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[PMID]: 29183536 [Au] Autor: Wu D; Gross B; Rittenhouse K; Harnish C; Mooney C; Rogers FB [Ti] Título: A Preliminary Analysis of Compassion Fatigue in a Surgeon Population: Are Female Surgeons at Heightened Risk? [So] Source: Am Surg;83(11):1302-1307, 2017 Nov 01. [Is] ISSN: 1555-9823 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Compassion fatigue (CF), a state of physical/emotional distress caused by repeatedly caring for those experiencing traumatic episodes, is a prevalent issue for today's healthcare provider. We sought to characterize levels of CF within a surgeon population, particularly comparing trauma surgery with other surgical specialties. A survey containing the Professional Quality of Life Scale (ProQOL), a validated tool assessing compassion satisfaction (CS), CF, and burnout (BO) was distributed via electronic newsletter to members of the American College of Surgeons. Demographic data and Professional Quality of Life Scale scores for CS, BO, and CF were collected and compared within specialty and gender subgroups. A total of 178 surgeons completed surveys. Respondents were predominantly male, general surgeons, >55 years old. Trauma surgeons composed the second largest subgroup. Levels of CS were significantly lower in the trauma surgeon subgroup compared to other surgical specialties (trauma: 37.1 ± 5.28, other: 39.5 ± 6.30; P = 0.044). Female surgeons from all specialties exhibited significantly higher levels of BO (female: 26.7 ± 6.10, male: 24.6 ± 6.79; P = 0.035) and CF (female: 24.2 ± 6.29, male: 21.9 ± 6.11; P = 0.021) compared with male surgeons. Subanalyses comparing female trauma surgeons to female surgeons in other specialties found female trauma surgeons exhibited significantly lower levels of CS (trauma: 34.8 ± 4.63, other: 38.8 ± 5.99; P = 0.038) and higher levels of BO (trauma: 29.1 ± 3.14, other: 25.3 ± 6.41; P = 0.049). Trauma surgeons, particularly female trauma surgeons, may be at a heightened risk for developing a poorer overall professional quality of life compared with surgeons of other specialties. In addition, female surgeons may be at greater risk for developing CF compared with male counterparts. [Mh] Termos MeSH primário: Fadiga por Compaixão/etiologia Médicas/psicologia Cirurgiões/psicologia [Mh] Termos MeSH secundário: Idoso Atitude do Pessoal de Saúde Feminino Seres Humanos Masculino Meia-Idade Satisfação Pessoal Qualidade de Vida Fatores de Risco Estados Unidos Ferimentos e Lesões/psicologia Ferimentos e Lesões/cirurgia [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171204 [Lr] Data última revisão: 171204 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171130 [St] Status: MEDLINE

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[PMID]: 28857833 [Au] Autor: Hammerle A; Devendorf C; Murray C; McGhee T [Ad] Endereço: At the Northern Arizona VA Health Care System in Prescott, Ariz., Anna Hammerle is a clinical nurse, Carol Devendorf is an assistant ED nurse manager, Charlotte Murray is a clinical nurse, and Timothy McGhee is a clinical nurse. [Ti] Título: Critical incidents in the ED. [So] Source: Nurs Manage;48(9):9-11, 2017 Sep. [Is] ISSN: 1538-8670 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Enhancing staff support with debriefing programs. [Mh] Termos MeSH primário: Enfermagem em Emergência/organização & administração Princípios Morais Recursos Humanos de Enfermagem no Hospital/psicologia Apoio Social Estresse Psicológico/prevenção & controle [Mh] Termos MeSH secundário: Fadiga por Compaixão/prevenção & controle Serviço Hospitalar de Emergência Seres Humanos Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170906 [Lr] Data última revisão: 170906 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 170901 [St] Status: MEDLINE [do] DOI: 10.1097/01.NUMA.0000522180.69005.1e

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[PMID]: 28548918 [Au] Autor: Mills J; Wand T; Fraser JA [Ad] Endereço: PhD Candidate. Lecturer, School of Nursing, Queensland University of Technology, QLD Australia. [Ti] Título: Palliative care professionals' care and compassion for self and others: a narrative review. [So] Source: Int J Palliat Nurs;23(5):219-229, 2017 May 02. [Is] ISSN: 1357-6321 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: INTRODUCTION: Compassion is arguably central to palliative care. However, calls for the restoring of compassionate care suggest a need for greater understanding and promotion of compassion in practice. Drawing upon the Foucauldian concept 'Care of the Self', this review explored the literature relating to palliative care professionals' self-care, self-compassion, and compassion for others. METHODS: Three electronic databases were searched using identified key words. A thematic approach was used to synthesise and critically discuss the literature in the form of a narrative review. RESULTS: Four themes were identified: (1) importance of self-care; (2) awareness, expression, and planning; (3) dimensions of self-care; and (4) balanced compassion. Approaches to self-care practice and research focused mainly on compassion fatigue or a coping paradigm. CONCLUSIONS: This review highlights both the importance and multifaceted nature of palliative care professionals' self-care, in relation to self-compassion and compassion for others. Despite widespread discussion, empirical knowledge of these variables is limited. Future research could usefully explore health promotion interventions in self-care practice, or a positive psychology paradigm that encompasses compassion and self-compassion as positive emotions associated with wellbeing. [Mh] Termos MeSH primário: Adaptação Psicológica Empatia Pessoal de Saúde Cuidados Paliativos Autocuidado [Mh] Termos MeSH secundário: Fadiga por Compaixão Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170803 [Lr] Data última revisão: 170803 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 170527 [St] Status: MEDLINE [do] DOI: 10.12968/ijpn.2017.23.5.219

