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1.
Rev Assoc Med Bras (1992) ; 67(3): 349-352, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34468595

RESUMO

Stress and burnout can result in errors, reduction in patient safety, and decreased productivity. They can cause absenteeism, depression, destructive behavior, alcohol, drug abuse, and even suicide. Several factors lead to professional stress, many of which are out of one's control, thus making intervention impossible. Physicians often neglect their health and ignore stress and burnout. They often deny the existence of stress as a way of adapting to it, which is an ineffective method of coping with this problem that can lead to negative coping strategies. For managing stress and burnout, it is paramount to recognize situations/conditions that may trigger them, identify their signs, and invest in well-being strategies. In this article, well-being promotion is addressed with a focus on strategies that can be used at the individual level. Topics such as stress management and resilience should be valued in medical training and profession. As long as they form a part of the "hidden curriculum", well-being will continue to be undervalued, when in fact it should be seen as fundamental to the health of professionals and patients.


Assuntos
Esgotamento Profissional , Estresse Ocupacional , Médicos , Adaptação Psicológica , Esgotamento Psicológico , Humanos , Estresse Psicológico
2.
Ethiop J Health Sci ; 31(3): 543-552, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34483611

RESUMO

Background: The Burnout syndrome has been defined as a response to the chronic work-related stress typically found in professionals working in care service organizations. Therefore, this study aimed at assessing the prevalence of burnout syndrome and factors associated with burnout syndrome among nurses in public hospitals, Southwest Ethiopia, 2018. Method: An institutional-based cross-sectional study was conducted from February 1st, 2018 to April 1st, 2018. Total number of nurses who fulfill the inclusion criterias were enrolled. Data was collected using the predesigned tool. Data were entered using EPI INFO version 7 and was exported to statistical packages for social science (SPSS) version 21.0 for analysis. Logistic regression was employed and odds ratio with a 95% confidence interval was used. Variables with a P value of less than 0.05 was considered statistically significant. Results: A total of 282 eligible nurses were enrolled in the study with a mean age of 28.71 [SD ±7.047]. The prevalence of burnout syndrome among nurses was 96(34%). Predictor variables like; educational status, job title, work experience, fatigue, and social support were found to be strong predictor variables for burnout syndrome. Conclusion: This study revealed that a considerable proportion of nurses had burnout syndrome. Therefore, improved educational status and strong social support should be encouraged among nurses working in the health setting for the betterment of health care services, job satisfaction and quality of care in general.


Assuntos
Esgotamento Profissional , Enfermeiras e Enfermeiros , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Esgotamento Psicológico , Estudos Transversais , Etiópia/epidemiologia , Hospitais Públicos , Humanos , Satisfação no Emprego , Prevalência , Inquéritos e Questionários
3.
BMC Med Educ ; 21(1): 471, 2021 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-34482821

RESUMO

BACKGROUND: Psychological disorders have negative consequences on students' learning and academic performance. In addition, academic burnout is one of the common challenges that affects students' motivation and academic eagerness; however, the determinant is not clear. Medical students, meanwhile, demand special attention due to their professional responsibilities. In this regard, this study is conducted to investigate the academic burnout, rate of depression, anxiety and stress as well as related factors among undergraduate medical students at the Tehran Medical Sciences Islamic Azad University. METHODS: This cross-sectional and descriptive study was performed on medical students of Islamic Azad University of Tehran in 2017. In phase I, conducted on all stager students, Maslach Burnout questionnaire was used. In phase II, the DASS-42 questionnaire was provided for 123 students, 120 of whom met the inclusion criteria. In addition, another questionnaire including gender, age, lifestyle, marital and financial status, nutrition style, vitamin D deficiency, smoking, study hours per week, work efficiency and distance from the place of residence to the teaching hospital was used. Finally, the data extracted by SPSS version 23 was analyzed at the significance level of 0.05. RESULTS: In phase I of the study, 17 subjects showed academic burnout (16.3%). Out of all, 76.5% of students with academic burnout did not focus on the study and students' academic burnout was associated with a decrease in their focus (P < 0.05). However, the relationship between academic burnout and other factors was not significant. In phase II, the prevalence of depression, anxiety and stress was 37.5, 41.1 and 30.3%, respectively. The prevalence of severe and very severe degrees that required psychiatric follow-up were 10.5, 10.5 and 7% for depression, anxiety and stress, respectively. According to statistical analyzes, there is a significant direct relationship between anxiety and the distance from the place of residence to the teaching hospital (P = 0.040). CONCLUSION: The present study estimated the prevalence of academic burnout to be between 9.2 and 23.4%, considering the 5% error in the calculation, and the level of anxiety was related to the distance from the place of residence to the hospital.


