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1.
BMC Psychol ; 9(1): 36, 2021 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-33632321

RESUMO

BACKGROUND: Medical students have a worse perception of Quality of Life (QoL) and a high prevalence of psychosocial suffering when compared to the general population. The objective of this study was to investigate associated factors with Quality of Life of Brazilian medical students from an exploratory analysis in a cross-sectional study described in accordance with the STROBE (Strengthening the Reporting of Observational studies in Epidemiology) guidelines. METHODS: This is a cross-sectional and multicenter study with national sample randomized by sex and year of the course. Data were collected between August 2011 and August 2012, using an electronic platform (VERAS platform). Our outcomes included: personal quality of life (QoLp) and quality of life related to medical course activities (QoLmc), both measured using a score ranging from 0 (worst) to 10 (best). Variables as predictors: the World Health Organization Quality of Life Assessment abbreviated version (WHOQOL-BREF); VERAS-Q (a questionnaire created to evaluate the QoL of students in health professions); Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Maslach Burnout Inventory (MBI), Resilience Scale (RS-14), Interpersonal Reactivity Multidimensional Scale (IRMS) and Dundee Ready Education Environment Measure (DREEM). RESULTS: Our sample is comprised of 1350 (81.8%) medical students. When comparing predictors and both quality of life outcome measures, we found a negative correlation between QoL and the BDI, PSQI and ESS scores. Through a multiple linear regression mode we identified the median of significant predictors to higher QoL. We then run a tree regression model that demonstrated that the VERAS-Q-physical health domain (a domain assessing self-care, self-perception of health, sleep, leisure, physical activity and appearance) was the most important factor predicting QoL. Students with a VERAS-Q-physical health score ≥ 60.9 and a VERAS-Q-time management (address the management of the student's time, free time and whether he can dedicate himself to other activities besides the course) score ≥ 55.7 presented the best QoLmc (score: 8.08-9.63%). Students with a VERAS-Q-physical health score ≥ 79.7 presented the highest QoLp (score 8.93-8.74%). CONCLUSION: Physical symptoms, self-perception of health and self-care assessed by the VERAS-Q physical domain had association with both final outcomes. Time management seems to have a protective role for better Quality of Life. These variables should be taken in consideration when designing interventions to improve Quality of Life among medical students.


Assuntos
Qualidade de Vida , Estudantes de Medicina , Esgotamento Psicológico , Estudos Transversais , Humanos , Masculino , Inquéritos e Questionários
4.
Artigo em Inglês | MEDLINE | ID: mdl-33466459

RESUMO

OBJECTIVES: The aim of this ecological study was to investigate what the impact of digital learning due to the COVID-19 pandemic was on the burnout and overall mental health (MH) of medical students. BACKGROUND: During the unprecedented era of the COVID-19 pandemic, the majority of countries worldwide adopted very strong measures. Universities closed their doors, and education continued through digital learning lectures. METHODS: An anonymous questionnaire was administered to all 189 eligible candidates before and during the COVID-19 pandemic. Mental health was assessed via the MH domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory-Student Survey (MBI-SS). RESULTS: The overall response rate was 81.5%. The overall burnout prevalence did not differ significantly between the two periods (pre-COVID-19 18.1% vs. COVID-19 18.2%). However, the burnout prevalence dropped significantly in year 4 (pre-COVID-19 40.7% vs. COVID-19 16.7%, p = 0.011), whereas it increased significantly in year 6 (pre-COVID-19 27.6% vs. COVID-19 50%, p = 0.01). When looking at each MBI-SS dimension separately, we found that emotional exhaustion decreased significantly in year 4 but increased in year 6, and cynicism increased in all years. The overall MH deteriorated significantly between the two periods (pre-COVID-19 58.8 ± 21.6 vs. COVID-19 48.3 ± 23, p < 0.001). CONCLUSIONS: Digital learning in medical studies carries significant risks. Not only does the MH deteriorate, but cynicism levels also increase. Emotional exhaustion was found to increase particularly in final year students, who struggle with the lack of clinical experience just before they start working as qualified junior doctors.


