scholarly journals When Nurses Become Patients. Validation of the Content of the Diagnostic Label Professional Traumatic Grief

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1082
Author(s):  
Ester Gilart ◽  
Isabel Lepiani ◽  
María José Cantizano Núñez ◽  
Inmaculada Cabrera Roman ◽  
Anna Bocchino

(1) Background: The Covid-19 pandemic has put our healthcare systems to the test, exposing their vulnerability and demanding a high degree of commitment and dedication from healthcare teams to confront and contain the disease. In this sense, nursing professionals have played a prominent role in the treatment of complex cases that have required hospitalisation and have manifested pre-existing health complications or mortality. This unprecedented situation made it difficult to regulate the emotional impact and manage grief, often turning it into a traumatic grief whose psychological and emotional manifestations are increasingly evident but very little researched in the current context. (2) Purpose: Validation of the definition, defining characteristics and related factors for the proposal of the nursing diagnosis of professional traumatic grief. (3) Method: Based on Fehring’s content validation model, the label name, defining characteristics and other related factors were agreed upon by Spanish experts. (4) Results: The content validity index was 0.9068. A total of 21 defining characteristics were validated by the experts, as all of them scored above 0.6. With respect to the related factors of the proposed 10, all were validated. (5) Conclusion: The present study supports the proposal to develop a nursing diagnosis for professional traumatic grief. The use of standardised language is only the first step in establishing professional traumatic grief as a diagnostic category.

2018 ◽  
Vol 50 (2) ◽  
pp. 181-190 ◽  
Author(s):  
Gianfranco Sanson ◽  
Annalisa Perrone ◽  
Adriana Fascì ◽  
Fabio D'Agostino

2019 ◽  
Vol 31 (1) ◽  
pp. 35-45 ◽  
Author(s):  
Shikha Gupta ◽  
Mary Ann McColl ◽  
Sara J. T. Guilcher ◽  
Karen Smith

Despite emerging evidence on cost-related nonadherence (CRNA) to prescription medications, there is little conceptualization and exploration of this phenomenon with respect to disability. Specifically, there is a gap in the literature that explores factors influencing medication cost–adherence relationship among individuals living with a disability. To advance research on and policy for CRNA to medications among people with disabilities, we need a framework that can contribute towards guiding solutions to this problem. We examined the applicability of Piette and colleagues’ existing model for CRNA to the context of people with disabilities and suggested an adapted model (CRNA to medications for persons with disability [CRNA-d]) that can provide a more specific conceptualization of CRNA with respect to disability. The adapted CRNA-d model depicts that CRNA to prescription medications with respect to disability is a dynamic and multifaceted phenomenon, determined by various socioeconomic, disability-related, medication-related, prescriber-related, and system-related factors. We discuss how higher susceptibility to health complications, barriers to income and employment, additional health care costs, the complexity of medical regimens, limited access to physician services, and other policy-related factors increase the risk of persons with disabilities to face cost-related barriers to fulfill their necessary medications.


2012 ◽  
Vol 87 (3) ◽  
pp. 1872-1883 ◽  
Author(s):  
Beth L. Nicholson ◽  
Olga Zaslaver ◽  
Laura K. Mayberry ◽  
Karen S. Browning ◽  
K. Andrew White

ABSTRACTCertain plus-strand RNA plant viruses that are uncapped and nonpolyadenylated rely on RNA elements in their 3′ untranslated region, termed 3′-cap-independent translational enhancers (3′CITEs), for efficient translation of their proteins. Here, we have investigated the properties of the Y-shaped class of 3′CITE present in the tombusvirusCarnation Italian ringspot virus(CIRV). While some types of 3′CITE have been found to function through recruitment of translation initiation factors to the viral genome, notrans-acting translation-related factors have yet been identified for the Y-shaped 3′CITE. Our results indicate that the CIRV 3′CITE complexes with eIF4F and eIFiso4F, with the former mediating translation more efficiently than the latter. In nature, some classes of 3′CITE are present in several different viral genera, suggesting that these elements hold a high degree of modularity. Here, we test this concept by engineering chimeric viruses containing heterologous 3′CITEs and show that the Y-shaped class of 3′CITE in CIRV can be replaced by two alternative types of 3′CITE, i.e., aPanicum mosaic virus-like 3′CITE or an I-shaped 3′CITE, without any major loss inin vitrotranslation or replication efficiency in protoplasts. The heterologous 3′CITEs also mediated whole-plant infections ofNicotiana benthamiana, where distinct symptoms were observed for each of the alternative 3′CITEs and 3′CITE evolution occurred during serial passaging. Our results supply new information on Y-shaped 3′CITE function and provide insights into 3′CITE virus-host compatibilities.


