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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.
Rev Bras Enferm ; 72(1): 35-42, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30916265

RESUMO

OBJECTIVE: To analyze the situations generating Moral Distress in Primary Care nurses from different regions of Brazil. METHOD: Qualitative research, with 13 nurses of the Brazilian Primary Health Care, through a semi-structured interview and submitted to the Discursive Textual Analysis, with the resources of the software ATLAS.ti 7.0. RESULTS: They are presented in four categories, relating the Moral Distress to the professional; health services; users and conflicts in professional practice. FINAL CONSIDERATIONS: By assuming ethical and political values as guides to their action, nurses give greater visibility to the moral content of many problems and weaknesses that could be seen only by the bias of working conditions.


Assuntos
Fadiga por Compaixão/etiologia , Atenção Primária à Saúde/métodos , Adulto , Brasil , Fadiga por Compaixão/psicologia , Ética em Enfermagem , Feminino , Humanos , Masculino , Atenção Primária à Saúde/normas , Pesquisa Qualitativa , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários
3.
Disabil Rehabil ; 41(8): 887-895, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-29228835

RESUMO

BACKGROUND: Living with and caring for someone with chronic illness can lead to limitations in activity and social participation for the care partner. Past research emphasizes the importance of care partners taking care of themselves physically and emotionally so they can stay healthy to support the care recipient. There is little information regarding how the care partner takes care of their own social lives. The purpose of this study was to explore the concept of social self-management from the perspective of spousal care partners of people with Parkinson's disease. METHOD: Twenty spousal care partners of people with Parkinson's disease were interviewed three times. A grounded theory approach informed data analysis. RESULTS: Findings that emerged from the data focused on balance in activities, support, and emotions and were summarized into three main themes: (1) Activities: Caregiving and beyond; (2) Strategies to support self and spouse; and (3) Emotional impact: Burden and compassion. CONCLUSION: This research shows that care partners want to retain social participation and provides support for the importance of addressing the socio-emotional needs of care partners of people with a chronic disease. Interventions that guide care partners to take care of their spectrum of needs may lead to healthier, positive relationships. Implications for rehabilitation The focus of rehabilitation is often on the person diagnosed with the chronic condition. Living with and caring for someone with a chronic illness, such as Parkinson's disease, can lead to limitations in activity and social participation for the care partner. Including care partners in the rehabilitation process is key to helping maintain their health and well-being. Learning caregiving and self-management strategies may help care partners support their loved ones while staying socially engaged.


Assuntos
Cuidadores , Fadiga por Compaixão , Doença de Parkinson , Autogestão , Participação Social/psicologia , Idoso , Cuidadores/educação , Cuidadores/psicologia , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Feminino , Teoria Fundamentada , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/psicologia , Doença de Parkinson/reabilitação , Autogestão/educação , Autogestão/psicologia , Apoio Social
4.
Int Urol Nephrol ; 51(2): 343-349, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30515731

RESUMO

PURPOSE: Living with end-stage renal disease may be burdensome, not only for patients, but also for caregivers. In this study, we aim to compare caregiver burden, psychological symptoms in caregivers of peritoneal dialysis (PD), hemodialysis (HD), and transplantation (TX), and find out associated factors. METHODS: A total of 43 PD, 42 HD, 42 TX patients and a total of 127 caregivers that were actively involved with the care of their patients' dialysis were enrolled. Patients had been on renal replacement therapy at least for 6 months and caregivers had given care at least for 6 months. The World Health Organization Quality of Life short version and hospital anxiety and depression scale (HAD) were applied to the patients. Symptom Checklist-90-Revised and Zarit caregiver burden scale were applied to the caregivers. RESULTS: Zarit caregiver burden score was found highest in HD group, which was significantly higher than PD and TX. All three groups had similar HAD anxiety scores, whereas the HAD depression score was highest in HD group, lower in PD, and lowest in TX. Quality of life was lowest in HD group. Zarit caregiver burden score was found higher in caregivers with symptoms like somatization, anxiety, obsessive-compulsive, depression, interpersonal sensitivity, psychoticism, paranoid ideation, hostility, and additional psychological symptoms than the ones who did not have these symptoms. Psychological symptoms were similar in PD, HD, and TX groups. CONCLUSION: Caregiver burden was found highest in HD group. Educational, social, and psychological support interventions may be considered for caregivers.


