scholarly journals Relación entre estrés laboral, alucinación y experiencias anómalas entre profesionales de enfermería

2016 ◽  
Vol 13 (2) ◽  
pp. 22
Author(s):  
Alejandro Enrique Parra ◽  
Paola Gimenez-Amarilla
Keyword(s):  
Work Stress ◽  
Health Workers ◽  
Night Shift ◽  
Maslach Burnout Inventory ◽  
Control Group ◽  
Major Work ◽  
Extrasensory Perception ◽  
Palabras Clave ◽  
Nursing Professionals ◽  
Tellegen Absorption Scale

Objetivo: evaluar el tipo y frecuencia de experiencias perceptuales inusuales en ámbitos hospitalarios, así como su relación con el estrés laboral y la absorción, y comparar tales experiencias en enfermeros (os) que las han tenido. Materiales y Métodos: se analizó una muestra de 39 enfermeros (as)  con tales experiencias y un grupo control de 61 profesionales (sin experiencias). Las enfermeros (as) completaron cuatro instrumentos: la Encuesta de Experiencias Anómalo/Paranormales en Enfermeras y Trabajadores de la Salud, el Maslach Burnout Inventory que mide el estrés laboral, el Cuestionario de Experiencias Alucinatorias que evalúa la propensión a la alucinación y la Escala de Absorción de Tellegen que evalúa el grado de involucramiento en la percepción. Resultados: los profesionales que reportaron tales experiencias no tendían a experimentar mayor estrés laboral, en comparación con un grupo control, en contra de la principal hipótesis; sin embargo, mostraron mayor frecuencia experiencias perceptivas anómalas asociadas a la capacidad de absorción psicológica, que resultó el principal predictor entre enfermeras con experiencia y el grupo control [β= 0,33, p= 0,005; R2= 0,12] combinando estrés laboral y propensión a la alucinación. Conclusión: el análisis estadístico confirma que los profesionales de enfermería que reportan experiencias perceptuales inusuales, tienden a mostrar mayor absorción psicológica, de igual forma, mayor propensión a alucinar; sin embargo, ninguna de estas variables se relaciona con el estrés laboral. El turno de noche es el más propenso a estas experiencias. PALABRAS CLAVE: estrés laboral, enfermería, parapsicología, percepción extrasensorial.Relationship between work stress, hallucination and abnormal experiences among nursing professionals ABSTRACT Objective: evaluate the type and frequency of unusual perceptual experiences in hospital areas, as well as its relationship with work stress and absorption, and compare such experiences in nurses who have had. Materials and Methods: a sample of 39 nurses with such experiences and a control group of 61 professionals (without experiences) were analyzed. The nurses completed four instruments: The Survey of Abnormal/Paranormal Experiences in Nurses and Health Workers, the Maslach Burnout Inventory that measures work stress, the Questionnaire of Hallucinatory Experiences that evaluates the tendency of hallucinating, and the Tellegen Absorption Scale that assesses the degree of involvement in perception. Results: the professionals that reported such experiences did not tend to experience major work stress, in comparison to a control group, in opposition to the first hypothesis; however, they showed more frequency to abnormal perceptual experiences associated with the capacity of psychological absorption, which resulted in the main predictor between nurses with experience and the control group [β= 0,33, p= 0,005; R2= 0,12] combining work stress and tendency of hallucination. Conclusion: the statistical analysis confirms that the nursing professionals that report unusual perceptual experiences, tend to show a greater psychological absorption, likewise, a greater tendency to hallucinate; however, none of these variables is related with work stress. The night shift is the most prone to these experiences. KEYWORDS: burnout professional, nursing, parapsychology, extrasensory perception. Relação entre estresse de trabalho, alucinação e experiências anômalas entre professionais de enfermagem RESUMO Objetivo: avaliar o tipo e frequência de experiências perceptuais incomuns em âmbitos hospitalários, assim como sua relação com o estresse de trabalho e a absorção, e comparar tais experiências em enfermeiras (os) que tiveram. Materiais e Métodos: analisou-se uma amostra de 39 enfermeiras (os) com tais experiências e um grupo controle de 61 professionais (inexperientes). As enfermeiras (os) completaram quatro instrumentos: a Pesquisa de Experiências Anômalo/Paranormais em Enfermeiras e Trabalhadores da Saúde, o Maslach Burnout Inventory que mede o estresse de trabalho, o Questionário de Experiências Alucinatórias que avalia a propensão à alucinação e a Escala de Absorção de Tellegen que avalia o grau de envolvimento na percepção. Resultados: os professionais que reportaram tais experiências não tenderam a experimentar maior estresse de trabalho, em comparação com um grupo controle, contra a hipótese principal; porém, mostraram maior frequência de experiências perceptivas anômalas associadas à capacidade de absorção psicológica, que resultou o principal preditor entre enfermeiras com experiência e o grupo controle [β= 0,33, p= 0,005; R2= 0,12] combinando estresse de trabalho e propensão à alucinação. Conclusões: a análise estadística confirma que os professionais de enfermagem que reportam experiências perceptuais incomuns, tendem a mostrar maior absorção psicológica; de igual maneira, maior propensão a alucinar; no entanto, nenhuma destas variáveis se relaciona com o estresse de trabalho. O turno da noite é o mais propenso a esse tipo de experiência.PALAVRAS-CHAVE: esgotamento profissional, enfermagem, parapsicologia, percepção extra-sensorial.

