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1.
South Med J ; 114(4): 218-222, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33787935

RESUMO

OBJECTIVES: Physician trainees in obstetrics and gynecology (OBGYN) experience unexpected outcomes similar to those of supervising physicians. A relative lack of experience and perspective may make them more vulnerable to second victim experience (SVE), however. The objectives of our study were to contrast the prevalence of SVE between supervising physicians and trainees and to identify their preferred methods of support. METHODS: In 2019, the Second Victim Experience and Support Tool, a validated survey with supplemental questions, was administered to healthcare workers caring for OBGYN patients at a large academic center in the midwestern United States. RESULTS: The survey was sent to 571 healthcare workers working in OBGYN. A total of 205 healthcare workers completed the survey, including 18 (43.9% of 41) supervising physicians and 12 (48.0% of 25) resident/fellow physicians. The mean scores for the Second Victim Experience and Support Tool dimensions and outcomes were similar between the two groups. Seven (58.3%) trainees reported feeling like a second victim after an adverse patient safety event at some point in their work experience compared with 10 (55.6%) of the supervising physicians. Five (41.7%) trainees identified as a second victim in the previous 12 months compared with 3 (16.7%) supervising physicians (P = 0.21). The most common form of desired support for both groups was conversations with their peers. CONCLUSIONS: Trainees and supervising physicians are both at risk of SVE after an unexpected medical event and prefer conversations with peers as a desired form of support. Because trainees commonly encounter SVEs early in their careers, program directors should consider implementing a program for peer support after an unexpected event.


Assuntos
Fadiga por Compaixão/epidemiologia , Ginecologia/educação , Internato e Residência , Obstetrícia/educação , Médicos/psicologia , Apoio Social , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/terapia , Inquéritos Epidemiológicos , Humanos , Relações Interprofissionais , Minnesota/epidemiologia , Prevalência , Fatores de Risco
2.
Medicine (Baltimore) ; 100(3): e24289, 2021 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-33546054

RESUMO

BACKGROUND: Compassion fatigue is defined as a detrimental consequence of experiencing work-related stress among nurses, which can affect the job performance and harm emotional and physical health. The high risk of compassion fatigue among nurses may be even more severe in China. Although several studies have explored the prevalence and factors of compassion fatigue among Chinese nurses, most data derived merely from the specialty units of the hospital or limited samples, and there is a large heterogeneity among studies. Thus, it is indispensable to systematically summarize the risk factors and prevalence of compassion fatigue among clinical nurse in China. METHODS: Two reviewers will independently conduct comprehensively searches in 9 electronic databases including PubMed, The Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Web of science, MEDLINE, China National Knowledge Infrastructure (CNKI), WanFang and Chinese Biological Medical Database (CBM) with no search date restriction. Cross-sectional and prospective cohort studies that described the prevalence and factors of Chinese nurses compassion fatigue will be eligible for inclusion. The risk of bias and methodological quality of individual study will be assessed using an adapted quality assessment tool from the Agency for Healthcare Research and Quality (AHRQ). Stata 16.0 software will be used for meta-analysis. RESULTS: The primary outcome will be the prevalence of 3 dimension of compassion fatigue in Chinese nurses. The secondary outcomes will be comparisons of compassion fatigue scores among Chinese nurse of different education background, marital status, employment forms and professional titles. CONCLUSION: This overview will contribute to reveal the prevalence and influencing factors in compassion fatigue among Chinese nurses and provide a scientific evidence for the prediction and prevention in compassion fatigue. REGISTRATION NUMBER: The registration DOI is 10.17605/OSF.IO/V34X6.


Assuntos
Protocolos Clínicos , Fadiga por Compaixão/diagnóstico , Enfermeiras e Enfermeiros/psicologia , Prevalência , China/epidemiologia , Fadiga por Compaixão/epidemiologia , Fadiga por Compaixão/psicologia , Humanos , Satisfação no Emprego , Metanálise como Assunto
3.
Health Soc Work ; 45(2): 122-130, 2020 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-32355983

