Effectiveness of aroma-Tea Tree Oil and Eucalyptus oil in alleviating COVID-19 vaccine discomfort side effects.

CONTEXT: Aromatherapy is considered a mild and non-invasive complementary treatment to relieve post-vaccination discomforts. There have been no studies that examine the use of aroma-Tea Tree oil and Eucalyptus oil to relieve the discomfort side effects related to COVID-19 vaccines. OBJECTIVE: This study examined the use of two aroma-essential oils to relieve discomfort side effects of COVID-19 vaccination. DESIGN: The study used experimental design to match two groups of participants. SETTING: The participants' home. PARTICIPANTS: Adults who had not yet been vaccinated against COVID-19 but were planning to receive it were recruited. The current study included 87 control participants matched to 83 experimental participants. INTERVENTION: The participants in the experimental group used Tea tree and Eucalyptus while the control group did not. MAIN OUTCOME MEASURES: A questionnaire was used to collect data on the topical and systematic symptoms related to COVID-19 vaccines. Both groups were asked to complete the online questionnaire and report their health status 24 h (T1) and 48 h (T2) after vaccination. RESULTS: The results revealed a statistically significant difference between the groups in swelling, injection side pain, lump, fever, and muscle ache (p = .05, 0.04, <0.00, 0.02, 0.02, respectively) for T1; but for T2, a significant difference between the two groups was found only in lump and fever (p = .05, 0.03). Aroma-Tea Tree oil and Eucalyptus oil may be recognized and accepted by more people worldwide to provide a safe and healthy option not only for post-vaccination care but also to relieve pain, fever, and skin lumps associated with other diseases or conditions.

Travel-associated melioidosis: a narrative review.

BACKGROUND: Melioidosis, caused by Burkholderia pseudomallei, may be considered a neglected tropical disease that remains underdiagnosed in many geographical areas. Travellers can act as the sentinels of disease activity, and data from imported cases may help complete the global map of melioidosis. METHODS: A literature search for imported melioidosis for the period 2016-22 was performed in PubMed and Google Scholar. RESULTS: In total, 137 reports of melioidosis associated with travel were identified. The majority were males (71%) and associated with exposure in Asia (77%) (mainly Thailand, 41%, and India, 9%). A minority acquired the infection in the Americas-Caribbean area (6%), Africa (5%) and Oceania (2%). The most frequent comorbidity was diabetes mellitus (25%) followed by underlying pulmonary, liver or renal disease (8, 5 and 3%, respectively). Alcohol/tobacco use were noted for seven and six patients, respectively (5%). Five patients (4%) had associated non-human immunodeficiency virus (HIV)-related immunosuppression, and three patients (2%) had HIV infection. One patient (0.8%) had concomitant coronavirus disease 19. A proportion (27%) had no underlying diseases. The most frequent clinical presentations included pneumonia (35%), sepsis (30%) and skin/soft tissue infections (14%). Most developed symptoms <1 week after return (55%), and 29% developed symptoms >12 weeks after. Ceftazidime and meropenem were the main treatments used during the intensive intravenous phase (52 and 41% of patients, respectively) and the majority (82%) received co-trimoxazole alone/combination, for the eradication phase. Most patients had a favourable outcome/survived (87%). The search also retrieved cases in imported animals or cases secondary to imported commercial products. CONCLUSIONS: As post-pandemic travel soars, health professionals should be aware of the possibility of imported melioidosis with its diverse presentations. Currently, no licensed vaccine is available, so prevention in travellers should focus on protective measures (avoiding contact with soil/stagnant water in endemic areas). Biological samples from suspected cases require processing in biosafety level 3 facilities.