scholarly journals Sentimentos dos profissionais de enfermagem na saúde mental: revisão para auxiliar assistência pós novo coronavírus

2020 ◽  
Vol 10 (31) ◽  
pp. 142-154
Author(s):  
Davi Porfirio da Silva ◽  
Igor Michel Ramos dos Santos ◽  
John Victor dos Santos Silva ◽  
Marcos André dos Santos ◽  
Yanna Cristina Moraes Lira Nascimento
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Emotional Health ◽  
Mental Health Workers ◽  
Mental Health Nursing ◽  
Palabras Clave ◽  
Salud Mental ◽  
Health Nursing ◽  
Nursing Professionals ◽  
Management Issues

Verificar na literatura os sentimentos dos profissionais de enfermagem que atuam em saúde mental para auxílio na assistência após consequências pandêmicas do novo coronavírus. Revisão integrativa realizada nas bases BVS, SciELO e Periódicos CAPES através dos descritores: Enfermagem; Equipe de Enfermagem; Enfermagem Psiquiátrica e Saúde Mental, foram selecionados 10 artigos dos 254 encontrados. Os estudos revelaram sentimentos de insegurança, sobrecarga, medo, incapacidade e despreparo pelos profissionais de enfermagem que comprometem o cuidado, reforçam estigmas e aumentam o estresse vivenciado durante as atividades laborais. Dentre os fatores causadores podem ser mencionado deficiência na formação, questões de gestão, assistência no modelo biomédico e desvalorização profissional. Investimentos na formação acadêmica, no acompanhamento da saúde ocupacional e psicoemocional dos profissionais, promoção de ações de educação permanente, além de transformações na gestão podem ser indicadores atenuantes para sentimentos desconfortáveis nos trabalhadores em saúde mental após impactos gerados pela pandemia da COVID-19.Descritores: Saúde Mental, Profissionais de Enfermagem, Sentimentos. Feelings of nursing professionals in mental health: a review to assist the assistence after the new coronavirusAbstract: To verify in the literature the feelings of nursing professionals who work in mental health to assist in assistance after pandemic consequences of the new coronavirus. Integrative review conducted on the BVS, SciELO and CAPES journals using the keywords: Nursing; Nursingteam; Psychiatric Nursing and Mental Health.10 articles were selected from the 254 found. The studies revealed feelings of insecurity, overload, fear, incapacity and unpreparedness by nursing professionals that compromise the care, reinforce stigmas and increase the stress experienced during work activities. Among the factors can be mentioned deficiency in training, management issues, assistance in the biomedical model and professional devaluation. Investments in academic training, monitoring occupational and psycho-emotional health of professionals, promotion of continuing educationactions, in addition to changes in management can be mitigating indicators for uncomfortable feelings in mental health workers after impacts generated by the pandemic of COVID-19.Descriptors: Mental Health, Nursing Professionals, Feelings. Sentimientos de los profesionales de enfermería en salud mental: una revisión para ayudar después de la nueva asistencia de coronavirusResumen: Verificar en la literatura los sentimientos de los profesionales de enfermería que trabajan en salud mental para ayudar en la asistencia después de las consecuencias pandémicas del nuevo coronavirus. Revisión integral realizada en las revistas BVS, SciELO y CAPES utilizando las palabras clave: Enfermería; Equipo de enfermería; Enfermería psiquiátrica y salud mental, se seleccionaron 10 artículos de los 254 encontrados. Los estudios revelaron sentimientos de inseguridad, sobrecarga, miedo, incapacidad y falta de preparación por parte de profesionales de enfermería que comprometen la atención, refuerzan los estigmas y aumentan el estrés experimentado durante las actividades laborales. Entre los factores causales se pueden mencionar deficiencias en la capacitación, cuestiones de gestión, asistencia en el modelo biomédico y devaluación profesional. Las inversiones en capacitación académica, el monitoreo de la salud ocupacional y psicoemocional de los profesionales, la promoción de acciones de educación permanente, además de los cambios en la gestión, pueden ser indicadores atenuantes de sentimientos incómodos en los trabajadores de salud mental después de los impactos generados por la pandemia de COVID-19.Descriptores: Salud Mental, Profesionales de Enfermería, Sentimientos.

