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1.
Psychiatr Danub ; 31(Suppl 3): 438-442, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31488768

RESUMO

People, who assist patients with chronic health problems for work, voluntary or for family reasons, may be affected by burnout. This is defined as an excessive reaction to stress caused by one's environment that may be characterized by feelings of emotional and physical exhaustion, coupled with a sense of frustration and failure. A person who assists a suffering person, beyond the professional role, is indicated generally by the term "caregiver". The definition of Burnout in families is fairly recent, because the psychology of trauma has ignored a large segment of traumatized and disabled subjects (family and other assistants of "suffering people") unwittingly, for a long time. The burnout of secondary stress is due to one's empathic ability, actions trough disengagement, and a sense of satisfaction from helping to relieve suffering. Figley (1995) claims that being a member of a family or other type of intimate or bonded interpersonal relationship, one feels the others' pain. Closely associated with the suffering of the family caregiver is the concept of compassion fatigue, defined as a state of exhaustion and disfunction-biologically, psychologically, and socially - as a result of prolonged exposure to compassion stress and all that it evokes. In families, this can be the cause of serious conflicts and problems, quarrels, verbal and physical aggression, and broken relationships. The intervention on families requires practice and effectiveness approaches performed by experienced professionals. Some approaches focus more specifically, such as those that adopt a cognitive/behavioural technique with direct exposure, implosion methods, various drug treatments and family group psychotherapy. One of the most common models of intervention is based on the principle that the observation unit for the understanding of the disorder is not the single individual but the relationship between individuals.


Assuntos
Esgotamento Psicológico , Cuidadores/psicologia , Fadiga por Compaixão/psicologia , Emoções , Família/psicologia , Transtornos Mentais , Psicoterapia/métodos , Esgotamento Psicológico/prevenção & controle , Esgotamento Psicológico/terapia , Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/terapia , Empatia , Humanos
2.
Lakartidningen ; 1162019 Sep 09.
Artigo em Sueco | MEDLINE | ID: mdl-31503319

RESUMO

There is a growing body of evidence that mindfulness and compassion are effective in reducing stress in health care. Focus meditation brings back the wandering mind to our breath and body. This attention skill can be practiced as STOP-sign: 'Stop, Take a breath, Observe and Priority first' when facing an emergency. Insight meditation helps us to observe our thoughts, let them pass and bring clarity. This noting technique can be practiced as SOAL: 'Stop, Observe, Accept, and Let go' when there is emotional distress. Better emotional regulation may also protect us from over-identification to negative affect. Mindfulness promotes transformation from empathy to compassion with focus on intention and motivation to alleviate. Compassion training may generate positive affect as antidote to empathy fatigue. Self-compassion embraces our difficulties in our life with the insight of common humanity and improves self-care. Group training at work place can be effective for implementation in health care.


Assuntos
Esgotamento Profissional/prevenção & controle , Pessoal de Saúde/psicologia , Atenção Plena/métodos , Fadiga por Compaixão/prevenção & controle , Empatia , Humanos , Meditação , Estresse Ocupacional/prevenção & controle , Autocuidado/métodos
3.
Surg Clin North Am ; 99(5): 1029-1035, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31446908

RESUMO

Burnout is characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. All physicians, and especially surgeons, are at risk for developing burnout. The best strategies for mitigating burnout mimic a modern approach to medicine: the development of preventive practices to protect, promote, and maintain health and well-being. Job satisfaction, job engagement, and compassion satisfaction help protect from burnout. Individual commitment to self-care in conjunction with support from within health care organizations create the optimal framework in which burnout can be mitigated.


