Pub Date : 2018-07-01DOI: 10.1158/1538-7755.disp17-c80
J. Schneider, M. Fuoco, Jennifer S Rivelli, Jennifer K Coury, B. Green, Amanda F. Petrik, Anne M. Turner, Tanya Kapka
Introduction: Screening for colorectal cancer (CRC) may reduce incidence and mortality, but screening rates are low, particularly in the community health center setting that often serves patients experiencing the greatest health disparities. Lack of time during office visits for providers to engage in CRC screening discussions, insufficient access to colonoscopy resources, and patients9 fears regarding the colonoscopy preparation and procedure are some of the challenges community health centers face when promoting CRC screening. Methods: We conducted a qualitative case study to document the acceptability and reactions to a pilot direct-mail CRC screening program using fecal immunochemical testing (FIT). The pilot was implemented in a Latino-serving safety-net clinic that provides primary care to diverse and low-income populations. After the implementation of the direct-mail CRC screening program, we conducted 29 semistructured telephone interviews: nine with clinic staff and leaders involved in implementing the screening program, and twenty with patients who had received the CRC outreach via a mailed FIT test. Patient interviews were conducted with both English (10) and Spanish (10) language participants. To analyze our case study, we used a qualitative content analysis approach, guided by grounded theory coding techniques, to identify themes from the interviews. Two coding dictionaries (one patient and one staff/leader) were developed by having each member of the analysis team (JLS, JSR, GC) read several patient and staff transcripts and mark passages of text with codes indicating their content. The team compared coding notes, discussed areas of disagreement, and from this process developed a coding scheme for use with subsequent transcripts. Transcripts were coded by trained coders (JLS, JSR, GC); Spanish-language transcripts were coded and reviewed by bilingual coders (JSR, GC). All coded transcripts were entered into Atlas.ti 5.0, a qualitative analysis software program used to electronically code and manage data and to generate reports of coded text for ongoing thematic analysis. The analysis team reviewed coded text using an iterative process to develop and refine themes. Results: Our content analysis revealed that staff valued the program and found it could be integrated into their workflow and electronic medical record. Organizational facilitators to program implementation included having skilled staff, a culture that supported change, engaged leaders, and an overall desire to improve CRC screening rates. Access to colonoscopy was sufficient, because only the few percent of individuals with positive fecal tests needed colonoscopy. Health center barriers included managing the complexity of program components (e.g., ordering, packaging, and mailing kits; documentation in the medical record; reminders; coordination following a positive result, etc.) and limited staffing resources to deliver the intervention. The majority of patients, both Sp
结直肠癌(CRC)筛查可以降低发病率和死亡率，但筛查率很低，特别是在社区卫生中心环境中，往往服务于经历最大健康差异的患者。社区卫生中心在推广结直肠癌筛查时面临的一些挑战是，就诊期间缺乏时间供提供者参与结直肠癌筛查的讨论，获得结肠镜检查资源的机会不足，以及患者对结肠镜检查准备和程序的恐惧。方法:我们进行了一项定性案例研究，以记录使用粪便免疫化学测试(FIT)的直邮筛查试点项目的可接受性和反应。该试点项目在一家为拉丁裔服务的安全网诊所实施，该诊所为不同的低收入人群提供初级保健服务。在实施直邮结直肠癌筛查计划后，我们进行了29次半结构化电话访谈:9次是与参与实施筛查计划的诊所工作人员和领导进行的，20次是与通过邮寄FIT测试接受结直肠癌外展的患者进行的。患者访谈采用英语(10)和西班牙语(10)两种语言。为了分析我们的案例研究，我们使用了定性内容分析方法，在扎根理论编码技术的指导下，从访谈中确定主题。通过让分析团队的每个成员(JLS、JSR、GC)阅读几个患者和工作人员的转录本，并用代码标记文本段落，开发了两个编码字典(一个患者和一个工作人员/领导)。团队比较了编码笔记，讨论了不一致的地方，并从这个过程中开发了一个用于后续转录的编码方案。转录本由训练有素的编码员(JLS, JSR, GC)编码;西班牙语文本由双语编码员(JSR, GC)编码和审查。所有的密码都输入了阿特拉斯。Ti 5.0，一种定性分析软件程序，用于对数据进行电子编码和管理，并生成编码文本报告，用于正在进行的专题分析。分析团队使用迭代过程来开发和细化主题，从而审查编码文本。结果:我们的内容分析显示，员工重视该程序，并发现它可以集成到他们的工作流程和电子病历中。项目实施的组织促进因素包括拥有熟练的员工、支持变革的文化、积极参与的领导者以及提高CRC筛查率的总体愿望。获得结肠镜检查就足够了，因为只有少数粪便检查呈阳性的个体需要结肠镜检查。健康中心的障碍包括管理项目组件的复杂性(例如，订购、包装和邮寄工具包;医疗记录中的文件;提醒;积极结果后的协调等)和有限的人力资源来提供干预。西班牙和英国的大多数患者都认为直接邮寄粪便检测程序是可以接受的，对个人有帮助，80%的人支持该程序和相关材料。四名患者要么不喜欢邮寄粪便的想法(2)，要么不记得收到过外展服务(2)。所有工作人员和患者(不管外展服务的个人效用)都认为该计划应该作为一项持续的健康中心外展活动继续下去。结论:我们的访谈结果可能对其他希望通过实施类似的邮寄、基于人群的CRC筛查方法来提高CRC筛查率的社区卫生中心有用。社区卫生中心预期的许多障碍并没有实现;然而，仍然存在一些挑战。引用格式:Jennifer L. Schneider, Morgan J. Fuoco, Jennifer S. Rivelli, Jennifer Coury, Beverly B. Green, Amanda F. Petrik, Ann Turner, Tanya Kapka。实施邮寄结直肠癌筛查项目:一个安全网临床案例研究[摘要]。见:第十届AACR会议论文集:种族/少数民族和医疗服务不足人群的癌症健康差异科学;2017年9月25-28日;亚特兰大,乔治亚州。费城(PA): AACR;癌症流行病学杂志，2018;27(7增刊):摘要nr C80。
