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1.
Artigo em Inglês | MEDLINE | ID: mdl-31574899

RESUMO

As nursing is one of the most stressful occupations worldwide, its management warrants more attention to identify possible ways to cope with its pressures. This study aims to evaluate whether animal-assisted therapy (AAT) with the presence of a dog affects the stress level of nurses. As a stress biomarker, we used salivary cortisol level testing. Twenty female nurses (mean age: 30) in physical medicine (PMR) (n = 11) and the department of internal medicine and long-term care (IM < C) (n = 9). On each of the three observed days, saliva was collected at 10 a.m. and then again after 50 min. The first sampling was performed during a normal working process without a break (Condition A), the second was carried out during a normal working process with a break of choice (Condition B), and the third sampling was performed during a normal working process with a break with AAT (Condition C). All participants were enrolled in all three interventional conditions in a randomized order. The results demonstrated the effect of a reduction of cortisol levels in Condition C, where AAT was included (p = 0.02) only in nurses recruited from the IM < C department. By way of explanation, nurses from the PMR department already showed low cortisol levels at baseline. We propose including AAT with a dog in healthcare facilities where nurses are at a high risk of stress.


Assuntos
Terapia Assistida por Animais , Cães , Enfermeiras e Enfermeiros/psicologia , Estresse Ocupacional/prevenção & controle , Adulto , Animais , República Tcheca , Feminino , Hospitais Militares , Humanos , Hidrocortisona/análise , Estresse Ocupacional/metabolismo , Saliva/química
2.
Medicine (Baltimore) ; 98(37): e16724, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31517811

RESUMO

BACKGROUND: Empirical studies indicated that job-related stress is threatening the well-being of Nigerian public workers. The objective of this investigation was to examine the impact of REOHC for improving work-stress management among Staff of Nigeria Police Force in southeast Nigeria. METHOD: This is a pretest-posttest control group design study with follow-up. A total of 63 Nigerian police officers (randomized into one of 2 groups: n = 32 for treatment group, n = 31 for waitlist control group) completed the study. Two self-report questionnaire measuring organizational and operational stressors associated with police general well-being were used as outcome measures. The intervention group received a 12-week REBC manual intervention. The intervention and waitlisted groups were evaluated at 3-time points: Time1, Time2, and Time3. Statistical analyses were achieved using repeated-measures ANOVA. RESULTS: Results showed that there was no significant difference between the REOHC group and waiting-list control group in initial work-related stress management among staff of Nigerian Police Force. REOHC program had a significant effect on work-related stress management among staff of Nigerian Police Force when compared to their counterparts in the waiting-list control group. CONCLUSION: Therefore, REOHC program is a time-effective treatment approach for improving work-stress management among Staff of Nigeria Police Force in southeast Nigeria.


Assuntos
Tutoria , Saúde do Trabalhador , Estresse Ocupacional/prevenção & controle , Polícia , Adulto , Gerenciamento Clínico , Emoções , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria , Polícia/psicologia , Resultado do Tratamento
4.
Lakartidningen ; 1162019 Sep 09.
Artigo em Sueco | MEDLINE | ID: mdl-31503319

RESUMO

There is a growing body of evidence that mindfulness and compassion are effective in reducing stress in health care. Focus meditation brings back the wandering mind to our breath and body. This attention skill can be practiced as STOP-sign: 'Stop, Take a breath, Observe and Priority first' when facing an emergency. Insight meditation helps us to observe our thoughts, let them pass and bring clarity. This noting technique can be practiced as SOAL: 'Stop, Observe, Accept, and Let go' when there is emotional distress. Better emotional regulation may also protect us from over-identification to negative affect. Mindfulness promotes transformation from empathy to compassion with focus on intention and motivation to alleviate. Compassion training may generate positive affect as antidote to empathy fatigue. Self-compassion embraces our difficulties in our life with the insight of common humanity and improves self-care. Group training at work place can be effective for implementation in health care.