Assuntos
Esgotamento Psicológico , Educação a Distância , Educação Médica/tendências , Pandemias , Estudantes de Medicina/psicologia , Humanos , Saúde Mental , Inquéritos e Questionários
5.
BMC Med Educ ; 21(1): 14, 2021 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-33407422

RESUMO

BACKGROUND: The COVID-19 pandemic disrupted the United States (US) medical education system with the necessary, yet unprecedented Association of American Medical Colleges (AAMC) national recommendation to pause all student clinical rotations with in-person patient care. This study is a quantitative analysis investigating the educational and psychological effects of the pandemic on US medical students and their reactions to the AAMC recommendation in order to inform medical education policy. METHODS: The authors sent a cross-sectional survey via email to medical students in their clinical training years at six medical schools during the initial peak phase of the COVID-19 pandemic. Survey questions aimed to evaluate students' perceptions of COVID-19's impact on medical education; ethical obligations during a pandemic; infection risk; anxiety and burnout; willingness and needed preparations to return to clinical rotations. RESULTS: Seven hundred forty-one (29.5%) students responded. Nearly all students (93.7%) were not involved in clinical rotations with in-person patient contact at the time the study was conducted. Reactions to being removed were mixed, with 75.8% feeling this was appropriate, 34.7% guilty, 33.5% disappointed, and 27.0% relieved. Most students (74.7%) agreed the pandemic had significantly disrupted their medical education, and believed they should continue with normal clinical rotations during this pandemic (61.3%). When asked if they would accept the risk of infection with COVID-19 if they returned to the clinical setting, 83.4% agreed. Students reported the pandemic had moderate effects on their stress and anxiety levels with 84.1% of respondents feeling at least somewhat anxious. Adequate personal protective equipment (PPE) (53.5%) was the most important factor to feel safe returning to clinical rotations, followed by adequate testing for infection (19.3%) and antibody testing (16.2%). CONCLUSIONS: The COVID-19 pandemic disrupted the education of US medical students in their clinical training years. The majority of students wanted to return to clinical rotations and were willing to accept the risk of COVID-19 infection. Students were most concerned with having enough PPE if allowed to return to clinical activities.


Assuntos
/epidemiologia , Educação de Graduação em Medicina/organização & administração , Estudantes de Medicina/psicologia , Adulto , Ansiedade/epidemiologia , Esgotamento Psicológico/epidemiologia , /psicologia , Estudos Transversais , Currículo , Feminino , Humanos , Controle de Infecções , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
6.
Epidemiol Psychiatr Sci ; 30: e8, 2021 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-33436137

RESUMO

AIMS: Occupational Burnout (OB) is currently measured through several Patient-Reported Outcome Measures (PROMs) and some of them have become widely used in occupational health research and practice. We, therefore, aimed to review and grade the psychometric validity of the five OB PROMs considered as valid for OB measure in mental health professionals (the Maslach Burnout Inventory (MBI), the Pines' Burnout Measure (BM), the Psychologist Burnout Inventory (PBI), the OLdenburg Burnout Inventory (OLBI) and the Copenhagen Burnout Inventory (CBI)). METHODS: We conducted systematic literature searches in MEDLINE, PsycINFO and EMBASE databases. We reviewed studies published between January 1980 and September 2018 following a methodological framework, in which each step of PROM validation, the reference method, analytical technics and result interpretation criteria were assessed. Using the COnsensus-based Standards for the selection of health Measurement Instruments we evaluated the risk of bias in studies assessing content and criterion validity, structural validity, internal consistency, reliability, measurement error, hypotheses testing and responsiveness of each PROM. Finally, we assessed the level of evidence for the validity of each PROM using the GRADE approach. RESULTS: We identified 6541 studies, 19 of which were included for review. Fifteen studies dealt with MBI whereas BM, PBI, OLBI and CBI were each examined in only one study. OLBI had the most complete validation, followed by CBI, MBI, BM and PBI, respectively. When examining the result interpretation correctness, the strongest disagreement was observed for MBI (27% of results), BM (25%) and CBI (17%). There was no disagreement regarding PBI and OLBI. For OLBI and CBI, the quality of evidence for sufficient content validity, the crucial psychometric property, was moderate; for MBI, BM and PBI, it was very low. CONCLUSION: To be validly and reliably used in medical research and practice, PROM should exhibit robust psychometric properties. Among the five PROMs reviewed, CBI and, to a lesser extent, OLBI meet this prerequisite. The cross-cultural validity of these PROMs was beyond the scope of our work and should be addressed in the future. Moreover, the development of a diagnostic standard for OB would be helpful to assess the sensitivity and specificity of the PROMs and further reexamine their validity.The study protocol was registered in PROSPERO (CRD 42019124621).