RESUMO

Secondary traumatic stress (STS) is an indirect form of trauma affecting the psychological well-being of mental health workers. This study examined STS and related factors of empathetic behavior and trauma caseload among a purposive sample of 190 social workers and psychologists. Participants completed an online questionnaire comprising demographics, the Secondary Traumatic Stress Scale, and the Empathy Scale for Social Workers. A moderated moderation model was used to evaluate the hypothesized relationship between the amount of trauma in clinician caseload and STS, as moderated by empathy and personal trauma history. Approximately 30 percent of participants met the criteria for a diagnosis of STS. Results indicated that although caseload trauma was not an independent predictor of STS, there was a significant interaction between caseload trauma and personal trauma history on STS. Similarly, empathy alone was not directly related to changes in STS, yet the trauma in caseload effect on STS was moderated by empathy, and that relationship was moderated by personal trauma history. This overall effect was shown to significantly predict STS. The current study highlights the importance of developing evidence-based risk strategies for mental health workers working in the area of trauma and at risk of developing symptoms of STS.


Assuntos
Fadiga por Compaixão/diagnóstico , Empatia , Psicologia , Assistentes Sociais/psicologia , Adulto , Austrália , Fadiga por Compaixão/psicologia , Feminino , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Carga de Trabalho/psicologia , Adulto Jovem
4.
J Trauma Stress ; 32(4): 566-576, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31265178

RESUMO

The Professional Quality of Life (ProQOL) scale is one of the most widely used measures of compassion satisfaction and fatigue despite there being little publicly available evidence to support its validity. This study, conducted among a sample of 310 child protection workers, assessed the construct validity of this measure using confirmatory factor analysis (CFA) and bifactor modeling. The CFA failed to confirm the adequacy of the three-factor structure proposed by Stamm (2010). In response, a bifactor model postulating a factor structure with a general factor in addition to independent factors (compassion satisfaction, job burnout, and secondary traumatic stress) was proposed, highlighting the unidimensionality of the ProQOL while allowing for each subscale to be used separately. Moreover, this bifactor model of the ProQOL was moderately correlated with the Posttraumatic Disorder Checklist, r = -.427, p < .001, and strongly correlated with scales of well-being at work, r = .694, p < .001, and psychological distress at work, r = -.666, p < .001, thus supporting the ProQOL's convergent validity. No associations were found between the ProQOL and the Life Event Checklist, which supports the ProQOL's discriminant validity. Overall, the results indicated that compassion satisfaction and compassion fatigue represent higher and lower levels of the same construct rather than two different constructs. Researchers and clinicians could therefore compute a single score to rate professionals' individual levels of professional quality of life.


Assuntos
Serviços de Proteção Infantil , Fadiga por Compaixão/psicologia , Qualidade de Vida/psicologia , Inquéritos e Questionários/normas , Adulto , Fadiga por Compaixão/diagnóstico , Feminino , Humanos , Masculino , Distribuição Aleatória , Reprodutibilidade dos Testes , Serviço Social
5.
Geriatr Gerontol Int ; 19(8): 804-808, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31264332

RESUMO

AIM: This study aimed to examine the relationship between blood coagulability and sense of burden among caregivers of patients with senile dementia of the Alzheimer type. METHODS: A cross-sectional study was carried out involving healthy older caregivers who lived with their patients with senile dementia of the Alzheimer type. We evaluated the Zarit Burden Interview score, levels of von Willebrand factor antigen, D-dimer, thrombin-antithrombin III complex, tissue plasminogen activator/plasminogen activator inhibitor type 1 complex, number of chronic diseases, body mass index and number of medications. A linear regression model was used to estimate adjusted associations. RESULTS: Thrombin-antithrombin III complex levels were higher in female caregivers than in male caregivers (P = 0.07). Headaches were significantly more frequent in female caregivers than in male caregivers, as assessed by a visual analog scale (P < 0.01). The number of chronic diseases and body mass index were positively associated with levels of tissue plasminogen activator/plasminogen activator inhibitor type 1 complex (P < 0.05). Similarly, the number of medications was positively associated with levels of D-dimer (P < 0.05). However, the Zarit Burden Interview score was not associated with blood coagulability (P > 0.05). CONCLUSIONS: The present study found that the number of chronic diseases and body mass index were associated with blood coagulability, and that female caregivers were more prone to headaches and higher blood coagulability than male caregivers. These findings highlight the essential nature of health management during caregiving. The impact of caregiver burden on blood coagulability is likely to differ depending on the long-term or short-term psychological stress associated with caregiving conditions. Geriatr Gerontol Int 2019; 19: 804-808.


