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1.
Holist Nurs Pract ; 36(1): 15-16, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34783696

RESUMO

Through a difficult encounter with a new patient, the author became immersed in the messiness of patient care and learned that goals need to be defined and hard fought. The lesson learned serves as a reminder that compassion for our patients is necessary to help understand their fears and anxieties.


Assuntos
Empatia , Vergonha , Ansiedade , Medo , Humanos
2.
Esc. Anna Nery Rev. Enferm ; 26: e20210038, 2022.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1339877

RESUMO

Resumo Objetivo descrever, na perspectiva de enfermeiros e médicos, as facilidades e os entraves da referência em uma Unidade de Pronto Atendimento. Método estudo descritivo, qualitativo, realizado em uma Unidade de Pronto Atendimento de um município de Santa Catarina, Brasil. Participaram sete enfermeiros e 23 médicos. Os dados foram coletados por meio de entrevista individual semiestruturada e analisados mediante a técnica do Discurso do Sujeito Coletivo. Resultados as facilidades envolveram: ter serviços de referência especializados; gravidade do paciente; atendimento em "vaga zero"; boa relação entre os profissionais dos serviços de urgência e a empatia. Dentre os entraves, estavam: contato difícil por telefone com os hospitais e a superlotação destes; dificuldade para conseguir transporte, sobretudo, para paciente com situação clínica estável e a falta de ambulância do município. Conclusão e implicações para a prática as facilidades da referência potencializam o atendimento às urgências, porém, os entraves, referentes à vaga hospitalar e ao transporte, podem comprometer a integralidade e a continuidade do cuidado, necessitando de melhorias na atenção à saúde em rede.


Resumen Objetivo describir, desde la perspectiva de enfermeros y médicos, las facilidades y barreras de referencia en una Unidad de Urgencias. Método estudio descriptivo, cualitativo, realizado en una Unidad de Urgencias de una ciudad de Santa Catarina, Brasil. Participaron siete enfermeros y 23 médicos. Los datos fueron recolectados a través de entrevistas individuales semiestructuradas y analizados usando la técnica del Discurso Colectivo del Sujeto. Resultados las facilidades involucradas: contar con servicios de referencia especializados; gravedad del paciente; servicio en "vacante cero"; buena relación entre los profesionales de los servicios de urgencias y la empatía. Entre los obstáculos estaban: el difícil contacto telefónico con los hospitales y su hacinamiento; dificultad para conseguir transporte, especialmente para pacientes con situación clínica estable y falta de ambulancia en la ciudad. Conclusión e implicaciones para la práctica las facilidades de referencia mejoran la atención de emergencia, sin embargo, las barreras, relacionadas a la vacante hospitalaria y el transporte, pueden comprometer la integridad y continuidad de la atención, requiriendo mejoras en la atención en red.


Abstract Objective to describe, from the perspective of nurses and physicians, the eases and hindrances of referrals in an Emergency Care Unit. Method a descriptive, qualitative study, carried out in an Emergency Care Unit in a city of Santa Catarina, Brazil. Seven nurses and 23 physicians participated. Data was collected through individual semi-structured interviews and analyzed using the Discourse of the Collective Subject technique. Results the eases involved: having specialized reference services; patient severity; care in "zero vacancy"; good relationship among professionals of the emergency services and empathy. Among the hindrances were: difficult contact by telephone with hospitals and their overcrowding; difficulty in getting transport, especially for patients with stable clinical situation and the lack of ambulance from the municipality. Conclusion and implications for the practice the referral facilities potentiate the attendance to urgencies, however, the hindrances, referring to hospital vacancy and transport, can compromise the integrality and continuity of care, requiring improvements in network health care.


Assuntos
Humanos , Masculino , Feminino , Adulto , Serviços Médicos de Emergência , Pesquisa sobre Serviços de Saúde , Telefone , Leitos , Ambulâncias , Transferência de Pacientes , Pessoal de Saúde , Continuidade da Assistência ao Paciente , Pesquisa Qualitativa , Empatia , Segurança do Paciente , Gravidade do Paciente , Integralidade em Saúde , Relações Interprofissionais
3.
J Health Organ Manag ; ahead-of-print(ahead-of-print)2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34726031

