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Rev. SPAGESP ; 22(2): 19-32, jul.-dez. 2021. tab
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1340810


O presente estudo parte de uma investigação mais ampla sobre a vergonha e o pudor na intimidade da família e tem por objetivo investigar a percepção do pudor em famílias com filhos adolescentes. Realizou-se uma pesquisa qualitativa na qual foram entrevistados oito sujeitos do segmento socioeconômico médio. Os resultados foram analisados de acordo com o método de análise de conteúdo, vertente temático-categorial e discutidos a partir do referencial teórico da psicanálise e das ciências sociais. Considerando o objetivo do presente estudo, apresentamos e discutimos as categorias: estranhamento do pudor; transmissão do pudor: um legado em questão; novos rumos da intimidade no lar e imagem no espaço público: protegendo a vergonha dos filhos. Os resultados apontam que os participantes atribuem ao pudor um significado de intimidade corporal e sexual transmitido pelas gerações anteriores e com pouca expressão na atual interação familiar. Concluímos que a transmissão geracional do pudor vem sofrendo uma descontinuidade, tendo em vista a maior proximidade afetiva com os filhos e seus reflexos na transformação da intimidade familiar.

ABSTRACT The present study is part of a broader investigation of shame and modesty in the intimacy of the family and aims to investigate the perception of modesty in families with adolescent children. Qualitative research was conducted in which eight 8 subjects from the middle socioeconomic segment were interviewed. According to the content analysis method, the results were analyzed, thematic-categorical, and discussed from the theoretical framework of psychoanalysis and social sciences. Considering the objective of the present study, we present and discuss the categories: the strangeness of modesty; transmission of modesty: a legacy in question; new directions of intimacy in the home and image in the public space: protecting the shame of children. The results show that the participants attribute to modesty a meaning of bodily and sexual intimacy transmitted by previous generations and little expression in the current family interaction. We conclude that the generational transmission of modesty has suffered a discontinuity, given the greater affective proximity to the children and their reflexes in the transformation of family intimacy.

RESUMEN El presente estudio, parte de una investigación más amplia sobre la vergüenza y la modestia en la intimidad de la familia y tiene como objetivo investigar la percepción de la modestia en familias con hijos adolescentes. Se realizó una investigación cualitativa en la que se entrevistó a 8 sujetos del segmento socioeconómico medio. Los resultados fueron analizados según el método de análisis de contenido, temático-categórico y discutidos desde el marco teórico del psicoanálisis y las ciencias sociales. Teniendo en cuenta el objetivo del presente estudio, presentamos y discutimos las categorías: extrañeza del pudor; transmisión del pudor: un legado en cuestión; nuevas direcciones de intimidad en el hogar e imagen en el espacio público: protegiendo la vergüenza de los niños. Los resultados muestran que los participantes atribuyen al pudor un significado de intimidad corporal y sexual transmitido por generaciones anteriores, y con escasa expresión en la interacción familiar actual. Concluimos que la transmisión generacional del pudor ha sufrido una discontinuidad, ante la mayor proximidad afectiva con los hijos y sus reflejos en la transformación de la intimidad familiar.

Humanos , Masculino , Feminino , Adolescente , Valores Sociais , Privacidade , Sexualidade , Relações Familiares , Moral
Artigo em Inglês | MEDLINE | ID: mdl-34444505


The present study investigated predictors of psychological coping with adversity responses during the COVID-19 pandemic and an armed conflict. Two paired samples that represented the Israeli population that was exposed to both adversities were compared. Respondents rated five different psychological coping responses associated with the two adversities, such as anxiety or individual resilience. Perceived security, pandemic, economic, and political risks, as well as level of morale, were rated. Two major findings were disclosed by two path analyses. Morale improved the predictions of the varied coping responses in both the pandemic and conflict and was the best predictor of four out of five responses and the second-best predictor of the fifth response. Contrary to previous studies, our findings revealed that the concept of a single major predictor of coping responses under distress is an overgeneralization. In both cases, the coping responses were better explained by other perceived risks rather than by the risk of the investigated adversity. Rather than assume that a perceived security threat accounts for low levels of public moods, it is vital to study the antecedents of coping responses and to empirically examine additional potential predictors.

