Abstract Problem: Traditionally, both the environment and other animals have been excluded from the sphere of moral consideration, even though humans’ positive relationship with them brings benefits for the health of both creatures and promotes the development of empathy and the display of prosocial behaviors (Ngai, Yu, Chau, Lee & Wong, 2021). In fact, in recent decades there have been cases of zoonoses, inappropriate use of resources, deterioration of the environment and an increase in recorded cases of animal abuse. Animal abuse, a complex and multi-determined phenomenon, frequently works as a precursor or indicator of other behaviors classified as “antisocial”, violent and non-violent. There is conflicting evidence regarding the role that empathy plays in the emission or inhibition of aggressive behaviors and how generalizable interspecies empathy is. In this respect, three phenomena of interest stand out: empathic erosion, progressive desensitization to violence and compassion fatigue. Objective: To determine whether the levels of empathy, the willingness to behave abusively against other animals, and actual animal abuse behavior are related to the context of pre-professional training, self-perceived gender, and current and/or previous ownership of other companion animals in university students who are in the final stage of their training to obtain their university degree in Psychology. Methodology: Retrospective ex post facto single case design (N=241). A self-administered questionnaire was applied that included the Interpersonal Reactivity Index, the Animal Empathy Scale, the Animal Abuse Proclivity Scale and the quantity and frequency of effective animal abuse behaviors. Contribution: the contribution of self-perceived gender to the relationship between various measures of empathy and abuse towards other animals is evidenced, and the thesis of the non-generalizability of interspecies empathy is reinforced.

Resumen Problema: tradicionalmente se ha excluido de la esfera de consideración moral tanto al ambiente como a otros animales, aun cuando una relación positiva con ellos reporta beneficios para la salud de unas y otras criaturas y promueve el desarrollo de empatía y la emisión de conductas prosociales (Ngai, Yu, Chau, Lee y Wong, 2021). De hecho, en las últimas décadas se han observado casos de zoonosis, uso inadecuado de recursos, deterioro del ambiente y un aumento de casos registrados de abuso animal. El abuso animal, fenómeno complejo y multideterminado, frecuentemente funciona como precursor o indicador de otras conductas calificadas como “antisociales”, violentas y no violentas. Respecto del rol que juega la empatía en la emisión o inhibición de conductas agresivas y de cuán generalizable es la empatía interespecie, existe evidencia contradictoria y se resaltan aquí tres fenómenos de interés: erosión empática, desensibilización progresiva a la violencia y fatiga por compasión. Objetivo: determinar si los niveles de empatía, la disposición a comportarse de manera abusiva contra otros animales y la conducta efectiva de abuso animal se relacionan con el contexto de formación preprofesional, el género autopercibido y la tenencia actual y/o previa de animales de compañía en estudiantes universitarios que cursan el tramo final de la Licenciatura en Psicología. Metodología: diseño ex post facto retrospectivo de grupo único (N = 241). Se aplicó un cuestionario autoadministrado que incluyó el Interpersonal Reactivity Index, la Animal Empathy Scale, la Animal Abuse Proclivity Scale y la cantidad y frecuencia de conductas efectivas de abuso animal. Contribución: se evidencia sobre el aporte del género autopercibido a la relación entre diversas medidas de empatía y el abuso hacia otros animales y se refuerza la tesis de la no generalizabilidad de la empatía interespecie.

BACKGROUND. Interventions administered to critically ill patients, including mechanical ventilation, sedation or other treatments may hinder communication between patients and nurses. These communication challenges may affect critical care nurses' ability to provide compassionate, person-centred care. OBJECTIVE. To identify nurses' experiences with patients who are communication-vulnerable in the intensive care unit and how they affect nurses' ability to offer compassionate care. METHOD. This qualitative explorative descriptive study involved nurses who worked in intensive care units from four private hospitals in Gauteng, South Africa. Focus groups were conducted with 30 critical care nurses in groups of two to six participants each. Thematic analysis was used to identify themes. RESULTS. Five main themes were identified based on nurses' reports of their experiences with critically ill patients who experience communication difficulties and their impact on rendering compassionate care. Themes were deductively identified based on the social purposes of communication categories. Participants indicated that communication-vulnerable patients influence their ability to provide compassionate care. Generally, the physical, emotional, social and communication difficulties of assisting communication-vulnerable patients caused nurses to feel frustrated and negative towards their work environment, which added to their work stress and sometimes resulted in compassion fatigue. CONCLUSION. The study shows that various factors could impact the nurses' ability to provide compassionate care and that they require support to provide person-centred care. These factors can include the physical environment, the patient's alertness and awareness and institutional barriers. To support nurses in providing compassionate care, communication partner training may be warranted.

