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1.
J Nurs Adm ; 51(4): 212-219, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33734181

RESUMO

OBJECTIVE: To highlight the development, implementation, and initial findings of a brief healthcare professional support program called "GRACE." BACKGROUND: Healthcare professionals face significant work-related stressors that when left unmanaged can negatively affect their overall well-being and contribute to burnout. METHODS: Over a 2-year period, the GRACE program was delivered to 8 clinical units at a midsized southwestern hospital. Questionnaires were administered at baseline and 1 month. RESULTS: Program participants were 36 years old on average, female (81%), and White (68%) and mostly employed as nurses (66%). Attendees reported increased knowledge, understanding, and confidence and found the program to be acceptable. One month after training, participants demonstrated significant improvements in self-compassion. Medical units that received GRACE training saw significantly greater increases in patient satisfaction scores compared with units that did not receive training. CONCLUSIONS: The GRACE program was feasible and acceptable to deliver, and initial proof-of-concept evidence was supported.


Assuntos
Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Atenção Plena/métodos , Recursos Humanos de Enfermagem no Hospital/psicologia , Local de Trabalho/psicologia , Adulto , Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Empatia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/prevenção & controle , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde
2.
Medicine (Baltimore) ; 100(3): e24289, 2021 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-33546054

RESUMO

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


Assuntos
Protocolos Clínicos , Fadiga por Compaixão/diagnóstico , Enfermeiras e Enfermeiros/psicologia , Prevalência , China/epidemiologia , Fadiga por Compaixão/epidemiologia , Fadiga por Compaixão/psicologia , Humanos , Satisfação no Emprego , Metanálise como Assunto
3.
Artigo em Inglês | MEDLINE | ID: mdl-33445789

RESUMO

The study analyzes sensory processing sensitivity and the compassion satisfaction as risk/protective factors against burnout and compassion fatigue, during the first period of the COVID-19 health emergency. A sample of 1566 Spanish adult healthcare (n = 694) and education (n = 872) professionals was evaluated. An ad hoc questionnaire for sociodemographic data, and the highly sensitive person scale (HSPS), Maslach burnout inventory (MBI) and professional quality of life scale (ProQOL-vIV) were administered. Burnout and compassion fatigue were observed in the healthcare and education professionals, where personal realization and depersonalization were higher in healthcare and compassion fatigue in education. The protective role of compassion satisfaction was confirmed, as was sensory processing sensitivity as a risk factor, except for its low sensory threshold dimension, which positively influenced personal realization. The findings of this study demonstrate the presence of burnout and compassion fatigue in healthcare and education professionals, displaying compassion fatigue as an emerging psychosocial risk in education, which was made more severe under the conditions of study, which is at the beginning of the COVID-19 pandemic. The importance of incorporating adequate management strategies for high sensitivity, empathy and compassion satisfaction in prevention programs is emphasized.


Assuntos
Esgotamento Profissional , Fadiga por Compaixão/psicologia , Empatia/fisiologia , Fadiga/psicologia , Pessoal de Saúde/psicologia , Percepção , Satisfação Pessoal , Qualidade de Vida/psicologia , Adolescente , Adulto , Esgotamento Profissional/epidemiologia , Estudos Transversais , Assistência à Saúde , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Pandemias , Fatores de Proteção , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
5.
Psychiatr Danub ; 32(Suppl 3): 364-366, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030454

RESUMO

Post-traumatic stress disorder (PTSD) is a spectrum disorder whose symptoms show psychological, neurobiological dysregulation and poorer functionality of a person on the social plane. PTSD characteristics are symptoms from four clusters: symptoms of intrusiveness, avoidance, negative changes in cognition and mood and changes in excitability and reactivity. Traumatic experiences of war veterans can have an impact on the development of psychopathology in their children's lives. The impact of posttraumatic stress disorder of war veterans is negatively manifested in a broader sense through secondary traumatization and is manifested differently in relation to the period of childhood and adolescence. The period of childhood and adolescence represents a delicate and dynamic period that requires adaptation and functionality in adulthood. The epidemiological studies so far indicate the link between the post-traumatic stress disorder of war veterans with the mental problems of their children.