RESUMO

PURPOSE: To describe peer learning and shared accountability and their use within our management system to improve the rate of patient annual wellness visits completed by primary care physicians. DESIGN/METHODOLOGY/APPROACH: Our management system implements programs to improve performance on a measure, initially declaring the goal, roles and responsibilities. In the illustrative case in this article, primary care physicians are assigned the goal of completing annual wellness visits for 65% of their patients by the end of 2021. To support physicians, peer learning networks are established, connecting teams, physicians and others to broadly share best practices and support better performance. Shared accountability means higher-level leaders in the organization need to first set lower-level leaders up to succeed before holding lower-level leaders accountable for achieving the declared goal. Our shared accountability model describes processes of the higher-level leader to ensure lower-leader success. The accountability process if a lower-level leader does not improve performance involves 3 steps: (1) a letter; (2) meeting with hospital executives for peer review; (3) review for sanctions/disciplinary action. FINDINGS: In quarter 1 of calendar year 2021, we identified 30 physicians that were behind pace for reaching the 65% goal of AWVs with patients for 2021 and also had not achieved the 2020 60% goal. After step 1, 22 of 30 (73%) physicians were on target for the goal. After step 2, 3 of 8 physicians were on target for the goal. ORIGINALITY/VALUE: Peer learning and shared accountability are underdeveloped in health care, and often viewed as at odds with each other. In our framework we integrate them. Thus, we formed learning networks, connecting every level of the organization and branching out across the health system to share ideas and build capability. Our shared accountability model removes the punitive connotation often connected to accountability by aligning higher and lower-level leaders to work together as a team. This model is improving personal performance among primary care physicians, and now being used for all quality and value efforts in our health system. We believe if broadly applied, this model could help improve value in health care.


Assuntos
Médicos , Responsabilidade Social , Atenção à Saúde , Empatia , Humanos
4.
Sensors (Basel) ; 21(21)2021 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-34770419

RESUMO

Watching videos online has become part of a relaxed lifestyle. The music in videos has a sensitive influence on human emotions, perception, and imaginations, which can make people feel relaxed or sad, and so on. Therefore, it is particularly important for people who make advertising videos to understand the relationship between the physical elements of music and empathy characteristics. The purpose of this paper is to analyze the music features in an advertising video and extract the music features that make people empathize. This paper combines both methods of the power spectrum of MFCC and image RGB analysis to find the audio feature vector. In spectral analysis, the eigenvectors obtained in the analysis process range from blue (low range) to green (medium range) to red (high range). The machine learning random forest classifier is used to classify the data obtained by machine learning, and the trained model is used to monitor the development of an advertisement empathy system in real time. The result is that the optimal model is obtained with the training accuracy result of 99.173% and a test accuracy of 86.171%, which can be deemed as correct by comparing the three models of audio feature value analysis. The contribution of this study can be summarized as follows: (1) the low-frequency and high-amplitude audio in the video is more likely to resonate than the high-frequency and high-amplitude audio; (2) it is found that frequency and audio amplitude are important attributes for describing waveforms by observing the characteristics of the machine learning classifier; (3) a new audio extraction method is proposed to induce human empathy. That is, the feature value extracted by the method of spectrogram image features of audio has the most ability to arouse human empathy.


Assuntos
Empatia , Música , Emoções , Humanos , Processamento de Imagem Assistida por Computador , Aprendizado de Máquina
6.
Artigo em Inglês | MEDLINE | ID: mdl-34769700

RESUMO

Introduction: Physician's burnout has been recognized as an increasing and significant work-related syndrome, described by the combination of emotional exhaustion (EE) and depersonalization (D), together with low personal accomplishment (PA). It has many negative consequences on personal, organizational, and patient care levels. This systematic review aimed to analyze research articles where psychological interventions with elements of mindfulness (PIMs) were used to support physicians in order to reduce burnout and foster empathy and well-being. Methods: Systematic searches were conducted in May 2019, within six electronic databases PubMed, EBSCOhost MEDLINE, PsycArticles, Cochrane Library, JSTOR, and Slovenian national library information system. Different combinations of boolean operators were used-mindfulness, empathy, medicine/family medicine/general practice/primary care, burnout, doctors/physicians, intervention, and support group. Additional articles were manually searched from the reference list of the included articles. Studies with other healthcare professionals (not physicians and residents) and/or medical students, and those where PIMs were applied for educational or patient's treatment purposes were excluded. Results: Of 1194 studies identified, 786 screened and 139 assessed for eligibility, there were 18 studies included in this review. Regardless of a specific type of PIMs applied, results, in general, demonstrate a positive impact on empathy, well-being, and reduction in burnout in participating physicians. Compared with other recent systematic reviews, this is unique due to a broader selection of psychological interventions and emphasis on a sustained effect measurement. Conclusions: Given the pandemic of COVID-19, it is of utmost importance that this review includes also interventions based on modern information technologies (mobile apps) and can be used as an awareness-raising material for physicians providing information about feasible and easily accessible interventions for effective burnout prevention and/or reduction. Future research should upgrade self-reported data with objective psychological measures and address the question of which intervention offers more benefits to physicians.


