scholarly journals Prevalence and Risk Factors of Depression, Anxiety, and Stress in a Cohort of Australian Nurses

2018 ◽  
Vol 16 (1) ◽  
pp. 61 ◽  
Author(s):  
Shamona Maharaj ◽  
Ty Lees ◽  
Sara Lal
Keyword(s):  
Risk Factors ◽  
Patient Care ◽  
Mental States ◽  
Poor Mental Health ◽  
Job Dissatisfaction ◽  
Depression Anxiety Stress Scale ◽  
Professional Performance ◽  
The Individual ◽  
Nursing Professionals

Nurses remain at the forefront of patient care. However, their heavy workload as a career can leave them overworked and stressed. The demanding nature of the occupation exposes nurses to a higher risk of developing negative mental states such as depression, anxiety, and stress. Hence, the current study aimed to assess the prevalence and risk factors of these mental states in a representative sample of Australian nurses. The Depression Anxiety Stress Scale was administered to 102 nurses. Information about demographic and work characteristics were obtained using lifestyle and in-house designed questionnaires. Prevalence rates of depression, anxiety, and stress were found to be 32.4%, 41.2%, and 41.2% respectively. Binominal logistic regressions for depression and stress were significant (p = 0.007, p = 0.009). Job dissatisfaction significantly predicted a higher risk of nurses developing symptoms of depression and stress respectively (p = 0.009, p = 0.011). Poor mental health among nurses may not only be detrimental to the individual but may also hinder professional performance and in turn, the quality of patient care provided. Further research in the area is required to identify support strategies and interventions that may improve the health and wellbeing of nursing professionals and hence the quality of care delivered.

scholarly journals Considerations for the Management of Women with Breast Cancer during the COVID-19 Pandemic

2020 ◽  
Vol 5 (03) ◽  
pp. 260-263
Author(s):  
Monica Irukulla ◽  
Palwai Vinitha Reddy
Keyword(s):  
Breast Cancer ◽  
Resource Allocation ◽  
Patient Care ◽  
Cancer Patients ◽  
Cancer Care ◽  
Clinical Care ◽  
Current Availability ◽  
The Individual

AbstractOutcomes in cancer patients are strongly influenced by timeliness and quality of multidisciplinary interventions. The COVID-19 pandemic has led to severe disruption in cancer care in many countries. This has necessitated several changes in clinical care and workflow, including resource allocation, team segregation and deferment of many elective procedures. Several international oncological societies have proposed guidelines for the care of patients afflicted with breast cancer during the pandemic with a view to optimize resource allocation and maximize risk versus benefit for the individual and society. Clinicians may utilize these recommendations to adapt patient care, based on the current availability of resources and severity of the COVID-19 pandemic in each region. This article discusses the guidelines for care of patients afflicted with breast cancer during the pandemic.

Fatigue: Has It Affected Your Compassion?

2017 ◽  
Vol 36 (5) ◽  
pp. 289-293
Author(s):  
Bobbi S. Greiner ◽  
Gail A. Poskey
Keyword(s):  
Risk Factors ◽  
Compassion Fatigue ◽  
Work Productivity ◽  
Signs And Symptoms ◽  
Poor Quality ◽  
Job Dissatisfaction ◽  
Job Turnover ◽  
Additional Stress ◽  
Increased Risk

AbstractCompassion fatigue is a concept used to describe how various stressors affect individuals who work in health care and other caregiving professions. The results of compassion fatigue may include decreased work productivity, poor quality of care, safety concerns, job dissatisfaction, and job turnover. The NICU professionals are at an increased risk for experiencing compassion fatigue because of the nature of working with critically ill infants, their families, and the additional stress of the workplace. The purpose of this article is for the NICU professional to understand compassion fatigue, identify the risk factors, recognize the signs and symptoms, and offer strategies to implement within the NICU environment.

scholarly journals Principles of Valgus Intertrochanteric Osteotomy (VITO) after Femoral Neck Nonunion

