The anti-Covid19 vaccination campaign has been fortified on the positive effects that immunizatio... more The anti-Covid19 vaccination campaign has been fortified on the positive effects that immunization is bringing the nations, since infection rates, hospitalizations, and deaths have been falling according to the data in constant disclosure by official government organs and the channels of communication. In Brazil, the effective and free National Vaccination Program haven’t prioritized patients with rare diseases, who have extreme comorbidities, and who had to follow the calendar prepared by the government. The problematic question is why these “rare people” weren´t considered priorities. The understanding of the reasons and the resumption of the debate about the rights of patients with rare diseases justify this study, which sought to be based on regular descriptors issued by official government agencies and by critics of rare disease issues in debates made in scientific articles. We sought to respond to the following objectives: analyze dispensed care of rare disease patients in the...
Informed consent protects patients’ right of autonomy, as they may refuse to participate in clini... more Informed consent protects patients’ right of autonomy, as they may refuse to participate in clinical teaching. In Pediatrics, young people aged 16 or over, and with the necessary judgment, may consent; in Psychiatry, consent is also essential due to the personal nature of the subjects addressed. This study aimed mainly to assess the practical application of informed consent in medical education. An observational cross-sectional study was developed, and an interview-like questionnaire was applied to participants waiting for a scheduled consultation for themselves or the person they represented, in Pediatrics and Psychiatry. Only 54% of Pediatrics participants and 75% of Psychiatry participants stated that the physician asked them if they minded the students’ presence and an even smaller percentage from both departments affirmed that students introduced themselves as medical students and requested their consent to examine them. Patients feel satisfied to contribute to the students’ tr...
International Journal of Environmental Research and Public Health, Jan 30, 2023
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
ObjectivesThe COVID-19 pandemic has had a negative impact on the mental health of healthcare work... more ObjectivesThe COVID-19 pandemic has had a negative impact on the mental health of healthcare workers (HCWs) worldwide. This study aims to identify the degree to which sociodemographic variables and indicators of subjective well-being and psychological resilience are associated, positively and negatively, with the outcomes of burnout, stress, depression and anxiety among Portuguese HCWs observed during the first wave. It also aims to evaluate the strength of association of these variables and indicators with each outcome.DesignCross-sectional quantitative study. The statistical methods used are simple logistic model, multiple logistic regression model and −2*log-likelihood statistic.SettingPortuguese HCWs living in Portugal and working in the Portuguese healthcare system.ParticipantsThe study included 1535 professionals, with a mean age of 38 years.Primary and secondary outcomes measuresPsychological variables were measured by Copenhagen Burnout Inventory, the Resilience Scale, the D...
Resumo Educar para a bioética é um desafio na atualidade. Ainda maior se torna este desafio, quan... more Resumo Educar para a bioética é um desafio na atualidade. Ainda maior se torna este desafio, quando pensamos no ensino da bioética a estudantes de enfermagem, que irão desempenhar uma profissão que tem como expoente máximo o cuidar da outra pessoa. Tratando-se de uma profissão que implica a relação com o outro e a prestação de cuidados humanizados e adequados a cada situação específica, torna-se importante desenvolver ferramentas de ensino que promovam não só o desenvolvimento técnico e o conhecimento de como fazer, mas essencialmente o desenvolvimento de competências morais, pessoais e profissionais que conduzam a cuidados de saúde de excelência. Este artigo pretende apresentar uma reflexão sobre o ensino da bioética e a sua relação com o desenvolvimento da competência moral dos estudantes de enfermagem, assim como sugerir algumas estratégias no ensino da Bioética que potenciem a formação de enfermeiros cada vez mais competentes.
