Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 60
Filtrar
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
3.
Medicine (Baltimore) ; 99(29): e21083, 2020 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-32702852

RESUMO

Compassion fatigue has emerged as a detrimental consequence of experiencing work-related stress among psychiatric nurses, and affected the job performance, emotional and physical health of psychiatric nurses. However, researches on Chinese psychiatric nurses' compassion fatigue are dearth. This cross-sectional study aimed to investigate the prevalence and factors of compassion fatigue among Chinese psychiatric nurses.All participants completed the demographic questionnaire and the Chinese version of Professional Quality of Life Scale (ProQOL-CN). One-way ANOVA, t-tests, Levene test and multiple linear regression analysis were conducted to evaluate factors associated with compassion fatigue.A total of 352 psychiatric nurses in 9 psychiatric hospitals from the Chengdu, Wuhan, and Hefei were surveyed. The mean scores of compassion satisfaction, burnout and secondary traumatic stress were 32.59 ±â€Š7.124, 26.92 ±â€Š6.003 and 25.97 ±â€Š5.365, respectively. Four variables of job satisfaction, exercise, had children, and age range from 36 to 50 years explained 30.7% of the variance in compassion satisfaction. Job satisfaction, sleeping quality, and marital status accounted for 40.4% variables in burnout. Furthermore, job satisfaction, average sleeping quality, and years of nursing experience remained significantly associated with secondary trauma stress, explaining 10.9% of the variance.Compassion satisfaction, burnout and secondary traumatic stress among Chinese psychiatric nurses were at the level of moderate. The higher job satisfaction, healthy lifestyle (high sleep quality and regular exercise), and family support (children, stable and harmonious marital status) positively influenced compassion satisfaction and negatively associated with burnout or secondary traumatic stress.


Assuntos
Fadiga por Compaixão/etiologia , Enfermeiras e Enfermeiros/psicologia , Enfermagem Psiquiátrica/normas , Adolescente , Adulto , Análise de Variância , China/epidemiologia , Fadiga por Compaixão/epidemiologia , Fadiga por Compaixão/psicologia , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/tendências , Prevalência , Enfermagem Psiquiátrica/métodos , Enfermagem Psiquiátrica/tendências , Qualidade de Vida/psicologia , Inquéritos e Questionários
4.
Psychol Trauma ; 12(S1): S146-S147, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32538660

RESUMO

The COVID-19 pandemic has changed the way doctors approach palliative and end-of-life care, which has undoubtedly affected the mental health of patients, families, and health care professionals. Given these circumstances, doctors working on the front line are vulnerable to moral injury and compassion fatigue. This is a reflection of 2 junior doctors experiencing firsthand demands of caring for patients during the outbreak. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Fadiga por Compaixão , Infecções por Coronavirus/terapia , Corpo Clínico Hospitalar , Cuidados Paliativos , Pandemias , Pneumonia Viral/terapia , Relações Profissional-Família , Trauma Psicológico , Assistência Terminal , Adulto , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/psicologia , Inglaterra , Humanos , Corpo Clínico Hospitalar/ética , Corpo Clínico Hospitalar/psicologia , Princípios Morais , Cuidados Paliativos/ética , Cuidados Paliativos/psicologia , Relações Profissional-Família/ética , Trauma Psicológico/etiologia , Trauma Psicológico/psicologia , Assistência Terminal/ética , Assistência Terminal/psicologia
6.
BMC Palliat Care ; 19(1): 23, 2020 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-32098618

RESUMO

BACKGROUND: Hospice workers are required to regularly use emotional regulation strategies in an attempt to encourage and sustain terminally ill patients and families. Daily emotional regulation in reaction to constantly watching suffering patients may be intensified among those hospice professionals who have high levels of compassion fatigue. The main object of this study was to examine the relationship between daily exposition to seeing patient suffering and daily emotional work, and to assess whether compassion fatigue (secondary traumatic stress and burnout) buffers this relationship. METHODS: We used a diary research design for collecting daily fluctuations in seeing patients suffering and emotional work display. Participants filled in a general survey and daily survey over a period of eight consecutive workdays. A total of 39 hospice professionals from two Italian hospices participated in the study. RESULTS: Multilevel analyses demonstrated that daily fluctuations in seeing patients suffering was positively related to daily emotional work display after controlling for daily death of patients. Moreover, considering previous levels of compassion fatigue, a buffering effect of high burnout on seeing patients suffering - daily emotional work display relationship was found. CONCLUSIONS: A central finding of our study is that fluctuations in daily witness of patients suffering are positively related to daily use of positive emotional regulations. Further, our results show that burnout buffers this relationship such that hospice professionals with high burnout use more emotional display in days where they recurrently witness patients suffering.


