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1.
Cancer Cytopathol ; 128(9): 597-598, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32885911
3.
Rev Med Suisse ; 16(707): 1767-1770, 2020 Sep 23.
Artigo em Francês | MEDLINE | ID: mdl-32969615

RESUMO

Since the creation of Balint groups in the 1950s, the concept of meeting among doctors to discuss difficult clinical situations has spread widely, whether or not in line with Michael Balint's initial model. While the latter had thought of these groups as training, their therapeutic role was quickly questioned in the medical literature. At a time when we are seeing and concerned about the poor mental health of primary care doctors, we wanted to show that the added value provided by participation in a practice exchange group is both formative and therapeutic. In this sense, the participation of GP in such a group is part of the recommendations to improve the quality of care, prevent caregivers from burnout, and improve their professional satisfaction.


Assuntos
Esgotamento Profissional/prevenção & controle , Processos Grupais , Médicos de Atenção Primária/educação , Médicos de Atenção Primária/psicologia , Humanos , Satisfação no Emprego
4.
Intern Med J ; 50(8): 924-930, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32881266

RESUMO

BACKGROUND: Infectious diseases (ID) physicians perform a pivotal role in directing the response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). AIM: To assess the impact of SARS-CoV-2 on workload and the perceptions of ID physicians regarding the national response in Australia and New Zealand in the pre-pandemic. METHODS: A survey of ID physicians in Australia and New Zealand was undertaken from 3 to 10 March 2020. Respondents were asked to estimate time spent on SARS-CoV-2-related activities in February and report their agreement with statements on a 5-point Likert scale ranging from 'strongly agree' to 'strongly disagree'. We also asked about the intended use of investigational agents. RESULTS: There were 214 respondents (36% of 600 eligible participants). The median workload due to SARS-CoV-2-related activities was 34% of one full-time equivalent (interquartile range 18-68%). Less than a quarter (50, 23%) of respondents had experience managing cases, while 33% (70) had experience preparing during similar pandemics. Nevertheless, 88% (188/213) believed they were well informed when giving testing and management advice, and 45% (95/212) believed their national response was well coordinated. Additionally, 41% (88/214) were worried about becoming infected through occupational exposure. Over half (116, 54%) the respondents intended to use lopinavir/ritonavir in confirmed cases of COVID-19 with severe disease. CONCLUSIONS: ID physicians spent a large proportion of time on SARS-CoV-2-related activities. Increased staffing is required to avoid burnout. Importantly, ID physicians feel well informed when giving advice. A national body should be established to co-ordinate response. Treatment efficacy trials are needed to clarify the utility of unproven treatments.


Assuntos
Infecções por Coronavirus , Pandemias , Médicos , Pneumonia Viral , Austrália/epidemiologia , Betacoronavirus , Esgotamento Profissional/prevenção & controle , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Infecções/epidemiologia , Nova Zelândia/epidemiologia , Pandemias/prevenção & controle , Papel do Médico , Médicos/psicologia , Médicos/provisão & distribução , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Psicologia , Inquéritos e Questionários , Carga de Trabalho
5.
Emerg Med Clin North Am ; 38(4): 739-753, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32981614

RESUMO

Excellent resuscitation requires technical skills and knowledge, but also the right mindset. Expert practitioners must master their internal affective state, and create the environment that leads to optimal team performance. Leaders in resuscitation should use structured approaches to prepare for resuscitation, and psychological skills to enhance their performance including mental rehearsal, positive self-talk, explicit communication strategies, and situational awareness skills. Postevent recovery is equally important. Providers should have explicit plans for recovery after traumatic cases, including developing resilience and self-compassion. Experts in resuscitation can improve their performance (and that of their team) by consciously incorporating psychological skills into their armamentarium.