RESUMO Este artigo tem como objetivo aproximar-se do tema amplo infância, movimentos sociais e o urbano e sua relação com processos de formação de professores e professoras e a relação com currículos escolares, os quais, muitas vezes, desconsideram o que há em torno das escolas, desde a creche, e demais formas de organização política e social, como elementos fundamentais a serem desenvolvidos de modo sensível e aprofundado em todos os segmentos educacionais: infância, pobreza, populações indígenas e de rua, vida urbana, processos participativos, patrimônio e cidade, são temáticas que se relacionam na produção da vida de todas as pessoas, desde bebês, que também inventam e produzem as cidades. Não há qualquer intenção de realizar a apresentação do estado da arte ou do conhecimento, mas apenas de tocar em questões importantes e produzir pensamentos sobre elas. Ao final, buscamos orientar a mostra de artigos contidos neste dossiê e que abordam o tema oferecendo contribuições para a continuidade dos debates aqui iniciados. aproximarse aproximar infância escolares quais vezes escolas creche social educacionais pobreza rua urbana participativos cidade pessoas bebês cidades conhecimento elas final iniciados

ABSTRACT This article aims to approach the broad theme of childhood, social movements and the urban environment and its relationship with teacher training processes and the relationship with school curricula, which often disregard what is around schools , from daycare centers, and other forms of political and social organization, as fundamental elements to be developed in a sensitive and in-depth manner in all educational segments: childhood, poverty, indigenous and street populations, urban life, participatory processes, heritage and the city , are themes that are related to the production of the lives of all people, from babies onwards, who also invent and produce cities. There is no intention to present the state of the art or knowledge, but only to touch on important issues and produce thoughts about them. In the end, we seek to guide the display of articles contained in this dossier and that address the topic, offering contributions to the continuity of the debates started here. childhood curricula centers organization indepth depth segments poverty populations life people onwards cities knowledge them end topic here

BACKGROUND: Professional nurses typically promote and advocate self-care practices to their patients to achieve better health outcomes, but rarely engage in these practices themselves METHODS: A qualitative, descriptive phenomenological approach was used in this study. Ten professional nurses employed in different primary health care facilities were purposively sampled. Semi-structured interviews were conducted to collect data, which were analysed using Colaizzi's data analysis strategy, and data saturation was reached RESULTS: Two themes were identified. Theme 1: the participants expressed that internal and external factors compromised self-care practices, such as subconscious self-neglect, insufficient resources, and a depressed economy, which encouraged them to work extended hours. Theme 2: participants' holistic well-being was compromised, as they neglected their mental well-being CONCLUSION: Self-care practices among professional nurses seem unachievable. The extent of this population's self-care neglect was evident during the coronavirus disease 2019 (COVID-19) pandemic when professional nurses globally gave of themselves relentlessly CONTRIBUTION: This is the first study conducted on the topic in the City of Ekurhuleni, and the findings will provide relevant stakeholders with a directive on what strategies, policies, and guidelines to develop and implement to make self-care practices attainable for professional nurses

BACKGROUND: Limited research is available regarding the professional quality of life experiences of South African speech-language therapists and audiologists, despite the implications this has for wellbeing, quality of patient care, productivity and attrition from the professions. OBJECTIVES: This study explored levels of compassion satisfaction, burnout, and secondary traumatic stress, the relationships between these, differences on the basis of registration and years of experience and participants' perceptions of their professional quality of life. METHOD: A sample of 92 South African speech-language therapists and audiologists completed an online survey that included the Professional Quality of Life (ProQOL) scale. The data were analysed using descriptive statistics, analysis of variation (ANOVA), correlations and thematic analysis. RESULTS: The findings indicated that participants experienced slightly higher levels of secondary traumatic stress and burnout and slightly lower levels of compassion satisfaction than international samples. There were significant inter-relationships between the three elements of professional quality of life, and no significant differences for these on the basis of registration or years of experience. Participants identified a range of factors that contributed to their experiences of compassion satisfaction and fatigue, as well as suggestions for improvement. CONCLUSION: Professional quality of life plays an important role in South African speech-language therapists and audiologists' professionalism, job performance and satisfaction and retention. CONTRIBUTION: The data collected provide valuable insights into the professional quality of life experiences of South African speech-language therapists and audiologists, as well as those working in similar contexts. It also offers suggestions that may contribute to future research and interventions.

Resumo Introdução: O residente de enfermagem está exposto a estresses e desgastes que impactam em sua qualidade de vida profissional. Nesse sentido, as práticas integrativas e complementares de saúde podem contribuir para promover o bem-estar físico, mental e espiritual. Objetivo: Verificar o efeito da terapia floral nos componentes da qualidade de vida profissional (fadiga por compaixão - Burnout e Estresse Traumático Secundário - e satisfação por compaixão) em residentes de enfermagem no contexto da pandemia de COVID-19. Metodologia: Estudo piloto quase-experimental do tipo antes e depois, com 16 enfermeiros residentes de hospitais de ensino, que responderam um questionário sociodemográfico e uma escala Professional Quality of Life Scale 4 (ProQOL-4), e utilizaram a fórmula emergencial associada ao Walnut dos Florais de Bach (FiveW) por três semanas com follow up após três semanas. Os dados foram analisados descritivamente e o efeito da intervenção pelo teste t-Student e pelo modelo de efeitos mistos, com nível de significância de 5%. Resultados: A terapia floral auxiliou na redução do escore da subescala Estresse Traumático Secundário do ProQOL-4 (p=0,017), com efeito residual após o follow up. Houve interação do ano da residência e especialidade do programa nas subescalas Satisfação por Compaixão e Burnout; e área de especialização da residência e adoecimento de pessoa próxima por COVID-19 no Estresse Traumático Secundário e Burnout (p<0,05). Conclusão: A fórmula floral FiveW mostrou redução dos escores do Estresse Traumático Secundário, evidenciando que a terapia floral pode contribuir como estratégia complementar para melhora da qualidade de vida profissional.