Assuntos
Esgotamento Profissional/prevenção & controle , Pessoal de Saúde/psicologia , Atenção Plena/métodos , Fadiga por Compaixão/prevenção & controle , Empatia , Humanos , Meditação , Estresse Ocupacional/prevenção & controle , Autocuidado/métodos
5.
Australas J Ageing ; 38 Suppl 2: 34-45, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31496057

RESUMO

OBJECTIVES: 1Explore the ability of trained volunteers to provide person-centred care focusing on nutrition/hydration support, hearing/visual aids and activities in rural hospitals for older patients with dementia and/or delirium. 2Explore the impacts and challenges of volunteer care for family carers and hospital staff. METHODS: Staff were surveyed about their confidence, stress and satisfaction at 6 months post-implementation. Focus groups with staff and interviews with families explored program successes, challenges and enabling factors. RESULTS: Volunteers integrated themselves into the care team, providing person-centred care, increased safety and quality of care for patients and a reduced burden for staff and families. Key enablers were clear processes for screening, training and supporting volunteers. Key challenges included initial role delineation, staff/volunteer trust and sustainability. CONCLUSION: The program is reported by families and staff as being effective in addressing the main barriers to providing person-centred care for older adults with cognitive impairment in rural acute hospitals.


Assuntos
Adaptação Psicológica , Atitude do Pessoal de Saúde , Cuidadores/psicologia , Cognição , Envelhecimento Cognitivo/psicologia , Disfunção Cognitiva/terapia , Efeitos Psicossociais da Doença , Pessoal de Saúde/psicologia , Trabalhadores Voluntários de Hospital/psicologia , Hospitais Rurais , Adulto , Fatores Etários , Disfunção Cognitiva/diagnóstico , Disfunção Cognitiva/psicologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/psicologia , Equipe de Assistência ao Paciente , Assistência Centrada no Paciente , Avaliação de Programas e Projetos de Saúde
6.
Invest Educ Enferm ; 37(2)2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31487442

RESUMO

OBJECTIVES: This work sought to determine the effectiveness of an aerobic exercise program on the occupational stress of nurses. METHODS: Prevention-type controlled clinical trial carried out with the participation of 60 nurses working in hospitals affiliated to Shahrekord University of Medical Sciences in Iran. Randomly, the nurses were assigned to the experimental group or to the control group. The intervention consisted in an aerobic exercise program lasting three months with three weekly sessions one hour each. The Health and Safety Executive (HSE) questionnaire measured occupational stress with 35 questions, each with five Likert-type response options, which can have a maximum score of 175 points; higher scores meant lower levels of occupational stress. The HSE was evaluated during three moments: upon registering, after finishing the exercise program (week 8), and two months after terminating the intervention (week 16). RESULTS: The level of occupational stress was the same in the experimental and control groups during registration (86.2 vs. 86.3). Upon finishing the aerobic exercise program (week 8), the experimental group showed a higher score than the control group (119.7 vs. 86.2, p<0.01), with this score diminishing after two months of having ended the intervention (91.4 vs. 85.8, p=0.061). CONCLUSIONS: The aerobic exercise program was associated to decreased work stress of nurses in the experimental group compared to the control group at eight weeks, but this difference did not persist when the experimental group did not continue with the program.


Assuntos
Exercício/fisiologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/prevenção & controle , Adulto , Feminino , Humanos , Irã (Geográfico) , Inquéritos e Questionários , Fatores de Tempo
7.
Rev. Asoc. Méd. Argent ; 132(3): 34-38, sept. 2019.
Artigo em Espanhol | LILACS | ID: biblio-1045903

RESUMO

El objetivo de este trabajo es difundir la Ley Nº 2578 de la Ciudad Autónoma de Buenos Aires (CABA) del 06/12/07, promulgada por decreto N° 09/008 del 07/01/08, publicada en BOCBA N° 2.850 del 15/01/08, relativa a la creación del "Programa de Prevención, Detección Precoz y Rehabilitación del Estrés Laboral Crónico de los Trabajadores de la Salud". También hacer algunas consideraciones sobre esta enfermedad y destacar al síndrome de Burn-Out como resultado de un estrés laboral crónico que se desarrolla en los ambientes laborales del equipo de la salud


The purpose of this work is to spread Law C.A.B.A. N° 2.578 regarding the creation of the Program for the Prevention, Early Detection and Rehabilitation of Chronic Labor Stress of Health Care Workers of Autonomous City of Buenos Aires. Also make some considerations about this disease and highlight Burn Out syndrome as result of chronic work stress that develops in the work environment of the health team.


