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Lancet ; 395(10221): 333, 2020 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-32007160
Artigo em Inglês | MEDLINE | ID: mdl-31979315


In their meta-analysis of observational studies, Low et al. showed a high prevalence of burnout syndrome (BOS) among medical and surgical residents across the globe with an aggregate prevalence of burnout as 51.0% (CI: 45.0-57%). However, the sample size in many of the included studies was quite low (only 26 out of 47 included studies had a sample size of more than 100 participants), and almost all of the 47 studies reported a rate of respondents of less than 80% (43 out of 47, 91.4%). Furthermore, in many of them, the rate of respondents was unknown (5 out of 47) or less than 50% of eligible persons (23 out of 47 studies). As BOS is a self-reported syndrome, healthcare professionals who decided to participate in those studies were many of those affected by BOS, making the percentage of respondents potentially overstated due to the nonresponse bias. Policy decision-making in public health relies on evidence-based research; therefore, quality evaluation of studies in meta-analysis is essential to draw useful data for policymakers.

Esgotamento Profissional , Internato e Residência , Saúde do Trabalhador , Esgotamento Psicológico , Humanos , Prevalência
J Urol ; 203(2): 424-425, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31584844
Rev Med Chil ; 147(5): 618-627, 2019 May.
Artigo em Espanhol | MEDLINE | ID: mdl-31859894


Medical resilience is a dynamic capacity, which has the potential to improve the well-being of physicians and to enhance the quality of the clinical relationship. Strategies to promote resilience are important to achieve a sustainable medical practice and improve patient care. Mindfulness training has demonstrated to be an effective tool to promote resilience in physicians. This paper contextualizes the place of mindfulness in medical practice and describes the ways through which it can contribute to resilience in medicine. The concept of mindfulness, its relationship with health practice is reviewed and the benefits of the practice of mindfulness in the clinical relationship are described. We suggest that the benefits achieved through a mindfulness-based medical practice are mediated by two axes. One is the nonspecific and specific effect of mindfulness-based practices and the other is the integration of explicit and implicit knowledge of clinical practice. We conclude that medical practice that integrates mindfulness can contribute to the challenge of achieving greater levels of individual, staff and institutional resilience. There is a need to have continuing mindfulness training programs for health professionals and to integrate this concept in the curriculum of health care professionals.

Atenção Plena , Assistência ao Paciente/psicologia , Relações Médico-Paciente , Resiliência Psicológica , Esgotamento Psicológico/psicologia , Empatia , Humanos , Estresse Psicológico
Eur. j. psychol. appl. legal context (Internet) ; 11(2): 61-69, jul.-dic. 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-183600


Psychological intimate partner violence (IPV) is the most prevalent form of IPV and is often thought to precede physical IPV. However, psychological IPV often occurs independently of other forms of IPV, and it can often emerge during routine relationship interactions. Using data from imprisoned male offenders we investigate the effect of hostile and benevolent sexist attitudes on psychological IPV and the hypothesized mediating role of positive attitudes toward IPV and this effect when accounting for broader risk factors at the levels of community (social disorder), family-of-origin (conflictive climate in family of origin), and personality (antisocial personality traits) variables. The sample involved 196 male inmates of the Penitentiary Center of Villabona (Asturias, Spain). Structural equation models result showed significant total, direct and indirect effect of hostile sexism on psychological IPV, but not of benevolent sexism. When individual, family-of-origin, and community variables were considered, however, hostile sexism showed only an indirect effect on psychological IPV via positive attitudes toward abuse. These results are discussed in light of the debate of the role of sexist attitudes in the psychological IPV explanation when broader models are considered

