovery of Daily Personal Energy Resources via Work Engagement: Resource and Demand-based Pathways.

This study focuses on the transformational leadership-work engagement relationship by investigating resource and demand pathways for daily off-work recovery and employee wellbeing (EWB). While previous research highlighted how transformational leadership energizes employees to engage at work, energy is a finite resource requiring daily restoration for EWB. Yet, how the leader's energizing effect relates to daily employees' recovery remains unknown. Following job demands-resource-recovery theory, we test two pathways that relate the transformational leadership-work engagement relationship to daily employee recovery: (a) Resource-based via resource-building, (b) demand-based via increased demands. Utilizing a 10-day, two daily measurement (N = 88) study, multilevel path analyses revealed: transformational leadership predicted via work engagement (b = .17, p < .05) role clarity (b = .56, p < .01), then positive (b = .39, p < .01), and negative work-nonwork spillover (b = -.38, p < .01). Positive work-nonwork spillover predicted recovery positively (b = .25, p < .01), negative work-nonwork spillover negatively (b = -.40, p < .01). Recovery predicted EWB for positive (b = .38, p < .01) and for negative (b = -.43, p < .01) affect. Work engagement predicted workload (b = .35, p < .01), further negative (b = .33, p < .01) and positive work-nonwork spillover (b = -.16, p < .01), hampering EWB. As one pathway effect might cancel the other, the main effect of transformational leadership on EWB was not significant in the integrative model (p > .05). Results highlight dark and bright sides of the transformational leadership-work engagement relationship regarding daily recovery.

Escalas en el control del dolor en pacientes post-ictus con afasia: Un estudio comparativo / Scales in pain control in patients post-ictus with aphasia: A comparative study

La valoración del dolor y su control es un punto clave en los cuidados que reciben los pacientes durante su estancia hospitalaria, siendo la figura de la enfermera esencial y más en aquellos pacientes afectados de ictus a los que les sobreviene un problema de afasia secundaria, que dificulta la verbalización del dolor.El objetivo de este estudio fue averiguar si el uso de una escala específica de control del dolor y la más precisa administración del tratamiento analgésico impactan positivamente en indicadores tales como la estancia media, el grado de dependencia y los episodios de agitación.Mediante un estudio de diseño longitudinal de grupos al azar, realizado durante 2 semanas de seguimiento, se compara la gestión y registro del dolor utilizando una escala de conductas indicadoras de dolor (N=41) y una escala verbal numérica o escala visual analógica (N=39), en pacientes con alteración del lenguaje tras sufrir un ictus y que se encuentren ingresados en la Unidad de Ictus del Servicio de Neurología del Hospital Clínic de Barcelona.Los resultados obtenidos, pese a ir en la línea conjeturada, no son significativos estadísticamente. Sin embargo, algunos modelos estadísticos han mostrado la utilidad de algunos factores (nivel de formación, experiencia enfermera, episodios previos de ictus, entre otros) en la predicción de una mejor evolución, lográndose una capacidad predictiva entre el 20-37%, lo que abre la puerta a nuevos estudios y refuerza el papel de las variables estudiadas en los cuidados de este tipo de pacientes.(AU)

The assessment of pain and its control is a key point in the care received by patients during their hospital stay, with the nurse being an essential figure, especially in stroke patients with secondary aphasia, which makes it difficult to verbalise pain.The aim of this study was to find out whether the use of a specific pain control scale and the more precise administration of analgesic treatment has a positive impact on indicators such as average stay length, dependence degree and agitation episodes.By means of a longitudinal randomised group design study, within a two-week period, we compared the management and recording of pain using a Pain Indicator Behaviour Scale (N=41) and a Verbal Numerical Scale or Visual Analogue Scale (N=39), in patients with language impairment after suffering a stroke who were admitted to the Stroke Unit of the Neurology Department of the Hospital Clínic de Barcelona.The results obtained, despite being in line with what was conjectured, are not statistically significant. However, some statistical models have shown the usefulness of some factors (level of training, nurses experience, previous episodes of stroke, among others) in the prediction of a better evolution, with a predictive capacity between 20-37%, which justifies the necessity of further studies and reinforces the role of the variables studied in the care of this type of patient.(AU)

Scales in pain control in patients post-ictus with aphasia: A comparative study.