{"title":"Abstract C80: Implementing a mailed colorectal cancer screening program: A safety-net clinic case study","authors":"J. Schneider, M. Fuoco, Jennifer S Rivelli, Jennifer K Coury, B. Green, Amanda F. Petrik, Anne M. Turner, Tanya Kapka","doi":"10.1158/1538-7755.disp17-c80","DOIUrl":"https://doi.org/10.1158/1538-7755.disp17-c80","url":null,"abstract":"Introduction: Screening for colorectal cancer (CRC) may reduce incidence and mortality, but screening rates are low, particularly in the community health center setting that often serves patients experiencing the greatest health disparities. Lack of time during office visits for providers to engage in CRC screening discussions, insufficient access to colonoscopy resources, and patients9 fears regarding the colonoscopy preparation and procedure are some of the challenges community health centers face when promoting CRC screening. Methods: We conducted a qualitative case study to document the acceptability and reactions to a pilot direct-mail CRC screening program using fecal immunochemical testing (FIT). The pilot was implemented in a Latino-serving safety-net clinic that provides primary care to diverse and low-income populations. After the implementation of the direct-mail CRC screening program, we conducted 29 semistructured telephone interviews: nine with clinic staff and leaders involved in implementing the screening program, and twenty with patients who had received the CRC outreach via a mailed FIT test. Patient interviews were conducted with both English (10) and Spanish (10) language participants. To analyze our case study, we used a qualitative content analysis approach, guided by grounded theory coding techniques, to identify themes from the interviews. Two coding dictionaries (one patient and one staff/leader) were developed by having each member of the analysis team (JLS, JSR, GC) read several patient and staff transcripts and mark passages of text with codes indicating their content. The team compared coding notes, discussed areas of disagreement, and from this process developed a coding scheme for use with subsequent transcripts. Transcripts were coded by trained coders (JLS, JSR, GC); Spanish-language transcripts were coded and reviewed by bilingual coders (JSR, GC). All coded transcripts were entered into Atlas.ti 5.0, a qualitative analysis software program used to electronically code and manage data and to generate reports of coded text for ongoing thematic analysis. The analysis team reviewed coded text using an iterative process to develop and refine themes. Results: Our content analysis revealed that staff valued the program and found it could be integrated into their workflow and electronic medical record. Organizational facilitators to program implementation included having skilled staff, a culture that supported change, engaged leaders, and an overall desire to improve CRC screening rates. Access to colonoscopy was sufficient, because only the few percent of individuals with positive fecal tests needed colonoscopy. Health center barriers included managing the complexity of program components (e.g., ordering, packaging, and mailing kits; documentation in the medical record; reminders; coordination following a positive result, etc.) and limited staffing resources to deliver the intervention. The majority of patients, both Sp","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125641466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-01DOI: 10.1158/1538-7445.am2018-5275
Kayla A Lewis, J. Vo, Kendra J. Royston, Silvia Gisiger-Camata, K. Meneses
{"title":"Abstract 5275: Comparing self-reported cognitive function among Caucasian and African American breast cancer survivors","authors":"Kayla A Lewis, J. Vo, Kendra J. Royston, Silvia Gisiger-Camata, K. Meneses","doi":"10.1158/1538-7445.am2018-5275","DOIUrl":"https://doi.org/10.1158/1538-7445.am2018-5275","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127885978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-01DOI: 10.11138/PER/2015.5.1.040
M. G. Verso, D. Picciotto
