Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 136.951
Comput Intell Neurosci ; 2021: 9808449, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34630559


In the clustering routing protocol, prolonging the lifetime of the sensor network depends to a large extent on the rationality of the cluster head node selection. The selection of cluster heads for heterogeneous wireless sensor networks (HWSNs) does not consider the remaining energy of the current nodes and the distribution of nodes, which leads to an imbalance of network energy consumption. A strategy for selecting cluster heads of HWSNs based on the improved sparrow search algorithm- (ISSA-) optimized self-organizing maps (SOM) is proposed. In the stage of cluster head selection, the proposed algorithm establishes a competitive neural network model at the base station and takes the nodes of the competing cluster heads as the input vector. Each input vector includes three elements: the remaining energy of the node, the distance from the node to the base station, and the number of neighbor nodes of the node. The best cluster head is selected through the adaptive learning of the improved competitive neural network. When selecting the cluster head node, comprehensively consider the remaining energy, the distance, and the number of times the node becomes a cluster head and optimize the cluster head node selection strategy to extend the network life cycle. Simulation experiments show that the new algorithm can reduce the energy consumption of the network more effectively than the basic competitive neural network and other algorithms, balance the energy consumption of the network, and further prolong the lifetime of the sensor network.

Redes de Comunicación de Computadores , Tecnología Inalámbrica , Análisis por Conglomerados , Conservación de los Recursos Energéticos , Recolección de Datos
Clin Nurse Spec ; 35(6): 291-299, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34606208


PURPOSE: Emergence of the COVID-19 crisis into the healthcare system challenged existing roles and shifted organizational priorities and staff responsibilities. Operating within the spheres of impact, clinical nurse specialists (CNSs) adapted to the needs of the organization and expanded their responsibilities to provide crisis leadership. DESCRIPTION OF PROJECT: The CNSs used advanced practice nursing skills and leadership to implement hospital rounds, identify issues, make decisions, collaborate with stakeholders, disseminate new and emerging information, and evaluate processes in an ongoing pandemic. Using the health crisis management framework, the CNSs demonstrated authentic leadership throughout the prevention, preparedness, response, recovery, and rehabilitation phases. OUTCOME: Data analysis of CNS handoff and meeting communications generated these areas of focus involving the CNSs: (1) clinical practice, (2) supplies, (3) workflows, and (4) people. CONCLUSION: The CNS played a vital role in the planning, training, and evaluation of crisis preparation. New and emerging infectious diseases may continue to confront the healthcare system. Thus, healthcare systems need to remain prepared for public health threats. In the crisis leadership role, the CNS helped the transition to learn and relearn practices. As authentic leaders, CNSs instilled calmness, confidence, trust, and resiliency to the staff during the COVID-19 pandemic.

COVID-19/enfermería , Enfermeras Clínicas , Rol de la Enfermera , Personal de Enfermería en Hospital/organización & administración , Pandemias , COVID-19/epidemiología , Humanos , Liderazgo
Clin Nurse Spec ; 35(6): 303-313, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34606210


PURPOSE: This quality improvement project created a guide for critical care providers transitioning patients to comfort measures only encouraging communication, collaboration, and shared decision making; ensuring management of patients' end-of-life symptoms and needs; and enhancing provider satisfaction by improving structure and consistency when transitioning patients. DESCRIPTION OF THE PROJECT: Interviews conducted with staff in intensive care units revealed opportunities to improve structure and processes of transitioning patients at the end of life. A subcommittee of experts designed a checklist to facilitate interdisciplinary conversations. Impact on provider satisfaction and symptom management was assessed. Presurveys circulated used a Research Electronic Data Capture tool. A checklist was implemented for 3 months, and then postsurveys were sent. Charts were audited to identify improvement in symptom management and compared with retrospective samples. OUTCOMES: Clinical improvements were seen in communication (12%), collaboration (25%), shared decision making (22%), and order entry time (17%). In addition, 72% agreed the checklist improved structure and consistency; 69% reported improved communication, collaboration, and shared decision making; 61% felt it improved knowledge/understanding of patient needs; and 69% agreed it improved management of patient symptoms. CONCLUSION: After checklist implementation, staff felt more involved and more comfortable, and reported more clarity in transitioning patients; no improvement in patient outcomes was realized.

