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1.
Rev. Ciênc. Plur ; 5(1): 52-70, jun. 2019. ilus, tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1007343

RESUMO

Introdução:Os serviços de emergência médica exigem do profissional da saúde uma pronta resposta às demandas de cada paciente. Nesse contexto, o estresse laboral pode ser extremamente destrutivo não só para o trabalhador, mas também para o serviço de saúde prestado.Objetivo:Assim, este estudo tem como objetivo analisar os fatores desencadeantes do estresse laboral em profissionais de saúde que trabalham em serviços de emergência médica.Metodologia:Para isso, foi realizada uma revisão integrativa de literatura, tendo como fonte as basesde dados Lilacs, MedLinee Scielo. Foram incluídos estudos transversais ou longitudinais em inglês, português ou espanhol sem restrição de período de publicação que tinham como objetivo avaliar os níveis de estresse em profissionais de saúde que trabalham em serviços de emergência médica. Logo, nove artigos transversais e dois longitudinais foram incluídos, totalizando onze artigos.Resultados:Como resultado, observou-se que uma série de fatores ambientais (más condições de trabalho, atividades de administração) e pessoais(união estável, menor tempo de serviço) são associados ao estresse laboral. Todavia, principalmente os fatores relacionados ao ambiente são passíveis de intervenção.Conclusões:Dessa forma, surge a necessidade de políticas de melhoria do ambiente de trabalho e de empoderamento do profissional de saúde que trabalha em serviços de emergência médica (AU).


Introduction:The emergency medical services require the health professional to respond promptly to the demands of each patient. In this context, work stress can be extremely destructive not only for the worker, but also for the health service provided. Objective:Thus, this study aims to analyze the factors that trigger work stress in health professionals working in emergency medical services.Methods:For this, a integrative review of the literature was performed, based on the Lilacs, MedLineand Scielodatabases. We included cross-sectional or longitudinal studies in English, Portuguese or Spanish without restriction of publication period that aimed to evaluate stress levels in health professionals working in emergency medical services. Therefore, nine transverse and two longitudinal articles were included, totaling eleven articles.Results:As a result, it was observed that a series of environmental factors (poor working conditions, administration activities) and personal factors (stable union, shorter working time) are associated with work stress. However, mainly environmental factors are amenable to intervention.Conclusions:Thus, there is a need for policies to improve the work environment and the empowerment of the health professional working in emergency medical services (AU).


Assuntos
Pessoal de Saúde , Pessoal de Saúde/psicologia , Serviços Médicos de Emergência/métodos , Estresse Ocupacional/psicologia , Brasil , Saúde Pública , Revisão
2.
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
3.
Medicine (Baltimore) ; 98(23): e15950, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31169719

RESUMO

Although the association between perceived stress and psychological distress has been demonstrated, the mechanism behind the association is not well understood in physicians. The purpose of this study was to examine how coping styles (positive and negative) mediated the association between perceived stress and psychological distress among Chinese physicians.A cross-sectional survey was conducted in Liaoning Province, China, between October and December 2017. Self-administered questionnaires, including the General Health Questionnaire to assess psychological distress, the Stress Reaction Questionnaire to assess perceived stress, and the Trait Coping Style Questionnaire to assess coping style, as well as surveys of demographic and occupational characteristics, were distributed to 1120 physicians employed in large general hospitals. The final sample consisted of 1051 participants. Asymptotic and resampling strategies were used to examine how coping style mediated the association between perceived stress and psychological distress.Perceived stress was significantly and positively associated with psychological distress among physicians. Both positive and negative coping significantly mediated the association between perceived stress and psychological distress. For psychological distress and its 3 dimensions (depression, anxiety, and reduced self-affirmation), the proportions of mediating roles of coping styles were 26.1%, 29.9%, 24.8%, and 22.7%, respectively.Perceived stress had positive effects on psychological distress, and coping style was a mediator in this relationship among Chinese physicians. In addition to reducing stress in clinical practice, appropriate coping styles should be adopted in psychological distress prevention and treatment strategies.


