Burnout, Eating Behaviour Traits and Dietary Patterns

Purpose: The purpose of this research has been to investigate whether burnout and eating behaviour traitswere associated with food intake.Design/methodology/approach: Participants (n¼109) 78 per cent female, mean age 39 years, wererecruited from various occupations within a UK university to complete an on-line survey. Dietary habits weremeasured using Food Frequency Questionnaire (FFQ), burnout using the Maslach Burnout Inventory (MBI)and eating behaviour traits using the Three Factor Eating Questionnaire (TFEQ) R18.Findings: Principal component analyses of FFQ responses revealed four dietary patterns: fast/junk food(+chicken and low fruit/vegetables); meat/fish; dairy/grains; beans/nuts. Dietary patterns were examined usingmultiple regression analysis as outcome variables with age, gender, burnout and eating behaviour traits asexplanatory variables. More frequent consumption of “junk/fast food” was associated with lower TFEQ-CognitiveRestraint, higher TFEQ-Uncontrolled Eating (UE), lower MBI-Emotional Exhaustion and higherMBI-Depersonalisation. More frequent consumption of beans/nuts was associated with higher TFEQ-UE andhigher MBI-Emotional Exhaustion. Models for meat/fish and grains/dairy dietary patterns were not significant.Research limitations/implications: Burnout may need to be considered to reduce junk food consumptionin higher education employees. Causality between burnout, eating behaviour traits and food consumptionrequires further investigation on larger samples.Originality/value: This appears to be the first study to have explored associations between burnout,eating behaviour traits and dietary patterns

Professional practice environment in Nursing

Un entorno de práctica profesional en enfermería (EPPE) es el que promueve, facilita u obstaculiza al personal de enfermería para prestar cuidados de calidad, además de incrementar la seguridad y bienestar de los pacientes y de sus profesionales. Construir entornos positivos fomenta la excelencia de la organización, optimiza los resultados y mejora la percepción y satisfacción del usuario. En numerosos países se ha podido constatar que determinados ámbitos asistenciales de enfermería considerados excelentes influyen de forma objetiva en los resultados en salud, con disminución de la morbimortalidad, aumento de la calidad y mejora del cuidado (1), además de la contención de costes (2) y otros múltiples beneficios para la sociedad, el ciudadano, el usuario y el profesional

Does Jacobson's relaxation technique reduce consumption of psychotropic and analgesic drugsin cancer patients? A multicenter pre-post intervention study

Background: Cancer patients often suffer from emotional distress as a result of the oncological process. The purpose of our study was to determine whether practice of Jacobson?s relaxation technique reduced consumption of psychotropic and analgesic drugs in a sample of cancer patients. Methods: This was a multicenter pre?post intervention design. Participants were 272 patients aged over 18 years attending 10 Spanish public hospitals with oncological pathologies and anxiety symptoms. The intervention consisted of a protocol of abbreviated progressive muscle relaxation training developed by Bernstein and Borkovec. This was followed up by telephone calls over a 1-month period. The intervention was performed between November 2014 and October 2015. Sociodemographic variables related to the oncological process, mental health variables, and intervention characteristics were measured. Results: A reduction in the consumption of psychotropic and analgesic drugs was observed throughout the follow-up period. Improvement was observed throughout the 4-week follow-up for all the parameters assessed: anxiety, relaxation, concentration, and mastery of the relaxation technique. Conclusions: The practice of abbreviated Jacobson?s relaxation technique can help to decrease the consumption of psychotropic and analgesic drugs. Patients experienced positive changes in all the evaluated parameters, at least during the 1-month follow-up. To confirm these findings, additional long-term studies are needed that include control groups. Trial registration: ISRCTN 81335752, DOI 10.1186/ISRCTN81335752 17. Date of registration: 22/11/2016 (retrospectively registered)

The burden of respiratory infections among older adults in long-term care:a systematic review

