Aromaterapia na redução dos sintomas de estresse na equipe de enfermagem: revisão integrativa de literatura / Aromaterapia para reducir síntomas de estrés en equipos de enfermería: revisión integradora de la literatura / Aromatherapy in reducing stress symptoms in the nursing team: an integrative literature review

Objetivo: analisar as evidências científicas em relação ao uso da aromaterapia na redução de sintomas relacionados ao estresse na equipe de Enfermagem. Método: revisão integrativa da literatura realizada em 01 de julho de 2022, a partir dos descritores "Aromatherapy", "Stress" e "Nursing", com utilização da plataforma Rayyan para seleção dos estudos realizados por dois pesquisadores independentes. Foram incluídos documentos de acesso digital na íntegra e gratuitos nos idiomas português, inglês ou espanhol, que analisaram a aromaterapia e a população de interesse separadamente. Resultados: doze estudos foram incluídos com predominância de ensaios clínicos randomizados e estudos quase experimentais. Destacou-se aromaterapia inalatória com o óleo essencial de Lavandula angustifolia. A utilização de grupo-controle e múltiplas medições dos desfechos foram os critérios que apresentaram maior fragilidade entre os estudos analisados. Considerações finais: a aromaterapia demonstrou efetividade e segurança na redução de sintomas de estresse para a equipe de Enfermagem.

Objetivo: analizar las evidencias científicas en relación con utilizar Aromaterapia para reducir síntomas relacionados con el estrés en equipos de Enfermería. Método: revisión integradora de la literatura realizada el 1 de julio de 2022 a partir de los siguientes descriptores: "Aromatherapy", "Stress" y "Nursing", y empleando la plataforma Rayyan para seleccionar los estudios a cargo de dos investigadores independientes. Se incluyeron documentos con acceso digital a sus textos completos y gratuitos en portugués, inglés o español, y que analizaran la Aromaterapia y la populación de interés en forma separada. Resultados: se incluyeron doce estudios, con predominio de ensayos clínicos aleatorizados y estudios cuasiexperimentales. Se destacó la Aromaterapia por inhalación con aceite esencial de Lavandula angustifolia. Emplear un Grupo Controle y de múltiples mediciones de los desenlaces fueron los criterios que presentaron mayor fragilidad entre los estudios analizados. Consideraciones finales: la Aromaterapia demostró ser efectiva y segura para reducir síntomas de estrés en equipos de Enfermería.

Objective: to analyze the diverse scientific evidence regarding the use of aromatherapy in reducing stress-related symptoms in the Nursing team. Method: an integrative literature review carried out on July 1st, 2022, based on the "Aromatherapy", "Stress" and "Nursing" descriptors and using the Rayyan platform to select the studies, all in charge of two independent researchers. Full-text and free digital access documents in Portuguese, English or Spanish were included, which analyzed aromatherapy and the population of interest separately. Results: twelve studies were included, with predominance of randomized controlled trials and quasi-experimental studies. Inhalation aromatherapy with Lavandula angustifolia essential oil stood out. The use of a Control Group and multiple outcome measures were the criteria that presented the greatest weakness among the studies analyzed. Final considerations: Aromatherapy showed effectiveness and safety in reducing stress symptoms for the Nursing team.

Estresse, qualidade de vida laboral e coping da enfermagem intensiva no contexto pandêmico: revisão integrativa / Stress, quality of working life and coping in intensive nursing in the pandemic context: integrative review / Estrés, calidad de vida laboral y afrontamiento intensivo en el contexto de pandemia: revisión integradora

Objetivo: analisar, à luz da literatura, a qualidade de vida laboral do enfermeiro de Unidade de Terapia Intensiva, com ênfase nos estressores e estratégias de enfrentamento durante a COVID-19. Método: revisão integrativa realizada no mês de outubro de 2022, nas bases de dados LILACS, MEDLINE e SCIELO. Resultados: Foram localizados 820 estudos, e quando aplicados os critérios de e inclusão e exclusão e leitura, obteve-se uma amostra de sete estudos, dos quais emergiram as seguintes categorias: fatores estressores oriundos do ambiente laboral; impactos dos fatores de estresse na qualidade de vida laboral; e estratégias de enfrentamento para superar as situações estressantes. Conclusão: se faz necessário investir no apoio da enfermagem de terapia intensiva, implementando medidas estruturais e organizacionais no ambiente laboral que considerem seu estado biopsicossocial, a fim de resguardar sua resiliência tanto no contexto da COVID-19 quanto em futuras pandemias.