Lista de Verificación , Enfermería de Cuidados Críticos/organización & administración , Personal de Enfermería en Hospital/psicología , Comodidad del Paciente/organización & administración , Satisfacción Personal , Comunicación , Toma de Decisiones Conjunta , Humanos , Unidades de Cuidados Intensivos , Relaciones Interprofesionales , Investigación en Evaluación de Enfermería , Mejoramiento de la Calidad
Nurs Open ; 8(3): 1005-1022, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-34482649


AIM: To provide a systematic review of the literature from 1997 to 2017 on nursing-sensitive indicators. DESIGN: A qualitative design with a deductive approach was used. DATA SOURCES: Original and Grey Literature references from Cochrane Library, Medline/PubMed, Embase, and CINAHL, Google Scholar Original and Grey Literature. REVIEW METHODS: Quality assessment was performed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. RESULTS: A total of 3,633 articles were identified, and thirty-nine studies met the inclusion criteria. The quantitative assessment of investigated relationships in these studies suggests that nursing staffing, mortality, and nosocomial infections were the most frequently reported nursing-sensitive indicators. CONCLUSION: This review provides a comprehensive list of nursing-sensitive indicators, their frequency of use, and the associations between these indicators and various outcome variables. Stakeholders of nursing research may use the findings to streamline the indicator development efforts and standardization of nursing-sensitive indicators. IMPACT: This review provides evidence-based results that health organizations can benefit from nursing care quality.

Atención de Enfermería , Investigación en Enfermería , Personal de Enfermería , Estudios Transversales , Humanos , MEDLINE
Cien Saude Colet ; 26(suppl 2): 3409-3421, 2021.
Artículo en Portugués | MEDLINE | ID: mdl-34468638


The research problem in this paper is a discussion of the political factors affecting the allocation of federal resources in the SUS (Unified Health System) and its effects on regional inequalities in Brazil. The main objective was to explore the influence of political factors as criteria for the distribution of federal funds, considering the regional inequalities of the country. A mixed method was used by collecting quantitative data to study the allocation of resources for each unit of the Federation, from 2003 to 2017, in search of outliers, which require more in-depth explanation based on qualitative research methods. The fuzzy-set QCA software was applied in the qualitative research phase for identification of technical and political conditions, where required and/or sufficient, for an atypical distribution of resources from one year to another. The quantitative analysis demonstrated the decrease of regional inequalities in allocation of resources to States in the North and Northeast. However, when studying the constraints of the distribution of the funds for the States of these regions, qualitative analysis demonstrated the influence of political factors on the allocation of resources, rather than purely technical factors.

Administración Financiera , Política , Brasil , Humanos
CMAJ Open ; 9(3): E848-E854, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34493551


BACKGROUND: When vaccine supplies are anticipated to be limited, necessitating the vaccination of certain groups earlier than others, the assessment of values and preferences of stakeholders is an important component of an ethically sound vaccine prioritization framework. The objective of this study was to conduct a priority-setting exercise to establish an expert stakeholder perspective on the relative importance of COVID-19 vaccination strategies in Canada. METHODS: The priority-setting exercise included a survey of stakeholders that was conducted from July 22 to Aug. 14, 2020. Stakeholders included clinical and public health expert groups, provincial and territorial committees and national Indigenous groups, patient and community advocacy representatives and experts, health professional associations and federal government departments. Survey results were analyzed to identify trends. RESULTS: Of 155 stakeholders contacted, 76 surveys were received for a participation rate of 49%. During a period of anticipated initial vaccine scarcity for all pandemic scenarios, stakeholders generally considered the most important vaccination strategy to be protecting those who are most vulnerable to severe illness and death from COVID-19. This was followed in importance by strategies to protect health care capacity, minimize transmission of SARS-CoV-2 and protect critical infrastructure. INTERPRETATION: This priority-setting exercise established that there is general alignment in the values and preferences across stakeholder groups: the most important vaccination strategy at the time of limited initial vaccine availability is to protect those who are most vulnerable. The findings of this priority-setting exercise provided a timely expert perspective to guide early public health planning for COVID-19 vaccines.