Assuntos
Esgotamento Profissional , COVID-19 , Atenção Plena , Médicos , Esgotamento Profissional/prevenção & controle , Esgotamento Psicológico/prevenção & controle , Empatia , Humanos , Intervenção Psicossocial , SARS-CoV-2
7.
Artigo em Inglês | MEDLINE | ID: mdl-34770096

RESUMO

BACKGROUND: Antisocial behaviours make social interactions difficult among students. Moral emotions, online empathy, and anger management are social and emotional variables related to prosocial and antisocial behaviours and health problems. This research aims to assess the impact of Cooperative Project-Based Learning intervention on these three variables for Primary Education students. Additionally, the relations of these variables with key competencies, such as social and emotional competencies and literacy competence, were studied. METHOD: This research is made up of two studies, descriptive and quasi-experimental, during regular school hours. The descriptive study was carried out with a sample of 516 primary school students and aimed to assess the development of the three variables, taking into account personal and ethnic-cultural factors. The quasi-experimental study, with pre-test and post-test data, had the participation of 145 students to study the incidence of these variables after Cooperative Project-Based Learning intervention in Primary Education. RESULTS: The results show the relation among the cited variables and the positive impact of the intervention on moral emotions and anger management in the experimental group compared to the control group. Experimental group girls presented higher scores in moral emotions than control group girls. CONCLUSION: These results open new research lines in relation to the intervention as a programme to prevent the appearance of antisocial behaviours and health problems at school.


Assuntos
Terapia de Controle da Ira , Empatia , Emoções , Feminino , Humanos , Princípios Morais , Estudantes
8.
J Grad Med Educ ; 13(5): 727-728, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34721805
9.
Neuropsychopharmacol Hung ; 23(3): 288-295, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34751021

RESUMO

Research on schizotypy dates back to the 1960s, and their association with mentalization also dates back at least 15 years. However, unfortunately, the results are mainly contradictory. This review aims to clarify why the results are so different and fi nd a correlation between the tests and the results. Publications for the review were selected from PubMed by searching for the following keywords: "schizotypy + theory of mind, mentalization, empathy". We also used the reference lists of published reports for additional studies. Criteria for the studies were: investigated the relationship between schizotypy and mentalization or schizotypy and empathy in a non-clinical sample. We grouped the results according to correlations, tests, theory of mind, and mentalization. Studies with relatives of schizophrenic patients were excluded from the research. The comparison included 39 articles covering a total of 42 studies. The total number of participants was 10139, with an average age of 20.4 years. Schizotypy was measured with eight different tests, mentalization was measured with 12 tests, and empathy was measured with two types of tests. Studies have found an association between schizotypal traits and mentalization or schizotypal traits and empathy in 28 cases. Research that found a correlation between mentalization and schizotypy used different tests to measure mentalization. Overall, the inconsistent results are due to the diversity of mentalization and the multidimensional characteristic of the schizotypy.


Assuntos
Mentalização , Transtorno da Personalidade Esquizotípica , Adulto , Empatia , Humanos , Adulto Jovem
10.
Rev Med Chil ; 149(7): 1070-1074, 2021 Jul.
Artigo em Espanhol | MEDLINE | ID: mdl-34751309

RESUMO

Doctor-patient relationship (DPR) is the cornerstone of clinical medicine, mobilizing powerful human resources. This article analyzes the impact of COVID-19 pandemia on DPR. Due to fear of contagion, the use of telephone or digital consultation was preferred, in which only the results of laboratory and imaging tests can be reviewed, and the patient receives a diagnostic conclusion. Patients are afraid of face-to-face consultations, and healthcare centers developed measures to reduce patient influx. Thus, a new relationship ensued, generating suspicion, mistrust and fear. The empathy and affection that the doctor must project and deliver to the patient was reduced. Depending on the duration of the pandemia, doctors and patients will eventually get used to this type of relationship and a paradigm shift will occur, in which Hippocratic medicine gives way to digital medicine.