Assuntos
Esgotamento Profissional/prevenção & controle , Pessoal de Saúde , Estresse Ocupacional/prevenção & controle , Argentina , Diagnóstico Precoce , Legislação Médica
9.
Rev Lat Am Enfermagem ; 27: e3156, 2019 Jul 18.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31340344

RESUMO

OBJECTIVE: to represent the dynamics of stress generation, accumulation and reduction in the nursing team at an oncology therapy center. METHOD: a mathematical simulation model of system dynamics was developed based on data collection in loco. The model served to test the impact of three policies aimed at reducing stress in the team, namely i) increase in the service load; ii) increase in the size of shift teams and iii) reduction of service hours per bed. RESULTS: the model showed that the policy of increasing the size of the team obtained the best results, with the absenteeism index stabilizing at 8%; staff at leave also stabilizing at 4-5 people per month, as well as accumulated stress reduced to baseline levels. CONCLUSION: measures to monitor physical and emotional demands, hiring staff, better technical training for so-called stressful activities, and a better distribution of tasks can be effective in reducing absenteeism rates and improving the quality of life of these workers.


Assuntos
Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Equipe de Enfermagem/organização & administração , Equipe de Enfermagem/estatística & dados numéricos , Estresse Ocupacional/psicologia , Absenteísmo , Institutos de Câncer , Humanos , Modelos Teóricos , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/reabilitação , Qualidade de Vida
10.
Trials ; 20(1): 338, 2019 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-31182128

RESUMO

BACKGROUND: Medical professionals are at high risk of job stress and burnout. Research shows that work-related stress can be reduced through enhancing psychological resources, in particular, self-efficacy and perceived social support. These psychological resources can operate either individually or sequentially: in line with the cultivation hypothesis, self-efficacy precedes and cultivates perceived social support, whereas according to the enabling hypothesis it is perceived social support that comes first and enables self-efficacy. Based on this theoretical framework we developed an internet-based intervention, Med-Stress, dedicated to healthcare providers and aimed at reducing job stress and burnout. Med-Stress contains two modules that enhance self-efficacy and perceived social support, which are tested in four variants reflected in four study conditions. We expect that sequential enhancement of resources: self-efficacy and social support or social support and self-efficacy will yield larger posttest results than individual enhancement. METHODS: In this four-arm randomized controlled trial we will test four variants of the Med-Stress intervention. The trial is open for professionally active medical providers aged at least 18 years (N = 1200) with access to an Internet-connected device. We will compare the effects of two experimental conditions reflecting cultivation and enabling effects of self-efficacy and perceived social support (sequential enhancement of resources), and two active controls strengthening self-efficacy or perceived social support. Job stress and job burnout will be the primary outcomes, whereas depression, job-related traumatic stress, and work engagement will be secondary ones. Additionally, we will measure perceived social support, self-efficacy to manage job stress and burnout, and the ability to obtain social support, exposure to traumatic events, and users' expectancy and credibility of the intervention. All assessments will be applied before the intervention, at posttest (at 3 or 6 weeks depending on the study condition), and at 6-month and 12-month follow up. In the case of experimental groups, additional measurements will be taken after enhancing each resource. DISCUSSION: Resource-based interventions are relatively context-free and could potentially benefit medical professionals across the field. If Med-Stress is successful, its most effective variant could be implemented in the healthcare system as a standalone, supportive tool for employees. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03475290 Registered on 23 March 2018.


Assuntos
Esgotamento Psicológico/prevenção & controle , Pessoal de Saúde , Estresse Ocupacional/prevenção & controle , Ensaios Clínicos Controlados Aleatórios como Assunto , Interpretação Estatística de Dados , Humanos , Projetos de Pesquisa , Autoeficácia , Apoio Social
11.
Artigo em Inglês | MEDLINE | ID: mdl-31234547

RESUMO

Background: This randomized controlled trial (RCT) evaluates the effectiveness of a self-management toolbox designed to maintain work ability and vitality in coach drivers over their peak season. Methods: The intervention group received a self-management intervention providing advice aimed at increasing work ability and vitality. These suggestions targeted three specific domains: work-recovery-rest balance, food and drink intake, and physical activity. At the beginning (March), middle (July), and end (October) of the coach sector peak season, work ability, vitality, work-related fatigue, psychosomatic health, sleep complaints, and perceived mental exertion of coach drivers were assessed through questionnaires. Results: A total of 96 drivers participated in the study. Access to the toolbox did not result in significant differences between groups. Work ability and vitality decreased significantly in both groups, falling from 7.8 ± 1.3 to 7.3 ± 1.6 and from 63 ± 16.7 to 55 ± 18.7, respectively. Work-related fatigue increased from 35 ± 31.9 to 52 ± 35.3. Psychosomatic health complaints, sleep complaints, and perceived mental exertion also increased significantly. Conclusions: The uptake of the intervention was too low to determine if this toolbox can maintain work ability and vitality in coach drivers when compared with a control group. Overall work ability and vitality decrease significantly as the peak season progresses, while work-related fatigue accumulates. Other interventions should be explored to ensure sustainable employability in this population.