Resumen Introducción: La persona residente de enfermería está expuesta a situaciones estresantes que impactan en su calidad de vida profesional. En ese sentido, las prácticas de salud integradoras y complementarias pueden contribuir a promover el bienestar físico, mental y espiritual. Objetivo: Verificar el efecto de la terapia con esencias florales sobre los componentes de la calidad de vida profesional (fatiga por compasión -burnout y estrés traumático secundario- y satisfacción por compasión) en población residente de enfermería en el contexto de la pandemia por COVID-19. Metodología: Estudio piloto cuasiexperimental antes y después de un solo grupo, con 16 personas enfermeras residentes de hospitales universitarios, que respondieron un cuestionario sociodemográfico y la Escala de Calidad de Vida Profesional 4 (ProQOL-4). Además, utilizaron la fórmula de emergencia asociada al Walnut de los remedios florales de Bach (FiveW), durante tres semanas, con un seguimiento de tres semanas. Los datos fueron analizados descriptivamente y el efecto de la intervención por la prueba t-Student pareada y por el modelo de efectos mixtos, con un nivel de significación del 5 %. Resultados: La terapia floral ayudó a reducir la puntuación de la subescala de Estrés Traumático Secundario del ProQOL-4 (p=0.017) con un efecto residual después del seguimiento. Hubo interacción entre el año de residencia y la especialidad del programa en las subescalas Satisfacción por Compasión y Burnout, así como entre especialidad del programa y enfermedad por COVID-19 de una persona allegada en Estrés Traumático Secundario y Burnout (p<0.05). Conclusión: La fórmula floral FiveW mostró reducción en las puntuaciones de estrés traumático secundario, lo que demuestra que la terapia floral puede contribuir como un manejo complementario para mejorar la calidad de vida profesional.

Abstract Introduction: The nursing resident is exposed to stressful situations that impact the quality of their professional life. Integrative and complementary health practices can contribute to promoting physical, mental, and spiritual well-being. Objective: To evaluate the effect of flower essence therapy on the aspects of the professional quality of life (compassion fatigue - burnout and secondary traumatic stress - and compassion satisfaction) of nursing residents in the context of the COVID-19 pandemic. Methods: Quasi-experimental pilot before and after study with 16 resident nurses from teaching hospitals, who answered a sociodemographic questionnaire and the Professional Quality of Life Scale 4 (ProQOL-4). The emergency formula associated with Walnut of the Bach Flower Remedies (FiveW) was used for three weeks with a three-week follow-up. Data were analyzed descriptively. The effect of the intervention was evaluated by the paired Student's t-test and by the mixed effects model, with a significance level of 5%. Results: Floral therapy reduced the score of the Secondary Traumatic Stress subscale of ProQOL-4 (p=0.017) with a residual effect after the follow-up. There was interaction between the year of residency and the program specialty in the Satisfaction for Compassion and Burnout subscales; and also between the program specialty and the COVID-19 infection of a close person in the Secondary Traumatic Stress and Burnout subscales (p<0.05). Conclusion: The FiveW floral formula showed a reduction in Secondary Traumatic Stress scores, evidencing that floral therapy can contribute as a complementary strategy to improve the quality of professional life.

Abstract This article examines the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals. A longitudinal, before-and-after study was conducted with nursing professionals working in the frontline in the pre-pandemic and pandemic periods. Our study applied the Brazilian versions of the Professional Quality of Life Scale and the Utrecht Work Engagement Scale. High levels of compassion satisfaction (≥43.0), low levels of burnout (<23.0) and secondary traumatic stress (<23.0), as well as high levels of vigor (≥4.0 and ≤4.99), absorption (≥4.0 and ≤4.99), and overall score (≥4.0 and ≤4.99) were observed. Moderate, negative, and significant correlations of burnout with vigor (r: -0.505; p-value: <0.001), in the pre-pandemic period; and with overall score, in the pre-pandemic (r: -0.543; p-value: <0.001) and pandemic periods (r: -0.458; p-value: <0.001), were also observed. No changes in levels of work engagement were found. Professionals with compassion fatigue showed decreased vigor, absorption, and overall score, rated as medium in the pandemic period (≥2.0 and ≤3.99), and an increased dedication, which was low (≥1.0 and ≤1.99) in the pre-pandemic period. It was concluded that there is no harmful association between compassion fatigue and work engagement with COVID-19 in nursing professionals. COVID19 COVID 19 COVID-1 longitudinal beforeandafter before after prepandemic pre ≥43.0, 430 ≥43.0 , 43 0 (≥43.0) <23.0 230 23 (<23.0 <23.0, ≥4.0 40 4 (≥4. ≤4.99, 499 ≤4.99 99 observed Moderate negative r (r 0.505 0505 505 -0.505 pvalue p value p-value <0.001, 0001 <0.001 001 0.543 0543 543 -0.543 0.458 0458 458 -0.458 found ≥2.0 20 2 (≥2. ≤3.99, 399 ≤3.99 3 ≤3.99) dedication ≥1.0 10 1 (≥1. ≤1.99 199 COVID1 COVID- ≥43. (≥43.0 <23. (<23. ≥4. (≥4 49 ≤4.9 9 0.50 050 50 -0.50 000 <0.00 00 0.54 054 54 -0.54 0.45 045 45 -0.45 ≥2. (≥2 39 ≤3.9 ≥1. (≥1 ≤1.9 ≥43 (≥43. <23 (<23 ≥4 (≥ ≤4. 0.5 05 5 -0.5 <0.0 0.4 04 -0.4 ≥2 ≤3. ≥1 ≤1. (≥43 <2 (<2 ≥ ( ≤4 0. -0. <0. ≤3 ≤1 < (< ≤ -0 <0 -