2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
D. Banaszek ◽  
D. Spence ◽  
P. O’Brien ◽  
K. Lefaivre
Keyword(s):  
Risk Factors ◽  
Femoral Neck ◽  
Proximal Femur ◽  
Treatment Options ◽  
Intertrochanteric Osteotomy ◽  
Valgus Osteotomy ◽  
Challenging Problem ◽  
The Individual ◽  
Technical Considerations

Nonunion is a relatively rare, yet challenging problem after fracture of the femoral neck. Risk factors include verticality of the fracture line and presence of comminution of the posteromedial calcar, as well as quality of reduction. Treatment options consist of valgus intertrochanteric osteotomy versus arthroplasty. Treatment should be tailored to the individual patient, taking into account patient age and activity demands. This review outlines the principles and technical considerations for valgus osteotomy of the proximal femur in the setting of femoral neck nonunion.

scholarly journals Quality of life in chronic conditions using patient-reported measures and biomarkers: a DEA analysis in type 1 diabetes

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Sixten Borg ◽  
Ulf-G. Gerdtham ◽  
Katarina Eeg-Olofsson ◽  
Bo Palaszewski ◽  
Soffia Gudbjörnsdottir
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Type 1 Diabetes ◽  
Patient Reported Outcomes ◽  
Efficiency Analysis ◽  
Outcomes Measures ◽  
Patient Reported ◽  
The Individual

Abstract Background A chronic disease impacts a patient’s daily life, with the burden of symptoms and managing the condition, and concerns of progression and disease complications. Such aspects are captured by Patient-Reported Outcomes Measures (PROM), assessments of e.g. wellbeing. Patient-Reported Experience Measures (PREM) assess patients’ experiences of healthcare and address patient preferences. Biomarkers are useful for monitoring disease activity and treatment effect and determining risks of progression and complications, and they provide information on current and future health. Individuals may differ in which among these aspects they consider important. We aimed to develop a measure of quality of life using biomarkers, PROM and PREM, that would provide an unambiguous ranking of individuals, without presuming any specific set of importance weights. We anticipated it would be useful for studying needs and room for improvement, estimating the effects of interventions and comparing alternatives, and for developing healthcare with a broad focus on the individual. We wished to examine if efficiency analysis could be used for this purpose, in an application to individuals with type 1 diabetes. Results We used PROM and PREM data linked to registry data on risk factors, in a large sample selected from the National Diabetes Registry in Sweden. Efficiency analysis appears useful for evaluating the situation of individuals with type 1 diabetes. Quality of life was estimated as efficiency, which differed by age. The contribution of different components to quality of life was heterogeneous, and differed by gender, age and duration of diabetes. Observed quality of life shortfall was mainly due to inefficiency, and to some extent due to the level of available inputs. Conclusions The efficiency analysis approach can use patient-reported outcomes measures, patient-reported experience measures and comorbidity risk factors to estimate quality of life with a broad focus on the individual, in individuals with type 1 diabetes. The approach enables ranking and comparisons using all these aspects in parallel, and allows each individual to express their own view of which aspects are important to them. The approach can be used for policy regarding interventions on inefficiency as well as healthcare resource allocation, although currently limited to type 1 diabetes.

scholarly journals Factores protectores y de riesgo de trastornos de conducta y trastorno por déficit de atención e hiperactividad. Una revisión sistemática.

2018 ◽  
Vol 23 (1) ◽  
pp. 59
Author(s):  
Cristian Villanueva-Bonilla ◽  
Ángela Magnolia Ríos-Gallardo
Keyword(s):  
Risk Factors ◽  
Attention Deficit Hyperactivity Disorder ◽  
Conduct Disorder ◽  
Attention Deficit ◽  
Family Factors ◽  
Hyperactivity Disorder ◽  
Revisión Sistemática ◽  
The Individual ◽  
The Relationship