Objectives: to analyze, in the light of the literature, the quality of working life of Intensive Care Unit nurses, with emphasis on stressors and coping strategies during COVID-19. Method: integrative review carried out in October 2022, in LILACS, MEDLINE and SCIELO databases. Results: A total of 820 studies were located, and when inclusion and exclusion and reading criteria were applied, a sample of seven studies was obtained, from which the following categories emerged: stressors arising from the work environment; impacts of stress factors on the quality of working life; and coping strategies to overcome stressful situations. Final Considerations: it is necessary to invest in the support of intensive care nursing, implementing structural and organizational measures in the work environment that consider their biopsychosocial state, in order to safeguard their resilience both in the context of COVID-19 and in future pandemics.

Objetivos:analizar la calidad de vida laboral de enfermeros de Unidad de Cuidados Intensivos, con énfasis en los estresores y estrategias de enfrentamiento durante la COVID-19. Método: revisión integradora realizada en octubre de 2022, en las bases de datos LILACS, MEDLINE y SCIELO. Resultados:Se localizaron un total de 820 estudios, y al aplicar criterios de inclusión, exclusión y lectura, se obtuvo una muestra de siete estudios, de la cual surgieron las siguientes categorías: estresores provenientes del ambiente laboral; impactos de los factores de estrés en la calidad de vida laboral; y estrategias de afrontamiento para superar situaciones estresantes. Consideraciones finales:es necesario invertir en el apoyo a la enfermería de cuidados intensivos, implementando medidas estructurales y organizativas en el ambiente de trabajo que consideren su estado biopsicosocial, con el fin de salvaguardar su resiliencia tanto en el contexto de la COVID-19 como en futuras pandemias.

Domestic work, occupational stress and depression in nurses at a public hospital in Mexico City

AIM: To identify the effect of the domestic on the depression of nurses in a public hospital in Mexico City. BACKGROUND: Domestic work performed mainly by women coupled with the demands of work is associated with the possibility of developing mental disorders, especially depression. INTRODUCTION: Working conditions have an impact on the physical and mental health of nurses. Participation in domestic activities adds to wear and tear on workers. METHODS: The research had a cross-sectional design with a random sample of 329 nurses from a third-level hospital in Mexico City. Occupational stress and domestic work were evaluated with nursing Stress Scale questionnaires and the Individual Worker Health Survey (PROESSAT). The DASS-21 subscale was used for depression. The associations were analyzed using logistic regression models. RESULTS: The probability of suffering from depression was 7 times higher for women engaged in domestic work. Experiencing death, lack of support and having an additional job increased their association. DISCUSSION: The work-family conflict, as well as lack of support, is associated with depressive symptoms in nurses. CONCLUSION: There is a need to implement strategic programs that provide nurses with tools to deal with work-family conflict reconciliation. It is necessary to offer more favorable working conditions in the practice of nursing.

Violencia laboral y su efecto en enfermeras a nivel hospitalario: Una revisión sistemática / Workplace violence and its effect on nurses at the hospital level: A systematic review

OBJETIVO: Identificar efectos de la violencia laboral en enfermeras a nivel intrahospitalario y las estrategias de afrontamiento y prevención de violencia laboral entre enfermeras. MÉTODO: Revisión bibliográfica sistemática cualitativa. Se analizaron artículos publicados en las bases de datos PUBMED, Science Direct, Scielo y LILACS. La estrategia de búsqueda se realizó mediante descriptores en Ciencias de la Salud (DeCS) y el Medical Subject Headings (MeSH) con el operador booleano AND. Se utilizó el diagrama de flujo (PRISMA). La evaluación de la calidad metodológica se realizó mediante las fichas de lectura crítica disponibles en la Plataforma FLC 3.0. RESULTADOS: la violencia y el acoso laboral tienen efectos negativos sobre la salud física y mental, las relaciones interpersonales y en el desempeño laboral de los enfermeros. Entre las estrategias de afrontamiento de la persona que sufre violencia laboral se encuentran el análisis del problema, hablar con alguien de confianza, enfrentar al acosador e involucrar al sistema. Las medidas de prevención a nivel organizacional destacan las capacitaciones, la mejora de normas, establecimiento de sanciones al acosador y la vigilancia de estas situaciones. CONCLUSIÓN: La violencia laboral no solo repercute a la persona afectada, sino también a todo el sistema organizativo en salud. Se enfatiza la importancia de desarrollar medidas y estrategias preventivas de la violencia y acoso laboral.

