- Family and Patient Care in Intensive Care Units
- Palliative Care and End-of-Life Issues
- Intensive Care Unit Cognitive Disorders
- Grief, Bereavement, and Mental Health
- Healthcare professionals’ stress and burnout
- Long-Term Effects of COVID-19
- Maternal Mental Health During Pregnancy and Postpartum
- Palliative and Oncologic Care
- Respiratory Support and Mechanisms
- Patient Dignity and Privacy
- COVID-19 Clinical Research Studies
- Electronic Health Records Systems
- Family Caregiving in Mental Illness
- Patient Safety and Medication Errors
- Healthcare Technology and Patient Monitoring
- Advances in Oncology and Radiotherapy
- COVID-19 and healthcare impacts
- COVID-19 and Mental Health
- Childhood Cancer Survivors' Quality of Life
- Women's cancer prevention and management
- Cancer survivorship and care
- Occupational Health and Burnout
- Health, Nursing, Elderly Care
- Religion, Spirituality, and Psychology
- Ultrasound in Clinical Applications
Hospital Sírio-Libanês
2014-2023
Insper
2014
Hospital São Paulo
2013
Fundação do ABC
2011
AC Camargo Hospital
2009-2010
Burnout appears to be common among critical care providers. It is characterized by three components: emotional exhaustion, depersonalization and personal accomplishment. Moral distress the inability of a moral agent act according his or her core values perceived obligations due internal external constraints. We aimed estimate correlation between burnout all intensive unit (ICU) step-down (SDU) providers (physicians, nurses, nurse technicians respiratory therapists). A survey was conducted...
Introduction Patients and family members undergo different experiences of suffering from emotional disorders during ICU stay after discharge. The purpose this study was to compare the incidence anxiety, depression post-traumatic stress disorder (PTSD) symptoms in pairs (patient respective member), at an open visit 30 90-days post-ICU We hypothesized that there a positive correlation with severity among patterns over time. Methods A prospective conducted 22-bed adult general including...
An intensive care unit (ICU) admission is a stressful event for the patient and patient's family. Several studies demonstrated symptoms of anxiety, depression, posttraumatic stress disorder in family members patients admitted to ICU. Some recognize that open visitation policy (OVP) related reduction anxiety depression an improvement satisfaction. However, some issues have been presented as barriers adoption strategy. This study was designed evaluate perceptions physicians, nurses,...
To assess the prevalence of burnout syndrome among intensive care physicians working in a tertiary private hospital as well their perceived impact COVID-19 pandemic on life.A cross-sectional study.Intensive units dedicated to Hospital Sirio-Libanes, Sao Paulo, Southeastern part Brazil.Intensive physicians.Each participant received an envelope with questionnaire composed demographic and occupational variables, information related personal professional experiences facing Maslach Burnout...
Abstract Background Spirituality can give meaning to life, providing support and guidance in complex situations. Despite its importance palliative care, the role of spirituality for family caregivers patients under exclusive care has not received enough attention literature. We aimed address correlation between emotional burden members care. Methods This transversal study was conducted a tertiary private teaching hospital, São Paulo, Brazil. The comprised receiving exclusively. Only one...
This study aimed to determine which visitation policy was the most predominant in Brazilian intensive care units and what amenities were provided visitors.Eight hundred invitations sent e-mail addresses of intensivist physicians nurses who listed research groups Association Intensive Care Network Research Network. The contained a link 33-item questionnaire about profile their unit.One sixty-two questionnaires from located all regions country, but predominantly Southeast South (58% 16%),...
Abstract Introduction Evidence suggests that dying patients' physical and emotional suffering is inadequately treated in intensive care units. Although there are recommendations regarding decisions to forgo life-sustaining therapy, deciding on withdrawal of life support difficult, it also difficult decide who should participate this decision. Methods We distributed a self-administered questionnaire 13 adult units (ICUs) assessing the attitudes physicians nurses end-of-life decisions. Family...
