0000000000077645
AUTHOR
Noemí Sansó
Development and validation of the Short Professional Quality of Life Scale based on versions IV and V of the Professional Quality of Life Scale
Background This research presents a short version of the Professional Quality of Life (ProQOL) scale, one of the most frequently used questionnaires in the arena of applied healthcare investigation. It measures burnout (BO), compassion fatigue (CF), and compassion satisfaction (CS). Methods A 9-item version of the ProQOL was developed. In Study 1, this short version, which used items from version IV of the ProQOL, was administered to 817 palliative care professionals from Spain, Argentina, and Brazil. In Study 2, the same nine items, but this time from version V of the ProQOL, were administered to 296 Spanish palliative care professionals. Results Study 1: The Short ProQOL showed an adequat…
Compassion Satisfaction, Compassion Fatigue, and Burnout in Spain and Brazil: ProQOL Validation and Cross-cultural Diagnosis
Abstract Context Palliative care professionals' quality of life has emerged as a growing issue of interest in health care literature, centered on concerns about professionals' compassion within a context of work characterized by pain and death. Objectives The aim of this study was threefold: 1) to study the psychometric properties of both the Spanish and the Portuguese versions of the ProQOL scale, by means of confirmatory factor analyses; 2) to offer a diagnosis of compassion satisfaction and compassion fatigue levels of Spanish and Brazilian palliative care professionals; and 3) to compare levels in ProQOL between countries. Methods Two surveys with a cross-sectional design were carried o…
Psychometric Evaluation of Nursing Professionals Involved in Palliative Care
12 páginas Objetivos: Validar las escalas de Bienestar Psicológico de Ryff en enfermería y relacionarlas con variables clave en calidad de vida laboral. Materiales y método: participaron por encuesta electrónica autoadministrada anónima 433 profesionales, 33.1% profesionales de enfermería (n=123) en quienes nos centramos. Además de sociodemográficos, se recogió información sobre bienestar psicológico, atención consciente, afrontamiento de la muerte y calidad de vida. La validez de constructo fue evaluada con análisis factorial confirmatorio. Se estimó fiabilidad y se recogieron evidencias de validez externa. Resultados: El modelo mostró ajuste adecuado: c2(362) = 438.59 (p = .01), CFI = .98…
The Spanish Version of the State Self-Compassion Scale–Long Form (SSCS–L): A Study of Its Validity and Reliability in a Sample of Nursing Students
Background: In nurses, self-compassion mitigates the effects of stress, burnout and compassion fatigue, and enhances empathy, compassion and well-being and quality of life. The Self-Compassion Scale is the most-used instrument. The aim of this study is to validate the Spanish version of the new developed State Self-Compassion Scale–Long (SSCS–L). Methods: Students of the first year of the Nursing Degree were surveyed online. Together with the SSCS–L, their levels of positive and negative affect was reported. Analyses included descriptive statistics, competitive confirmatory factor analysis, evidence on criterion-related validity and estimates of reliability. Results: The b…
Cuestionarios de atención espiritual en cuidados paliativos: revisión de la evidencia para su aplicación clínica
Objetivo: Revisar los cuestionarios de evaluación de necesidades y recursos espirituales en cuidados paliativos más recientes y evaluar su aplicabilidad clínica en nuestro entorno.Método: Revisión sistemática, siguiendo las guías PRISMA de las publicaciones realizadas durante 2015-2016 de trabajos sobre espiritualidad. Los artículos debían estar centrados en el cuidado espiritual o la evaluación de la espiritualidad, basados en población de cuidados paliativos; y sometidos a revisión por pares.Resultado: de los 42 artículos identificados, tras evaluación independiente de dos observadores, 15 cumplieron criterios de selección. Estos se analizan respecto sus características, propiedades psico…
Calidad de vida laboral y autocuidado en enfermeras asistenciales con alta demanda emocional
Resumen Objetivo Explorar las variables relacionadas con la calidad de vida laboral y el autocuidado de profesionales de enfermeria en situaciones estresantes y con alta demanda emocional. Metodo Cualitativo, segun el paradigma constructivista, combinando el metodo fenomenologico-hermeneutico/interpretativo mediante el uso de entrevistas semiestructuradas. La informacion fue analizada con Maxqda 11. Las entrevistas se realizaron a profesionales de centros sanitarios y servicios de Valencia con perfiles caracteristicos de enfermeria en unidades medico-quirurgicas, urgencias, oncologia, atencion domiciliaria, y de ayuda humanitaria. Resultados Los factores organizativos se expresaron como bar…
Palliative Care Professionals' Inner Lives: Cross-Cultural Application of the Awareness Model of Self-Care