OBJECTIVE: To identify the effects of workplace violence on nurses at the intrahospital level and the coping strategies and prevention of workplace violence among nurses. METHODOLOGY: Qualitative systematic literature review. Articles published from 2016 to 2021 were analyzed in the PUBMED, Science Direct, Scielo and LILACS databases, of qualitative and quantitative type. The search strategy was performed using descriptors in Health Sciences (DeCS) and Medical Subject Headings (MeSH) with the Boolean operator AND. The flow diagram (PRISMA) was used. The methodological quality of each article was assessed using the critical reading sheets available on the FLC 3.0 platform. Thirteen selected bibliographies were qualitatively analyzed. RESULTS: violence and harassment at work have negative effects on nurses' physical and mental health, interpersonal relationships and work performance. Coping strategies for the person who suffers workplace violence include analyzing the problem, talking to someone they trust, confronting the harasser, and involving the system. Prevention measures at the organizational level include training, improving standards, establishing sanctions for the harasser and monitoring these situations. CONCLUSION: The negative effect of workplace violence not only affects the person affected, but also the entire organizational health system. It is possible to emphasize the importance of establishing preventive measures and strategies against workplace violence and harassment.

Satisfação profissional do enfermeiro no ambiente da unidade de terapia intensiva / Satisfacción profesional de las enfermeras en el entorno de la unidad de cuidados intensivos / Professional satisfaction of nurses in the intensive care unit environment

Objetivo: analisar a concepção do enfermeiro acerca da satisfação profissional no ambiente da Unidade de Terapia Intensiva. Método: estudo descritivo de abordagem qualitativa, realizado em um hospital universitário do estado de Sergipe. A coleta de dados foi realizada em outubro de 2020, por meio de entrevistas semiestruturadas com enfermeiros do setor de Unidade de Terapia Intensiva geral, e os dados foram analisados mediante Análise de Conteúdo. Resultados: dos depoimentos emergiram as seguintes categorias: processo de trabalho do enfermeiro nas Unidades de Terapia Intensiva; fatores que interferem na satisfação profissional do enfermeiro no ambiente da Unidade de Terapia Intensiva; e a relação do enfermeiro com a satisfação profissional no ambiente de terapia intensiva durante a pandemia Covid-19. Considerações finais: na concepção dos enfermeiros da Unidade de Terapia Intensiva, a satisfação profissional é um aspecto importante no seu ambiente de trabalho e pode influenciar na prestação da assistência ofertada aos pacientes.

Objetivo: analizar la concepción de satisfacción profesional de la enfermera en el entorno de la Unidad de Cuidados Intensivos. Método: estudio descriptivo del enfoque cualitativo, realizado en un hospital universitario en el estado de Sergipe. La recogida de datos se realizó en octubre de 2020, a través de entrevistas semiestructuradas con enfermeras del sector general de la Unidad de Cuidados Intensivos, y los datos fueron analizados a través del Análisis de Contenido. Resultados: de las declaraciones, surgieron las siguientes categorías: el proceso de trabajo de las enfermeras en unidades de cuidados intensivos; factores que interfieren con la satisfacción profesional de las enfermeras en el entorno de la Unidad de Cuidados Intensivos; y la relación de enfermeras con satisfacción profesional en el entorno de Cuidados Intensivos durante la pandemia Covid-19 Consideraciones finales: en la concepción de las enfermeras de la Unidad de Cuidados Intensivos, la satisfacción profesional es un aspecto importante en su entorno de trabajo y puede influir en la prestación de atención ofrecida a los pacientes.