Assuntos
Filho de Pais Incapacitados/psicologia , Fadiga por Compaixão/psicologia , Psicologia do Adolescente , Psicologia da Criança , Transtornos de Estresse Pós-Traumáticos/psicologia , Veteranos/psicologia , Adolescente , Bósnia e Herzegóvina , Criança , Feminino , Humanos , Masculino
7.
Med. paliat ; 27(3): 209-216, jul.-sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-197374

RESUMO

INTRODUCCIÓN: El impacto psicológico de la pandemia de la COVID-19 es incuestionable, especialmente entre los grupos de mayor vulnerabilidad. Uno de estos grupos es el de profesionales sanitarios. El objetivo es describir la puesta en marcha de un plan de intervención psicológica destinado en la protección de la salud mental de los profesionales sanitarios durante la crisis de la COVID-19 realizada por la Unidad de Psicooncología, en un hospital monográfico de cáncer. MÉTODO: Proceso de tres fases: 1) revisión narrativa de la literatura; 2) descripción de la elaboración de un plan de atención y soporte psicológico a profesionales, tanto individual como grupal; 3) descripción de la puesta en práctica del plan centrado fundamentalmente en facilitar un espacio reparador y normalizador del sufrimiento, legitimando y normalizando sus reacciones emocionales, proporcionando estrategias simples para hacer frente a la situación. RESULTADOS: Se realizaron 67 intervenciones en 20 espacios grupales, y 20 intervenciones individuales, lideradas por profesionales especialistas en Psicología Clínica. Participaron profesionales de la medicina, enfermería, auxiliares de enfermería y de administración. El miedo a contagiarse o contagiar a otro se consideró la principal manifestación, junto con el miedo a la atención inadecuada de los pacientes. El malestar emocional al inicio de la pandemia se puntuó con una EVA de 5/10 (pésimo-excelente). El 100 % de los profesionales que asistieron a las sesiones consideraron que les ayudaron mucho, puntuando con una EVA de 8/10. Asimismo, mostraron una satisfacción muy alta (9/10). El 100 % consideraron que este tipo de sesiones deberían realizarse de nuevo en situaciones similares futuras. CONCLUSIONES: El plan de soporte psicológico ofrecido a los sanitarios durante la pandemia impresiona (subjetivamente) terapéutico. Se recomiendan realizar estrategias de atención y prevención permanentes y estables con el objetivo de proteger la salud mental de colectivos más vulnerables, así como estudios específicos en caso de nuevas pandemias


INTRODUCTION: The psychological impact of the COVID-19 pandemic is unquestionable, especially among the most vulnerable groups. Healthcare workers conform one of these groups. The aim of this paper is to describe the implementation of a psychological intervention plan designed to protect the mental health of healthcare professionals during the COVID-19 crisis, carried out by the Psycho-Oncology Unit in a monographic cancer hospital. METHOD: This is a 3-phase process: 1) narrative review of the literature; 2) description of the development of a plan of care and psychological support for professionals, both individually and in groups; 3) description of the implementation of the plan focused primarily on providing a restorative space for suffering relief, and for both legitimizing and normalizing emotional reactions providing simple strategies to cope with the situation. RESULTS: A total of 67 interventions were performed for 20 groups and 20 individuals by a clinical psychologist. Medical, nursing, nursing assistance, and administrative staff participated. Fear of self contagion or contagion to another was considered the main manifestation, together with fear of inadequate patient care. Emotional distress at the onset of the pandemic was assessed with an EVA score of 5/10 (very bad-excellent). In all, 100 % of the professionals who attended the sessions felt that they were very helpful, scoring an EVA of 8/10. They also showed very high satisfaction levels (9/10). A total of 100 % considered that this type of session should be done again in similar situations in the future. CONCLUSIONS: The psychological support plan offered to healthcare workers during the pandemic is (subjectively) therapeutic. Permanent prevention strategies focused on protecting mental health in the most vulnerable groups are recommended, as well as specific studies in case of a new pandemic