Resumen Educar en bioética es un desafío en la actualidad. Esto se vuelve más grande cuando pensa... more Resumen Educar en bioética es un desafío en la actualidad. Esto se vuelve más grande cuando pensamos en la enseñanza de bioética a estudiantes de enfermería, quienes desempeñarán una profesión que tiene la máxima expresión la asistencia a las personas. Por ser una profesión que involucra la relación con el otro y la prestación de una asistencia humanizada y adecuada a cada situación específica, es importante desarrollar herramientas didácticas que promuevan no solo el desarrollo técnico y el conocimiento de cómo hacerlo, sino fundamentalmente el desarrollo de competencias morales, personales y profesionales que promuevan una excelente atención en salud. Este artículo reflexiona sobre la enseñanza de la bioética y su relación con el desarrollo de la competencia moral de los estudiantes de enfermería, así como sugiere algunas estrategias para la enseñanza de la Bioética que promueva una formación de profesionales cada vez más competentes.
BackgroundThe COVID-19 pandemic has forced mental health professionals to adapt quickly. The pand... more BackgroundThe COVID-19 pandemic has forced mental health professionals to adapt quickly. The pandemic has created multiple new tasks for the psychologist. In addition to the various stressors closely linked to the COVID-19 pandemic, psychologists were forced to make their services more flexible. Teleworking was a way of continuing to work.ObjectiveThis study aimed to identify the impact of working pattern on the levels of burnout, depression, anxiety, and stress.MethodsThis was a cross-sectional study based on an online questionnaire applied to eighty-three Portuguese psychologists. Data were collected from May 9 to June 8, 2020, a period comprising the declaration of a national calamity and then state of emergency, and the subsequent ease of lockdown measures. The Copenhagen Burnout Inventory Scale and Depression Anxiety and Stress Scale were used. Univariate multiple linear regression models were estimated for each mental health outcome.ResultsSignificant differences were found be...
Background The COVID-19 pandemic had a large consequence on healthcare systems, increasing the ri... more Background The COVID-19 pandemic had a large consequence on healthcare systems, increasing the risks of psychological issues in health professionals. Nurses, in particular, have been exposed to multiple psychosocial stressors and struggled with intensive work, insufficiency of resources and uncertainty in the face of an unknown disease. Life satisfaction might protect nurses from the consequences of chronic stress. The aim of this study was to explore the mediating role of satisfaction with life in the relationship between depression, stress, anxiety and burnout (personal, work-related, and client-related). Methods A cross-sectional, descriptive, correlational study design was performed, using an online questionnaire distributed via social networks. A total of 379 nurses completed the survey, comprising standardized measures of satisfaction with life, resilience (Resilience Scale), depression, anxiety, stress (Depression Anxiety Stress Scales), and burnout (Copenhagen Burnout Invent...
There are complex ethical dilemmas inherent in medicine teaching, particularly in clinical prac-t... more There are complex ethical dilemmas inherent in medicine teaching, particularly in clinical prac-tice involving actual patients. Questions must be raised on fulfilling medical students' training needs while still respecting patients' fundamental rights to autonomy and privacy. We aimed to assess patients' perspectives regarding medical students' involvement in their medical care. An observational, cross-sectional study was developed, and an interview-like questionnaire was ap-plied randomly to patients waiting for a consult/admitted to three distinct departments: General Surgery, Obstetrics/Gynaecology, and Infectious Diseases. Of the 77% interviewed patients who reported previous experiences with medical students, only 59% stated that they were asked for consent for their participation and 28% that students had adequately introduced themselves. Pa-tients from Gynaecology/Obstetrics were the ones who reported lower rates of these practices and were also the ones who w...
The Author(s) 2012. This article is published with open access at Springerlink.com Abstract Chang... more The Author(s) 2012. This article is published with open access at Springerlink.com Abstract Changes in modern societies originate the perception that ethical behaviour is essential in organization’s practices especially in the way they deal with aspects such as human rights. These issues are usually under the umbrella of the concept of social responsibility. Recently the Report of the International Bio-ethics Committee of UNESCO on Social Responsibility and Health has addressed this concept of social responsibility in the context of health care delivery suggesting a new paradigm in hospital governance. The objective of this paper is to address the issue of corporate social responsibility in health care, namely in the hospital setting, emphasising the special governance arrangements of such complex organisations and to evaluate if new models of hospital management (entrepreneurism) will need robust mechanisms of corporate governance to fulfil its social responsiveness. The scope of t...