Assuntos
Esgotamento Profissional/diagnóstico , Medidas de Resultados Relatados pelo Paciente , Psicometria/estatística & dados numéricos , Inquéritos e Questionários/normas , Esgotamento Profissional/psicologia , Esgotamento Psicológico , Humanos , Reprodutibilidade dos Testes
7.
Rev Lat Am Enfermagem ; 29: e3386, 2021.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-33439946

RESUMO

OBJECTIVE: to confirm the factorial validity of the Maslach Burnout Inventory - Human Services Survey version in a sample of health professionals from the emergency services. METHOD: a quantitative, exploratory, descriptive and analytical study. Two hundred and eighty-two health professionals participated in the study. For data collection, a sociodemographic questionnaire and the Maslach Burnout Inventory were used. The psychometric sensitivity for the MBI-HSS items was estimated by measures of central tendency, variability and the distribution shape. Internal consistency was estimated using Cronbach's alpha coefficient and the adequacy of the sample was verified using the Kaiser-Meyer-Olkin (KMO) index. As indexes for assessing the quality of fit of the model, the chi-square ratio by the degrees of freedom (χ2/DoF), the comparative fit index (CFI), the goodness of fit index (GFI), the Tucker Lewis index (TLI) and the root mean square error of approximation (RMSEA) were considered. To test data fit, the maximum likelihood method was used. RESULTS: the three-factor structure of the Maslach Burnout Inventory was confirmed. Items 9, 12, 15 and 16 had a factorial weight below what was considered appropriate and were removed from the model. The second order hierarchical model with the aforementioned modifications presented an adequate adjustment to the data and can be considered the best and most parsimonious model tested according to the information theory indexes. The internal consistency of the instrument's factors was recalculated considering the exclusion of the items and the three factors were considered adequate. CONCLUSION: the results obtained show that the Maslach Burnout Inventory is a reliable and factorially valid instrument for measuring the burnout syndrome in emergency service professionals in Brazil.


Assuntos
Esgotamento Profissional , Esgotamento Psicológico , Brasil , Esgotamento Profissional/diagnóstico , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
8.
BMC Psychol ; 9(1): 18, 2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33509287

RESUMO

BACKGROUND: Relationship between emotional intelligence and emotional variables such as stress, depression, anxiety and mental health has been well documented in child and adult samples. New insights into the association between emotional intelligence and different components of mental health in one study (cognitive, emotional and behavioral dimensions) can help patients, therapists, relatives, and friends to understand, explain, and cope with symptoms. There have been no studies assessing the association between the emotional intelligence (EI) with various factors in Lebanon. This study principal aim was to evaluate how EI is related to mental health issues: social anxiety, depression, alcohol use disorders (AUD), work fatigue, stress and alexithymia in Lebanon. METHODS: 789 participants were enrolled in a cross-sectional study between November 2017 and March 2018. A cluster analysis was used to evaluate participants' profiles with the help of emotional intelligence subscales, to separate the Lebanese population into equal limited units with different characteristics using the K-mean technique. RESULTS: Three clusters were computed dividing participants into low EI (cluster 1; 24.5%), moderate EI (cluster 2; 43.7%) and high EI (cluster 3; 31.7%) respectively. Fitting into the cluster 1 (low EI) was significantly associated with higher AUD, alexithymia, anxiety, depression, perceived stress, social phobia, emotional, mental and physical work fatigue, suicidal ideation compared to cluster 3 (high EI). Fitting into the cluster 2 (moderate EI) was significantly correlated with higher AUD, depression, alexithymia, anxiety, perceived stress, social phobia, mental work fatigue and suicidal ideation compared to cluster 3 (high EI). CONCLUSION: This study results suggest that emotional intelligence is related to different variables, warranting interventions to limit/decrease alcohol abuse and mental/psychological illnesses as much possible.


