Objective: to evaluate the relation between sociodemographics factors, stress and burden of care of family caregivers of patients at a psychiatric hospital admission. Method: quantitative study, with a cross-sectional correlation design. A total of 112 family caregivers participated, older than 18, in a Brazilian psychiatric hospital. A sociodemographic questionnaire was used to collect data, the Zarit Burden Interview and LIPP Adult Stress Symptom Inventory. Results: burden of care in family caregivers at a psychiatric hospital admission was significantly associated with stress (p=0.000). The psychological symptoms of stress predicted severe burden. Most caregivers presented a moderate or severe burden, with 52.7% in the resistance phase of stress; 66.1% presented psychological symptoms. Conclusion: results show the alarming situation of caregivers of patients from a psychiatric hospital, evidencing their own vulnerability to illness. Indeed, the during admission in a psychiatric hospital, not only patients need care, but also their caregivers.

Objective: to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge Methods: integrative literature review using six databases, covering January 2005 to March 2019. Articles in full in English, Spanish and Portuguese were included. Results: the sample consisted of 23 original articles classified as quantitative or emotional. The quantitative dimension was addressed in 12 articles and included: assessing patient care needs, identifying activities performed by the team, measuring time spent and developing and validating a measurement instrument. The emotional dimension included 11 articles the focus of which was on identifying stressors in the workplace, psychosocial risks and coping strategies. Conclusion: strategies were found for measuring workload and assessing the impact of stressors on nursing teams.

Introduction: Changes resulting in Brazilian psychiatric reform brought people with mental disorders closer to their families, who became responsible for the offer of care. Objective: The aim of this study was to investigate the expressed emotion, the early stress, and the stress symptoms among informal caregivers of people with mental disorders at the time of psychiatric hospitalization. Method: 112 caregivers participated. Four instruments were used to collect data: socio-demographic questionnaire, Family Questionnaire-Brazilian Portuguese Version (FQ-BPV), Childhood Trauma Questionnaire (CTQ) and Lipp Adult Stress Symptom Inventory (ISLL). Descriptive, bivariate and logistic regression analyses were performed. Caregivers were assessed with high emotion expressed both in the emotional over-involvement component and in the critical comments component. Results: The emotional over-involvement component of expressed emotion was significantly associated with early stress and stage of stress symptoms. Early stress, age, and the education level of caregivers were identified as predictive variables of high expressed emotion. Conclusion: These results confirm the relevance of these variables for the planning of care actions in the context of mental health.

pelos momentos de desabafos com choros e momentos oportunos de risos. De longe uma das pessoas mais humanas que já conheci. À Denise Luzia Ghissoni Pedroso e ao Hermes Antonio Pedroso pelo amor e dedicação incondicionais. Por não desistirem de mim e acreditarem no meu potencial e na minha carreira. À Lara Ghissoni Pedroso do Amaral pela credibilidade e por sempre me ajudar, com muita presteza, na revisão de meus trabalhos. Ao Bruno Rochetti do Amaral pelo apoio, carinho e incentivo. À Angélica da Silva de Araújo pela parceria no trabalho, ensinamentos, respeito e amizade. À Sandra de Souza Pereira pelo acolhimento, ensinamentos e amizade. À Isabela Martins pelo acolhimento, ensinamentos e carinho. Aos Professores Adriana Miasso, Mário Juruena, Sueli Galera, Tatiane Borges pela contribuição no aprendizado sempre que precisei. À Adriana Borela pela disponibilidade e cordialidade para ajudar e dar explicações sempre que precisei. À CAPES pelo financiamento dessa pesquisa e pela oportunidade de dedicação exclusiva aos estudos de mestrado, essencial para essa etapa da minha vida e carreira. Aos Funcionários do setor de Acolhimento do Hospital Santa Tereza, em especial à Cristina, Rafaelle, Lidiane e Fernanda, que me receberam muito bem, com muito carinho, risadas, e entenderam e se interessaram pelos motivos da pesquisa, facilitando esse momento tão delicado. Ao Estatístico Jonas pelos ensinamentos e contribuição. Ao Fernando Cabrera pelo carinho e contribuição.