Vacunas contra la COVID-19/administración & dosificación , COVID-19/prevención & control , Prioridades en Salud/ética , Vacunación/métodos , COVID-19/diagnóstico , COVID-19/epidemiología , COVID-19/virología , Vacunas contra la COVID-19/provisión & distribución , Canadá/epidemiología , Creación de Capacidad/organización & administración , Transmisión de Enfermedad Infecciosa/prevención & control , Empleos en Salud/estadística & datos numéricos , Empleos en Salud/tendencias , Prioridades en Salud/organización & administración , Humanos , Salud Pública/legislación & jurisprudencia , SARS-CoV-2/genética , SARS-CoV-2/inmunología , Índice de Severidad de la Enfermedad , Participación de los Interesados , Encuestas y Cuestionarios/estadística & datos numéricos , Vacunación/estadística & datos numéricos , Poblaciones Vulnerables
Sci Rep ; 11(1): 17787, 2021 09 07.
Artículo en Inglés | MEDLINE | ID: mdl-34493774


Despite COVID-19's significant morbidity and mortality, considering cost-effectiveness of pharmacologic treatment strategies for hospitalized patients remains critical to support healthcare resource decisions within budgetary constraints. As such, we calculated the cost-effectiveness of using remdesivir and dexamethasone for moderate to severe COVID-19 respiratory infections using the United States health care system as a representative model. A decision analytic model modelled a base case scenario of a 60-year-old patient admitted to hospital with COVID-19. Patients requiring oxygen were considered moderate severity, and patients with severe COVID-19 required intubation with intensive care. Strategies modelled included giving remdesivir to all patients, remdesivir in only moderate and only severe infections, dexamethasone to all patients, dexamethasone in severe infections, remdesivir in moderate/dexamethasone in severe infections, and best supportive care. Data for the model came from the published literature. The time horizon was 1 year; no discounting was performed due to the short duration. The perspective was of the payer in the United States health care system. Supportive care for moderate/severe COVID-19 cost $11,112.98 with 0.7155 quality adjusted life-year (QALY) obtained. Using dexamethasone for all patients was the most-cost effective with an incremental cost-effectiveness ratio of $980.84/QALY; all remdesivir strategies were more costly and less effective. Probabilistic sensitivity analyses showed dexamethasone for all patients was most cost-effective in 98.3% of scenarios. Dexamethasone for moderate-severe COVID-19 infections was the most cost-effective strategy and would have minimal budget impact. Based on current data, remdesivir is unlikely to be a cost-effective treatment for COVID-19.

COVID-19/tratamiento farmacológico , COVID-19/terapia , Costos de la Atención en Salud/estadística & datos numéricos , Asignación de Recursos para la Atención de Salud/economía , Adenosina Monofosfato/análogos & derivados , Adenosina Monofosfato/economía , Adenosina Monofosfato/uso terapéutico , Alanina/análogos & derivados , Alanina/economía , Alanina/uso terapéutico , COVID-19/diagnóstico , COVID-19/economía , COVID-19/mortalidad , COVID-19/virología , Toma de Decisiones Clínicas/métodos , Simulación por Computador , Análisis Costo-Beneficio , Dexametasona/economía , Dexametasona/uso terapéutico , Asignación de Recursos para la Atención de Salud/organización & administración , Humanos , Unidades de Cuidados Intensivos/economía , Unidades de Cuidados Intensivos/estadística & datos numéricos , Persona de Mediana Edad , Oxígeno/administración & dosificación , Oxígeno/economía , Años de Vida Ajustados por Calidad de Vida , Respiración Artificial/economía , SARS-CoV-2 , Índice de Severidad de la Enfermedad , Resultado del Tratamiento , Estados Unidos/epidemiología
Cad Saude Publica ; 37(8): e00271020, 2021.
Artículo en Portugués | MEDLINE | ID: mdl-34495097


This study aimed to assess the degree of implementation of the response to the emergency of microcephaly associated with Zika virus in Pernambuco State, Brazil. This was a normative evaluative study conducted in the initial epicenter of the public health emergency of international concern, from October 2015 to July 2017. A logical model was produced for the intervention under analysis, with the components of Management, Surveillance, and Care in the dimensions of structure, process, and result, based on technical publications and institutional guidelines, in addition to a corresponding log frame of indicators for assessment. Data were collected through a questionnaire, direct observation, and consultation of official documents. The results showed partial implementation (74.9%) of the response to the microcephaly emergency by the Pernambuco State Health Department, with the process dimension reaching 75% of the expected level and the structure dimension, 74.5%. Surveillance was the only component that was assessed as implemented (81%), although with a shortage of regional and laboratory investments, while Management (74.2%) and Care (68.8%) were partially implemented, with insufficiencies in items related to human resources and physical structure, planning, and evaluation. In conclusion, the response to the public health emergency of international concern involving microcephaly associated with the Zika virus was assessed as partially implemented, with different levels between the intervention´s components, especially surveillance when compared to management and care. The shortcomings signal the need for investments to deal with future public health emergencies, with a view towards more timely and adequate interventions.

