Fatores de risco em saúde mental : contributos para o bem-estar biopsicossocial dos profissionais da saúde

CONTEXTO: A nossa investigação estuda o stress no trabalho e a sua relação com a saúde mental. Descrevemos fatores específicos e de risco psicossocial no trabalho, particularmente no trabalho dos enfermeiros, e as suas implicações para a saúde mental e para o bem-estar biopsicossocial, tais como: Tipo de trabalho; Conteúdo do trabalho; Desempenho de papel; Relações interpessoais e grupais; Desenvolvimento da carreira; Novas tecnologias e Aspetos organizacionais. OBJETIVO(S): O objetivo fundamental foi estudar a influência de algumas variáveis pessoais e situacionais de risco biopsicossocial na saúde mental e no bem-estar dos profissionais de saúde, em contexto hospitalar METODOLOGIA: Trata-se de um estudo quantitativo, transversal e descritivo, do tipo correlacional. A recolha de informação obedeceu a um protocolo constituído por dados pessoais e as escalas: Satisfação geral do trabalho, Questionário geral de saúde, Questionário de saúde, Escala de fadiga crónica, Escala de ansiedade cognitiva-somática, Inventário de personalidade de Eysenck, Inventário clínico de autoconceito, Inventário de resolução de problemas, Questionário de vulnerabilidade ao stress e Questionário de stress ao trabalho. A amostra foi não probabilística intencional, constituída por 570 enfermeiros, a laborarem por turnos e em regime normal, no contexto hospitalar, perfazendo, no final, 360 enfermeiros. RESULTADOS: Os principais resultados apontam o seguinte: Os enfermeiros manifestam algum descontentamento com o ambiente de trabalho; A globalidade da amostra demonstra índices de saúde baixos; Regra geral, todos os enfermeiros estão vulneráveis ao stress; Em relação ao stress produzido pelas circunstâncias organizacionais, a totalidade da amostra revela elevados índices de stress e o seu bem-estar biopsicossocial, manifestamente afetado. CONCLUSÕES: Destes resultados fomos levados a concluir que quanto maior for a fadiga crónica, o neuroticíssimo e a ansiedade cognitiva, maior será a tendência dos enfermeiros para diminuírem a autorresponsabilização e o medo. Esta relação pode tornar-se circular e levar a comportamentos desajustados como, por exemplo, indiferença, desinteresse, relações interpessoais conflituosas, entre outros aspetos. As consequências de tais comportamentos poderão traduzir-se em absentismo, erros de desempenho ou vontade de abandonar a instituição.

Treating family violence in a pediatric hospital : a program of training, research and services /

Shipping list no.: 88-77-P.

Programs and services of the Area D Community Mental Health Center.

On cover: The Area D Community Mental Health Center; programs and services, 1971.

History of the Psychopathic Hospital, Boston, Massachusetts /

Mode of access: Internet.

Children hospitalized for mental illness

v. 1. pt. 1.A study of the number of pre-hospital contacts of children committed to two state mental institutions in Michigan.--pt. 2.Movement of children hospitalized at Ypsilanti State Hospital.--pt. 3.Children hospitalized for mental illness: [statistical tables].

The history of Elgin State Hospital, 1872-1972.

Cover title.

Three patient deaths at Peoria State Hospital; a report.

Mode of access: Internet.

Annual report of the board of visitors of Craig Colony Sonyea, N.Y. to the Department of Mental Hygiene.

Title varies slightly.

Psychopathic Hospital

Mason & Kahn, architect. 1906-1939: Part of Catherine St. Hospitals. Built as and run as Psychopathic Hospital. 1939-1944: Known as "East Hospital." 1944-1965: Known as Beal Residence. Torn down 1965

University Hospital Psychopathic Ward

Mason & Kahn, architect. 1906-1939: Part of Catherine St. Hospitals. Built as and run as Psychopathic Hospital. 1939-1944: Known as "East Hospital." 1944-1965: Known as Beal Residence. Torn down 1965

University Hospital. Psychopathic Hospital. Catherine St.

Mason & Kahn, architect. 1906-1939: Part of Catherine St. Hospitals. Built as and run as Psychopathic Hospital. 1939-1944: Known as "East Hospital." 1944-1965: Known as Beal Residence. Torn down 1965

State Psychopathic Hospital

Mason & Kahn, architect. 1906-1939: Part of Catherine St. Hospitals. Built as and run as Psychopathic Hospital. 1939-1944: Known as "East Hospital." 1944-1965: Known as Beal Residence. Torn down 1965. On verso: Now Beal Residence (1961)

Hospital - Beal Residence

Mason & Kahn, architect. 1906-1939: Part of Catherine St. Hospitals. Built as and run as Psychopathic Hospital. 1939-1944: Known as "East Hospital." 1944-1965: Known as Beal Residence. Torn down 1965. On verso: U. Hosp. 17 (News and Information Services image?)

Evaluating a GP consultative psychiatric service in an Australian metropolitan hospital district

Objective: The aim was to develop a psychiatric assessment and advisory service for local general practitioners (GPs). Method: In July 2001, five full-time psychiatrists at Royal Brisbane ­Hospital each dedicated a 1-h appointment per week in their hospital private practice clinic to assess patients referred by local GPs. The 'Psych Opinion' clinic was advertised through the Division of General Practice Newsletter. After 12 months, the referrals to the clinic had been disappointing so two surveys were carried out: one to the GPs who had used the service and the other to those who had not referred. Results: Feedback from the GPs who had used the service showed a high level of satisfaction with the service. The second survey of the GPs who had not referred showed a strong endorsement of the concept but there was poor awareness of the service's existence. Conclusions: This model offers a way for public sector psychiatrists to provide timely assessments to local GPs without additional funding. There is strong support and willingness from the GPs to refer. However, the need to actively market the service both initially and on an ongoing basis is ­highlighted.

Type of housing predicts rate of readmission to hospital but not length of stay in people with schizophrenia on the Gold Coast in Queensland

Accommodation is considered to be important by institutions interested in mental health care both in Australia and internationally. Some authorities assert that no component of a community mental health system is more important than decent affordable housing. Unfortunately there has been little research in Australia into the consequences of discharging people with a primary diagnosis of schizophrenia to different types of accommodation. This paper uses archival data to investigate the outcomes for people with schizophrenia discharged to two types of accommodation. The types of accommodation chosen are the person's own home and for-profit boarding house. These two were chosen because the literature suggests that they are respectively the most and least desirable types of accommodation. Results suggest that people with schizophrenia who were discharged to boarding houses are significantly more likely to be readmitted to the psychiatric unit of Gold Coast Hospital although their length of stay in hospital is not significantly different. (author abstract)