COVID-19 , Pandemias , Adaptação Psicológica , Conflitos Armados , Humanos , Moral , SARS-CoV-2 , Estresse Psicológico/epidemiologia
BMJ Open Qual ; 10(3)2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34301729


INTRODUCTION: Junior doctors are working in an increasingly overstretched National Health Service. In 2018, Kettering General Hospital (KGH) was awarded £60 800 of government funds to create high-quality rest facilities and improve junior doctor well-being. METHODS: An audit and survey in KGH identified the structural and functional improvements needed. From November 2019 to June 2020, £47 841.24 was spent on creating new rest facilities. On completion, a postaction review assessed how the changes impacted morale, well-being and quality of patient care. RESULTS: The majority of doctors were happy with the new rest areas (60%), a majority felt that they would use the on-call room area (63%) and the renovation improved morale and well-being. There was an increased ability to take breaks. However, the majority of doctors are not exception-reporting missing breaks: 79% (2019), 74% (2020). CONCLUSIONS AND IMPLICATIONS: This report recommends the maintenance of increased staffing levels and rest facilities during the recovery phase of COVID-19. The remaining £12 958.76 should be directed at sustaining the quality of KGH rest facilities. Lastly, the rate of exception-reporting must be increased through improving awareness, exploring alternative methods and supporting the action when necessary. The continual investment into rest facilities ensures workforce well-being and translates into patient safety.

Fadiga/prevenção & controle , Arquitetura Hospitalar/métodos , Corpo Clínico Hospitalar/psicologia , Jornada de Trabalho em Turnos , Sono , Humanos , Moral , Segurança do Paciente , Melhoria de Qualidade , Medicina Estatal , Inquéritos e Questionários , Reino Unido
Radiography (Lond) ; 27(4): 1064-1072, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34023228


INTRODUCTION: There is a plethora of literature that has described the negative impact of the COVID-19 pandemic on the mental health of healthcare staff worldwide. Our aim was to investigate the physical and mental demands of mobile x-ray imaging on radiographers during the first wave of the COVID-19 pandemic, within a local NHS Trust. METHODS: A total of 16 participants from 1 NHS Trust took part within this study. Both quantitative and qualitative data was obtained through an online survey. Statistical data was obtained via the Trust Radiology Information System (RIS). Data was gathered for the thirteen weeks from 23rd March to 21st June 2020 (the first wave); direct comparison was made to the same period in 2019. RESULTS: Three key themes emerged from the data. These include mental health challenges/work morale in Radiology, demand of mobile imaging and departmental and Trust-wide mental health support. Results indicate a high demand in mobile imaging which has made a significant difference in the working life of some radiographers. CONCLUSION: The COVID-19 pandemic has significantly affected the mental health of a proportion of radiographers at this Trust. Results indicate high workload and demand in mobile imaging has made a significant difference to the working life of radiographers, specifically the ones who were relatively newly qualified. IMPLICATIONS FOR PRACTICE: Two key interventions are proposed from this study. The first one is to provide and promote mental health support within radiology departments. The second is to encourage dual working on mobile x-ray examinations to help manage the emotional and physical burden.

COVID-19 , Serviço Hospitalar de Radiologia , Humanos , Saúde Mental , Moral , Pandemias , SARS-CoV-2
Nurs Manag (Harrow) ; 28(3): 22-27, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33876592


Staff morale is an important factor in maintaining and improving nurse recruitment and retention. Evidence suggests more flexible working patterns can improve nurses' work-life balance and subsequently their workplace satisfaction. This article describes a ward-based quality improvement project that introduced a self-rostering system that enabled nurses to select their own shifts for a given four-week roster period. The aim was to increase staff satisfaction and subsequently improve retention and recruitment. The article describes the project and discusses the positive outcomes.