Assuntos
Condução de Veículo , Veículos Automotores , Estresse Ocupacional/prevenção & controle , Autogestão , Adulto , Ingestão de Líquidos , Ingestão de Alimentos , Exercício , Fadiga , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Psicofisiológicos/prevenção & controle , Estações do Ano , Sono , Inquéritos e Questionários , Avaliação da Capacidade de Trabalho
13.
J Nurs Educ ; 58(6): 321-329, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31157900

RESUMO

BACKGROUND: Health care professionals face high levels of stress from working in a demanding environment. Resiliency training has emerged as an approach to overcome occupational stress. The purpose of this study was to understand what is known about educational strategies for teaching resilience. METHOD: The five-stage approach from Arksey and O'Malley was used as the methodological framework. Resources were evaluated thematically to identify key strategies and interventions. RESULTS: Included resources (N = 25) were organized into six themes: (a) Reflective Practice; (b) Storytelling; (c) Peer Support and Mentoring; (d) Professional Support and Mentoring; (e) Mindfulness and Meditation Practice; and (f) Enhancing Self-Knowledge and Personal Competencies. CONCLUSION: This scoping review has confirmed that there are relevant education strategies to assist students in developing resilience. Recommendations for integrating resilience education at the undergraduate level are included. Preparing nursing students to persevere through adversities is essential for maintaining physical, mental, and emotional health throughout their career. [J Nurs Educ. 2019;58(6):321-329.].


Assuntos
Educação em Enfermagem , Estresse Ocupacional/prevenção & controle , Resiliência Psicológica , Estudantes de Enfermagem/psicologia , Humanos
16.
Issues Ment Health Nurs ; 40(8): 706-711, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31026185

RESUMO

This pilot study aimed to implement a mental health promotion program to support nurses working in Psychiatric hospital departments. Eighty-six nurses working in psychiatric hospitals were randomized to either an intervention group (IG) or a waitlist control group (WCG). The intervention took place in groups over a period of 12 weeks. Training content included, i.e. work-related stress management training, problem solving techniques, and solution-focused counseling. Outcomes were measured at four times (baseline and three follow-up measurements). Perceived stress, coping skills, emotion regulation skills and changes in patient relationships were included as outcome measurements. Psychiatric nurses in the IG reported significant changes in perceived job stress, emotion regulation skills, resilience, and self-efficacy after the intervention. In addition, scores on quality of patient-relationship were significantly higher after the intervention (e.g. support, conflict management; p < 0.05). No comparable results could be found in the WCG. A mental health promotion intervention for psychiatric nurses was successfully implemented. Further research is necessary to generalize these pilot study findings.


Assuntos
Promoção da Saúde , Saúde Mental , Recursos Humanos de Enfermagem no Hospital/psicologia , Unidade Hospitalar de Psiquiatria , Enfermagem Psiquiátrica , Adaptação Psicológica , Adulto , Emoções , Feminino , Alemanha , Hospitais Psiquiátricos , Humanos , Masculino , Relações Enfermeiro-Paciente , Estresse Ocupacional/prevenção & controle , Projetos Piloto , Resiliência Psicológica , Autoeficácia
17.
Am J Nurs ; 119(5): 24-31, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30985326

RESUMO

: Background: Acute care nurses work in highly taxing environments, and as such are vulnerable to work-related stress, burnout, and attrition. Yet some nurses appear to flourish even in the presence of such stress, perhaps because of differences in their cognitive processes. Positive thinking, a set of skills that can be learned, has been linked to increased well-being, physical health, and longevity. But at this writing, there has been scant research investigating the use of positive thinking among nurses. PURPOSE: To assess the relationship between perceptions of work-related stress and the use of positive thinking among acute care nurses. METHODS: A cross-sectional survey consisting of the Expanded Nursing Stress Scale, the Positive Thinking Skills Scale (PTSS), and a demographic questionnaire was administered to a convenience sample of 298 RNs, which included nurses already working for an eight-campus health care system and newly hired nurses during orientation. RESULTS: Compared to the established group, the incoming RNs were generally younger, had less education, and reported higher levels of both work-related stress and positive thinking. Linear regression analysis revealed that an increase in perceived stress was predictive of an increase in positive thinking. The PTSS, which had not been previously tested among nurses, was found to be reliable and valid. CONCLUSION: This is the first U.S. study to evaluate the use of positive thinking in managing work-related stress among acute care nurses. The data suggest that positive thinking skills are being used to cope with such stress. But the mean PTSS scores for both groups were only slightly above midline, suggesting that nurses' use of positive thinking as a coping skill can be improved through formal training and education.


