Enfermagem - Mestrado Profissional

URI Permanente desta comunidade

http://repositorio.ufes.br/handle/10/17580
Programa de Pós-Graduação em Enfermagem

Centro: CCS
Telefone: (27) 3335 7280
URL do programa: http://www.enfermagem.vitoria.ufes.br/pt-br/pos-graduacao/PENF

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    Burnout e fadiga por compaixão em trabalhadores de enfermagem do serviço de nefrologia
    (Universidade Federal do Espírito Santo, 2024-09-30) Ribeiro, Lisiane Silva; Co-orientador1; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador2; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador3; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador4; ID do co-orientador4; Lattes do co-orientador4; Batista, Karla de Melo ; https://orcid.org/; http://lattes.cnpq.br/; Orientador2; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; 1º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 2º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 3º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 4º membro da banca; http://lattes.cnpq.br/; 5º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 6º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 7º membro da banca; https://orcid.org/; http://lattes.cnpq.br/
    Introduction: Burnout Syndrome and Compassion Fatigue are conditions that negatively affect the physical and mental health of nursing workers, resulting in physical exhaustion, anxiety, depression and depersonalization in relation to work. The quality of care provided is also compromised, due to fatigue and decreased empathy when interacting with patients. Signs of Burnout have been observed among nephrology nursing staff, with effects on the health of the worker and the work environment. Objective: To identify the determinants of Burnout Syndrome and Compassion Fatigue, to describe Burnout and Compassion Fatigue in nursing workers, to analyze the perception of nursing workers in relation to Burnout and Compassion Fatigue, and to build an educational technology for coping with Burnout and Compassion Fatigue for nursing workers. Method: Applied research, with technological production, carried out with nursing workers from the nephrology service of a university hospital in the southeast. The research was carried out in four stages: 1) Literature review; 2) Quantitative data collection; 3) Qualitative data collection; 4) Technology development. Results: The integrative literature review includes work overload, lack of institutional support and continuous contact with situations of suffering as the main determinants for the development of Burnout and Compassion Fatigue among nursing workers in the nephrology sector. These factors were corroborated by the study's findings. In the quantitative analysis, 47% of the participants showed high levels of stress and 53% showed signs of Burnout; in addition, 65% reported symptoms of Compassion Fatigue, and the majority of those affected were women, 70%. In the qualitative analysis, the following categories emerged: emotional and work overload, lack of professional recognition and lack of psychological support. Product: Chatbot-type educational technology, with an artificial intelligence interface and self-management, in which the virtual secretary can identify workers' demands regarding Burnout Syndrome and Compassion Fatigue, presenting personalized strategies based on user interactions. Final considerations: This study revealed an overview of the information collected in the assessments of Burnout Syndrome and Compassion Fatigue among nursing workers in the Nephrology Unit. Using quantitative and qualitative methods, it was possible to measure the severity of these conditions using psychometric scales and to explore the professionals' subjective perceptions. The quantitative analysis revealed high levels of stress and emotional exhaustion, while the qualitative analysis highlighted categories such as emotional overload, lack of professional recognition and absence of psychological support. Based on these findings, educational technology was developed in the form of a chatbot, designed to help professionals self-manage Burnout and Compassion Fatigue, responding to the specific needs of workers
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    Programa multiprofissional de acolhimento familiar : uma construção coletiva na unidade de terapia intensiva neonatal
    (Universidade Federal do Espírito Santo, 2024-06-11) Souza, Bruna Gomes de; Co-orientador1; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador2; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador3; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador4; ID do co-orientador4; Lattes do co-orientador4; Orientador1; https://orcid.org/; http://lattes.cnpq.br/; Orientador2; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; 1º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 2º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 3º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 4º membro da banca; http://lattes.cnpq.br/; 5º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 6º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 7º membro da banca; https://orcid.org/; http://lattes.cnpq.br/
    Introduction: The Neonatal Intensive Care Unit is considered an unwelcoming and stressful environment for families of hospitalized newborns, therefore, multidisciplinary programs aimed at these families help them positively in coping with stressful situations during hospitalization. The Family Centered Care guidelines guide a humanized and welcoming care practice. Aiming to meet the institutional demand for improvements and advances in care, this study was developed in collaboration with the unit's multidisciplinary team. General objective: Structure a multidisciplinary family fostering program. Method: Participatory research in the action research category according to Thiollent (2011), to structure and validate the multidisciplinary program and its guiding technologies. It was developed in the Neonatal Intensive Care Unit of the Hospital Universitário do Espírito Santo. The members of the multidisciplinary team were the collaborators in the study, where 14 specialists including managers and multidisciplinary routine formed the working group in the structuring stage. In the validation stage, 65 experts from the multidisciplinary team validated the protocol, 13 the program, and 11 the educational technology. Qualitative data were collected in 5 seminars, recorded in MP3 and MP4 audio, transcribed and recorded in a field diary, being analyzed following Bardin's content analysis technique (2016). The evaluation instruments followed the evaluation criteria proposed by Pasquali (2010). In the analysis of quantitative data, the Cronbach's alpha coefficient was used to check reliability, the Fleiss Kappa coefficient to measure agreement, and the Content Validity Index to check relevance and representativeness. Results: The program was built collectively, and the actions of the multidisciplinary team for family support are related to the provision of a reference team, assessment of family needs, holding support groups and counseling for parents, insertion of the family in decision-making and care for the family. newborn, control of light and noise, offering therapeutic workshops and medical report, assessment of family satisfaction, and strategies for communicating difficult news and support for neonatal grief. The technologies built were validated by experts. In the reliability assessment, Cronbach's Alpha reached values above 0.90, excellent reliability. There were variable agreements between substantial/perfect and significant (k=0.68 to k=1.00; p90.0%). Products: Program, Protocol, Flowcharts, Forms, Standard Operating Procedures, Educational Instruments, and Educational Technology of the Primer type. Conclusion: The Multidisciplinary Family Care Program and its guiding technologies were collectively constructed with the neonatal multidisciplinary team and validated with high levels of reliability and agreement, being considered relevant and representative by experts