Assuntos
Doença de Alzheimer , Cuidadores , Doença Crônica/epidemiologia , Fadiga por Compaixão , Transtornos da Cefaleia , Peptídeo Hidrolases/sangue , Estresse Psicológico , Idoso , Doença de Alzheimer/diagnóstico , Doença de Alzheimer/psicologia , Antitrombina III , Coagulação Sanguínea , Índice de Massa Corporal , Cuidadores/psicologia , Cuidadores/estatística & dados numéricos , Fadiga por Compaixão/sangue , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/psicologia , Efeitos Psicossociais da Doença , Estudos Transversais , Feminino , Transtornos da Cefaleia/diagnóstico , Transtornos da Cefaleia/epidemiologia , Humanos , Japão/epidemiologia , Masculino , Fatores Sexuais , Estresse Psicológico/sangue , Estresse Psicológico/diagnóstico , Estresse Psicológico/etiologia , Escala Visual Analógica
6.
Acad Emerg Med ; 26(7): 732-743, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31204794

RESUMO

OBJECTIVES: The objective was to determine the prevalence of compassion fatigue (CF), burnout (BO), and compassion satisfaction (CS) and identify potential personal and professional predictors of these phenomena in pediatric emergency medicine (PEM) physicians. METHODS: A modified Compassion Fatigue and Satisfaction Self-Test for Helpers and a questionnaire of personal and professional characteristics were distributed electronically to PEM physicians nationally. The prevalence of these phenomena was calculated. Hierarchical linear regression models for CF, BO, and CS as a function of potential risk factors were constructed. RESULTS: The final analyzable survey rate represented 22.7% of the physicians invited to participate. The prevalences of CF, BO, and CS were 16.4, 21.5, and 18.5%, respectively. BO score, distress about a "clinical situation," "physical work environment," and engaging in prayer/meditation were each significant determinants of higher CF scores, whereas "socializing with family/friends" was significantly associated with lower CF scores. CF score, emotional depletion, and distress due to "coworkers" were each significant determinants of higher BO scores, whereas CS score and "talking with a family member" as a means of self-care were significantly associated with lower BO scores. Socializing with family/friends and >20 years as PEM provider were each significant determinants of higher CS scores, whereas BO score, emotional depletion, distress about the physical work environment and "administrative issues," 10% to 24% of time spent caring for pediatric patients, and "talking with life partner" about work-related distress were each significant determinants of lower CS scores. We acknowledge that the generalizability of our findings is limited by the sample size and by the fact that participants were largely female, Caucasian, and junior faculty and worked in academic medical centers. CONCLUSIONS: PEM physicians are at risk for developing CF, BO, and low CS. Proactive awareness of these phenomena and their predictors may allow providers to better manage the unique challenges and emotional stressors of the pediatric ED to enhance personal well-being and professional performance.


Assuntos
Esgotamento Profissional/epidemiologia , Fadiga por Compaixão/epidemiologia , Medicina de Emergência Pediátrica/estatística & dados numéricos , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Criança , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/psicologia , Estudos Transversais , Empatia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Prevalência , Fatores de Risco , Inquéritos e Questionários , Estados Unidos/epidemiologia
7.
J Surg Educ ; 76(5): 1211-1222, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30979650

RESUMO

OBJECTIVE: Compassion fatigue (CF) is the profound sense of emotional exhaustion that care providers can experience as the result of helping others in distress. CF can contribute to burnout (BO), depression, and stress-related illness. While surgeons and surgical trainees may be at high risk for developing CF, it has not been adequately characterized or explored in this population. The objective of this study was to examine the prevalence and impact of CF in surgical trainees with a view to inform a management strategy. STUDY DESIGN AND SETTING: A mixed method study was conducted using survey and interview methods. An email survey including the Professional Quality of Life Scale Version 5, an instrument to assess CF, was sent to all trainees in the Department of Surgery at the University of Toronto. Survey data were analyzed descriptively and using one-sample t tests. Semistructured interviews were conducted with volunteered trainees. Data collection and analysis occurred iteratively and inductively using the constant comparison method. RESULTS: One hundred fifteen trainees completed the survey representing a 47% response rate. Ninety-nine respondents (40.7%) completed the Professional Quality of Life Scale tool. The mean score on the compassion satisfaction subscale was 36.9 (SD 6.7), on the BO subscale was 26.2 (SD 5.6), and on the secondary traumatic stress (STS) subscale was 21.2 (SD 6.3). The mean on the compassion satisfaction subscale was not statistically different from the population mean (p = 0.22). The means for the BO and STS scales were statistically higher in our study sample compared to the normative data (p < 0.0001 for each). Thematic qualitative findings indicated trainees experienced CF symptoms. Participants described systemic barriers to mitigating CF including workload and a cultural expectation to be unemotional at work. CONCLUSION: Surgical trainees report high levels of BO and STS and currently use informal coping strategies outside of their academic and hospital environments. Trainees are likely to welcome and benefit from an organized response to support their emotional health when facing difficult patient encounters.