Introduction: the work of housewives, in many ways, still lacks professional respect; particularly with respect to the neglect of exposure to risk factors such as: chemical, physical, biological, psychological and accidents. The purpose of this study is to analyze the possible impact of environmental risk factors on the physical and mental health of a group of Sicilian housewives. Methods: we enrolled housewives living in Palermo and Catania and administered an anonymous questionnaire to obtain knowledge of three factors: (1) the habits of the respondents, (2) the type of house in which they lived and worked, (3) the diseases they suffered. We also administered them a hospital anxiety and depression scale questionnaire. A statistical analysis was performed calculating the p value and a Yates chi square test to compare the percentages of diseases that emerged in three different groups: (1) the sample, (2) an ISTAT report on women of the same average age performing various work tasks ‘other than housework’ and (3) an ISTAT nationwide report on the housewives of the same average age. Finally, we evaluated the average questionnaire scores measuring anxiety and depression, and correlated those scores with age. Results: the sample group consisting of 468 housewives showed high percentage of allergic disorders (35.6%), which is statistically significant when compared to the ISTAT national data on women generally and housewives particularly of the same average age. The evaluation of data on anxiety and depression showed an average score indicating borderline pathology for both (anxiety and depression) and increasing proportionally with increasing age. Discussion: it is considered appropriate to inform society and the scientific community about the issues concerning these housewife workers, who must be regarded as and recognized as workers.
{"title":"Occupational exposure to home risk factors: analysis of physical and mental health condition of a group of Sicilian housewives.","authors":"M. G. Verso, D. Picciotto","doi":"10.11138/PER/2015.5.1.040","DOIUrl":"https://doi.org/10.11138/PER/2015.5.1.040","url":null,"abstract":"Introduction: the work of housewives, in many ways, still lacks professional respect; particularly with respect to the neglect of exposure to risk factors such as: chemical, physical, biological, psychological and accidents. The purpose of this study is to analyze the possible impact of environmental risk factors on the physical and mental health of a group of Sicilian housewives. Methods: we enrolled housewives living in Palermo and Catania and administered an anonymous questionnaire to obtain knowledge of three factors: (1) the habits of the respondents, (2) the type of house in which they lived and worked, (3) the diseases they suffered. We also administered them a hospital anxiety and depression scale questionnaire. A statistical analysis was performed calculating the p value and a Yates chi square test to compare the percentages of diseases that emerged in three different groups: (1) the sample, (2) an ISTAT report on women of the same average age performing various work tasks ‘other than housework’ and (3) an ISTAT nationwide report on the housewives of the same average age. Finally, we evaluated the average questionnaire scores measuring anxiety and depression, and correlated those scores with age. Results: the sample group consisting of 468 housewives showed high percentage of allergic disorders (35.6%), which is statistically significant when compared to the ISTAT national data on women generally and housewives particularly of the same average age. The evaluation of data on anxiety and depression showed an average score indicating borderline pathology for both (anxiety and depression) and increasing proportionally with increasing age. Discussion: it is considered appropriate to inform society and the scientific community about the issues concerning these housewife workers, who must be regarded as and recognized as workers.","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"2010 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114207663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-15DOI: 10.1158/1538-7445.AM2008-2098
Karen K Y Sie, A. Medline, K. Sohn, R. Croxford, Young-In Kim
{"title":"Abstract 2098: The effect of in utero folic acid supplementation on colorectal cancer risk in the offspring in a chemical carcinogen rodent model","authors":"Karen K Y Sie, A. Medline, K. Sohn, R. Croxford, Young-In Kim","doi":"10.1158/1538-7445.AM2008-2098","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-2098","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126955141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-15DOI: 10.1158/1538-7445.AM2008-1604
Tricia Moore, S. Carbajal, Anna Jiang, L. Beltrán, S. Hursting, J. DiGiovanni
{"title":"Abstract 1604: Dietary energy balance modulates multistage epithelial carcinogenesis in mouse skin","authors":"Tricia Moore, S. Carbajal, Anna Jiang, L. Beltrán, S. Hursting, J. DiGiovanni","doi":"10.1158/1538-7445.AM2008-1604","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-1604","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126798255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-15DOI: 10.1158/1538-7445.AM2008-2099