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[PMID]: 28478848 [Au] Autor: Duarte J; Pinto-Gouveia J [Ad] Endereço: Cognitive and Behavioral Centre for Research and Intervention (CINEICC), University of Coimbra, Portugal. Electronic address: joana.fm.duarte@gmail.com. [Ti] Título: The role of psychological factors in oncology nurses' burnout and compassion fatigue symptoms. [So] Source: Eur J Oncol Nurs;28:114-121, 2017 Jun. [Is] ISSN: 1532-2122 [Cp] País de publicação: Scotland [La] Idioma: eng [Ab] Resumo: PURPOSE: This study explored the role of several psychological factors in professional quality of life in nurses. Specifically, we tried to clarify the relationships between several dimensions of empathy, self-compassion, and psychological inflexibility, and positive (compassion satisfaction) and negative (burnout and compassion fatigue) domains of professional quality of life. METHODS: Using a cross-sectional design, a convenience sample of 221 oncology nurses recruited from several public hospitals filling out a battery of self-report measures. RESULTS: Results suggested that nurses that benefit more from their work of helping and assisting others (compassion satisfaction) seem to have more empathic feelings and sensibility towards others in distress and make an effort to see things from others' perspective. Also, they are less disturbed by negative feelings associated with seeing others' suffering and are more self-compassionate. Nurses more prone to experience the negative consequences associated with care-providing (burnout and compassion fatigue) are more self-judgmental and have more psychological inflexibility. In addition, they experience more personal feelings of distress when seeing others in suffering and less feelings of empathy and sensibility to others' suffering. Psychological factors explained 26% of compassion satisfaction, 29% of burnout and 18% of compassion fatigue. CONCLUSION: We discuss the results in terms of the importance of taking into account the role of these psychological factors in oncology nurses' professional quality of life, and of designing nursing education training and interventions aimed at targeting such factors. [Mh] Termos MeSH primário: Esgotamento Profissional/psicologia Fadiga por Compaixão/psicologia Satisfação no Emprego Enfermeiras e Enfermeiros/psicologia Enfermagem Oncológica [Mh] Termos MeSH secundário: Adulto Estudos Transversais Feminino Seres Humanos Masculino Meia-Idade [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171002 [Lr] Data última revisão: 171002 [Sb] Subgrupo de revista: IM; N [Da] Data de entrada para processamento: 170509 [St] Status: MEDLINE

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[PMID]: 28415968 [Au] Autor: Novais T; Dauphinot V; Krolak-Salmon P; Mouchoux C [Ad] Endereço: EA-7425 HESPER, Health Services and Performance Research, University Lyon, F-69003, Lyon, France. teddy.novais@chu-lyon.fr. [Ti] Título: How to explore the needs of informal caregivers of individuals with cognitive impairment in Alzheimer's disease or related diseases? A systematic review of quantitative and qualitative studies. [So] Source: BMC Geriatr;17(1):86, 2017 Apr 17. [Is] ISSN: 1471-2318 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: This study aims to review the methodologies used to identify the needs, the existing needs assessment instruments and the main topics of needs explored among caregivers of patients with mild cognitive impairment to dementia. METHODS: MEDLINE, PsycINFO, The Cochrane Library and Web of science were searched from January 1980 to January 2017. Research studies in English or French were eligible for inclusion if they fulfilled the following criteria: quantitative, qualitative and mixed method studies that used instrument, focus group or semi-structured interviews to assess the informal caregiver's needs in terms of information, coping skills, support and service. RESULTS: Seventy studies (n = 39 quantitative studies, n = 25 qualitative studies and n = 6 mixed method studies) met the inclusion criteria and were included. Thirty-six quantitative instruments were identified but only one has been validated for the needs assessment of dementia caregivers: the Carer's Needs Assessment for Dementia (CNA-D). The main areas of needs explored in these instruments were: information, psychosocial, social, psychoeducational and other needs. CONCLUSIONS: No instrument has been developed and validated to assess the needs of informal caregivers of patients with cognitive impairment, whatever the stage and the etiology of the disease. As the perceived needs of caregivers may evolve with the progression of the disease and the dementia transition, their needs should be regularly assessed. [Mh] Termos MeSH primário: Doença de Alzheimer/complicações Cuidadores/psicologia Disfunção Cognitiva Fadiga por Compaixão [Mh] Termos MeSH secundário: Disfunção Cognitiva/etiologia Disfunção Cognitiva/psicologia Disfunção Cognitiva/terapia Fadiga por Compaixão/etiologia Fadiga por Compaixão/prevenção & controle Fadiga por Compaixão/psicologia Efeitos Psicossociais da Doença Progressão da Doença Seres Humanos Determinação de Necessidades de Cuidados de Saúde Apoio Social [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170522 [Lr] Data última revisão: 170522 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170419 [St] Status: MEDLINE [do] DOI: 10.1186/s12877-017-0481-9

