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López-Fernández A, Villacampa G, Salinas M, Grau E, Darder E, Carrasco E, Solanes A, Velasco A, Torres M, Munté E, Iglesias S, Torres-Esquius S, Tuset N, Diez O, Lázaro C, Brunet J, Corbella S, Balmaña J. Role of psychological background in cancer susceptibility genetic testing distress: It is not only about a positive result. J Genet Couns 2023. [PMID: 36748747 DOI: 10.1002/jgc4.1687] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 01/18/2023] [Accepted: 01/21/2023] [Indexed: 02/08/2023]
Abstract
Clinical and familial factors predict psychological distress after genetic testing for cancer susceptibility. However, the contribution of an individual's psychological background to such distress is unclear. This study aims to analyze the psychological impact of genetic testing and to identify the profile of individuals at higher risk. This is a longitudinal multicenter study of individuals undergoing genetic testing for cancer susceptibility. Demographic, clinical, genetic, familial, and psychological (personality types, cancer worry) characteristics were assessed by validated questionnaires the day of genetic testing. Distress, uncertainty, and positive experience perception (MICRA scale) were evaluated at the results disclosure visit, and 3 and 12 months afterwards. Multivariate analysis was performed. A total of 714 individuals were included. A high neuroticism score, high baseline cancer worry, and a positive genetic test result were independently associated with higher psychological impact (p-value < 0.05). The highest risk profile (10% of the cohort) included women with high level of neuroticism and a positive result. Uncertainty was mainly associated with a high level of neuroticism, regardless of the genetic test result. A holistic approach to personalized germline genetic counseling should include the assessment of personality dimensions.
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Affiliation(s)
- Adrià López-Fernández
- Hereditary Cancer Genetics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.,Medical Oncology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Genetic and Microbiology Department, Universitat Autònoma de Barcelona, Barcelona, Spain
| | | | - Mònica Salinas
- Hereditary Cancer Program, Duran i Reynals Hospital, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain
| | - Elia Grau
- Genetic and Microbiology Department, Universitat Autònoma de Barcelona, Barcelona, Spain.,Hereditary Cancer Program, Duran i Reynals Hospital, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain
| | - Esther Darder
- Hereditary Cancer Program, Josep Trueta University Hospital, Catalan Institute of Oncology, IDIBGI, Girona, Spain
| | - Estela Carrasco
- Hereditary Cancer Genetics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.,Medical Oncology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Ares Solanes
- Hereditary Cancer Program, Germans Trias i Pujol Hospital, Catalan Institute of Oncology, Barcelona, Spain
| | - Angela Velasco
- Hereditary Cancer Program, Josep Trueta University Hospital, Catalan Institute of Oncology, IDIBGI, Girona, Spain
| | - Maite Torres
- Hereditary Cancer Genetics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain
| | - Elisabet Munté
- Hereditary Cancer Program, Duran i Reynals Hospital, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain
| | - Silvia Iglesias
- Hereditary Cancer Program, Duran i Reynals Hospital, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain
| | - Sara Torres-Esquius
- Hereditary Cancer Genetics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain
| | - Noemí Tuset
- Genetic Counseling Unit, Arnau de Vilanova University Hospital, Lleida, Spain
| | - Orland Diez
- Hereditary Cancer Genetics Group, Area of Clinical and Molecular Genetics, Vall d'Hebron Hospital Universitari, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain
| | - Conxi Lázaro
- Hereditary Cancer Program, Molecular Diagnosis Laboratory, Catalan Institute of Oncology, Barcelona, Spain
| | - Joan Brunet
- Hereditary Cancer Program, Duran i Reynals Hospital, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain.,Medical Sciences Dpt. School of Medicine, University of Girona, Girona, Spain
| | - Sergi Corbella
- School of Psychology, Education and Sports Sciences, Ramon Llull University - Blanquerna, Barcelona, Spain
| | - Judith Balmaña
- Hereditary Cancer Genetics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.,Medical Oncology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain
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Molero Jurado MDM, Herrera-Peco I, Pérez-Fuentes MDC, Oropesa Ruiz NF, Martos Martínez Á, Ayuso-Murillo D, Gázquez Linares JJ. Communication and humanization of care: Effects over burnout on nurses. PLoS One 2021; 16:e0251936. [PMID: 34111138 PMCID: PMC8191999 DOI: 10.1371/journal.pone.0251936] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 05/03/2021] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Healthcare professionals may have certain psychological characteristics which contribute to increasing the quality of their professional performance. OBJECTIVE Study the effect that humanization of care and communication have on the burnout syndrome in nursing personal. METHODS The sample included a total of 330 Spanish nurses. Analytical instruments used were the Health Professional's Humanization Scale (HUMAS), Communication Styles Inventory Revised (CSI-R) and Brief Burnout Questionnaire Revised (CBB-R). RESULTS Two broad nursing profiles could be differentiated by their level of humanization (those with scores over the mean and those with scores below it in optimistic disposition, openness to sociability, emotional understanding, self-efficacy, and affection), where the largest group had the high scores. A communication repertoire based on verbal aggressiveness impacted indirectly on the effect of humanization on burnout, mainly in the personal impact component. We observed the relation of humanization profiles in nursing staff with the job dissatisfaction and burnout components. Besides that, some communication styles, verbal aggressiveness and questioningness, have an indirect effect on the relationship between humanization profiles and job dissatisfaction. CONCLUSIONS The results on the relationship between communication styles and burnout, and the mediator effect of communication styles on the relationship between humanization of care and burnout in nursing personnel are discussed.
