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1.
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
2.
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
3.
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
4.
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
5.
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
6.
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
7.
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
8.
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
9.
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
10.
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
11.
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
12.
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
13.
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
16.
Child Adolesc Psychiatr Clin N Am ; 24(2): 319-33, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25773327

RESUMO

Teachers can be vulnerable to secondary traumatic stress (STS) because of their supportive role with students and potential exposure to students' experiences with traumas, violence, disasters, or crises. STS symptoms, similar to those found in posttraumatic stress disorder, include nightmares, avoidance, agitation, and withdrawal, and can result from secondary exposure to hearing about students' traumas. This article describes how STS presents, how teachers can be at risk, and how STS can manifest in schools. A US Department of Education training program is presented, and thoughts on future directions are discussed.


Assuntos
Serviços de Saúde Escolar , Transtornos de Estresse Pós-Traumáticos/psicologia , Estresse Psicológico/prevenção & controle , Trabalho/psicologia , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Esgotamento Profissional/terapia , Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/psicologia , Fadiga por Compaixão/terapia , Humanos , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/terapia , Estresse Psicológico/diagnóstico , Estresse Psicológico/terapia , Recursos Humanos
17.
J Pediatr Nurs ; 30(6): e11-7, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25800590

RESUMO

Compassion fatigue in nursing has been shown to impact the quality of patient care and employee satisfaction and engagement. The aims of this study were to determine the prevalence and severity of compassion fatigue among pediatric nurses and variations in prevalence based on respondent demographics using a cross-sectional survey design. Nurses under 40 years of age, with 6-10 years of experience and/or working in a medical-surgical unit had significantly lower compassion satisfaction and higher levels of burnout. Secondary traumatic stress from caring for children with severe illness or injury or end of life was a key contributor to compassion fatigue.


Assuntos
Fadiga por Compaixão/diagnóstico , Fadiga por Compaixão/epidemiologia , Enfermeiras Pediátricas/psicologia , Doenças Profissionais/epidemiologia , Adulto , Esgotamento Profissional , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Doenças Profissionais/diagnóstico , Satisfação Pessoal , Prevalência , Medição de Risco , Estresse Psicológico , Estados Unidos , Adulto Jovem
18.
J Fam Psychol ; 28(5): 666-74, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25264770

RESUMO

Secondary traumatization describes the phenomenon whereby those in proximity to trauma survivors develop psychological symptoms similar to those experienced by the direct survivor. The current study examined secondary trauma (ST) and generalized distress symptoms (general psychiatric symptomatology, functional disability, and self-rated health) in wives of former prisoners of war (ex-POWs). The study compared wives of Israeli ex-POWs from the 1973 Yom Kippur War with wives of a matched control group of non-POW Yom Kippur War combat veterans (CVs). The wives also were divided into groups based on their husbands' current posttraumatic stress disorder (PTSD) status and PTSD trajectory (i.e., chronic, delayed), and their outcomes were compared with resilient CVs. We found that wives of ex-POWs with PTSD reported higher ST and generalized distress than wives of ex-POWs and non-POW CVs without PTSD. Wives of ex-POWs with chronic PTSD reported the highest levels of functional disability. We also found that the relationships between husbands' prior captivity, and wives' ST and general psychiatric symptomatology were fully mediated by the husbands' PTSD symptoms. These findings indicate that it is exposure to a partner with PTSD that leads to overall ST and other distress symptoms, and not simply to a trauma survivor. Furthermore, the more severe their husbands' PTSD, the more wives are at risk for ST and general psychiatric symptomatology. Wives of partners with PTSD should therefore be considered high-risk groups for ST and distress that may require targeted interventions.


Assuntos
Fadiga por Compaixão/psicologia , Prisioneiros de Guerra/psicologia , Cônjuges/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Veteranos/psicologia , Adulto , Fadiga por Compaixão/diagnóstico , Avaliação da Deficiência , Feminino , Humanos , Israel , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Resiliência Psicológica , Transtornos Somatoformes/psicologia
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