Objective: This study aimed to assess health-related quality of life among prelingual profoundly ... more Objective: This study aimed to assess health-related quality of life among prelingual profoundly deaf children and adolescents with cochlear implants and to compare the responses of these children to those of their parents. Methods: Our sample consisted of deaf children and adolescents with cochlear implants and two control groups: hearing children and adolescents and deaf children and adolescents. The ages of the participants ranged between 8 and 18 years. Parents and children/adolescents were surveyed using the Kidscreen-52, which is a generic instrument for assessing the healthrelated quality of life of children and adolescents. Structured interviews were conducted with parents to collect information and clinical histories, and the Graffar Scale was used to assess socioeconomic status. Results: The hearing participants exhibited significantly higher quality of life than the deaf participants without implants in nearly all domains. In contrast, although hearing participants exhibi...
A adaptação ao Ensino Superior envolve um conjunto lato de mudanças e o confronto com tarefas múl... more A adaptação ao Ensino Superior envolve um conjunto lato de mudanças e o confronto com tarefas múltiplas de índole psicossocial, académico e institucional (Almeida, Soares, & Ferreira, 2000) e, por isso, considerado como um processo vulnerável à ansiedade e ao stresse (e.g., Assadi, Nakhaei, Najafi, & Fazel, 2007). Exige a mobilização de um conjunto de recursos pessoais, sociais e instrumentais (Clare, 1995, como citado por Santos, 2011), que se vê influenciado pelas perceções dos sujeitos relativamente ao grau de stresse que este processo despoleta (Pritchard & Wilson, 2003).info:eu-repo/semantics/publishedVersio
BackgroundIn the last 2 weeks of January 2021, Portugal was the worst country in the world in inc... more BackgroundIn the last 2 weeks of January 2021, Portugal was the worst country in the world in incidence of infections and deaths due to COVID-19. As a result, the pressure on the healthcare system increased exponentially, exceeding its capacities and leaving hospitals in near collapse. This scenario caused multiple constraints, particularly for hospital medical staff. Previous studies conducted at different moments during the pandemic reported that COVID-19 has had significant negative impacts on healthcare workers’ psychological health, including stress, anxiety, depression, burnout, post-traumatic stress symptoms, and sleep disturbances. However, there are many uncertainties regarding the professional quality of life of hospital nurses and physicians. To address gaps in previous research on secondary traumatic stress, we focused on healthcare workers working in hospitals affected by a major traumatic event: the third wave of COVID-19.ObjectivesThe aim of the present study was to i...
Background Organ transplantation represents the most effective and acceptable therapy for end-sta... more Background Organ transplantation represents the most effective and acceptable therapy for end-stage organ failure. However, its frequent practice often leads to a shortage of organs worldwide. To solve this dilemma, some countries, such as Portugal, have switched from an opt-in to an opt-out system, which has raised concerns about respect for individual autonomy. We aimed to evaluate whether young university students are aware of this opt-out system so that they can make informed, autonomous and conscious decisions, as well as to identify the factors that determine a positive attitude toward post-mortem organ donation. Methods An observational, cross-sectional study was developed and a questionnaire was administered to first-year students from six faculties of the University of Porto. Results Of the 841 participants, 60% were unaware that Portugal had adopted an opt-out system. Among the informed individuals, their main sources of information included social media, internet, and fam...
Additional file 1:. Factors associated with personal, work, and client-related burnout identified... more Additional file 1:. Factors associated with personal, work, and client-related burnout identified by simple linear regression. The independent variables to include in each multiple regression were chosen by performing simple linear regressions with each variable in the dataset.
Following the WHO's declaration of a public health emergency due to the COVID-19 outbreak, th... more Following the WHO's declaration of a public health emergency due to the COVID-19 outbreak, the subsequent quarantine and confinement measures that were adopted, including distance learning measures, were shown to have caused a significant deterioration in the mental health of medical students. The goal of this study was to explore the mediating role of resilience and life satisfac-tion in the relationship between perceived stress and burnout among medical students in the con-text of COVID-19. A transversal assessment was performed using an online questionnaire, to which 462 students responded. The instruments applied were the Perceived Stress Scale-10, the Resilience Scale-25 items, the Satisfaction with Life Scale (SWLS) and the Burnout Scale (Olden-burg Inventory). A regression model was estimated for each dimension of burnout. The results revealed that resilience and life satisfaction play a mediating role in the association between stress and the dimensions of burnout. This ...