Battling Burnout: Utilising Our Hospice Complementary Therapy Team to Support Postpandemic Colleague Wellbeing

Motivation Healthcare workers were under extreme pressure during the COVID-19 pandemic, which proved detrimental to staff wellbeing. In their research paper, Petrella et al. (2021. Gen Psychiatr. 34: e100458) concluded that 'In order to mitigate the risk of burnout and post-traumatic stress, long-term, effective strategies that facilitate staff accessing support are urgently required.' Purpose Kilbryde Hospice's Complementary Therapists recognised the importance of utilising their skills to address the physical and emotional wellbeing of colleagues. The Complementary Therapy (CT) Team therefore established formal methods of support, available to all colleagues regardless of role. Given the considerable costs associated with staff absence, the CT Team sought to demonstrate how an existing service can be extended to provide effectual and cost-effective in-house support. Methods The hospice CT Team (comprising 2.5 WTE and 1 volunteer therapist) provided support to colleagues over the period 01/04/21 to 31/03/22, in addition to all existing patient/carer services. Staff received CT input dependant on individual needs, identified following a holistic assessment. Range of CT interventions included: * Provision of hands-on therapy. * Preparation of bespoke aromatherapy products. * Demonstration of self-management techniques. * Provision of relaxation music and guided meditation CDs. Written instructions accompanied all items provided. Results CT support was available to 88 contracted and 21 flexi-bank staff. A total of 108 aromatherapy products were issued to staff over the period. Results show the top reasons for receipt of a product were: stress/anxiety;pain;skin problems. The CT Team also delivered 45 hands-on therapies, predominantly to address stress/anxiety, and pain. These results show a high level of need and demand for CT support. Conclusions This poster outlines a cost-effective solution to maintaining the health/wellbeing of the staff body by utilising an existing resource (requiring investment of staff time but no additional budget). Direct staff feedback would have provided an interesting adjunct to these results. Staff evaluations will therefore be collected going forward.

Integrative Medicine in the Treatment of COVID-19: An Indian Perspective

Background: Over recent years, evidence-based modern medicine has overshadowed the use and efficacy of natural and traditional medicines. However, in the wake of the pandemic, the in-terest in the quest for therapeutic resources linked to traditional, complementary, and integrative medicine has substantially increased. This has further facilitated the research and development of potential therapeutic crude drugs or their formulations in the management of COVID-19 and the symptoms associated with the latter. This article attempts to provide a comprehensive review of the various traditional medicines used as integrative medicines in alleviating symptoms attributed to the COVID-19 infection. Method(s): The literature was thoroughly browsed for recent research articles, systematic reviews, case studies, and review articles on ScienceDirect, PubMed, and Google Scholar using keywords like complementary medicine, alternative medicine, and holistic approach to enlist a few. Subse-quently, they were thoroughly screened to include only recent studies and evidence. Additionally, the official guidelines published by the Government and other regulatory bodies were also sought to be included in the article. Study Design: The review article follows the narrative literature review method. However, the pri-mary data was skimm ed for relevance, and only recent shreds of evidence pertinent to the review were included. Result(s): The review elucidated the pharmacological activity of various treatment regimens in different systems of medicine, with available supportive clinical evidence. Additionally, it also under-scored the importance of holistic health interventions, and how these traditional and integrative systems of medicine cater to the same. Conclusion(s): The recent evidence presents a broad-spectrum effect of these therapeutic interven-tions, primarily in the fields of mental health, mild to moderate, and even severe forms of the infec-tion, employing various pharmacological pathways. These studies primarily include studies and sta-tistics pertaining to the SARS-CoV-2 (Severe Acute Respiratory Syndrome Corona Virus 2) but may include supporting evidence from other respiratory viruses. This information may prove imper-ative in guiding new research, and also in designing and supporting an integrative treatment regi-men. Conclusively, any suspicion pertaining to the COVID-19 infection should be sought by follow-ing the protocols recommended by the concerned health authorities of the respective region/country. Copyright © 2023 Bentham Science Publishers.

fNIRS neuroimaging in olfactory research: A systematic literature review.