Assuntos
Esgotamento Profissional , Estudantes de Medicina , Ansiedade/epidemiologia , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Humanos , Irã (Geográfico)/epidemiologia , Prevalência , Inquéritos e Questionários , Universidades
4.
An. psicol ; 37(2): 393-402, mayo-sept. 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-202562

RESUMO

Professional drivers often have problems sleeping or resting properly. This may be due to various factors, both personal and specific to their working conditions. In this study, we set out to develop a predictive model for the quality of sleep in professional drivers using the following indicators: Age, Gender, Seat Comfort, Seat Suspension, Adjustable Lum-bar Support of the Driver's Seat, Driving Hours, Musculoskeletal Problems, Driver Stress, Irritation, Resistant Personality, Burnout, Safety Behaviors and Impulsivity. METHOD: The participants were 369 professional drivers from different transport sectors, obtained through non-probabilistic sampling. The SPSS 25.0 program was used for statistical analysis. RESULTS: The predictive capacity of certain variables that affect drivers' sleep quality is determined. CONCLUSIONS: Sleep quality can be predicted by means of certain variables, the best predictor of which is Exhaustion (Burnout). This research contributes to the body of knowledge on sleep quality and on improving the health of professional drivers


Los conductores profesionales suelen padecer problemas para dormir o descansar correctamente. Esto puede deberse a diversos factores tanto personales como específicos de las condiciones laborales. En el presente trabajo nos hemos planteado desarrollar un modelo predictivo sobre la calidad del sueño en conductores profesionales utilizando los indicadores siguientes: Edad, Género, Confort del asiento, suspensión del asiento, Soporte lumbar ajustable del asiento del conductor, Horas de conducción, Problemas musculoesqueléticos, Drivers Stress, Irritación, Personalidad resistente, Burnout, conductas de seguridad e Impulsividad. MÉTODO: Los participantes han sido 369 conductores profesionales, de distintos sectores del transporte, obtenidos mediante un muestreo no probabilístico. Se han utilizado el programa SPSS 25.0. RESULTADOS: Se determina la capacidad predictiva de algunas variables que afectan a los conductores sobre la calidad del sueño. CONCLUSIONES: La calidad del sueño se puede predecir a través de determinadas variables, siendo la mejor predictora Exhaustion (Burnout). Esta investigación contribuye a un mayor conocimiento de la calidad del sueño y a la mejora de la salud de los conductores profesionales


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Condução de Veículo/psicologia , Sono/fisiologia , Saúde do Trabalhador , Esgotamento Profissional/psicologia , Comportamento Impulsivo , Inquéritos e Questionários , Valores de Referência , Análise de Regressão , Fatores Sexuais , Fatores Etários , Condições de Trabalho , Fatores de Tempo
5.
Artigo em Inglês | MEDLINE | ID: mdl-34360153

RESUMO

Currently, healthcare professionals are particularly vulnerable to the impact of the SARS-CoV-2pandemic since they directly deal with patients suffering from this disease and are in the first line of fire, which increases their risk of contagion. This research examines the prevalence of emotional exhaustion, depersonalization, and possible non-psychotic psychiatric disorders in 48 male and 270 female nursing professionals of Huelva during the COVID-19 pandemic. To this end, we analyzed the relationship between these dependent variables and considered various sociodemographic variables. The nursing staff of public hospitals in Huelva who have had contact with cases of SARS-CoV-2 in their work environment showed a poorer state of mental health than that of others of this same professional category who have not had contact with this type of situation.