Resumo O artigo analisa a associação entre níveis de fadiga por compaixão e engajamento no trabalho com a COVID-19 em profissionais de enfermagem. Estudo longitudinal, tipo antes e depois, realizado com profissionais de enfermagem da linha de frente, nos períodos pré-pandêmico e pandêmico. Utilizou-se as versões brasileiras da Professional Quality of Life Scale e da Utrecht Work Engagement Scale. Observou-se altos níveis de satisfação por compaixão (≥43,0), baixos níveis de burnout (<23,0) e estresse traumático secundário (<23,0); e níveis altos de vigor (≥4,0 e ≤4,99), absorção (≥4,0 e ≤4,99) e escore geral (≥4,0 e ≤4,99). Houve correlação moderada, negativa e significativa do burnout com vigor (r: -0,505; p-valor: <0,001), no pré-pandemia; e com o escore geral, no pré-pandemia (r: -0,543; p-valor: <0,001) e período pandêmico (r: -0,458; p-valor: <0,001). Não houve alterações nos níveis de engajamento no trabalho. Profissionais com fadiga por compaixão tiveram redução do vigor, absorção e escore geral, classificados como médios no período pandêmico (≥2,0 e ≤3,99); e aumento da dedicação, que era baixa (≥1,0 e ≤1,99) no pré-pandemia. Concluiu-se não haver associação danosa entre fadiga por compaixão e engajamento no trabalho com a COVID-19 nos profissionais de enfermagem. COVID19 COVID 19 COVID-1 longitudinal depois frente prépandêmico pré Utilizouse Utilizou se Observouse Observou ≥43,0, 430 ≥43,0 , 43 0 (≥43,0) <23,0 230 23 (<23,0 ≥4,0 40 4 (≥4, ≤4,99, 499 ≤4,99 99 ≤4,99. . moderada r (r 0,505 0505 505 -0,505 pvalor p valor p-valor <0,001, 0001 <0,001 001 prépandemia pandemia 0,543 0543 543 -0,543 0,458 0458 458 -0,458 <0,001. ≥2,0 20 2 (≥2, ≤3,99 399 3 ≤3,99) dedicação ≥1,0 10 1 (≥1, ≤1,99 199 prépandemia. pandemia. Concluiuse Concluiu COVID1 COVID- ≥43, (≥43,0 <23, (<23, ≥4, (≥4 49 ≤4,9 9 0,50 050 50 -0,50 000 <0,00 00 0,54 054 54 -0,54 0,45 045 45 -0,45 ≥2, (≥2 ≤3,9 39 ≥1, (≥1 ≤1,9 ≥43 (≥43, <23 (<23 ≥4 (≥ ≤4, 0,5 05 5 -0,5 <0,0 0,4 04 -0,4 ≥2 ≤3, ≥1 ≤1, (≥43 <2 (<2 ≥ ( ≤4 0, -0, <0, ≤3 ≤1 < (< ≤ -0 <0 -

Resumo O artigo analisa a associação entre níveis de fadiga por compaixão e engajamento no trabalho com a COVID-19 em profissionais de enfermagem. Estudo longitudinal, tipo antes e depois, realizado com profissionais de enfermagem da linha de frente, nos períodos pré-pandêmico e pandêmico. Utilizou-se as versões brasileiras da Professional Quality of Life Scale e da Utrecht Work Engagement Scale. Observou-se altos níveis de satisfação por compaixão (≥43,0), baixos níveis de burnout (<23,0) e estresse traumático secundário (<23,0); e níveis altos de vigor (≥4,0 e ≤4,99), absorção (≥4,0 e ≤4,99) e escore geral (≥4,0 e ≤4,99). Houve correlação moderada, negativa e significativa do burnout com vigor (r: -0,505; p-valor: <0,001), no pré-pandemia; e com o escore geral, no pré-pandemia (r: -0,543; p-valor: <0,001) e período pandêmico (r: -0,458; p-valor: <0,001). Não houve alterações nos níveis de engajamento no trabalho. Profissionais com fadiga por compaixão tiveram redução do vigor, absorção e escore geral, classificados como médios no período pandêmico (≥2,0 e ≤3,99); e aumento da dedicação, que era baixa (≥1,0 e ≤1,99) no pré-pandemia. Concluiu-se não haver associação danosa entre fadiga por compaixão e engajamento no trabalho com a COVID-19 nos profissionais de enfermagem.