Assuntos
Adaptação Psicológica , Grupo com Ancestrais do Continente Asiático/psicologia , Doenças Profissionais/psicologia , Estresse Ocupacional/psicologia , Médicos/psicologia , Adulto , Ansiedade/psicologia , China , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Percepção , Inquéritos e Questionários , Local de Trabalho/psicologia
4.
Z Psychosom Med Psychother ; 65(2): 183-197, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31154931

RESUMO

Objectives: There is an ongoing debate as to whether job burnout and depression are overlapping concepts or differ from each other, although this has not been scrutinized in inpatients. To further elucidate the robustness of this relationship, we used three different measurements of depression. We further examined the influence of psychological distress, perceived stress and sleep quality in the link between depressive symptoms and burnout. Methods: We investigated 723 consecutive inpatients, aged 23 to 82 years, 51.2 % women, referred to a hospital specialized in the treatment of job stress-related disorders. Patients completed the Maslach Burnout Inventory, the Beck Depression Inventory, the Hospital Anxiety and Depression Scale, the Brief Symptom Inventory, the Perceived Stress Scale, and the Pittsburgh Sleep Quality Index. Results: We found significant correlations between burnout total scores as well as subscales (emotional exhaustion, depersonalization, lack of accomplishment) and depressive symptoms, virtually independent of the applied depression measure. The shared variance ranged between 1.1 % and 19.4 %. Greater levels of burnout were directly associated with cognitiveaffective symptoms and, although to a lesser extent, also with somatic-affective symptoms of depression. In the multivariable analysis, significantly more total burnout symptoms were revealed in more depressed and younger patients, in men than women, and in employees with greater levels of psychological distress and perceived stress, respectively. Conclusions: The findings suggest that although burnout and depression do not represent the same psychopathology, there is considerable overlap between the two constructs; the extent of this overlap may vary depending upon the applied depression measure.


Assuntos
Esgotamento Profissional/terapia , Depressão/psicologia , Pacientes Internados , Estresse Ocupacional/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Esgotamento Profissional/complicações , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Depressão/complicações , Depressão/diagnóstico , Feminino , Humanos , Pacientes Internados/psicologia , Pacientes Internados/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/complicações , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/psicologia , Psicopatologia , Adulto Jovem
5.
Medicine (Baltimore) ; 98(22): e15571, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31145277

RESUMO

This study reports the subjective perceptions and mental state of employees working in the Erdaogou Mine, affiliated with Jiapigou Minerals Limited Corporation of China National Gold Group Corporation (CJEM); these employees are pioneers working at the deepest point below ground in China. The data represent a valuable baseline from which to assess the effects of the environmental factors in the deep-underground on human physiology, psychology, and pathology.The air pressure, relative humidity, temperature, total γ radiation dose-rate, and oxygen concentration in the CJEM in the aisles in goafs at 4 depths below ground were measured. Study subjects were administered a study-specific questionnaire that included items that targeted factors with potential to affect respondents' health and wellbeing and included the symptom checklist-90-revised (SCL-90-R).Air pressure, relative humidity, and temperature rose, total γ radiation dose-rate decreased, and there was no change in oxygen concentration with increasing depth below ground. Most (97.2%) respondents had a negative impression of the ambient conditions in the deep-underground space. The most commonly perceived adverse factors included moisture (74.9%), heat (33.5%), and poor ventilation (32.4%). 93.29% of respondents associated ≥1 self-reported negative physical symptom with working in the deep-underground space; the most frequent symptoms were being easily tired (48.7%), tinnitus (47.5%), and hearing loss (44.1%). Higher SCL-90-R scores were associated with the perception of >1 adverse factor in the deep-underground, spending >8 hours continuously in the deep-underground space, or working at a depth > 1000 m below ground. >1 perceived adverse factor in the deep-underground and continuously spending >8 hours in the deep-underground space were significant predictors of high SCL-90-R scores.Adverse factors, including high temperature, humidity, and dim light, may have negative impacts on the physical and psychological health of people who spend long periods of time living and/or working in the deep-underground space.