Assuntos
Fadiga por Compaixão/epidemiologia , Cirurgia Geral/educação , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Fadiga por Compaixão/complicações , Fadiga por Compaixão/diagnóstico , Autoavaliação Diagnóstica , Humanos , Prevalência
8.
Nursing ; 49(2): 50-54, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30676560

RESUMO

Nurses are especially susceptible to compassion fatigue. This article offers strategies to help nurses recognize the signs of compassion fatigue, take steps to combat it, and support their coworkers.


Assuntos
Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/prevenção & controle , Enfermeiras e Enfermeiros/psicologia , Humanos , Relações Interprofissionais , Apoio Social
9.
Nurs Health Sci ; 21(3): 291-296, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30663220

RESUMO

Nurses working in a long-term care facility could be at risk of developing compassion fatigue due to the nature of their work. In this descriptive, cross-sectional survey, we explored the level of compassion fatigue among nurses working in a long-term care facility, as well as the associated sociodemographic and occupational factors. In total, 103 nurses employed in various departments of a long-term care facility in central Israel completed the Hebrew version of the Professional Quality of Life Scale R-IV. Nurses scored moderate-high on the compassion fatigue (mean = 3.6, standard deviation = .5), burnout (mean = 3.5, standard deviation = .5), and compassion satisfaction (mean = 3.8, standard deviation = .5) scales. Older nurses scored lower on compassion fatigue, while nurses with higher qualifications scored higher on compassion satisfaction. In this study, we implicate that it is necessary to raise awareness about compassion fatigue, both in nursing education and training and in long-term care organizations. It is necessary to improve understanding of this phenomenon in order to help nurses acquire appropriate coping skills to address this critical issue.


Assuntos
Fadiga por Compaixão/diagnóstico , Assistência de Longa Duração/normas , Enfermeiras e Enfermeiros/psicologia , Adaptação Psicológica , Adulto , Idoso , Fadiga por Compaixão/psicologia , Feminino , Humanos , Israel , Satisfação no Emprego , Assistência de Longa Duração/organização & administração , Assistência de Longa Duração/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários
10.
Adv Neonatal Care ; 17(6): 478-488, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28914626

RESUMO

BACKGROUND: Secondary traumatic stress is an occupational hazard for healthcare providers who care for patients who have been traumatized. This type of stress has been reported in various specialties of nursing, but no study to date had specifically focused on neonatal intensive care unit (NICU) nurses. PURPOSE: (1) To determine the prevalence and severity of secondary traumatic stress in NICU nurses and (2) to explore those quantitative findings in more depth through nurses' qualitative descriptions of their traumatic experiences caring for critically ill infants in the NICU. METHODS: Members of NANN were sent e-mails with a link to the electronic survey. In this mixed-methods study, a convergent parallel design was used. Neonatal nurses completed the Secondary Traumatic Stress Scale (STSS) and then described their traumatic experiences caring for critically ill infants in the NICU. SPSS version 24 and content analysis were used to analyze the quantitative and qualitative data, respectively. RESULTS: In this sample of 175 NICU nurses, 49% of the nurses' scores on the STSS indicated moderate to severe secondary traumatic stress. Analysis of the qualitative data revealed 5 themes that described NICU nurses' traumatic experiences caring for critically ill infants. IMPLICATIONS FOR PRACTICE: NICU nurses need to know the signs of secondary traumatic stress that they may experience caring for their critically ill infants. Avenues for dealing with the stress should be provided. IMPLICATIONS FOR RESEARCH: Future research with a higher response rate to increase the external validity of the findings to the population of neonatal nurses is needed.