Abstract This article examines the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals. A longitudinal, before-and-after study was conducted with nursing professionals working in the frontline in the pre-pandemic and pandemic periods. Our study applied the Brazilian versions of the Professional Quality of Life Scale and the Utrecht Work Engagement Scale. High levels of compassion satisfaction (≥43.0), low levels of burnout (<23.0) and secondary traumatic stress (<23.0), as well as high levels of vigor (≥4.0 and ≤4.99), absorption (≥4.0 and ≤4.99), and overall score (≥4.0 and ≤4.99) were observed. Moderate, negative, and significant correlations of burnout with vigor (r: -0.505; p-value: <0.001), in the pre-pandemic period; and with overall score, in the pre-pandemic (r: -0.543; p-value: <0.001) and pandemic periods (r: -0.458; p-value: <0.001), were also observed. No changes in levels of work engagement were found. Professionals with compassion fatigue showed decreased vigor, absorption, and overall score, rated as medium in the pandemic period (≥2.0 and ≤3.99), and an increased dedication, which was low (≥1.0 and ≤1.99) in the pre-pandemic period. It was concluded that there is no harmful association between compassion fatigue and work engagement with COVID-19 in nursing professionals.

Abstract This study aimed to adapt the Compassion Fatigue-Short Scale to Portugal and examine the reliability and validity of the Portuguese version of the scale (Pt-CF-Short Scale) among Portuguese firefighters. The factor structure of the Pt-CF-Short Scale was compared to the one-factor model fit and a two-factor model and second-order factor model in a sample of 512 firefighters. Confirmatory factor analysis procedures confirmed the good fit of a second-order factor model with two first-order factors (secondary trauma and job burnout). The Pt-CF-Short Scale showed good internal consistency evidence. The Kessler Psychological Distress Scale (K-10), the Brief Symptom Inventory (BSI) and WHOQOOL-Bref were used as convergent measures to assess psychological distress, anxiety, depression, and interpersonal sensitivity and quality of life, respectively. The measure presented a strong correlation with psychological distress and weak and negative association with quality of life. The Pt-CF-Short Scale contributes to understanding compassion fatigue and its correlates within the context of emergency workers. Results indicate that this scale is a valid and reliable assessment tool in evaluating compassion fatigue.

Resumo Este estudo teve como objetivo adaptar a Compassion Fatigue-Short Scale para Portugal e examinar a fiabilidade e validade da versão portuguesa da escala (Pt-CFShort Scale) entre bombeiros portugueses. A estrutura fatorial da CF-Short Scale foi comparada com o ajuste do modelo de um fator e um modelo de dois fatores e um modelo de fator de segunda ordem em uma amostra de 512 bombeiros. Os procedimentos de análise fatorial confirmatória confirmaram o bom ajuste de um modelo fatorial de segunda ordem com dois fatores de primeira ordem (trauma secundário e esgotamento profissional). As evidências de consistência interna mostraram bons coeficientes e boa validade convergente foi encontrada ao correlacionar essa escala com sofrimento psíquico, ansiedade, depressão e sensibilidade interpessoal. No entanto, essa medida apresentou associação fraca e negativa com as dimensões do WHOQOL-Bref. A validade discriminante foi confirmada. A escala Pt-CF-short contribui para a compreensão da trajetória da fadiga por compaixão e seus correlatos no contexto dos socorristas. Os resultados indicam que esta escala é uma ferramenta de avaliação válida e confiável na avaliação da fadiga por compaixão.

Resumen Objetivo. Determinar el efecto del miedo y afrontamiento ante la muerte sobre la fatiga por compasión en enfermeros que laboran en la unidad cuidados intensivos. Método. Diseño correlacional-predictivo. A través de un muestreo intencional se seleccionaron 255 enfermeros que laboraban en Unidades de Cuidados Intensivos de Adultos de hospitales de la Península de Yucatán (México). Se aplicó una cédula de datos personales, la escala de miedo a la muerte de Collet-Lester (α=0.72), la escala de Bugen de afrontamiento de la muerte (α=0.82) y la escala de agotamiento por empatía (α=0.80). Se realizó estadística descriptiva e inferencial como prueba de Spearman y un modelo de ecuación estructural. Resultados. Se encontró relación del miedo y el afrontamiento hacia la muerte con la fatiga por compasión (p<0.01). Adicionalmente, el modelo de ecuaciones muestra que el miedo y el afrontamiento hacia la muerte predice en un 43.6% sobre la fatiga por compasión. Conclusión. El miedo y el afrontamiento hacia la muerte tienen efecto sobre la fatiga por compasión en los enfermeros que laboran en la unidad de cuidados intensivos, por lo que al estar laborando en esta área crítica puede provocar afectaciones en su estado de salud.

Abstract Objective. To determine the effect of fear and coping with death on compassion fatigue in nurses working in the intensive care unit. Methods. Correlational-predictive design, applied in 245 nurses working in the intensive care unit through intentional sampling. The study applied a personal data card, the Collet-Lester Fear of Death Scale (α=0.72), the Bugen Fell of Death Scale (α=0.82), and the Empathy Exhaustion Scale (α=0.80). Descriptive and inferential statistics were performed, such as Spearman's test and a structural equation model. Results. The work had 255 nurses who participated, finding a relationship among fear and coping toward death and compassion fatigue (p<0.01), together with the equation model showing that fear and coping toward death have a positive effect in 43.6% on compassion fatigue. Conclusion. Fear and coping with death have an effect on compassion fatigue in nurses working in the intensive care unit, so that when working in a critical area it can cause health effects.

