• 제목/요약/키워드: Role Stressors

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노인장기요양보호 인력의 소진 예측 요인 (Predictors of Burnout among Staff in Long-term Care Facilities for the Elderly)

  • 이주재
    • 한국노년학
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    • 제31권1호
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    • pp.97-109
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    • 2011
  • 이 연구는 노인장기요양보호 인력의 소진 예측 요인을 살펴보고, 노인장기요양서비스 인력의 소진 예방을 위한 대안을 제시하고 있다. 노인장기요양보호는 고령이나 노인성 질병으로 인하여 일상생활을 혼자 수행하기 어려운 노인 등에게 신체활동 또는 가사지원 등의 서비스를 제공하는 것이다. 연구 대상은 전남지역 노인장기 요양시설에 근무하는 직원 216명이고, 자료수집은 자기기입식 방법의 설문지를 이용하였으며, 분석방법은 SPSS 12.0을 이용하여 회귀분석을 실시하였다. 노인장기요양서비스 인력의 소진 척도는 22개 항목의 3가지 하위척도, 즉 정서적 고갈, 탈인격화, 자아성취감의 감소로 구성된 MBI를 사용하였다. 분석 결과에 의하면 직무요인인 클라이언트 요인, 업무과중, 역할갈등, 수급자 가족과 갈등이 소진에 유의미한 영향을 끼쳤고, 동료의 정서적 지지가 소진을 감소시키는 효과가 있는 것으로 나타났다. 연구 결과를 통해 노인장기요양보호 인력의 전문적 지위와 평판을 강화하기 위한 제도 보완과 소진을 예방하는데 동료의 정서적 지지 체계가 중요한 요인임을 확인하였다. 결론으로 이 연구결과를 바탕으로 노인장기요양서비스 인력의 소진 예방을 위한 제도적 실천적 함의를 제언하였다.

산후 우울의 고찰: 정신신경면역계 상호작용을 중심으로 (A Review of Postpartum Depression: Focused on Psychoneuroimmunological Interaction)

  • 김윤미;안숙희
    • 여성건강간호학회지
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    • 제21권2호
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    • pp.106-114
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    • 2015
  • Purpose: The purpose of this review was to describe a psychoneuroimmunology (PNI) framework for postpartum depression (PPD) and discuss its implications for nursing research and practice for postpartum women. Methods: This study explored the role of hypothalamic-pituitary-adrenal (HPA) axis and inflammation as possible mediators of risk factors for PPD through literature review. Results: From this PNI view, human bodies are designed to respond with the reciprocal interactions among the neuro-endocrine and immune system when they are faced with physical or psychological stressors. Chronic stress induces alterations in the function of HPA axis, and a chronic low-grade inflammatory response is associated with depression. The dysfunctions of cytokines and HPA axis have been observed during the postpartum period. Stress promotes glucocorticoid receptor resistance, which can promote inflammatory responses. This, in turn, can contribute to the pathophysiology of depression. This can especially affect populations at vulnerable time-points, such as women in the postpartum. Conclusion: From a PNI perspective, well-designed prospective research evaluating the role of stress and inflammation as an etiology of PPD and the effect of stress reduction is warranted to prevent PPD.

Taking a Closer Look at Bus Driver Emotional Exhaustion and Well-Being: Evidence from Taiwanese Urban Bus Drivers

  • Chen, Ching-Fu;Hsu, Yuan-Chun
    • Safety and Health at Work
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    • 제11권3호
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    • pp.353-360
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    • 2020
  • Background: Urban bus drivers work under conditions that are among the most demanding, stressful, and unhealthy with higher rates of mortality and morbidity as well as absenteeism and turnover. Methods: Drawing on the job demand-resource model, this study investigates the impacts of job characteristics on emotional exhaustion and the effects of emotional exhaustion on job outcomes (including job satisfaction, life satisfaction, organizational commitment, and turnover intention) in the context of bus drivers. Results: Using self-reported survey data collected from a sample of 320 Taiwanese urban bus drivers, results reveal that role overload and work-family conflict (as job demand factors) positively relate to emotional exhaustion, and organizational support (as a job resource factor) is negatively associated with emotional exhaustion. Emotional exhaustion has negative effects on both job satisfaction and organizational commitment. Job satisfaction positively leads to life satisfaction, whereas organizational commitment negatively relates to turnover intention. Conclusion: This study concludes that role overload and work-family conflict as two stressors related to job demands and organizational support as the job resource factor to affect emotional exhaustion which further influence well-being in bus driver context. The moderating effects of both extraversion and neuroticism on the relationship between job demands and emotional exhaustion are evident.

