Relación entre estrés laboral, alucinación y experiencias anómalas entre profesionales de enfermería
Relación entre estrés laboral, alucinación y experiencias anómalas entre profesionales de enfermería
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Objetivo: evaluar el tipo y frecuencia de experiencias perceptuales inusuales en ámbitos hospitalarios, así como su relación con el estrés laboral y la absorción, y comparar tales experiencias en enfermeros (os) que las han tenido. Materiales y Métodos: se analizó una muestra de 39 enfermeros (as) con tales experiencias y un grupo control de 61 profesionales (sin experiencias). Las enfermeros (as) completaron cuatro instrumentos: la Encuesta de Experiencias Anómalo/Paranormales en Enfermeras y Trabajadores de la Salud, el Maslach Burnout Inventory que mide el estrés laboral, el Cuestionario de Experiencias Alucinatorias que evalúa la propensión a la alucinación y la Escala de Absorción de Tellegen que evalúa el grado de involucramiento en la percepción. Resultados: los profesionales que reportaron tales experiencias no tendían a experimentar mayor estrés laboral, en comparación con un grupo control, en contra de la principal hipótesis; sin embargo, mostraron mayor frecuencia experiencias perceptivas anómalas asociadas a la capacidad de absorción psicológica, que resultó el principal predictor entre enfermeras con experiencia y el grupo control [β= 0,33, p= 0,005; R2= 0,12] combinando estrés laboral y propensión a la alucinación. Conclusión: el análisis estadístico confirma que los profesionales de enfermería que reportan experiencias perceptuales inusuales, tienden a mostrar mayor absorción psicológica, de igual forma, mayor propensión a alucinar; sin embargo, ninguna de estas variables se relaciona con el estrés laboral. El turno de noche es el más propenso a estas experiencias.
PALABRAS CLAVE: estrés laboral, enfermería, parapsicología, percepción extrasensorial.
Relationship between work stress, hallucination and abnormal experiences among nursing professionals
ABSTRACT
Objective: evaluate the type and frequency of unusual perceptual experiences in hospital areas, as well as its relationship with work stress and absorption, and compare such experiences in nurses who have had. Materials and Methods: a sample of 39 nurses with such experiences and a control group of 61 professionals (without experiences) were analyzed. The nurses completed four instruments: The Survey of Abnormal/Paranormal Experiences in Nurses and Health Workers, the Maslach Burnout Inventory that measures work stress, the Questionnaire of Hallucinatory Experiences that evaluates the tendency of hallucinating, and the Tellegen Absorption Scale that assesses the degree of involvement in perception. Results: the professionals that reported such experiences did not tend to experience major work stress, in comparison to a control group, in opposition to the first hypothesis; however, they showed more frequency to abnormal perceptual experiences associated with the capacity of psychological absorption, which resulted in the main predictor between nurses with experience and the control group [β= 0,33, p= 0,005; R2= 0,12] combining work stress and tendency of hallucination. Conclusion: the statistical analysis confirms that the nursing professionals that report unusual perceptual experiences, tend to show a greater psychological absorption, likewise, a greater tendency to hallucinate; however, none of these variables is related with work stress. The night shift is the most prone to these experiences.
KEYWORDS: burnout professional, nursing, parapsychology, extrasensory perception.
Relação entre estresse de trabalho, alucinação e experiências anômalas entre professionais de enfermagem
RESUMO
Objetivo: avaliar o tipo e frequência de experiências perceptuais incomuns em âmbitos hospitalários, assim como sua relação com o estresse de trabalho e a absorção, e comparar tais experiências em enfermeiras (os) que tiveram. Materiais e Métodos: analisou-se uma amostra de 39 enfermeiras (os) com tais experiências e um grupo controle de 61 professionais (inexperientes). As enfermeiras (os) completaram quatro instrumentos: a Pesquisa de Experiências Anômalo/Paranormais em Enfermeiras e Trabalhadores da Saúde, o Maslach Burnout Inventory que mede o estresse de trabalho, o Questionário de Experiências Alucinatórias que avalia a propensão à alucinação e a Escala de Absorção de Tellegen que avalia o grau de envolvimento na percepção. Resultados: os professionais que reportaram tais experiências não tenderam a experimentar maior estresse de trabalho, em comparação com um grupo controle, contra a hipótese principal; porém, mostraram maior frequência de experiências perceptivas anômalas associadas à capacidade de absorção psicológica, que resultou o principal preditor entre enfermeiras com experiência e o grupo controle [β= 0,33, p= 0,005; R2= 0,12] combinando estresse de trabalho e propensão à alucinação. Conclusões: a análise estadística confirma que os professionais de enfermagem que reportam experiências perceptuais incomuns, tendem a mostrar maior absorção psicológica; de igual maneira, maior propensão a alucinar; no entanto, nenhuma destas variáveis se relaciona com o estresse de trabalho. O turno da noite é o mais propenso a esse tipo de experiência.
PALAVRAS-CHAVE: esgotamento profissional, enfermagem, parapsicologia, percepção extra-sensorial.
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Cardeña E, Krippner S, Lynn SJ (Eds). Varieties of Anomalous Experience: Examining the scientific evidence. 2nd ed. Washington, DC: American Psychological Association; 2013.