  Abstract: Protective and risk factors for conduct disorder and attention deficit–hyperactivity disorder. A systematic review. Conduct disorder (CD) and attention deficit-hyperactivity disorder (ADHD) are the most frequent clinical disorders in children and adolescents. The aim of the review was to identify the protective and risk factors of CD and ADHD to guide the design of intervention programs that allow to modify the risks and strengthen the characteristics that prevent manifestation of the symptomatology. The existing literature was analyzed from January 2012 to June 2017 through a search conducted in Scopus, Pubmed, Sciencedirect and PsycINFO. In conclusion, individual and family factors are predominant in both types of disorder, where variables of both protection and risk were found, with the emotional and cognitive variables being the most studied in the individual factors and in family factors the quality of the relationship between parents and son.Resumen: El trastorno de conducta (TC) y el trastorno de déficit de atención y/o hiperactividad (TDAH) son de los trastornos clínicos más frecuentes en niños y adolescentes. El objetivo de la revisión fue identificar los factores protectores y de riesgo de TC y TDAH para orientar el diseño de programas de intervención que permitan modificar los riesgos y fortalecer las características que contribuyen a la no manifestación de la sintomatología. Se analizó la literatura existente desde enero de 2012 hasta junio de 2017 mediante una búsqueda realizada en Scopus, Pubmed, Sciencedirect y PsycINFO. En conclusión, el estudio de los factores individuales y familiares son predominantes en ambos tipos de trastorno, en donde se encontraron variables tanto de protección como de riesgo, siendo las variables emocionales y cognitivas las más estudiadas en los factores individuales y la calidad de la relación entre padres e hijo en los factores familiares.

scholarly journals Modifiable Risk Factors of Behavioral and Psychological Symptoms in People with Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 648-649
Author(s):  
Shinae Seo ◽  
Meghan Mattos
Keyword(s):  
Risk Factors ◽  
Psychological Symptoms ◽  
Community Dwelling ◽  
Modifiable Risk Factors ◽  
Care Providers ◽  
Dyadic Relationship ◽  
People With Dementia ◽  
The Individual ◽  
Behavioral And Psychological Symptoms

Abstract Over ninety percent of people with dementia (PWD) experience behavioral and psychological symptoms, known to increase burden on care providers and healthcare systems. The purpose of this integrative review was to examine the modifiable risk factors of behavioral and psychological symptoms of dementia (BPSD) at the individual, caregiver, and environmental levels. An electronic database search was performed using PubMed, CINAHL[EBSCO], Web of Science, and PsycINFO from 2010-2020. Search terms included “dementia” AND (“Behavioral” OR “Behavioural” OR “Psychological” OR “Neuropsychiatric”) AND “symptoms” AND (“Independent Living” OR “Community Dwelling” OR “Community Living” OR “Living at Home” OR “Ageing in Place.” The search yielded 1,121 articles, and 14 articles were included in this review. Among the 14 articles, there were 11 modifiable risk factors presented across the individual, caregiver, and environmental levels. Individual-level factors included the presence of affective disorder, low quality of life, and leisure dysfunction. The modifiable caregiver-level factors included relationship with PWD, frequency of contact, caregiver burden, distress, frustration level, caregiver as a resource for PWD, and quality of dyadic relationship. One environmental factor, the presence of pandemic disease (e.g., COVID 19), was identified. This review presents the modifiable factors that contribute to the varied symptoms and multi domains of BPSD. Further research is necessary to determine whether, and to what degree, interventions targeting individual, caregiver, or environmental risk factors may reduce BPSD for PWD, caregivers, and providers within the community setting.

scholarly journals Změny aktuálních psychických stavů způsobené cvičením aqua aerobiku a jejich vliv na subjektivní pohodu u vysokoškolských studentek s disabilitou

2013 ◽  
Vol 7 (3) ◽  
pp. 119-135
Author(s):  
Hana Janošková ◽  
Marie Blahutková
Keyword(s):  
Well Being ◽  
Mental States ◽  
Subjective Well Being ◽  
Number Of Factors ◽  
Influence Of Water ◽  
Questionnaire Surveys ◽  
The Individual ◽  
Students With A Disability ◽  
Regular Classes

In our research we focused on the issues of detecting actual mental states, especially the subjective satisfaction of the Mendel University students with disability who attended regular classes of physical education in the form of aqua aerobics. While moving in water the individual is exposed to a number of factors. Pleasant feeling when a person stays in the water depends on how his body copes with the effects of water temperature and hydrostatic pressure. The research was carried out over a period of one semester in the form of a questionnaire surveys, interviews and observations. We found out that students with a disability (visual and auditory) show higher scores of positive responses in the positive effect of water on their subjective well-being, feel healthier and moving in the water feels freer. After completing the course positively evaluated the influence of water and regular exercise on anxiety and higher quality of life. The question may be to what extent these states are only caused by exercise. The states may be influenced by other factors such as the environment in which lessons were held, celebrity trainer, but also a good cooperation in the group.