scholarly journals Estrategias que modulan el síndrome de Burnout en enfermeros (as): una revisión bibliográfica

2017 ◽  
Vol 14 (1) ◽  
pp. 111 ◽  
Author(s):  
Luz  Dalila  Vargas-Cruz ◽  
Carmen  Lucía  Niño-Cardozo ◽  
Jessica  Yurlay  Acosta-Maldonado
Keyword(s):  
Depression Scale ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Palabras Clave ◽  
Apoyo Social ◽  
Professional Nurses ◽  
Online Library ◽  
Nursing Professionals

Introducción: el síndrome de Burnout es la sensación de agotamiento y pérdida de interés por el trabajo que surge en profesionales que mantienen contacto diario con otras personas. Metodología: se realizó una revisión de artículos que reportan estrategias para modular el Burnout en profesionales de enfermería, en las siguientes bases de datos: Scielo, ProQuest, Sciencie Direct, Ovid Nursing, EBSCO, Medline, Pubmed y Wiley Online Library. Los descriptores en español, inglés y portugués utilizados fueron: Burnout, enfermeras, intervenciones. Se encontraron 1.833 artículos, de los cuales 17 cumplieron con los criterios de selección. Resultados: el efecto de las intervenciones pre y post para el Burnout fue medido con el Maslach Burnout Inventory y la Escala de Depresión y Ansiedad Hospitalaria, entre otros. Las intervenciones más reportadas fueron apoyo social, psico-educación, entrenamiento en la solución de problemas y en habilidades de comunicación. 16 artículos reportaron disminución o ausencia del Burnout después de las intervenciones, con cambios en las variables propuestas por Maslach y Jackson o en la sostenibilidad en el tiempo. Conclusión: se reportan estrategias para el Burnout sin distinción de las variables del mismo; sin embargo, se evidencian diferencias en los resultados frente a cambios positivos en cansancio emocional, en comparación con las otras variablesPALABRAS CLAVE:  adaptación  psicológica,  agotamiento  profesional,  enfermeros,  despersonalización.            Strategies that modulate the Burnout syndrome in nurses: a bibliographic review                                                                       ABSTRACTIntroduction: the Burnout syndrome is the feeling of exhaustion and loss of interest in the work  that emerges in professionals that maintain daily contact with other people. Methodology: A review  of articles that report strategies to modulate the Burnout in nursing professionals was performed in  the following databases: Scielo, ProQuest, ScienceDirect, Ovid Nursing, EBSCO, Medline, Pubmed  and Wiley Online Library. The descriptors used in Spanish, English and Portuguese were: Burnout,  nurses, interventions. 1833 articles were found, in which 17 met the criteria of selection. Results: the effects of pre and post interventions for the Burnout was measured with the Maslach Burnout  Inventory and the Hospital Anxiety and Depression Scale, among others. The interventions most  reported were social support, psychoeducation, problem solving training and communication skills.  16 articles reported the decrease or absence of Burnout after the interventions, with changes in the  variables proposed by Maslach and Jackson or in the sustainability over time. Conclusion: strategies  for the Burnout are reported without distinction of the variables; however, differences are evidenced  on the results regarding positive changes in emotional tiredness, compared to other variables. PALABRAS CLAVE: adaptation psychological, Burnout professional, nurses, depersonalization. Estratégias que modulam a síndrome de Burnout em enfermeiros (as): uma revisão de literatura                                                                        RESUMOIntrodução: a síndrome de Burnout é um transtorno adaptativo crônico associado às demandas e exigências laborais, cujo desenvolvimento é insidioso e frequentemente não reconhecido pelo indivíduo, que gera cansaço emocional, sensação de esgotamento e perda de interesse pelo trabalho, principalmente apresentando-se em professionais que mantem contato diário com outras pessoas. Metodologia: realizou-se uma revisão de artigos que reportam estratégias para modular o Burnout em professionais de enfermagem, nas seguintes bases de dados: Scielo, ProQuest, Sciencie Direct, Ovid Nursing, EBSCO, Medline, Pubmed e Wiley Online Library. Os descritores utilizados em espanhol, inglês e português foram: Burnout, enfermeiras, intervenções. Encontraram-se 1.833 artigos, dos quais 17 cumpriram com os critérios de seleção. Resultados: o efeito das intervenções pré e pós para o Burnout foi medido com o Maslach Burnout Inventory e a Escala de Depressão e Ansiedade Hospitalar, entre outros. As intervenções mais reportadas foram apoio social, psico-educação, treinamento na solução de problemas e em habilidades de comunicação. 16 artigos reportaram diminuição ou ausência do Burnout depois das intervenções, com mudanças nas variáveis propostas por Maslach e Jackson ou na sustentabilidade no tempo. Conclusão: se reportam estratégias para o Burnout sim distinção das variáveis do mesmo; porém, se evidenciam diferenças nos resultados frente a mudanças positivas em cansaço emocional, em comparação com as outras variáveisPALAVRAS-CHAVE: adaptação psicológica, esgotamento professional, enfermeiras e enfermeiros,  despersonalização.