Assuntos
Sintomas Comportamentais , Cuidadores/psicologia , Fadiga por Compaixão , Efeitos Psicossociais da Doença , Falência Renal Crônica , Qualidade de Vida , Adaptação Psicológica/fisiologia , Adulto , Sintomas Comportamentais/diagnóstico , Sintomas Comportamentais/prevenção & controle , Sintomas Comportamentais/psicologia , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Feminino , Humanos , Falência Renal Crônica/psicologia , Falência Renal Crônica/terapia , Transplante de Rim/psicologia , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Diálise Peritoneal/psicologia , Diálise Renal/psicologia , Turquia/epidemiologia
5.
J Aging Health ; 31(2): 256-279, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-29254402

RESUMO

OBJECTIVE: This article asks whether distinct caregiver experiences of Alzheimer's disease (AD), Parkinson's disease (PD), and Parkinson's disease with dementia (PDD) spouses are accounted for by disease diagnosis or by a unique combination of symptoms, demands, support, and quality of life (QOL) cross disease groups. METHOD: One hundred five live-in spouse caregivers (71.4 ± 7 years) were surveyed for persons with AD (39%), PD (41%), and PDD (20%). A hierarchical cluster analysis organized caregivers across disease diagnosis into clusters with similar symptom presentation, care demands, support, and QoL. RESULTS: Four clusters cut across disease diagnosis. "Succeeding" cared for mild symptoms and had emotional support. "Coping" managed moderate stressors and utilized formal supports. "Getting by with support" and "Struggling" had the greatest stressors; available emotional support influenced whether burden/depression was moderate or severe. The results remain the same when diagnostic category is added to the cluster analysis. DISCUSSION: This study supports going beyond disease diagnosis when examining caregiver experiences.


Assuntos
Doença de Alzheimer/psicologia , Cuidadores/psicologia , Demência , Depressão , Doença de Parkinson/psicologia , Qualidade de Vida , Adaptação Psicológica , Idoso , Análise por Conglomerados , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Efeitos Psicossociais da Doença , Demência/etiologia , Demência/psicologia , Depressão/diagnóstico , Depressão/etiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Inquéritos e Questionários
6.
Violence Vict ; 33(4): 721-738, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30567770

RESUMO

Friends, family, and significant others who receive disclosures of sexual assault from survivors are also susceptible to the effects of trauma. Most studies on the impact of sexual assault disclosure focus on the experiences of friends of survivors but not significant others or family members, and do not examine support providers' (SPs) help-seeking behaviors. This study of 45 matched pairs of sexual assault survivors and SPs explored the impact of receiving a disclosure and dealing with the emotional weight of these disclosures. SPs were impacted emotionally and in post-disclosure behaviors. SPs reported feeling sadness, were triggered, felt angry, and felt inspired by survivors' disclosures. Active cognitive and behavioral reactions included care-taking of survivors and engaging in prevention. SPs discussed different ways they sought help to deal with the disclosure and why they did or did not seek help post-disclosure. We provide recommendations for SPs and service providers using this data from a diverse, community sample.


Assuntos
Família/psicologia , Relações Interpessoais , Aceitação pelo Paciente de Cuidados de Saúde , Autorrevelação , Delitos Sexuais/psicologia , Adulto , Codificação Clínica/métodos , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/psicologia , Análise de Dados , Feminino , Humanos , Entrevistas como Assunto , Masculino , Sistemas de Apoio Psicossocial , Estresse Psicológico/etiologia
7.
Acta Biomed ; 89(7-S): 60-69, 2018 12 07.
Artigo em Inglês | MEDLINE | ID: mdl-30539935