Assuntos
Fadiga por Compaixão/diagnóstico , Unidades de Terapia Intensiva Neonatal , Enfermagem Neonatal , Papel do Profissional de Enfermagem/psicologia , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Adaptação Psicológica , Fadiga por Compaixão/psicologia , Humanos , Transtornos de Estresse Pós-Traumáticos/psicologia , Estados Unidos , Carga de Trabalho/psicologia
11.
Neonatal Netw ; 36(5): 289-293, 2017 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-28847352

RESUMO

Compassion fatigue is a concept used to describe how various stressors affect individuals who work in health care and other caregiving professions. The results of compassion fatigue may include decreased work productivity, poor quality of care, safety concerns, job dissatisfaction, and job turnover. The NICU professionals are at an increased risk for experiencing compassion fatigue because of the nature of working with critically ill infants, their families, and the additional stress of the workplace. The purpose of this article is for the NICU professional to understand compassion fatigue, identify the risk factors, recognize the signs and symptoms, and offer strategies to implement within the NICU environment.


Assuntos
Fadiga por Compaixão , Unidades de Terapia Intensiva Neonatal , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/prevenção & controle , Estado Terminal/psicologia , Inteligência Emocional , Humanos , Recém-Nascido , Fatores de Risco , Recursos Humanos
12.
Cogn Behav Ther ; 46(6): 522-532, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28452256

RESUMO

Previously called Secondary Traumatic Stress (STS), secondary exposure to trauma is now considered a valid DSM-5 Criterion A stressor for posttraumatic stress disorder (PTSD). Previous studies have found high rates of STS in clinicians who treat traumatically injured patients. However, little research has examined STS among Emergency Medicine (EM) physicians and advanced practice providers (APPs). The current study enrolled EM providers (N = 118) working in one of 10 hospitals to examine risk factors, protective factors, and the prevalence of STS in this understudied population. Most of the participants were physicians (72.9%), Caucasian (85.6%), and male (70.3%) with mean age of 39.7 (SD = 8.9). Overall, 12.7% of the sample screened positive for STS with clinical levels of intrusion, arousal, and avoidance symptom clusters, and 33.9% had at least one symptom cluster at clinical levels. Low resilience and a history of personal trauma were positively associated with positive STS screens and STS severity scores. Borderline significance suggested that female gender and spending ≥10% of one's time with trauma patients could be additional risk factors. Findings suggest that resilience-building interventions may be beneficial.


Assuntos
Fadiga por Compaixão/diagnóstico , Pessoal de Saúde/psicologia , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Adulto , Fadiga por Compaixão/epidemiologia , Medicina de Emergência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Proteção , Fatores de Risco , Transtornos de Estresse Pós-Traumáticos/epidemiologia
13.
Asian J Psychiatr ; 25: 154-160, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28262139

RESUMO

Latent factor structure of Secondary Traumatic Stress (STS) has been examined using Diagnostic Statistic Manual-IV (DSM-IV)'s Posttraumatic Stress Disorder (PTSD) nomenclature. With the advent of Diagnostic Statistic Manual-5 (DSM-5), there is an impending need to reexamine STS using DSM-5 symptoms in light of the most updated PTSD models in the literature. The study investigated and determined the best fitted PTSD models using DSM-5 PTSD criteria symptoms. Confirmatory factor analysis (CFA) was conducted to examine model fit using the Secondary Traumatic Stress Scale in 241 registered and practicing Filipino nurses (166 females and 75 males) who worked in the Philippines and gave direct nursing services to patients. Based on multiple fit indices, the results showed the 7-factor hybrid model, comprising of intrusion, avoidance, negative affect, anhedonia, externalizing behavior, anxious arousal, and dysphoric arousal factors has excellent fit to STS. This model asserts that: (1) hyperarousal criterion needs to be divided into anxious and dysphoric arousal factors; (2) symptoms characterizing negative and positive affect need to be separated to two separate factors, and; (3) a new factor would categorize externalized, self-initiated impulse and control-deficit behaviors. Comparison of nested and non-nested models showed Hybrid model to have superior fit over other models. The specificity of the symptom structure of STS based on DSM-5 PTSD criteria suggests having more specific interventions addressing the more elaborate symptom-groupings that would alleviate the condition of nurses exposed to STS on a daily basis.