Assuntos
Espaços Confinados , Mineração , Estresse Ocupacional/psicologia , Local de Trabalho/psicologia , Adulto , Pressão do Ar , China , Estudos Transversais , Ouro , Humanos , Umidade , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional/análise , Oxigênio/análise , Percepção , Exposição à Radiação/análise , Temperatura Ambiente , Adulto Jovem
6.
Work ; 62(4): 553-561, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31104041

RESUMO

BACKGROUND: The purpose of this study was to examine whether physical health and well-being are affected by work rumination and the role of work interruptions as job events. It was hypothesized that stressful work interruptions, would be related to affective rumination, psychosomatic symptoms and poorer general health. OBJECTIVE: To determine the role of work rumination in the relationship between work interruptions, physical and general well-being. METHODS: Self-reports of distressing work interruptions, psychosomatic symptoms and general health data were gathered from employees (N = 139) from diverse occupational groups. RESULTS: Affective rumination acted as a partial mediator (ß= 0.37) and moderator (ß= 0.24) in the relationship between stressful work interruptions and psychosomatic symptoms. As a mediator affective rumination explains 34.8% of the effect of work interruptions on psychosomatic symptoms. CONCLUSION: Affective rumination about work hinders psycho-physiological recovery, and such an effect relates to stressful work interruptions. Implications for future research are discussed.


Assuntos
Local de Trabalho/psicologia , Adulto , Inglaterra , Feminino , Humanos , Masculino , Estresse Ocupacional/complicações , Estresse Ocupacional/psicologia , Análise de Regressão , Autorrelato , Inquéritos e Questionários , Pensamento , Local de Trabalho/normas
7.
BJOG ; 126(9): 1117, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31099475
8.
Estud. pesqui. psicol. (Impr.) ; 19(1): 71-88, jan.-abr. 2019. tab, ilus
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-999327

RESUMO

Este estudo avaliou a percepção de estresse e estressores de enfermeiros de um hospital universitário e coletou sugestões de ações para amenizar o estresse. O estudo, descritivo, transversal, qualitativo e quantitativo foi realizado com 70 enfermeiros de diversas unidades de um hospital. Utilizou-se a Escala de Estresse de Bianchi e uma pergunta aberta. Os dados quantitativos foram analisados pelo programa SPSS e foram feitas análises descritivas e inferenciais. Para os dados qualitativos, utilizou-se a técnica de análise de conteúdo de Bardin. Resultados indicaram que a maior parte (67%) dos sujeitos apresentou nível médio de estresse. O domínio B (atividades relacionadas ao funcionamento adequado da unidade) teve a média de escore de estresse mais alta (5,2) em todas as unidades estudadas. A média de estresse dos enfermeiros que exercem função de chefia foi significantemente maior do que a média dos que não exercem (p=0,002). A área temática "Melhores condições para o trabalho" foi a mais citada como sugestão para amenizar o estresse. Os dados obtidos indicaram que a situação atual de precarização do hospital está relacionada com o estresse dos enfermeiros. Considera-se que o estudo permitiu ampla compreensão sobre o estresse e estressores em enfermeiros do hospital e subsídios para estudos posteriores.(AU)


This study evaluated the perception of stress and stressors of nurses at a university hospital and collected suggestions for actions to relieve stress. Descriptive, cross-sectional qualitative and quantitative study with 70 nurses from different hospital units. The Bianchi Stress Scale was used and an open question was applied. The quantitative data were analyzed using the SPSS program and descriptive and inferential analyzes were used. For qualitative data, the Bardin content analysis technique was used. The results indicated that most of the participants (67%) had a medium level of stress. Domain B (activities related to the proper functioning of the unit) had the highest average stress score in all units studied. The mean stress level of nurses who performed leadership was significantly higher than the average of those who did not (p = 0.002). The thematic area "Better conditions for work" was the most cited as a suggestion to relieve stress. The data obtained indicates that the current situation of precariousness of the hospital is related to the nurses' stress. It is considered that the study allowed a broad understanding on the stress and stressors of hospital nurses and subsidies for further studies.(AU)