Assuntos
Humanos , Adaptação Psicológica/fisiologia , Pessoal de Saúde/psicologia , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Institutos de Câncer , Fadiga por Compaixão/psicologia , Impacto Psicossocial , Betacoronavirus , Pandemias , Saúde Mental , Pensamento/fisiologia , Emoções/fisiologia
8.
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
9.
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
10.
Health Soc Work ; 45(2): 122-130, 2020 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-32355983

RESUMO

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


Assuntos
Fadiga por Compaixão/diagnóstico , Empatia , Psicologia , Assistentes Sociais/psicologia , Adulto , Austrália , Fadiga por Compaixão/psicologia , Feminino , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Carga de Trabalho/psicologia , Adulto Jovem
12.
Nursing ; 50(5): 54-60, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32332507

RESUMO

Oncology nurses are at increased risk for compassion fatigue compared with those in other specialties. This article describes a quality improvement project to create self-compassion tool kits by incorporating the input and opinions of the frontline staff.


Assuntos
Fadiga por Compaixão/prevenção & controle , Neoplasias/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Oncológica , Melhoria de Qualidade/organização & administração , Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/psicologia , Unidades Hospitalares/organização & administração , Humanos , Pesquisa em Avaliação de Enfermagem , Medição de Risco , Autocuidado , Inquéritos e Questionários
13.
Brain Behav Immun ; 88: 916-919, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32169498

RESUMO

Since December 2019, more than 79,000 people have been diagnosed with infection of the Corona Virus Disease 2019 (COVID-19). A large number of medical staff was sent to Wuhan city and Hubei province to aid COVID-19 control. Psychological stress, especially vicarious traumatization caused by the COVID-19 pandemic, should not be ignored. To address this concern, the study employed a total of 214 general public and 526 nurses (i.e., 234 front-line nurses and 292 non-front-line nurses) to evaluate vicarious traumatization scores via a mobile app-based questionnaire. Front-line nurses are engaged in the process of providing care for patients with COVID-19. The results showed that the vicarious traumatization scores for front-line nurses including scores for physiological and psychological responses, were significantly lower than those of non-front-line nurses (P < 0.001). Interestingly, the vicarious traumatization scores of the general public were significantly higher than those of the front-line nurses (P < 0.001); however, no statistical difference was observed compared to the scores of non-front-line nurses (P > 0.05). Therefore, increased attention should be paid to the psychological problems of the medical staff, especially non-front-line nurses, and general public under the situation of the spread and control of COVID-19. Early strategies that aim to prevent and treat vicarious traumatization in medical staff and general public are extremely necessary.


Assuntos
Fadiga por Compaixão/epidemiologia , Infecções por Coronavirus/epidemiologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Adulto , Betacoronavirus , China/epidemiologia , Fadiga por Compaixão/psicologia , Infecções por Coronavirus/enfermagem , Feminino , Humanos , Masculino , Enfermeiras e Enfermeiros/psicologia , Pandemias , Pneumonia Viral/enfermagem , Inquéritos e Questionários , Adulto Jovem
14.
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
15.
Nursing ; 50(3): 58-61, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32068709

RESUMO

PURPOSE: To understand perceptions of compassion fatigue (CF), including compassion satisfaction, burnout, and work-related secondary traumatic stress in a random sampling of nurses from the authors' healthcare facility. METHODS: The Professional Quality-of-Life (ProQOL) nurse survey was used to measure the positive and negative aspects of caring and to identify elements of CF. Quantitative data were analyzed using descriptive statistics and statistical software, as well as a thematic analysis to identify themes in the interview transcripts. RESULTS: The level of compassion satisfaction was considered "average" by 76% of participants, suggesting that they were likely to derive pleasure from their work. Conversely, burnout and secondary traumatic stress were reported as average-to-low in more than 90% of the nurses. ProQOL scores reflected positive participant feelings about their ability to be effective in their work and indicated that they do not consider their work environment frightening. CONCLUSION: Providing nurses the tools, education, and support to implement self-care practices on the unit can help reduce CF.