Compassionate professional qualities traditionally have not received the most attention in either critical or end of life care. Constant exposure to death, time pressure and workload, inadequate coping with personal emotions, grieving, and depression urge the development of an inner curricula of competences to promote professional quality of life and compassionate care. The COVID-19 pandemic highlights the universality of these problems and the need to equip ourselves with rigorously validated measurement and monitoring approaches that allow for unbiased comparisons. The main objective of this study was to offer evidence on the generalizability of the awareness model of self-care across thr…
Differential Effects of Two Contemplative Practice-based Programs for Health Care Professionals
The aim of the study was testing the differential effectiveness of two interventions to improve Majorcan primary care professionals' quality of life: Mindful-Based Stress Reduction Training (MBSRT) and Compassion Cultivation Training (CCT). 50 professionals participated in the study; 81% were women. We evaluated mindfulness, empathy, self-compassion, and professional quality of life. Results showed statistically significant effects of the programs on the improvement of mindfulness, self-compassion, and professional quality of life, and differential effects on two dimensions of mindfulness, acting with awareness and non-reacting to inner experience, and on the dimension of burnout of the pro…
Palliative Care Professionals' Inner Life: Exploring the Relationships Among Awareness, Self-Care, and Compassion Satisfaction and Fatigue, Burnout, and Coping With Death
Context. Professionals working in the landscape of death and dying frequently are exposed to existential issues, psychological challenges, and emotional distress associated with care at the end of life. Identifying factors that help professionals cope with frequent exposure to issues related to mortality could enhance palliative care providers' and patients' quality of life. Objectives. To improve our understanding of the factors associated with professionals' inner life, through the assessment of an adapted version of Kearney and Kearney's awareness model of self-care. The main assumptions of the study were that competence in coping with death and awareness would be positively related to c…
The impact of a mindfulness‐based intervention on the quality of life of Spanish national police officers
Purpose Police officers belong to a profession with a high risk of stress, burnout and compassion fatigue. Incorporating mindfulness practices into the health and occupational-risk prevention programs run by the national police forces in Spain could provide a new approach to reducing stress and enhancing the psychological and emotional balance of these officers. Methods A 7-week mindfulness-based intervention (MBI) was conducted in a group of 20 national police officers in Mallorca (Spain). Mindfulness, self-compassion, burnout, compassion fatigue, compassion satisfaction and perceived stress were measured and compared before and after the intervention. Results We identified significant dif…
Evaluación de una Intervención Mindfulness en Equipos de Cuidados Paliativos
Resumen: El objetivo de este estudio es evaluar los resultados de un programa breve de entrenamiento en mindfulness sobre la atención plena, la autocompasión y la calidad de vida profesional en equipos de cuidados paliativos. Para ello se llevó a cabo un estudio preexperimental pre-post. Participaron 36 profesionales de equipos de cuidados paliativos de Madrid (España). Se midió mindfulness, autocompasión y calidad de vida profesional. Las mediciones se realizaron al inicio y a las dos semanas de finalizada la intervención, que duró seis semanas. Los resultados de aplicación del programa se evaluaron mediante análisis de varianza multivariados (MANOVA). Tras la intervención se observó una m…
Mindful Attention Awareness in Spanish Palliative Care Professionals
Abstract. Mindfulness is conceived as a state in which the individual pays full attention to everything that is happening around him or her. The Mindful Attention Awareness Scale (MAAS) is the most popular instrument for assessing mindfulness. Studies on its structure have shown some conflicting results. This study aims to offer new evidence on the dimensionality and reliability of the MAAS, handling both SEM and IRT procedures, in palliative professionals. The sample was composed of 385 professionals from a national online survey. First, two Confirmatory Factor Analyses (CFAs) were specified, estimated, and tested, with one- and two-factor structures, respectively. Second, the Graded Resp…
Palliative Care Professionals’ Inner Life: Exploring the Mediating Role of Self-Compassion in the Prediction of Compassion Satisfaction, Compassion Fatigue, Burnout and Wellbeing
Context. Palliative care professionals are exposed to suffering on a daily basis. Working in such an environment frequently raises existential issues, psychological challenges, and emotional distress, that can detract from compassionate care. Identifying factors that help professionals cope with frequent exposure to issues related to mortality, such as compassion, could enhance palliative care providers’ and patients’ quality of life and wellbeing. Objectives. To improve our understanding of the factors associated with professionals’ inner life studying the role of self-compassion as a mediating variable between self-care and awareness and professionals’ quality of life, and quantifying the…
A Brief Measure for the Assessment of Competence in Coping With Death: The Coping With Death Scale Short Version.