2015 ◽  
Vol 11 (7S_Part_12) ◽  
pp. P561-P561
Author(s):  
Renata Eloah de Lucena Ferretti-Rebustini ◽  
Daniele Vieira da Silva ◽  
Juliana Nery Souza-Talarico ◽  
Daniela Souza Farias ◽  
Ricardo Caires Neves ◽  
...  

2018 ◽  
Vol 15 (3) ◽  
pp. 241-264
Author(s):  
Danh Nguyen ◽  
Arun Kumar Gopalaswamy

Purpose There is a substantial lack of the need for adopting interface between accounting systems of companies and banks in Vietnam. The purpose of this paper is to bring out the benefits and lacunas in the adoption of interface for companies as well identify the factors that possibly could be crucial in making the interface adoption a success or failure. Design/methodology/approach The study is set in the context of case analysis and has adopted a mixed method approach. In this study, a contrast between successful adopters of interface and non-adopters of interface is discussed to identify the motivating factors for interface as well as the factors which form the barriers for non-adopters. Findings By conducting a case study-based analysis for intensive data comparison of two companies as interface adopters and two as non-adopters in Vietnam, it is found that the success of the interface adoption is influenced by inter-related factors such as the manager characteristics, industrial environment, company characteristic and innovation characteristics. Particularly, the effectiveness of the interface can be well demonstrated by cost saving, manpower reduction, data consistency, accuracy, and speed of the process. Research limitations/implications The impact on the banker is not analyzed. Furthermore, this research only focuses on the effects of interface on the electronic banking system and accounting modules in the form of electronic payment, while in reality, banks provide a variety of services which can also be explored by other researchers. Originality/value This is one of the first studies in the context of Vietnam. This study is highly relevant in the current context, given the significant growth in the number of industries and export markets in Vietnam.


2011 ◽  
Vol 1 (2) ◽  
pp. 63-65 ◽  
Author(s):  
Alba Lucia Bottura Leite De Barros ◽  
Juliana De Lima Lopes

O processo de enfermagem é o método utilizado para sistematizar a assistência de enfermagem no Brasil. Dessa forma, é imprescindível que os profissionais de enfermagem conheçam e apliquem as normas regulamentadoras do exercício. A Resolução Cofen 358/2009 estabelece que o processo de enfermagem deve ser realizado de modo deliberado e sistemático em todos os ambientes públicos ou privados em que ocorre o cuidado profissional de enfermagem. Ainda destaca as cinco etapas: coleta de dados (ou histórico), diagnóstico, planejamento, implementação e avaliação.Descritores: Enfermagem, Ética de Enfermagem, Legislação de Enfermagem.The legislation and the systematization of nursing careThe nursing process is the method used to systematize the nursing care in Brazil. This way, it is necessary that the nursing professionals know and apply the rules of the actions. The resolution Cofen 358/2009 establishes that the nursing process must be carried out deliberately and systematic in all public or private environments where there is a nursing professional care. Yet, it emphasizes the five stages: nursing data collection (or history), nursing diagnosis, nursing planning, implementation and nursing evaluation.Descriptors: Nursing, Nursing Ethic, Nursing Legislation.La legislación y la sistematización de la asisténcia de enfermeríaEl proceso de enfermería es el método utilizado para sistematizar la asisténcia de enfermería en Brasil. Desta forma, es imprescindible que los profesionales de enfermería conoscan y apliquem las normas reglamentadoras del ejercício. La Resolución Cofen 358/2009 estableces que el Proceso de enfermería deba ser realizado de modo deliberado y sistemático en todos los ambientes públicos ou privados en que ocurre el cuidado profesional de enfermería. Aunque destaca las cinco etapas: colecta de datos, diagnóstico, planeamiento, implementación y evaluación de enfermería.Descriptores: Enfermería, Ética de Enfermería, Legislación de Enfermería.