Assuntos
Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Esgotamento Profissional/psicologia , Estilo de Vida Saudável , Humanos , Satisfação no Emprego , Fatores de Risco , Autocuidado
5.
J Nurs Adm ; 49(5): 231-233, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31008832

RESUMO

Compassion fatigue and burnout are 2 of the most serious issues facing the nursing profession today. Both can lead to emotional exhaustion and job disillusionment. Both contribute to lowered productivity and quality of care. Healthcare providers around the world are on the lookout for ways to prevent and mitigate these critical issues. In this month's Magnet Perspectives column, we take a deep dive into the latest research on nurse burnout and compassion fatigue, examine contributing factors, and consider steps organizations can take to make sure their nurses are not running on empty. We also explore how the fundamentals of a Magnet® culture, especially an autonomous practice environment, strong nursing leadership, and meaningful recognition, can keep nurses engaged and build a resilient workforce.


Assuntos
Esgotamento Profissional/prevenção & controle , Esgotamento Psicológico/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
6.
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
7.
Educ Prim Care ; 30(2): 96-101, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30652934

RESUMO

The working and learning environment within the NHS is challenging. 46% of GPs report emotional exhaustion, and trainees experience burn-out with higher prevalence than expected. Attending Balint groups (BGs) has been suggested to prevent burnout and compassion fatigue, helping GPs to thrive in their jobs. For this pilot service evaluation of BGs for GP trainees we used qualitative research methodology including surveys, participant observation, and semi-structured interviews. Fonagy's concept of resilience was used as the theoretical frame of reference. The data-led analysis identified trainees having burn-out sensations: un-met expectations for their training; their need for more support and the value of attending the BGs. Trainees experienced BG as a safe place, allowing open discussions and honest accounts of anxieties, facilitating clinical learning and learning skills of reflection as an important supplement to normal training. The theory-led analysis showed that BG sessions taught trainees new approaches to improve elements that are assessed as key in the selection process for GP training and as Fonagy described as characteristic for people with resilience. As a result of this project, a number of trainees expressed interest in continuing Balint group work. Trainees were recruited to an ongoing monthly BG, within the GP training scheme. However, due to budget restraints, difficulties with new interest and failing to find a non-training GP facilitator in the local area, the group has floundered.


Assuntos
Esgotamento Profissional/prevenção & controle , Clínicos Gerais/psicologia , Resiliência Psicológica , Competência Clínica , Fadiga por Compaixão/prevenção & controle , Clínicos Gerais/educação , Humanos , Aprendizagem , Pesquisa Qualitativa , Medicina Estatal , Inquéritos e Questionários
8.
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
9.
Am J Hosp Palliat Care ; 36(5): 429-435, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30482027

RESUMO

BACKGROUND:: Health care is a high-risk environment for clinicians and patients. The risk of burnout increases with increased patient acuity and workload demands. The Pause is a contemplative intervention that has been deployed to foster honor and self-care. OBJECTIVE:: We aimed to reveal how clinicians and educators use The Pause and how it changes systems of thinking or practice. METHODS:: Using a modified Delphi method, we interviewed 11 participants who had used The Pause or intend on using it. RESULTS:: The Pause is being used in 4 continents and many countries. It is most widely learned about by the bedside in practice settings. Participants believe it is malleable and has a powerful systemic effect in fostering a culture of support and honor. CONCLUSION:: The Pause should continue to be taught in clinical scenarios to foster a broader humanistic ethos in health care.


Assuntos
Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Pessoal de Saúde/psicologia , Atenção Plena/métodos , Adulto , Idoso , Técnica Delfos , Empatia , Feminino , Pessoal de Saúde/educação , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Fatores Socioeconômicos , Universidades/organização & administração , Universidades/estatística & dados numéricos
11.
Disabil Rehabil ; 41(8): 966-973, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-29254382