There are a number of key features which make olfaction difficult to study; subjective processes of odor detection, discrimination and identification, and individualistic odor hedonic perception and associated odor memories. In this systematic review we explore the role functional near-infrared spectroscopy (fNIRS) has played in understanding olfactory perception in humans. fNIRS is an optical neuroimaging technique able to measure changes in brain hemodynamics and oxygenation related to neural electrical activity. Adhering to PRISMA guidelines, results of this search found that generally the majority of studies involving healthy adult subjects observed increased activity in response to odors. Other population types were also observed, such as infants, individuals with autism, attention deficit hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD), mild cognitive impairment (MCI) and dysosmia. fNIRS coverage heavily favored the prefrontal cortex, temporal and parietal regions. This review finds that odor induced cortical activation is dependent on multiple factors, such as odorant type, gender and population type. This review also finds that there is room for improvement in areas such as participant diversity, use of wearable fNIRS systems, physiological monitoring and multi-distance channels.

Efficacy of Aromatherapy at Relieving the Work-Related Stress of Nursing Staff from Various Hospital Departments during COVID-19.

This study aimed to evaluate the efficacy of aromatherapy in relieving the stress of nursing staff working in different departments during COVID-19. A total of 26 nursing staff from Taiwan were recruited for this study. Bergamot essential oil was diffused for over a four-week period in four different hospital departments. We assessed heart rate variability indicators, Nurse Stress Checklist, and Copenhagen Burnout Inventory before and after the intervention. The results of the analysis showed that during a high workload period, aromatherapy had no significant effect on regulating physical stress. Subjective measurements showed a significant impact on work concern and personal fatigue. Moreover, there were large differences among the four departments; the aromatherapy treatment had a weak effect on those with a heavy workload, whereas those with a lighter workload showed a stronger effect. Finally, this study provides practical results about aromatherapy stress reduction applied during the pandemic on first-line medical staff.

Use of Topical Lavender Essential Oils to Reduce Perceptions of Burnout in Critical Care.

BACKGROUND: Intensive care unit (ICU) health care workers face increased burnout. The purpose of this project was to evaluate burnout after implementing lavender essential oils. OBJECTIVE: To assess the effectiveness of topical lavender essential oils in decreasing the instance of burnout in frontline ICU health care workers during the COVID-19 pandemic. METHODS: A predesign and postdesign evidence-based practice project was conducted to evaluate the implications of an 8-week topical lavender oil intervention on health care worker burnout. The Maslach Burnout Inventory, including subscales of emotional exhaustion, depersonalization, and personal accomplishment, was administered before and after the intervention. Health care workers' compliance and satisfaction with the intervention were also measured. RESULTS: Thirty-four ICU health care workers participated. Results showed significant improvements in the personal accomplishment subscale (mean [SD], 3.86 [0.81] before vs 4.14 [1.01] after intervention; P = .04). Improvements in depersonalization were not significant. Most participants were satisfied (n = 23 [67.6%]) and compliant (n = 23 [67.6%]) with the intervention. CONCLUSION: The use of topical lavender essential oils is a cost-effective intervention that can be used to decrease components of burnout in frontline ICU workers.

Can Essential Oils Provide an Alternative Adjuvant Therapy for COVID-19 Infections and Pain Management at the Same Time?

The active compounds from essential oils have been an important asset in treating different diseases for many centuries. Nowadays, there are various available formulations used as food supplements to stimulate the immune system. In light of the current pandemic and the large amount of fake news circulating the internet, it is important to analyze which of the active compounds from essential oils can be successfully used in the treatment of COVID-19 infections. We analyzed the current literature on the effects of essential oils against the new SARS-CoV-2 virus to gain a better understanding of the underlying mechanisms of these compounds and establish their possible antiviral efficacy. The available studies have highlighted the antiviral potential of active compounds from essential oils, indicating that they could be used as adjuvants in treating various viral infections, including COVID-19, leading to a milder course of the disease, and improving patients' outcomes. At the same time, these compounds relieve pain and lift the mood in comorbid patients suffering from opioid addiction. Essential oils might be useful as adjuvant tools, not only against SARS-CoV-2 but also for a subset of especially vulnerable patients affected with both COVID-19 and opioid addiction. However, randomized clinical trials are needed to determine their efficacy and develop standardized high-quality preparations that can be safely administered to the general population.