Assuntos
COVID-19 , Pandemias , Empatia , Humanos , Relações Médico-Paciente , SARS-CoV-2
11.
BMC Womens Health ; 21(1): 387, 2021 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-34732193

RESUMO

BACKGROUND: Despite the abundance of clinical data available for Coronavirus Disease 2019 (COVID-19), little research on the psychological well-being of breast cancer survivors has been published. We investigate the extent to which self-compassion accounted for the association between psychological well-being (depression, anxiety) and death anxiety in breast cancer survivors. METHODS: A cross-sectional study design was applied. Participants were recruited from three departments of oncology in Zanjan, Iran. Data were collected from 210 breast cancer patients. Participants completed self-report measures. Pearson correlation coefficient was used to assess the relationship among the study variables. Bootstrapping analyses were used to test the significance of indirect effects. RESULTS: Correlational analyses revealed that depression and anxiety were significantly and positively related to death anxiety (r = 0.77, p < 0.01; r = 0.85, p < 0.01, respectively) and negatively to self-compassion (r = - 0.48, p < 0.01; r = - 0.53, p < 0.01, respectively). Bootstrapping analyses revealed significant indirect effects of depression (ß = 0.065, SE = 0.35, p < 0.03, 95% CI [LL = - 0.0083, UL: - 0.1654]) and anxiety (ß = 0.089, SE = 0.09, p < 0.04, 95% CI [LL = - 0.0247, UL: - 0.1987]) on death anxiety through self-compassion. CONCLUSIONS: Findings from this study indicate that self-compassion may be considered as one treatment strategy to improve psychological well-being of cancer patients in the new context of the COVID-19 pandemic.


Assuntos
Neoplasias da Mama , COVID-19 , Sobreviventes de Câncer , Ansiedade/epidemiologia , Neoplasias da Mama/complicações , Estudos Transversais , Depressão/epidemiologia , Depressão/etiologia , Empatia , Feminino , Humanos , Pandemias , SARS-CoV-2 , Estresse Psicológico , Inquéritos e Questionários
12.
Hu Li Za Zhi ; 68(6): 6-12, 2021 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-34839485

RESUMO

Board games are currently widely used in various courses, including in the teaching of cardiopulmonary cerebral resuscitation for neonatal and infants. They are generally deemed as useful in teaching concepts such as empathy and interpersonal communication skills that are relatively difficult to understand. However, board games have rarely been used in medical-surgical nursing courses. The main reason for this may be because of many different systems in medical-surgical nursing courses complicate the process of designing relevant / useful scheme of board games. In general, college students have a weak conception of diseases because they have not yet entered clinical practice and their knowledge construction is based on traditional teaching methods. Using different teaching methods to construct knowledge may increase students` understanding of a disease and help them better understand content. In this article, the author uses different teaching strategies to increase students` knowledge. Concept mapping, board games, and human figures were designed to construct the knowledge of students in each system and to assist students to reintegrate disease knowledge in order to reinforce learning efficacy. This learning method may help improve students` understanding of textbook-based knowledge and enhance students` self-learning and future clinical practice.


Assuntos
Enfermagem Médico-Cirúrgica , Estudantes de Enfermagem , Empatia , Humanos , Lactente , Recém-Nascido , Aprendizagem , Estudantes , Ensino
13.
Emerg Med Australas ; 33(6): 1113-1114, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34725924
15.
Emerg Med Australas ; 33(6): 1115-1116, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34729925
18.
Nursing ; 51(12): 28-32, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34807858

RESUMO

ABSTRACT: One of every five pregnancies ends in miscarriage, disputing the common misconception that miscarriage is rare. Early pregnancy loss has a complex impact on women's mental health, requiring compassionate, trauma-informed care. This article explores the emotional and psychological impacts of miscarriage, and strategies for nurses to support the needs of patients after a miscarriage.


Assuntos
Aborto Espontâneo , Emoções , Empatia , Feminino , Humanos , Saúde Mental , Gravidez
19.
Am J Nurs ; 121(11): 72, 2021 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-34673704

RESUMO

A daughter realizes her mother, a former geriatric nurse, is experiencing dementia.


Assuntos
Empatia , Enfermagem Geriátrica , Mães , Idoso , Feminino , Humanos
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