Assuntos
Fadiga por Compaixão/etiologia , Diários como Assunto , Pessoal de Saúde/psicologia , Estresse Psicológico/etiologia , Adaptação Psicológica , Adulto , Fadiga por Compaixão/psicologia , Estudos Transversais , Feminino , Pessoal de Saúde/estatística & dados numéricos , Hospitais para Doentes Terminais/organização & administração , Hospitais para Doentes Terminais/normas , Hospitais para Doentes Terminais/tendências , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/psicologia , Inquéritos e Questionários
7.
Support Care Cancer ; 28(4): 2025-2031, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31392551

RESUMO

PURPOSE: Oncologists cope with unique work characteristics that increase their risk of developing compassion fatigue-that is, burnout and secondary traumatic stress-and can result in reduced capacity and interest in being empathetic to the suffering of others (Stamm B. The concise ProQOL manual, 2010). At the same time, oncologists can experience compassion satisfaction-that is, the positive aspects of caring. This study explored the associations of compassion fatigue and compassion satisfaction with oncologists' grief and sense of failure beyond their reported exposure to suffering and death. METHODS: Seventy-four oncologists completed self-administered questionnaires examining compassion fatigue, compassion satisfaction, grief, exposure to suffering and death, and sense of failure. RESULTS: The oncologists reported that they face the loss of approximately 50% of their patients, and that their patients suffer from profound emotional and physical pain. High levels of compassion fatigue and grief, and moderate levels of sense of failure, were reported. Findings showed a lack of association between exposure to suffering and death and compassion fatigue and satisfaction. However, grief and sense of failure were found to predict both aspects of compassion fatigue: secondary traumatic stress (p < 0.001, p < 0.003, respectively) and burnout (p < 0.002, p < 0.025, respectively). CONCLUSIONS: These results highlight the importance of the oncologists' subjective experiences of grief and sense of failure, beyond their reports of exposure to suffering and death, in terms of their levels of compassion fatigue. Implications of these findings include the need to develop interventions for oncologists that will allow them to acknowledge, process, and overcome negative experiences of failure and grief.


Assuntos
Fadiga por Compaixão/psicologia , Pesar , Neoplasias/psicologia , Oncologistas/psicologia , Adaptação Psicológica , Adulto , Idoso , Esgotamento Profissional/psicologia , Fadiga por Compaixão/etiologia , Emoções , Empatia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/terapia , Satisfação Pessoal , Estresse Psicológico/psicologia , Inquéritos e Questionários
8.
Nurs Ethics ; 27(2): 494-504, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31284826

RESUMO

BACKGROUND: Nurses are often faced with many stressful situations in life, including personal life challenges, the nature of work that requires standing long and being focused, commitment to patient care, and dealing with patients who need help. RESEARCH OBJECTIVE: The aim of this study was to investigate the relationship between empathy and compassion fatigue in nurses due to the mediating role of feeling guilty and secondary traumatic stress. RESEARCH DESIGN: This is a descriptive-correlation study. PARTICIPANTS: The statistical population consisted of all the nurses in Kerman hospitals in 2017. Five hospitals were randomly selected from among the private and public hospitals in Kerman. The sample size was considered 360, but after the deletion of misleading questionnaires, the final sample of study consisted of 300 nurses. ETHICAL CONSIDERATIONS: Approval from the researcher's university Institutional Review Board for ethical review was obtained. FINDINGS: The data analysis in this study was done through the path analysis method using the Amos software. The results showed the mediating role of omnipotent guilt between empathy and compassion fatigue in the nurses, the mediating role of survivor guilt between empathy and compassion fatigue in the nurses, and the mediating role of secondary traumatic stress between empathy and compassion fatigue in the nurses. Also, empathy could explain 77% of the nurses' compassion fatigue through feelings of guilt and secondary traumatic stress. DISCUSSION: Pathogenic empathy-based guilt and secondary traumatic stress may help explain some of the links between clinical empathy and symptoms of compassion fatigue. CONCLUSION: Interventions and training programs targeting pathogenic empathy-based guilt and empathic secondary traumatic stress may be particularly important to help reduce compassion fatigue.