The assessment of pain and its control is a key point in the care received by patients during their hospital stay, with the nurse being an essential figure, especially in stroke patients with secondary aphasia, which makes it difficult to verbalise pain. The aim of this study was to find out whether the use of a specific pain control scale and the more precise administration of analgesic treatment has a positive impact on indicators such as average stay length, dependence degree and agitation episodes. By means of a longitudinal randomised group design study, within a two-week period, we compared the management and recording of pain using a Pain Indicator Behaviour Scale (N = 41) and a Verbal Numerical Scale or Visual Analogue Scale (N = 39), in patients with language impairment after suffering a stroke who were admitted to the Stroke Unit of the Neurology Department of the Hospital Clínic de Barcelona. The results obtained, despite being in line with what was conjectured, are not statistically significant. However, some statistical models have shown the usefulness of some factors (level of training, nurses experience, previous episodes of stroke, among others) in the prediction of a better evolution, with a predictive capacity between 20-37%, which justifies the necessity of further studies and reinforces the role of the variables studied in the care of this type of patient.

Socio-economic and psychological impact of COVID-19 pandemic in a Spanish cohort BIOVAL-D-COVID-19 study protocol / Impacto socioeconómico y psicológico de la pandemia de COVID-19 en una cohorte española protocolo del estudio BIOVAL-D-COVID-19

Objective: SARS-CoV-2 outbreak has a negative psychological impact among general population. Data comparing mental health status before and during the outbreak is needed. The BIOVAL-D-COVID-19 study assess the socio-economic and psychological impact of the COVID-19 pandemic and lockdown in a representative sample of non-institutionalized Spanish adult population, and estimate the incidence of mental health disorders, including suicidal behaviours, and possible related factors. Method: Observational longitudinal study including two online surveys: baseline survey (T0) performed during 2019 and follow-up survey (T1) conducted 12-month later. The latter included nine sections: socio-demographic, health status, mental health, employment conditions and status, material deprivation, use of healthcare services, intimate partner violence and resilience. Four of the nine sections are administered in T0 and T1 assessments. Longitudinal data analyses will estimate adjusted incidence rates of mental health disorders using Poisson regression models. Risk and protective factors will be analysed through multiple logistic regression models. (AU)

Objetivo: el estudio BIOVAL-D-COVID-19 evaluará el impacto socioeconómico y psicológico de la pandemia de COVID-19 y del confinamiento en una muestra representativa de población española adulta no institucionalizada, y estimará la incidencia de trastornos de salud mental, incluida la conducta suicida, y los posibles factores relacionados. Métodos: estudio longitudinal que incluye dos encuestas online: la encuesta basal (T0) realizada durante 2019 y la encuesta de seguimiento (T1) realizada 12 meses después. Esta última tiene nueve secciones: variables sociodemográficas, estado de salud general, salud mental, condiciones laborales y estatus laboral, privación material, uso de servicios de salud, violencia de pareja y resiliencia. Cuatro de las nueve secciones se administran en ambas encuestas (T0 y T1). Se utilizarán modelos de regresión de Poisson para el análisis longitudinal de las tasas de incidencia ajustadas de trastornos de salud mental. Los factores de riesgo y de protección se analizarán mediante modelos de regresión logística múltiple. (AU)

Socio-economic and psychological impact of COVID-19 pandemic in a Spanish cohort BIOVAL-D-COVID-19 study protocol.

OBJECTIVE: SARS-CoV-2 outbreak has a negative psychological impact among general population. Data comparing mental health status before and during the outbreak is needed. The BIOVAL-D-COVID-19 study assess the socio-economic and psychological impact of the COVID-19 pandemic and lockdown in a representative sample of non-institutionalized Spanish adult population, and estimate the incidence of mental health disorders, including suicidal behaviours, and possible related factors. METHOD: Observational longitudinal study including two online surveys: baseline survey (T0) performed during 2019 and follow-up survey (T1) conducted 12-month later. The latter included nine sections: socio-demographic, health status, mental health, employment conditions and status, material deprivation, use of healthcare services, intimate partner violence and resilience. Four of the nine sections are administered in T0 and T1 assessments. Longitudinal data analyses will estimate adjusted incidence rates of mental health disorders using Poisson regression models. Risk and protective factors will be analysed through multiple logistic regression models.