K. Hu, Yan Wang, Donald E. Smith, R. Russell, Xiang‐Dong Wang
{"title":"Abstract 2099: Apo-10’-lycopenoic acid functions as a peroxisome proliferator-activated receptor gamma activator and inhibits cell growth both in vitro and in vivo ob/ob mice treated with diethylnitrosamine","authors":"K. Hu, Yan Wang, Donald E. Smith, R. Russell, Xiang‐Dong Wang","doi":"10.1158/1538-7445.AM2008-2099","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-2099","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131839203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-15DOI: 10.1158/1538-7445.AM2008-2102
I. Siddiqui, V. Adhami, Bilal B Hafeez, M. Asim, S. I. Khwaja, D. Bharali, S. Mousa, H. Mukhtar
{"title":"Abstract 2102: Nanochemoprevention: Introducing a novel concept in cancer chemoprevention with a proof of principle for superior activity of green tea polyphenol epigallocatechin-3-gallate encapsulated in PLGA/PVA nanoparticles","authors":"I. Siddiqui, V. Adhami, Bilal B Hafeez, M. Asim, S. I. Khwaja, D. Bharali, S. Mousa, H. Mukhtar","doi":"10.1158/1538-7445.AM2008-2102","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-2102","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133679185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-15DOI: 10.1158/1538-7445.AM2008-2097
HongJin Lee, Shiby Paul, Yan Ji, N. Atalla, P. Thomas, H. Maehr, M. Uskoković, N. Suh
{"title":"Abstract 2097: Gemini vitamin D analogs inhibit estrogen receptor positive and estrogen receptor negative mammary tumorigenesis without hypercalcemic toxicity","authors":"HongJin Lee, Shiby Paul, Yan Ji, N. Atalla, P. Thomas, H. Maehr, M. Uskoković, N. Suh","doi":"10.1158/1538-7445.AM2008-2097","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-2097","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129592163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-05-15DOI: 10.1158/1538-7445.AM2008-1599
M. Bhutani, A. Pathak, Youhong Fan, Diane D. Liu, J. Lee, Hongli Tang, J. Kurie, R. Morice, Edward S. Kim, W. Hong, L. Mao
{"title":"Abstract 1599: Oral epithelium as a surrogate tissue for assessing smoking-induced molecular alterations in lungs","authors":"M. Bhutani, A. Pathak, Youhong Fan, Diane D. Liu, J. Lee, Hongli Tang, J. Kurie, R. Morice, Edward S. Kim, W. Hong, L. Mao","doi":"10.1158/1538-7445.AM2008-1599","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2008-1599","url":null,"abstract":"","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115988374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.11138/PR/2013.2.2.053
Burla Franco
Background: burnout discomfort affects especially the health care workers so-called “helping professions”, professions that require special skills and a strong propensity to human relation and empathy, in which take over, moreover, a high level of emotional burden. The comparison to the base of this study concerns the nursing sphere, in particular the two large groups in which care is divided: general ward nurses and nurses working in the critical care unit. Objectives: the aim of this study was to estimate the burnout level with its components and work-related stress factors, in the critical care unit nurses; later on to compare the condition of the critical care unit nurses with that of general ward nurses (surgical, medical and paediatric areas), analyzed in a previous study. Methods: the sample consisted of 100 case-nurses selected from DEA (Department of Emergency and Acceptance), resuscitation service, intensive care, 100 controlnurses selected from surgical, medical and paediatric wards, extracted from a total of 155 matched on the age, sex, total years of employment and work commitment. The questionnaires were given to the two groups in order to assess the variables of the burnout level, its components and work-related stress factors. The results were subjected to statistical analysis using Chi-square test and the Mann-Whitney U using the software SPSS ver 17.0. Results: the results showed that the percentage of presence of burnout in critical care nurses is 0%, while for colleagues in wards turns out to be 12%. The relevant data is shown by the results obtained from the MBI questionnaire: in fact, in equal proportion of personal accomplishment (PA), the critical unit nurses have a greater percentage of emotional exhaustion (EE) than these from ward, but the depersonalization component (DC) is much lower in the critical care unit