Objective: to analyze the nurse's conception of professional satisfaction in the Intensive Care Unit environment. Method: descriptive study of qualitative approach, carried out in a university hospital in the state of Sergipe. Data collection was performed in October 2020, through semi-structured interviews with nurses from the general Intensive Care Unit sector, and the data were analyzed through Content Analysis. Results: the following categories emerged from the statements: the work process of nurses in Intensive Care Units; factors that interfere in the professional satisfaction of nurses in the Intensive Care Unit environment; and the relationship of nurses with professional satisfaction in the intensive care environment during the Covid-19 pandemic. Final considerations: in the conception of Intensive Care Unit nurses, professional satisfaction is an important aspect in their work environment and can influence the provision of care offered to patients.

Systemic assessment of depressive symptoms among registered nurses: A new situation-specific theory.

BACKGROUND: A mentally-healthy nursing workforce is vital to providing quality healthcare. While there has been research conducted internationally on depressive symptoms in nurses, most studies have lacked a theoretical framework. PURPOSE: The purpose of this article is to describe the development of a situation-specific theory, the Systemic Assessment of Depressive Symptoms among Registered Nurses (SAD-RN). METHODS: The SAD-RN was developed through theory synthesis using the Roy's Adaptation Model (RAM) as a framework. Sixty-four research articles were selected to abstract relevant concepts based on a priori RAM concepts. FINDINGS: Using depressive symptoms as the anchor concept, related emergent concepts of SAD-RN include context, stressors, protective factors, negative health outcomes, and low patient care quality. DISCUSSION: SAD-RN is an evidence-based comprehensive model that offers researchers a guiding theory to be used in their future research on depressive symptoms among RNs.

Stress ocupacional e comportamentos de saúde: intervenção em profissionais de um centro hospitalar / Occupational stress and health behaviors: intervention in professionals from a hospital center

Os fatores de risco psicossociais relacionam-se com o stress ocupacional, reconhecido como causa de doenças e comportamentos não saudáveis. As intervenções sustentadas na metodologia do Planeamento em Saúde realizadas pelo Enfermeiro Especialista em Enfermagem Comunitária, através da implementação de projetos para a gestão do stress ocupacional e promoção da saúde dão resposta às necessidades dos profissionais. O projeto de intervenção comunitária foi desenvolvido no âmbito do Programa Nacional de Saúde Ocupacional, num Serviço de Saúde Ocupacional de um Centro Hospitalar. Teve como objetivo contribuir para o bem-estar dos profissionais de saúde, através de estratégias de gestão do stress ocupacional. Na revisão bibliográfica fez-se revisão scoping. O projeto seguiu a metodologia do Planeamento em Saúde e foi estruturado numa abordagem sistémica de acordo com o modelo de sistema de Neuman. Para diagnostico de situação usaram-se os instrumentos: Atitudes e Comportamentos de Saúde (QACS), Índice de bem-estar da OMS, Stress nos Profissionais de Saúde (QSPS) e Brief COPE. A amostra foi de 87 profissionais que prestam cuidados à pessoa com doença hemato-oncológica. O tratamento estatístico foi feito por SPSS. Percecionaram o stress como moderado a elevado 95,4% dos profissionais. Apresentaram níveis reduzidos de bem-estar 52,9%. Os principais stressores foram: "Lidar com clientes" (96,5%), "Excesso de trabalho" (94,3%) e "Carreira e remuneração" (91,9%). Os comportamentos de saúde mais prevalentes: sedentarismo (44,8% - 47,1%) e alterações no padrão de sono (57,4%). Os diagnósticos de enfermagem foram priorizados por grelha de análise, sendo as intervenções em: Status psicológico comprometido e Sobrecarga por stress devido a lidar com clientes atual. A educação para a saúde, através de intervenções breves baseadas no mindfulness, a formação para a capacitação dos profissionais em lidar com o sofrimento dos doentes e o marketing social, foram as principais estratégias selecionadas. A adesão ao projeto e respetiva satisfação ultrapassaram as metas determinadas e a maioria dos profissionais que participaram nas sessões referiram diminuição do nível de stress e aumento do bem-estar.