Assuntos
Esgotamento Profissional , COVID-19 , Enfermeiras e Enfermeiros , Esgotamento Profissional/epidemiologia , Despersonalização , Feminino , Humanos , Masculino , Saúde Mental , Pandemias , SARS-CoV-2
6.
Artigo em Inglês | MEDLINE | ID: mdl-34360465

RESUMO

The primary aim was to evaluate the burnout prevalence among healthcare workers (HCWs) in intensive care units (ICUs) and emergency departments (EDs) during the COVID-19 pandemic. The secondary aim was to identify factors associated with burnout in this population. A systematic review was conducted following PRISMA guidelines by searching PubMed, Embase, PsychINFO, and Scopus from 1 January to 24 November 2020. Studies with information about burnout prevalence/level during the pandemic regarding ICU/ED HCWs were eligible. A total of 927 records were identified. The selection resulted in 11 studies. Most studies were conducted in April/May 2020. Samples ranged from 15 to 12,596 participants. The prevalence of overall burnout ranged from 49.3% to 58%. Nurses seemed to be at higher risk. Both socio-demographic and work-related features were associated with burnout. Many pandemic-related variables were associated with burnout, e.g., shortage in resources, worry regarding COVID-19, and stigma. This review highlighted a substantial burnout prevalence among ICU/ED HCWs. However, this population has presented a high burnout prevalence for a long time, and there is not sufficient evidence to understand if such prevalence is currently increased. It also outlined modifiable factors and the need to improve emergency preparedness both from an individual and structural level.


Assuntos
Esgotamento Profissional , COVID-19 , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico , Estudos Transversais , Atenção à Saúde , Serviço Hospitalar de Emergência , Pessoal de Saúde , Humanos , Unidades de Terapia Intensiva , Pandemias , SARS-CoV-2
7.
Harefuah ; 160(8): 541-544, 2021 08.
Artigo em Hebraico | MEDLINE | ID: mdl-34396732

RESUMO

INTRODUCTION: In recent years, the status of Internal Medicine has been constantly wearing down. There has been a dramatic decrease in the number of internal medicine students and residents planning to pursue careers in internal medicine. This is mainly due to a higher workload, as well as physical and professional exhaustion leading to work dissatisfaction and provision of suboptimal patient care. Therefore, an increased tendency towards selecting a career in internal medicine sub-specialties has been noted. In this paper, we will present an open and sincere talk with three young internal medicine specialists, who willingly decided to keep working in internal medicine departments despite the challenging work environment. We will discuss the burnout associated with poor work-life/home balance and disruptive work environment and suggest measurements that may enhance the educational and professional experience and career satisfaction and increase the well-being of internal medicine specialists in the future. We aim to promote awareness to the importance of maintaining high-quality senior physicians working in Internal Medicine departments.


Assuntos
Esgotamento Profissional , Médicos , Humanos , Medicina Interna , Satisfação no Emprego , Inquéritos e Questionários , Carga de Trabalho
8.
Dimens Crit Care Nurs ; 40(5): 301-307, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34398568

RESUMO

BACKGROUND: Moral distress (MD) has been linked to health care professional burnout, intent to leave, and decreased quality of care. OBJECTIVES: The aim of this study was to describe the perceptions of MD among critical care interdisciplinary team members and assess the association of MD with team member characteristics. METHODS: A descriptive cross-sectional design was used with interdisciplinary team members in an intensive care unit setting at an NCI-designated Comprehensive Cancer Center in the southeastern United States. The Measure of Moral Distress for Healthcare Professionals was provided to registered nurses, oncology technicians, providers, respiratory therapists, and ancillary team members (social workers, pharmacists, dietitians). RESULTS: A total of 67 team members completed the survey. Mean responses for 3 items were higher than 8 (halfway point of scale): "Follow family's insistence to continue aggressive treatment even though I believe it is not in the best interest of patient" (mean [SD], 11.4 [4.8]); "Continue to provide aggressive treatment for a patient most likely to die regardless of this treatment when no one will make a decision to withdraw it" (mean [SD], 10.5 [5.3]); and "Witness providers giving 'false hope' to patient/family" (mean [SD], 9.0 [5.3]). Higher responses on the "Continuing to provide aggressive treatment" item was associated with having "considered leaving due to MD" (P = .027) and "considering leaving now due to MD" (P = .016). Higher total scores were related to having left or considered leaving a job (P = .04). When examining education level, registered nurses with a master's degree (n = 5) exhibited the most MD (P = .04). CONCLUSION: This study suggests that the Measure of Moral Distress for Healthcare Professionals is useful in identifying areas for focused efforts at reducing MD for interdisciplinary teams.