nurses than in their ward colleagues. It is just that identification factor with the role and the patient seems to preserve this category from burnout. Discussion: the critical care unit nurses are apparently one of the hospital areas at highest risk of burnout, as here are gathered many of precipitating factors such as work overload, organizational issues, ethical and emotional conflicts, exacerbated by the unpredictability of situations that must be daily worked out. In fact, we should not underestimate the key of personal satisfaction and role identification: these nurses feel gratified and despite the weight of responsibility, know they have back control and this makes them feel social outcasts. Conclusions: the results of this study, which upsets all our expectations, has to make reflect the institutions: the latter should be concerned over the plan implementation to reduce the work-related stress factors, even to give right value to the professional figure of the nursery, for too long underestimated. We found, in fact, the findings from our study that it is the depersonalization, the factor which brings hea
{"title":"Burnout and its components: a comparison of critical care unit nursing and ward nursing","authors":"Burla Franco","doi":"10.11138/PR/2013.2.2.053","DOIUrl":"https://doi.org/10.11138/PR/2013.2.2.053","url":null,"abstract":"Background: burnout discomfort affects especially the health care workers so-called “helping professions”, professions that require special skills and a strong propensity to human relation and empathy, in which take over, moreover, a high level of emotional burden. The comparison to the base of this study concerns the nursing sphere, in particular the two large groups in which care is divided: general ward nurses and nurses working in the critical care unit. Objectives: the aim of this study was to estimate the burnout level with its components and work-related stress factors, in the critical care unit nurses; later on to compare the condition of the critical care unit nurses with that of general ward nurses (surgical, medical and paediatric areas), analyzed in a previous study. Methods: the sample consisted of 100 case-nurses selected from DEA (Department of Emergency and Acceptance), resuscitation service, intensive care, 100 controlnurses selected from surgical, medical and paediatric wards, extracted from a total of 155 matched on the age, sex, total years of employment and work commitment. The questionnaires were given to the two groups in order to assess the variables of the burnout level, its components and work-related stress factors. The results were subjected to statistical analysis using Chi-square test and the Mann-Whitney U using the software SPSS ver 17.0. Results: the results showed that the percentage of presence of burnout in critical care nurses is 0%, while for colleagues in wards turns out to be 12%. The relevant data is shown by the results obtained from the MBI questionnaire: in fact, in equal proportion of personal accomplishment (PA), the critical unit nurses have a greater percentage of emotional exhaustion (EE) than these from ward, but the depersonalization component (DC) is much lower in the critical care unit nurses than in their ward colleagues. It is just that identification factor with the role and the patient seems to preserve this category from burnout. Discussion: the critical care unit nurses are apparently one of the hospital areas at highest risk of burnout, as here are gathered many of precipitating factors such as work overload, organizational issues, ethical and emotional conflicts, exacerbated by the unpredictability of situations that must be daily worked out. In fact, we should not underestimate the key of personal satisfaction and role identification: these nurses feel gratified and despite the weight of responsibility, know they have back control and this makes them feel social outcasts. Conclusions: the results of this study, which upsets all our expectations, has to make reflect the institutions: the latter should be concerned over the plan implementation to reduce the work-related stress factors, even to give right value to the professional figure of the nursery, for too long underestimated. We found, in fact, the findings from our study that it is the depersonalization, the factor which brings hea","PeriodicalId":109386,"journal":{"name":"Prevention and Research","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124867457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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