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  1 / 2761 MEDLINE  
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[PMID]:28614029
[Au] Autor:Gafson I; Currie J; O'Dwyer S; Woolf K; Griffin A
[Ad] Endereço:Specialty Registrar in Obstetrics and Gynaecology and Medical Education Fellow, Research Department of Medical Education, UCL Medical School, London.
[Ti] Título:Attitudes towards attrition among UK trainees in obstetrics and gynaecology.
[So] Source:Br J Hosp Med (Lond);78(6):344-348, 2017 Jun 02.
[Is] ISSN:1750-8460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Physician dissatisfaction in the workplace has consequences for patient safety. Currently in the UK, 1 in 5 doctors who enter specialist training in obstetrics and gynaecology leave the programme before completion. Trainee attrition has implications for workforce planning, organization of health-care services and patient care. The authors conducted a survey of current trainees' and former trainees' views concerning attrition and 'peri-attrition' - a term coined to describe the trainee who has seriously considered leaving the specialty. The authors identified six key themes which describe trainees' feelings about attrition in obstetrics and gynaecology: morale and undermining; training processes and paperwork; support and supervision; work-life balance and realities of life; NHS environment; and job satisfaction. This article discusses themes of an under-resourced health service, bullying, lack of work-life balance and poor personal support.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Ginecologia/educação
Satisfação no Emprego
Corpo Clínico Hospitalar
Moral
Obstetrícia/educação
Apoio Social
Equilíbrio Trabalho-Vida
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Pesquisa Qualitativa
Medicina Estatal
Inquéritos e Questionários
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.12968/hmed.2017.78.6.344


  2 / 2761 MEDLINE  
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[PMID]:28302640
[Au] Autor:Rimmer A
[Ad] Endereço:BMJ Careers.
[Ti] Título:RCP survey highlights workload, morale, and patient safety concerns.
[So] Source:BMJ;356:j1313, 2017 03 16.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Moral
Segurança do Paciente
Médicos/psicologia
Carga de Trabalho
[Mh] Termos MeSH secundário: Inglaterra
Seres Humanos
Medicina Estatal/normas
Inquéritos e Questionários
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j1313


  3 / 2761 MEDLINE  
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[PMID]:28132555
[Au] Autor:McKibben L
[Ad] Endereço:Registered Nurse, Belfast HSC Trust, Queen's University, Belfast.
[Ti] Título:Conflict management: importance and implications.
[So] Source:Br J Nurs;26(2):100-103, 2017 Jan 26.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Conflict is a consistent and unavoidable issue within healthcare teams. Despite training of nurse leaders and managers around areas of conflict resolution, the problem of staff relations, stress, sickness and retention remain. Conflict arises from issues with interpersonal relationships, change and poor leadership. New members of staff entering an already established healthcare team should be supported and integrated, to encourage mutual role respect between all team members and establish positive working relationships, in order to maximise patient care. This paper explores the concept of conflict, the importance of addressing causes of conflict, effective management, and the relevance of positive approaches to conflict resolution. Good leadership, nurturing positive team dynamics and communication, encourages shared problem solving and acceptance of change. Furthermore mutual respect fosters a more positive working environment for those in healthcare teams. As conflict has direct implications for patients, positive resolution is essential, to promote safe and effective delivery of care, whilst encouraging therapeutic relationships between colleagues and managers.
[Mh] Termos MeSH primário: Relações Interprofissionais
Negociação/psicologia
Enfermeiras Administradoras/psicologia
Papel do Profissional de Enfermagem/psicologia
Cultura Organizacional
Local de Trabalho/organização & administração
Local de Trabalho/psicologia
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Seres Humanos
Liderança
Moral
Equipe de Assistência ao Paciente/organização & administração
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170710
[Lr] Data última revisão:
170710
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.2.100