Assuntos
Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Modelos de Enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Inquéritos e Questionários
16.
Clin Pediatr (Phila) ; 59(4-5): 450-457, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32070135

RESUMO

Pediatricians caring for patients with child abuse or neglect (CABN) may experience secondary traumatic stress (STS) from traumatized patients, or burnout (BO) from workplace stress. This may be buffered by compassion satisfaction (CS), positive meaning from one's work. For this study, STS, BO, and CS specific to a pediatrician's care of CABN were assessed for residents, hospitalists, intensivists, and outpatient physicians. Using the Professional Quality of Life Scale modified for CABN experiences, participants (n = 62) had a mean STS score at the 84th percentile, a mean BO score at the 66th percentile, and a mean CS score at the 17th percentile. Reporting one CABN patient as most emotionally impactful predicted STS, caring for all types of CABN predicted BO, and perceived knowledge no longer predicted CS when adjusting for the experience of mandated reporting or CABN fatality. These results highlight the need to support pediatricians involved with CABN.


Assuntos
Esgotamento Profissional/psicologia , Maus-Tratos Infantis/psicologia , Fadiga por Compaixão/psicologia , Pediatras/psicologia , Adulto , Criança , Empatia , Feminino , Humanos , Satisfação no Emprego , Masculino , Notificação de Abuso , Qualidade de Vida/psicologia
17.
Am J Med ; 133(5): 561-566, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31954114

RESUMO

It is acknowledged that empathy plays a critical role in the physician-patient relationship and has a positive impact on health outcomes. However, as the field of empathy expands, the lack of conceptual coherence challenges advances in medicine. In fact, in some medical settings, there is little added theoretical or clinical value in applying the all-encompassing term of empathy, which is by nature multidimensional, interpersonal, and modulated by context. Functional neuroimaging studies of health professionals, designed to examine patterns of brain activation in response to empathy-eliciting situations, bring theoretical clarity to the neurocognitive mechanisms that underlie interpersonal sensitivity, emotional empathy, cognitive empathy, and caring. These components are relatively independent but often interact and are deeply interwoven in the fabric of the brain. Nevertheless, it seems clear from this review that cultivating empathic concern or compassion in today's medicine is more important than other aspects of empathy, like vicariously experiencing and introspecting about patients' emotions. Specific neurobiological mechanisms explain the benefit to patients of their physicians' perceived empathy.


Assuntos
Empatia , Relações Médico-Paciente , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Fadiga por Compaixão/psicologia , Empatia/fisiologia , Neuroimagem Funcional , Humanos , Imagem por Ressonância Magnética , Médicos/psicologia
18.
Stress Health ; 36(2): 203-212, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31994272

RESUMO

Insufficient and inconsistent research exists regarding the relationship between secondary traumatic stress (STS) and vicarious posttraumatic growth (VPTG). Some authors suggest that the STS-VPTG relationship can be linear, whereas others suggest that the relationship can best be represented as curvilinear. Therefore, the purpose of the current study was to examine whether the relationship between STS and VPTG is essentially linear or curvilinear. A cross-sectional correlational research design was employed, and a total of 258 surgeons, psychiatrists, and physicians who deal with victims of the ongoing conflict were selected. After controlling for the effects of vicarious and direct traumatic exposure and experience, results of hierarchical regression provide support for the curvilinear association between STS and VPTG among the overall sample (the curvilinear model explained 4.6% of the variance in Posttraumatic Growth Inventory (PTGI) scores beyond the variance explained by the linear model) and among professional groups of surgeons and physicians (the curvilinear model explained 4.3% of the variance in PTGI scores among surgeons and 3.5% of the variance in PTGI scores among physicians over and above variance explained by the linear models, respectively). Findings suggest that moderate levels of STS are most associated with the highest levels of VPTG.