Assuntos
Sintomas Afetivos/epidemiologia , Alcoolismo/epidemiologia , Ansiedade/epidemiologia , Esgotamento Psicológico/epidemiologia , Depressão/psicologia , Inteligência Emocional , Ideação Suicida , Suicídio/psicologia , Adulto , Estudos Transversais , Depressão/epidemiologia , Fadiga/epidemiologia , Humanos , Líbano/epidemiologia , Pessoa de Meia-Idade , Autoimagem
9.
Artigo em Inglês | MEDLINE | ID: mdl-33374789

RESUMO

Background: Since the beginning of 2020, the Corona Virus Disease has broken out globally. This public health incident has had a great impact on the work and life of the public. Aim: Based on the event system theory, this article explored the influence of the "COVID-19" event on emotional exhaustion and deviant workplace behaviors. Methods: This survey's objects are employees working in Tianjin, Beijing, Hebei affected by the epidemic. Using the questionnaire star, the online platform of the Marketing Research Office of Peking University and "snowball" methods 700 questionnaires were collected. Results: The response rate was 89.71% (n = 700). Female employees are more sensitive to the perceived event strength of the novel coronavirus pneumonia than male employees (F = 10.94, p <0.001); Employees aged 30-40 affected by the epidemic have the highest level of emotional exhaustion (F = 5.22, p < 0.01); A higher education level leads to a higher level of emotional exhaustion (F = 4.74, p < 0.01); The emotional exhaustion is polarized with the annual family income (F = 4.099, p < 0.01). Conclusions: The novelty, disruption, criticality of the Corona Virus Disease event has had a positive impact on the emotional exhaustion of employees in the workplace; Emotional exhaustion plays a partly mediating role between event strength with constructive deviant behaviors, and destructive deviant behaviors. Emotional exhaustion has a positive effect on creative constructive deviant behaviors, challenging constructive deviant behaviors, and interpersonal destructive deviant behaviors. Emotional exhaustion has a negative impact on organizational destructive deviant behaviors, and has no significant impact on interpersonal constructive deviant behaviors.


Assuntos
Esgotamento Psicológico/epidemiologia , Local de Trabalho , Adulto , Pequim , Emoções , Feminino , Humanos , Masculino , Inquéritos e Questionários
10.
F1000Res ; 9: 116, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33363715

RESUMO

Background: Burnout is characterized by deficiencies in attention and several components of the working memory, of which the lingering effects of impaired attention and executive functions are the most frustrating. We hypothesized that anodal transcranial direct current stimulation (atDCS) over the left dorsolateral prefrontal cortex (DLPFC) can improve the executive control of attention and possibly several other components of working memory in patients with burnout. Methods: This was a randomized double-blind sham-controlled pilot study with two groups. Patients with burnout received three weeks of daily sessions (15 sessions in total) of atDCS or sham stimulation in addition to three weekly sessions of standard behavioral therapy. The primary outcome measure was attention and the central executive of the working memory. Secondary, the effect of atDCS was measured on other components of working memory, on burnout and depression scores, and on quality of life (QoL). Results: We enrolled and randomly assigned 16 patients to a sham or real stimulation group, 15 (7 sham, 8 real) were included in the analysis. atDCS had a significant impact on attention. Post-hoc comparisons also revealed a trend towards more improvement after real tDCS for inhibition and shifting, updating and control, and encoding. Both groups improved on burnout and depression scores. Conclusion: These data provide preliminary evidence for the value of atDCS over the left DLPFC in rehabilitating attention deficits, and possibly also central executive and encoding deficits, in burnout. However, the current study has some limitations, including the sample size and heterogeneous patient population. More elaborate studies are needed to elucidate the specific impact of atDCS over the left DLPFC on burnout. Trial registration: ISRCTN.com ( ISRCTN94275121) 17/11/19.


Assuntos
Atenção , Esgotamento Psicológico/prevenção & controle , Memória de Curto Prazo , Estimulação Transcraniana por Corrente Contínua , Adulto , Depressão/prevenção & controle , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Qualidade de Vida
11.
Artigo em Inglês | MEDLINE | ID: mdl-33352940

RESUMO

This paper introduces a new definition for burnout and investigates the psychometric properties of the Burnout Assessment Tool (BAT). In a prior qualitative study, 49 practitioners were interviewed about their conceptualization of burnout (part 1). Using a dialectical approach, four core dimensions-exhaustion, mental distance, and impaired emotional and cognitive impairment-and three secondary dimensions-depressed mood, psychological distress, and psychosomatic complaints-emerged, which constitute the basis of the BAT. In the second study, the psychometric characteristics of the BAT were investigated in a representative sample of 1500 Flemish employees, focusing on factorial validity, reliability, and construct validity, respectively. Results demonstrate the assumed four-factor structure for the core dimensions, which is best represented by one general burnout factor. Contrary to expectations, instead of a three-factor structure, a two-factor structure was found for the secondary dimensions. Furthermore, the BAT and its subscales show adequate reliability. Convergent validity and discriminant validity with other burnout measures-including the MBI and OLBI-was demonstrated, as well as discriminant validity with other well-being constructs, such as work engagement and workaholism.