Assuntos
Fadiga por Compaixão , Modelos Estatísticos , Enfermeiras e Enfermeiros/psicologia , Transtornos de Estresse Pós-Traumáticos , Adolescente , Adulto , Fadiga por Compaixão/classificação , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/fisiopatologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Filipinas , Transtornos de Estresse Pós-Traumáticos/classificação , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Adulto Jovem
14.
Psychol Trauma ; 9(4): 416-424, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27617660

RESUMO

[Correction Notice: An Erratum for this article was reported in Vol 9(4) of Psychological Trauma: Theory, Research, Practice, and Policy (see record 2016-54155-001). In the article, there was an error in Table 4 of the Results. The Outcomes and Predictors columns were not clearly categorized from one another. The corrected table is present in the erratum.] Objective: Courtois and Gold (2009) have called for the inclusion of trauma in the curriculum for all mental health training programs. The present study investigated the impact of trauma-related content, stress, and self-care (SC) on trainees in such a program. Method: The study examined potential risk factors (trauma exposures in training [being faced with or reacting to trauma-related field work experiences and course content] and perceptions of stress in field and coursework) and protective factors (SC effort and importance) in relation to burnout (BO), health status (HS), secondary traumatic stress symptoms (STSS), and compassion satisfaction (CS) among 195 students in a graduate social work training program. Results: All students reported trauma exposures in their field placements and/or coursework, including retraumatization experiences that were associated with higher STSS and BO. Field stress and SC effort were both consistent predictors across outcomes. Higher field stress levels predicted higher BO and STSS, a greater likelihood of decline in HS, and lower CS. Lower SC effort was also associated with higher BO and STSS, and a greater likelihood of decline in HS, while higher SC effort predicted higher CS. Older students, those with traumatized field clients, and those whose field work addressed trauma, also reported higher CS. Conclusions: These findings suggest that clinical training involving trauma content can be both rewarding and stressful, and may evoke distress in some trainees. Given that learning about and working with trauma are essential to adequate clinical training, the authors suggest adopting a trauma-informed approach within clinical training programs. (PsycINFO Database Record


Assuntos
Esgotamento Profissional , Fadiga por Compaixão , Nível de Saúde , Serviço Social/educação , Estudantes/psicologia , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/epidemiologia , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/epidemiologia , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Assistentes Sociais/psicologia , Adulto Jovem
15.
Soc Psychiatry Psychiatr Epidemiol ; 52(1): 35-44, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-27770173

RESUMO

PURPOSE: Previous research has mainly focused on veterans' mental health problems, especially on posttraumatic stress disorder (PTSD). Less is known about the impact that the veteran's experienced potentially traumatic events (PTEs) might have on their significant others. Therefore, we reviewed the scientific literature to find out what is known about the prevalence of secondary traumatic stress (STS) in significant others of veterans. METHODS: We systematically searched Pubmed, PsycINFO, Embase, Cochrane Library and PILOTS for relevant articles. This search resulted in 3100 records from which we included 48 articles. RESULTS: Two studies that reported on parental PTSD did not find evidence that parents were affected by their offspring's experience. Nine studies that reported on PTSD in mainly adult children of veterans found only scant evidence that children were affected by their parent's experienced PTE. Twenty-seven studies investigated PTSD symptoms in partners of veterans. Here results varied largely between studies with PTSD rates between 0 and 51 %. CONCLUSIONS: Overall, we found the strongest evidence of STS in partners of help-seeking veterans with PTSD. The lack of clarity provided by the currently available evidence suggests a pressing need for further work to examine this subject in more detail.


Assuntos
Fadiga por Compaixão/diagnóstico , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Veteranos/psicologia , Adulto , Criança , Fadiga por Compaixão/psicologia , Feminino , Humanos , Masculino , Transtornos de Estresse Pós-Traumáticos/psicologia , Estresse Psicológico/psicologia
16.
J Psychosom Res ; 89: 61-8, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27663112