Microcefalia , Infección por el Virus Zika , Virus Zika , Brasil/epidemiología , Urgencias Médicas , Humanos , Microcefalia/epidemiología , Salud Pública , Infección por el Virus Zika/diagnóstico , Infección por el Virus Zika/epidemiología
Sensors (Basel) ; 21(17)2021 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-34502610


In order to improve the energy efficiency (EE) performance of cooperative networks, this study combines non-orthogonal multiple access (NOMA) with simultaneous wireless information and power transfer (SWIPT) technologies to construct a cooperative relay network composed of one base station (BS), multiple near users, and one far user. Based on the network characteristics, a time-division resource allocation rule is proposed, and EE formulas regarding direct-link mode and cooperative mode are derived. Considering user selection and decoding performance, to obtain the optimal EE, this study utilizes a DinkelBach iterative algorithm based on the golden section (GS-DinkelBach) to solve the EE optimization problem, which is affected by power transmitted from the BS, achievable rates under three communication links, and quality of service (QoS) constraints of users. The simulation results show that the GS-DinkelBach algorithm can obtain precise EE gains with low computational complexity. Compared with the traditional NOMA-SWIPT direct-link network model and the relay network model, the optimal EE of the established network model could be increased by 0.54 dB and 1.66 dB, respectively.

Redes de Comunicación de Computadores , Noma , Algoritmos , Conservación de los Recursos Energéticos , Humanos , Tecnología Inalámbrica
Enferm. foco (Brasília) ; 12(2): 230-236, set. 2021. ilus
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1291238


Objetivo: Elaborar vídeos tutoriais sobre registros de enfermagem, com foco na legislação vigente. Metodologia: Pesquisa aplicada à produção de objetos de aprendizagem, executada dentro dos parâmetros de desenvolvimento tecnológico do Modelo ADDIE (analysis ­ análise, design - desenho, development - desenvolvimento, implementation - implementação e evaluation - avaliação). A edição dos vídeos tutoriais produzidos foi realizada com os recursos do software Vyond. Para viabilizar o acesso do público alvo, os vídeos foram postados no Youtube. Resultados: Uma série, composta por quatro vídeos animados, sobre os aspectos legais dos registros de enfermagem. Os assuntos abordados sobre a temática escolhida são: 1) Generalidades; 2) Documentos gerenciais; 3) Processo de enfermagem e; 4) Anotações de enfermagem. Conclusão: A criação dos vídeos colabora para a qualificação profissional, porém, é apenas uma das diversas ações necessárias para que este objetivo seja alcançado. (AU)

Objective: To prepare tutorial videos on nursing records, focusing on current legislation. Methods: Research applied to the production of learning objects, carried out within the parameters of technological development of the ADDIE Model (analysis, design, development, implementation and evaluation). The editing of the tutorial videos produced was carried out with the resources of the Vyond software. To make the target audience accessible, the videos were posted on Youtube. Results: A series, consisting of four animated videos, on the legal aspects of nursing records. The subjects covered on the chosen theme are: 1) Generalities; 2) Management documents; 3) Nursing process and; 4) Nursing notes. Conclusion: The creation of videos contributes to professional qualification, however, it is only one of the several actions necessary for this objective to be achieved. (AU)