Medical education aims to train professionals who are capable of making extremely complex decisio... more Medical education aims to train professionals who are capable of making extremely complex decisions. As part of the medical curriculum, bioethics education could have an important role in promoting moral development and decision-making in medical students. This study aims to determine if, after a Bioethics and Professional Deontology course, medical students would present a change of opinion on three ethical dilemmas. A quantitative and longitudinal study was developed by applying the MCTxt (Moral Competence Test extended), composed of three ethical dilemmas (Worker, doctor, and judge dilemmas), to a sample of 70, fourth year medical students, from a Portuguese medical school. The questionnaire was applied at the beginning and end of a bioethics course, with a 3 month time interval. For this study the opinion scores were analyzed and described using the mean and standard deviation. The comparison of these scores, at both times, were performed using t-tests for paired samples. A sign...
The literature is undisputed regarding the impact of mental health on public health, and there ha... more The literature is undisputed regarding the impact of mental health on public health, and there has been an increase in the use of primary healthcare, in particular, the consultations of general practitioners (GPs), with issues at this level. In the literature on the subject, the psychological intervention has been indicated as a positive factor in reversing this trend, and it is in this context that the present study was developed. We intend to explore the differences in the number of GP consultations prior to and after the psychology consultation in a Primary Healthcare Centre (PHC). To this end, data from 845 healthcare center users were collected between June 2004 and September 2014. Student’s t-test and mixed analysis of variance (ANOVA) was performed. The results point out a decrease in the number of GP consultations in the period subsequent to the first psychological consultation. We discuss that psychological intervention seems to have a positive effect, not only in improving...
The anti-Covid19 vaccination campaign has been fortified on the positive effects that immunizatio... more The anti-Covid19 vaccination campaign has been fortified on the positive effects that immunization is bringing the nations, since infection rates, hospitalizations, and deaths have been falling according to the data in constant disclosure by official government organs and the channels of communication. In Brazil, the effective and free National Vaccination Program haven’t prioritized patients with rare diseases, who have extreme comorbidities, and who had to follow the calendar prepared by the government. The problematic question is why these “rare people” weren´t considered priorities. The understanding of the reasons and the resumption of the debate about the rights of patients with rare diseases justify this study, which sought to be based on regular descriptors issued by official government agencies and by critics of rare disease issues in debates made in scientific articles. We sought to respond to the following objectives: analyze dispensed care of rare disease patients in the...
Informed consent protects patients’ right of autonomy, as they may refuse to participate in clini... more Informed consent protects patients’ right of autonomy, as they may refuse to participate in clinical teaching. In Pediatrics, young people aged 16 or over, and with the necessary judgment, may consent; in Psychiatry, consent is also essential due to the personal nature of the subjects addressed. This study aimed mainly to assess the practical application of informed consent in medical education. An observational cross-sectional study was developed, and an interview-like questionnaire was applied to participants waiting for a scheduled consultation for themselves or the person they represented, in Pediatrics and Psychiatry. Only 54% of Pediatrics participants and 75% of Psychiatry participants stated that the physician asked them if they minded the students’ presence and an even smaller percentage from both departments affirmed that students introduced themselves as medical students and requested their consent to examine them. Patients feel satisfied to contribute to the students’ tr...
