Fadiga por compaixão em trabalhadores de enfermagem que assistem pacientes com Covid-19 em cuidados paliativos

• Ano de defesa: 2022
• Autor(a) principal: Rodrigues, Mariana de Sousa Dantas
• Tipo de documento: Tese
• Tipo de acesso: Acesso embargado
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Enfermagem; Programa de Pós-Graduação em Enfermagem; UFPB
• Palavras-chave em Português: Fadiga por compaixão; Trabalhadores de Enfermagem; COVID-19; Cuidados paliativos; Relações interpessoais; Saúde do trabalhador; Compassion fatigue; Nursing workers; Palliative care; Interpersonal relationships; Worker’s health; Fatiga por compasión; Trabajadores de Enfermería; Relaciones interpersonales; Salud del trabajador; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/24793

Introduction: in the COVID-19 pandemic, nursing workers have faced greater exposure to psychological problems and direct contact with patients and families associated with emotional involvement can cause Compassion Fatigue. Objectives: to analyze the predisposition to Compassion Fatigue in nursing workers who assist patients with COVID-19 in Palliative Care, in the light of the Theory of Interpersonal Relationship; and to verify the risk for the development of Compassion Fatigue among nursing workers who assist patients with COVID 19 in Palliative Care. Methodology: descriptive, cross-sectional study, with a quantitative qualitative approach, conducted in Paraiba, Brazil, between April and August 2021. Sample composed of 100 nursing workers who assist patients with COVID-19 in Palliative Care, selected by the snowball strategy, voluntarily and anonymously. A virtual data were collected through an online form, which included: sociodemographic and occupational data; items of the Professional Quality of Life Scale - version 5; and subjective questions about interpersonal relationships in the care of patients with COVID-19 in Palliative Care. Parametric and non parametric tests were used to analyze quantitative data, with the aid of statistical software R version 4.0.1. For the processing of subjective data, we used the Software IRaMuTeQ, whose thematic classes were categorized by Bardin's content analysis technique and associated with Joyce Travelbee's theory. The research followed the ethical recommendations of Resolution N 466 of 2012 and was approved by the Research Ethics Committee of the Center for Health Sciences of the Federal University of Paraiba. Results: the collected data enabled the studies: (1) Fatigue by Compassion: interpersonal relationships of nursing in palliative care to patients with COVID-19, which showed four categories: original encounter and manifestation of fear associated with COVID-19; emerging identities and therapeutic approach of COVID-19: reflections for palliative nursing care; empathy and sympathy in palliative care to patients with COVID-19: connections driven by compassion; and interface of communication and rapport in palliative nursing care to patients with COVID-19; and (2) Compassion fatigue among nursing workers who assist patients with COVID-19 in Palliative Care, which found that 84% of the participants are female, 48% single, with an average age of 36.2, 65% are nurses and 35% are nursing technicians. Regarding the dimensions of the Professional Quality of Life Scale, 88% of the participants presented moderate classification for Compassion Fatigue, 81% moderate level for Burnout Syndrome and 69% low level for Compassion Satisfaction. Final Reflections: the interpersonal relationships of nursing workers with patients with COVID-19 in Palliative Care may predispose to Compassion Fatigue in this group. There was a moderate risk for the development of Compassion Fatigue among such workers. Investing in Compassion Satisfaction to prevent Compassion Fatigue is an important mental health care strategy for these professionals in the context of Palliative Care. This study contributes to the valorization of the theme and highlights the need for prevention and early identification of this occupational health problem.