Nurses, do they perceive emotional labor?

Introduction: Emotional labor is a multidimensional construct which refers to the desirable emotions in an organizational environment that influence the interactions with the users, and that could have a negative impact on workers. This construct has only been developed in the last few decades, therefore its influence on nurses has been studied in an incipient way. Aim: To reflect on the impact of emotional labor on care delivery for responding to the question: How is emotional labor manifested in nursing professionals? Methodology: A bibliographical research was carried out on different data bases to develop the reflection and divide it into three sections. Findings: Emotional labor is present in nursing performance and, if professionals are not qualified or prepared to tackle this psychosocial risk, they may suffer from alterations in their health, such as saturation or exhaustion. To add, this may indirectly impact users and therefore affect the quality of the delivered care. Hence, it is an important topic for an optimal professional development either for the labor satisfaction or the suitable functioning of health organizations. Conclusions: emotional labor is a complex construct, especially for health workers, and it may become a negative aspect for workers, users receiving care, and healthcare institutions, more precisely, in their accreditation processes

Cuidados humanizados e riscos psicossociais: uma associação percebida pelos profissionais de enfermagem no Chile

The aim of this article is to evaluate if there is relationship between work-related psychosocial factors and the humanized care given by the nurses in a public hospital in Chile. Karasek and Siegrist gave the theoretical support for this research in terms of the psychosocial factors. Jean Watson provides the disciplinary support from humanized caring. The design of the study is not experimental, cross-sectional, with a quantitative approach. A census was performed to 240 nurses that work in a public hospital in Chile. In order to recollect the data, an instrument divided into three parts was used. Part I: “Personal and work-related background”, created by the master’s degree student. Part II: “Questionnaire of evaluation of work-related psychosocial risks SUSESO-ISTAS 21”, validated in Chile with an alpha of Cronbach: 0.80. Part III: Nyberg´s Caring Assessment, validated in the Chilean population with an internal consistency of 0.82. The statistical analysis was descriptive and correlational, using Chi square (p≤0.05). During the present research, the ethical principles of E. Emanuel were followed. The results show that 56.25% of the nurses report a high perception of humanized care delivery. In terms of psychosocial risks, a high risk is present in three different dimensions (Psychological demand; Social support in the company and Leadership quality and double presence). Besides, a negative association between the exposition to psychosocial risks and the perception of humanized care was found. In conclusion, the perception of humanized care is associated in a relevant way with the perception of psychosocial risks in the working performance of nurses.El objetivo de este artículo es evaluar si existe relación entre los factores psicosociales laborales y la entrega de cuidado humanizado por parte enfermeros/as de un hospital público de Chile. El sustento teórico para esta investigación respecto a los factores psicosociales está dado por Karasek y Siegrist. Jean Watson da el sustento disciplinar desde el cuidado humanizado. Se trata de diseño no experimental, transversal, correlacional, con enfoque cuantitativo. Se censó a 240 enfermeros/as que trabajan en un hospital público de Chile. Para la recolección de los datos se utilizó un instrumento dividido en tres partes: Parte I: “Antecedentes personales y laborales”, creada por la tesista. Parte II: Cuestionario de Evaluación de riesgos psicosociales en el trabajo SUSESO-ISTAS 21, validado en Chile con un alfa de Cronbach de 0,80. Parte III: Nyberg´s Caring Assessment, validado en la población chilena con una consistencia interna de 0,82. El análisis estadístico fue de tipo descriptivo y correlacional, utilizando Chi cuadrado (p≤0.05). Durante la investigación se respetaron los principios éticos de E. Emanuel. Dentro de los resultados se destaca que el 51.67% de los enfermeros/as reporta una alta percepción de entrega de cuidado humanizado. En las dimensiones de riesgos psicosociales, en tres de ellas presentan un riesgo alto, de nivel 1: Exigencia psicológica, Apoyo social en la empresa y Calidad de liderazgo y doble presencia. Además se encontró una asociación negativa entre la percepción de exposición a riesgos psicosociales y percepción de entrega de cuidado humanizado. Se concluye que la percepción de cuidado humanizado se asocia de forma significativa con la percepción de riesgos psicosociales en el desempeño laboral de enfermeras.O objetivo deste artigo é avaliar a existência de relação entre os fatores psicossociais no trabalho e a entrega de cuidado humanizado por parte de enfermeiros/as de um Hospital Público do Chile. O embasamento teórico para esta pesquisa com respeito aos fatores psicossociais está dado por Karasek e Siegrist, e Jean Watson entrega o embasamento disciplinar a partir do cuidado humanizado. É un desenho não experimental, transversal, correlacional, de abordagem quantitativa. Realizou-se um censo aos enfermeiros/as que trabalham em um Hospital Público do Chile. Para a obtenção dos dados, utilizou-se um instrumento dividido em três partes: Parte I: “Antecedentes pessoais e de trabalho”, criado por uma tesista, Parte II: Questionário de Avaliação de riscos psicossociais no trabalho SUSESO-ISTAS 21, validado no Chile com um Cronbach alfa: 0,80. Parte III: Nyberg´s Caring Assessment, validado na população chilena com consistência interna de 0,82. A análise estatística foi descritiva e correlacional, usando o quadrado Qui (p≤0,05). Durante a presente pesquisa foram respeitados os princípios éticos de E. Emanuel. Destaca-se que 51.67% dos enfermeiros (as) referiram uma alta percepção de entrega do cuidado humanizado. Nas dimensões de riscos psicosociais, três apresentam um risco alto (Exigência psicológica; Apoio social na empresa e qualidade de liderança e Dupla presença), portanto enfermeiros (as) dentro de uma organização apresentam um risco alto nivel 1. Além disso, foi encontrada uma associação negativa entre a percepção de exposição a riscos psicosociais e percepção da entrega de cuidado humanizado. Conclusões: a percepção do cuidado humanizado está associada de forma significativa com a percepção de riscos psicosociais de desempenho no trabalho de enfermeiras (os). &nbsp