Assuntos
Fadiga por Compaixão/etiologia , Empatia , Culpa , Enfermeiras e Enfermeiros/psicologia , Transtornos de Estresse Traumático/complicações , Adulto , Fadiga por Compaixão/psicologia , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Enfermeiras e Enfermeiros/estatística & dados numéricos , Transtornos de Estresse Traumático/psicologia , Inquéritos e Questionários
9.
Injury ; 50(12): 2259-2262, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31604572

RESUMO

INTRODUCTION: The burden that family and friends assume when caring for hip fracture patients can negatively impact the caregiver's quality of life, relationships, and the decision to place the patient in a care facility. The purpose of this study was to evaluate the burden of caregiving for intertrochanteric hip fractures to better counsel patients and caregivers in order to prevent delayed admission to a care facility. METHODS: A retrospective analysis of a prospectively gathered elderly hip fracture database identified 29 patients and their caregivers with complete 6 month follow-up. Caregiver burden and depression scales were administered to the primary caregiver in the immediate perioperative period (baseline), at 3 month follow-up, and at 6 month follow-up. At each time point caregivers reported the effects of caregiving on their finances, work hours, relationships, and their willingness to admit the patient to a long-term care facility. RESULTS: At 6 month follow-up, <30% of caregivers reported negative effects on their finances, relationships, work hours, or intent to place the patient in care facility, while 77% endorsed cherishing their time spent as a caregiver. The number of caregivers with a high caregiver burden remained stable at 20% over the 6 month follow-up; these caregivers were more likely to have a depressed mood (p < 0.01), to consider placement of the patient into a long-term care facility (p < 0.01), and to have negatively affected finances (p = 0.03) and relationships (p < 0.01). CONCLUSIONS: High degrees of burden were experienced by 20% of caregivers of hip fracture patients. Caregivers with high caregiver burdens were more likely to consider placement of the patient into a long-term care facility. Risk factors for high caregiver burdens should be identified to optimize the quality of caregiving after discharge and to prevent delayed admission to a long-term care facility. LEVEL OF EVIDENCE: Level IV, case series.


Assuntos
Adaptação Psicológica , Cuidadores/psicologia , Fadiga por Compaixão , Efeitos Psicossociais da Doença , Fraturas do Quadril , Relações Interpessoais , Qualidade de Vida , Idoso , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Feminino , Fraturas do Quadril/economia , Fraturas do Quadril/psicologia , Fraturas do Quadril/reabilitação , Fraturas do Quadril/cirurgia , Humanos , Assistência de Longa Duração/psicologia , Masculino , Alta do Paciente/normas , Instituições de Cuidados Especializados de Enfermagem
10.
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
11.
Oncol Nurs Forum ; 46(3): 338-347, 2019 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-31007264

RESUMO

OBJECTIVES: To develop an evidence-based compassion fatigue program and evaluate its impact on nurse-reported burnout, secondary traumatic stress, and compassion satisfaction, as well as correlated factors of resilience and coping behaviors. SAMPLE & SETTING: The quality improvement pilot program was conducted with 59 nurses on a 20-bed subspecialty pediatric oncology unit at the St. Jude Children's Research Hospital in Memphis, Tennessee. METHODS & VARIABLES: Validated measures of compassion fatigue and satisfaction (Professional Quality of Life Scale V [ProQOLV]), coping (Brief COPE), and resilience (Connor-Davidson Resilience Scale-2) were evaluated preprogram and at two, four, and six months postprogram, with resilience and coping style measured at baseline and at six months postprogram. RESULTS: Secondary traumatic stress scores significantly improved from baseline to four months. Select coping characteristics were significantly correlated with ProQOLV subscale scores. IMPLICATIONS FOR NURSING: Ongoing organizational support and intervention can reduce compassion fatigue and foster compassion satisfaction among pediatric oncology nurses.