Aromatherapy on Psycho-Emotional Symptoms and Fatigue in Nursing Professionals in the COVID-19 Setting / Aromaterapia en los síntomas psicoemocionales y fatiga en profesionales de enfermería en el marco de la COVID-19 / Aromaterapia nos sintomas psicoemocionais e fadiga em profissionais de enfermagem no contexto da COVID-19

Abstract Objective: To compare the effectiveness of aromatherapy with lavender essential oil (EO) versus an EO synergy on psycho-emotional symptoms and fatigue of nursing professionals in the COVID-19 setting. Materials and Methods: This is a quasi-experimental pilot study conducted in 2020. The professionals were randomized in Group 1 - lavender, and in Group 2 - lavender and other EOs synergy. The instruments were validated in Brazil, namely the Self-Reporting Questionnaire (SRQ-20) and the Fatigue Pictogram, which were applied at three moments: before the intervention, after 21 days of intervention, and three weeks after the end of the intervention follow-up. The data were evaluated using Pearson's x2 test or Fisher's exact test (dichotomous variables) and Student's t-test or Mann-Whitney test (continuous variables). Results: A total of 18 professionals participated, and both groups presented improved SRQ-20 scores (p < 0.010), which was maintained in the follow-up for Group 1 compared to the pre-intervention moment (p = 0.033). There was a significant decrease in fatigue in professionals in both groups (p = 0.010), but no difference was observed in the improvement of the impact of fatigue on daily life. Conclusions: There was a reduction in psycho-emotional symptoms and fatigue in nursing professionals who used aromatherapy during the COVID-19 pandemic in both groups.

Resumen Objetivo: comparar la efectividad de la aromaterapia con aceite esencial (AE) de lavanda versus una sinergia de AE en síntomas psicoemocionales y fadiga de profesionales de enfermería en el marco de la pandemia ocasionada por la covid-19. Materiales y método: estudio piloto casi-experimental realizado en 2020. Se hizo randomización de los profesionales en Grupo 1 - lavanda y Grupo 2 - sinergia lavanda y otros AE. Instrumentos validados en Brasil, Self-Reporting Questionnaire (SRQ-20) y Pictograma de Fadiga, se aplicaron en tres momentos: antes de la intervención, luego de 21 días de intervención y tres semanas tras el término de la intervención follow-up. Se evaluaron los datos por la prueba x2 de Pearson o prueba exacta de Fisher (variables dicotómicas) y por la prueba t de Student o Mann-Whitney (variables continuas). Resultados: participaron 18 profesionales y ambos grupos mostraron mejores puntuaciones del SRQ-20 (p < 0,010), que se mantuvo en el follow-up para el Grupo 1, comparado al momento preintervención (p = 0,033). Hubo disminución significativa de la fadiga de los profesionales en los dos grupos (p = 0,010), pero no se observó diferencia en la mejoría del impacto de la fadiga en la vida diaria. Conclusiones: hubo reducción en los síntomas psicoemocionales y la fadiga de profesionales de enfermería que emplearon aromaterapia durante la pandemia de la covid-19 en ambos grupos.