RESUMO

PURPOSE: To explore the psychometric properties of the full 22-item English (UK and US) version of the Zarit Caregiver Burden Interview administered to caregivers to patients with Duchenne muscular dystrophy. MATERIALS AND METHODS: Caregivers to patients with Duchenne muscular dystrophy from the United Kingdom and the United States, recruited through the TREAT-NMD network, completed the Zarit Caregiver Burden Interview online. The psychometric properties of the Zarit Caregiver Burden Interview were examined using Rasch analysis. RESULTS: A total of 475 caregivers completed the Zarit Caregiver Burden Interview. Model misfit was identified for 9 of 22 items (mean item fit residual 0.061, SD: 2.736) and 13 of 22 items displayed disordered thresholds. The overall item-trait interaction chi-square value was 499 (198 degrees of freedom, p < 0.001). The mean person fit residual was estimated at -0.213 (SD: 1.235). The Person Separation Index and Cronbach's α were estimated at 0.902 and 0.914, respectively. Item dependency was low and we found no significant differential item functioning by country or sex. CONCLUSION: Our Rasch analysis shows that the Zarit Caregiver Burden Interview fails to fully operationalize a quantitative conceptualization of caregiver burden among caregivers to patients with Duchenne muscular dystrophy from the United Kingdom and the United States. Further research is needed to understand the psychometric properties of the Zarit Caregiver Burden Interview in other populations and settings. Implications for Rehabilitation Duchenne muscular dystrophy is a terminal disease characterized by progressive muscle degeneration resulting in substantial disability and a significant burden on family caregivers. The Zarit Caregiver Burden Interview is one of the most widely applied measures of caregiver burden. Our Rasch analysis suggests that the Zarit Caregiver Burden Interview is not fit for purpose to measure burden in UK and US caregivers to patients with Duchenne muscular dystrophy. Clinicians and decision-makers should interpret Zarit Caregiver Burden Interview data from these populations with caution.


Assuntos
Cuidadores/psicologia , Fadiga por Compaixão , Efeitos Psicossociais da Doença , Pessoas com Deficiência , Distrofia Muscular de Duchenne , Psicometria , Idoso , Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/reabilitação , Progressão da Doença , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Distrofia Muscular de Duchenne/psicologia , Distrofia Muscular de Duchenne/reabilitação , Psicometria/métodos , Psicometria/normas , Inquéritos e Questionários , Reino Unido
12.
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
14.
J Nurs Adm ; 48(12): 615-621, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30431516

RESUMO

OBJECTIVE: The aims of this study were to implement a Peer Support Network (PSN) pilot project including education/training, peer support, and resiliency training and to explore how interventions impact compassion satisfaction (CS) and compassion fatigue (CF) in a community hospital. BACKGROUND: CF has been reported to negatively affect nurse retention. The PSN provides a 3-tiered team approach to enhance CS and support nurses experiencing CF symptoms. METHODS: Twenty nurses participated in PSN training and completed preimplementation and 6-week postimplementation surveys: Professional Quality of Life, Compassion Practice Instrument, and self-care resource utilization. RESULTS: Statistically significant improvements in CS and nonstatistical improvements in CF were found. CONCLUSION: Promoting a PSN may increase CS and potentially prevent work-related physical, emotional, social, and intellectual CF sequelae.


Assuntos
Esgotamento Profissional/psicologia , Fadiga por Compaixão/prevenção & controle , Grupo Associado , Autoeficácia , Apoio Social , Local de Trabalho/psicologia , Esgotamento Profissional/prevenção & controle , Empatia , Humanos , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Projetos Piloto , Resiliência Psicológica , Inquéritos e Questionários
15.
PLoS One ; 13(11): e0207261, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30462717

RESUMO

BACKGROUND: Nurses vicariously exposed to the suffering of those in their care are at risk of compassion fatigue. Emerging research suggests that self-compassion interventions may provide protective factors and enhance resilience. This pilot study examined the effect of an eight-week Mindful Self-Compassion (MSC) training intervention on nurses' compassion fatigue and resilience and participants' lived experience of the effect of the training. METHODS: This observational mixed research pilot study adopted an evaluation design framework. It comprised of a single group and evaluated the effects of a pilot MSC intervention by analyzing the pre- and post-change scores in self-compassion, mindfulness, secondary trauma, burnout, compassion satisfaction, and resilience. The sample of the nurses' (N = 13) written responses to the question, "How did you experience the effect of this pilot MSC training?" were also analyzed. RESULTS: The Pre- to Post- scores of secondary trauma and burnout declined significantly and were negatively associated with self-compassion (r = -.62, p = .02) (r = -.55, p = .05) and mindfulness (r = -.54, p = .05). (r = -.60, p = .03), respectively. Resilience and compassion satisfaction scores increased. All variables demonstrated a large effect size: Mean (M) Cohen's d = 1.23. The qualitative emergent themes corroborated the quantitative findings and expanded the understanding about how MSC on the job practices enhanced nurses' coping. CONCLUSION: This is the first study to examine the effect of a pilot (MSC) training program on nurses' compassion fatigue and resilience in this new area of research. It provides some preliminary empirical evidence in support of the theorized benefits of self-compassion training for nurses. However, further research, such as a Randomized Control Trial (RCT) with a larger sample size and a longitudinal study, is required to see if the benefits of self-compassion training are sustainable.