Assuntos
Esgotamento Psicológico/diagnóstico , Esgotamento Profissional/diagnóstico , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
12.
Rev. cuba. estomatol ; 57(4): e3109, Oct.-Dec. 2020. tab
Artigo em Português | LILACS, CUMED | ID: biblio-1144445

RESUMO

RESUMO Introdução: Burnout é um indicador de estresse crônico e o ponto médio entre estressores e suas conseqüências. Objetivo: Identificar a presença da Síndrome de Burnout em estomatologistas da Clínica Universitária de Especialidades Estomatológicas "Manuel Cedeño". Métodos: Um estudo transversal, descritivo, observacional foi realizado em 73 estomatologistas da Clínica Universitária de Especialidades Estomatológicas "Manuel Cedeño", de Bayamo, Granma, entre setembro e outubro de 2019. A escala de Maslach foi aplicada à Síndrome de Burnout e mensurada três subescalas: fadiga emocional, despersonalização e realização pessoal. Resultados: Os estomatologistas pesquisados apresentaram fadiga emocional baixa (57,53 porcento) e alta (26,02 porcento ); despersonalização foi baixa e média, com 49,31 porcento e 39,72 porcento , respectivamente; 84,93 porcento apresentaram alta conquista pessoal; 68 porcento dos estomatologistas não têm Síndrome de Burnout, apenas 32 porcento a têm. Conclusões: Os estomatologistas da Clínica Universitária de Especialidades Estomatológicas "Manuel Cedeño" apresentam baixo nível de fadiga emocional, baixo nível de despersonalização e alta realização pessoal, o que permitiu à maioria não apresentar a Síndrome de Burnout(AU)


RESUMEN Introducción: El Burnout es un indicador de estrés crónico y el punto medio entre los estresores y sus consecuencias. Objetivo: Identificar la presencia del síndrome de Burnout en estomatólogos de la Clínica Universitaria de Especialidades Estomatológicas "Manuel Cedeño". Métodos: Se realizó un estudio observacional, descriptivo, transversal en 73 estomatólogos de la Clínica Universitaria de Especialidades Estomatológicas "Manuel Cedeño", de Bayamo, Granma, entre septiembre y octubre de 2019. Se aplicó la escala de Maslach para el síndrome de Burnout y se midieron tres subescalas: cansancio emocional, despersonalización y realización personal. Resultados: Los estomatólogos encuestados mostraron un cansancio emocional bajo (57,53 por ciento) y alto (26,02 por ciento); la despersonalización fue baja (49,31 por ciento) y media (39,72 por ciento); el 84,93 por ciento presentó una alta realización personal. El 68 por ciento de los estomatólogos no padecen el síndrome de Burnout, solamente el 32 por ciento lo presenta. Conclusiones: Los estomatólogos de la Clínica Universitaria de Especialidades Estomatológicas "Manuel Cedeño" tienen un nivel bajo de cansancio emocional, bajo nivel de despersonalización y una alta realización personal. La mayoría de los participantes en el estudio no presentan síndrome de Burnout(AU)


ABSTRACT Introduction: Burnout is an indicator of chronic stress and the midpoint between stressors and their consequences. Objective: Identify the presence of burnout syndrome among dentists from Manuel Cedeño Dental Specialties University Clinic. Methods: A cross-sectional observational descriptive study was conducted of 73 dentists from Manuel Cedeño Dental Specialties University Clinic in Bayamo, Granma, in September and October 2019. The Maslach burnout scale was applied, and three subscales were measured: emotional exhaustion, depersonalization and personal accomplishment. Results: Among the dentists surveyed, emotional exhaustion was low in 57.53 percent and high in 26.02 percent, depersonalization was low in 49.31 percent and medium in 39.72 percent, and personal accomplishment was high in 84.93 percent. 68 percent of the dentists do not suffer from burnout syndrome, whereas only 32 percent do. Conclusions: Dentists from Manuel Cedeño Dental Specialties University Clinic have low emotional exhaustion, low depersonalization and high personal accomplishment. Most of the participants in the study do not suffer from burnout syndrome(AU)


Assuntos
Humanos , Odontólogos , Despersonalização , Esgotamento Psicológico/etiologia , Epidemiologia Descritiva , Estudos Observacionais como Assunto
13.
Rev. urug. enferm ; 15(2): 1-17, dic. 2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1146766