Unidades Hospitalares/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Admissão e Escalonamento de Pessoal/organização & administração , Humanos , Satisfação no Emprego , Moral , Enfermeiras Administradoras/psicologia , Pesquisa em Avaliação de Enfermagem , Reorganização de Recursos Humanos/estatística & dados numéricos , Melhoria de Qualidade
J Patient Saf ; 17(4): 316-322, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-33871417


OBJECTIVES: Reducing seclusion and restraint use is a prominent focus of efforts to improve patient safety in inpatient psychiatry. This study examined the poorly understood relationship between seclusion and restraint rates and organizational climate and clinician morale in inpatient psychiatric units. METHODS: Facility-level data on hours of seclusion and physical restraint use in 111 U.S. Department of Veterans Affairs (VA) hospitals in 2014 to 2016 were obtained from the Centers for Medicare & Medicaid Services. Responses to an annual census survey were identified for 6646 VA inpatient psychiatry clinicians for the same period. We examined bivariate correlations and used a Poisson model to regress hours of seclusion and restraint use on morale and climate measures and calculated incident rate ratios (IRRs). RESULTS: The average physical restraint hours per 1000 patient hours was 0.33 (SD, 1.27; median, 0.05). The average seclusion hours was 0.31 (SD, 0.84; median, 0.00). Physical restraint use was positively associated with burnout (IRR, 1.76; P = 0.04) and negatively associated with engagement (IRR, 0.22; P = 0.01), psychological safety (IRR, 0.48; P < 0.01), and relational climate (IRR, 0.69; P = 0.04). Seclusion was positively associated with relational climate (IRR, 1.69; P = 0.03) and psychological safety (IRR, 2.12; P = 0.03). Seclusion use was also nonsignificantly associated with lower burnout and higher engagement. CONCLUSIONS: We found significant associations between organizational climate, clinician morale, and use of physical restraints and seclusion in VA inpatient psychiatric units. Health care organization leadership may want to consider implementing a broader range of initiatives that focus on improving organizational climate and clinician morale as one way to improve patient safety.

Pacientes Internados , Restrição Física , Idoso , Humanos , Medicare , Moral , Isolamento de Pacientes , Estados Unidos
Fractal rev. psicol ; 33(1): 12-20, jan.-abr. 2021.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1154262


Este estudo tem como objetivo identificar e discutir artigos que se basearam nas contribuições da perspectiva histórico-cultural elaborada por Vygotsky para compreender e explicar a moralidade. Partindo de uma análise das ideias do próprio autor sobre o tema e sobre o contexto histórico no qual elas se inserem, realizou-se uma revisão de artigos que utilizam as ideias de Vygotsky para se dedicar ao estudo da moral. O levantamento realizado em bases de dados científicas permitiu identificar 22 artigos relativos ao tema. O material foi analisado a partir dos seguintes eixos temáticos: perspectivas teóricas adotadas nos estudos; procedimentos metodológicos utilizados; e temas e conceitos discutidos nos estudos, com foco na articulação da teoria histórico-cultural de Vygotsky com o desenvolvimento moral. Apesar da relevância da teoria vygotskiana para a compreensão do desenvolvimento moral, esta perspectiva mostrou-se ainda pouco desenvolvida quando comparada às perspectivas piagetiana e kohlberguianas, mais frequentemente utilizadas em estudos sobre a psicologia do desenvolvimento moral.(AU)

This study aims to identify and discuss articles that were based on contributions from the historical-cultural perspective developed by Vygotsky to understand and explain morality. Starting from an analysis of the author's own ideas on the topic and the historical context in which they are inserted, we conducted a review of articles that used Vygotsky's ideas to to discuss moral issues. The review carried out on scientific databases allowed the identification of 22 articles related to the topic. The material was analyzed from the following thematic axes: theoretical perspectives adopted in the studies; methodological procedures used; and themes and concepts discussed in the studies, focusing on the articulation of Vygotsky's historical-cultural theory with moral development. Despite the relevance of the Vygotskyan theory for understanding of moral development, this perspective of study is shown to be poorly developed when comparing the Piagetian and Kohlberguian perspectives, most frequently used in studies on the psychology of moral development.(AU)

