Keywords
Nurses
Complementary-Therapies
Desgaste-por-Empatía
Enfermeros
Terapias-Complementarias
Fadiga-por-Compaixão
Enfermeiros
Terapias-Complementares
How to Cite
Abstract
Introduction: The nursing resident is exposed to stressful situations that impact the quality of their professional life. Integrative and complementary health practices can contribute to promoting physical, mental, and spiritual well-being.
Objective: To evaluate the effect of flower essence therapy on the aspects of the professional quality of life (compassion fatigue – burnout and secondary traumatic stress – and compassion satisfaction) of nursing residents in the context of the COVID-19 pandemic.
Methods: Quasi-experimental pilot before and after study with 16 resident nurses from teaching hospitals, who answered a sociodemographic questionnaire and the Professional Quality of Life Scale 4 (ProQOL-4). The emergency formula associated with Walnut of the Bach Flower Remedies (FiveW) was used for three weeks with a three-week follow-up. Data were analyzed descriptively. The effect of the intervention was evaluated by the paired Student's t-test and by the mixed effects model, with a significance level of 5%.
Results: Floral therapy reduced the score of the Secondary Traumatic Stress subscale of ProQOL-4 (p=0.017) with a residual effect after the follow-up. There was interaction between the year of residency and the program specialty in the Satisfaction for Compassion and Burnout subscales; and also between the program specialty and the COVID-19 infection of a close person in the Secondary Traumatic Stress and Burnout subscales (p<0.05).
Conclusion: The FiveW floral formula showed a reduction in Secondary Traumatic Stress scores, evidencing that floral therapy can contribute as a complementary strategy to improve the quality of professional life.
References
Alvim CCE, Souza MMT, Gama LN, Passos JP. [Relationship between the work process and mental illness nursing staff]. Rev Flu Exten Univ. 2017;7(1):12-16. Portuguese. Available from: http://editorauss.uss.br/index.php/RFEU/article/view/918
Stamm BH. The Concise ProQOL Manual. 2nd ed. Pocatello, ID: ProQOL.org. 2010 . Available from: https://www.proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdf
Jilou V, Duarte JMG, Gonçalves RHA, Vieira EE, Simões ALA. Fatigue due to compassion in health professionals and coping strategies: a scoping review. Rev Bras Enferm. 2021;74(5):e20190628. doi: /10.1590/0034-7167-2019-0628.
Brasil. Ministério da Educação. Resolução CNRMS n. 5, 7 novembro de 2014. Dispõe sobre a duração e a carga horária dos programas de Residência Multiprofissional em Saúde e de Residência em Área Profissional da Saúde e sobre a avaliação e a frequência dos profissionais da saúde residentes. Diário Oficial da União. Brasília; 10 nov 2014, n. 217, Seção I, p. 34.
Silva RMB, Moreira SNT. [Stress and multiprofessional residence in health: understanding meanings in the training process]. Rev Bras Educ Med. 2019;43(4):157-166. Portuguese. doi: 10.1590/1981-52712015v43n4RB20190031.
Rocha JS, Casarotto RA, Schmidtt ACB. Health and work of the multiprofissional residence. Rev Cienc Salud. 2018;16(3):447-62. doi: 10.12804/revistas.urosario.edu.co/revsalud/a.7265.
Menegatti MS, Rossaneis MA, Schneider P, Silva LGC, Costa RG, Haddad MCFL. [Stress and coping strategies used by nursing interns]. Rev Min Enferm. 2020; 24:e-1329. Portuguese. doi: 10.5935/1415-2762.20200066.
Gallasch C, Cunha M, Pereira L, Silva-Junior JS. [Prevention related to the occupational expousore of the health professional workers in the COVID-19 scenario]. Rev Enferm UERJ. 2020;28:e-49596. Portuguese. doi: 10.12957/reuerj.2020.49596.
Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, Qin M, Huang H. Work stress among Chinese nurses to support Wuhan for fighting against the COVID‐19 epidemic. J Nurs Manag. 2020;28(5):1002-1009. doi: 10.1111/jonm.13014.
Natividade PCS, Spagnol CA, Vieira A, Almeida GV, Pereira KD. [Contributions of integrative and complementary and practices in health to the quality of life of workers]. Braz J of Develop. 2021;7(8):78873-78889. Portuguese. doi: 10.34117/bjdv7n8-213.
