scholarly journals Assessing Resources in a Population of Hemodialysis Patients: A New Approach to Improve Quality of Care

Author(s):  
Tanja Bellier-Teichmann ◽  
Matteo Antonini ◽  
Philippe Delmas

AbstractHemodialysis patients constitute a vulnerable population. Their health needs are considerable and they often present psychological symptoms such as depression and anxiety. Empirical studies have demonstrated the efficacy of positive psychology interventions to enhance the well-being of patients and alleviate their depressive symptoms. One such intervention consists in identifying and mobilizing patient resources to activate their recovery. An intervention of the sort was implemented in Switzerland with hemodialysis nurses using AERES, a novel self-assessment instrument. AERES covers 31 domains under three dimensions: personal characteristics/qualities, hobbies/passions, and social/environmental resources. The aim of this qualitative study was to explore hemodialysis nurse perceptions of the use of this instrument. Sixteen hemodialysis nurses were recruited in six hospitals in French-speaking Switzerland and interviewed after delivering the intervention. A consensual qualitative research method was used to analyze the data. Results showed that the resources instrument was easy to administer and beneficial to patients and health professionals. Patient wellbeing became the top priority for the nurses and new interventions centered on patient resources were undertaken. Quality of patient care was improved. Nurses perceived this positive psychology instrument as a means of creating a positive relationship with patients and supporting them emotionally. Assessing the resources of this vulnerable population can provide health professionals with a powerful tool to understand patient intact resources, which can be used to alleviate symptoms and foster wellbeing.

2010 ◽  
Vol 18 (3) ◽  
pp. 472-479 ◽  
Author(s):  
Fabio Scorsolini-Comin ◽  
Manoel Antônio dos Santos

The article aims to trace the profile of publications concerning the concept of subjective well-being (SWB), considered the scientific study of happiness, as well as discussing the impact of this accumulated understanding on health promotion. The revision was carried out in the databases PubMed, MedLine, PsycINFO, SciELO, LILACS and PEPSIC using the descriptor subjective well-being. Articles published in indexed periodicals between 1970 and 2008 were selected. From the inclusion/exclusion criteria 19 publications were selected in full for discussion. Of these, the majority were related to the health area and did not approach the concept of SWB directly, but touched on this together with the notions of well-being, satisfaction and quality of life. There were few publications that approached the term conceptually or that defined the instruments used for the assessment of SWB. Concluding, the results confirm the relevance of the theme for health promotion and the necessity of investigations related to the practices of health professionals .


2018 ◽  
Vol 8 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Mahin Naderifar ◽  
Mansoureh Zagheri Tafreshi ◽  
Mahnaz Ilkhani ◽  
Magid Reza Akbarizadeh ◽  
Fereshteh Ghaljaei

Introduction: Institutionalizing adherence to treatment in hemodialysis patients is one of the important nursing goals for improving quality of life in these patients. Adherence to treatment approach in these patients can play a pivotal role in improving the health level and feeling of well-being. Objectives: This study aimed at determining the quality of life in hemodialysis patients presenting to hemodialysis centers affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, on the basis of adherence to treatment. Patients and Methods: This is a correlational descriptive-analytic study. The study population consisted of hemodialysis patients in five hospitals affiliated to Shahid Beheshti University of Medical Sciences, Tehran, in 2017. The data were collected during 8 months from October 2016 to May 2017 in Tehran. A sample volume of 200 patients was determined in this study. Demographic information questionnaire, KDQOL-SF, and ESRD-AQ were applied in data collection. Availability sampling method was used to select the samples on the basis of inclusion criteria. The data were analyzed with SPSS version 18 using descriptive and inferential statistics. Results: Our findings showed that 50% of the patients were male. Most of the respondents of the study (23%) were 51-60 years old. The results indicated that the mean score of quality of life of patients was 50.42±22.81. The mean total score of adherence to treatment was 901.13±85.30. Also, the correlation coefficient in this study revealed a significant correlation between total score of quality of life and adherence to treatment (r=0.218, P<0.01). Conclusion: Considering the significant correlation between adherence to treatment and life quality of patients, healthcare providers can promote the life quality of these patients via focusing on planning programs for emphasizing the role of education and interventions that improve adherence to treatment in these patients.


