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Impacto da morte de utentes em enfermeiros de Equipas de Cuidados Continuados Integrados : um estudo na região de Lisboa e Vale do Tejo
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Introdução: Os enfermeiros estão expostos ao processo de morte e ao sofrimento dos utentes de quem cuidam. Este contacto com o sofrimento e com todo o processo que envolve a morte e o morrer pode ter consequências pessoais e profissionais, sendo mais ou menos profundas de acordo com a relação existente entre profissional e utente. Esta exposição pode culminar em sobrecarga de luto profissional e burnout, mas também em crescimento pessoal. Objetivo: Avaliar a relação entre enfermeiro e utente, o luto profissional, o burnout dos enfermeiros em Equipas de Cuidados Continuados Integrados. Método: Estudo transversal e descritivo desenvolvido através da aplicação de um questionário online a enfermeiros a exercer funções em Equipas de Cuidados Continuados Integrados (ECCI) da Administração Regional de Saúde de Lisboa e Vale do Tejo (ARSLVT). O questionário inclui dados sociodemográficos e profissionais dos participantes e as Escalas: Facilidades na Relação com o Utentes, Sobrecarga de Luto Profissional e a Copenhague Burnout Inventory – PT. Resultados: Participaram 52 enfermeiros (90% do sexo feminino) com uma média de idades de 46 anos, 24 anos de experiência profissional e 7 anos em ECCI. Verificou se uma associação positiva entre as habilitações literárias e a condição socioeconómica dos utentes; uma associação negativa entre habilitações literárias, experiência profissional e Confinamento Atormentado (SLP), assim como entre a idade e o Burnout; e ainda uma associação positiva entre o luto profissional e o Burnout. Os enfermeiros especialistas apresentam níveis de Perda Nostálgica (SLP) mais elevados do que os restantes enfermeiros. Os profissionais com formação em morte/fim de vida/luto e/ou em cuidados paliativos apresentam menor Sobrecarga de Luto Profissional e de Burnout. Conclusões: Os resultados sugerem que a experiência profissional, a idade e a formação em morte/fim de vida/luto e em cuidados paliativos poderão ser fatores protetores no luto profissional e do burnout.
Introduction: Nurses are exposed to the process of death and suffering of the patients they care for. This contact with suffering and the whole process involving death and dying can has personal and professional consequences, being more or less profound according to the relationship between professional and patient. This exposure can culminate in professional grief overload and burnout, and also affect personal growth. Objective: To evaluate the relationship between nurses and patients, professional grief, nurses' burnout in Integrated Continuing Health Care Teams. Method: Cross sectional and descriptive study developed through the application of an online questionnaire to nurses working in Integrated Continuing Health Care Teams (ECCI) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT). The questionnaire includes sociodemographic and professional data of the participants and the scales: Constraints vs. Facilities in the relationship with the Patient (C/FR), Professional Grief Overload and the Copenhagen Burnout Inventory – PT. Results: 52 nurses participated (90% female) with a mean age of 46 years old, 24 years of professional experience and 7 years in ECCI. There was a positive association between educational qualifications and the socio-economic condition of patients; a negative association between educational qualifications, professional experience and Tormented Confinement, as well as between age and Burnout; a positive association between professional grief and Burnout. Specialist nurses have higher levels of Nostalgic Loss (PLS) than other nurses. Professionals trained in death/end of life/bereavement and/or palliative care have a lower Professional Grief Burden and Burnout. Conclusions: The results suggest that professional experience and training in death/end of life/bereavement and in palliative care may be a protective factor against professional bereavement and burnout.
Introduction: Nurses are exposed to the process of death and suffering of the patients they care for. This contact with suffering and the whole process involving death and dying can has personal and professional consequences, being more or less profound according to the relationship between professional and patient. This exposure can culminate in professional grief overload and burnout, and also affect personal growth. Objective: To evaluate the relationship between nurses and patients, professional grief, nurses' burnout in Integrated Continuing Health Care Teams. Method: Cross sectional and descriptive study developed through the application of an online questionnaire to nurses working in Integrated Continuing Health Care Teams (ECCI) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT). The questionnaire includes sociodemographic and professional data of the participants and the scales: Constraints vs. Facilities in the relationship with the Patient (C/FR), Professional Grief Overload and the Copenhagen Burnout Inventory – PT. Results: 52 nurses participated (90% female) with a mean age of 46 years old, 24 years of professional experience and 7 years in ECCI. There was a positive association between educational qualifications and the socio-economic condition of patients; a negative association between educational qualifications, professional experience and Tormented Confinement, as well as between age and Burnout; a positive association between professional grief and Burnout. Specialist nurses have higher levels of Nostalgic Loss (PLS) than other nurses. Professionals trained in death/end of life/bereavement and/or palliative care have a lower Professional Grief Burden and Burnout. Conclusions: The results suggest that professional experience and training in death/end of life/bereavement and in palliative care may be a protective factor against professional bereavement and burnout.
Descrição
Tese de mestrado, Cuidados Paliativos, Universidade de Lisboa, Faculdade de Medicina, 2021
Palavras-chave
Luto Luto profissional Luto dos enfermeiros Burnout nos enfermeiros Relação enfermeiro-utente Teses de mestrado - 2021