Assuntos
Conscientização , Tomada de Decisão Clínica , Equipe de Assistência ao Paciente , Ressuscitação , Esgotamento Profissional/prevenção & controle , Competência Clínica , Comunicação , Humanos , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/psicologia , Segurança do Paciente , Resiliência Psicológica
6.
West J Emerg Med ; 21(5): 1059-1066, 2020 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-32970555

RESUMO

At the heart of the unparalleled crisis of COVID-19, healthcare workers (HCWs) face several challenges treating patients with COVID-19: reducing the spread of infection; developing suitable short-term strategies; and formulating long-term plans. The psychological burden and overall wellness of HCWs has received heightened awareness in news and research publications. The purpose of this study was to provide a review on current publications measuring the effects of COVID-19 on wellness of healthcare providers to inform interventional strategies. Between April 6-May 17, 2020, we conducted systematic searches using combinations of these keywords and synonyms in conjunction with the controlled vocabulary of the database: "physician," "wellness, "wellbeing," "stress," "burnout," "COVID-19," and "SARS-CoV-2." We excluded articles without original data, research studies regarding the wellness of non-healthcare occupations or the general public exclusively, other outbreaks, or wellness as an epidemic. A total of 37 studies were included in this review. The review of literature revealed consistent reports of stress, anxiety, and depressive symptoms in HCWs as a result of COVID-19. We describe published data on HCW distress and burnout but urge future research on strategies to enhance HCW well-being.


Assuntos
Ansiedade/etiologia , Betacoronavirus , Esgotamento Profissional/etiologia , Infecções por Coronavirus , Depressão/etiologia , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral , Transtornos do Sono-Vigília/etiologia , Ansiedade/epidemiologia , Ansiedade/prevenção & controle , Ansiedade/psicologia , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/terapia , Efeitos Psicossociais da Doença , Depressão/epidemiologia , Depressão/prevenção & controle , Depressão/psicologia , Saúde Global/estatística & dados numéricos , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Pneumonia Viral/terapia , Fatores de Risco , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/prevenção & controle , Transtornos do Sono-Vigília/psicologia
9.
BMJ Open Qual ; 9(3)2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32826279

RESUMO

The coronavirus pandemic has presented a new set of challenges for the frontline National Health Service staff. It is not only the long working hours but also the uncertainty and increase in patient mortality that has affected mental health and staff well-being. Hospitals all around the country have rightly responded with various well-being initiatives to help their staff such as wobble rooms and developing online resources. Our vision was to set up a safe space for staff away from clinical noise to enable and encourage mindfulness and psychological resilience through a calm and serene environment. We used the continuous quality improvement methodology and administered an initial needs assessment survey to see if our trust staff will be interested in having such a space. Within our team, we managed to secure a place, and used donations to hospital charity and set up a space within a week. Since opening the hub, we have had excellent feedback from various staff groups. Immediate feedback was obtained using emoji stickers asking for feelings before and after visit. A mood board was put up allowing anonymous expression of feelings. Delayed feedback was requested using a repeat survey. We believe that while there is a lot of talk about well-being and an increasing number of resources being offered electronically, the need for a neat and quiet space cannot be overlooked. We collect feedback on a weekly basis and adapt the space to meet the needs of staff. Long-term impact of such spaces will be reassessed at a later stage.


Assuntos
Infecções por Coronavirus/psicologia , Pessoal de Saúde/psicologia , Transtornos Mentais/prevenção & controle , Transtornos Mentais/psicologia , Pneumonia Viral/psicologia , Melhoria de Qualidade , Local de Trabalho/psicologia , Betacoronavirus , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Hospitais , Humanos , Pandemias , Resiliência Psicológica , Reino Unido
13.
Emerg Med Clin North Am ; 38(3): 729-738, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32616291

RESUMO

A variety of operational and administrative factors have the potential to decrease wellness and negatively impact emergency physicians, in terms of both their on-the-job performance and their long-term career satisfaction. Among these are the issues of workload balance, physiologic and circadian stresses, and larger issues of malpractice risk and institutional support. This overview covers both emerging research on how these problems affect emergency physicians and strategies to help mitigate these challenges.