Assuntos
Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Enfermeiras Pediátricas/psicologia , Enfermagem Oncológica , Enfermagem Pediátrica , Adaptação Psicológica , Adulto , Luto , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Fadiga por Compaixão/etiologia , Depressão/etiologia , Educação Continuada em Enfermagem , Feminino , Seguimentos , Pesar , Comportamentos Relacionados com a Saúde , Humanos , Satisfação no Emprego , Masculino , Relações Enfermeiro-Paciente , Enfermeiras Pediátricas/educação , Apoio Nutricional , Projetos Piloto , Resiliência Psicológica , Adulto Jovem
12.
Contemp Clin Trials ; 80: 9-15, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30885800

RESUMO

Traumatic brain injury (TBI) often leads to immediate and chronic functional impairments that affect care partners, or those providing physical and/or emotional support to individuals with TBI. The many challenges associated with being a care partner often lead to caregiver burden and can compromise the well-being and quality of life of care partners and individuals with TBI under their care. Equipping care partners with problem-solving skills could facilitate and sustain their transition into this supportive role. Problem-solving training (PST) has demonstrated efficacy for providing such skills to care partners of individuals with TBI after discharge from inpatient rehabilitation. We propose that PST delivered to care partners during inpatient rehabilitation of individuals with TBI will provide care partners with the skills to manage their caregiving roles across the transition from hospital to home. Herein, we describe the methodology of a current randomized controlled trial that examines the feasibility and efficacy of PST plus TBI education compared to TBI education alone to improve care partner burden, emotional distress, and adaptive coping when delivered during the inpatient rehabilitation stay of individuals with moderate-severe TBI.


Assuntos
Lesões Encefálicas Traumáticas , Cuidadores , Fadiga por Compaixão , Reabilitação Neurológica , Resolução de Problemas , Qualidade de Vida , Adaptação Psicológica , Adulto , Lesões Encefálicas Traumáticas/psicologia , Lesões Encefálicas Traumáticas/reabilitação , Cuidadores/educação , Cuidadores/psicologia , Fadiga por Compaixão/etiologia , Fadiga por Compaixão/prevenção & controle , Educação/métodos , Feminino , Humanos , Pacientes Internados , Masculino , Modelos Educacionais , Reabilitação Neurológica/métodos , Reabilitação Neurológica/psicologia
13.
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
14.
Rev. bras. enferm ; 72(1): 35-42, Jan.-Feb. 2019.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-990640

RESUMO

ABSTRACT 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.


RESUMEN Objetivo: Analizar las situaciones generadoras de Distresse Moral en enfermeras de la Atención Primaria de diferentes regiones de Brasil. Método: La investigación cualitativa, con 13 enfermeras de la Atención Primaria a la Salud brasileña, por medio de entrevista semi-estructurada y sometidas al Análisis textual Discursivo, con los recursos del software ATLAS.ti 7.0. Resultados: Se presentan en cuatro categorías, relacionando el Distresse Moral al profesional; a los servicios de salud; a los usuarios ya los conflictos en el ejercicio profesional. Consideraciones finales: Al asumir valores éticos y políticos como orientadores de su acción, las enfermeras dan mayor visibilidad al contenido moral de muchos problemas y fragilidades que podrían ser vistas sólo por el sesgo de las condiciones de trabajo.


RESUMO Objetivo: Analisar as situações geradoras de Distresse Moral em enfermeiras da Atenção Primária de diferentes regiões do Brasil. Método: Pesquisa qualitativa, com 13 enfermeiras da Atenção Primária à Saúde brasileira, por meio de entrevista semi-estruturada e submetidas à Análise Textual Discursiva, com os recursos do software ATLAS.ti 7.0. Resultados: Apresentam-se em quatro categorias, relacionando o Distresse Moral ao profissional; aos serviços de saúde; aos usuários e aos conflitos no exercício profissional. Considerações finais: Ao assumirem valores éticos e políticos como norteadores de sua ação, as enfermeiras dão maior visibilidade ao conteúdo moral de muitos problemas e fragilidades que poderiam ser vistas apenas pelo viés das condições de trabalho.