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Affiliation(s)
| | - Iván Herrera-Peco
- Nursing Department, Faculty of Health Sciences, Alfonso X El Sabio University, Madrid, Spain
- Alfonso X El Sabio Foundation, Madrid, Spain
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Abstract
OBJECTIVES To explore the type of education needed for nurses when dealing with aggression from patients and their families. DESIGN A two-phase sequential mixed-methods study. SETTING This study was conducted in Japan, with phase I from March to November 2016 and phase II in November 2018. MAIN OUTCOME MEASURES The challenges faced by nurses when dealing with incidents of aggression from the neutral perspective of neither nurse nor patient/family and perceptions of the educational contents developed in this study. Descriptive analyses were used to examine the data retrieved from both phases. PARTICIPANTS Phase I entailed semistructured interviews among 11 neutral-party participants who observed aggressive incidents between nurses and patients/families. Phase II consisted of a web survey conducted among 102 nursing students and 308 nursing professionals. RESULTS Phase I resulted in the identification of the following five main educational components: understanding the mechanisms of anger and aggression, maintaining self-awareness, observant listening, managing the self-impression, and communicating based on specific disease characteristics. Each component was related to improved communication through self-awareness. The results of phase II indicated that participants positively perceived these educational contents as likely to be effective for dealing with aggression from patients/families. CONCLUSIONS This study clarified the type of education needed for nurses when dealing with aggression based on multiple viewpoints. Specifically, neutral-party interviews revealed that communication should be improved through self-awareness. A subsequent survey among nurses and nursing students showed that the identified educational contents were positively received.
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Affiliation(s)
- Kana Sato
- Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Yoshimi Kodama
- School of Nursing and Rehabilitation Sciences, Showa University, Yokohama, Kanagawa, Japan
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Michelet D, Truchot J, Du Fayet De La Tour C, Benichou C, Berdji A, Delivet H, Ceccaldi PF, Plaisance P, Julien-Marsollier F, Dahmani S. The impact of psychological factors on the management of intraoperative haemodynamic events in children. Anaesth Crit Care Pain Med 2020; 39:785-791. [PMID: 33010488 DOI: 10.1016/j.accpm.2020.02.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 02/27/2020] [Accepted: 02/28/2020] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Paediatric anaesthesia requires specific theoretical knowledge and practical training. Non-technical skills and psychological factors might influence learning and practice. The aim of this study was to assess personality type and decision-making styles of paediatric anaesthesiology residents during the management of simulated intraoperative life-threatening cases. METHOD Residents in anaesthesiology (between 4 and 5 years of training) participated in a simulated hypoxic cardiac arrest in the operating theatre. Their performance was evaluated using a score derived from international recommended management algorithm. They were asked to answer self-assessment questionnaires regarding both their personality (the five personality factors) and their decision-making style. Correlations between performance and personality were investigated. RESULTS Thirty-eight residents participated in the simulation session and 36 accepted to answer the questionnaires. Good management scoring was positively correlated with agreeableness and conscientiousness personality traits but was negatively correlated with avoidance and spontaneous decision-making styles. DISCUSSION The current study identified personality traits and decision-making styles that might influence the management of critical situations during paediatric anaesthesia. The proper identification of these factors might allow targeted personalised training to improve knowledge mobilisation and translation in the clinical context.