A Balanced Approach to Physician Responsibilities: Oncologists' Duties toward Themselves

2012 ◽  
pp. e9-e14
Author(s):  
Amy P. Abernethy
Keyword(s):  
Patient Care ◽  
Interpersonal Relationships ◽  
Self Care ◽  
Care Physician ◽  
Negative Consequences ◽  
Health Care Environment ◽  
Balanced Approach ◽  
Competing Demands ◽  
The Individual

Overview: Although critical to the provision of best patient care, physician self-care is an underattended aspect of responsibility in the medical professions, including oncology. Neglecting self-care bears negative consequences for the individual oncologist, ranging from burnout and fatigue to interpersonal and relationship stress, addiction, and disruptive behavior. It may also contribute to medical errors, disinterest in or depersonalization of patient care, and lower quality of care. Because of its effect on physicians, patients, and the health care environment, physician self-care is increasingly recognized as an important professional responsibility. Nonetheless, professional obligations, competing demands on time, and personal priorities conspire to prevent a large proportion of oncologists from adequately attending to self-care in even simple ways, such as getting sufficient exercise and sleep. This chapter discusses the need for physician self-care and the repercussions of not meeting this fundamental responsibility. Self-care is described in the context of three life domains: professional, personal (physical, psychological, mental, and spiritual), and interpersonal (relationships, family, social, and community). Strategies are provided for caring for the self in each domain.

Metaphoric Perceptions of Covid-19 Patients Related to the Disease

2021 ◽  
pp. 105477382110483
Author(s):  
Betul Cakmak ◽  
Afra Calik ◽  
Bahar Vardar Inkaya
Keyword(s):  
Mental Health ◽  
Black Hole ◽  
Data Collection ◽  
Patient Care ◽  
Family Relationships ◽  
Treatment Process ◽  
Mental States ◽  
Data Collection Process ◽  
Quality Of Patient Care

This study aimed to explore metaphoric perceptions of patients with COVID-19 including treatment process, family relationships, and mental health via using metaphors. Purposive sampling was used to include participants. Totally 46 patients diagnosed with COVID-19 were included in the study. The metaphor-based data collection process was carried out with three open-ended questions. The metaphors compiled according to questions and grouped by 13 themes according to analysis. Patients explained to COVID-19 process by using 91 different metaphors. Most frequently used metaphors by patients; black hole/dark for the treatment process of COVID-19, steel for family relationships, sea metaphor for mental health. This study, it was determined that individuals are afraid of death, have a serious perception of uncertainty, and their family relationships and this process negatively affected their family relationships and mental states. Nurses have important responsibilities to increase the quality of patient care.

The importance of nurse-patient connection in the period before an operation

2011 ◽  
Vol 6 (1) ◽  
pp. 234 ◽  
Author(s):  
Joyce Laíse da Silva Ribeiro ◽  
Francis Solange Vieira Tourinho ◽  
Camila Dannyelle Fernandes Dutra Pereira ◽  
Liva Gurgel Guerra Fernandes ◽  
Priscilla Delfino De Medeiros ◽  
...  
Keyword(s):  
Patient Care ◽  
Data Bank ◽  
Negative Effects ◽  
Patient Relations ◽  
Emotional Aspects ◽  
The Individual ◽  
Operation Phase ◽  
Nursing Professionals ◽  
The Relationship ◽  
Type Of Transition