International Journal of Environmental Research and Public Health, Jan 30, 2023
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
ObjectivesThe COVID-19 pandemic has had a negative impact on the mental health of healthcare work... more ObjectivesThe COVID-19 pandemic has had a negative impact on the mental health of healthcare workers (HCWs) worldwide. This study aims to identify the degree to which sociodemographic variables and indicators of subjective well-being and psychological resilience are associated, positively and negatively, with the outcomes of burnout, stress, depression and anxiety among Portuguese HCWs observed during the first wave. It also aims to evaluate the strength of association of these variables and indicators with each outcome.DesignCross-sectional quantitative study. The statistical methods used are simple logistic model, multiple logistic regression model and −2*log-likelihood statistic.SettingPortuguese HCWs living in Portugal and working in the Portuguese healthcare system.ParticipantsThe study included 1535 professionals, with a mean age of 38 years.Primary and secondary outcomes measuresPsychological variables were measured by Copenhagen Burnout Inventory, the Resilience Scale, the D...
Resumo Educar para a bioética é um desafio na atualidade. Ainda maior se torna este desafio, quan... more Resumo Educar para a bioética é um desafio na atualidade. Ainda maior se torna este desafio, quando pensamos no ensino da bioética a estudantes de enfermagem, que irão desempenhar uma profissão que tem como expoente máximo o cuidar da outra pessoa. Tratando-se de uma profissão que implica a relação com o outro e a prestação de cuidados humanizados e adequados a cada situação específica, torna-se importante desenvolver ferramentas de ensino que promovam não só o desenvolvimento técnico e o conhecimento de como fazer, mas essencialmente o desenvolvimento de competências morais, pessoais e profissionais que conduzam a cuidados de saúde de excelência. Este artigo pretende apresentar uma reflexão sobre o ensino da bioética e a sua relação com o desenvolvimento da competência moral dos estudantes de enfermagem, assim como sugerir algumas estratégias no ensino da Bioética que potenciem a formação de enfermeiros cada vez mais competentes.
Resumen Educar en bioética es un desafío en la actualidad. Esto se vuelve más grande cuando pensa... more Resumen Educar en bioética es un desafío en la actualidad. Esto se vuelve más grande cuando pensamos en la enseñanza de bioética a estudiantes de enfermería, quienes desempeñarán una profesión que tiene la máxima expresión la asistencia a las personas. Por ser una profesión que involucra la relación con el otro y la prestación de una asistencia humanizada y adecuada a cada situación específica, es importante desarrollar herramientas didácticas que promuevan no solo el desarrollo técnico y el conocimiento de cómo hacerlo, sino fundamentalmente el desarrollo de competencias morales, personales y profesionales que promuevan una excelente atención en salud. Este artículo reflexiona sobre la enseñanza de la bioética y su relación con el desarrollo de la competencia moral de los estudiantes de enfermería, así como sugiere algunas estrategias para la enseñanza de la Bioética que promueva una formación de profesionales cada vez más competentes.
BackgroundThe COVID-19 pandemic has forced mental health professionals to adapt quickly. The pand... more BackgroundThe COVID-19 pandemic has forced mental health professionals to adapt quickly. The pandemic has created multiple new tasks for the psychologist. In addition to the various stressors closely linked to the COVID-19 pandemic, psychologists were forced to make their services more flexible. Teleworking was a way of continuing to work.ObjectiveThis study aimed to identify the impact of working pattern on the levels of burnout, depression, anxiety, and stress.MethodsThis was a cross-sectional study based on an online questionnaire applied to eighty-three Portuguese psychologists. Data were collected from May 9 to June 8, 2020, a period comprising the declaration of a national calamity and then state of emergency, and the subsequent ease of lockdown measures. The Copenhagen Burnout Inventory Scale and Depression Anxiety and Stress Scale were used. Univariate multiple linear regression models were estimated for each mental health outcome.ResultsSignificant differences were found be...
Background The COVID-19 pandemic had a large consequence on healthcare systems, increasing the ri... more Background The COVID-19 pandemic had a large consequence on healthcare systems, increasing the risks of psychological issues in health professionals. Nurses, in particular, have been exposed to multiple psychosocial stressors and struggled with intensive work, insufficiency of resources and uncertainty in the face of an unknown disease. Life satisfaction might protect nurses from the consequences of chronic stress. The aim of this study was to explore the mediating role of satisfaction with life in the relationship between depression, stress, anxiety and burnout (personal, work-related, and client-related). Methods A cross-sectional, descriptive, correlational study design was performed, using an online questionnaire distributed via social networks. A total of 379 nurses completed the survey, comprising standardized measures of satisfaction with life, resilience (Resilience Scale), depression, anxiety, stress (Depression Anxiety Stress Scales), and burnout (Copenhagen Burnout Invent...