Assuntos
Cuidadores/educação , Cuidadores/psicologia , Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Enfermeiras e Enfermeiros/psicologia , Adaptação Psicológica , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Educação em Enfermagem/métodos , Empatia , Feminino , Humanos , Atenção Plena , Projetos Piloto , Resiliência Psicológica
16.
Can J Anaesth ; 65(12): 1348-1371, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30315505

RESUMO

PURPOSE: To systematically review and evaluate the effects of humanized care of the critically ill on empathy among healthcare professionals, anxiety among relatives, and burnout and compassion fatigue in both groups. SOURCE: MEDLINE, PsycINFO, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), and ProQuest Dissertations were searched from inception to 29 June 2017 for studies that investigated the effects of interventions with potential to humanize care of the critically ill on the following outcomes: empathy among critical care professionals, anxiety among relatives, and burnout and compassion fatigue in either group. We defined a humanizing intervention as one with substantial potential to increase physical or emotional proximity to the patient. Two reviewers independently selected studies, extracted data, and assessed risk of bias and data quality. PRINCIPAL FINDINGS: Twelve studies addressing four discrete interventions (liberal visitation, diaries, family participation in basic care, and witnessed resuscitation) and one mixed intervention were included. Ten studies measured anxiety among 1,055 relatives. Two studies measured burnout in 288 critical care professionals. None addressed empathy or compassion fatigue. Eleven of the included studies had an overall high risk of bias. No pooled estimates of effect were calculated as a priori criteria for data synthesis were not met. CONCLUSIONS: We found insufficient evidence to make any quantitative assessment of the effect of humanizing interventions on any of these psychologic outcomes. We observed a trend towards reduced anxiety among family members who participated in basic patient care, liberal visitation, and diary keeping. We found conflicting effects of liberal visitation on burnout among healthcare professionals.


Assuntos
Cuidados Críticos/psicologia , Pessoal de Saúde/psicologia , Humanismo , Ansiedade/epidemiologia , Ansiedade/prevenção & controle , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Estado Terminal/psicologia , Empatia , Família/psicologia , Humanos
17.
Clin J Oncol Nurs ; 22(5): 569-572, 2018 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-30239524

RESUMO

Compassion fatigue and burnout are well-established experiences for oncology nurses, often resulting in distress and reduced job satisfaction and prompting nurses to leave the profession altogether. Multiple interventions have been developed to better support nurses experiencing these phenomena, with varying success.


Assuntos
Prática Avançada de Enfermagem , Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Satisfação no Emprego , Enfermeiras Clínicas/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Oncológica , Adulto , Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
18.
Soins Pediatr Pueric ; 39(304): 13-15, 2018.
Artigo em Francês | MEDLINE | ID: mdl-30244951

RESUMO

While the concept of burnout is in the media spotlight, other disorders can also affect caregivers. Vicarious trauma evokes a state of post-traumatic stress in caregivers confronted with the trauma endured by a patient. Compassion fatigue is manifested by a gradual erosion of empathy, optimism and compassion. Both disorders require immediate and adapted support.