1985 ◽  
Vol 15 (3) ◽  
pp. 237-244 ◽  
Author(s):  
Chwee Lye Chng ◽  
Michael Kirby Ramsey

In a time of shrinking funds and growing demand for health services, volunteers are indispensable. Civic minded people from all walks of life, when properly trained, can play an important supportive role to health professionals in terminal care facilities. Beside enhancing the quality of life of patients, volunteers may also help educate professionals to cope with death and bereavement. More specifically, the article examines the different roles of the volunteer: companion/friend, advocate, and educator. It also draws a profile of the volunteer, lists qualifications and personal characteristics, offers suggestions on where to work, and discusses special training programs to prepare volunteers for work with the dying.


Author(s):  
Priscila Gadelha Cazolari ◽  
Matheus de Sousa Cavalcante ◽  
Marcelo Marcos Piva Demarzo ◽  
Frederico Molina Cohrs ◽  
Adriana Sanudo ◽  
...  

Abstract: Introduction: The presence of chronic stress, caused by the activities and demands of the medical course, can lead to what is called ‘burnout’, a syndrome characterized by three dimensions: emotional exhaustion, dehumanization (or depersonalization) and reduced professional achievement. Considering the increased incidence of burnout syndrome, anxiety and depression symptoms, suicide attempts and suicide rates among medical students, as a consequence of increasing demands for professional and financial success at the expense of physical and mental health, one understands the importance of studying the subject and proposing measures of prevention and control. The aim of this study was to evaluate and describe the levels of burnout and well-being of medical students at a Brazilian public university. Method: The stress and well-being levels of students from the first to the sixth year for the Medical Course at Universidade Federal de São Paulo were evaluated using MBI-SS and WHOQOL-BREF questionnaires, applied online on the REDCAP platform. Results: A total of 302 students completed the questionnaires. Regarding the MBI-SS, students showed a low value in the emotional exhaustion factor and high levels of professional disbelief and effectiveness, indicating a burnout that ranged from low to moderate. It was also observed that female students showed a greater tendency toward emotional exhaustion when compared to male ones, as well as the fact that students from the 1st and 2nd years showed higher values of professional effectiveness when compared with 3rd and 4th years, with no difference between genders. Based on the answers from WHOQUOL-BREF questionnaire, the students thought they had a good quality of life. Discussion: These results reinforce possible factors that might interfere with the students’ quality of life: excessive workload, teaching model based on extensive lectures, lack of stimulation, recognition for their efforts. Conclusion: The medical students evaluated in this study have a good quality of life and show low or moderate burnout levels.


2021 ◽  
Vol 79 (2) ◽  
pp. 149-155
Author(s):  
Janaína Mariana de Araújo Miranda Brito-Marques ◽  
Clélia Maria Ribeiro Franco ◽  
Paulo Roberto de Brito-Marques ◽  
Sandra Cristina Gonçalves Martinez ◽  
Gilmar Fernandes do Prado

ABSTRACT Introduction: Coronavirus pandemic began in China in 2019 (COVID-19), causing not only public health problems but also great psychological distress, especially for physicians involved in coping with the virus or those of the risk group in social isolation, and this represents a challenge for the psychological resilience in the world population. Studies showed that health professionals had psychological symptoms such as depression, anxiety, insomnia, stress, among others. Objectives: To investigate the quality of sleep and the prevalence rate of sleeping disorders among physicians during COVID-19 pandemic, and identify the psychological and social factors associated with the condition. Methods: A cross-sectional study of an online questionnaire was applied for physicians in Brazil. Among the 332 participants included, 227 were women. Sociodemographic assessment was used in the questionnaire, as well as the scale of impact on the events of modifications caused by COVID-19, assessment on sleep quality (PSQI), presence and severity of insomnia (ISI), depressive symptoms (PHQ-9), and anxiety (GAD-7). Results: Most physicians (65.6%) had changes in sleep. Poor sleep quality was reported by 73.1%, depressive symptoms were present in 75.8%, and anxiety in 73.4%. Conclusion: Our study found that more than 70% of the physicians assessed had impaired sleep quality, characterizing insomnia symptoms during COVID-19 outbreak. Related factors included an environment of isolation, concerns about COVID-19 outbreak and symptoms of anxiety and depression. Special interventions are needed to promote health professionals’ mental well-being and implement changes in this scenario.