scholarly journals Prevalence and Factors Associated with Burnout Syndrome among Primary Health Care Nursing Professionals: A Cross-Sectional Study

2020 ◽  
Vol 17 (2) ◽  
pp. 474 ◽  
Author(s):  
Magno Conceição das Merces ◽  
Julita Maria Freitas Coelho ◽  
Iracema Lua ◽  
Douglas de Souza e Silva ◽  
Antonio Marcos Tosoli Gomes ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Night Shift ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Cross Sectional ◽  
Factors Associated ◽  
Primary Health ◽  
Physical Form ◽  
Nursing Professionals

The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47–0.83), residence (PR = 2.35, CI 95% = 1.79–3.09), economic situation (PR = 1.40, CI 95% = 1.06–1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31–2.33), (PR = 1.60, CI 95% = 1.23–2.08), rest (PR = 1.83, 95% CI = 1.41–2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06–1.77), night shift (PR = 1.49, CI 95% = 1.14–1.96), physical activity practice (PR = 1.72; CI 95% = 1.28–2.31), smoking (PR = 1.82, CI 95% = 1.35–2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01–179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.

scholarly journals Sentimentos dos profissionais de enfermagem na saúde mental: revisão para auxiliar assistência pós novo coronavírus

2020 ◽  
Vol 10 (31) ◽  
pp. 142-154
Author(s):  
Davi Porfirio da Silva ◽  
Igor Michel Ramos dos Santos ◽  
John Victor dos Santos Silva ◽  
Marcos André dos Santos ◽  
Yanna Cristina Moraes Lira Nascimento
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Emotional Health ◽  
Mental Health Workers ◽  
Mental Health Nursing ◽  
Palabras Clave ◽  
Salud Mental ◽  
Health Nursing ◽  
Nursing Professionals ◽  
Management Issues