Assuntos
Esgotamento Profissional , Neoplasias , Atitude do Pessoal de Saúde , Cuidados Críticos , Estudos Transversais , Humanos , Princípios Morais
9.
PLoS One ; 16(8): e0255510, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34351970

RESUMO

BACKGROUND: Novel virus outbreaks, such as the COVID-19 pandemic, may increase psychological distress among frontline workers. Psychological distress may lead to reduced performance, reduced employability or even burnout. In the present study, we assessed experienced psychological distress during the COVID-19 pandemic from a self-determination theory perspective. METHODS: This mixed-methods study, with repeated measures, used surveys (quantitative data) combined with audio diaries (qualitative data) to assess work-related COVID-19 experiences, psychological need satisfaction and frustration, and psychological distress over time. Forty-six participants (nurses, junior doctors, and consultants) completed 259 surveys and shared 60 audio diaries. Surveys and audio diaries were analysed separately. RESULTS: Quantitative results indicated that perceived psychological distress during COVID-19 was higher than pre-COVID-19 and fluctuated over time. Need frustration, specifically autonomy and competence, was positively associated with psychological distress, while need satisfaction, especially relatedness, was negatively associated with psychological distress. In the qualitative, thematic analysis, we observed that especially organisational logistics (rostering, work-life balance, and internal communication) frustrated autonomy, and unfamiliarity with COVID-19 frustrated competence. Despite many need frustrating experiences, a strong connection with colleagues and patients were important sources of relatedness support (i.e. need satisfaction) that seemed to mitigate psychological distress. CONCLUSION: The COVID-19 pandemic resulted in an increase of psychological distress among frontline workers. Both need frustration and need satisfaction explained unique variance of psychological distress, but seemed to originate from different sources. Challenging times require healthcare organisations to better support their professionals by tailored formal and informal support. We propose to address both indirect (e.g. organisation) and direct (e.g. colleagues) elements of the clinical and social environment in order to reduce need frustration and enhance need satisfaction.


Assuntos
COVID-19/psicologia , Pessoal de Saúde/psicologia , Angústia Psicológica , Adulto , Ansiedade/psicologia , Esgotamento Profissional/psicologia , Depressão/psicologia , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Pandemias , Satisfação Pessoal , SARS-CoV-2/patogenicidade , Inquéritos e Questionários
10.
Artigo em Inglês | MEDLINE | ID: mdl-34444555

RESUMO

The COVID-19 lockdown increased the day-to-day challenges faced by parents, and thereby may have increased parental burnout risk. Therefore, identifying parental burnout protection factors is essential. This study aimed to assess the protective role of the following factors which can be increased through mindfulness practice: trait mindfulness, self-compassion, and concrete vs. abstract ruminations. A total of 459 parents (Mage = 40; 98.7% female) completed self-reported questionnaires at two-time points to assess the predictive role of mindfulness on parental burnout, self-compassion and rumination type, and the mediating role of self-compassion and rumination type in the relation between mindfulness and parental burnout. Results showed that trait mindfulness, self-compassion, and rumination type at Time 1 predicted levels of parental burnout at Time 2. Self-compassion (indirect effects: b = - 22, 95% CI = [-38, -05], p < 0.01), concrete ruminations (indirect effects: b = -20, 95% CI = [-32, -09], p < 0.001), and abstract ruminations (indirect effects: b = -0.54, 95% CI = [-71, -37], p < 0.001) partially mediated the relation between trait-mindfulness and parental burnout. These findings showed that trait mindfulness, self-compassion, and concrete (vs. abstract) ruminations may help prevent parental burnout in the context of the COVID-19 pandemic. These results contribute to the field of research on parental burnout prevention and will allow for the development of effective approaches to mental health promotion in parents.


Assuntos
Esgotamento Profissional , COVID-19 , Atenção Plena , Adulto , Controle de Doenças Transmissíveis , Empatia , Feminino , Humanos , Masculino , Pandemias , SARS-CoV-2
11.
Med Lav ; 112(4): 264-267, 2021 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-34446681

RESUMO

In recent years, researchers identified a "reproducibility crisis" of scientific studies. In assessing job stress and burnout in psychosocial research two biases that prevent the results from being generalized are common: sample bias (included web survey) and common method bias using questionnaires. These issues are commented and remedies are proposed to prevent or contain biases.