Este estudio evaluó la percepción del estrés y estresores de enfermeros de un hospital universitario y recogió sugerencias de acciones para amenizar el estrés. Estudio descriptivo, transversal, cualitativo y cuantitativo se realizó con 70 enfermeros de varias unidades de un hospital. Se utilizó la Escala de estrés de Bianchi y una pregunta abierta. Los datos cuantitativos fueron analizados por el programa SPSS. Para los datos cualitativos se utilizó la técnica de análisis de contenido de Bardin. Los resultados indicaron que 67% presentaron un nivel medio de estrés. El dominio B (actividades relacionadas al funcionamiento adecuado de la unidad) tuvo el promedio de puntuación de estrés más alta (5,2) en todas las unidades estudiadas. El promedio de estrés de los enfermeros que ejercen función de dirección fue significativamente mayor que el promedio de los que no ejercen (Test t de student p = 0,002). El área temática "Mejores condiciones para el trabajo" fue la más citada como sugerencia para amenizar el estrés. Los datos obtenidos indican que la situación de precarización del hospital está relacionada con el estrés de los enfermeros. Se considera que el estudio permitió una amplia comprensión sobre el estrés y estrés de los enfermeros del hospital y subsidios para estudios posteriores.(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Fatores Desencadeantes , Estresse Ocupacional/psicologia , Hospitais Universitários , Condições de Trabalho , Saúde , Pessoal de Saúde , Enfermeiros/psicologia
9.
Biomed Res Int ; 2019: 6740207, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31016195

RESUMO

Intro: Both discrimination and harassment directly impact mental and physical health. Further, workplace discrimination degrades workplace culture and negatively impacts health behaviors, job-related outcomes, and family dynamics. Women represent a small proportion of the fire service and are often the targets of discrimination/harassment, yet little research documents the impact of such experiences. The purpose of this study was to evaluate the relationship between chronic work discrimination and/or harassment and women firefighters' (FFs) physical and mental health, substance abuse, and job efficacy, stress, and satisfaction. Methods: Snowball sampling was used to solicit participation from women career FFs. Participants completed an online survey regarding physical and mental health, health behavior, job efficacy/stress/satisfaction, and family well-being. Logistic regression examined the impact of work discrimination-harassment severity on dichotomous variables. Results: 1,773 had complete data on their experiences with work-related discrimination and harassment. Women reported experiencing verbal (37.5%) and written (12.9%) harassment, hazing (16.9%), sexual advances (37.4%), and assaults (5.1%) in the fire service. FFs in the highest tertile of work discrimination-harassment severity reported over 40% more poor health days in the last 30 days (OR=1.42; 95%CI=1.33-1.51; p<0.001). Women who experienced moderate and severe discrimination/harassment had negative mental health outcomes including higher prevalence of depressive symptoms, anxiety, and PTSD symptoms. Those who experienced high rates of discrimination and/or harassment also were more likely to report issues with alcohol consumption. Conclusion: The impact of discrimination and harassment, related negative physical and mental outcomes, low levels of job satisfaction, and negative impact of these experiences on family/home stress likely take a significant toll on women in the fire service. Findings confirm and extend previous work suggesting there is a need to improve the mental and physical health of women FFs. Future work should examine the prospective relationship between discrimination/harassment and poor health outcomes and potential policies/practices to reduce these negative behaviors.


Assuntos
Bombeiros/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Assédio Sexual/estatística & dados numéricos , Local de Trabalho/estatística & dados numéricos , Adulto , Vítimas de Crime/estatística & dados numéricos , Depressão/psicologia , Discriminação (Psicologia)/fisiologia , Feminino , Humanos , Satisfação no Emprego , Estresse Ocupacional/psicologia , Prevalência , Inquéritos e Questionários
10.
Artigo em Inglês | MEDLINE | ID: mdl-31013723

RESUMO

The purpose of this study was to investigate how the role of workplace social support and gender affect the relationship between work stress and the physical and mental health of military personnel in Taiwan. The analysis results reveal that military personnel expressed significantly high perceptions of work-related stress. Social support from supervisors and colleagues is a crucial factor in buffering the effect of work-related stress on perceived health, and increasing the physical and mental health among military personnel. This study shows that male personnel who perceived higher stress and gained more social support from supervisors and colleagues than female personnel were less likely to have physical and mental issues than female personnel. Managerial implications and suggestions could serve as references in managing work-related stress, enhancing social support occurring in the military workplace, and reducing job dissatisfaction, which in turn improves the health and well-being of military personnel in Taiwan.