Role of antioxidants in fertility preservation of sperm - A narrative review

  • Ahmad Yar Qamar;Muhammad Ilyas Naveed;Sanan Raza;Xun Fang;Pantu Kumar Roy;Seonggyu Bang;Bereket Molla Tanga;Islam M. Saadeldin;Sanghoon Lee;Jongki Cho
    • Animal Bioscience
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    • 제36권3호
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    • pp.385-403
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    • 2023
  • Male fertility is affected by multiple endogenous stressors, including reactive oxygen species (ROS), which greatly deteriorate the fertility. However, physiological levels of ROS are required by sperm for the proper accomplishment of different cellular functions including proliferation, maturation, capacitation, acrosomal reaction, and fertilization. Excessive ROS production creates an imbalance between ROS production and neutralization resulting in oxidative stress (OS). OS causes male infertility by impairing sperm functions including reduced motility, deoxyribonucleic acid damage, morphological defects, and enhanced apoptosis. Several in-vivo and in-vitro studies have reported improvement in quality-related parameters of sperm following the use of different natural and synthetic antioxidants. In this review, we focus on the causes of OS, ROS production sources, mechanisms responsible for sperm damage, and the role of antioxidants in preserving sperm fertility.

Dietary Regulations of the Intestinal Barrier Function at Weaning

  • Bosi, Paolo;Gremokolini, Cyrien;Trevisi, Paolo
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권4호
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    • pp.596-608
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    • 2003
  • Weaning is a complex phase when the mammal suffers the action of different stressors that contribute to negatively affect the efficiency of the intestinal mucosa and of the whole local integrated system, that acts as barrier against any nocuous agent. The components of this barrier are mechanical, chemical, and bacteriological; immunological and not. The development of contact with a saprophyte microflora and the maintenance of feed intake after the interruption of motherly nutrition are essential for the maturation of an equilibrated local immune function and for a functional integrity of villi. Opportunities and limits of some dietary strategies that can contribute to reduce negative effects of weaning on health and performance are discussed. Knowledges on the possible mechanism of action of probiotics are upgraded, particularly for their supposed role in the balance between different immune functions (effectory/regulatory). Some tools to control pathogen microflora are reviewed (acids, herbs, immunoglobulin sources) and practical feeding systems are proposed.

정신과 간호사의 업무 스트레스 측정을 위한 도구 개발 연구 (The Development fo Occupational Stress Measurement Tool for Psychiatric Nurses)

  • 배정이
    • 대한간호
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    • 제28권1호
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    • pp.77-88
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    • 1989
  • The purpose of this study is to propose the baseline data for -developing the occupational stress measurement tool for Psychiatric nurses Working in the hospital. 135 staff nurses in psychiatric unit of 11. hospital were participated during the period from August 1 to August 20, 1988. Though the pretest and literature review a questionnaire was coristructed with 88 stressors which were experienced by the psychiatric nurses in the hospital. Subjects were given instruction to rate 1~6 likert type scale according to the level of stress experienced by each stressor described. Reliability of the tool was tested by Cronbach's Alpha and the reasult was ${\alpha}=0.94871$. Factor analysis was applied to organize 88 items together: As the result, 14 factors were obtained. The factors were; 1) Administration problem 2) Work overload 3) Role conflict as a profession 4) Lack of professional knowledge and skill 5) Conflict with nurses 6) Conflict with other health teams 7) Conflict in nurse-clint relationship 8) Conflict with supervisor 9) Conflict with suborinate 10) Low reward 11) Scheduling probrem 12) Inappropriate physical environment 13) Staff inadequate 14) Inadequate of equipment.

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Factors Influencing Satellite Cell Activity during Skeletal Muscle Development in Avian and Mammalian Species

  • Nierobisz, Lidia S;Mozdziak, Paul E
    • Asian-Australasian Journal of Animal Sciences
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    • 제21권3호
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    • pp.456-464
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    • 2008
  • Avian and mammalian skeletal muscles exhibit a remarkable ability to adjust to physiological stressors induced by growth, exercise, injury and disease. The process of muscle recovery following injury and myonuclear accretion during growth is attributed to a small population of satellite cells located beneath the basal lamina of the myofiber. Several metabolic factors contribute to the activation of satellite cells in response to stress mediated by illness, injury or aging. This review will describe the regenerative properties of satellite cells, the processes of satellite cell activation and highlight the potential role of satellite cells in skeletal muscle growth, tissue engineering and meat production.