Assuntos
Esgotamento Profissional , Estresse Ocupacional , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico , Estudos Transversais , Humanos , Satisfação no Emprego , Estresse Ocupacional/epidemiologia , Reprodutibilidade dos Testes , Inquéritos e Questionários
12.
Med Lav ; 112(4): 306-319, 2021 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-34446687

RESUMO

INTRODUCTION: Several studies described burnout levels of healthcare workers (HCWs) during the COVID-19 pandemic; however, sex-related differences remain poorly investigated. OBJECTIVE: To describe sex-related differences in burnout and its determinants among HCWs during the first pandemic wave of the COVID-19 in Italy. METHODS: A cross-sectional study was performed between April and May 2020. The framework given by the Job Demands Resources (JD-R) model was used to assess burnout determinants (risk and protective factors). RESULTS: Male HCWs (n=133) had higher levels of depersonalization than female HCWs (P=0,017) and female HCWs (n=399) reported greater emotional exhaustion rates (P=0,005). Female nurses were the most exposed to burnout (OR=2,47; 95%CI=1,33-4,60; P=0,004), emotional exhaustion (OR=1,89; 95% CI=1,03-3,48; P=0,041), and depersonalization (OR=1,91; 95% CI=1,03-3,53; P=0,039). Determinants of burnout differed between sexes, and some paradoxical associations were detected: the score of job demands was a protective factor in females for burnout, emotional exhaustion, and depersonalization, resilience was a risk factor for males. CONCLUSIONS: This study reveals that the stressors in male and female HCWs tended to be associated with burnout differently. Both sexes showed alarming burnout levels, even if the weights of emotional exhaustion and depersonalization acted in different ways between the sexes. The revealed paradoxical effects in this study could reflect the study's cross-sectional nature, highlighting that more resilient and empathic individuals were more consciously overwhelmed by the challenges related to the COVID-19 pandemic, thus reporting higher scores of emotional exhaustion and burnout. Future in-depth and longitudinal analyses are recommended to further explore sex-related differences in burnout among HCWs.


Assuntos
Esgotamento Profissional , COVID-19 , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico/epidemiologia , Estudos Transversais , Surtos de Doenças , Feminino , Pessoal de Saúde , Humanos , Itália/epidemiologia , Masculino , Pandemias , SARS-CoV-2 , Inquéritos e Questionários
13.
Rev Esc Enferm USP ; 55: e20200521, 2021.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-34448804

RESUMO

OBJECTIVE: To analyze, from an organizational perspective, the problem of nurse burnout in highly complex public hospitals in Chile. METHOD: Multicenter, observational, cross-sectional study. According to established inclusion criteria, the universe of hospitals and nurses was the object of work. Data collection was carried out through a nurse survey. Work environment was measured with the instrument Practice Environment Scale of the Nursing Work Index, staffing through the nurses' report on patient load, and burnout with the Maslach Burnout Inventory emotional exhaustion subscale. RESULTS: Thirty-four hospitals (92%) and 1,395 nurses (75.3%) participated in the study. The prevalence of burnout was 34.7%, being higher in Santiago than in other regions of the country (p = 0.001). The logistic regression analyses showed a significant association between work environment and burnout (OR 0.57, 95% CI 0.41-0.79, p = 0.001). No association was established between staffing, skill mix and burnout. CONCLUSION: A high percentage of nurses in Chile has burnout, which is significantly associated with the quality of the environment. The implementation of organizational strategies to improve work environments could reduce burnout and improve the quality of care.


Assuntos
Esgotamento Profissional , Recursos Humanos de Enfermagem no Hospital , Esgotamento Profissional/epidemiologia , Chile/epidemiologia , Estudos Transversais , Hospitais Públicos , Humanos , Satisfação no Emprego , Inquéritos e Questionários , Carga de Trabalho
14.
BMC Med Educ ; 21(1): 454, 2021 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-34454487