Assuntos
Militares/psicologia , Estresse Ocupacional/psicologia , Apoio Social , Adulto , Feminino , Humanos , Masculino , Saúde Mental , Percepção , Fatores Sexuais , Taiwan , Local de Trabalho/psicologia
11.
BMC Med Educ ; 19(1): 95, 2019 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-30940106

RESUMO

BACKGROUND: Structured peer-led tutorial courses are widespread and indispensable teaching methods that relieve teaching staff and contribute to the development of students' competencies. Nevertheless, despite high general stress levels in medical students and associated increases in psychopathology, specific knowledge of peer tutors' additional burdens is very limited. METHODS: Sixty student near-peer tutors from two structured peer-teaching programmes volunteered to participate. On multiple occasions in three different course sessions, we assessed tutors' subjective stress, affective state, heart rate variability, and salivary cortisol. Additionally, tutors named everyday and course-specific stressors, which were evaluated by means of content analyses. RESULTS: The study participation rate was high (63% of all active tutors). The participating tutors are socially well adapted and resilient individuals. They report a variety of stressors such as time pressure, participant characteristics, teacher role demands, and study requirements, but nevertheless display only moderate psychological and physiological stress that decreases over sessions. Tutors' negative affect in sessions is low; their positive affect is consistently high for senior as well as novice tutors. Tutors rate their courses' quality as high and quickly recover after sessions. CONCLUSIONS: Tutors successfully cope with teaching-associated and everyday life demands. The results corroborate the viability and success of current peer-teaching programmes from the tutors' perspective. This study is the first to comprehensively quantify tutors' stress and describe frequent stressors, thus contributing to the development of better peer teaching programmes and tutor qualification training.


Assuntos
Educação de Graduação em Medicina , Frequência Cardíaca/fisiologia , Hidrocortisona/metabolismo , Estresse Ocupacional/metabolismo , Grupo Associado , Estresse Psicológico/metabolismo , Estudantes de Medicina/psicologia , Ensino , Adulto , Atitude do Pessoal de Saúde , Currículo , Feminino , Humanos , Masculino , Estresse Ocupacional/fisiopatologia , Estresse Ocupacional/psicologia , Pesquisa Qualitativa , Saliva/química , Estresse Psicológico/fisiopatologia , Estresse Psicológico/psicologia , Programas Voluntários
12.
Vet Ital ; 55(1): 5-14, 2019 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-30951178

RESUMO

The Italian National Law on "companion animals and stray dog population control" prohibits euthanasia of shelter dogs if they are not dangerous or seriously suffering. Free roaming dogs are captured and housed in long-term shelters (LTS) until rehomed, adopted or dead.In this scenario the sheltered dogs' welfare has become a community scientific interest but few information are available about the human sphere in dogs' shelters. Aim of this study is to evaluate the social relationship between dogs and shelter operators (employees and volunteers) and the impact of their job on their quality of life in Italian shelters.A questionnaire addressed to shelter operators was developed by multidisciplinary group of experts and it is structured in three main parts: general information, operators' skills and operators' welfare and emotional sphere. This questionnaire has been included into the Shelter Quality Protocol that was used to assess the welfare of dogs housed in LTS, and it is meant to be distributed in 64 Italian shelters. A descriptive analysis was carried out. These results show that, in general, Italian shelter operators have a positive perception of their job although this have a stressful impact on their lives.


Assuntos
Bem-Estar do Animal/estatística & dados numéricos , Vínculo Homem-Animal de Estimação , Estresse Ocupacional/epidemiologia , Qualidade de Vida , Adulto , Idoso , Animais , Cães , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/psicologia , Adulto Jovem
13.
Eur J Endocrinol ; 180(4): 257-263, 2019 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-30840582

RESUMO

Hypothesis Previous work suggested no or inconsistent associations between components of work-related stress and type 2 diabetes risk, but suggested sex-specific differences should be further investigated, as women potentially had higher risks. Methods We analyzed data from 73 517 women, mostly teachers, from the E3N cohort study followed for 22 years (1992-2014), to study the association between mentally tiring work, used as a proxy of job demands, and type 2 diabetes risk. Univariate and multivariable Cox regression models were used to estimate hazard ratios and 95% confidence intervals. Results A total of 4187 incident cases of type 2 diabetes cases were observed. There was a higher type 2 diabetes risk for women with a 'Very mentally tiring work' when compared to women with 'Little or not mentally tiring work' (HR = 1.21 (1.09-1.35)). This association was independent of unhealthy lifestyle and traditional metabolic factors. An interaction between mentally tiring work and BMI was detected (P < 0.0001), with a stronger association being observed in non-overweight women, HR = 1.26 (1.08-1.47) vs HR = 1.14 (0.98, 1.32), in overweight women. Conclusions We observed an increased risk of type 2 diabetes associated with mentally tiring work, used as a proxy of job demands. These observational results suggest the importance of taking into consideration the potential long-term metabolic impact of work-related stress for women working in a demanding environment. Increased support for such women should be investigated in intervention studies.