Assuntos
Serviço Hospitalar de Emergência/organização & administração , Esgotamento Profissional/prevenção & controle , Humanos , Admissão e Escalonamento de Pessoal/organização & administração , Médicos/organização & administração , Médicos/psicologia
15.
Nursing ; 50(8): 53-56, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32701892

RESUMO

Strong evidence suggests that resilience is crucial to improving quality of care and supporting nurses in reducing burnout. This article discusses how nurses and students can use the REST mnemonic described here as a tool for building the resilience they will need to meet challenges throughout their nursing careers.


Assuntos
Esgotamento Profissional/prevenção & controle , Enfermeiras e Enfermeiros/psicologia , Resiliência Psicológica , Estudantes de Enfermagem/psicologia , Humanos
17.
Salud trab. (Maracay) ; 28(1): 7-21, jun. 2020. ilus
Artigo em Espanhol | LILACS, LIVECS | ID: biblio-1104315

RESUMO

Objetivo: Determinar prevalencia y factores asociados al riesgo del síndrome de desgaste profesional (burnout) en médicos especialistas. Material y métodos: Estudio observacional, descriptivo y transversal, participaron 182 médicos especialistas. Se realizaron estadísticas descriptivas e inferenciales con SPSS 15.0 y Epi-infoV6.1. Resultados: Respuesta del 81,3%. Se detectó burnout en 49,5%. Diferencias significativas: edad menor de 40 años; Menos de 15 años con pareja estable; Que trabajara la pareja; Antigüedad profesional menor a 10 años. Se mostró una correlación negativa entre agotamiento emocional y despersonalización; positiva con la falta de realización personal en el trabajo en presencia del síndrome. Conclusión: el burnout es frecuente (49,5%), perfil de riesgo: ser mujer; <40 años de edad; sin pareja estable y <15 años con ella; que trabaja la pareja; sin hijos; especialidad quirúrgica; <10 años de antigüedad profesional y en el puesto actual de trabajo; laborar en jornada acumulada; con tipo de contratación definitiva, no tener otro trabajo; jornada mayor a 4 horas. Las subescalas en promedio están cerca de la normalidad. Agotamiento emocional y despersonalización, se comportan como el síndrome. Correlación negativa entre agotamiento emocional y despersonalización y positiva con la falta de realización personal con burnout(AU)


Objective: To determine the prevalence and risk factors associated with burnout syndrome in medical specialists. Material and methods: An observational, descriptive and cross-sectional study was conducted among 182 participating medical specialists. Descriptive and inferential statistics were performed using SPSS 15.0 and EpiinfoV6.1. Results: We obtained a 81.3% response. Burnout was detected in 49.5% of respondents. Significant findings: respondents under 40 years of age; less than 15 years with a stable partner; had a working spouse; length of professional employment less than 10 years. We found a negative correlation between emotional exhaustion and depersonalization was evident, on the other hand, a positive correlation was evident between the lack of personal fulfillment at work and the presence of burnout. Conclusion: Burnout is frequent (49.5%).Risk factors include being a woman; being less than40 years old; having no stable partner and being together for less than15 years; that the couple works; childless; surgical specialty; less than 10 years of professional seniority and in the current job position; has a cumulative work day; having permanent recruitment, not having another job; and a work day greater than 4 hours. The subscales on average were close to normal. Emotional exhaustion and depersonalization mimic burnout. A negative correlation was evident between emotional exhaustion and depersonalization. A positive correlation was evident between the lack of personal fulfillment and burnout(AU)


Assuntos
Humanos , Condições de Trabalho , Esgotamento Profissional/prevenção & controle , Estudos Transversais , Fatores de Risco , Despersonalização , Esgotamento Psicológico/prevenção & controle , México , Categorias de Trabalhadores
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