Assuntos
Humanos , Masculino , Feminino , Adulto , Atenção Primária à Saúde/métodos , Fadiga por Compaixão/etiologia , Atenção Primária à Saúde/normas , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , Brasil , Inquéritos e Questionários , Pesquisa Qualitativa , Ética em Enfermagem , Fadiga por Compaixão/psicologia
15.
J Hosp Palliat Nurs ; 21(1): 21-28, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30608916

RESUMO

The purpose of this review was to define compassion fatigue in the context of palliative care nursing. Compassion fatigue was first introduced as a description for nursing burnout; however, it was not fully described. An initial concept analysis within nursing placed it in terms of a psychological model for secondary traumatic stress disorder, with continual revisions of this application. Palliative care nurses are routinely exposed to pain, trauma, and the suffering they witness by nature of ongoing symptom management and end-of-life care delivery; however, the focus of care is on healthy end-of-life management rather than preservation of life. The literature was reviewed to provide clarification of compassion fatigue for palliative care nurses to assist in future identification and direction in the profession. CINAHL, EBSCO, Journals@Ovid, MEDLINE, PsycINFO, PubMed, and ScienceDirect databases were queried for peer-reviewed literature, and dictionaries were examined for subject-specific definitions. The method that was used was a concept analysis in the tradition of Walker and Avant. A concept definition was proposed for the discipline of palliative care nursing. Identification of compassion fatigue for this profession helps facilitate the recognition of symptoms for a group that deals with patient suffering on a regular basis.


Assuntos
Fadiga por Compaixão/etiologia , Enfermagem de Cuidados Paliativos na Terminalidade da Vida/normas , Fadiga por Compaixão/enfermagem , Fadiga por Compaixão/psicologia , Enfermagem de Cuidados Paliativos na Terminalidade da Vida/métodos , Humanos , Satisfação no Emprego , Estresse Psicológico/complicações , Estresse Psicológico/psicologia
16.
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 , Angústia Psicológica , Autogestão/educação , Autogestão/psicologia , Apoio Social
17.
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
18.
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
19.
Palliat Support Care ; 17(3): 269-275, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-29397055

RESUMO

OBJECTIVE: Compassion fatigue (CF) is secondary traumatic distress experienced by providers from contact with patients' suffering. Burnout (BO) is job-related distress resulting from uncontrollable workplace factors that manifest in career dissatisfaction. Compassion satisfaction (CS) is emotional fulfillment derived from caring for others. The literature on BO in healthcare providers is extensive, whereas CF and CS have not been comprehensively studied. Because of ongoing exposure to patient and family distress, pediatric palliative care (PPC) providers may be at particular risk for CF. We conducted a cross-sectional pilot study of CF, BO, and CS among PPC providers across the United States. METHOD: The Compassion Fatigue and Satisfaction Self-Test for Helpers and a questionnaire of professional and personal characteristics were distributed electronically and anonymously to PPC physicians and nurses. Logistic and linear regression models for CF, BO, and CS as a function of potential risk factors were constructed. RESULTS: The survey response rate was 39%, primarily consisting of female, Caucasian providers. The prevalence of CF, BO, and CS was 18%, 12%, and 25%, respectively. Distress about a "clinical situation," physical exhaustion, and personal loss were identified as significant determinants of CF. Distress about "coworkers," emotional depletion, social isolation, and "recent involvement in a clinical situation in which life-prolonging activities were not introduced" were significant determinants of BO. Physical exhaustion, personal history of trauma, "recent involvement in a clinical situation in which life-prolonging activities were not introduced," and not discussing distressing issues were significant predictors of lower CS scores.Significance of resultsCF and BO directly influence the well-being and professional performance of PPC providers. To provide effective compassionate care to patients, PPC providers must be attentive to predictors of these phenomena. Further work is needed to explore additional causes of CF, BO, and CS in PPC providers as well as potential interventions.


Assuntos
Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Pessoal de Saúde/psicologia , Adulto , Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/etiologia , Estudos Transversais , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos/métodos , Cuidados Paliativos/psicologia , Cuidados Paliativos/normas , Pediatria/métodos , Projetos Piloto , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários , Estados Unidos
20.
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 , Enfermeiros de Saúde Comunitária/educação , Enfermeiros de Saúde Comunitária/psicologia , Casas de Saúde , Estresse Ocupacional , Relações Profissional-Paciente
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...