Resumo Objetivo: comparar a efetividade da aromaterapia com óleo essencial (OE) de lavanda versus uma sinergia de OE em sintomas psicoemocionais e fadiga de profissionais de enfermagem no contexto da covid-19. Materiais e método: estudo-piloto quase-experimental realizado em 2020. Os profissionais foram randomizados em Grupo 1 - lavanda e Grupo 2 - sinergia lavanda e outros OE. Instrumentos validados no Brasil, Self-Reporting Questionnaire (SRQ-20) e Pictograma de Fadiga, foram aplicados em três momentos: antes da intervenção, após 21 dias de intervenção e três semanas após o fim da intervenção follow-up. Os dados foram avaliados pelo teste x2 de Pearson ou teste exato de Fisher (variáveis dicotômicas) e pelo teste t de Student ou Mann-Whitney (variáveis contínuas). Resultados: participaram 18 profissionais e ambos os grupos mostraram melhora nos escores do SRQ-20 (p < 0,010), que se manteve no follow-up para o Grupo 1, comparado ao momento pré-intervenção (p = 0,033). Houve diminuição significativa da fadiga dos profissionais nos dois grupos (p = 0,010), porém não se observou diferença na melhora do impacto da fadiga na vida diária. Conclusões: houve redução nos sintomas psicoemocionais e na fadiga de profissionais de enfermagem que utilizaram aromaterapia durante a pandemia da covid-19 em ambos os grupos.

COMPLEMENTARY THERAPY IN A HOSPICE SETTING- SO MUCH MORE THAN THE POWER OF TOUCH

Background In March 2020, staff began dealing with the effects of COVID-19. When the complementary therapy team returned from furlough, they created a new programme of support for patients, carers and staff, working remotely and social distanced as hands-on treatments were put on hold. Aims To use the hospice complementary therapists' skills and experience to support staff and strengthen the resilience of healthcare workers. To provide much needed support to patients and carers to improve their mental health and wellbeing through this challenging time. Methods Access to one-to-one consultations with an Ayrshire Hospice complementary therapist, remotely via video call or telephone and face-to-face where safe to do so.•Bespoke aromatherapy products to support wellbeing delivered inhouse and to homes.•Relaxation and self-management advice for staff, patients and carers.•A comfortable space in which to relax and recharge and provide socially distanced treatments - such as Reiki, yoga, qi gong, mindfulness.•Wellbeing group sessions for staff x weekly online: Massage self-treatment, qi gong, relaxation, mindfulness, breathwork, yoga.•Regular relaxation sessions for patients and carers on new virtual day services.•Staff access to recorded wellbeing sessions on the intranet.•Evaluation developed - Identification of key issues experienced by staff Outcomes•Support service to staff evaluated extremely well - evidence of feeling supported and understood, improved sleep, stress reduction.•Self-help tools given to empower people to manage their own wellbeing moving forward.•Staff have continued access to weekly wellbeing sessions on the intranet.•Future plans to share the library of our recorded wellbeing sessions with outside agencies such as local council and prison, for a small cost and use for fundraising.•Ability to reach patients and carers to support them without the need to travel to the hospice.•Blended approach to delivering complementary therapy service to reach more people.

Translating nursing and health science research into evidence-based practice in achieving SDGs. The 3rd International Nursing and Health Sciences Students and Health Care Professionals Conference (INHSP), South Sulawesi, Indonesia, 6-7 November 2019

This conference proceeding contains 126 articles that discuss a variety of topic which includes public health, COVID-19, health and agriculture, maternal and child health, aromatherapy, mental health, health care and health services, traditional medicine, culture, maternal and child health, food safety, media communications, reproductive and sexual health, water quality and safety, socioeconomics and nutrition, among others.

Psychological Effects of Aromatherapy on Smokers With Depressive Tendencies During Smoking Cessation Treatment: Protocol for a Pre-Post Single-Arm Clinical Trial.

