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J Health Organ Manag ; ahead-of-print(ahead-of-print)2021 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-34455733


PURPOSE: Nurses working during the coronavirus disease 2019 (COVID-19) pandemic have reported elevated levels of anxiety, burnout and sleep disruption. Hospital administrators are in a unique position to mitigate or exacerbate stressful working conditions. The goal of this study was to capture the recommendations of nurses providing frontline care during the pandemic. DESIGN/METHODOLOGY/APPROACH: Semi-structured interviews were conducted during the first wave of the COVID-19 pandemic, with 36 nurses living in Canada and working in Canada or the United States. FINDINGS: The following recommendations were identified from reflexive thematic analysis of interview transcripts: (1) The nurses emphasized the need for a leadership style that embodied visibility, availability and careful planning. (2) Information overload contributed to stress, and participants appealed for clear, consistent and transparent communication. (3) A more resilient healthcare supply chain was required to safeguard the distribution of equipment, supplies and medications. (4) Clear communication of policies related to sick leave, pay equity and workload was necessary. (5) Equity should be considered, particularly with regard to redeployment. (6) Nurses wanted psychological support offered by trusted providers, managers and peers. PRACTICAL IMPLICATIONS: Over-reliance on employee assistance programmes and other individualized approaches to virtual care were not well-received. An integrative systems-based approach is needed to address the multifaceted mental health outcomes and reduce the deleterious impact of the COVID-19 pandemic on the nursing workforce. ORIGINALITY/VALUE: Results of this study capture the recommendations made by nurses during in-depth interviews conducted early in the COVID-19 pandemic.

Esgotamento Profissional/psicologia , COVID-19/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Serviços de Saúde do Trabalhador , Estresse Psicológico/psicologia , Adulto , Esgotamento Profissional/prevenção & controle , Canadá , Comunicação , Feminino , Humanos , Entrevistas como Assunto , Liderança , Masculino , Determinação de Necessidades de Cuidados de Saúde , Política Organizacional , Pandemias , Equipamento de Proteção Individual , SARS-CoV-2 , Licença Médica , Estresse Psicológico/prevenção & controle , Estados Unidos , Carga de Trabalho
Artigo em Inglês | MEDLINE | ID: mdl-33809010


Although the positive outcomes of human-environment interactions have been established, research examining the motivation between engagement in pro-environmental activities and psychological well-being is limited. In this mixed-methods study, the relationship between pro-environmental engagement, meaning in life, and well-being, including loneliness and depression, were investigated in a sample of 112 young adults in Canada. It was found that engaging in pro-environmental activities was negatively associated with loneliness. This association was mediated by meaning in life (e.g., an intrinsic motive of caring for future generations). In addition, qualitative analyses explored how engaging in pro-environmental activities has a meaningful impact on meaning in life, and on well-being. A thematic analysis generated three unique themes: (1) responsibility to teach the next generation about the environment, (2) deep appreciation for and connection to nature, and (3) renewed agency through self-directed learning. Overall, findings suggest that meaning in life is a core motive that underlies the association between environmental engagement and loneliness. The present study enriched the relationship between pro-environmentalism and well-being with a mixed-methods perspective.

Solidão , Comportamento Social , Canadá , Humanos , Motivação , Adulto Jovem
J Health Psychol ; 26(5): 701-712, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-30957548


Polycystic ovary syndrome is the most common endocrine disorder among women aged from 18 to 40 years. Its debilitating menstrual/obesity-related symptoms challenge conceptions of femininity. To date, age-related differences in women's body esteem and physicians' symptom management recommendations have not been investigated. Age moderated the relationships between symptom concerns and both sexual attractiveness and physical condition, but only for midlife, not for emerging adult women. Midlife women received holistic management information from physicians, while emerging adult women received weight management information. This study highlights the need for physician training to manage women's health and age-targeted body acceptance interventions for women diagnosed with polycystic ovary syndrome.

Síndrome do Ovário Policístico , Adolescente , Adulto , Feminino , Feminilidade , Humanos , Obesidade , Síndrome do Ovário Policístico/terapia , Comportamento Sexual , Saúde da Mulher , Adulto Jovem
Qual Health Res ; 31(3): 523-534, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33213256


Polycystic ovary syndrome (PCOS) is the most common endocrine syndrome that disproportionally affects women of childbearing age (~8% to 13% of women worldwide). If unmanaged, it can lead to chronic, lifelong complications. Over the past decade, improvements in diagnostic guidelines have not produced an expected reduction in the diagnostic timeframe. We examined the potential reasons underlying this diagnosis delay. Participants first constructed a diagnostic timeline and then charted and reflected on their diagnosis journeys. Through a reflexive thematic analysis, five themes represented the most common diagnostic trajectory: (a) dismissal of adolescents' early symptoms, (b) negative diagnostic encounters, (c) wariness of treatment options, (d) uncertainty for the future, and (e) self-education and advocacy. Our findings lead us to argue for education of physicians and allied professionals to strengthen patient-centered care delivery to women with a focus on building in training supports that include critically informed, social justice foundations.

Dev Psychol ; 54(10): 1971-1976, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30234345


In this longitudinal Canadian study, we investigated the relationship between the developmental trajectories of community involvement and generative concern measured at ages 23, 26, and 32. Participants completed a questionnaire on youth involvement, the Youth Involvement Inventory (YII), and the Loyola Generativity Scale (LGS) at all 3 ages. A latent growth model (LGM) of community involvement predicting time-specific variance in the LGS revealed that: (a) higher levels of community involvement at age 23 predicted greater generative concern at ages 23 and 26, but not at age 32; (b) there were 3 specific indirect paths linking age 23 community involvement to age 32 generativity through earlier assessments of age 23 and age 26 generative concern; and finally (c) a more positive slope of community involvement over time predicted higher levels of generative concern at age 32. These findings suggest that early involvement in community commitments, and increases in community involvement across emerging adulthood, may lead individuals down a path toward a more generative personality in young adulthood. (PsycINFO Database Record

Participação da Comunidade/psicologia , Comportamento Social , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Personalidade , Seio Sagital Superior , Adulto Jovem
Int J Psychol ; 53 Suppl 1: 27-36, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28294312


While culture's effect on the coping process has long been acknowledged in the stress-coping literature conceptually, empirical evidence and attempts to discern the specific relationship between culture and coping remain very scarce. Against this backdrop, the present study applied the Cultural Transactional Theory (Chun, Moos, & Cronkite, 2006) to examine the mediating role of cultural coping behaviours (Collective, Engagement and Avoidance Coping) on the relationship between academic stress (AS) and two positive psychosocial well-being outcome measures: Collective Self-esteem (CSE) and Subjective Well-being (SWB). Responses from a sample of undergraduate students in Canada (N = 328) were analysed to test a theory-driven, hypothesised model of coping using structural equation modelling (SEM). As hypothesised, the SEM results showed that: (a) the proposed cultural coping model fit the data well; (b) Engagement Coping and Collective Coping partially mediated the association between AS and the outcomes and (c) the path relationships among the constructs were in the hypothesised directions. A set of preliminary exploratory analyses indicated that Collective Coping was most strongly endorsed by the African/Black and the Middle Eastern cultural groups as compared to other ethnic groups. Implications of the study's findings for future research and practice concerning culture, stress, and coping are discussed.

Desempenho Acadêmico/psicologia , Adaptação Psicológica/fisiologia , Etnopsicologia/métodos , Estresse Psicológico/psicologia , Adulto , Feminino , Humanos , Masculino , Adulto Jovem