BACKGROUND: Respiratory infections among older adults in long-term care facilities (LTCFs) are a major global concern, yet a rigorous systematic synthesis of the literature on the burden of respiratory infections in the LTCF setting is lacking. To address the critical need for evidence regarding the global burden of respiratory infections in LTCFs, we assessed the burden of respiratory infections in LTCFs through a systematic review of the published literature. METHODS: We identified articles published between April 1964 and March 2019 through searches of PubMed (MEDLINE), EMBASE, and the Cochrane Library. Experimental and observational studies published in English that included adults aged ≥60 residing in LTCFs who were unvaccinated (to identify the natural infection burden), and that reported measures of occurrence for influenza, respiratory syncytial virus (RSV), or pneumonia were included. Disagreements about article inclusion were discussed and articles were included based on consensus. Data on study design, population, and findings were extracted from each article. Findings were synthesized qualitatively. RESULTS: A total of 1451 articles were screened for eligibility, 345 were selected for full-text review, and 26 were included. Study population mean ages ranged from 70.8 to 90.1 years. Three (12%) studies reported influenza estimates, 7 (27%) RSV, and 16 (62%) pneumonia. Eighteen (69%) studies reported incidence estimates, 7 (27%) prevalence estimates, and 1 (4%) both. Seven (27%) studies reported outbreaks. Respiratory infection incidence estimates ranged from 1.1 to 85.2% and prevalence estimates ranging from 1.4 to 55.8%. Influenza incidences ranged from 5.9 to 85.2%. RSV incidence proportions ranged from 1.1 to 13.5%. Pneumonia prevalence proportions ranged from 1.4 to 55.8% while incidence proportions ranged from 4.8 to 41.2%. CONCLUSIONS: The reported incidence and prevalence estimates of respiratory infections among older LTCF residents varied widely between published studies. The wide range of estimates offers little useful guidance for decision-making to decrease respiratory infection burden. Large, well-designed epidemiologic studies are therefore still necessary to credibly quantify the burden of respiratory infections among older adults in LTCFs, which will ultimately help inform future surveillance and intervention efforts

Motivations, beliefs and expectations of Spanish nurses planning migration for economic reasons: a cross-sectional, web-based survey

Purpose of the article: Migration of nurses is not a new or recent event. During the last few decades, nursing migration flows have been a constant trend worldwide. The main objective of this study was to explore the motivations, beliefs, and expectations that Spanish nurses had when considering migration to another country in the near future. Design: Cross - sectio nal, internet survey of Spanish nurses planning migration for professional reasons. Methods: Ad hoc, web - based questionnaire following NEXT study guidelines. Findings: 172 nurses responded. 50% participants intended to emigrate in the following six months and had chosen the United Kingdom as destination. The most important drivers of migration were unemployment or precarious employment, and professional development. 58% of participants were very afraid of experiencing discrimination or rejection . Conclusions: This first study conducted in Spain directly exploring determinants of nurse migration highlighted globalization - driven factors and specific acculturation fears. Clinical relevance: Employment uncertainty and professional development remain k ey push’ drivers for migration of Spanish nurses. Discrimination or rejection due to migrancy were concerns for 60% of participants

Investigating self-care in a sample of patients with decompensated heart failure: A cross-sectional study

Background: There is scarce evidence relating to self-care of heart failure (HF) in Spain. In particular, there is a need to establish patients’ level of understanding of HF, as well as their ability to recognise signs and symptoms of decompensation. Patients and methods: Cross-sectional study to determine the level of self-care in a population of Spanish patients admitted to hospital with a primary diagnosis of decompensated HF. A convenience sample of 108 patients (50 women and 58 men) aged 83 ± 8 were recruited to participate in this study. Results: The Self-Care of Heart Failure Index version 6.2 was used to quantify self-care in our sample. Mean and standard deviation from the Self-Care of Heart Failure Index self-care maintenance subscale were: a) “exercise for 30 minutes”, 1 ± 1; b) “forget to take one of your medicines”, 2 ± 2; c) “ask for low-salt items when eating out or visiting others”, 2 ± 1. A percentage of 67.6 had experienced shortness of breath or ankle swelling in the past month. However, the vast majority of our patients were unlikely to independently implement a remedy: a) reduce salt, 2 ± 1; b) reduce fluid intake, 1 ± 1; c) take an extra diuretic, 1 ± 1. Over 50% of our sample felt confident or very confident at following professional advice (3 ± 1), keeping themselves free of symptoms (3 ± 1), recognizing changes in their condition (3 ± 1) and evaluating the significance of such changes (3 ± 1). Conclusions: HF patients have a significantly low level of self-care when compared with HF patients from other countries, especially when it comes to managing their condition. Self-care promotion should be a priority for all healthcare professionals involved in the care and management of HF patients