Context. The coping with death competence is of great importance for palliative care professionals, who face daily exposure to death. It can keep them from suffering compassion fatigue and burnout, thus enhancing the quality of the care provided. Despite its relevance, there are only two measures of professionals’ ability to cope with death. Specifically, the Coping with Death Scale (CDS) has repeatedly shown psychometric problems with some of its items. Objective. The aim of this study was to develop and validate a short version of the CDS. Methods. Nine items from the original CDS were chosen for the short version. Two cross-sectional surveys were conducted in Spanish (N ¼ 385) and Argent…
Development and Psychometric Validation of the Brief Nurses' Practice Environment Scale and Its Relation to Burnout Syndrome and Job Satisfaction: A Study in Spanish Nurses
Introduction: Nursing environment is a vast concept that traditionally has included a wide range of job characteristics and has been related to burnout and job satisfaction. For its measurement, the Practice Environment Scale of the Nursing Work Index (PESNWI) stands out. However, shorter instruments are needed. The purpose of the study is to develop and test the Brief Nurses' Practice Environment (BNPE) Scale.Methods: The BNPE Scale was developed and tested in a sample of 210 Spanish nurses (data collection 2018).Results: Cronbach's alpha was 0.702. The confirmatory factor analysis (CFA), with an excellent fit, offered evidence of internal validity. Regarding validity, the BNPE Scale predi…
The Personal Wellbeing Index in Spanish Palliative Care Professionals: A Cross-Sectional Study of Wellbeing
Health professionals are especially exposed to stress, with consequences on professionals’ health and wellbeing. However, palliative care professionals’ wellbeing has been the subject of very little research. The aim of this work is to study the Personal Wellbeing Index (PWI) in a sample of Spanish palliative care professionals, as well as to study their levels of wellbeing and the relationships of wellbeing with variables such as gender, age, marital status, profession, and professional quality of life. A cross-sectional survey of Spanish palliative care professionals was conducted. The Spanish version of the PWI and the Short version of the Professional Quality of Life Scale were used. He…
The Impact of the COVID-19 Pandemic on ICU Healthcare Professionals: A Mixed Methods Study
The large numbers of patients admitted to intensive care units due to COVID-19 has had a major impact on healthcare professionals. The incidence of mental health disorders among these professionals has increased considerably and their professional quality of life has suffered during the pandemic. This study aims to explore the impact of the provision of COVID-19 patient care on ICU healthcare professionals. A mixed methods study with an exploratory concurrent design was conducted between June and November 2020 in the Balearic Islands, Spain. Data were collected using a self-report online survey (n = 122) based on three validated questionnaires, and individual semi-structured in-depth online…
Quality of work life and self-care in nursing staff with high emotional demand
Abstract Objective To explore the variables related to the quality of work life and the self-care of nursing professionals working with high emotional demand. Method Qualitative, according to the constructivist paradigm. It combines the phenomenological-hermeneutic/interpretative method with the use of semi-structured interviews. Information was analysed with Maxqda 11. Interviews included professionals from the Valencian healthcare system, with typical profiles of nurses working in surgical units, emergencies, oncology, home care, and cooperation. Results Organisational factors were reported as a barrier to self-care, affecting healthcare activity. Working with patients was highlighted as …
Validación confirmatoria de la Escala de Afrontamiento de la Muerte en profesionales de cuidados paliativos
Resumen Objetivo Este estudio tiene un doble objetivo. En primer lugar, estudiar las propiedades psicometricas de la Escala de Afrontamiento de la Muerte en una muestra nacional de profesionales de cuidados paliativos. En segundo lugar, comparar esta competencia de los profesionales frente a otros colectivos en los que se ha evaluado el afrontamiento de la muerte previamente. Metodo Diseno y emplazamiento: Mediante una encuesta on-line se invito a participar a profesionales de cuidados paliativos de toda Espana. Participantes: 433 respondieron y 385 de estos cumplieron los criterios de inclusion. Mediciones principales: Se evaluo la competencia en afrontamiento de la muerte, autoconciencia,…
Validation of a New Instrument for Self-care in Spanish Palliative Care Professionals Nationwide.
AbstractSelf-care is a cornerstone issue for those who deal with stressful events, as it is the case of palliative care professionals. It has been related to awareness, coping with death and quality of life, among others, but no measurement instruments have been used in palliative care professionals. This research presents and validates a brief new measure with clinical and psychometric good properties, called Professional Self-Care Scale (PSCS). The PSCS assesses professionals’ self-care in three areas: physical self-care, inner self-care, and social self-care. Data come from a cross-sectional survey in a sample of 385 professionals of palliative care. The Mindful Attention Awareness Scale…
Predicting Professional Quality of Life and Life Satisfaction in Spanish Nurses: A Cross-Sectional Study
Background: Dealing with suffering, grief, and death on a daily basis, together with the particular working conditions, may produce high levels of burnout in nurses, and hinder their well-being. The purpose of this research is to study the effect of self-care and self-compassion on nurses&rsquo