Fenwick P, Lovelace H, Brayne S. End-of-life experiences and implications for palliative care. International Journal of Enviromental Studies 2007; 24: 315-323.
O’Connor D. Palliative care nurses’ experiences of paranormal phenomena and their influence on nursing practice. Paper presented at the Making Sense of Dying and Death Inter-disciplinary Conference. Paris, France; 21 – 23 November 2003.
Osis K, Haraldsson E. Deathbed observations by physicians and nurses: a cross-cultural survey. Journal of the American Society for Psychical Research 1977; 71: 237-259.
Osis K, Haraldsson E. At the Hour of Death. London: United Publishers Group; 1997.
Barratt WF. Death-bed Visions: The Psychical Experience of the Dying. London: Bantam; 1926.
Barnum BJ. Expanded consciousness: nurses's experiences. Nursing Outlook 1989; 37(6): 260-266.
Kubler-Ross E. What is it like to be dying? American Journal of Nursing 1971; 71(1): 54-62.
Brayne S, Fenwick P. The case for training to deal with end of life experiences. European Journal of Palliative Care 15 2008: 118–120.
Hallam E, Hockey J, Howarth G. Beyond the Body: Death and Social Identity. London: Routledge; 1999.
Fenwick P, Fenwick E. The Art of Dying. London: Continuum; 2008.
Nahm M. Terminal lucidity in people with mental illness and other mental disability: An overview and implications for possible explanatory models. Journal of Near-Death Studies 2009; 28(2): 87-106.
Nahm M, Greyson B, Kelly, EW, Haraldsson E. Terminal lucidity: A review and a case collection. Archives Gerontology Geriatrics 2012; 55(1): 138-42.
Katz JS, Peace SM. End-of-life in care homes. Oxford, UK: Oxford University Press; 2003.
Sambhava P. The Tibetan Book of the Dead. (Traducido por Robert A.F. Thurman). New York, NY: Bantam Books; 1994.
Faulkner RO. The Ancient Egyptian Coffin Text. Warminster, UK: Avis and Phillips; 1973.
Aries P. Western Attitudes towards Death: From the Middle Ages to the Present. London: Marion Boyars; 1974.
Baumrucker SJ. The therapeutic baptism: a case of missed cultural clues in a terminal setting. American Journal of the Hospital Palliative Care 1996; 13: 36–37.
Barbato M, Blunden C, Reid K, Irwin H, Rodriguez P. Parapsychological phenomena near the time of death. Journal of Palliative Care 1999; 15(2): 30-37.
Kellehear A. Experiences Near Death: Beyond medicine and religion. New York: Oxford University Press; 1996.
Imhof AE. An Ars Moriendi for our time: to live a fulfilled life –to die a peaceful death. En: Spiro H, McCrea CM, Palmer WL, Facing Death: Where Culture, Religion and Medicine Meet, Part 2. EEUU: Yale University Press; 1996.
Millison M, Dudley JR. Providing spiritual support: a job for all hospice professionals. Hospital Care 1992; 8: 49–66.
Brayne S, Farnham C, Fenwick P. Deathbed phenomena and its effect on a palliative care team. American Journal of the Hospital Palliative Care 2006; 23: 17–24.
Bebbington PE, Bowen J, Hirsch SR, Kuipers EA. Schizophrenia and psychosocial stresses. En: Hirsch SR, Weinberger DR. Schizophrenia. Oxford: Blackwell; 1995; p. 587-604.
Romme M, Escher S. Dando sentido a las voces. Guía para los profesionales de la salud mental que trabajan con personas que escuchan voces. Madrid: Paradox; 2005.
Grimby A. Bereavement among elderly people: Grief reactions, post-bereavement hallucinations and quality of life. Acta Psychiatrica Scandinavica 1993; 87: 72-80.
Grimby A. Hallucinations following death of a spouse. Journal of Clinical Geropsychology 1998; 4: 65–74.
Rees D. The hallucinations of widowhood. British Medical Journal 1971; 4: 37-41.
Spivak B, Trortem SF, Mark M, Bleich A. Acute transient stress-induced hallucinations in soldiers. British Journal of Psychiatry 1992; 160: 412-414.
Siegel RK. Hostage hallucinations: Visual imagery induced by isolation and life-threatening stress. Journal of Nervous and Mental Disease 1984; 172: 264-272.
Quiróz-Aragón M, Labrador-Encinas FJ. Evaluación del estrés laboral y Bournout en los servicios de urgencia extrahospitalaria. Internacional Journal of clinical and Health Psychology 2007; 7: 323-335.
Román-Hernández J. Estrés y Burnout en profesionales de salud de los niveles primario y secundario de atención. Rev Cubana de Salud Pública 2003; 29: 103-110.
Tellegen A, Atkinson G. Openness to absorbing and self-altering experiences (‘absorption’), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology 1974; 83: 268–277.
Putnam EW, Carlson EB. Hypnosis, dissociation, and trauma: Myths, metaphors, and mechanisms. En: Bremner JD, Marmar CR. Trauma, memory and dissociation Washington, DC: American Psychiatric Press; 1998. p. 27-56.