There are complex ethical dilemmas inherent in medicine teaching, particularly in clinical prac-t... more There are complex ethical dilemmas inherent in medicine teaching, particularly in clinical prac-tice involving actual patients. Questions must be raised on fulfilling medical students' training needs while still respecting patients' fundamental rights to autonomy and privacy. We aimed to assess patients' perspectives regarding medical students' involvement in their medical care. An observational, cross-sectional study was developed, and an interview-like questionnaire was ap-plied randomly to patients waiting for a consult/admitted to three distinct departments: General Surgery, Obstetrics/Gynaecology, and Infectious Diseases. Of the 77% interviewed patients who reported previous experiences with medical students, only 59% stated that they were asked for consent for their participation and 28% that students had adequately introduced themselves. Pa-tients from Gynaecology/Obstetrics were the ones who reported lower rates of these practices and were also the ones who w...
The Author(s) 2012. This article is published with open access at Springerlink.com Abstract Chang... more The Author(s) 2012. This article is published with open access at Springerlink.com Abstract Changes in modern societies originate the perception that ethical behaviour is essential in organization’s practices especially in the way they deal with aspects such as human rights. These issues are usually under the umbrella of the concept of social responsibility. Recently the Report of the International Bio-ethics Committee of UNESCO on Social Responsibility and Health has addressed this concept of social responsibility in the context of health care delivery suggesting a new paradigm in hospital governance. The objective of this paper is to address the issue of corporate social responsibility in health care, namely in the hospital setting, emphasising the special governance arrangements of such complex organisations and to evaluate if new models of hospital management (entrepreneurism) will need robust mechanisms of corporate governance to fulfil its social responsiveness. The scope of t...
Objective: This study aimed to assess health-related quality of life among prelingual profoundly ... more Objective: This study aimed to assess health-related quality of life among prelingual profoundly deaf children and adolescents with cochlear implants and to compare the responses of these children to those of their parents. Methods: Our sample consisted of deaf children and adolescents with cochlear implants and two control groups: hearing children and adolescents and deaf children and adolescents. The ages of the participants ranged between 8 and 18 years. Parents and children/adolescents were surveyed using the Kidscreen-52, which is a generic instrument for assessing the healthrelated quality of life of children and adolescents. Structured interviews were conducted with parents to collect information and clinical histories, and the Graffar Scale was used to assess socioeconomic status. Results: The hearing participants exhibited significantly higher quality of life than the deaf participants without implants in nearly all domains. In contrast, although hearing participants exhibi...
A adaptação ao Ensino Superior envolve um conjunto lato de mudanças e o confronto com tarefas múl... more A adaptação ao Ensino Superior envolve um conjunto lato de mudanças e o confronto com tarefas múltiplas de índole psicossocial, académico e institucional (Almeida, Soares, & Ferreira, 2000) e, por isso, considerado como um processo vulnerável à ansiedade e ao stresse (e.g., Assadi, Nakhaei, Najafi, & Fazel, 2007). Exige a mobilização de um conjunto de recursos pessoais, sociais e instrumentais (Clare, 1995, como citado por Santos, 2011), que se vê influenciado pelas perceções dos sujeitos relativamente ao grau de stresse que este processo despoleta (Pritchard & Wilson, 2003).info:eu-repo/semantics/publishedVersio
BackgroundIn the last 2 weeks of January 2021, Portugal was the worst country in the world in inc... more BackgroundIn the last 2 weeks of January 2021, Portugal was the worst country in the world in incidence of infections and deaths due to COVID-19. As a result, the pressure on the healthcare system increased exponentially, exceeding its capacities and leaving hospitals in near collapse. This scenario caused multiple constraints, particularly for hospital medical staff. Previous studies conducted at different moments during the pandemic reported that COVID-19 has had significant negative impacts on healthcare workers’ psychological health, including stress, anxiety, depression, burnout, post-traumatic stress symptoms, and sleep disturbances. However, there are many uncertainties regarding the professional quality of life of hospital nurses and physicians. To address gaps in previous research on secondary traumatic stress, we focused on healthcare workers working in hospitals affected by a major traumatic event: the third wave of COVID-19.ObjectivesThe aim of the present study was to i...
