RESUMO
PURPOSE: The aim of this study was to investigate compassion fatigue (CF) and compassion satisfaction (CS) in nursing care providers in COVID-19 units. METHODS: A mixed-method study with 105 nurses. RESULTS: 23% of participants reported high CF risk while 77% expressed high to moderate potential for CS. Adequate preparation/education, clear and accountable leadership, and team sharing of feelings, experiences, and responsibilities during the transition in the COVID-19 unit helped participants to deal with overwhelming anxiety which if unattended could bring about frustration and long-lasting feelings of powerlessness. PRACTICAL IMPLICATIONS: In the face of the present and future pandemics, there is a clear need to prepare healthcare organizations and nursing care providers to cope with the emotional content of public health emergencies while protecting themselves and avoid absorbing unmanageable emotions.
Assuntos
Esgotamento Profissional , COVID-19 , Fadiga de Compaixão , Humanos , Fadiga de Compaixão/psicologia , Empatia , Satisfação Pessoal , Sindemia , Esgotamento Profissional/psicologia , Grécia , Qualidade de Vida , Satisfação no Emprego , Inquéritos e QuestionáriosRESUMO
The anomalies of the umbilical vessels are uncommon, with the exception of a single umbilical artery. We report a term female infant with fetal hydrops, hypertrophic cardiomyopathy, and a four-vessel umbilical cord consisting of two umbilical arteries and two umbilical veins. The presence of two veins in the umbilical cord has been attributed to persistence of both the normal left umbilical vein and the caudal part of the right umbilical vein. This fetal vascular pathology has been reported very rarely and may be associated with increased risk of congenital malformations and adverse perinatal outcome.
Assuntos
Cardiomiopatia Hipertrófica/congênito , Cardiomiopatia Hipertrófica/complicações , Hidropisia Fetal/patologia , Veias Umbilicais/anormalidades , Adolescente , Autopsia , Cardiomiopatia Hipertrófica/patologia , Feminino , Humanos , Recém-Nascido , Gravidez , Cordão Umbilical/anormalidades , Cordão Umbilical/irrigação sanguínea , Cordão Umbilical/patologia , Veias Umbilicais/embriologia , Veias Umbilicais/patologiaRESUMO
This manuscript reports on two very low birth weight premature infants with respiratory distress, receiving parenteral nutrition and broad-spectrum antibiotics for about 3 weeks, who developed Candida albicans sepsis associated with fungal mycoses and endocarditis, despite treatment with Amphotericin B and Caspofungin. On days 40 and 47, respectively, antifungal therapy was modified to liposomal Amphotericin B combined with Fluconazole 6 mg/kg/day for 4 weeks, resulting in complete resolution of the mycetomas. Our observations suggest that the combination of liposomal Amphotericin B with Fluconazole is able to result in complete resolution of cardiac mycetomas in preterm infants.