RESUMO

Objetivo: Conhecer os modos de constituição do cuidador familiar a partir de fotografias frente as suas experiências de cuidar no domicílio e suas formas de cuidado de si. Método: estudo qualitativo com base na vertente pós-estruturalista com sete cuidadoras de pacientes vinculados a uma Unidade Básica de Saúde com Estratégia de Saúde da Família, de um município do sul do Brasil, realizado no mês de maio de 2017. A produção dos dados ocorreu a partir da realização de entrevistas abertas, registro fotográfico realizado pelas participantes com reflexões a partir das imagens capturadas e notas de campo. Os dados foram organizados, utilizando-se do software Etnograph e após leitura do material direcionada com questionamentos para problematização, o texto foi codificado utilizando-se de ferramentas foucaultianas como subjetividade, experiência e cuidado de si, para construção da análise. Resultados: foram elaboradas as categorias: "subjetivação do cuidador familiar frente as suas experiências" e "práticas do cuidado de si do cuidador familiar". Discussão: o cuidador passa a ser constituído quando inicia a experiência de cuidar do outro. Adquire novos papéis e perde outros, podendo ou não ter sobrecarga e privações. Entre as práticas de si que podem direcionar a constituição do cuidador a partir do cuidado de si, estão às relações com familiares, amigos e profissionais, e cultivo de plantas, caminhadas, leituras. Considerações finais: conhecer a constituição do ser cuidador e suas práticas de si, pode ajudar a potencializar tais práticas entre os cuidadores de modo a atenuar a sobrecarga.


Aim: To know the ways of constitution of the family caretakers from photographs facing their experiences with homecare and the ways of the care of self. Method: qualitative study based on the post-structualist approach with seven caretakers of patients linked to a Primary Health Care unit with Family Health Strategy in a city from the south of Brazil, developed in the month of May 2017. Data production happened from developing open interviews, photographic record made by the participants with reflections from the captured images and field notes. Data were organized with the software Etnograph and, after reading the material with questions to direct problematization, the text was coded with foucaultian tools such as subjectivity, experience and the care of the self to construct the analysis. Results: the categories were: "subjectivation of the family caretaker in face of their experiences" and "practices of the care of the self for the family caretaker". Discussion: the caregiver becomes constituted when the experience of caring for the other begins. It acquires new roles and loses others, and may or may not have overload and deprivation. Among the practices of oneself that can direct the constitution of the caretaker from the self of the care, are the relations with family, friends and professionals, and cultivation of plants, walks, readings. Final consideration: to know the constitution of the being a caretaker and his practices of the self, can assist on potencializing such practices among caretakers in a way of minimizing the overload.


Objetivo: Conocer las formas de constituir el cuidador familiar a partir de fotografías en vista de sus experiencias de cuidado en el hogar y sus formas de cuidarse a sí mismos. Método: estudio cualitativo basado en el aspecto postestructuralista con siete cuidadoras de pacientes vinculados a una Unidad Básica de Salud con Estrategia de Salud de La Familia de un municipio de sur de Brasil, realizado en el mes de mayo de 2017. La producción de los datos se realizó a partir de la realización de entrevistas abiertas, registro fotográfico realizado por los participantes con reflejos de las imágenes capturadas y notas de campo. Los datos se organizaron utilizando el software Etnograph y después de leer el material dirigido con preguntas para la problematización, el texto se codificó utilizando las herramientas de Foucault, como la subjetividad, la experiencia y el cuidado de sí, para la construcción del análisis. Resultados: se elaboraron las categorías: "subjetivación del cuidador familiar frente a sus experiencias" y "prácticas del cuidado de sí del cuidador familiar". Discusión: el cuidador pasa a ser constituido cuando inicia la experiencia de cuidar del otro. Adquiere nuevos papeles y pierde otros, pudiendo o no tener sobrecarga y privaciones. Entre las prácticas de si que puede dirigir la constitución del cuidador basada en el cuidado de sí, están a las relaciones con familiares, amigos y profesionales, y cultivo de plantas, caminatas, lecturas. Consideraciones finales: conocer la constitución del ser cuidador y sus prácticas de sí, puede ayudar a potenciar tales prácticas entre los cuidadores para atenuar la sobrecarga.