2016 ◽  
Vol 8 (4) ◽  
pp. 81
Author(s):  
Parinaz Sajjadian ◽  
Mehrdad Kalantari ◽  
Mohammad Reza Abedi ◽  
Parisa Nilforooshan

<p>The purpose of the present study was to offer predictive model of happiness on the basis of positive psychology constructs. It is among correlational studies through applying causal modeling. The statistical population of the study included BA students at the University of Isfahan and Industrial University. A sample of 420 individuals was selected via multi-stage clustered random sampling method. The measurement instruments included Oxford’s happiness questionnaire (Argyle, 1989), psychological well-being (Ryff, 1989), quality of life (Cummins, 1997), Polotzin and Elison’s spiritual Well-Being (1982) and Bar-On’s Emotional Intelligence (2000). The data were analyzed through Amos22 software. Results showed that the model with supposed indexes owned an appropriate goodness of fit. The results implied that the greatest amount of variance of happiness is explained by the direct effect of quality of life and indirect effect of emotional intelligence with mediating of quality of life. The direct effect of emotional intelligence with mediating psychological wellbeing and indirect effect of emotional intelligence on happiness with mediating spiritual wellbeing explains the variable of happiness at medium level. Finally the role of positive psychology constructs especially quality of life and emotional intelligence is confirmed in happiness and the results state the importance of positive psychology constructs in happiness.</p>


2013 ◽  
Vol 27 (3) ◽  
pp. 126-130 ◽  
Author(s):  
Chih-Chin Chou ◽  
Fong Chan ◽  
Brian Phillips ◽  
Jacob Yui Chung Chan

Positive psychology has received increasing attention in rehabilitation counseling research and practice. The rehabilitation counseling philosophy shares a similar emphasis of personal assets and strengths, which provides a solid foundation for the integration of positive psychology into the professional practice of rehabilitation counseling. In this article, the guest editors present their rationale for developing this special issue on positive psychology and rehabilitation research. They highlight some of the exciting findings reported in the articles included in this special issue on positive psychology and rehabilitation research. The goal of this special issue is to stimulate thinking and discussion about applying positive psychology theory, research, assessment, and interventions in rehabilitation counseling for promoting overall well-being, quality of life, and happiness for people with chronic illness and disabilities.


2016 ◽  
Vol 29 (11) ◽  
pp. 716 ◽  
Author(s):  
Rui Passadouro ◽  
Pedro Lopes Ferreira

Introduction: Job satisfaction, as an organizational climate indicator, is a complex and subjective phenomenon. It is prone to individual variation, social settings and suitable to multiple explanatory theories. It can impact productivity and absenteeism, predict well-being, and it is associated with mental health, self-esteem and perception of physical health. It is comprised as one of the National Health Service evaluation criteria. This study aimed to assess the level of job satisfaction in family health units of Central Region of the country.Material and Methods: This was an observational, cross-sectional study with a descriptive analysis model and a correlational component. The Centro de Estudos e Investigação em Saúde da Universidade de Coimbra’s Professional Satisfaction Assessment Instrument was selected as data collection instrument. Among a universe of 809 health professionals, a total of 774 professionals participated in this study population.Results: The observed response rate was 66.4% at the Professional Satisfaction Assessment Instrument, corresponding to 514 professionals. Eighty two per cent of the respondents were female and 18% male. From the total subjects, 64.8% worked in model A units and the remaining 35.2% in model B units. Regarding professional categories, 34.2% were nurses, 39.8% were doctors and 26.0% clinical secretaries. The global level of satisfaction was 71.5% being 67.4% with the quality of the work setting, 78.3% with the quality of the care provided and 80.7% with the continuous improvement of quality.Discussion: The sample was predominantly composed by female subjects (82%), in line with current gender distribution of professionals. Found levels of job satisfaction (71.5%) were 5.4% lower than previously recorded in 2009.Conclusion: We recommend systematic evaluation of job satisfaction in contracting regimens, similarly to user satisfaction.


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