RESUMO

BACKGROUND AND AIM OF THE WORK: Numbers of elderly people worldwide continue to grow. Increasingly these individuals require nursing and residential care to meet their needs. Nursing is an occupation associated with burnout amongst its workforce, associated with increases of emotional exhaustion, depersonalisation and decreases in personal accomplishment. This review of literature provides a more detailed picture of the associations and predictors of burnout within this setting, and also considers the implications this holds for patient care, before providing recommendations for managers of such settings. METHODS: Literature searches were conducted across a range of academic databases with a series of relevant keywords. RESULTS: Examination of search results suggested several factors relating to staff burnout including occupational aspects, types of setting, staff perceptions, coping strategies, education and training and the impact of burnout on care delivery. CONCLUSIONS: Studies from across the globe suggest that burnout is prevalent amongst staff working in nursing and residential homes caring for elderly people, with implications for the patients, staff and homecare providers. Factors associated with burnout appear to include perceptions of job stress and occupational aspects, as well as the types of coping mechanisms staff employ. Managing grief associated with death of patients at work, as well as staff perceptions of both clients and their illnesses also appear related to burnout as well as the specific type of healthcare setting.


Assuntos
Esgotamento Profissional/etiologia , Esgotamento Psicológico/etiologia , Cuidadores/psicologia , Enfermagem Geriátrica , Instituição de Longa Permanência para Idosos , Enfermeiras e Enfermeiros/psicologia , Adaptação Psicológica , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Cuidadores/educação , Fadiga por Compaixão/etiologia , Enfermagem Geriátrica/educação , Pesar , Humanos , Enfermeiras de Saúde Comunitária/educação , Enfermeiras de Saúde Comunitária/psicologia , Casas de Saúde , Estresse Ocupacional , Relações Profissional-Paciente
8.
J Med Imaging Radiat Sci ; 49(1): 49-55, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-30479288

RESUMO

OBJECTIVE: Radiation therapists (RTs) play an important role in caring for patients undergoing radiotherapy for palliative intent. RTs are in a primary position to provide emotional support to their patients and, as a result, compassion fatigue (CF) and burnout can develop. The purpose of this study was to investigate the prevalence of CF and burnout in RTs providing care to palliative cancer patients, the various intrinsic and extrinsic factors that influence how RTs provide care to this specific patient population, and to determine if RTs feel supported through education and resources. METHODS: RTs at a single radiation therapy centre who have direct patient contact comprising greater than 50% of their clinical practice were invited to complete a self-administered electronic questionnaire. The questionnaire consisted of demographic questions; the Professional Quality of Life Compassion Satisfaction and Fatigue Questionnaire to assess for CF and burnout; and additional questions to assess possible factors affecting CF and burnout among subgroups. Descriptive statistics were used for data analysis. RESULTS: A total of 42 survey responses were received resulting in a 32% response rate. Responses indicated RTs have a high level of compassion satisfaction and low burnout and secondary traumatic stress. However, it was observed that lack of resources to assist dying patients and their family members as well as a fast-paced work environment and the need for education to support staff in coping with CF and burnout were potential stressors. CONCLUSION: This study found that RTs do not experience above average levels of CF and burnout. However, intrinsic factors such as high patient load, a fast-paced clinical environment, and patients' age had the most impact emotionally on staff providing care to this specific patient population.


Assuntos
Esgotamento Profissional/etiologia , Fadiga por Compaixão/etiologia , Neoplasias/radioterapia , Cuidados Paliativos/psicologia , Adaptação Psicológica , Adulto , Competência Clínica , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Carga de Trabalho
9.
J Nurs Manag ; 26(7): 810-819, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30129106

RESUMO

AIMS: A meta-analysis was conducted of the prevalence rates of compassion satisfaction, compassion fatigue and burnout to identify the factors influencing these rates. BACKGROUND: The extents of compassion fatigue and burnout adversely affect nursing efficiency. However, the reported prevalence rates vary considerably. METHODS: Data were acquired from electronic databases. Random effects meta-analyses were performed to obtain pooled estimates of the prevalence rates of compassion satisfaction, compassion fatigue and burnout and their respective instrumental scores. Meta-regression analyses were performed to identify factors influencing these rates. RESULTS: Data from 21 studies were used for the meta-analysis. The prevalence rates of compassion satisfaction, compassion fatigue and burnout were 47.55%, 52.55% and 51.98%, respectively. The possession of Bachelor's or Master's degrees by the nurses was significantly inversely associated with the percent prevalence of compassion fatigue (coefficient: -1.187) and burnout (coefficient: -0.810). The compassion fatigue score was also significantly inversely associated with nursing status as registered or licensed practical nurse (coefficient: -0.135). CONCLUSION: In nursing, the prevalence rates of compassion fatigue and burnout are high. Better education and training may have a moderating effect on compassion fatigue and burnout and could improve the quality of life of nurses.