To assess the effect of sex and spouse condition on symptoms anxiety, depression posttraumatic stress in patients their spouses.A prospective study conducted a 22-bed adult mixed intensive care unit tertiary hospital São Paulo, Brazil. Patients spouses were enrolled 2 days after admission. They interviewed while using Hospital Anxiety Depression Scale. At 30 90 discharge, they completed Impact Event Scale by phone.From March 2011 to 2013, we analyzed 118 spouses. We observed that female was...
To estimate the incidence of limitations to Advanced Life Support in critically ill patients admitted an intensive care unit with integrated palliative care.This retrospective cohort study included program Hospital Paulistano over 18 years age from May 1, 2011, January 31, 2014. The that were analyzed do-not-resuscitate orders, mechanical ventilation, dialysis and vasoactive drugs. Central tendency measures calculated for quantitative variables. chi-squared test was used compare...
The coronavirus disease (COVID-19) pandemic has brought significant challenges worldwide, with high mortality, increased use of hospital resources, and the collapse healthcare systems. We aimed to describe clinical outcomes critically ill COVID-19 patients assess impact on resources compare medical without COVID-19.In this retrospective cohort study, we included diagnosed admitted a private ICU in Sao Paulo, Brazil from March June 2020. compared these those unit same period previous year. A...
To analyze the satisfaction, medical situation understanding and symptoms of anxiety depression in family members patients admitted to intensive care unit.The who were hospitalized for ≥ 72 hours invited participate study, which was performed a public hospital. Questionnaires answered assess diagnosis, treatment prognosis, support received unit. The needs also evaluated using modified version Critical Care Family Needs Inventory (CCFNI). Hospital Anxiety Depression Scale (HADS) used...
Objective: To compare the impact of single-bed versus multibed room intensive care units (ICU) architectural designs on stress and burnout ICU staff satisfaction family visitors. Background: There are countless variations among ICUs, but all involve or rooms. Although it is well known that design affects important patient outcomes, effect has been insufficiently studied. Methods: Among visitors, was evaluated with Lipp’s Inventory Stress Symptoms. Maslach Burnout Inventory. Family visitor...
Chronic critical illness (CCI) is a relevant clinical, social and financial health issue. The aim of this study was to compare the mental outcomes (symptoms anxiety depression) quality life family members patients with CCI from different socioeconomic backgrounds who were admitted one intensive care units (ICUs) in two Brazilian hospitals, private public. It prospective involving public hospital that serves low-income population tertiary high-income population. Family answered Hospital...
To evaluate the satisfaction of intensive care unit staff with a computerized physician order entry and to compare concept relevance among healthcare workers.We performed cross-sectional survey assess in 30-bed medical/surgical adult using self-administered questionnaire. The questions used for grading levels were answered according numerical scale that ranged from 1 point (low satisfaction) 10 points (high satisfaction).The majority respondents (n=250) female (66%) between ages 30 35 years...
To compare the lung mechanics and outcomes between COVID-19-associated acute respiratory distress syndrome non-COVID-19-associated syndrome.We combined data from two randomized trials in syndrome, one including only COVID-19 patients other without COVID-19, to determine whether is associated with higher 28-day mortality than non-COVID-19 examine differences these types of syndrome.A total 299 1,010 were included main analysis. The results showed that used positive end-expiratory pressure...
Survivors of chronic critical illness often experience weakness and functional dependence to various degrees after their intensive care unit (ICU) stay. Evaluating status with the traditional six-minute walk test is challenging due space constraints or patient intolerance.Our aim was evaluate feasibility using step (6MST) as a measure capacity in chronically critically ill patients early ICU discharge.This prospective study undertaken private Brazilian hospital. From July 2019 2020, all were...
To study the incidence and predictors of post-traumatic stress, anxiety depression symptoms in medical surgical patients relatives during ICU stay at 30 90 days post discharge.