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      Sintomas de depressão e fatores intervenientes entre enfermeiros de serviço hospitalar de emergência Translated title: Symptoms of depression and intervening factors among nurses of emergency hospital services

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          Abstract

          Resumo Objetivo: Verificar se enfermeiros do serviço hospitalar de emergência apresentavam sintomas depressivos identificar fatores intervenientes e analisar percepção sobre o sofrimento psíquico e influência na assistência prestada. Métodos: Estudo transversal, realizado com enfermeiros de serviços hospitalares de emergência. O instrumento de pesquisa foi um questionário semiestruturado, com variáveis sociodemográficas e escalas psicométricas para avaliação de depressão. Para estatística foi utilizado o teste exato de Fisher. Resultados: Participaram 23 enfermeiros dois quais 91,3% apresentaram sintomas de depressão. Fatores para adoecimento estavam relacionados às condições do trabalho como sobrecarga, desvalorização, falta de recursos humanos e materiais. Os enfermeiros não se percebiam adoecidos, nem influência na assistência. Os resultados foram convergentes para as escalas de observação. Todos foram orientados e encaminhados para atendimento especializado. Conclusão: A maioria dos enfermeiros atuantes nos serviços de emergência apresentou quadro depressivo ligado a condições de trabalho A maioria não percebia o próprio sofrimento psíquico.

          Translated abstract

          Abstract Objective: To verify if nurses from the emergency hospital services had depressive symptoms, identifying intervening factors and analyzing perception about the psychic suffering and its influence on care provided. Methods: Cross-sectional study, conducted with nurses of emergency hospital services. The research instrument was a semi-structured questionnaire with sociodemographic variables and psychometric scales for the assessment of depression. For statistics, the Fisher exact test was used. Results: A total of 23 nurses participated, of which 91.3% showed symptoms of depression. Factors for illness were related to work conditions such as overload, devaluation, lack of human and material resources. The nurses neither acknowledged themselves as sick, nor being influenced on care provided. The results were converging for the scales of observation. All nurses were advised and sent to specialized care. Conclusion: The majority of nurses working in emergency services reported depression linked to working conditions. Most of them did not realize their own psychic suffering.

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          Health for the world's adolescents: a second chance in the second decade.

          The World Health Organization has produced a multimedia, interactive online report entitled Health for the World's Adolescents: A Second Chance in the Second Decade. The report provides an overview of global and regional estimates of adolescent mortality and disability-adjusted life years, disaggregated by age, sex, and cause, and country-level data on health-related behaviors and conditions among adolescents. It outlines the reasons why adolescence is a unique period in the life course requiring special attention and synthesizes current thinking about the determinants that underlie the differences in health status between adolescents. For the first time, this new report pulls together recommendations and guidance from across the World Health Organization relating to interventions directed to a range of priority health problems, including use of alcohol and other psychoactive substances, AIDS, injuries, mental health, nutrition, sexual and reproductive health, tobacco use, and violence, focusing on four core functions of the health sector: supportive policies, service provision, strategic information, and working with other sectors. The report concludes with 10 key actions that would strengthen national responses to adolescent health, and outlines the approaches that are needed to overcome the obstacles to accelerating evidence-informed actions to improve the health of adolescents worldwide--with all the benefits that this will have for public health in the present and across the life course, for this generation and the next.
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            The impact of traumatic events on emergency room nurses: findings from a questionnaire survey.

            Emergency Nurses are routinely confronted with work related traumatic events and hectic work conditions. Several studies report a high prevalence of post-traumatic stress disorder (PTSD) in these nurses. Coping and social support seem to play an important role in the development of PTSD. This study examines (1) the frequency of exposure to and the nature of traumatic events in Emergency Nurses, (2) the percentage of nurses that report symptoms of PTSD, anxiety, depression, somatic complaints and fatigue at a sub-clinical level, and (3) the contribution of traumatic events, coping and social support to PTSD symptoms, psychological distress, somatic complaints, fatigue and sleep disturbances. Cross-sectional data from 248 Emergency Nurses, from 15 Flemish (Belgian) general hospitals, were analyzed. Emergency Nurses were found to be confronted frequently with work related traumatic events. Death or serious injury of a child/adolescent was perceived as the most traumatizing event. Almost one out of three nurses met sub-clinical levels of anxiety, depression and somatic complaints and 8.5% met clinical levels of PTSD. Levels of fatigue were high but not directly related to the frequency of exposure to traumatic events. Emotional coping was related to an increase in all outcomes; avoidant coping was related to more somatic complaints; problem focused coping was related to a decrease in psychological distress and perceived fatigue. Social support from colleagues and supervisor (head nurse) was found to have a protective effect on the occurrence of PTSD symptoms. Emergency Nurses are especially vulnerable to post-traumatic stress reactions due to repetitive exposure to work related traumatic incidents. This not only personally affects the nurses, but can also impact quality of care. Hospital management should act on the findings of this study and invest in supportive, communicative, empathic and anticipatory leadership, and provide time-out facilities, cognitive-behavioral interventions and psychological counseling for Emergency Nurses on demand. Copyright © 2012 Elsevier Ltd. All rights reserved.
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              Registered nurse supply grows faster than projected amid surge in new entrants ages 23-26.

              The vast preponderance of the nation's registered nurses are women. In the 1980s and 1990 s, a decline in the number of women ages 23-26 who were choosing nursing as a career led to concerns that there would be future nurse shortages unless the trend was reversed. Between 2002 and 2009, however, the number of full-time-equivalent registered nurses ages 23-26 increased by 62 percent. If these young nurses follow the same life-cycle employment patterns as those who preceded them--as they appear to be thus far--then they will be the largest cohort of registered nurses ever observed. Because of this surge in the number of young people entering nursing during the past decade, the nurse workforce is projected to grow faster during the next two decades than previously anticipated. However, it is uncertain whether interest in nursing will continue to grow in the future.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                ape
                Acta Paulista de Enfermagem
                Acta paul. enferm.
                Escola Paulista de Enfermagem, Universidade Federal de São Paulo (São Paulo )
                1982-0194
                June 2015
                : 28
                : 3
                : 209-215
                Affiliations
                [1 ] Universidade Federal de São Paulo Brazil
                Article
                S0103-21002015000300209
                10.1590/1982-0194201500036
                5818335f-bcd7-4f8b-86c0-025886643f7a

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0103-2100&lng=en
                Categories
                NURSING

                Nursing
                Depression,Emergency nursing,Emergency service, hospital,Nursing research,Ocupacional health,Depressão,Enfermagem em emergência,Serviço hospitalar de emergência,Pesquisa em enfermagem,Saúde do trabalhador

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