Assuntos
Esgotamento Profissional/etiologia , Fadiga por Compaixão/etiologia , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Esgotamento Profissional/psicologia , Fadiga por Compaixão/complicações , Fadiga por Compaixão/psicologia , Humanos , Enfermeiras e Enfermeiros/normas , Enfermagem/normas , Prevalência
10.
Nurs Forum ; 53(4): 466-480, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29962010

RESUMO

AIM: The aim of this article is to clarify the concept of compassion fatigue to develop methods for prevention and mitigation of compassion fatigue in the nursing profession. BACKGROUND: Compassion fatigue occurs when nurses develop declining empathetic ability from repeated exposure to others' suffering. Conceptual clarity is vital to curtail compassion fatigue via preventative and restorative measures at the individual and organizational level. DESIGN: Concept analysis. DATA SOURCES: Databases searched were OVID, CINAHL Complete, Science Direct, Academic One File, Criminal Justice Abstracts, Education Full Text (H.W. Wilson), PsycARTICLES, PsycINFO, Social Work Abstracts, and Teacher Reference Center. Keywords included concept analysis, compassion fatigue, secondary traumatic stress, burnout, vicarious traumatization, compassion satisfaction, nursing, psychology, and social work. The timeline for data collection was from 1990 to 2017. METHODS: Walker and Avant's method of concept analysis. RESULTS: Compassion fatigue occurred across disciplines. Nurses were predisposed to compassion fatigue by repeated exposure of others' suffering, high stress environments, and the continuous giving of self. The consequences of compassion fatigue negatively impacted the nurse, patient, organization, and healthcare system. CONCLUSION: All nurses are at risk for compassion fatigue. Prevention of compassion fatigue is achieved through professional boundaries, self-care measures, self-awareness, and education on the concept at the individual and organizational level.


Assuntos
Fadiga por Compaixão/etiologia , Formação de Conceito , Enfermeiras e Enfermeiros/psicologia , Adaptação Psicológica , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Humanos , Satisfação no Emprego , Relações Enfermeiro-Paciente
11.
Acta Biomed ; 89(6-S): 35-42, 2018 07 18.
Artigo em Inglês | MEDLINE | ID: mdl-30038202

RESUMO

BACKGROUND AND AIMS: From a previous study (1) was highlighted that Expressive writing is an important strategy for preventing and managing the effects of compassion fatigue (2). It helps educate caregivers in recognising these feelings and providing them with a "space" and a time for their reflection. This, in turn, results in significant positive repercussions on the quality of service, reducing burnout risk, implementing coping strategies, and increasing perceived work satisfaction. Reflecting occasionally in writing about ambiguous and emotionally charged situations helps in many ways: it facilitates clarification and problem-solving, and makes one more spontaneous and present in social situations, more in tune with others and available to interact. People begin to interact differently with others and see themselves in a new light after writing about an emotional subject. The objective of thi study is ascertain and confirm the results of the previous study using a reduced methodological approach. Infact, the difference from the previous research is the use of only two expressive writing sessions. METHODS: A comparison was made between the expressive writing and neutral writing of two randomized groups of health care professionals of palliative care. They were evaluated pre- and post-intervention using several scales and an ad hoc questionnaire. RESULTS: After analyzing the texts, this study confirm  previous results, using only two sessions.