2020 ◽  
Author(s):  
Suqin Tang ◽  
Zhendong Xiang

Abstract Background: Deaths by COVID-19 have left behind nearly 12 million recent bereaved individuals worldwide and researchers have raised concerns that the circumstances of COVID-19 related deaths will lead to a rise prevalence of prolonged grief disorder (PGD) cases. However, to date, no studies have examined the prevalence of PGD among people bereaved due to COVID-19. This study aimed to estimate the prevalence of PGD and investigated demographic and loss-related factors associated with prolonged grief symptoms among Chinese individuals bereaved due to COVID-19.Methods: This was a cross-sectional online survey conducted between September 1 and October 3, 2020. A total of 422 Chinese participants (55.5% males; 32.73 [9.31] years old) who lost a close person due to COVID-19 participated in the study. Demographic and loss-related information was collected, and self-reported prolonged grief symptoms were measured by a 13-item International Prolonged Grief Disorder Scale (IPGDS: 1–65) and a 17-item Traumatic Grief Inventory Self Report (TGI-SR: 1–85). Multiple linear regression analysis was used to determine the associated factors of levels of grief symptoms.Results: Prevalence of PGD was 37.8% screened by IPGDS and 39.9% by TGI-SR. No difference was found in levels of grief symptoms between participants whose close one died more than 6 months ago and those who experienced the loss less than 6 months ago. More severe prolonged grief symptoms was associated with losing a close person by COVID-19 rather than complications (B: 5.284; 95% CI: 0.521–10.047), losing a partner (B: 6.645; 95% CI: 2.547–10.743), child (B: 6.013; 95% CI: 0.128–11.899), parent (B: 5.554; 95% CI: 1.679–9.429), grandparent (B: 4.894; 95% CI: 0.690–0.097), feeling more traumatic about the loss (B: 1.574; 95% CI: 0.413–2.735), being closer to the deceased (B: 1.610; 95% CI: 0.368–2.851), and having more conflicts with the deceased (B: 0.743; 95% CI: -0.040–1.527).Conclusions: Echoing to researchers’ concerns, prevalence of PGD is high among people bereaved due to COVID-19. Individuals with higher risk of developing PGD should be identified and bereavement support should be offered as early as possible.


Author(s):  
Caroline Evelin Nascimento Kluczynik Vieira ◽  
◽  
Bertha Cruz Enders ◽  
Alexsandro Silva Coura ◽  
Ana Luisa Brandão de Carvalho Lira ◽  
...  

1998 ◽  
Vol 172 (3) ◽  
pp. 263-267 ◽  
Author(s):  
Svend Erik Mouridsen ◽  
Bente Rich ◽  
Torben Isager

BackgroundEmpirical evidence for the validity of the diagnostic label ‘disintegrative psychosis' is sparse. The issue of whether it is a separate form of infantile autism is unresolved.MethodTo investigate the validity of disintegrative psychosis as defined in ICD–9, the natural history of 13 cases were compared with 39 matched cases of infantile autism on various outcome variables. Average follow-up time was 22 (11–33) years.ResultsStatistically significant differences were found between the two groups in terms of number of admissions to non-psychiatric departments, occurrence of comorbid epilepsy social style, and score on the Global Assessment of Functioning scale. In most other areas assessed there was a tendency, although statistically insignificant, towards a better outcome in the infantile autism comparison group.ConclusionsOur findings provide some support for maintaining a diagnostic category of disintegrative psychosis as distinct from infantile autism.