Pancieri AP, Fusco SB, Ramos BIA, Braga EM. Meanings of flower therapy for anxiety in people with overweight or obesity. Rev Bras Enferm. 2018;71(5):2310-15. doi: 10.1590/0034-7167-2018-0044.
Brasil. Ministério da Saúde. Portaria n.º 971 de 3 maio 2006. Aprova a Política Nacional de Práticas Integrativas e Complementares (PNPIC) no Sistema Único de Saúde. Brasília: Diário Oficial da União, n 84, seção I, p. 20- 24, 4 maio 2006.
Bear J, Bellucco W. Florais de Bach: o livro das fórmulas. São Paulo: Pensamento; 2019.
Foletti A, Ledda M, Piccirillo S, Grimaldi S, Lisi A. Electromagnetic information delivery as a new tool in translational medicine. Int J Clin Exp Med 2014;7(9):2550-2556. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4211758/pdf/ijcem0007-2550.pdf
Guerrini IA, DomeneTG. Como as conexões quânticas auxiliam na busca da saúde integral: as bases científicas da terapia floral e de outras terapias sutis. Curitiba: Appris; 2020.
Halberstein R, Sirkin A, Fajardo V P, Vaz MO. Healing With Bach® Flower Essences: testing a complementary therapy. Complement Health Pract Rev. 2007;12(1):3-14. doi: 10.1177/1533210107300705.
Krämer D. Nuove terapie com i Fiori di Bach. 3ªed. Roma: Ed. Mediterranee; 2008. p.99-100.
Lago K, Codo W. [Compassion fatigue: evidence of internal consistency and factorial validity in ProQoL-BR]. Estud Psicol. 2013;18(2):213-21. Portuguese. doi:10.1590/S1413-294X2013000200006.
Xie W, Chen L, Feng F, Okoli CTC, Tang P, Zeng L, Jin M, Zhang Y, Wang J. The prevalence of compassion satisfaction and compassion fatigue among nurses: a systematic review and meta-analysis. Int J Nurs Stud. 2021;120:103973. doi: 10.1016/j.ijnurstu. 2021.103973.
Cao X, Li J, Gong S. The relationships of both transition shock, empathy, resilience and coping strategies with professional quality of life in newly graduated nurses. BMC Nurs. 2021;20(1):65. doi: 10.1186/s12912-021-00589-0.
Lee MS, Shin S, Hong E. Factors affecting secondary traumatic stress of nurses caring for COVID-19 patients in South Korea. Environ Res Public Health. 2021;18(13):6843. doi: 10.3390/ijerph18136843.
Chesak SS, Horin KH, Cutshall SM, Jenkins SM, Sood A. Feasibility and efficacy of integrating resiliency training into a pilot nurse. Nurse Educ Pract. 2021; 50:102959. doi: 10.1016/j.nepr.2020.102959.
Barnard J. Forma e função. 1a ed. São Paulo. Editora Blossom; 2018.
Lee HJ, Lee M, Jang SJ. Compassion satisfaction, secondary traumatic stress, and burnout among nurses working in trauma centers: a cross-sectional study. Int J Environ Res Public Health. 2021;18(14):7228. doi: 10.3390/ijerph18147228.
Pehlivan T, Güner P. Compassion fatigue: the known, unknown. J Psychiatric Nurs. 2018;9(2):129-34. doi: 10.14744/ phd.2017.25582.
Torres JDRV, Cunha FO, Gonçalves JTT, Torres SAS, Barbosa HA, Silva CSO. Fatores associados à fadiga por compaixão em profissionais de saúde, no contexto hospitalar: uma revisão na literatura. Temas em Saúde. 2018; 18(3):2447-2131. doi: 10.29327/213319.18.3-10.
Sacco TL, Ciurzynski SM, Harvey ME, Ingersoll GL. Compassion satisfaction and compassion fatigue among critical care nurses. Crit Care Nurse. 2015;35(4):32-43. doi: 10.4037/ccn2015392.
Kagan I, Hendel T, Savitsky B. Personal initiative and work environment as predictors of job satisfaction among nurses: cross-sectional study. BMC Nurs. 2021;20(1):87. doi: 10.1186/s12912-021-00615-1.
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