Assuntos
Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Pessoal de Saúde/psicologia , Cuidados Paliativos/psicologia , Redação , Adaptação Psicológica , Adulto , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/psicologia , Emoções , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Resolução de Problemas , Estudos Prospectivos , Inquéritos e Questionários
12.
Gerontologist ; 58(2): e107-e117, 2018 03 19.
Artigo em Inglês | MEDLINE | ID: mdl-29562359

RESUMO

Purpose of the Study: A noted limitation of dementia caregiver intervention research is a lack of focus on the mechanisms of successful programs. The purpose of this study was to conduct a process evaluation of the New York University Caregiver Intervention-Adult Child (NYUCI-AC) to describe its delivery and determine which of its components were associated with key outcomes (caregiver stress and well-being; care recipient residential care admission). Design and Methods: Adult child caregivers randomly assigned to receive the NYUCI-AC intervention (n = 54) were included. Detailed data on the frequency and duration of each intervention component received, 4-month review checklists, and regular caregiver assessments were collected. Quantitative (descriptive, logistic regression, Cox proportional hazards models, growth curve models) and qualitative thematic analyses were performed. Results: Adult children receiving the NYUCI-AC completed a mean of 5.19 individual and family counseling sessions; it took on average a little over 11 months to do so. All NYUCI-AC counseling components were generally well-received and improved caregivers' management of care-related stress. The individual counseling sessions' clinical benefits in reducing primary subjective stress were most apparent in the first year of the intervention. Caregivers who experienced negative outcomes over time used more family sessions. Implications: A key mechanism of benefit for adult child caregivers in the NYUCI-AC was the frequent use of individual counseling sessions. The qualitative and quantitative results emphasize the value of the NYUCI-AC's flexibility in allowing adult child caregivers to choose the timing and use of specific intervention components.


Assuntos
Crianças Adultas/psicologia , Cuidadores/psicologia , Fadiga por Compaixão/prevenção & controle , Demência , Qualidade de Vida , Adulto , Idoso , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/psicologia , Demência/epidemiologia , Demência/psicologia , Demência/reabilitação , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , New York , Avaliação de Programas e Projetos de Saúde/métodos
13.
Soins ; 63(822): 42-45, 2018.
Artigo em Francês | MEDLINE | ID: mdl-29439797

RESUMO

The mutilated body testifies to the physical and psychological metamorphosis which is imposed on the patient concerned and the caregiver. For the patient as well as the professionals around him or her, taking care of this body is not easy and requires full awareness of the challenges involved.


Assuntos
Corpo Humano , Traumatismo Múltiplo , Cuidados de Enfermagem , Atitude do Pessoal de Saúde , Fadiga por Compaixão/etiologia , Humanos , Traumatismo Múltiplo/complicações , Traumatismo Múltiplo/enfermagem , Traumatismo Múltiplo/psicologia , Cuidados de Enfermagem/normas , Transtornos de Estresse Pós-Traumáticos/etiologia , Transtornos de Estresse Pós-Traumáticos/enfermagem
14.
Palliat Support Care ; 16(3): 298-307, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-28528598

RESUMO

ABSTRACTObjective:Compassion fatigue, burnout, and vicarious traumatization are prominent topics in the current literature on the impact of the rewarding but challenging work of healthcare professionals who care for patients with life-limiting illnesses. The positive effects of caregiving constitute a newly emerging outcome that has been relatively unexplored in the pediatric literature, and yet they may play an important role in contributing to the satisfaction and well-being of the healthcare professionals who care for children who have a life-limiting illness. METHOD: This paper reports the results of a secondary analysis of qualitative interview transcripts that explored the experiences of hospital-based pediatric healthcare providers caring for children with varied life-limiting illnesses. In-depth qualitative interviews were conducted with 25 healthcare professionals (9 social workers, 8 nurses, and 8 physicians). The majority of participants were women (80%), with an age range between 20 and 60 years, and most (84%) had the experience of caring for more than 15 dying children. Thematic analysis was conducted using interpretive description and constant comparison. RESULTS: Every healthcare professional interviewed experienced personal growth as a result of their providing care for dying children. Three dimensions of personal growth were most consistently reported: (1) new or altered life perspectives, (2) enhanced personal resources, and (3) benevolence. SIGNIFICANCE OF RESULTS: A deeper understanding of the phenomenon of personal growth could help healthcare organizations to implement innovative approaches that would counterbalance compassion fatigue, and thereby enhance both healthcare provider well-being and child and family outcomes.