  4 / 2761 MEDLINE  
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[PMID]:28118208
[Au] Autor:Rozanski A; Cohen R
[Ad] Endereço:From the Division of Cardiology, Mount Sinai St. Lukes Hospital, Mount Sinai Heart, the Icahn School of Medicine at Mount Sinai, New York, New York; and Crystal Run Healthcare, West Nyack, New York.
[Ti] Título:From Vitality to Vital Exhaustion and Other States of "Tense Tiredness": A New Biopsychosocial Risk Domain.
[So] Source:Psychosom Med;79(3):256-259, 2017 Apr.
[Is] ISSN:1534-7796
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Fatigue is a common prodromal symptom for various medical conditions, including acute myocardial infarction. Fatigue is also the core component of vital exhaustion, which consists of a specific triad: excessive fatigue, increased irritability, and feelings of demoralization. In this issue of Psychosomatic Medicine, Frestad and Prescott present a meta-analysis of 16 studies, involving 53,337 participants, which found vital exhaustion to be associated with an increased risk of incident coronary heart disease (CHD) and recurrent cardiac events among individuals with established CHD. After discussing methodological limitations of the studies included in this meta-analysis, we describe these findings in terms of a larger genre of risk that is biopsychosocial in origin and tied to two types of tiredness: "calm tiredness" and "tense tiredness." The former is regenerative, while the latter enhances disease risk. We propose that besides vital exhaustion, other symptoms of negative affect may combine with tiredness to produce increased clinical risk, such as the presence of depressed mood, an inability to relax or recover after work, and symptoms of burnout. We further propose that vital exhaustion can be considered as part of a larger paradigm, ranging from a positive state of vitality to a negative state of exhaustion of vitality. We conclude this editorial by emphasizing the importance of improving vitality and the need to clarify biobehavioral mechanisms that play a role in the association between vital exhaustion and adverse CHD outcomes. New interventions are needed that target reducing exhaustion and improving vitality for individuals at high risk of CHD.
[Mh] Termos MeSH primário: Doença das Coronárias/etiologia
Fadiga/fisiopatologia
Humor Irritável/fisiologia
Moral
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:EDITORIAL; INTRODUCTORY JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1097/PSY.0000000000000452


  5 / 2761 MEDLINE  
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[PMID]:28034332
[Au] Autor:De Coster A
[Ad] Endereço:Editor.
[Ti] Título:Renewing focus on health and wellbeing in the community.
[So] Source:Br J Community Nurs;22(1):645, 2017 Jan 02.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermagem em Saúde Comunitária
Educação em Enfermagem
Moral
Enfermeiras de Saúde Comunitária/psicologia
[Mh] Termos MeSH secundário: Acidentes por Quedas/prevenção & controle
Fadiga
Necessidades e Demandas de Serviços de Saúde
Pacientes Domiciliares
Seres Humanos
Linfedema/genética
Saúde Bucal
Estresse Psicológico
Transição para Assistência do Adulto
[Pt] Tipo de publicação:EDITORIAL; INTRODUCTORY JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170221
[Lr] Data última revisão:
170221
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161231
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2017.22.1.645


  6 / 2761 MEDLINE  
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[PMID]:27902666
[Au] Autor:Frestad D; Prescott E
[Ad] Endereço:From the Department of Cardiology (Frestad, Prescott), Bispebjerg Hospital, and Department of Cardiology (Frestad), Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
[Ti] Título:Vital Exhaustion and Coronary Heart Disease Risk: A Systematic Review and Meta-Analysis.
[So] Source:Psychosom Med;79(3):260-272, 2017 Apr.
[Is] ISSN:1534-7796
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The construct of vital exhaustion has been identified as a potential independent psychological risk factor for incident and recurrent coronary heart disease (CHD). Despite several decades of research, no systematic review or meta-analysis has previously attempted to collate the empirical evidence in this field. The purpose of this study was to review and quantify the impact of vital exhaustion on the development and progression of CHD. METHODS: Prospective and case-control studies reporting vital exhaustion at baseline and CHD outcomes at follow-up were derived from PubMed, PsycINFO (1980 to July 2015; articles in English and published articles only), and bibliographies. Information on aim, study design, sample size, inclusion and exclusion criteria, assessment methods of psychological risk factors, and results of crude and adjusted regression analyses were abstracted independently by two authors. RESULTS: Thirteen prospective (n = 52,636) and three case-control (cases, n = 244; controls, n = 457) studies assessed vital exhaustion and could be summarized in meta-analyses. The pooled adjusted risk of CHD in healthy populations was 1.50 (95% confidence interval [CI] = 1.22-1.85) for prospective studies, and 2.61 (95% CI = 1.66-4.10) for case-control studies using hospital controls. Risk of recurrent events in patients with CHD was 2.03 (95% CI = 1.54-2.68). The pooled adjusted risk of chronic heart failure in healthy populations was 1.37 (95% CI = 1.21-1.56), but this was based on results from only two studies. CONCLUSIONS: Vital exhaustion is associated with increased risk of incident and recurrent CHD.
[Mh] Termos MeSH primário: Doença das Coronárias/epidemiologia
Fadiga/epidemiologia
Humor Irritável/fisiologia
Moral
[Mh] Termos MeSH secundário: Doença das Coronárias/etiologia
Fadiga/complicações
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE
[do] DOI:10.1097/PSY.0000000000000423