RESUMO

BACKGROUND: Medical education has a reputation for being demanding and stressful. However, longitudinal surveys across the whole course of study considering risks and resources are rare. METHODS: For the evaluation of stress and coping we administered the standard instruments Perceived Medical School Stress Scale (PMSS), Hospital Anxiety and Depression Scale (HADS), Work-Related Behavior and Experience Patterns (AVEM), Maslach Burnout Inventory (MBI), and a short form of the Coping Orientations to Problems Experienced Scale (Brief COPE) in three consecutive cohorts of medical students (N = 377) at one German university. Students were surveyed at the beginning of their studies (t0) and again during each consecutive summer semester (t1-t6). RESULTS: Stress and symptoms of anxiety and depression increased in the first two years of medical studies but decreased again towards their end. Consistently, freshmen medical students presented with a large proportion of the healthy pattern at t0 (56 %) that decreased to 30 % at t2, and increased up to 44 % at t6. Correspondingly, the proportion with the burnout-related risk pattern B increased from 9 to 16 % at t2, again decreasing to 7 % at t6. Over the whole course of study there was an almost continuous increase of the unambitious pattern S from t0 13 to 40 % at t6. Characteristic differences especially between the healthy pattern and the risk patterns regarding stress, mental health symptoms and coping were observed. Female students showed a higher vulnerability for stress, anxiety and depression as well as lower proportions with a healthy pattern, and higher proportions with risk patterns for overexertion and burnout. CONCLUSIONS: The development of stress, symptoms and behavior and experience patterns especially in the first two years, demonstrating increasing study-related stress in the preclinical years, as well as the high proportion with an unambitious pattern at the end of the course of study emphasize the need for prevention and health promotion at both the individual and contextual levels.


Assuntos
Esgotamento Profissional , Educação Médica , Estudantes de Medicina , Esgotamento Profissional/epidemiologia , Feminino , Humanos , Estudos Longitudinais , Saúde Mental
15.
J Health Organ Manag ; ahead-of-print(ahead-of-print)2021 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-34455733

RESUMO

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.


Assuntos
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
17.
BMJ Open ; 11(8): e046599, 2021 08 18.
Artigo em Inglês | MEDLINE | ID: mdl-34408036

RESUMO

OBJECTIVES: Clinician well-being has been recognised as an important pillar of healthcare. However, research mainly addresses mitigating the negative aspects of stress or burnout, rather than enabling positive aspects. With the added strain of a pandemic, identifying how best to maintain and support the well-being, satisfaction and flourishing of general practitioners (GPs) is now more important than ever. DESIGN: Systematic review. DATA SOURCES: We searched MEDLINE, PsycINFO, Embase, CINAHL and Scopus from 2000 to 2020. STUDY SELECTION: Intervention studies with more than 50% GPs in the sample evaluating self-reported well-being, satisfaction and related positive outcomes were included. The Cochrane Risk of Bias 2 tool was applied. RESULTS: We retrieved 14 792 records, 94 studies underwent full-text review. We included 19 studies in total. Six randomised controlled trials, three non-randomised, controlled trials, eight non-controlled studies of individual or organisational interventions with a total of 1141 participants. There were two quasi-experimental articles evaluating health system policy change. Quantitative and qualitative positive outcomes were extracted and analysed. Individual mindfulness interventions were the most common (k=9) with medium to large within-group (0.37-1.05) and between-group (0.5-1.5) effect sizes for mindfulness outcomes, and small-to-medium effect sizes for other positive outcomes including resilience, compassion and empathy. Studies assessing other intervention foci or other positive outcomes (including well-being, satisfaction) were of limited size and quality. CONCLUSIONS: There is remarkably little evidence on how to improve GPs well-being beyond using mindfulness interventions, particularly for interventions addressing organisational or system factors. This was further undermined by inconsistent reporting, and overall high risk of bias. We need to conduct research in this space with the same rigour with which we approach clinical intervention studies in patients. PROSPERO REGISTRATION NUMBER: CRD42020164699. FUNDING SOURCE: Dr Diana Naehrig is funded through the Raymond Seidler PhD scholarship.


Assuntos
Esgotamento Profissional , Clínicos Gerais , Viés , Esgotamento Profissional/prevenção & controle , Humanos , Pandemias , Satisfação Pessoal
18.
Turk Psikiyatri Derg ; 32(2): 75-86, 2021.
Artigo em Inglês, Turco | MEDLINE | ID: mdl-34392504