RESUMO

OBJECTIVE: War captivity may affect spouses of former-prisoners-of-war (ex-POWs) in many ways, including posttraumatic stress symptoms (PTSS) and somatic difficulties manifested in negative perceived health. This is generally known as secondary traumatization. Theory suggests that development of secondary traumatization occurs through the relationship with the primary trauma survivor Figley (1986) , thus implying that the ability to keep balanced emotional distance in the relationship may play a pivotal role. Notwithstanding, the contribution of self-differentiation to secondary somatic disturbances remains largely uninvestigated. The current study fills this gap. METHODS: Ex-POWs' wives (n=143) and control former-combatants' wives (n=102), were assessed prospectively 30 (T1) and 38 (T2) years after the 1973 Yom Kippur War. Self-differentiation and PTSS were assessed at both time-points, while perceived health measures were assessed at T2. RESULTS: Wives of ex-POWs endorsed higher PTSS, lower self-differentiation and negative perceived health, compared to control wives. Indirect exposure to war captivity was related to low self-differentiation and elevated PTSS, which predicted negative perceived health. Furthermore, self-differentiation characterized by fusion-with-others fully mediated the relation between indirect exposure to war captivity and perceived health, beyond the effects of PTSS as a mechanism. CONCLUSION: Results suggest that tendencies towards fusion-with-others within the marital relationship, act as a risk factor not only for psychological distress but also for somatic distress among secondary trauma survivors. Hence, clinical interventions may seek to improve indirect trauma survivor's self-differentiation capacities, thus potentially facilitating the prevention of secondary somatic distress.


Assuntos
Fadiga por Compaixão/psicologia , Nível de Saúde , Prisioneiros de Guerra/psicologia , Autoimagem , Cônjuges/psicologia , Veteranos/psicologia , Adulto , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/epidemiologia , Feminino , Humanos , Masculino , Casamento/psicologia , Pessoa de Meia-Idade , Autorrelato , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Sobreviventes/psicologia , Adulto Jovem
17.
Ulster Med J ; 85(2): 92-8, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27601762

RESUMO

SETTING: Psychological stress is increasingly recognised within emergency medicine, given the environmental and clinical stressors associated with the specialism. The current study assessed whether psychological distress is experienced by emergency medical staff and if so, what is the expressed need within this population? PARTICIPANTS: Participants included ambulance personnel, nursing staff, doctors and ancillary support staff within two Accident and Emergency (A&E) departments and twelve ambulance bases within one Trust locality in NI (N = 107). PRIMARY AND SECONDARY OUTCOME MEASURES: The General Health Questionnaire (GHQ-12, Goldberg, 1972, 1978), Secondary Traumatic Stress Scale (STSS, Bride, 2004) and an assessment of need questionnaire were completed and explored using mixed method analysis. RESULTS: Results showed elevated levels of psychological distress within each profession except ambulance service clinical support officers (CSOs). Elevated levels of secondary trauma symptomatology were also found; the highest were within some nursing grades and junior doctors. Decreased enjoyment in job over time was significantly associated with higher scores. Analysis of qualitative data identified sources of stress to include low morale. A total of 65% of participants thought that work related stressors had negatively affected their mental health. Participants explored what they felt could decrease psychological distress including improved resources and psychoeducation. CONCLUSION: There were elevated levels of distress and secondary traumatic stress within this population as well as an expressed level of need, on both systemic and support levels.


Assuntos
Fadiga por Compaixão , Corpo Clínico , Exposição Ocupacional/efeitos adversos , Estresse Psicológico , Adulto , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/prevenção & controle , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Humanos , Masculino , Corpo Clínico/psicologia , Corpo Clínico/estatística & dados numéricos , Saúde Mental , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Irlanda do Norte , Estresse Psicológico/diagnóstico , Estresse Psicológico/etiologia , Estresse Psicológico/prevenção & controle , Inquéritos e Questionários
18.
BMJ Open ; 6(6): e011279, 2016 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-27363817

RESUMO

OBJECTIVES: To examine the psychometric properties of the Chinese version of the C-Compassion Fatigue (CF)-Short Scale among 4 independent samples of Chinese emergency workers (medical workers and firefighters). DESIGN: Cross-sectional. SETTING: 6 hospitals in Zhejiang Province and 12 fire stations in Shanghai. PARTICIPANTS: Emergency workers (medical and firefighters) were consecutively recruited and divided into 4 groups: the MW1 group (medical workers, n=167), the FF1 group (firefighters, n=157), the MW2 group (medical workers, n=265) and the FF2 group (firefighters, n=231). INTERVENTIONS: All patients completed the C-CF-Short Scale to identify factors associated with compassion fatigue. The MW1 and FF1 groups were used for the exploratory analyses. The MW2 and FF2 groups were used for the confirmatory factor analyses. PRIMARY AND SECONDARY OUTCOME MEASURES: Factor loading, correlations with previously validated questionnaires (the Ego-Resiliency Scale, the Social Support Questionnaire and the Job Pressure Scale) and Cronbach's α coefficient were tested for each factor. RESULTS: The C-CF-Short Scale demonstrated excellent construct validity and good internal consistency. Specifically, the results of exploratory factor analyses in the MW1 and FF1 groups showed that secondary trauma and job burnout were associated with compassion fatigue in these emergency workers. The confirmatory factor analyses in the MW2 and FF2 groups indicated that all the fit indices of the 2-factor model were satisfactory. Finally, the Cronbach's α coefficient of each factor was excellent. CONCLUSIONS: The findings suggest that the C-CF-Short Scale has good psychometric properties and can be applied to study Chinese emergency workers.