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[PMID]: 28358243 [Au] Autor: McCormick WH; Carroll TD; Slagel BA; Drescher KD; Nieuwsma JA; Currier JM [Ad] Endereço: a Psychology Department , University of South Alabama , Mobile , Alabama , USA. [Ti] Título: Professional Quality of Life and Changes in Spirituality Among VHA Chaplains: A Mixed Methods Investigation. [So] Source: J Health Care Chaplain;23(3):113-129, 2017 Jul-Sep. [Is] ISSN: 1528-6916 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: A mixed method design was implemented to examine the spirituality and emotional well-being of Veterans Health Administration (VHA) chaplains and how potential changes in spirituality and emotional well-being may affect their professional quality of life. Four distinct categories of changes emerged from the narrative statements of a nationally representative sample of 267 VHA chaplains: (1) positive changes (e.g., increased empathy), (2) negative changes (e.g., dysthymic mood, questioning religious beliefs), (3) combination of positive and negative changes, and (4) no change (e.g., sustenance through spirituality or self-care). Most chaplains reported positive (37%) or no change (30%) in their spirituality and/or emotional well-being. However, quantitative analyses revealed that chaplains who reported negative changes endorsed greater burnout and secondary traumatic stress. Overall, these findings suggest VHA chaplains are predominantly spiritually resilient, but negative changes in the spiritual domain can occur, potentially increasing the risk of adverse changes in professional quality of life. [Mh] Termos MeSH primário: Clero/psicologia Qualidade de Vida/psicologia Espiritualidade [Mh] Termos MeSH secundário: Esgotamento Profissional Clero/estatística & dados numéricos Fadiga por Compaixão Empatia Feminino Seres Humanos Masculino Meia-Idade Pesquisa Qualitativa Resiliência Psicológica Estados Unidos United States Department of Veterans Affairs [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170912 [Lr] Data última revisão: 170912 [Sb] Subgrupo de revista: H [Da] Data de entrada para processamento: 170331 [St] Status: MEDLINE [do] DOI: 10.1080/08854726.2017.1295675

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[PMID]: 28315536 [Au] Autor: Kuglin Jones A [Ad] Endereço: University of Utah. [Ti] Título: Oncology Nurse Retreat: A Strength-Based Approach to Self-Care and Personal Resilience
. [So] Source: Clin J Oncol Nurs;21(2):259-262, 2017 Apr 01. [Is] ISSN: 1538-067X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Oncology nurses are at high risk for burnout and compassion fatigue. Self-care is an essential element that oncology nurses should incorporate into their daily lives but, instead, is often deprioritized. As a result, nurses do not seek out educational opportunities that focus on self-care or personal growth. This article describes the curriculum that was developed for an oncology nurse retreat that promoted self-care and building personal resilience using tools that could be adapted for use with patients and families.
. [Mh] Termos MeSH primário: Adaptação Psicológica Esgotamento Profissional/psicologia Fadiga por Compaixão/psicologia Recursos Humanos de Enfermagem no Hospital/educação Recursos Humanos de Enfermagem no Hospital/psicologia Enfermagem Oncológica/normas Autocuidado/psicologia [Mh] Termos MeSH secundário: Adulto Atitude do Pessoal de Saúde Currículo Educação Continuada em Enfermagem/organização & administração Feminino Seres Humanos Masculino Meia-Idade Guias de Prática Clínica como Assunto Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171030 [Lr] Data última revisão: 171030 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 170319 [St] Status: MEDLINE [do] DOI: 10.1188/17.CJON.259-262