  7 / 2761 MEDLINE  
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[PMID]:27889589
[Au] Autor:Niklasson J; Näsman M; Nyqvist F; Conradsson M; Olofsson B; Lövheim H; Gustafson Y
[Ad] Endereço:Department of Community Medicine and Rehabilitation, Geriatric Medicine, Sunderby Research Unit, Umeå University, Umeå, Sweden. Electronic address: Johan.Niklasson@umu.se.
[Ti] Título:Higher morale is associated with lower risk of depressive disorders five years later among very old people.
[So] Source:Arch Gerontol Geriatr;69:61-68, 2017 Mar - Apr.
[Is] ISSN:1872-6976
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study was to investigate whether higher morale, i.e. future-oriented optimism, at baseline was associated with lower risk of depressive disorders five years later among very old people.Methods The Umeå85+/GErontological Regional Database, a population-based study with a longitudinal design, recruited participants in Sweden and Finland aged 85, 90 and ≥95 years. The sample in the present study included 647 individuals (89.1±4.4 years (Mean±SD), range 85-103). After five years, 216 were alive and agreed to a follow-up (92.6±3.4 years, range 90-104). The Philadelphia Geriatric Center Morale Scale (PGCMS) was used to assess morale. The depressive disorder diagnosis was determined according to DSM-IV based on medical records and interview data including assessment scales for depressive disorders. A number of sociodemographic, functional and health-related variables were analysed as possible confounders.Results For those with no depressive disorders at baseline, the only baseline variable significantly associated with depressive disorders five years later was the PGCMS score. A logistic regression model showed lower risk of depressive disorders five years later with higher baseline PGCMS scores (odds ratio 0.779 for one point increase in PGCMS, p<0.001). The association remained after adjusting for social isolation (p<0.1 association with depressive disorders five years later).Conclusion Our results indicate that the higher the morale, the lower the risk of depressive disorders five years later among very old people. The PGCMS seems to identify those very old individuals at increased risk of depressive disorders five years later. Preventive measures could befocused on this group.
[Mh] Termos MeSH primário: Transtorno Depressivo/prevenção & controle
Avaliação Geriátrica/métodos
Nível de Saúde
Moral
Otimismo/psicologia
[Mh] Termos MeSH secundário: Atividades Cotidianas/psicologia
Idoso de 80 Anos ou mais
Transtorno Depressivo/epidemiologia
Transtorno Depressivo/psicologia
Feminino
Finlândia/epidemiologia
Seguimentos
Seres Humanos
Incidência
Masculino
Testes Psicológicos
Fatores de Risco
Suécia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170705
[Lr] Data última revisão:
170705
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161128
[St] Status:MEDLINE


  8 / 2761 MEDLINE  
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[PMID]:28937709
[Au] Autor:Moalem J; Alseidi AA; Broghammer J; Suliburk J; Klaristenfeld DD; Sakran JV; Sutherland MJ; Turner PL
[Ti] Título:Young surgeons speak up: Stringent OR attire restrictions decrease morale without improving outcomes.
[So] Source:Bull Am Coll Surg;101(10):10-9, 2016 10.
[Is] ISSN:0002-8045
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Vestuário/normas
Moral
Salas Cirúrgicas
Cirurgiões
[Mh] Termos MeSH secundário: Guias como Assunto
Seres Humanos
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170925
[St] Status:MEDLINE


  9 / 2761 MEDLINE  
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[PMID]:27897775
[Ti] Título:Small changes can make a big difference.
[So] Source:Nurs Stand;31(12):74, 2016 Nov 16.
[Is] ISSN:2047-9018
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Are small changes the key to inspiring staff and service users? Star Wards charity inpatient care project manager Nic Higham writes in Mental Health Practice about making those small changes.
[Mh] Termos MeSH primário: Pacientes Internados/psicologia
Moral
Recursos Humanos de Enfermagem no Hospital/psicologia
Cultura Organizacional
Enfermagem Psiquiátrica/organização & administração
Medicina Estatal/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161130
[St] Status:MEDLINE


  10 / 2761 MEDLINE  
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[PMID]:27892251
[Ti] Título:Readers' panel - Is the 1% pay cap for NHS staff destroying nurses' morale?
[So] Source:Nurs Stand;31(13):31, 2016 Nov 23.
[Is] ISSN:2047-9018
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Our experts consider a hot topic of the day.
[Mh] Termos MeSH primário: Moral
Recursos Humanos de Enfermagem/psicologia
Salários e Benefícios
Medicina Estatal/economia
[Mh] Termos MeSH secundário: Seres Humanos
Recursos Humanos de Enfermagem/economia
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170426
[Lr] Data última revisão:
170426
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161129
[St] Status:MEDLINE



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