Assuntos
Diabetes Mellitus Tipo 2/epidemiologia , Emprego/psicologia , Fadiga Mental/complicações , Estresse Ocupacional/psicologia , Estresse Psicológico/complicações , Adulto , Idoso , Idoso de 80 Anos ou mais , Índice de Massa Corporal , Estudos de Coortes , Feminino , Seguimentos , França/epidemiologia , Humanos , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Risco , Professores Escolares/psicologia
14.
J Allied Health ; 48(1): 72-75, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30826834

RESUMO

Education and recognition of death anxiety are important for respiratory therapists. A vital component of respiratory therapy is managing mechanical ventilation and dealing with death and dying. For most institutions, respiratory therapy is a vital component of the rapid response team, code team, and trauma team. Removal of mechanical ventilation is a duty primarily bestowed upon the respiratory therapist. Exposure to death, on a frequent basis, can take an emotional toll and lead to burnout, stress, and increased turnover. Managers and leaders in the hospital must make efforts to provide counseling and education to support respiratory therapists and their ongoing exposure to death and dying. This paper examines coping mechanisms for physicians and paramedics, resulting in tools that can be used to provide support to the respiratory therapist.


Assuntos
Adaptação Psicológica , Estresse Ocupacional/prevenção & controle , Terapia Respiratória/psicologia , Assistência Terminal/psicologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Auxiliares de Emergência/psicologia , Humanos , Estresse Ocupacional/psicologia , Médicos/psicologia , Respiração Artificial , Suspensão de Tratamento
15.
Psychiatry Res ; 274: 383-390, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30852432

RESUMO

Prevalence studies show high levels of burnout, anxiety, fatigue and other symptoms of distress among medical doctors. However, there are very few randomized controlled trials testing interventions against these problems. This randomized controlled trial (NCT02838290; ClinicalTrials.gov, 2016) tested interventions teaching 227 doctors about the psychology of burnout, stress, coping with patient death, and managing distress, as well as giving them information about prevalence rates among doctors. Primary outcomes included burnout, anxiety, insomnia, grief, alcohol/drug use, binge eating, physical symptoms, and psychiatric morbidity. The outcomes were tested before and after the interventions with a 7-day time-lag. The intervention significantly decreased doctors' levels of burnout (e.g. emotional exhaustion and depersonalization) and anxiety. Doctors in the control group had no significant changes in these signs of distress. The intervention did not significantly reduce other health and habit-related outcomes potentially because these need a longer time-lag than 7 days. Interventions teaching doctors about the psychology of work-related distress reduce burnout and anxiety by helping doctors realize that distress is a normal, human reaction to external stressors, common in medicine, and solvable by learning about psychological coping strategies.


Assuntos
Esgotamento Profissional/terapia , Doenças Profissionais/terapia , Estresse Ocupacional/terapia , Médicos/psicologia , Psicoterapia/métodos , Adaptação Psicológica , Adulto , Ansiedade/psicologia , Ansiedade/terapia , Esgotamento Profissional/psicologia , Despersonalização , Fadiga/psicologia , Fadiga/terapia , Feminino , Pesar , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/psicologia , Estresse Ocupacional/psicologia , Resultado do Tratamento
16.
Behav Ther ; 50(2): 353-366, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30824251