Background Organ transplantation represents the most effective and acceptable therapy for end-sta... more Background Organ transplantation represents the most effective and acceptable therapy for end-stage organ failure. However, its frequent practice often leads to a shortage of organs worldwide. To solve this dilemma, some countries, such as Portugal, have switched from an opt-in to an opt-out system, which has raised concerns about respect for individual autonomy. We aimed to evaluate whether young university students are aware of this opt-out system so that they can make informed, autonomous and conscious decisions, as well as to identify the factors that determine a positive attitude toward post-mortem organ donation. Methods An observational, cross-sectional study was developed and a questionnaire was administered to first-year students from six faculties of the University of Porto. Results Of the 841 participants, 60% were unaware that Portugal had adopted an opt-out system. Among the informed individuals, their main sources of information included social media, internet, and fam...
Additional file 1:. Factors associated with personal, work, and client-related burnout identified... more Additional file 1:. Factors associated with personal, work, and client-related burnout identified by simple linear regression. The independent variables to include in each multiple regression were chosen by performing simple linear regressions with each variable in the dataset.
Following the WHO's declaration of a public health emergency due to the COVID-19 outbreak, th... more Following the WHO's declaration of a public health emergency due to the COVID-19 outbreak, the subsequent quarantine and confinement measures that were adopted, including distance learning measures, were shown to have caused a significant deterioration in the mental health of medical students. The goal of this study was to explore the mediating role of resilience and life satisfac-tion in the relationship between perceived stress and burnout among medical students in the con-text of COVID-19. A transversal assessment was performed using an online questionnaire, to which 462 students responded. The instruments applied were the Perceived Stress Scale-10, the Resilience Scale-25 items, the Satisfaction with Life Scale (SWLS) and the Burnout Scale (Olden-burg Inventory). A regression model was estimated for each dimension of burnout. The results revealed that resilience and life satisfaction play a mediating role in the association between stress and the dimensions of burnout. This ...
Medical education aims to train professionals who are capable of making extremely complex decisio... more Medical education aims to train professionals who are capable of making extremely complex decisions. As part of the medical curriculum, bioethics education could have an important role in promoting moral development and decision-making in medical students. This study aims to determine if, after a Bioethics and Professional Deontology course, medical students would present a change of opinion on three ethical dilemmas. A quantitative and longitudinal study was developed by applying the MCTxt (Moral Competence Test extended), composed of three ethical dilemmas (Worker, doctor, and judge dilemmas), to a sample of 70, fourth year medical students, from a Portuguese medical school. The questionnaire was applied at the beginning and end of a bioethics course, with a 3 month time interval. For this study the opinion scores were analyzed and described using the mean and standard deviation. The comparison of these scores, at both times, were performed using t-tests for paired samples. A sign...
The literature is undisputed regarding the impact of mental health on public health, and there ha... more The literature is undisputed regarding the impact of mental health on public health, and there has been an increase in the use of primary healthcare, in particular, the consultations of general practitioners (GPs), with issues at this level. In the literature on the subject, the psychological intervention has been indicated as a positive factor in reversing this trend, and it is in this context that the present study was developed. We intend to explore the differences in the number of GP consultations prior to and after the psychology consultation in a Primary Healthcare Centre (PHC). To this end, data from 845 healthcare center users were collected between June 2004 and September 2014. Student’s t-test and mixed analysis of variance (ANOVA) was performed. The results point out a decrease in the number of GP consultations in the period subsequent to the first psychological consultation. We discuss that psychological intervention seems to have a positive effect, not only in improving...
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