La violencia de pareja (VP) psicológica es la forma más prevalente de VP y habitualmente suele preceder a la VP física. Sin embargo, la VP psicológica ocurre a menudo independientemente de otras formas de VP y puede darse en interacciones rutinarias con la pareja. Utilizando datos de hombres recluidos en prisión, hemos investigado el efecto del sexismo hostil y benevolente sobre la VP psicológica, así como el rol mediador de las actitudes positivas hacia el abuso de la pareja. Hemos investigado también ese efecto cuando están presentes otros factores de riesgo de VP psicológica señalados en la literatura reciente están presentes: comunidad (desorden social), familia de origen (clima conflictivo en la familia de origen) y factores individuales (rasgos de personalidad antisocial). Participaron en el estudio 196 hombres internos en el Centro Penitenciario de Villabona (Asturias, España). Los resultados de los modelos de ecuaciones estructurales estimados indican un efecto total, directo e indirecto significativo del sexismo hostil sobre la VP psicológica, pero no del sexismo benevolente. Cuando las variables de la comunidad, la familia de origen y factores individuales se incorporaron al modelo únicamente el efecto indirecto del sexismo hostil a través de las actitudes positivas hacia el abuso siguió siendo significativo. Los resultados se discuten en relación con el debate sobre el rol de las actitudes sexistas sobre la VP psicológica en el marco de modelos más generales de violencia

Humanos , Masculino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Violência por Parceiro Íntimo/psicologia , Sexismo/psicologia , Agressão/psicologia , Repressão Psicológica , Prisioneiros/psicologia , Esgotamento Psicológico/psicologia , Fatores de Risco , Violência contra a Mulher , Conflito (Psicologia) , Homicídio/psicologia
Rev Lat Am Enfermagem ; 27: e3208, 2019.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-31664415


OBJECTIVE: The objective of this study was to establish the factors that induce nursing professionals to present engagement with their work environment. METHOD: Qualitative study, using the communicative methodology, with nursing professionals from public and private centers in the city of Huesca. The statements were collected through communicative stories and discussion groups. RESULT: The methodology used has allowed the establishment of a set of engagement promotion measures in the studied environment. These measures are framed in the three main categories analyzed: the systemic or structural variables, the subject-oriented variables, and those that refer to the relationships between the subjects. CONCLUSION: Knowledge of the situation regarding engagement among professionals, and the issues that encourage or hinder its appearance, is essential in establishing measures that contribute to its development. The use of qualitative techniques has allowed for the discovery of situations that would have gone unnoticed. After analyzing the interviews and the discussion groups, the following were present: an important lack of recognition that the participants experience, and that contribute, in their opinion, to the appearance of burnout syndrome, and, the lack of cohesion as a collective.

Esgotamento Psicológico/psicologia , Engajamento no Trabalho , Feminino , Humanos , Satisfação no Emprego , Masculino , Papel do Profissional de Enfermagem , Cuidados de Enfermagem
Harefuah ; 158(10): 664-668, 2019 Oct.
Artigo em Hebraico | MEDLINE | ID: mdl-31576714


INTRODUCTION: Professional burnout of physicians is common and culminates in the residency period. Burnout affects the doctor's health and quality of life, and it is associated with worse patient outcomes and an increase in the incidence of medical errors. The Israeli Ministry of Health recently conducted a survey on the burnout of health professionals in Israel and showed the extent of the phenomena, calling on health organizations to provide actions in order to reduce or prevent it. In the Department of Family Medicine at Ben-Gurion University of the Negev, there is a four-year course for family medicine residents in which we teach various clinical and psychosocial topics essential for the family medicine profession. As part of this course, we set up a program to prevent burnout. Four "mini-courses" were chosen and integrated into the course curriculum for family medicine residents: "Healers' art™", "meaning in medicine ", narrative medicine and reflective writing, mindfulness, meditation and relaxation techniques. In addition, the Balint groups continued to exist during the 3rd and 4th year of residence. Health institutions and organizations are committed, as part of the interventions to improve medical quality and patient safety, to detect and monitor the burnout of doctors and to offer changes in the work environment and interventions to prevent burnout. Although it is difficult to examine the long-term effects of these courses, the residents were very satisfied with the burnout prevention courses. There is a need to step up interventions and build a research and follow-up program to assess the short and long-term outcomes of these experiences on the physicians' well-being and patients' safety.

Esgotamento Profissional , Medicina de Família e Comunidade , Internato e Residência , Esgotamento Psicológico , Humanos , Israel , Qualidade de Vida