Function and regulation of nitric oxide signaling in Drosophila

  • Sangyun Jeong
    • Molecules and Cells
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    • 제47권1호
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    • pp.100006.1-100006.10
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    • 2024
  • Nitric oxide (NO) serves as an evolutionarily conserved signaling molecule that plays an important role in a wide variety of cellular processes. Extensive studies in Drosophila melanogaster have revealed that NO signaling is required for development, physiology, and stress responses in many different types of cells. In neuronal cells, multiple NO signaling pathways appear to operate in different combinations to regulate learning and memory formation, synaptic transmission, selective synaptic connections, axon degeneration, and axon regrowth. During organ development, elevated NO signaling suppresses cell cycle progression, whereas downregulated NO leads to an increase in larval body size via modulation of hormone signaling. The most striking feature of the Drosophila NO synthase is that various stressors, such as neuropeptides, aberrant proteins, hypoxia, bacterial infection, and mechanical injury, can activate Drosophila NO synthase, initially regulating cellular physiology to enable cells to survive. However, under severe stress or pathophysiological conditions, high levels of NO promote regulated cell death and the development of neurodegenerative diseases. In this review, I highlight and discuss the current understanding of molecular mechanisms by which NO signaling regulates distinct cellular functions and behaviors.

신규간호사의 실무적응지원 교육 만족도 및 역할 이행 경험에 관한 조사 (New Graduate Nurses' Satisfaction with Transition Programs and Experiences in Role Transition)

  • 권인각;조용애;조명숙;이영희;김미순;김경숙;최애선
    • 임상간호연구
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    • 제25권3호
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    • pp.237-250
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    • 2019
  • Purpose: The aim of this study was to investigate the satisfaction of newly graduated nurses with educational programs and their experiences in role transition. Methods: Data were collected from November 1 to December 15, 2018 and 483 new graduate nurses working at 15 tertiary hospitals and 10 general hospitals participated. For data collection, self-report questionnaires including the Casey-Fink Graduate Nurse Experience Survey tool and satisfaction with education were used. Data were analyzed using descriptive statistics, t-test, and one-way analysis of variance. Results: Satisfaction with education ranged from 3.09 to 3.27, and satisfaction with preceptors was 3.45(maximum 4). The skill that new nurses ranked as most difficult during the first 3 months was charting/documentation, and throughout a whole year, the top 4 difficult skills were cardiopulmonary resuscitation/emergency response, ventilator care, end-of-life care, and prioritization/time management. In comfort/confidence, new graduates felt most comfortable with support and least comfortable with patient safety. More than 50 percent of new graduates experienced stress during role transition, and the most frequently experienced stressors were related to job performance and personal life. Levels of satisfaction with education and comfort/confidence differed according to the hospital type and number of preceptors for new nurses. Conclusion: In order to facilitate the transition of new graduate nurses to professional nurse, an extended period of education, systematic and standardized transition programs, and continuous support during the first year of practice are required.

Reevaluation of the Metabolic Essentiality of the Vitamins - Review -

  • McDowell, L.R.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권1호
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    • pp.115-125
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    • 2000
  • In recent years a great deal of information has accumulated for livestock on vitamin. function, metabolism and supplemental needs. The role of the antioxidant "vitamins" (carotenoids, vitamin E and vitamin C) in immunity and health of livestock has been a fruitful area of research. These nutrients play important roles in animal health by inactivating harmful free radicals produced through normal cellular activity and from various stressors. Both in vitro and in vivo studies showed that these antioxidant vitamins generally enhance different aspects of cellular and noncellular immunity. A compromised immune system will result in reduced animal production efficiency through increased susceptibility to diseases, thereby leading to increased animal morbidity and mortality. Vitamin E has been shown to increase performance of feedlot cattle and to increase immune response for ruminant health, including being beneficial for mastitis control. Vitamin E given to finishing cattle at higher than National Research Council (NRC) requirements dramatically maintained the red color (oxymyoglobin) compared with the oxidized metmyoglobin of beef. Under commercial livestock and poultry production conditions, vitamin allowances higher than NRC requirements may be needed to allow optimum performance. Generally, the optimum vitamin supplementation level is the quantity that achieves the best growth rate, feed utilization, health (including immune competency), and provides adequate body reserves.