Resumo Objetivo. Determinar o efeito do medo e enfrentamento da morte na fadiga por compaixão em enfermeiros que atuam em Unidade de Terapia Intensiva (UTI). Métodos. Desenho preditivo correlacional. Por meio de amostragem intencional, foram selecionados 255 enfermeiros que trabalhavam em Unidades de Terapia Intensiva de Adultos de hospitais da Península de Yucatán (México). Foi aplicada uma ficha de dados pessoais, a escala de medo da morte de Collet -Lester (α=0.72), a escala de Bugen de enfrentamento da morte (α=0.82) e a escala de exaustão por empatia (α=0.80). Foram realizadas estatísticas descritivas e inferenciais como o teste de Spearman e um modelo de equação estrutural. Resultados. Encontrou-se relação entre medo e enfrentamento da morte e fadiga por compaixão (p<0.01). Além disso, o modelo de equação mostra que o medo e o enfrentamento da morte preveem 43.6% da fadiga por compaixão. Conclusão. O medo e o enfrentamento da morte afetam a fadiga por compaixão em enfermeiros que atuam em UTI, portanto, trabalhar nessa área crítica pode afetar seu estado de saúde.

Abstract This study aims to build a model of prediction of satisfaction by compassion among health professionals who care for critical and chronic patients, through the creation of an artificial neural network. The resulting neural network has seven layers with 12 neurons in the input layer, represented by sociodemographic characteristics; 20, 10, 10, 5 and 4 neurons in the intermediate layers; and 1 neuron in the output layer representing “Satisfaction by Compassion”. The logistic function was used as a transfer function for neurons in the first 5 layers, where the activation of the last layer was linear. The Non-Dominant Genetic Classification Algorithm was adopted in its second version. The simulations were carried out with MATLAB® software version R2017a. The best result was presented by the inclusion of 12 variables, with a final accuracy of 94.5%. The artificial neural network built is an innovative tool for studying the quality of professional life.

Resumo Este estudo objetiva construir um modelo de predição à satisfação por compaixão entre os profissionais de saúde que atendem pacientes críticos e crônicos, por meio da criação de uma rede neural artificial. A rede neural resultante possui sete camadas com 12 neurônios na camada de entrada, representados por características sociodemográficas; 20, 10, 10, 5 e 4 neurônios nas camadas intermediárias; e 1 neurônio na camada de saída representando a “Satisfação por Compaixão”. Foi utilizada a função logística como função de transferência dos neurônios das 5 primeiras camadas, onde a ativação da última camada foi linear. Adotou-se o Algoritmo Genético de Classificação Não Dominante, em sua segunda versão. As simulações foram realizadas com o software MATLAB® versão R2017a. O melhor resultado foi apresentado pela inclusão de 12 variáveis, com acurácia final de 94,5%. A rede neural artificial construída é uma ferramenta inovadora para o estudo da qualidade de vida profissional.

RESUMEN Objetivo: Identificar los niveles de calidad de vida profesional y estrés laboral en los profesionales de enfermería. Método: Estudio transversal realizado entre abril y agosto de 2020, con profesionales de enfermería que laboran en unidades de internación para pacientes clínicos y quirúrgicos de un gran hospital. Se aplicó la Escala de Estrés Laboral y la Escala de Calidad de Vida Profesional. Resultados: La muestra estuvo formada por 150 profesionales, con una edad media de 43 ± 8,89 años, siendo el 84,7% (127) mujeres. El promedio de la escala de estrés en el trabajo fue de 1,9 (± 0,71), un nivel de estrés moderado. Se encontró que la satisfacción a través de la compasión tuvo una mediana de 50,3 (9,1 - 64,6), el agotamiento de 48,5 (32,2 - 84,8) y el trastorno de estrés postraumático de 47,1 (38,6 - 98,3). Conclusión: En la muestra se identificaron estrés en el trabajo y fatiga por compasión, especialmente en profesionales de nivel medio, lo que demuestra la necesidad de implementar estrategias para reducir el daño psicoemocional en estos profesionales. Objetivo Método 2020 hospital Profesional Resultados 15 4 889 8 89 8,8 años 847 84 7 84,7 127 (127 mujeres 19 1 9 1, ( 0,71, 071 0,71 , 0 71 0,71) moderado 503 50 3 50, 9,1 91 (9, 64,6, 646 64,6 64 6 64,6) 485 48 5 48, 32,2 322 32 2 (32, 84,8 848 471 47 47, 38,6 386 38 (38, 98,3. 983 98,3 . 98 98,3) Conclusión medio 202 88 8, 84, 12 (12 07 0,7 9, (9 64, 32, (32 38, (38 98, 20 (1 0, (3