2009 ◽  
Vol 3 (2) ◽  
pp. 292 ◽  
Author(s):  
Maria Clerya Alvino Leite ◽  
Maria Mirtes da Nobrega ◽  
Maria Miriam Lima da Nobrega

ABSTRACTObjective: to elaborate the profile of nursing diagnoses in pregnant women assisted in a Family’s Health Unit based on NANDA-I’s Taxonomy II. Method: this is about a retrospective study, analytic descriptive, regards to analysis from 20 pregnant women handbooks registered in the prenatal program from a family’s health unit. Data were collected in July 2008, with a form composed of three parts: partner-demographic data, obstetric data and referring data to defining characteristics and related factors (of risk) of the nursing diagnoses. Diagnoses were analyzed based on the descriptive statistics and discussed according to obstetrics references. Results: 13 nursing diagnoses were elaborated: risk for infection of the genital tract, ineffective maintenance of the health, risk for infection of the urinary tract, prejudiced urinary elimination, nauseas, sharp pain (head, pelvis and lumbar), fatigues, insomnia, sexual dysfunction, risk of paternity or prejudiced maternity, volume of excessive liquid, constipation, anxiety. Conclusion: the objective of the study was researched and we hope from the nursing diagnoses elaborated, some nursing interventions specific be addressed to the problems identified in the pregnant women during the prenatal consultations. Descriptors: nursing diagnosis; nursing assistance; assistance pré-natal; pregnancy.RESUMOObjetivo: elaborar o perfil de diagnósticos de enfermagem em gestantes atendidas em Unidade de Saúde da Família com base na Taxonomia II da NANDA-I. Método: trata-se de um estudo retrospectivo, analítico descritivo, com dados colhidos em prontuários das 20 gestantes cadastradas no programa de pré-natal de uma unidade de saúde da família. Os dados foram coletados no mês de julho de 2008 em formulário composto de três partes: dados sócio-demográficos, dados obstétricos e dados referentes a características definidoras e fatores relacionados (de risco) dos diagnósticos de enfermagem. Os diagnósticos foram analisados levando-se em consideração a estatística descritiva e discutidos à luz de referenciais da obstetrícia. Resultados: foram elaborados 13 diagnósticos de enfermagem: risco para infecção do trato genital, manutenção ineficaz da saúde, risco para infecção do trato urinário, eliminação urinária prejudicada, náusea, dor aguda (cabeça, pelve e lombar), fadiga, insônia, disfunção sexual, risco de paternidade ou maternidade prejudicada, volume de líquido excessivo, constipação, ansiedade. Conclusão: o objetivo do estudo foi atendido e espera-se que a partir dos diagnósticos de enfermagem elaborados, possam ser direcionadas intervenções de enfermagem específicas aos problemas detectados nas gestantes durante as consultas de pré-natal. Descritores: diagnóstico de enfermagem; assistência de enfermagem; assistência pré-natal; gestação. RESUMENObjetivo: elaborar el perfil de los diagnósticos de enfermería en las mujeres embarazadas ayudado en Unidad de Salud de la Familia con base en el Taxonomia II del NANDA-I. Método: trata-se del estudio retrospectivo, analítico descriptivo, con dados colectados en prontuarios de 20 mujeres embarazadas registró en el programa de prenatal de unidad de salud de la familia. Los datos eran reunidos no mes de julio de 2008 en formulario compuesta de tres partes: los datos compañero-demográficos, datos obstétricos y datos refiriéndose a los definidoras de las características y los factores relacionados (de riesgo) de los diagnósticos de enfermería. La colección de datos de los archivos era cumplida por el mes de julio de 2008. Los diagnósticos se analizaron ser alojado la consideración las estadísticas descriptivas y discutieron a la luz de referenciales de la obstetricia. Resultados: se elaboraron 13 diagnósticos de la enfermería: riesgo para la infección del tracto genital, mantenimiento ineficaz de la salud, el riesgo para la infección del tracto urinario, la eliminación urinario prejuiciada, la náusea, el dolor afilado (la cabeza, pelvis y lumbar), fatiga, insomnio, el trastorno sexual, el riesgo de paternidad o la maternidad prejuiciada, el volumen de líquido excesivo, el estreñimiento, la ansiedad. Conclusión: el objetivo del estudio forra alcanzado y ha esperado que de los diagnósticos de enfermería elaborada, puedan diseccionar intervenciones de enfermería específica a los problemas identificados en las mujeres embarazadas durante las consultaciones de prenatal. Descriptores: diagnósticos de enfermería. asistencia de enfermería. asistencia prenatal. gestación.


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