RESUMO

Exposure-based interventions are a core ingredient of evidence-based cognitive-behavioral treatment (CBT) for anxiety disorders, posttraumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD). However, previous research has documented that exposure is rarely utilized in routine care, highlighting an ongoing lack of dissemination. The present study examined barriers for the dissemination of exposure from the perspective of behavioral psychotherapists working in outpatient routine care (N = 684). A postal survey assessed three categories of barriers: (a) practicability of exposure-based intervention in an outpatient private practice setting, (b) negative beliefs about exposure, and (c) therapist distress related to the use of exposure. In addition, self-reported competence to conduct exposure for different anxiety disorders, PTSD, and OCD was assessed. High rates of agreement were found for single barriers within each of the three categories (e.g., unpredictable time management, risk of uncompensated absence of the patient, risk of decompensation of the patient, superficial effectiveness, or exposure being very strenuous for the therapist). Separately, average agreement to each category negatively correlated with self-reported utilization of exposure to a moderate degree (-.35 ≤ r ≤ -.27). In a multiple regression model, only average agreement to barriers of practicability and negative beliefs were significantly associated with utilization rates. Findings illustrate that a multilevel approach targeting individual, practical, and systemic barriers is necessary to optimize the dissemination of exposure-based interventions. Dissemination efforts may therefore benefit from incorporating strategies such as modifying negative beliefs, adaptive stress management for therapists, or increasing practicability of exposure-based interventions.


Assuntos
Terapia Implosiva/métodos , Estresse Ocupacional/psicologia , Pessimismo/psicologia , Relações Profissional-Paciente , Autorrelato , Adulto , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Terapia Cognitivo-Comportamental/normas , Feminino , Alemanha/epidemiologia , Humanos , Terapia Implosiva/normas , Masculino , Pessoa de Meia-Idade , Transtorno Obsessivo-Compulsivo/epidemiologia , Transtorno Obsessivo-Compulsivo/psicologia , Transtorno Obsessivo-Compulsivo/terapia , Estresse Ocupacional/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos de Estresse Pós-Traumáticos/terapia , Inquéritos e Questionários
17.
Pediatr Emerg Care ; 35(4): 319-322, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30870336

RESUMO

Few practicing emergency physicians will avoid life-changing stressors such as a medical error, personal illness, malpractice litigation, or death of a patient. Many will be unprepared for the toll they will take on their lives. Some may ultimately experience burnout, post-traumatic stress disorder, and suicidal ideation. Medical education, continuing education, and maintenance of certification programs do not teach physicians to recognize helplessness, moral distress, or maladaptive coping mechanisms in themselves. Academic physicians receive little instruction on how to teach trainees and medical students the art of thriving through life-changing stressors in their career paths. Most importantly, handling a life-changing stressor is that much more overwhelming today, as physicians struggle to meet the daily challenge of providing the best patient care in a business-modeled health care environment where profit-driven performance measures (eg, productivity tracking, patient reviews) can conflict with the quality of medical care they wish to provide.Using personal vignettes and with a focus on the emergency department setting, this 6-article series examines the impact life-changing stressors have on physicians, trainees, and medical students. The authors identify internal constraints that inhibit healthy coping and tools for individuals, training programs, and health care organizations to consider adopting, as they seek to increase physician satisfaction and retention. The reader will learn to recognize physician distress and acquire strategies for self-care and peer support. The series will highlight the concept that professional fulfillment requires ongoing attention and is a work in progress.


Assuntos
Adaptação Psicológica , Atitude Frente a Morte , Estresse Ocupacional/psicologia , Médicos/psicologia , Autocuidado/psicologia , Atitude do Pessoal de Saúde , Serviço Hospitalar de Emergência , Humanos
18.
Ann Agric Environ Med ; 26(1): 114-119, 2019 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-30922040

RESUMO

INTRODUCTION: Occupational burnout is a multifaceted phenomenon and a problem often encountered among medical personnel. An example of such a group are workers of the Emergency Medical Services (EMS). The aim of the present study was to make an attempt to assess the level of job burnout among professionally active employees of the EMS and to compare the different occupational groups (paramedics, nurses of the system, doctors of the system) according to four analyzed factors. MATERIAL AND METHODS: A cross-sectional study was performed using an on-line questionnaire. Four factors impacting the level of burnout were analyzed: 1) attitude to work; 2) workload; 3) contact with the patient; 4) attitude to stress). The minimum possible result on the scale is 36 points and the maximum - 252. Data were analysed by means of the Cronbach's alpha coefficient, the Spearman correlation, the Ramsey RESET test, the Chow test, VIF statistics. RESULTS: The average score for occupational burnout was 131.0 points (SD ± 31.47). The tool's reliability measured by means of Cronbach's alpha was 0.910). Both nurses and doctors obtained higher results throughout the scale (ßstand.0.147 and 0.215). Significant differences were shown between the group working only in the Helicopter Emergency Medical Service (HEMS) teams and the other services (land EMS, emergency rooms, etc.) at the level of p < 0.000. CONCLUSIONS: EMS employees encounter varying degrees of threat by occupational burnout. Doctors working in the system are shown to have the highest level of burnout, while paramedics the lowest. Among all the jobs analyzed, the lowest level of occupational burnout has been demonstrated by employees of HEMS.