Psychosocial risk factors are related to occupational stress, recognized as a cause of illness and unhealthy behaviour. Interventions based on the Health Planning methodology carried out by the Nurse Specialist in Community Nursing, through the implementation of projects for the occupational stress management and health promotion, responds to the needs of professionals. The community intervention project was developed under the National Occupational Health Program, in an Occupational Health Service of a Central Hospital. It aimed to contribute to the well-being of health professionals, through occupational stress management strategies. In the bibliographic review, a scoping review was carried out. The project followed the Health Planning methodology and was structured in a systemic approach according to the Neuman system Model. To diagnose the situation, the following instruments were used: Health Attitudes and Behaviours, WHO Well-Being Index, Stress in Health Professionals and Brief COPE. The sample consisted of 87 professionals who provide care to people with haemato-oncological disease. The statistical treatment was done by SPSS. 95.4% of professionals perceived stress as moderate to high. 52.9% presented reduced levels of well-being. The main stressors were: "Dealing with customers" (96.5%), "Overwork" (94.3%) and "Career and remuneration" (91.9%). The most prevalent health behaviours: sedentary lifestyle (44,8% - 47,1%) and sleep patterns changes (57.4%). Nursing diagnoses were prioritized by an analysis grid, with interventions in: Compromised psychological status and Actual stress overload due to dealing with clients. Health education, through brief interventions based on mindfulness, training of professionals in dealing with the suffering of patients and social marketing, were the main strategies selected. Adherence to the project and its satisfaction exceeded the determined goals and most professionals who participated in the sessions reported a decrease in the level of stress and an increase in well-being.

Impact of Socio-Emotional Skills On The Performance of Clinical Nursing Practices.

Aim To analyze the Socio-emotional (SE) skills of the students in the Nursing Degree, and their relationship with their clinical practice in hospital centers. Methods Cross-sectional descriptive study of a sample of 91 nursing students. SE skills were analyzed through self-administered questionnaires, and the clinical practices through the instrument "Clinical Practices Evaluation Notebook". Findings The students obtained medium and high scores in the SE skills and in the clinical practices. Most of the SE skills had a positive and statistically significant relationship (p < 0.05) between them. A relationship was observed between SE skills with performance in clinical practices, through a multiple linear regression. Discussion It is suggested that the development of the SE skills of the nursing students within the Nursing degree curriculum has an influence on their performance during their clinical practices. Conclusion The SE skills are a potential predictor of the performance of the nursing students in clinical practices.

Resilience and mental health nursing: An integrative review of international literature.

Mental health nurses work in challenging and potentially high stress settings. Stressors can occur in the context of consumer, family, and/or staff relationships, as well as the work environment and organization. The cumulative effects of stress and professional challenges can lead to harmful impacts for mental health nurses including burnout and poorer physical and mental health. Resilience involves a process of positive adaptation to stress and adversity. The aims of this integrative review were to examine understandings and perspectives on resilience, and explore and synthesize the state of knowledge on resilience in mental health nursing. Following systematic search processes, screening, and data extraction, 12 articles were included. Constant comparative analysis and synthesis of the data resulted in two key categories: Theoretical concepts of resilience and Knowledge on mental health nurses' resilience. In mental health nursing, resilience has been variously constructed as an individual ability, collective capacity, or as an interactive person-environment process. Resilience was most often reported as low-moderate, with positive correlations with hardiness, self-esteem, life and job satisfaction, and negative correlations with depression and burnout. A resilience programme improved mental health nurses' coping self-efficacy and capacity to regulate thoughts and emotions and developed their resilient practice. Use of contemporary resilience definitions will inform more consistent investigation and progressively scaffold knowledge of this emergent construct in mental health nursing. Future research on the implementation of resilience programmes and resilience-building strategies for mental health nurses at the individual, work unit, and organizational levels is needed.

Trabalhadores de enfermagem: riscos psicossociais em unidades de pronto atendimento e serviços de emergência / Nursing workers: psychosocial risks in emergency care units and emergency services