Assuntos
Humanos , Autocuidado , Brasil , Cuidadores , Fotografia , Esgotamento Psicológico , Assistência Domiciliar , Relações Interpessoais , Atividades de Lazer , Acontecimentos que Mudam a Vida
14.
Soins ; 65(848): 62-64, 2020 Sep.
Artigo em Francês | MEDLINE | ID: mdl-33160601

RESUMO

The crisis caused by the Covid-19 pandemic has highlighted the risks of burnout in caregivers and more specifically the question of ethical suffering. A philosophical clinical approach to burnout enables it to be analysed as a form of existential suffering linked to our shared vulnerability, as well as to more socio-organisational failings.


Assuntos
Esgotamento Psicológico , Cuidadores/psicologia , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Betacoronavirus , Humanos , Pandemias
16.
Artigo em Inglês | MEDLINE | ID: mdl-33143172

RESUMO

Nurses are exposed to psychosocial risks that can affect both psychological and physical health through stress. Prolonged stress at work can lead to burnout syndrome. An essential protective factor against psychosocial risks is emotional intelligence, which has been related to physical and psychological health, job satisfaction, increased job commitment, and burnout reduction. The present study aimed to analyze the effect of psychosocial risks and emotional intelligence on nurses' health, well-being, burnout level, and job satisfaction during the rise and main peak of the COVID-19 pandemic in Spain. It is a cross-sectional study conducted on a convenience sample of 125 Spanish nurses. Multiple hierarchical linear regression models were calculated considering emotional intelligence levels, psychosocial demand factors (interpersonal conflict, lack of organizational justice, role conflict, and workload), social support and emotional work on burnout, job satisfaction, and nurses' health. Finally, the moderating effect of emotional intelligence levels, psychosocial factors, social support, and emotional work on burnout, job satisfaction, and nurses' health was calculated. Overall, this research data points to a protective effect of emotional intelligence against the adverse effects of psychosocial risks such as burnout, psychosomatic complaints, and a favorable effect on job satisfaction.


Assuntos
Esgotamento Profissional/psicologia , Esgotamento Psicológico/psicologia , Infecções por Coronavirus/psicologia , Inteligência Emocional/fisiologia , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/psicologia , Adulto , Betacoronavirus , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Justiça Social , Apoio Social , Espanha/epidemiologia , Inquéritos e Questionários , Carga de Trabalho
17.
Med. clín (Ed. impr.) ; 155(10): 434-440, nov. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193052

RESUMO

ANTECEDENTES Y OBJETIVO: La actual pandemia de Covid-19 ha puesto a los profesionales sanitarios de todo el mundo ante un desafío sin precedentes. Esto les ha podido causar dificultades emocionales y problemas de salud mental. El objetivo del presente estudio fue analizar el estado emocional de los trabajadores del Hospital de Igualada (Barcelona), mientras se enfrentaban a uno de los focos de contagio más importantes de Europa. PACIENTES Y MÉTODOS: Se incluyó a un total de 395 trabajadores. Se realizó una evaluación transversal entre los meses de marzo y abril. Se recogió información sobre síntomas de ansiedad, depresión, estrés. También se recogieron datos demográficos y sobre factores potencialmente estresantes. RESULTADOS: Un porcentaje significativo de profesionales reportó síntomas de ansiedad (71,6%) y depresión (60,3%). El 14,5% informó de síntomas de estrés agudo. Se realizó un análisis de regresión que explicó el 30% de la variancia asociada al nivel de malestar emocional (Ry = 0,30). Los factores de riesgo asociados a mayor malestar psicológico fueron el hecho de ser mujer (o hombre joven), trabajar como auxiliar de enfermería, celador o técnico de radiología, estar en contacto directo con pacientes Covid-19, no haber realizado la PCR, tener la sensación de no contar con los elementos de protección personales y haber experimentado la muerte de una persona cercana por Covid-19. CONCLUSIONES: El afrontamiento inicial de la situación de crisis asociada a la pandemia de Covid-19 tuvo un importante impacto emocional en los profesionales sanitarios analizados