ABSTRACTObjective: to use the literature as a base in order to clarify and reflect upon the importance of the nurse’s connection with the patient in the period before the operation, and contemplate the emotional aspects which are involved in this period. Method: an integrated review of the literature whose bibliographic investigation was done by index searches in the data bank of the Virtual Health Library (BVS-BIRME) within the LILACS and MEDLINE electronic bases, using the following as descriptors: nurse-patient descriptors, patient assistance, communication and perioperatory nursing. The search was restricted to publications between 1991 and 2011, whose content was freely available on the internet. Results: surgical procedure can be considered as a type of transition in the life of the patient, generating instability and producing negative effects with deep alterations. Nursing professionals develop an important role in the pre-operation phase through their transmission of trust and safety to the patient, diminishing anxiety and anguish by means of the relationship established between them. Thus one must stress that patient care includes mainly attending the individual necessities of each person, the path which leads to the comprehension of caring and which contemplates the nurse-patient relationship. Conclusion: the threat to physical integrity in the pre-operatory stage causes a rupture in the behavior and habits of the patient. In this sense, the pre-operatory visit becomes fundamentally important to prepare the patient, contributing to the reduction of fear. Descriptors: nurse-patient relations; communication; patient care; perioperative nursing.RESUMOObjetivo: esclarecer e refletir, com base na literatura, a importância da relação do enfermeiro com o paciente no período pré-operatório e os aspectos emocionais envolvidos. Método: trata-se de uma revisão integrativa cujo levantamento bibliográfico se deu através de buscas de produções indexadas no banco de dados da Biblioteca Virtual em Saúde nas bases eletrônicas LILACS e MEDLINE, utilizando os descritores: relações enfermeiro-paciente, assistência ao paciente, comunicação e enfermagem perioperatória. Restringiu-se às publicações de 1991 a 2011, cujo conteúdo estivesse disponível gratuitamente na internet. Resultados: o procedimento cirúrgico pode ser considerado uma espécie de transição na vida do paciente, gerando instabilidades e produzindo efeitos negativos, deixando profundas alterações. Os profissionais de enfermagem desempenham um papel importante na fase pré-operatória na transmissão de confiança e segurança ao paciente, diminuindo sua ansiedade e angústia, através do relacionamento estabelecido entre ambos. Desse modo, deve-se ressaltar que o cuidado do enfermeiro inclui principalmente o atendimento às necessidades individuais de cada pessoa, caminho que leva à compreensão do cuidar e que contempla a relação enfermeiro-paciente. Conclusão: a ameaça à integridade física no pré-operatório ocasiona no paciente uma desestruturação no nível de seus comportamentos e hábitos de vida. Neste sentido, a visita pré-operatória se torna de fundamental importância para o preparo do paciente, contribuindo para torná-lo menos temeroso. Descritores: relações enfermeiro-paciente; comunicação; assistência ao paciente; enfermagem perioperatória.RESUMENObjetivo: aclarar y reflexionar, con fundamento en la literatura, la importancia de la relación del enfermero con el paciente en el periodo preoperatorio y los aspectos emocionales implicados en este periodo. Método: se trata de una revisión integradora cuyo acopio bibliográfico se dio a través de búsquedas de producciones indexadas en el banco de datos de la Biblioteca Virtual en Salud en las bases electrónicas LILACS y MEDLINE, empleando los descriptores: relaciones enfermero-paciente, asistencia al paciente, comunicación y enfermería perioperatoria. Se restringió a las publicaciones de 1991 a 2011, cuyo contenido estuviera disponible gratuitamente en internet. Resultados: el procedimiento quirúrgico puede considerarse una especie de transición en la vida del paciente, generando inestabilidades y produciendo efectos negativos, provocando profundas alteraciones. Los profesionales de enfermería desempeñan un papel importante en la fase preoperatoria en la transmisión de confianza y seguridad al paciente, reduciendo su ansiedad y angustia, a través de la relación establecida entre ambos. De este modo, se debe destacar que el cuidado del enfermero incluye principalmente la atención a las necesidades individuales de cada persona, camino que lleva a la comprensión de lo que es cuidar y que contempla la relación enfermero-paciente. Conclusión: la amenaza a la integridad física en el preoperatorio ocasiona en el paciente una desestructuración a nivel de sus comportamientos y hábitos de vida. En este sentido, la visita preoperatoria se vuelve de fundamental importancia para la preparación del paciente, haciendo que se vuelva menos temeroso. Descriptores: relaciones enfermero-paciente; comunicación; atención al paciente; enfermería perioperatoria.

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