Assuntos
Pessoal de Saúde/psicologia , Acontecimentos que Mudam a Vida , Cuidados Paliativos/psicologia , Adaptação Psicológica , Adulto , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/psicologia , Feminino , Humanos , Entrevistas como Assunto/métodos , Pessoa de Meia-Idade , Ontário , Cuidados Paliativos/métodos , Pediatria/métodos , Pesquisa Qualitativa
15.
Gerontologist ; 58(2): e118-e129, 2018 03 19.
Artigo em Inglês | MEDLINE | ID: mdl-29190357

RESUMO

Background and Objectives: This study evaluated the effectiveness of a telephone-based cognitive-behavioral therapy for family caregivers of people with dementia in existing health care provision structures. Research Design and Methods: Two hundred seventy-three family caregivers of people with dementia were randomly assigned to receive the intervention or usual care. Usual care included unrestricted access to community resources. Intervention group participants received twelve 50-min sessions of individual cognitive-behavioral therapy by trained psychotherapists within 6 months. Symptoms of depression, emotional well-being, physical health symptoms, burden of care, coping with the care situation and challenging behavior were assessed after the intervention ended and at a 6-month follow-up. Intention-to-treat analyses using latent change models were applied. Results: Intention-to-treat analyses showed improved emotional well-being (γ = 9.59, p = .001), fewer symptoms of depression (γ = -0.23, p = .043), fewer physical health symptoms (γ = -0.25, p = .019), improved coping with the care situation (γ = 0.25, p = .005) and the behavior of the care recipient (γ = 0.23, p = .034) compared with usual care. Effects for coping (γ = 0.28, p = .006 and γ = 0.39, p < .001, respectively) and emotional well-being (γ = 7.61, p = .007) were also found at follow-up. Discussion and Implications: The CBT-based telephone intervention increased mental and physical health as well as coping abilities of family caregivers of people with dementia. The intervention can be delivered by qualified CBT therapists after an 8-h training session in existing health care provision structures.


Assuntos
Cuidadores/psicologia , Terapia Cognitivo-Comportamental/métodos , Fadiga por Compaixão/prevenção & controle , Demência/psicologia , Depressão , Qualidade de Vida , Telemedicina/métodos , Adaptação Psicológica , Adulto , Idoso , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/psicologia , Depressão/etiologia , Depressão/terapia , Feminino , Alemanha , Humanos , Masculino
17.
Int Psychogeriatr ; 30(7): 1049-1055, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29235432

RESUMO

ABSTRACTBackground:With a rise in the aging population and a consequential rise in persons diagnosed with dementia comes an increase in the number of informal caregivers who are caring for a loved one. The objective of the proposed study was to assess the neurocognitive and psychological effects of caring for a person with dementia or a related neurodegenerative disease in a sample of Canadian informal caregivers. METHODS: Fifty-seven informal caregivers of a person with dementia or a related neurodegenerative disease (mean age = 66.26, SD = 7.55) and 97 non-caregivers (mean age = 69.16, SD = 4.84) were recruited. Neuropsychological measures of attention, cognitive flexibility, verbal learning, delayed recall, and verbal fluency were examined, and questionnaires related to perceived stress, quality of life, mood, and self-esteem were administered. RESULTS: Caregivers made more errors on a measure of cognitive flexibility (p = 0.02), generated fewer words on measures of phonemic fluency (p < 0.01) and semantic fluency (p < 0.001), and learned significantly fewer words on a list-learning task (p < 0.01). Caregivers also reported experiencing significantly more perceived stress (p < 0.001), lower quality of life (p < 0.001), and were more likely to meet the cut-off for clinically significant depressive symptoms on a self-report scale (p < 0.001). CONCLUSION: These data contribute to a growing body of literature that consistently points to the need for immediate action to improve the welfare of caregivers.