BACKGROUND AND OBJECTIVES: The Covid-19 pandemic has put healthcare professionals around the world in an unprecedented challenge. This may cause some emotional difficulties and mental health problems. The aim of the present study was to analyze the emotional status among the health care workers form the Hospital of Igualada (Barcelona), while they were facing with Covid-19 in one of the most affected regions in all of Europe. PATIENTS AND METHODS: A total of 395 participants were included in the study. A cross-sectional assessment was carried out between the months of March and April. Information about anxiety, depression, and stress was gathered. We also collected demographic data and concerning potentially stressful factors. RESULTS: A significant proportion of professionals reported symptoms of anxiety (31.4%) and depression (12.2%) from moderate to severe intensity. Symptoms of acute stress were reported by 14.5% of participants. We performed a regression analysis, which explained the 30% of the variance associated with the degree of emotional distress (Ry = 0.30). The final model reveals that females (or young males), who are working in the frontline as nursing assistants, caretakers or radiology technicians, with the uncertainty of a possible infection, the perception of inadequate protection measures and having experienced the death of a close person by Covid-19, showed a heightened risk of experiencing psychological distress. CONCLUSIONS: Coping with the Covid-19 pandemic caused a significant impact on emotional status of healthcare workers involved in this study


Assuntos
Humanos , Masculino , Adulto Jovem , Adulto , Pessoal de Saúde/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Pandemias , Pessoal de Saúde/estatística & dados numéricos , Estresse Psicológico/psicologia , Esgotamento Psicológico/psicologia , Europa (Continente)/epidemiologia , Estudos Transversais , Análise de Regressão , Fatores de Risco , Inquéritos e Questionários , Análise de Variância
19.
PLoS One ; 15(10): e0239816, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33119598

RESUMO

In this study we modelled possible causes and consequences of student burnout and engagement on academic efficacy and dropout intention in university students. Further we asked, can student engagement protect against the effects of burnout? In total 4,061 university students from Portugal, Brazil, Mozambique, the United Kingdom, the United States of America, Finland, Serbia, and Macao SAR, Taiwan participated in this study. With the data collected we analyzed the influence of Social Support, Coping Strategies, and school/course related variables on student engagement and burnout using structural equation modeling. We also analyzed the effect of student engagement, student burnout, and their interaction, on Academic Performance and Dropout Intention. We found that both student engagement and burnout are good predictors of subjective academic performance and dropout intention. However, student burnout suppresses the effect of student engagement on these variables. This result has strong implications for practitioners and administrators. To prevent student dropout, it is not enough to promote student engagement-additionally, and importantly, levels of student burnout must be kept low. Other variables such as social support and coping strategies are also relevant predictors of student engagement and burnout and should be considered when implementing preventive actions, self-help and guided intervention programs for college students.


Assuntos
Esgotamento Psicológico , Intenção , Evasão Escolar/psicologia , Desempenho Acadêmico , Adaptação Psicológica , Adolescente , Adulto , Esgotamento Psicológico/prevenção & controle , Feminino , Humanos , Masculino , Apoio Social , Inquéritos e Questionários , Universidades , Adulto Jovem
20.
J Pediatr Psychol ; 45(10): 1114-1123, 2020 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-33068403

RESUMO

OBJECTIVE: Worldwide, the coronavirus disease 2019 (COVID-19) pandemic has generated significant worry, uncertainty, anxiety, sadness, and loneliness. In Italy, these effects have been particularly pronounced. While research on the COVID-19 outbreak has mainly focused on the clinical features of infected patients and the psychological impact on the general population and health professionals, no investigation has yet assessed the psychological impact of the pandemic on parents. In the present research, we conducted a web-based survey of Italian parents to examine the prevalence of parenting-related exhaustion-and to identify its associated risk and protective factors-4 weeks into the lockdown. METHODS: A total of 1,226 parents provided their consent to participate in the study and completed a demographic questionnaire, information relating to particular COVID-19 experiences, and measures of emotional exhaustion, parental resilience, social connections, and psychological distress during the lockdown. RESULTS: Seventeen percent of our sample experienced significant parenting-related exhaustion, with mothers more severely affected. Multiple regression analyses showed that greater parenting-related exhaustion was predicted by psychological distress, lower parental resilience, motherhood, fewer perceived social connections, and being single, as well as having a child with special needs, having a large number of children, and having younger children. CONCLUSION: The findings add further support to the call for preventive programs to support parents throughout the COVID-19 pandemic. Mental health professionals and social workers should be warned of the effects of lockdown and social distancing on parenting and, consequently, the well-being of children.


Assuntos
Betacoronavirus , Esgotamento Psicológico/epidemiologia , Infecções por Coronavirus/psicologia , Poder Familiar/psicologia , Pais/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Adulto , Esgotamento Psicológico/psicologia , Criança , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Itália/epidemiologia , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Inquéritos e Questionários
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