Psicologia , Moral
Nurs Manage ; 52(3): 56, 2021 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33633014
Sci Rep ; 11(1): 3120, 2021 02 04.
Artigo em Inglês | MEDLINE | ID: mdl-33542334


In the United States, the wide ideological divergence in public confidence in science poses a potentially significant problem for the scientific enterprise. We examine the behavioral consequences of this ideological divide for Americans' contributions to medical research. Based on a mass survey of American adults, we find that engagement in a wide range of medical research activities is a function of a latent propensity to participate. The propensity is systematically higher among liberals than among conservatives. A substantial part of this ideological divide is due to conservative Americans' lower confidence in science. These findings raise important issues for the recruitment of subjects for medical studies and the generalizability of results from such studies.

Pesquisa Biomédica/ética , Meios de Comunicação de Massa/ética , Moral , Participação do Paciente/psicologia , Política , Confiança/psicologia , Adulto , Escolaridade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos
Br J Hosp Med (Lond) ; 82(1): 1-3, 2021 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-33512291


The COVID-19 pandemic has necessitated unprecedented changes to the functioning of hospitals across the world. This article evaluates the acute impact of COVID-19 on the provision of symptomatic breast services in the UK and explores suggestions for more sustainable functioning of services in the post-COVID-19 era.

Instituições de Assistência Ambulatorial/organização & administração , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/terapia , COVID-19/epidemiologia , Pandemias , Comunicação , Feminino , Marcadores Fiduciais , Humanos , Controle de Infecções , Mamografia , Moral , Equipe de Assistência ao Paciente , Consulta Remota , Reino Unido
Psicol. educ. (Madr.) ; 27(1): 21-25, ene. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-199706


From a neuroconstructivist point of view and a developmental model of high intellectual abilities (HIA), the aim of this study is to understand the world perception of high intellectual children, which results from their cognitive complexity and other traits such as their high context sensitivity. An intentional sample of N = 80 boys and girls, of which a group of n = 40 children with HIA (n = 40), aged 7, 9, and 11 years old has been studied and compared with a paired control group of n = 40 students with typical intelligence. BADyG and TCTT tests were administered to determine their intellectual profiles multidimensionally. They were also given the Autobiography Questionnaire Form U in order to capture their world perception. The multivariate analysis of variance (GLM) shows an earlier and more advanced world perception among HIA participants, with higher fluency and abstraction in perceiving problems and solutions compared to subjects with typical intelligence. The coefficient of generalizability is high (.822). The conclusions suggest the relevance to design educational programs for an ethical guide of moral sensitivity differentially wide and early in HIA students

Desde un modelo neuroconstructivista de desarrollo de la alta capacidad intelectual (ACI) estudia la percepción del mundo de escolares con HIA, resultante de su complejidad cognitiva y gran sensibilidad hacia el entorno. La muestra intencional es de N = 80, un grupo de niños y niñas con HIA (n = 40) de 7, 9 y 11 años y otro grupo control apareado con inteligencia típica (n = 40). Extraídos los perfiles intelectuales multidimensionales mediante los tests BADyG y TTCT, se mide la conciencia del mundo mediante el Cuestionario Autobiográfico Forma U. Se valida el instrumento, se categorizan respuestas y se controla la calidad de los datos. El análisis de varianza multivariado (GLM) presenta diferencias estadísticamente significativas intragrupo e intergrupo, mostrando una avanzada conciencia social entre escolares con HIA con mayor fluidez y abstracción en percibir problemas y soluciones que los sujetos con inteligencia típica. El coeficiente de generalizabilidad es alto (.822). Se concluye que es importante diseñar programas educativos que guíen éticamente la temprana y diferencial sensibilidad moral de los aprendices con HIA

Humanos , Masculino , Feminino , Criança , Criança Superdotada/psicologia , Inteligência/fisiologia , Percepção/fisiologia , Estudantes/psicologia , Cosmovisão , Testes de Inteligência , Inquéritos e Questionários , Fatores Etários , Moral
Arch Gerontol Geriatr ; 92: 104275, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33032185