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[PMID]: 28315533 [Au] Autor: Phillips C; Welcer B [Ad] Endereço: University of Texas in Austin. [Ti] Título: Songs for the Soul: A Program to Address a Nurse's Grief
. [So] Source: Clin J Oncol Nurs;21(2):145-146, 2017 Apr 01. [Is] ISSN: 1538-067X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: When caring for patients with cancer, a number of situations arise that cause nurses to grieve. Nurses need time and space to grieve to prevent the untoward effects of cumulative grief. While providing a safe space for nurses to be vulnerable in grief, Songs for the Soul combines the healing effects of expressive writing, storytelling, and music to help nurses address the grief and suffering they experience in their work. The use of storytelling through music portrays an expression of their grief that matches the intensity of their caregiving experience. [Mh] Termos MeSH primário: Adaptação Psicológica Atitude Frente à Morte Fadiga por Compaixão/terapia Pesar Música Narração Recursos Humanos de Enfermagem/psicologia [Mh] Termos MeSH secundário: Adulto Feminino Seres Humanos Masculino Meia-Idade Autocuidado/métodos Apoio Social [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171030 [Lr] Data última revisão: 171030 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 170319 [St] Status: MEDLINE [do] DOI: 10.1188/17.CJON.145-146

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[PMID]: 28279112 [Au] Autor: Crowe L [Ad] Endereço: Lady Cilento Children's Hospital, Brisbane, Australia. [Ti] Título: Tips on building resilience and improving well-being. [So] Source: Emerg Nurse;24(10):14, 2017 Mar 10. [Is] ISSN: 1354-5752 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Poor staff retention in emergency nursing is unsurprising given that nurses who work in emergency departments (EDs) can often experience compassion fatigue, burnout and post-traumatic stress disorder. Can a passion for a profession that involves so much illness, trauma and death be enough to sustain people through their working days? [Mh] Termos MeSH primário: Enfermagem em Emergência Saúde do Trabalhador Resiliência Psicológica [Mh] Termos MeSH secundário: Fadiga por Compaixão/prevenção & controle Seres Humanos Doenças Profissionais/prevenção & controle Transtornos de Estresse Pós-Traumáticos/prevenção & controle [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170622 [Lr] Data última revisão: 170622 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 170311 [St] Status: MEDLINE [do] DOI: 10.7748/en.24.10.14.s16

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[PMID]: 28262139 [Au] Autor: Mordeno IG; Go GP; Yangson-Serondo A [Ad] Endereço: Mindanao State University-Iligan Institute of Technology, Iligan City, Philippines. Electronic address: imelumordeno@gmail.com. [Ti] Título: Examining the dimensional structure models of secondary traumatic stress based on DSM-5 symptoms. [So] Source: Asian J Psychiatr;25:154-160, 2017 Feb. [Is] ISSN: 1876-2026 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: Latent factor structure of Secondary Traumatic Stress (STS) has been examined using Diagnostic Statistic Manual-IV (DSM-IV)'s Posttraumatic Stress Disorder (PTSD) nomenclature. With the advent of Diagnostic Statistic Manual-5 (DSM-5), there is an impending need to reexamine STS using DSM-5 symptoms in light of the most updated PTSD models in the literature. The study investigated and determined the best fitted PTSD models using DSM-5 PTSD criteria symptoms. Confirmatory factor analysis (CFA) was conducted to examine model fit using the Secondary Traumatic Stress Scale in 241 registered and practicing Filipino nurses (166 females and 75 males) who worked in the Philippines and gave direct nursing services to patients. Based on multiple fit indices, the results showed the 7-factor hybrid model, comprising of intrusion, avoidance, negative affect, anhedonia, externalizing behavior, anxious arousal, and dysphoric arousal factors has excellent fit to STS. This model asserts that: (1) hyperarousal criterion needs to be divided into anxious and dysphoric arousal factors; (2) symptoms characterizing negative and positive affect need to be separated to two separate factors, and; (3) a new factor would categorize externalized, self-initiated impulse and control-deficit behaviors. Comparison of nested and non-nested models showed Hybrid model to have superior fit over other models. The specificity of the symptom structure of STS based on DSM-5 PTSD criteria suggests having more specific interventions addressing the more elaborate symptom-groupings that would alleviate the condition of nurses exposed to STS on a daily basis. [Mh] Termos MeSH primário: Fadiga por Compaixão Modelos Estatísticos Enfermeiras e Enfermeiros/psicologia Transtornos de Estresse Pós-Traumáticos [Mh] Termos MeSH secundário: Adolescente Adulto Fadiga por Compaixão/classificação Fadiga por Compaixão/diagnóstico Fadiga por Compaixão/fisiopatologia Manual Diagnóstico e Estatístico de Transtornos Mentais Feminino Seres Humanos Masculino Meia-Idade Filipinas Transtornos de Estresse Pós-Traumáticos/classificação Transtornos de Estresse Pós-Traumáticos/diagnóstico Transtornos de Estresse Pós-Traumáticos/fisiopatologia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1703 [Cu] Atualização por classe: 170314 [Lr] Data última revisão: 170314 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170307 [St] Status: MEDLINE

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