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Affiliation(s)
- Daphné Michelet
- Department of Anaesthesia, Intensive Care and Pain Management, AP-HP, Robert Debré University Hospital, 75019 Paris, France; Gynaecology and Obstetrics Department, Beaujon Hospital, 92110 Clichy, France
| | - Jennifer Truchot
- Emergency Department, Lariboisière University Hospital, 75010 Paris, France; Gynaecology and Obstetrics Department, Beaujon Hospital, 92110 Clichy, France
| | - Charlotte Du Fayet De La Tour
- Department of Anaesthesia, Intensive Care and Pain Management, AP-HP, Robert Debré University Hospital, 75019 Paris, France
| | - Candy Benichou
- Department of Anaesthesia, Intensive Care and Pain Management, AP-HP, Robert Debré University Hospital, 75019 Paris, France
| | - Abdellouahabe Berdji
- Department of Anaesthesia, Intensive Care and Pain Management, AP-HP, Robert Debré University Hospital, 75019 Paris, France
| | - Honorine Delivet
- Emergency Department, Robert Debré Hospital, 75019 Paris, France
| | - Pierre-Francois Ceccaldi
- Gynaecology and Obstetrics Department, Beaujon Hospital, 92110 Clichy, France; Ilumens Department of Simulation in Healthcare, Paris Diderot University (Paris 7), Université de Paris, Paris, France
| | - Patrick Plaisance
- Emergency Department, Lariboisière University Hospital, 75010 Paris, France; Ilumens Department of Simulation in Healthcare, Paris Diderot University (Paris 7), Université de Paris, Paris, France
| | - Florence Julien-Marsollier
- Department of Anaesthesia, Intensive Care and Pain Management, AP-HP, Robert Debré University Hospital, 75019 Paris, France
| | - Souhayl Dahmani
- Department of Anaesthesia, Intensive Care and Pain Management, AP-HP, Robert Debré University Hospital, 75019 Paris, France; UMR INSERM U 676.Robert Debré University Hospital, 75019 Paris, France.
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The Impact of Both Individual and Collaborative Job Crafting on Spanish Teachers’ Well-Being. EDUCATION SCIENCES 2019. [DOI: 10.3390/educsci9020074] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Current changes in social structures and political-economic systems directly affect teachers’ job performance. Among others, these changes include changes in communication and information technologies, the scientific revolution, changes in the structure of populations, the revolution of social relations, economic and political transformations, and revolutions in labor relations and leisure time. These changes all seem to have promoted educational revolutions, which encourage the development of autonomous individuals who are capable of making critical judgments, ready to dialogue and cooperate in problem solving, and who seek alternatives aimed at building a better society. Thus, teachers suffer daily from the impact of continual changes that affect the way they do their work. According to the job-demands resources model, each job environment has its own characteristics that can be grouped into two dimensions: job demands and job resources. However, the relationship between job demands and resources has serious implications for individuals’ lives and psychological well-being. While work provides us with the means to survive, develop social relationships, and experience control over our lives, an excess of demands and a shortage of resources to cope with them would adversely affect personal well-being. Hence, individuals can perform behaviors through job crafting to balance this relationship between demands and resources at work. Job crafting is a proactive behavior of the worker who improves his own working conditions in order to achieve a more meaningful and satisfactory job. This phenomenon allows individuals to play a certain role by “creating” their own job, changing the conditions in which they perform their tasks. In this study, 146 teachers participated to investigate the relationships between both individual and collaborative job crafting behaviors, on the one hand, and job satisfaction, work engagement, and teaching performance, on the other.
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Job Crafting among Labor Union Representatives: Its Impact on Work Engagement and Job Satisfaction. SOCIAL SCIENCES-BASEL 2019. [DOI: 10.3390/socsci8010020] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Labor Union activity still lacks recognition as an ordinary work activity. However, on the one hand, labor union representatives must deal with many tasks (internal and external) that can sometimes be overwhelming. On the other hand, given its vocational nature and the possibility that it offers for the workers themselves to organize their work, the area of trade unionism can be interesting for the study of job crafting and other phenomena associated with well-being, such as burnout or work engagement. Unfortunately, to date, there are no investigations that address these phenomena, especially job crafting in the labor union environment. Therefore, the objective of the present study is to explore the existing relationships between the job crafting of the labor union representatives and their well-being and health. A sample of 78 participants engaged in labor union activity for an average of 12.62 years completed job satisfaction and work engagement measures. The results indicate that job crafting dimensions predicted participants’ job satisfaction and engagement.
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