Objetivo: Preparar videos tutoriales sobre registros de enfermería, centrándose en la legislación vigente. Metodos: Investigación aplicada a la producción de objetos de aprendizaje, realizada dentro de los parámetros de desarrollo tecnológico del Modelo ADDIE (análisis análisis, diseño - diseño, desarrollo - desarrollo, implementación - implementación y evaluación - evaluación). La edición de los videos tutoriales producidos se realizó con los recursos del software Vyond. Para que el público objetivo sea accesible, los videos se publicaron en Youtube. Resultados: Una serie, que consta de cuatro videos animados, sobre los aspectos legales de los registros de enfermería. Los temas tratados sobre el tema elegido son: 1) Generalidades; 2) documentos de gestión; 3) proceso de enfermería y; 4) Notas de enfermería. Conclusión: La creación de videos contribuye a la calificación profesional, sin embargo, es solo una de las varias acciones necesarias para lograr este objetivo. (AU)

Registros de Enfermería , Enfermería , Legislación de Enfermería , Proceso de Enfermería
Aquichan ; 21(3): e2135, sept. 30, 2021.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería, COLNAL | ID: biblio-1292398


Objetivo: identificar e discutir a frequência da sintomatologia depressiva e seus fatores associados em estudantes universitários. Materiais e método: trata-se de um estudo transversal, descritivo com abordagem quantitativa, realizado em uma instituição de ensino superior. O estudo foi desenvolvido por amostra de conveniência com 571 estudantes de graduação de diferentes áreas. Utilizou-se um questionário para a coleta de dados sociodemográficos/acadêmicos, da sintomatologia depressiva e suas associações, dos hábitos de vida, dos aspectos emocionais e dos possíveis distúrbios alimentares. Para a análise dos dados, utilizaram-se a estatística descritiva e o teste de Qui-Quadrado de Pearson para associações, com o nível de significância de 5 % (valor p ≤ 0,05). Resultados: os universitários apresentaram sintomatologia depressiva como sono perturbado (61,1 %) e autoconfiança reduzida (50,9 %). Houve associação da sintomatologia depressiva com o curso, com a satisfação do rendimento acadêmico, com a obesidade, com o consumo de açúcares e doces, com a prática e a frequência de atividade física. Conclusões: espera-se que os resultados desta pesquisa possam contribuir para o pensamento crítico e reflexivo da população, a fim de expandir a visibilidade e os estudos científicos referentes à temática, bem como de aumentar os recursos para o manejo da saúde mental e diminuir os estigmas gerados.

Objective: To identify and discuss the frequency of depressive symptoms and their associated factors in university students. Materials and method: This is a cross-sectional and descriptive study with a quantitative approach, conducted in a Higher Education Institution. The study was developed with a convenience sample consisting of 571 undergraduate students from different areas. A questionnaire was used to collect sociodemographic/academic data, as well as depressive symptoms and their associations, life habits, emotional aspects, and possible eating disorders. For data analysis, descriptive statistics and Pearson's chi-square test were used for associations, with a significance level of 5 % (p-value ≤ 0.05). Results: The university students presented depressive symptoms such as sleep disorders (61.1 %) and reduced self-confidence (50.9 %). There was an association of depressive symptoms with the course, satisfaction with academic performance, obesity, consumption of sugars and sweets, and practice and frequency of physical activity. Conclusions: It is expected that the results of this research contribute to the population's critical and reflective thinking to expand visibility and scientific studies referring to the theme, as well as to increase resources for the management of mental health and reduce the stigmas generated.

Objetivo: identificar y discutir la frecuencia de los síntomas depresivos y sus factores asociados en estudiantes universitarios. Materiales y método: se trata de un estudio transversal, descriptivo con enfoque cuantitativo, realizado en una institución de educación superior. El estudio se desarrolló a partir de un muestreo de conveniencia con 571 estudiantes de diferentes facultades. Se utilizó cuestionario para recolectar los datos sociodemográficos/académicos, de la sintomatología depresiva y sus asociaciones, los hábitos de vida, los aspectos emocionales y los posibles disturbios alimenticios. Para el análisis de los datos, se emplearon la estadística descriptiva y la prueba de Qui-Cuadrado de Pearson para asociaciones, con nivel de significancia del 5 % (valor p ≤ 0,05). Resultados: los universitarios presentaron sintomatología depresiva como sueño perturbado (61,1 %) y autoconfianza reducida (50,9 %). Hubo asociación de la sintomatología depresiva con el grado, con la satisfacción del desempeño académico, con el sobrepeso, con el consumo de azúcares y dulces, con la práctica y la frecuencia de actividad física. Conclusiones: se espera que los resultados de la investigación puedan aportar al pensamiento crítico y reflexivo de la población, con el intuito de expandir la visibilidad y los estudios científicos sobre la temática, así como aumentar los recursos para la gestión de la salud mental y disminuir los estigmas generados.