ABSTRACT Objective: To identify the levels of professional quality of life and the occupational stress in nursing professionals. Method: Cross sectional study conducted between April and August 2020, with nursing professionals working in inpatient units for clinical and surgical patients of a large hospital. The Work Stress Scale and the Professional Quality of Life Scale were applied. Results: The sample consisted of 150 professionals, with a mean age of 43 ± 8.89 years, being 84.7% (127) female. The mean of the work stress scale was 1.9 (± 0.71), a moderate level of stress. It was found that compassion satisfaction had a median of 50.3 (9.1 - 64.6), burnout of 48.5 (32.2 - 84.8) and post-traumatic stress disorder of 47.1 (38.6 - 98.3). Conclusion: Stress at work and Compassion Fatigue were identified in the sample, especially in secondary-level professionals, demonstrating the need to implement strategies to reduce psycho-emotional harm in these professionals. Objective Method 2020 hospital applied Results 15 4 889 8 89 8.8 years 847 84 7 84.7 127 (127 female 19 1 9 1. ( 0.71, 071 0.71 , 0 71 0.71) 503 50 3 50. 9.1 91 (9. 64.6, 646 64.6 64 6 64.6) 485 48 5 48. 32.2 322 32 2 (32. 84.8 848 posttraumatic post traumatic 471 47 47. 38.6 386 38 (38. 98.3. 983 98.3 . 98 98.3) Conclusion secondarylevel secondary psychoemotional psycho emotional 202 88 8. 84. 12 (12 07 0.7 9. (9 64. 32. (32 38. (38 98. 20 (1 0. (3

RESUMO Objetivo: Identificar os níveis de qualidade de vida profissional e o estresse ocupacional em profissionais da enfermagem. Método: Estudo transversal realizado entre abril e agosto de 2020, com profissionais da enfermagem atuantes em unidades de internação para pacientes clínicos e cirúrgicos de um hospital de grande porte. Os instrumentos utilizados foram a Escala de Estresse no Trabalho e Escala de Qualidade de Vida Profissional. Resultados: A amostra foi constituída por 150 profissionais, com média de idade de 43 ± 8,89 anos, sendo 84,7% (127) do sexo feminino. A média da escala de estresse no trabalho foi 1,9 (± 0,71), nível moderado de estresse. Verificou-se que satisfação por compaixão apresentou mediana de 50,3 (9,1 - 64,6), burnout de 48,5 (32,2 - 84,8) e estresse pós-traumático de 47,1 (38,6 - 98,3). Conclusão: Identificou-se estresse no trabalho e Fadiga por Compaixão na amostra, principalmente nos profissionais de nível médio, demonstrando a necessidade de implementar estratégias para a redução do dano psicoemocional nestes profissionais. Objetivo Método 2020 porte Profissional Resultados 15 4 889 8 89 8,8 anos 847 84 7 84,7 127 (127 feminino 19 1 9 1, ( 0,71, 071 0,71 , 0 71 0,71) Verificouse Verificou se 503 50 3 50, 9,1 91 (9, 64,6, 646 64,6 64 6 64,6) 485 48 5 48, 32,2 322 32 2 (32, 84,8 848 póstraumático pós traumático 471 47 47, 38,6 386 38 (38, 98,3. 983 98,3 . 98 98,3) Conclusão Identificouse Identificou médio 202 88 8, 84, 12 (12 07 0,7 9, (9 64, 32, (32 38, (38 98, 20 (1 0, (3

Resumen Este artículo identificó los factores que pueden promover o dificultar la calidad de vida profesional de los profesionales de oncología según criterios de desgaste y satisfacción por empatía. Se utilizó un estudio bibliográfico descriptivo, del tipo revisión integradora, sin corte temporal. El análisis de los datos recopilados en CINAHL, Embase, Web of Science, PsycINFO, Scopus, MEDLINE y Biblioteca Virtual en Salud fue realizado por tres evaluadores independientes. Se incluyeron estudios primarios en portugués, inglés y español. Se realizaron un análisis de los datos, para lograr los objetivos propuestos, y una síntesis para presentarse en tablas y categorías temáticas. Entre los 909 artículos encontrados, se seleccionaron 18 artículos para el análisis. Los factores sociodemográficos, internos y externos a los individuos, pueden alterar la calidad de vida profesional. Se concluye que las características intrínsecas y subjetivas, así como los aspectos del ambiente laboral contribuyeron al desgaste y la satisfacción por empatía. empatía descriptivo integradora temporal CINAHL Embase Science PsycINFO Scopus independientes portugués español propuestos temáticas 90 encontrados 1 sociodemográficos individuos subjetivas 9

Abstract This integrative review investigates the factors that may promote or harm the quality of life of oncology professionals, according to compassion fatigue and satisfaction criteria. Bibliographic research was conducted on the CINAHL, Embase, Web of Science, PsycINFO, Scopus, MEDLINE and Virtual Health Library databases. Primary studies published in Portuguese, Spanish and English were included. Of the 909 articles found, 18 were selected for analysis by three independent reviewers. Data were summarized in tables and thematic categories. Sociodemographic factors, internal and external to the individual, can alter professional quality of life. In conclusion, intrinsic and subjective characteristics, as well as work environment aspects, contribute to the development of compassion fatigue and satisfaction. professionals criteria CINAHL Embase Science PsycINFO Scopus databases Portuguese included 90 found 1 reviewers categories individual conclusion characteristics aspects 9