Assuntos
Fadiga por Compaixão , Recursos Humanos de Enfermagem/psicologia , Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Humanos , Fatores de Risco
19.
J Obstet Gynecol Neonatal Nurs ; 47(6): 771-782, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30253129

RESUMO

OBJECTIVE: To explore the relationships of core self-evaluations of personality (self-esteem, generalized self-efficacy, emotional stability, and internal locus of control), the five-factor model personality traits (neuroticism, agreeableness, extraversion, conscientiousness, and openness), and positive and negative affect with neonatal nurses' professional quality of life (burnout, secondary traumatic stress, and compassion satisfaction). DESIGN: Cross-sectional cohort study. SETTING: Four Level 3-4 NICUs in New South Wales, Australia. PARTICIPANTS: One hundred forty-two (35%) of 405 eligible neonatal nurses. METHODS: Online self-report measures of personality traits, positive and negative affect, and professional quality of life. RESULTS: Core self-evaluations explained 33%, 21%, and 26% of the variance in burnout, secondary traumatic stress, and compassion satisfaction, respectively. After controlling for core self-evaluations, agreeableness, neuroticism, and extraversion contributed to the respective variances in burnout, secondary traumatic stress, and compassion satisfaction. After controlling for core self-evaluations and the five-factor model personality traits, positive affect contributed to the variance in burnout and compassion satisfaction, whereas negative affect contributed to the variance in secondary traumatic stress. No five-factor model personality trait contributed to the variance in professional quality of life in the final regression models. Positive affect mediated the effect of core self-evaluations on burnout and compassion satisfaction, whereas negative affect mediated the effect of core self-evaluations on secondary traumatic stress. CONCLUSION: Neonatal nurses should be aware of and accept responsibility for personality traits and moods that benefit or detract from their professional quality of life. NICU nurse managers should ensure that neonatal nurses have ready access to psychological support services.


Assuntos
Esgotamento Profissional , Fadiga por Compaixão , Unidades de Terapia Intensiva Neonatal , Enfermeiras Neonatologistas/psicologia , Inventário de Personalidade , Qualidade de Vida , Adulto , Atitude do Pessoal de Saúde , Austrália , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Estresse Ocupacional/complicações , Estresse Ocupacional/psicologia , Inquéritos e Questionários
20.
J Nurs Manag ; 26(7): 820-832, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30066419

RESUMO

AIM: To evaluate characteristics of job-related meaningfulness, and to assess its potential to moderate the relationship between over-commitment and emotional exhaustion in nurses. BACKGROUND: Increased demands on nurses may induce vulnerability to emotional exhaustion, decrease job satisfaction, and increase their intention to quit the job. The experience of job-related meaningfulness through meaning-centred logotherapy and counseling could be a resource to prevent emotional exhaustion. METHOD: Nurses (n = 466; 73% female) at an Austrian tertiary-care hospital participated in a cross-sectional survey for assessment of job-related meaningfulness by the newly developed CERES (Concern, Enthusiasm, Relevance, Efficacy, Satisfaction) scale. CERES was tested for its moderating interaction with over-commitment (assessed by the Effort-Reward Imbalance Questionnaire) to prevent emotional exhaustion (as measured by the Maslach Burnout Inventory) by structural equation modelling. RESULTS: The CERES scale consisting of five items has satisfactory internal consistency (Cronbach's alpha: .78). Over-commitment correlated significantly (p < .001) with emotional exhaustion. A moderating interaction of CERES with over-commitment on emotional exhaustion was found overall (p < .001), and separately for males (p = .002) and females (p < .001). CONCLUSIONS: CERES is suitable for assessing experienced job-related meaningfulness and it moderates emotionally exhausting effects of over-commitment in nurses. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers may improve nurses' awareness of job-related meaningfulness by focusing on meaning-centred feed-back and counselling and thereby strengthening perception of concern, enthusiasm, relevance, efficacy, and satisfaction regarding their caring behaviour.


Assuntos
Fadiga por Compaixão/prevenção & controle , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Local de Trabalho/normas , Adulto , Áustria , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Estudos Transversais , Feminino , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Local de Trabalho/psicologia
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