BACKGROUND: As the group of very old persons will form an increasing part of society, the study of how well-being is described and affected by specific factors will be of importance to meet the future needs of these persons. The aim of the study was to increase knowledge of well-being in very old persons by combining assessments and perceptions using the Philadelphia Geriatric Morale Scale (PGCMS). METHOD: In a mixed method, convergent parallel design, 52 persons 80 years or older were assessed and interviewed using the PGCMS to combine assessment of morale and descriptions of perceptions of well-being using a mixed method approach. RESULTS: Quantitative and qualitative results converged in four areas: not feeling lonely and being included, rating and perceiving health as good, high physical function/ability and being physically active, living in own house and feeling at home. Areas perceived as important to well-being captured only in qualitative analysis were having freedom and engagement. An example of insights not achievable from the quantitative or qualitative analysis alone was that individuals with high morale expressed anxiety about losing their health due to potential ageing-related threats and that individuals with low morale struggled with acceptance. Acceptance was the key strategy for handling adverse consequences of ageing in all described areas. CONCLUSION: When using standardized assessment scales in clinical practice, it could be useful to combine quantitative and qualitative data. Acceptance was key for well-being; however, acceptance could be resigned or reorienting in nature.

Avaliação Geriátrica , Prata , Idoso , Humanos , Moral , Percepção , Suécia
Med Humanit ; 47(1): 2-3, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30661041


Death Cafés are non-profit social franchises that arise spontaneously in communities to serve as informal forums for discussing death. There is a great need within the medical community for the kind of conversation that Death Cafés foster: open, unstructured, spontaneous, genuine and interdisciplinary dialogue. Burnout in healthcare, with symptoms of exhaustion, depersonalisation and decreased efficacy, is a global crisis, with alarming estimates suggesting one in three practicing physicians experience burnout. While open-forum community-based Death Cafés exist widely, there appears to be no evidence in the literature to suggest that healthcare settings have adapted this model for fostering debriefings among hospital employees. We have started hospital-based Death Cafés in a large, public, urban-centre, Level I Trauma centre in the Gulf South in an effort to study healthcare worker burnout. In this brief commentary, we introduce the concept of hospital-based Death Cafés as distinct from community-based Death Cafés. From our experience, hospital-based Death Cafés are easy to implement, inexpensive, require little planning and yet offer tremendous reward to participants. Should the phenomenon of Death Cafés take off in hospitals as it has in communities internationally, we propose that this intervention be studied for its effect on healthcare worker burnout.

Esgotamento Profissional , Moral , Médicos , Pessoal de Saúde , Hospitais , Humanos
Rev Rene (Online) ; 22: e60281, 2021.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1155278


RESUMO Objetivo compreender o desenvolvimento da sensibilidade moral na prática de profissionais da Estratégia Saúde da Família. Métodos estudo de caso único, de abordagem qualitativa, realizado com trinta e cinco profissionais das equipes de saúde da família. A coleta de dados ocorreu por meio de entrevistas guiadas por roteiro semiestruturado e observação. Os dados foram analisados por meio de Análise de Conteúdo Temática. Resultados a análise revelou que os fatores relacionados à organização do trabalho, às relações interpessoais e aos valores pessoais influenciam o desenvolvimento da sensibilidade moral de profissionais das equipes de saúde da família. Conclusão o desenvolvimento da sensibilidade moral de profissionais da Estratégia Saúde da Família é influenciado por fatores potencializadores e dificultadores que se apresentam no cotidiano de trabalho.

ABSTRACT Objective to understand the development of moral sensitivity in the practice of Family Health Strategy professionals. Methods a unique case study, of qualitative approach, conducted with thirty-five professionals from the family health teams. Data collection occurred through interviews guided by semi-structured script and observation. The data was analyzed through Thematic Content Analysis. Results the analysis revealed that factors related to work organization, interpersonal relationships and personal values influence the development of the moral sensitivity of professionals in family health teams. Conclusion the development of the moral sensitivity of Family Health Strategy professionals is influenced by enabling and hindering factors that present themselves in daily work.

Equipe de Assistência ao Paciente , Prática Profissional , Estratégia Saúde da Família , Ética , Moral