Signos y Síntomas , Estudiantes , Conductas Relacionadas con la Salud , Educación Superior , Depresión
J Prim Health Care ; 13(3): 222-230, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34588106


INTRODUCTION The delivery of health care by primary care general practices rapidly changed in response to the coronavirus disease 2019 (COVID-19) pandemic in early 2020. AIM This study explores the experience of a large group of New Zealand general practice health-care professionals with changes to prescribing medication during the COVID-19 pandemic. METHODS We qualitatively analysed a subtheme on prescribing medication from the General Practice Pandemic Experience New Zealand (GPPENZ) study, where general practice team members nationwide were invited to participate in five surveys over 16 weeks from 8 May 2020. RESULTS Overall, 78 (48%) of 164 participants enrolled in the study completed all surveys. Five themes were identified: changes to prescribing medicines; benefits of electronic prescription; technical challenges; clinical and medication supply challenges; and opportunities for the future. There was a rapid adoption of electronic prescribing as an adjunct to use of telehealth, minimising in-person consultations and paper prescription handling. Many found electronic prescribing an efficient and streamlined processes, whereas others had technical barriers and transmission to pharmacies was unreliable with sometimes incompatible systems. There was initially increased demand for repeat medications, and at the same time, concern that vulnerable patients did not have usual access to medication. The benefits of innovation at a time of crisis were recognised and respondents were optimistic that e-prescribing technical challenges could be resolved. DISCUSSION Improving e-prescribing technology between prescribers and dispensers, initiatives to maintain access to medication, particularly for vulnerable populations, and permanent regulatory changes will help patients continue to access their medications through future pandemic disruption.

COVID-19/epidemiología , Medicina General/organización & administración , Medicina General/estadística & datos numéricos , Pautas de la Práctica en Medicina/estadística & datos numéricos , Prescripciones/estadística & datos numéricos , Prescripción Electrónica/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Pandemias , Medicamentos bajo Prescripción/provisión & distribución , SARS-CoV-2 , Telemedicina/organización & administración
J Nurs Adm ; 51(10): 484-487, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-34550102


Despite the well-documented need for nurse-focused efforts on health and wellness, too few healthcare organizations have made a meaningful impact on this issue. Nurse health should be integrated into the strategic and operational workings of the organization. Environments of health and wellness require attention, accountability, action, and accessibility. Although individual choice is the starting point, true success will be achieved when nurse health is a nonnegotiable outcome consistent with quality, safety, finance, and patient experience.

Competencia Clínica/normas , Personal de Enfermería en Hospital/organización & administración , Grupo de Enfermería/organización & administración , Salud Laboral/normas , Estrés Laboral/prevención & control , Lugar de Trabajo/psicología , Humanos , Personal de Enfermería en Hospital/psicología
J Nurs Adm ; 51(10): 526-531, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-34550106


OBJECTIVE: This study explored the experience of pediatric ICU (PICU) nurses who volunteered at a camp for families of children and adolescents with cancer. BACKGROUND: PICU nurses are at risk of developing symptoms of posttraumatic stress disorder, compassion fatigue, depression, and burnout due to exposure(s) to traumatic events. Spending time with patients, families, and nurse colleagues at camp may reduce the effects of this exposure. METHODS: A qualitative descriptive study was conducted using content analysis. Fifteen nurse participants completed a precamp questionnaire and semistructured focus groups immediately following camp. Individual interviews were conducted 6 months after camp. RESULTS: Three categories emerged: 1) personal factors, changes in the nurses themselves; 2) patient and family factors, changes in how nurses perceived patients and families; and 3) work-related factors, relationships with colleagues. CONCLUSIONS: Supporting PICU nurses to participate with patients, families, and colleagues outside of the hospital may reduce burnout and support nurses' well-being.

Desgaste por Empatía/psicología , Enfermedad Crítica/enfermería , Unidades de Cuidado Intensivo Pediátrico/organización & administración , Personal de Enfermería en Hospital/organización & administración , Voluntarios/estadística & datos numéricos , Adolescente , Niño , Humanos , Neoplasias , Relaciones Profesional-Familia , Voluntarios/psicología