Esse estudo teve como objetivo geral identificar as evidências científicas sobre os riscos psicossociais aos quais estão expostos os trabalhadores de enfermagem de Unidades de Pronto Atendimento e Serviços de Emergência. Trata-se de um estudo de Revisão Integrativa em que foi realizada a busca nas bases de dados LILACS, MEDLINE, BDENF e Biblioteca Virtual SciELO. Os descritores utilizados na busca foram: risco psicossocial, enfermagem em emergência e serviços médicos de emergência. De 413 artigos, foram selecionados seis, a maioria de âmbito nacional. Quanto as características dos trabalhadores de enfermagem, identificou-se que a maioria foi constituída por mulheres com nível superior de escolaridade, adultas jovens, casadas/solteiras, trabalhando em turnos alternados, com carga horária de até 40 horas semanais, com ritmo acelerado de trabalho, com tempo de atuação profissional de cerca de cinco anos. Os principais fatores de riscos psicossociais, identificados foram: trabalho de alta exigência; condições laborais inadequadas, de baixo controle e alta demanda; conflitos entre equipes de saúde; falta de motivação; sobrecarga de trabalho; insatisfação profissional; ambientes negativos de trabalho, entre outros. Alguns dos danos à saúde identificados foram: estresse, transtorno mental comum, insônia, mal estar gástrico, angústia, sofrimento, depressão, tristeza, alteração no sono e repouso, fadiga, nervosismo, entre outras. Como proposta para orientação dos trabalhadores de enfermagem, elaborou-se um produto tecnológico na modalidade cartilha intitulada "Riscos Psicossociais e os Trabalhadores de Enfermagem que atuam em Emergência"

This study aimed to identify the scientific evidence on the psychosocial risks to which nursing workers from Emergency Care Units and Emergency Services are exposed. This is an Integrative Review study in which the search of the databases LILACS, MEDLINE, BDENF and SciELO Virtual Library was carried out. The descriptors used in the search were: psychosocial risk, emergency nursing and emergency medical services. Of 413 articles, six were selected, most nationwide. Regarding the characteristics of nursing workers, it was identified that the majority were women with a higher educational level, young adults, married / single, working in alternating shifts, with a workload of up to 40 hours a week, with a fast pace of work, with a professional time of about five years. The main psychosocial risk factors identified were: high-demand work; inadequate working conditions, low control and high demand; conflicts between health teams; lack of motivation; work overload; professional dissatisfaction; negative work environments, among others. Some of the health damages identified were: stress, common mental disorder, insomnia, gastric distress, anguish, suffering, depression, sadness, altered sleep and rest, fatigue, nervousness, among others. As a proposal for the orientation of nursing workers, a technological product was developed in the booklet modality entitled " Psychosocial Risks and Nursing Workers that work in Emergency"

Identifying cut-off scores for job demands and job control in nursing professionals: a cross-sectional survey in Germany.

OBJECTIVES: Nurses are generally found to be vulnerable to burnout, but nurses working in cancer care are even more so, since this profession is characterised by continuous confrontation with suffering and death. This study was designed to identify cut-off scores for job strain, that is, low job control and high job demands, for a sample of nurses working in breast cancer care. The main goal was to find cut-off scores, which predict the risk of nurses of developing a mental disorder from high job strain. DESIGN: The design was a cross-sectional survey study. SETTING: The study is based on an employee survey in breast cancer centres in Germany. PARTICIPANTS: 688 nurses received a questionnaire; 329 nurses from 33 hospitals participated in the survey (return rate: 50.2%). PRIMARY AND SECONDARY OUTCOME MEASURES: Dependent variable: psychological well-being, measured by the WHO-5 Well-being Index; independent variables: job control and job demands, measured by the Job Content Questionnaire (JCQ). RESULTS: Multivariable analysis indicates that low job control and high job demands are prognostic factors for low well-being. In a receiver operating curve (ROC) analysis, the cut-off scores, which demonstrated a maximum Youden index, were 34.5 for job control and 31.4 for job demands. The combination of both scales from a logistic regression analysis resulted in an area under the curve of 0.778. Sensitivity and specificity are 70.3% and 74.2%, respectively. The total of correct classification was 63.3%. CONCLUSION: The determined cut-off scores indicate that there is a risk of becoming psychologically ill from a high workload when an individual reaches a score of ≤34.5 for job control and ≥31.4 for job demands. The described method of establishing risk-based cut-off scores is promising for nursing practice and for the field of occupational health. Transferability and generalisability of the cut-off scores should be further analysed.