Assuntos
Fadiga por Compaixão/diagnóstico , Socorristas/psicologia , Bombeiros/psicologia , Inquéritos e Questionários , Adulto , Esgotamento Profissional , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Masculino , Psicometria
19.
BMC Geriatr ; 16: 129, 2016 07 07.
Artigo em Inglês | MEDLINE | ID: mdl-27387756

RESUMO

BACKGROUND: Assisting a person with dementia can lead to significant carer burden and possible negative outcomes for the person. Using the Delphi method, this study developed expert consensus guidelines for how family and non-professional carers should assist a person who is developing cognitive impairment, or has dementia or delirium. METHODS: A systematic search of websites, books and journal articles was conducted to develop a questionnaire containing items about the knowledge, skills and actions needed for assisting a person who is developing cognitive impairment, or has dementia or delirium. These items were rated over three rounds by two international expert panels comprising professionals specialising in research or treatment of dementia, and dementia carer advocates. RESULTS: A total of 65 participants (43 in the professional panel and 22 in the carer advocate panel) completed all three survey rounds. Of the 656 survey items that were rated, a total of 389 items were endorsed by at least 80 % of each panel. The endorsed items formed the basis of a guidelines document that explains what family and non-professional carers need to know and do when assisting a person who is developing cognitive impairment, or has dementia or delirium. CONCLUSIONS: The two groups of experts were able to reach substantial consensus on how to assist a person who is developing cognitive impairment, or has dementia or delirium.


Assuntos
Cuidadores , Disfunção Cognitiva , Fadiga por Compaixão , Efeitos Psicossociais da Doença , Demência , Determinação de Necessidades de Cuidados de Saúde , Adulto , Idoso , Cuidadores/educação , Cuidadores/psicologia , Disfunção Cognitiva/diagnóstico , Disfunção Cognitiva/psicologia , Disfunção Cognitiva/terapia , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/prevenção & controle , Consenso , Técnica Delfos , Demência/diagnóstico , Demência/psicologia , Demência/terapia , Feminino , Guias como Assunto , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Inquéritos e Questionários
20.
Psychiatr Danub ; 27 Suppl 1: S321-7, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26417788

RESUMO

The capacity to work productively is a key component of health and emotional well-being. People who work in health care can be exposed to the fatigue of care. Compassion fatigue has been described as an occupational hazard specific to clinical work related severe emotional distress. In our study, we have evaluated compassion fatigue in a mental health group (47 psychiatric staff) and its relationship with inpatients (237 inpatients) affected by some psychiatric disorders. At baseline, the more significant data indicate a high percentage of Job Burnout and Compassion Fatigue in psychiatric nurses (respectively, 39.28%, 28.57%). Significant Compassion Fatigue percentage is present also in psychologist group (36.36%). Finally, in psychiatrists, the exposure to patients increased vicarious trauma (28.57%), but not job burnout. After a year of participation in Balint Groups, the psychiatric staff presented an overall reduction in total mean score in any administered scale (CBI: p<0.0000045; sCFs: (Vicarious Trauma: p<0.0288; Job Burnout: p<0.000001)). Thus, compassion fatigue causes concern among mental health professionals, and Balint Groups may represent a therapeutic strategy to help health professionals to face difficulties in challenging work environments.


Assuntos
Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Transtornos Mentais/terapia , Equipe de Assistência ao Paciente , Enfermagem Psiquiátrica , Psiquiatria , Adulto , Esgotamento Profissional/diagnóstico , Fadiga por Compaixão/diagnóstico , Feminino , Hospitais Psiquiátricos , Humanos , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Fatores de Risco , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Inquéritos e Questionários
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