Verificar na literatura os sentimentos dos profissionais de enfermagem que atuam em saúde mental para auxílio na assistência após consequências pandêmicas do novo coronavírus. Revisão integrativa realizada nas bases BVS, SciELO e Periódicos CAPES através dos descritores: Enfermagem; Equipe de Enfermagem; Enfermagem Psiquiátrica e Saúde Mental, foram selecionados 10 artigos dos 254 encontrados. Os estudos revelaram sentimentos de insegurança, sobrecarga, medo, incapacidade e despreparo pelos profissionais de enfermagem que comprometem o cuidado, reforçam estigmas e aumentam o estresse vivenciado durante as atividades laborais. Dentre os fatores causadores podem ser mencionado deficiência na formação, questões de gestão, assistência no modelo biomédico e desvalorização profissional. Investimentos na formação acadêmica, no acompanhamento da saúde ocupacional e psicoemocional dos profissionais, promoção de ações de educação permanente, além de transformações na gestão podem ser indicadores atenuantes para sentimentos desconfortáveis nos trabalhadores em saúde mental após impactos gerados pela pandemia da COVID-19.Descritores: Saúde Mental, Profissionais de Enfermagem, Sentimentos. Feelings of nursing professionals in mental health: a review to assist the assistence after the new coronavirusAbstract: To verify in the literature the feelings of nursing professionals who work in mental health to assist in assistance after pandemic consequences of the new coronavirus. Integrative review conducted on the BVS, SciELO and CAPES journals using the keywords: Nursing; Nursingteam; Psychiatric Nursing and Mental Health.10 articles were selected from the 254 found. The studies revealed feelings of insecurity, overload, fear, incapacity and unpreparedness by nursing professionals that compromise the care, reinforce stigmas and increase the stress experienced during work activities. Among the factors can be mentioned deficiency in training, management issues, assistance in the biomedical model and professional devaluation. Investments in academic training, monitoring occupational and psycho-emotional health of professionals, promotion of continuing educationactions, in addition to changes in management can be mitigating indicators for uncomfortable feelings in mental health workers after impacts generated by the pandemic of COVID-19.Descriptors: Mental Health, Nursing Professionals, Feelings. Sentimientos de los profesionales de enfermería en salud mental: una revisión para ayudar después de la nueva asistencia de coronavirusResumen: Verificar en la literatura los sentimientos de los profesionales de enfermería que trabajan en salud mental para ayudar en la asistencia después de las consecuencias pandémicas del nuevo coronavirus. Revisión integral realizada en las revistas BVS, SciELO y CAPES utilizando las palabras clave: Enfermería; Equipo de enfermería; Enfermería psiquiátrica y salud mental, se seleccionaron 10 artículos de los 254 encontrados. Los estudios revelaron sentimientos de inseguridad, sobrecarga, miedo, incapacidad y falta de preparación por parte de profesionales de enfermería que comprometen la atención, refuerzan los estigmas y aumentan el estrés experimentado durante las actividades laborales. Entre los factores causales se pueden mencionar deficiencias en la capacitación, cuestiones de gestión, asistencia en el modelo biomédico y devaluación profesional. Las inversiones en capacitación académica, el monitoreo de la salud ocupacional y psicoemocional de los profesionales, la promoción de acciones de educación permanente, además de los cambios en la gestión, pueden ser indicadores atenuantes de sentimientos incómodos en los trabajadores de salud mental después de los impactos generados por la pandemia de COVID-19.Descriptores: Salud Mental, Profesionales de Enfermería, Sentimientos.

Burnout of the Mind – Burnout of the Body?

2018 ◽  
Vol 32 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Claudia Traunmüller ◽  
Kerstin Gaisbachgrabner ◽  
Helmut Karl Lackner ◽  
Andreas R. Schwerdtfeger
Keyword(s):  
Blood Pressure ◽  
Allostatic Load ◽  
Maslach Burnout Inventory ◽  
The Body ◽  
Lower Percentage ◽  
Control Group ◽  
Urinary Catecholamines ◽  
Morning Cortisol ◽  
The Mind ◽  
Cortisol Increase

Abstract. In the present paper we investigate whether patients with a clinical diagnosis of burnout show physiological signs of burden across multiple physiological systems referred to as allostatic load (AL). Measures of the sympathetic-adrenergic-medullary (SAM) axis and the hypothalamic-pituitary-adrenal (HPA) axis were assessed. We examined patients who had been diagnosed with burnout by their physicians (n = 32) and were also identified as burnout patients based on their score in the Maslach Burnout Inventory-General Survey (MBI-GS) and compared them with a nonclinical control group (n = 19) with regard to indicators of allostatic load (i.e., ambulatory ECG, nocturnal urinary catecholamines, salivary morning cortisol secretion, blood pressure, and waist-to-hip ratio [WHR]). Contrary to expectations, a higher AL index suggesting elevated load in several of the parameters of the HPA and SAM axes was found in the control group but not in the burnout group. The control group showed higher norepinephrine values, higher blood pressure, higher WHR, higher sympathovagal balance, and lower percentage of cortisol increase within the first hour after awakening as compared to the patient group. Burnout was not associated with AL. Results seem to indicate a discrepancy between self-reported burnout symptoms and psychobiological load.

scholarly journals Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic

2021 ◽  
Vol 18 (9) ◽  
pp. 4457
Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Organizational Support ◽  
Sleep Problems ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Mental Health Workers ◽  
Sectional Study ◽  
Cross Sectional

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

scholarly journals Community Health Workers as a Strategy to Tackle Psychosocial Suffering Due to Physical Distancing: A Randomized Controlled Trial

2021 ◽  
Vol 18 (6) ◽  
pp. 3097
Author(s):  
Dorien Vanden Bossche ◽  
Susan Lagaert ◽  
Sara Willems ◽  
Peter Decat
Keyword(s):  
Randomized Controlled Trial ◽  
Community Health ◽  
Health Workers ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Intervention Group ◽  
Psychosocial Health ◽  
Control Group ◽  
Randomized Controlled ◽  
The Impact