Sociodemografía y estrés en enfermeras cuidadoras de pacientes crónicos / Sociodemography and stress on caregivers and nurses chronic patients

RESUMEN Introducción: Las enfermedades crónicas constituyen hoy en día un problema de salud pública que van en aumento. Objetivo: Describir las características socio demográficas y factores estresores de las enfermeras profesionales. Métodos: Estudio descriptivo, cuantitativo, transversal, en una población de 105 enfermeras que laboran en instituciones prestadoras de salud de Santa Marta cuyo objeto es el cuidado de pacientes con enfermedad crónica. Se aplicó el instrumento de caracterización sociodemográfica y la escala de estresores laborales para personal de enfermería "Nursing Stress Scale" Se procesó la información mediante el paquete estadístico IBM SPSS Statistics Versión 21.0, usando estadísticos descriptivos. Resultados: El 45,00 por ciento de los enfermeros se encontraban en el rango de edad entre 31 y 40 años; predominó el género femenino, con un 88,00 por ciento; el 47,00 por ciento tenía contrato a término fijo y un 24,00 por ciento a término indefinido; para la mayoría de los entrevistados las relaciones laborales producen una tensión moderada. Conclusiones: La presencia de estrés en los profesionales de Enfermería que cuidan a pacientes con enfermedades crónicas tiene factores personales, laborales y relacionados con el cuidado directo de sus pacientes(AU)

ABSTRACT Introduction: Chronic diseases constitute today a problem of public health that are on the rise. Objective: To describe the characteristics and factors demographic partner stressors professional nurses. Methods: Descriptive study, quantitative, transversal, in a sample of 105 nurses working in institutions providing health of Santa Marta whose object is the care of patients with chronic disease, the instrument was administered of sociodemographic characterization and the scale of job stressors for nursing personnel "Nursing Stress Scale" information was processed using SSPS version 21, using statistical descriptive. Results: 45.00 percent of the nurses were in the age range between 31 and 40 years there was a predominance of the female gender, with a 88,00 percent, 47,00 percent has fixed-term contract, a 24,00 percent to undefined term; for the majority of the interviewees labor relations produce a moderate tension. Conclusions: The presence of stress in nursing professionals who care for patients with chronic diseases has personal factors, labor and related to the direct care of their patients(AU)

[Impact of violence relational strategies on care systems]. / Impact des stratégies relationnelles violentes sur les systèmes de prise en charge.

The impact and propagation of abusive relational manoeuvres and violent relationships can be made easier to understand to help institutions intervene. The systemic co-intervention with professionals exposed to traumatogenic contexts is an approach which should be considered. It favours the understanding of this violent process from the perpetrator of the transgressions through to the systems in place to care for those impacted.

[Caring for those who care for us]. / Prendre soin de ceux qui nous soignent.

The AAPML is a French association offering support for health professionals and private practice doctors suffering from stress via a helpline. It provides information and training for health professionals and takes into account their engagement in the workplace.

[Role of the occupational health nurse]. / Rôle de l'infirmier de santé au travail.

The missions of occupational health nurses are exclusively preventive, except in the event of emergency situations. They are involved in the prevention of occupational stress, the assessment of psychosocial risks and the improvement of quality of life at work.

[New developments in psychiatry]. / Psychiatrie.

The development of the role of peer workers in mental health aims to give more space to patients and to enrich mental health treatment with their personal experience. New strategies have also been developed to facilitate access to work for patients suffering from mental illness as well as to improve mental health of workers, within a global movement aiming at putting forth the role of work as a mean towards social integration, which tends to be forgotten in a society aiming principally at productivity. In a more technical domain, repeated Transcranial Magnetic Stimulation offers a new tool for the treatment of resistant depression. Finally, the Swiss Society for Psychiatry and Psychotherapy (SGPP) has published recommendations for the treatment of schizophrenia which are freely available on the website of this society.

Le développement du rôle de pairs praticiens en santé mentale cherche à faire une plus grande place aux patients et à enrichir les soins en s'appuyant sur leur expérience de la maladie psychique. De nouvelles stratégies visent d'autre part à améliorer l'accès des patients psychiques au monde du travail, ainsi qu'à améliorer la santé psychique des travailleurs, dans un mouvement qui met en avant le rôle d'intégration sociale du travail, ce que l'on tend à oublier dans un monde axé avant tout sur la productivité. Dans un domaine plus technique, le développement de la stimulation magnétique transcrânienne répétitive (rTMS) offre un nouvel outil pour le traitement de la dépression résistante. Enfin, la Société suisse de psychiatrie et psychothérapie vient de publier des recommandations pour le traitement de la schizophrénie.