Parra A, Argibay JC. Interrelación entre disociación, absorción y propensidad a la fantasía con experiencia alucinatorias en poblaciones no-psicóticas. Persona 2007; 10: 213-231.
Parra A. Exámen correlacional entre experiencias anómalo/paranormales, disociación, absorción y propensidad a la fantasía. Revista Iberoamericana de Diagnóstico y Evaluación Psicológica 2010; 29: 77-96.
Parra A. Aura vision as a hallucinatory experience: Its relation to fantasy proneness, absorption, and other perceptual maladjustments Journal of Mental Imagery 2010; 34(3-4): 49-64.
Parra A. Seeing and feeling ghosts: Absorption, fantasy proneness, and healthy schizotypy as predictors of crisis apparition experiences. Journal of Parapsychology 2006; 70: 357-372.
Parra A. Interrelación entre disociación, absorción y propensidad a la fantasía con experiencias alucinatorias en población no-clínica. Alcmeón: Revista Argentina de Clínica Neuropsiquiátrica 2007; 14(1): 61-71.
Parra A. Humanistic group therapy, mental health and anomalous/paranormal experiences. En: Murray C. Mental Health and Anomalous Experience. Hauppauge NY: Nova Publishers; 2012. p. 205-226.
Parra A. Experiencias alucinatorias nocturnas: relación con la esquizotipia, tendencias disociativas y propensidad a la fantasía. Revista Interamericana de Psicología 2009; 43(1): 134-143.
Parra A. Testeando el modelo de disociación de las experiencias alucinatorias en individuos saludables: relación con la personalidad esquizotípica y la propensidad a la fantasía. Revista Latinoamericana de Psicología 2009; 3: 571-589.
Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Occupational Behavior 2 1981: 99-113.
Maslach C, Jackson SE. Burnout research in the social services: a critique. Special issues: Burnout among social workers. Journal of Social Service Research 1985; 10(1): 95-105.
Barrett TR, Etheridge JB. Verbal hallucinations in normals, 1: People who hear “voices”. Applied Cognitive Psychology 1992; 6: 379-387.
Launay G, Slade P. The measurement of hallucinatory predisposition in male and female prisoners. Personality and Individual Difference 1981; 2: 221-234.
Asociación de Psicólogos de Buenos Aires (APBA). Código de Ética Asociación de Psicólogos de Buenos Aires. 2ª ed. Corregida y aumentada. [Internet]. Buenos Aires: APBA; 2010 [consultado 17 de Junio de 2015]. Disponible en: http://www.psicologos.org.ar/docs/Etica.pdf
Cooklin R, Sturgeon D, Leff JP. The relationship between auditory hallucinations and spontaneous fluctuations of skin conductance in schizophrenia. British Journal of Psychiatry 1983; 142: 47-52.
Wilkins K, Shields M. Correlates of Medication Error in Hospitals. Health Reports 2008; 19(2): 82-003.
Milne CT. Cardiac electrophysiology studies and the near death experi¬ence. CCACN: Journal of the Canadian Association of Critical Care Nurses 1995; 6(l); 16 19.
Barnett L. Hospice nurses’ knowledge and attitudes toward the near-death experience. Journal of Near-Death Studies 1991: 9(4); 225-232.
Bucher L, Wimbush FB, Hardic T, Hayes ER. Near death experiences: Critical care nurses' attitudes and interventions. Dimensions of Critical Care Nursing 1997; 16: 194 201.
Knudson B, Coyle A. Coping strategies for auditory hallucinations: A review. Counselling Psychology Quarterly 1999; 12: 25-38.
Rojcewicz S, Rojcewicz R. The “human” voices in hallucinations. Journal of Phenomenological Psychology 1997; 28: 1-41.
Ríos-Rísquez M, Godoy Fernández C, Sánchez-Meca J. Síndrome de quemarse por el trabajo, personalidad resistente y malestar psicológico en personal de enfermería. Anales de Psicología 2011; 27(1): 71-79.
Mavromatis A. Hypnagogia: The unique state of consciousness between wakefulness and sleep. London: Routledge y Kegan Paul; 1987.
Rechtschaffen A. Sleep onset: Conceptual issues. En: Ogilvie RD, Harsh JR. Sleep onset: Normal and abnormal processes. Washington, DC: American Psychological Association; 1994. p. 3-18.
McKellar P, Simpson L. Between wakefulness and sleep: Hypnagogic imagery. British Journal of Psychology 1997; 45: 266-276.
American Sleep Disorders Association. International classfication of sleep disorders: Diagnostic and coding manual (ICSD). Rochester, MN: American Sleep Disorders Association; 1990.
Leaning FE. An introductory study of hypnagogic phenomena. Proceedings of the Society for Psychical Research 1925; 35: 287-411.
Parra A, Argibay JC. Dissociation, absorption, fantasy proneness and sensation-seeking in psychic claimants. Journal of the Society for Psychical Research 2012; (76) (909): 193-203.
Stevenson I. Do we need a new word to supplement “hallucinations”? American Journal of Psychiatry 1983; 140: 1609-1611.