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Discutindo a educação ambiental no cotidiano escolar: desenvolvimento de projetos na escola formação inicial e continuada de professores

A presente pesquisa buscou discutir como a Educação Ambiental (EA) vem sendo trabalhada, no Ensino Fundamental e como os docentes desta escola compreendem e vem inserindo a EA no cotidiano escolar., em uma escola estadual do município de Tangará da Serra/MT, Brasil. Para tanto, realizou-se entrevistas com os professores que fazem parte de um projeto interdisciplinar de EA na escola pesquisada. Verificou-se que o projeto da escola não vem conseguindo alcançar os objetivos propostos por: desconhecimento do mesmo, pelos professores; formação deficiente dos professores, não entendimento da EA como processo de ensino-aprendizagem, falta de recursos didáticos, planejamento inadequado das atividades. A partir dessa constatação, procurou-se debater a impossibilidade de tratar do tema fora do trabalho interdisciplinar, bem como, e principalmente, a importância de um estudo mais aprofundado de EA, vinculando teoria e prática, tanto na formação docente, como em projetos escolares, a fim de fugir do tradicional vínculo “EA e ecologia, lixo e horta”.Facultad de Humanidades y Ciencias de la Educació

Search for narrow resonances using the dijet mass spectrum in pp collisions at s√=8 TeV

Results are presented of a search for the production of new particles decaying to pairs of partons (quarks, antiquarks, or gluons), in the dijet mass spectrum in proton-proton collisions at s√=8  TeV. The data sample corresponds to an integrated luminosity of 4.0  fb−1, collected with the CMS detector at the LHC in 2012. No significant evidence for narrow resonance production is observed. Upper limits are set at the 95% confidence level on the production cross section of hypothetical new particles decaying to quark-quark, quark-gluon, or gluon-gluon final states. These limits are then translated into lower limits on the masses of new resonances in specific scenarios of physics beyond the standard model. The limits reach up to 4.8 TeV, depending on the model, and extend previous exclusions from similar searches performed at lower collision energies. For the first time mass limits are set for the Randall–Sundrum graviton model in the dijet channel

Revista Temas Agrarios Volumen 26; Suplemento 1 de 2021

1st International and 2nd National Symposium of Agronomic Sciences: The rebirth of the scientific discussion space for the Colombian Agro.1 Simposio Intenacional y 2 Nacional de Ciencias Agronómicas: El renacer del espacio de discusión científica para el Agro colombiano

Charged-particle production as a function of the relative transverse activity classifier in pp, p−-Pb, and Pb−-Pb collisions at the LHC

International audienceMeasurements of charged-particle production in pp, p$-$Pb, and Pb$-$Pb collisions in the toward, away, and transverse regions with the ALICE detector are discussed. These regions are defined event-by-event relative to the azimuthal direction of the charged trigger particle, which is the reconstructed particle with the largest transverse momentum ($p_{\mathrm{T}}^{\rm trig}$) in the range $8<p_{\mathrm{T}}^{\rm trig}<15$ GeV$/c$. The toward and away regions contain the primary and recoil jets, respectively; both regions are accompanied by the underlying event (UE). In contrast, the transverse region perpendicular to the direction of the trigger particle is dominated by the so-called UE dynamics, and includes also contributions from initial- and final-state radiation. The relative transverse activity classifier, $R_{\mathrm{T}}=N_{\mathrm{ch}}^{\mathrm{T}}/\langle N_{\mathrm{ch}}^{\mathrm{T}}\rangle$, is used to group events according to their UE activity, where $N_{\mathrm{ch}}^{\mathrm{T}}$ is the charged-particle multiplicity per event in the transverse region and $\langle N_{\mathrm{ch}}^{\mathrm{T}}\rangle$ is the mean value over the whole analysed sample. The energy dependence of the $R_{\mathrm{T}}$ distributions in pp collisions at $\sqrt{s}=2.76$, 5.02, 7, and 13 TeV is reported, exploring the Koba-Nielsen-Olesen (KNO) scaling properties of the multiplicity distributions. The first measurements of charged-particle $p_{\rm T}$ spectra as a function of $R_{\mathrm{T}}$ in the three azimuthal regions in pp, p$-$Pb, and Pb$-$Pb collisions at $\sqrt{s_{\rm NN}}=5.02$ TeV are also reported. Data are compared with predictions obtained from the event generators PYTHIA 8 and EPOS LHC. This set of measurements is expected to contribute to the understanding of the origin of collective-like effects in small collision systems (pp and p$-$Pb)