Assuntos
Esgotamento Profissional/epidemiologia , Serviços Médicos de Emergência , Auxiliares de Emergência/psicologia , Enfermeiras e Enfermeiros/psicologia , Médicos/psicologia , Adulto , Resgate Aéreo , Estudos Transversais , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/psicologia , Polônia/epidemiologia , Inquéritos e Questionários , Carga de Trabalho/estatística & dados numéricos
19.
Work ; 62(2): 309-317, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30829641

RESUMO

BACKGROUND: Shift working is unavoidable in many industries with continual material processing such as petrochemical plants. So, the adverse effects of shift working on workers should be seriously considered. OBJECTIVE: This cross-sectional study evaluated occupational fatigue and mental health complaints and their relationship in rotating 8-hour shift workers. METHOD: In this study, 287 shift workers participated. The Multidimensional Fatigue Inventory (MFI-20) and General Health Questionnaire (GHQ-28) were used to evaluate the level of fatigue and mental health, respectively. RESULT: A relatively high prevalence of mental health complaints (particularly social dysfunction) and fatigue (especially general fatigue) were found among the study population. In general, 43.4% of participants reported a mental health problem. A moderate correlation was found between fatigue and mental health (r = 0.58). The stepwise regression model revealed that fatigue was significantly related only to "anxiety and insomnia" and "severe depression". CONCLUSION: This study revealed that the 8 h shift workers in studied areas are exposed to a considerable risk of mental health and fatigue. So, improving the ergonomics and health aspects of the workplace is recommended to reduce related risk factors.


Assuntos
Fadiga/etiologia , Transtornos Mentais/etiologia , Estresse Ocupacional/complicações , Indústria de Petróleo e Gás/normas , Tolerância ao Trabalho Programado/psicologia , Adulto , Ansiedade/etiologia , Ansiedade/psicologia , Estudos Transversais , Depressão/etiologia , Depressão/psicologia , Fadiga/psicologia , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Estresse Ocupacional/psicologia , Indústria de Petróleo e Gás/métodos , Inquéritos e Questionários
20.
Artigo em Chinês | MEDLINE | ID: mdl-30884587

RESUMO

Objective: To explore the relationship between occupational stress, psychological capital and depressive symptoms among electronic manufacturing female workers in the Pearl River Delta region. Methods: Using cluster sampling method, 845 female workers from 5 electronic manufacturing enterprises in the Pearl River Delta region were selected as research subjects from June to August 2017. The Effort Reward Imbalance questionnaire (ERI) , Psychological Capital questionnaire-24 (PCQ-24) and Patient Health questionnaire-9 (PHQ-9) were applied to measure the level of occupational stress, psychological capital and depressive symptoms in female workers. Results: Effort (r=0.197, P<0.01) and over commitment (r=-0.260, P<0.01) were positively correlated with the score of depressive symptoms, and the rewards was negatively correlated with depressive symptoms (r=-0.211, P<0.01) . The reward and over-commitment for depressive symptoms were accounted for 8.2%. Psychological capital was negatively correlated with depressive symptoms, and plays a partly mediating role in the relationship between occupational stress and depressive symptoms of female workers. The psychological capital for depressive symptoms was accounted for 8.7%. Conclusion: Occupational stress can affects the depressive symptoms of electronic manufacturing female workers, or indirectly affect depressive symptoms through psychological capital, reduce occupational stress and improve psychological capital as a way to relieve the depressive symptoms of female workers.


Assuntos
Depressão/epidemiologia , Eletrônica , Indústria Manufatureira , Estresse Ocupacional/psicologia , Resiliência Psicológica , Feminino , Humanos , Recompensa , Inquéritos e Questionários , Carga de Trabalho/psicologia
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