Assuntos
Fadiga por Compaixão/psicologia , Pessoal de Saúde/psicologia , Crescimento Psicológico Pós-Traumático , Trauma Psicológico , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Adulto Jovem
19.
J Clin Nurs ; 29(5-6): 955-963, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31887244

RESUMO

AIMS AND OBJECTIVES: To determine the prevalence and to identify the occupational determinants of compassion satisfaction and compassion fatigue among general medical-surgical registered nurses. BACKGROUND: Compassion fatigue and compassion satisfaction are caring concepts that have been explored among nurses in specialised hospital units. However, there is paucity of studies exploring the occupational determinants among general medical-surgical registered nurses. DESIGN: Cross-sectional. METHODS: From August-November 2017, 121 consecutively selected general medical-surgical registered Nurses from five hospitals completed a four-part survey packet composed of the participant information sheet, the Professional Quality of Life Version 5, the McCloskey-Mueller Satisfaction Scale and the Eden Warmth Survey-Employee Questionnaire. Stepwise-forward multiple linear regression was employed to identify the occupational determinants of compassion fatigue and compassion satisfaction. The STROBE checklist was followed in reporting this study (see Appendix S1). RESULTS: The prevalence of moderate to high levels of compassion satisfaction was 90.09% while burnout and secondary stress, the facets of compassion fatigue, had a prevalence of 74.38% and 83.47%, respectively. Among the identified occupational determinants, only job satisfaction and nurse colleague relationship positively influenced compassion satisfaction. In contrary, although higher monthly income positively influenced both dimensions of compassion fatigue, nurse colleague relationship had the strongest negative effect. CONCLUSION: Among the occupational determinants of compassion fatigue and compassion satisfaction, nurse colleague relationship had the strongest influence. This result highlights the importance of positive nurse colleague relationships and paves way for the development and initiation of appropriate strategies. RELEVANCE TO CLINICAL PRACTICE: The findings of this study paves way for the development of institutional policies and individualised programmes geared towards building rapport and communication among registered nurses assigned in general medical-surgical units. Likewise, the high prevalence of compassion fatigue needs further exploration to develop appropriate measures to mitigate its development among general medical-surgical nurses.


Assuntos
Fadiga por Compaixão/psicologia , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Estudos Transversais , Empatia , Feminino , Humanos , Masculino , Filipinas , Qualidade de Vida , Inquéritos e Questionários , Adulto Jovem
20.
J Psychosoc Nurs Ment Health Serv ; 58(2): 32-40, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-31710366

RESUMO

The purpose of this correlational quantitative study was to examine the relationships between work-related demographic variables, self-compassion, and perceived caring efficacy among psychiatric-mental health nurses (PMHNs), as measured using the Self-Compassion Scale and Caring Efficacy Scale. Participants were RNs actively working in psychiatric-mental health settings in the United States who are currently members of the American Psychiatric Nurses Association. Results suggest PMHNs with high levels of positive attributes of self-compassion had higher perceived levels of caring efficacy and those with high levels of negative attributes of self-compassion had lower perceived levels of caring efficacy. No statistically significant relationships were found between demographic variables, such as years of work experience, nurse:patient ratio, and perceived level of caring efficacy. The knowledge of the association between attributes of self-compassion and perceived caring efficacy can provide nurses with improved awareness of the need to be compassionate to the self and its relationship to effectiveness of care provided, potentially leading to positive health outcomes in clients. [Journal of Psychosocial Nursing and Mental Health Services, 58(2), 32-40.].


Assuntos
Fadiga por Compaixão/psicologia , Empatia , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Psiquiátrica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
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