Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review

Objective To determine whether there is an association between healthcare professionals’ wellbeing and burnout, with patient safety. Design Systematic research review. Data Sources PsychInfo (1806 to July 2015), Medline (1946 to July 2015), Embase (1947 to July 2015) and Scopus (1823 to July 2015) were searched, along with reference lists of eligible articles. Eligibility Criteria for Selecting Studies Quantitative, empirical studies that included i) either a measure of wellbeing or burnout, and ii) patient safety, in healthcare staff populations. Results Forty-six studies were identified. Sixteen out of the 27 studies that measured wellbeing found a significant correlation between poor wellbeing and worse patient safety, with six additional studies finding an association with some but not all scales used, and one study finding a significant association but in the opposite direction to the majority of studies. Twenty-one out of the 30 studies that measured burnout found a significant association between burnout and patient safety, whilst a further four studies found an association between one or more (but not all) subscales of the burnout measures employed, and patient safety. Conclusions Poor wellbeing and moderate to high levels of burnout are associated, in the majority of studies reviewed, with poor patient safety outcomes such as medical errors, however the lack of prospective studies reduces the ability to determine causality. Further prospective studies, research in primary care, conducted within the UK, and a clearer definition of healthcare staff wellbeing are needed. Implications This review illustrates the need for healthcare organisations to consider improving employees’ mental health as well as creating safer work environments when planning interventions to improve patient safety

Coping strategies of ostomized individuals Estrategias de enfrentamiento (coping) en personas ostomizadas Estratégias de enfrentamento (coping) de pessoas ostomizadas

This study aimed at understanding the experience of individuals with intestinal diversions as regards coping with their new life conditions. The qualitative approach was used, involving 11 ostomized subjects. The data were collected by means of semi-structured interviews which were taped and later fully transcribed and analyzed according to Content Analysis as proposed by Bardin and the Coping theoretical framework . The findings in the study were evidenced by three core categories denominated: i did not choose it; i had to accept it and i have to live with the ostomy. The form to manage the condition of being ostomized was revealed by coping strategies which were based on both emotions and the problem itself. The study contributed for reflection and application of knowledge in assistance practice and teaching for care the ostomized.<br>El objetivo del estudio fue comprender la experiencia que personas con derivaciones intestinales presenta al enfrentar esta nueva condición de vida. Se utilizó un enfoque de naturaleza cualitativa, con 11 sujetos estomizados. Los datos fueron recolectados a través de entrevistas semiestructuradas, grabadas y posteriormente transcritas en su totalidad, siendo analizadas según el Análisis de Contenido de Bardin y el fundamento teórico de Coping. Los hallazgos del estudio fueron en tres categorías centrales, denominadas: no lo elegí; tuve que aceptarlo y con(vivo) con la estomía. La estrategia para controlar la condición, ser estomizado, se realizó a través de estrategias para enfrentar tanto aspectos emocionales como el problema en sí. El estudio contribuyó para reflexionar y utilizar el conocimiento en la práctica asistencial y para la educación en cuanto al cuidado del entomizado.<br>Este trabalho objetivou compreender a experiência de pessoas com derivações intestinais, quanto ao enfrentamento à nova condição de vida. Realizou-se estudo qualitativo, sendo entrevistados 11 sujeitos ostomizados. Os dados foram coletados por meio de entrevistas semi-estruturadas, gravadas e posteriormente transcritas na íntegra e foram analisadas segundo a proposta de análise de conteúdo de Bardin e do referencial teórico de Coping . Os achados do estudo evidenciaram-se por três categorias centrais: eu não escolhi; tive que aceitar e con(vivo) com a ostomia. A forma para manejar a condição de estar ostomizado revelou-se por estratégias de enfrentamento tanto baseadas na emoção, como no problema. O estudo contribuiu para a reflexão e a utilização do conhecimento na prática assistencial e de ensino para cuidar do ostomizado

Decreto n° 796 de 02 de maio de 1914, SC.

Estas imagens foram obtidas de documento original no APESC e complementadas por imagens do DVD “Fontes para o estudo da história da escola primária no Brasil (1889-1930) organizada pela pesquisadora Prof. Dra. Rosa Fátima de Souza – ISBN 978-85-912698-0-8.Este documento contém Programa dos Grupos Escolares e Escolas Isoladas instituídos pelo Decreto 796 de 02 de maio de 1914