RESUMO

OBJECTIVE: Anxiety, stress and burnout are observed in healthcare workers during the Covid-19 pandemic. This study aimed to determine the levels of anxiety and burnout and related risk factors in the healthcare workers and assistant personnel at a tertiary referral university hospital. METHOD: Hospital Anxiety Depression Scale (HADS), Maslach Burnout Inventory (MBI) and a sociodemographic questionnaire were delivered on-line to all employees of our hospital. 683 individuals were to the study who completed and returned the forms between April 15-30, 2020. RESULTS: Stress, depression and anxiety levels were significantly higher in nurses. Emotional burnout and depersonalization symptoms were higher and personal accomplishment scores were lower in resident physicians and nurses in comparison to the other groups. Being single, having a child and living away from home were factors underlying the burnout severity. Frontline work in the Covid-19 clinics did not affect the levels of anxiety, stress and depression. On the basis of the cut off points of the HADS scores; anxiety disorder (OR: 7.19) and depression (OR 3.43) were the most relevant risk factors for emotional exhaustion. Anxiety disorder was also the main risk factor for depersonalization. Depersonalization was 2.7-fold more among the nurses complaining of being overworked. Social support from the work environment and the family was protective against depersonalization. CONCLUSION: Covid-19 pandemic has adversely affected the wellbeing of healthcare workers. The presence of depression and anxiety increased the risk of burnout. Social support can be expected to protect against burnout. It is, therefore, of great importance to implement urgently effective psychosocial and organizational interventions in order to protect the mental health of healthcare workers and to prevent burnout.


Assuntos
Esgotamento Profissional/psicologia , COVID-19 , Pessoal de Saúde/psicologia , SARS-CoV-2 , Apoio Social , Adulto , Feminino , Humanos , Masculino , Psicometria , Inquéritos e Questionários , Centros de Atenção Terciária , Turquia
19.
Artigo em Inglês | MEDLINE | ID: mdl-34360076

RESUMO

The theoretical framework of interactive work provides a multi-dimensional perspective on the interpersonal demands of nurses in nurse-patient interactions. It is defined by four dimensions: emotional labor directed to the self and others, cooperative work, and subjective acting. While the framework stems from qualitative research, the aim of the current study is to translate it into a quantitative scale to enable measurement of the high interpersonal demands that so often remain implicit. For this reason, we conducted an online survey study (N = 157; 130 women, 25 men, 2 divers) among professional nurses in Germany (spring 2021) to test the derived items and subscales concerning interactive work, which resulted in a 4-factor model that was verified with confirmatory factor analysis (CFA). The survey further captured additional information on established constructs concerning job-related well-being (e.g., burn out, meaningfulness), job characteristics (e.g., work interruptions, time pressure) and individual resources (coping strategies) that are supposed to correlate with interactive work demand scales for nurses (IWDS-N), to determine the quantitative nature of their relations. The results show that the subscales of the IWDS-N have adverse effects on indicators of work-related well-being. Moreover, negative job characteristics, such as time pressure, are positively correlated with subscales of the IWDS-N and are therefore problem-focused coping strategies as an individual resource. The results emphasize that a multidimensional consideration of self-regulatory processes is useful to capture the subtle and complex nature of the interactive work demands of nurses. The current study is the first that developed a quantitative, multi-dimensional measure for interactive work demands, which can help make implicit demands in service work explicit.


Assuntos
Esgotamento Profissional , Enfermeiras e Enfermeiros , Adaptação Psicológica , Feminino , Alemanha , Humanos , Satisfação no Emprego , Masculino , Inquéritos e Questionários
20.
Artigo em Inglês | MEDLINE | ID: mdl-34360214

RESUMO

The current study examines the Job Demands-Resources theory among pedagogical professionals. A total of 466 pedagogues (n = 227 teachers; n = 239 social workers) completed the Copenhagen Psychosocial Questionnaire online. After testing the questionnaire structure using confirmatory factor analysis, a JD-R-based prediction model to predict effects of strains on the outcome constructs of burnout, job satisfaction, general state of health, and life satisfaction was estimated. The results confirm the questionnaire structure (RMSEA= 0.038; CFI = 0.94) as well as the fit of the prediction model (RMSEA = 0.039; CFI = 0.93). The outcome constructs could be predicted by emotional demands, work-privacy conflict, role conflicts, influence at work, scope for decision making, and opportunities for development (0.41 ≤ R² ≤ 0.57). Especially for life satisfaction, a moderator analysis proved the differences between teachers and social workers in the structure of the prediction model. For teachers, quantitative demands and work-privacy conflict are predictive, and for social workers, role conflicts and burnout are predictive. The study offers starting points for job-related measures of prevention and intervention.


Assuntos
Esgotamento Profissional , Satisfação no Emprego , Esgotamento Profissional/epidemiologia , Humanos , Satisfação Pessoal , Inquéritos e Questionários , Carga de Trabalho
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