Background: During the COVID-19 pandemic, many primary care professionals were overburdened and experienced difficulties reaching vulnerable patients and meeting the increased need for psychosocial support. This randomized controlled trial (RCT) tested whether a primary healthcare (PHC) based community health worker (CHW) intervention could tackle psychosocial suffering due to physical distancing measures in patients with limited social networks. Methods: CHWs provided 8 weeks of tailored psychosocial support to the intervention group. Control group patients received ‘care as usual’. The impact on feelings of emotional support, social isolation, social participation, anxiety and fear of COVID-19 were measured longitudinally using a face-to-face survey to determine their mean change from baseline. Self-rated change in psychosocial health at 8 weeks was determined. Results: We failed to find a significant effect of the intervention on the prespecified psychosocial health measures. However, the intervention did lead to significant improvement in self-rated change in psychosocial health. Conclusions: This study confirms partially the existing evidence on the effectiveness of CHW interventions as a strategy to address mental health in PHC in a COVID context. Further research is needed to elaborate the implementation of CHWs in PHC to reach vulnerable populations during and after health crises.

scholarly journals Effects of an 8-Week Yoga-Based Physical Exercise Intervention on Teachers’ Burnout

2021 ◽  
Vol 13 (4) ◽  
pp. 2104
Author(s):  
Francesca Latino ◽  
Stefania Cataldi ◽  
Francesco Fischetti
Keyword(s):  
Physical Exercise ◽  
Exercise Intervention ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Emotional Awareness ◽  
Body Awareness ◽  
Control Group ◽  
Professional Burnout ◽  
Yoga Practice ◽  
Professional Educators

The purpose of this quasi-experimental study was to investigate the efficacy of an 8-week yoga-based physical exercise program to improve mental and emotional well-being and consequently reduce burnout among teachers. We considered yoga because it is a discipline that enhances body awareness and encourages the contact with nature and the respect for every form of life, with a view to a more sustainable and greener global system. We recruited 40 professional educators (40–47 years), teachers in a public high school who reported perceiving signs of stress and emotional discomfort. We randomly assigned the 40 professional educators to either an experimental yoga practice (~60 min, twice a week) group (n = 20) or a control group (n = 20) that received a nonspecific training program (~60 min, twice a week). At baseline and after training we administered the Maslach Burnout Inventory: Educators Survey (MBI-ES) and the State Mindfulness Scale (SMS) to assess teachers’ perceived level of awareness and professional burnout. We found a significant Time × Group interaction for the MBI-ES and SMS, reflecting a meaningful experimental group improvement (p < 0.001). No significant pre–post changes were found in the control group. The results suggest that an 8-week yoga practice could aid teachers to achieve a greater body and emotional awareness and prevent professional burnout.

scholarly journals Impact of Different Levels of Supervision on the Recovery of Severely Malnourished Children Treated by Community Health Workers in Mali

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 367
Author(s):  
Pilar Charle-Cuéllar ◽  
Noemí López-Ejeda ◽  
Mamadou Traore ◽  
Adama Balla Coulibaly ◽  
Aly Landouré ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Community Intervention ◽  
Health Workers ◽  
Acute Malnutrition ◽  
Control Group ◽  
Supportive Supervision ◽  
Supervision Group ◽  
Different Levels

(1) Background: The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated community case management (iCCM). This paper evaluates the most effective model of supervision for treating SAM using community health workers (CHWs). Methods (2): This study was a prospective non-randomized community intervention trial with two intervention groups and one control group with different levels of supervision. It was conducted in three districts in rural areas of the Kayes Region. In the high supervision group, CHWs received supportive supervision for the iCCM package and nutrition-specific supervision. In the light supervision group, CHWs received supportive supervision based on the iCCM package. The control group had no specific supervision. (3) Results: A total of 6112 children aged 6–59 months with SAM without medical complications were included in the study. The proportion of cured children was 81.4% in those treated by CHWs in the high supervision group, 86.2% in the light supervision group, and 66.9% in the control group. Children treated by the CHWs who received some supervision had better outcomes than those treated by unsupervised CHWs (p < 0.001). There was no difference between areas with light and high supervision, although those with high supervision performed better in most of the tasks analyzed. (4) Conclusions: Public policies in low-income countries should be adapted, and their model of supervision of CHWs for SAM treatment in the community should be evaluated.

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