Pleasure, Suffering and Interpersonal Communication in the Work of Nurses in the Hospital Setting

Objective: to identify the possible associations between stress and suffering with personal, work and lifestyle variables. Method: cross-sectional, quantitative, exploratory, correlational, conducted from June 2019 to February 2020. Data on personal characteristics, life habits and working conditions were obtained with the application of a questionnaire. To assess stress, the Nurses’ Stress Inventory (Inventário de Estresse em Enfermeiros) was used and, for suffering, the Pleasure and Suffering Indicators at Work Scale was applied, both in the Brazilian versions. Results: stress was associated with dissatisfaction with remuneration, indicators of suffering and interest in changing jobs and professions. The comparisons between the indicators of suffering and the domains of stress investigation were significant. Conclusion: the stress experienced in nurses' work activity is strongly influenced by low remuneration, leading them to wish to change jobs and professions. Professional burnout and lack of recognition are stressors that drive defense mechanisms, among them, the desire to change jobs.

Section: /15contrasting

confidence: 99%

Section: /15mentioning

confidence: 99%

Stress and Suffering in Hospital Nurses: Relationship With Personal and Work Variables and Life Habits

Medeiros

Aquino

Arruda

et al. 2023

“…Experiences like these can arise when confronted by unusual and unplanned scenarios such as a pandemic. At this point, the acute stress triggered by being at the front of an unknown disease with high demand, frequent situations of urgency and human suffering, can have a negative impact on interpersonal communicating 23 and on the decision-making process 12 .…”

Section: Discussionmentioning

confidence: 99%

Challenges at the Front: Experiences of Professionals in Admitting Patients to the Intensive Care Unit During the Covid-19 Pandemic

Pereira

Carvalho

Pinho

et al. 2022

Objective: to know the perspectives, practices and challenges in decision-making for admitting patients into the Intensive Care Unit during the Covid-19 pandemic. Methods: a qualitative study developed in two public hospitals in Maranhão, Brazil, from November/2020 to January/2021. Data collection took place through individual interviews guided by a script. A total of 22 professionals participated in the study: nurses and doctors who worked in the Intensive Care Unit and Bed Regulation in the first wave of the pandemic. Content Analysis was used in the thematic mode, with support from the Qualitative Data Analysis software program for data categorization. The theory of Responsibility for Reasonableness guided the study. Results: two main categories emerged: “The context of the decision-making process - the paradox of celestial discharges” and “Decision-making for admission”. In the scenario of high demand, a lack of beds, and the uncertainties of the “new disease”, deciding who would occupy the bed was arduous and conflicting. Clinical and non-clinical criteria such as severity, chance of survival, distance to be covered and transport conditions were considered. It was found that the ambivalence of feelings attributed to death and care at that moment of the pandemic marked the social and technical environment of intensive care. Conclusions: the complexity of the decision-making process for admission to an intensive care unit was evidenced, demonstrating the importance of analyzing the allocation of critical resources in pandemic scenarios. Knowing the perspectives of professionals and their reflections on the experiences in that period can help in planning the allocation of health resources in future emergency scenarios.

“…On the other hand, mismatches between the management and organization practices negatively affect the workers' psychological, social and physical aspects 44 . In this sense, as a way of providing a healthy psychosocial environment and minimizing MD experiences, it is recommended to implement proper distribution and reduction of workload, provision of communication and leadership training for managers, zero tolerance for harassment and discrimination in the workplace, as well as a management style that promotes consultation, negotiations, reciprocal communication, constructive feedback and respectful performance management 41,45 .…”

Section: /14mentioning

confidence: 99%

Strategies for Coping With Moral Distress Adopted by Nurses in Tertiary Care: A Scoping Review

Caram

Rezende

Fonseca

et al. 2022

Objective: to map the scientific evidence on strategies for coping with moral distress adopted by nurses in the context of health services in tertiary care. Method: this is a Scoping Review based on the PRISMA-ScR recommendations. The searches were performed in September 2020 in the MEDLINE®, National Library of Medicine, Scopus, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Cochrane and Biblioteca Virtual en Saúde databases. The eligibility criterion was to include studies that discussed strategies for coping with moral distress adopted by nurses in tertiary care, finding 2,041 studies, which were organized and screened in the Endnote software. The data were organized in Excel spreadsheets and analysis of the results was performed using the ATLAS.ti software. Results: the final selected sample consisted of 23 studies, which were grouped in two axes: strategies and recommendations. Four articles were included in the “strategies” axis, which reported actions taken to face moral distress, detailing the intervention and their results. The others, included in the “recommendations” axis, are articles whose focus was the experience of moral distress, suggesting important aspects to face it. Conclusion: recognition of moral distress by nurses and the opportunity for collective discussion and exchange of experiences are ways of collectively facing the situations. In addition, the institution's active participation in carrying out interventions was recommended. However, gaps were noticed in the production of studies that actually go deeper into intervention actions to cope with moral distress.