Assuntos
Esgotamento Profissional/prevenção & controle , Atenção Plena/métodos , Recursos Humanos de Enfermagem no Hospital/psicologia , Autoeficácia , Local de Trabalho/psicologia , Adaptação Psicológica , Adulto , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Saúde do Trabalhador , Estresse Ocupacional/prevenção & controle
18.
Surgery ; 165(6): 1059-1064, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30922544

RESUMO

BACKGROUND: Overwhelming stress in the operating room can lead to decay in operative performance, particularly for residents who lack experience. Mental skills training can minimize deterioration in performance during challenging situations. We hypothesized that residents trained on mental skills would outperform controls under increased stress conditions in the simulated operating room. METHODS: Residents from Indiana University enrolled voluntarily in this institutional review board-approved study. Residents were stratified according to baseline characteristics and randomized into a mental skills and control group. Both groups trained to proficiency in laparoscopic suturing, but only the mental skills group received mental skills training. After training, technical skill transfer was assessed under regular and stressful conditions on a porcine model. Performance was assessed using an objective suturing score. The Test of Performance Strategies was used to assess the use of mental skills. Data were combined and compared with data that had been collected at Carolinas Healthcare System because residents underwent the same protocol. RESULTS: A total of 38 residents completed all study elements. There were no differences in the effects observed between sites. We observed no group differences at baseline. The groups achieved similar technical performance at baseline, posttest, and transfer test under low-stress conditions, but the mental skills group outperformed the control group during the transfer test under high-stress conditions. CONCLUSION: Our comprehensive mental skills curriculum implemented with surgery residents at two institutions was effective at minimizing the deterioration of resident technical performance under stressful conditions compared with controls. These results provide further evidence for the effectiveness of mental skills training to optimize surgery trainees' technical performance during challenging clinical situations.


Assuntos
Internato e Residência/métodos , Laparoscopia/educação , Estresse Ocupacional/prevenção & controle , Treinamento por Simulação/métodos , Técnicas de Sutura/educação , Desempenho Acadêmico/estatística & dados numéricos , Adulto , Animais , Competência Clínica/estatística & dados numéricos , Currículo , Feminino , Humanos , Indiana , Internato e Residência/estatística & dados numéricos , Laparoscopia/psicologia , Masculino , Modelos Animais , Salas Cirúrgicas , Cirurgiões/educação , Cirurgiões/psicologia , Cirurgiões/estatística & dados numéricos , Técnicas de Sutura/psicologia , Suínos
20.
Curr Opin Anaesthesiol ; 32(2): 136-143, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30817385

RESUMO

PURPOSE OF REVIEW: Teaching in the stressful, high-acuity environment of the ICU is challenging. The intensivist-educator must use teaching strategies that are both effective and time-efficient, as well as evidence-based approaches to the ICU curriculum. This review provides an overview of pertinent educational theories and their implications on educational practices, a selection of effective teaching techniques, and a review on feedback. RECENT FINDINGS: Evidence supports the role of conceptual frameworks in providing the educator with a key perspective to obtain a deeper understanding of the factors contributing to an effective and goal-directed education in the ICU. The role of simulation training for technical and nontechnical skills acquisition is growing. Feedback is difficult to provide, but critical to facilitate learner success; frameworks, and approaches are becoming more standardized. SUMMARY: Direct teaching should be goal-oriented, sequential, and adjusted to the level of the learner. The ICU curriculum should optimize cognitive load, reduce stress that is unrelated to the activity, include resilience training, and help trainees deal with stressful clinical situations better. Simulation is a powerful tool to promote technical and nontechnical skills. Providing feedback is essential and a skill that can be taught and enhanced with structure, prompts, and tools.


Assuntos
Anestesiologia/educação , Medicina Baseada em Evidências/educação , Unidades de Terapia Intensiva/organização & administração , Internato e Residência/organização & administração , Ensino , Anestesiologistas/organização & administração , Anestesiologistas/psicologia , Competência Clínica , Currículo , Eficiência Organizacional , Metas , Humanos , Unidades de Terapia Intensiva/estatística & dados numéricos , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/psicologia , Resiliência Psicológica , Treinamento por Simulação/organização & administração , Treinamento por Simulação/tendências
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