Assuntos
Esgotamento Psicológico , Cuidadores/psicologia , Fadiga por Compaixão , Demência , Função Executiva , Qualidade de Vida , Autoimagem , Afeto , Idoso , Esgotamento Psicológico/etiologia , Esgotamento Psicológico/psicologia , Canadá/epidemiologia , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/psicologia , Demência/epidemiologia , Demência/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Apoio Social , Inquéritos e Questionários
18.
Am Surg ; 83(11): 1302-1307, 2017 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-29183536

RESUMO

Compassion fatigue (CF), a state of physical/emotional distress caused by repeatedly caring for those experiencing traumatic episodes, is a prevalent issue for today's healthcare provider. We sought to characterize levels of CF within a surgeon population, particularly comparing trauma surgery with other surgical specialties. A survey containing the Professional Quality of Life Scale (ProQOL), a validated tool assessing compassion satisfaction (CS), CF, and burnout (BO) was distributed via electronic newsletter to members of the American College of Surgeons. Demographic data and Professional Quality of Life Scale scores for CS, BO, and CF were collected and compared within specialty and gender subgroups. A total of 178 surgeons completed surveys. Respondents were predominantly male, general surgeons, >55 years old. Trauma surgeons composed the second largest subgroup. Levels of CS were significantly lower in the trauma surgeon subgroup compared to other surgical specialties (trauma: 37.1 ± 5.28, other: 39.5 ± 6.30; P = 0.044). Female surgeons from all specialties exhibited significantly higher levels of BO (female: 26.7 ± 6.10, male: 24.6 ± 6.79; P = 0.035) and CF (female: 24.2 ± 6.29, male: 21.9 ± 6.11; P = 0.021) compared with male surgeons. Subanalyses comparing female trauma surgeons to female surgeons in other specialties found female trauma surgeons exhibited significantly lower levels of CS (trauma: 34.8 ± 4.63, other: 38.8 ± 5.99; P = 0.038) and higher levels of BO (trauma: 29.1 ± 3.14, other: 25.3 ± 6.41; P = 0.049). Trauma surgeons, particularly female trauma surgeons, may be at a heightened risk for developing a poorer overall professional quality of life compared with surgeons of other specialties. In addition, female surgeons may be at greater risk for developing CF compared with male counterparts.


Assuntos
Fadiga por Compaixão/etiologia , Médicas/psicologia , Cirurgiões/psicologia , Idoso , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Qualidade de Vida , Fatores de Risco , Estados Unidos , Ferimentos e Lesões/psicologia , Ferimentos e Lesões/cirurgia
19.
Curationis ; 40(1): e1-e6, 2017 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-29041784

RESUMO

BACKGROUND: Studies have investigated burnout and compassion fatigue among nurses and effects in the nursing profession. However, there are limited investigations of burnout and compassion fatigue among undergraduate nursing students in South Africa, as nursing students may experience distressful situations during their nursing education course, which may have an impact during their training and in their profession as they graduate. PURPOSE: The purpose of this descriptive study was to describe compassion satisfaction, compassion fatigue and burnout among undergraduate nursing students at a tertiary nursing institution. METHODS: A quantitative descriptive study was conducted to describe compassion satisfaction, compassion fatigue and burnout among undergraduate nursing students at a tertiary nursing institution in KwaZulu-Natal. Convenience sampling was used. RESULTS: Sixty-seven undergraduate students (26 third-year and 41 fourth-year nursing students) took the self-test Professional Quality of Life Scale (ProQOL). The study results indicate that undergraduate students experienced average levels of compassion fatigue, burnout and compassion satisfaction. CONCLUSION: As shown in the study, some of the undergraduate students are experiencing compassion fatigue and burnout, associated with relieving suffering of others. Therefore, knowledge of compassion fatigue and burnout and the coping strategies should be part of nursing training.


Assuntos
Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Estudantes de Enfermagem/psicologia , Adulto , Esgotamento Profissional/etiologia , Fadiga por Compaixão/etiologia , Estudos Transversais , Bacharelado em Enfermagem/normas , Feminino , Humanos , Masculino , África do Sul , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários , Universidades/organização & administração , Universidades/tendências
20.
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
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