Browsing by Author "Teixeira, Carla Margarida"
Now showing 1 - 9 of 9
Results Per Page
Sort Options
- Burnout em médicos e enfermeiros: estudo quantitativo e multicêntrico em unidades de cuidados paliativos em PortugalPublication . Pereira, Sandra Martins; Teixeira, Carla Margarida; Ribeiro, Orquídea; Hernández-Marrero, Pablo; Fonseca, António M.; Carvalho, Ana SofiaTheoretical Framework: Systematic contact with death is considered a risk factor for burnout in health, particularly for doctors and nurses who develop their professional activity in palliative care. Objectives: To study the syndrome of burnout in these professionals in Portugal. Methodology: A multicenter quantitative survey study. Results: Out of 142 professionals, 88 returned the completed questionnaire; of these, only 3% were in burnout and 13% at high risk of developing this syndrome. Professing a religion (p=.005) and having post-graduate education/training in palliative care (p=.011) were significantly and inversely associated with burnout. Conflicts with other professionals (p=.012) were significantly associated with developing this syndrome. Conclusion: Although the percentage of professionals with high levels of burnout in palliative care is low, there are risk factors that can be optimized to promote a higher well-being state among professionals.
- Burnout in end-of-life care : results from a multicenter comparative study between intensive and palliative care unitsPublication . Pereira, Sandra Martins; Teixeira, Carla Margarida; Hernández-Marrero, Pablo; Carvalho, Ana Sofia
- Burnout in end-of-life care : work-related experiences in intensive and palliative care units and relation to burnoutPublication . Teixeira, Carla Margarida; Pereira, Sandra Martins; Hernández-Marrero, Pablo; Carvalho, Ana Sofia
- Compared to palliative care, working in intensive care more than doubles the chances of burnout: results from a nationwide comparative studyPublication . Pereira, Sandra Martins; Teixeira, Carla Margarida; Carvalho, Ana Sofia; Hernández-Marrero, PabloIntroduction: Professionals working in intensive and palliative care units, hence caring for patients at the end-of-life, are at risk of developing burnout. Workplace conditions are determinant factors to develop this syndrome among professionals providing end-of-life care. Objectives: To identify and compare burnout levels between professionals working in intensive and palliative care units; and to assess which workplace experiences are associated with burnout. Methods: A nationwide, multicentre quantitative comparative survey study was conducted in Portugal using the following instruments: Maslach Burnout Inventory–Human Services Survey, Questionnaire of workplace experiences and ethical decisions, and Questionnaire of socio-demographic and professional characteristics. A total of 355 professionals from 10 intensive care and 9 palliative care units participated in the survey. A series of univariate and multivariate logistic regression analyses were performed; odds ratio sidelong with 95% confidence intervals were calculated. Results: 27% of the professionals exhibited burnout. This was more frequent in intensive care units (OR = 2.525, 95% CI: 1.025–6.221, p = .006). Univariate regression analyses showed that higher burnout levels were significantly associated with conflicts, decisions to withhold/withdraw treatment, and implementing palliative sedation. When controlling for socio-demographic and educational characteristics, and setting (intensive care units versus palliative care units), higher burnout levels were significantly and positively associated with experiencing conflicts in the workplace. Having post-graduate education in intensive/palliative care was significantly but inversely associated to higher burnout levels. Conclusions: Compared to palliative care, working in intensive care units more than doubled the likelihood of exhibiting burnout. Experiencing conflicts (e.g., with patients and/or families, intra and/or inter-teams) was the most significant determinant of burnout and having post-graduate education in intensive/palliative care protected professionals from developing this syndrome. This highlights the need for promoting empowering workplace conditions, such as team empowerment and conflict management. Moreover, findings suggest the need for implementing quality improvement strategies and organizational redesign strategies aimed at integrating the philosophy, principles and practices of palliative care in intensive care units.
- Determinants and outcomes of psychological empowerment in healthcare professionals : how to promote empowermentPublication . Hernández-Marrero, Pablo; Pereira, Sandra Martins; Teixeira, Carla Margarida; Carvalho, Ana Sofia
- Ethical decisions in Portuguese palliative care units : a burnout risk factor? : a mixed methods multicentre study in PTPublication . Hernández-Marrero, Pablo; Pereira, Sandra Martins; Teixeira, Carla Margarida; Carvalho, Ana Sofia
- Perceived barriers and facilitators for the integration of palliative care in intensive care: results from a qualitative studyPublication . Pereira, Sandra Martins; Teixeira, Carla Margarida; Pablo, Hernández-Marrero
- Perceived barriers and facilitators for the integration of palliative care in intensive care: results from a qualitative studyPublication . Pereira, Sandra Martins; Teixeira, Carla Margarida; Hernández-Marrero, Pablo
- Responsibility: from its conceptual foundations to its practical application in intensive care unitsPublication . Teixeira, Carla Margarida; Carvalho, Ana Sofia; Pereira, Sandra MartinsThere has been a shift in the language of responsibility because the threat of malpractice litigation is encouraging physicians to assume a more responsible role in caring for their patients. Consequently, instead of paying attention to the moral dimension of this principle, professionals are sometimes much more concerned about legal repercussions. This article aims therefore at analyzing the recent literature on responsibility in intensive care, focusing on its ethical dimension. By analyzing the contributions of Emmanuel Levinas, Hans Jonas and Paul Ricoeur, who placed special emphasis on the theme of “moral responsibility”, we will attempt to shed some light on this ethical principle within the specific context of Intensive Care Medicine. This paper underlines the importance of responsibility in order to draw attention to the need to establish an appropriate balance between autonomy and self/other-oriented responsibilities. A tridimensional approach is suggested to frame responsibility within the context of intensive care.