Resumo Este artigo busca identificar fatores que podem promover ou prejudicar a qualidade de vida profissional dos profissionais oncológicos segundo critérios de fadiga e satisfação por compaixão. Utilizou-se estudo bibliográfico descritivo, tipo revisão integrativa, sem recorte temporal. Utilizaram-se as bases de dados CINAHL, Embase, Web of Science, PsycINFO, Scopus, MEDLINE e Biblioteca Virtual em Saúde para a pesquisa analisada por três revisores independentes. Incluíram-se estudos primários nos idiomas português, inglês e espanhol. Realizaram-se análise para alcançar os objetivos propostos neste estudo e síntese dos dados para a apresentação em tabelas e categorias temáticas. Como resultados, selecionaram-se 18 artigos para análise entre os 909 encontrados. Evidenciou-se que fatores sociodemográficos, internos e externos aos indivíduos podem alterar a qualidade de vida profissional. Concluiu-se que características intrínsecas e subjetivas, bem como aspectos do ambiente de trabalho, contribuíram para o desenvolvimento da fadiga por compaixão e da satisfação por compaixão. Utilizouse Utilizou se descritivo integrativa temporal Utilizaramse Utilizaram CINAHL Embase Science PsycINFO Scopus independentes Incluíramse Incluíram português espanhol Realizaramse Realizaram temáticas resultados selecionaramse selecionaram 1 90 encontrados Evidenciouse Evidenciou sociodemográficos Concluiuse Concluiu subjetivas trabalho 9

RESUMEN: Objetivos: Evaluar la eficacia de una intervención guiada basada en la reducción del estrés y compasión, sobre la resiliencia, desgaste por empatía y atención plena de profesionales sanitarios. Metodología: Estudio cuasiexperimental con grupo control e intervención combinada multimodal impartido en 3 sesiones. Grupo control (n = 23), grupo experimental (n = 23). Recogida de datos: se hicieron 4 observaciones y se utilizaron las herramientas Escala Breve de Resiliencia, Inventario Friburgo de Mindfulness, Inventario de Desgaste por Empatía y datos sobre el perfil laboral y vida personal de las profesionales. Para analizar la relación entre variables se utilizó un modelo lineal general, la pruebas de chi cuadrado o de Fisher y análisis de regresión. Resultados: No se encontró un efecto significativo de la intervención evaluada en la puntuación obtenida en atención plena, resiliencia o empatía. El grupo control obtuvo mayor puntuación en atención plena cuando se relacionó con la unidad de trabajo no covid y la ausencia de estresores personales F (1,21)=16,081 p=<0,01, ŋ2=0,434. El perfil empático normal sin riesgo, fue significativamente mayor en unidades no covid frente a las covid en la primera evaluación (70% vs 30%, p=0,002). El perfil de baja resiliencia en técnicos de cuidados auxiliares de enfermería, fue mayor durante la última evaluación (72,2% vs 27,8%, p=0,003), momento que coincidió con un mayor número de pacientes hospitalizados por covid. Conclusiones: Factores personales y laborales (categoría profesional, la unidad de trabajo y presión asistencial) tuvieron más influencia en el bienestar psicológico de los profesionales, que la intervención realizada.

ABSTRACT: Objectives: Assess the efficacy of a guided intervention based on stress reduction and compassion, related to resilience and compassion fatigue of healthcare professionals. Methods: Quasi-experimental study with a control and intervention groups, combining a multimodal intervention delivered in 3 sessions. Control group (n = 23), experimental group (n = 23). Data collection: 4 observations were made using the Brief Resilience Scale, Freiburg Mindfulness Inventory, Compassion Fatigue Inventory and data on the professional profile and personal life. In order to analyze the relationship between variables, a general linear model, the chi-square or Fisher test, and regression analysis were used. Results: No significant effect of the evaluated intervention was found on the score obtained in mindfulness, resilience or empathy. The control group obtained a higher score in mindfulness when related to the non-covid work unit and the absence of personal stressors F(1.21)=16.081 p=<0.01, ŋ2=0.434. The normal empathic profile without risk was significantly higher in non-covid units compared to covid units in the first evaluation (70% vs 30%, p=0.002). The profile of low resilience in auxiliary nurses was higher during the last evaluation (72.2% vs 27.8%, p=0.003), a moment in which a greater number of patients were hospitalized with covid. Conclusions: A higher influences on professionals psychological wellbeing was present with personal and job related factors (professional category, work place and healthcare pressure) than the intervention carried out.

Education and training is essential for laboratory animal caretakers (LACs), but there are no courses available in South Africa. A national workshop was thus held to collaboratively establish the learning outcomes (LOs) for the education and training (E) of LACs. Eighty-five stakeholders from 30 institutions took part in small group discussions interspersed with plenary sessions to draw up the consensus LOs. One-hundred-and-twenty LOs were identified, grouped into the following three main themes and 15 topics: 1) Focus on animals (animal care and husbandry, animal ethics, animal welfare, basic biology, environment); 2) Focus on humans (administration, health and safety, lifelong learning, professionalism, psychological wellbeing); and 3) Focus on systems (biosecurity, equipment, jurisprudence, logistics, and quality management). This E framework provides a foundation for a career path in the laboratory animal science field. The psychological (i.e. mental and emotional) wellbeing of LACs forms a noteworthy component of the focus on humans, since working with research animals is stressful and coping mechanisms are needed in order to promote compassion satisfaction and prevent compassion fatigue and burnout. Approximately 75% of the LOs are knowledge-based, while 25% are competencies in practical skills. It is recommended that competencies should be assessed by direct observation of practical/procedural skills, where competence in a procedure or practical task is assessed against predetermined criteria. These LOs are published with the intent that they will promote animal and human wellbeing, support ethical science, maintain public confidence, and in so doing, contribute to a just and civilised society.