BACKGROUND: Cessation of smoking can markedly reduce the incidence of cardiovascular disease, improve health economics, and benefit society. Aromatherapy has the potential to be a novel option as an adjuvant therapy for smoking cessation that may alleviate depressive symptoms. However, research on the efficacy of aromatherapy as an adjuvant therapy for smoking cessation is scarce. OBJECTIVE: The aim of this study was to examine the potential effects of aromatherapy on psychological states in smokers with depressive tendencies and to determine if it is reasonable to proceed to the next step (ie, a phase III trial). METHODS: This is a pre-post single-arm clinical trial. Smokers with depression will be subjected to aromatherapy during smoking cessation treatment for 12 weeks. We will evaluate changes in scores on the Zung Self-Rating Depression Scale and the Profile of Mood States from pretreatment screening to 4 weeks and 12 weeks after the start of aromatherapy. Moreover, we will compare the group treated with aromatherapy with the group that received standard treatment in our previous randomized controlled trial (ie, the control group in that study). Furthermore, we will compare successful smoking cessation rates after 12 weeks. In addition, we will conduct an exploratory analysis of the efficacy of aromatherapy. The target sample size is 100, which is the number of subjects expected to be enrolled in this study during the 2-year study period. RESULTS: This study was approved by the Kyoto Medical Center Institutional Review Board (IRB approval No. 19-016). Enrollment started on July 1, 2019. As of May 2022, 76 patients have been recruited. In the original plan, recruitment should have been finished on June 30, 2021. However, the number of subjects decreased due to the COVID-19 pandemic, and the study inclusion period was extended by 1 year (ie, until the end of June 2022) with the approval of the IRB on May 17, 2021. Analyses of the results will be completed subsequently. CONCLUSIONS: This study has some limitations. This is not a rigorous validation study because it compares the same subjects who received standard treatment in a previous study. Moreover, the sample size and methods of statistical analysis were not fully set with prior consideration of statistical rigor. To address these limitations, we plan to conduct a phase III trial that will reflect the exploratory findings of this study. This is the first study to evaluate the psychological effects of aromatherapy during a smoking cessation program, and it may help improve the quality of treatment for smoking cessation in the future. TRIAL REGISTRATION: UMIN Clinical Trials Registry UMIN000043102; https://tinyurl.com/tn3hvt9w. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/38626.

2022 CONFERENCE POSTER WINNERS: THE OFFICIAL VOICE OF PERIOPERATIVE NURSING

Following are the s from the top three research posters. 1st Place: The Effect of the Built Environment on OR Personnel and Their Perception of Patients' Surgical Experiences: A Phenomenological Comparative Study Rosemary B. Field, MS, APRN-AOCNS;Charika Burns, MSN, RN, CNOR;Linda M. Soos, BSN, RN, CNOR;MaryBeth Houlahan, BSN, RN, CNOR;Christian N. Burchill, PhD, MSN, RN, CEN The increased interest in understanding all aspects of the patient experience has led researchers to study the effect of healthcare facilities' aesthetic environment on patient outcome and experience. Future studies should more directly explore the impact of the built OR environment on staff productivity and teamwork. 2nd Place: A Single-Site Research Study on the Impact of Meditation on the Stress of Operating Room Personnel During COVID-19 Rachel Miller Abanilla, MSN, RN, CNOR, NPD-BC;Stephenie Wright, BSN, RN, CNOR;Selena Banda, CST The COVID-19 pandemic has caused increased stress for healthcare providers. Analysis was performed to see a change in the participants' scores in the SOS-S, heart rate, and blood pressure pre- and post- to test the impact of meditation to stress. The study provided information on the stress level of OR staff during the COVID-19 pandemic and contributed to the evidence of the impact of meditation to stress. 3rd Place: A Non-Pharmaceutical Approach to Preoperative Anxiety Kerri-Lynn Wallace, DNP, FNP-C;Carrie Lee Gardner, PhD, DNP, FNP-BC;Shellye Vardaman, PhD, RN-BC, NEA-BC, CNE Purpose: The purpose of this project was to evaluate the impact of lavender aromatherapy and music therapy (MT) on preoperative anxiety in adult surgical patients.

Antidepressant-like Activity of Patchouli Oil var. Tapak Tuan (Pogostemon cablin Benth) via Elevated Dopamine Level: A Study Using Rat Model

Essential oils are gaining popularity for their use in treating depression, including that extracted from patchouli leaves and stems (Pogostemon cablin). Herein, we used patchouli oil (PO) containing a high amount of patchouli alcohol derived from P. cablin var. Tapak Tuan. The aim of this study was to investigate the antidepressant potential of PO, with a variety of patchouli alcohol concentrations obtained from a separation process using vacuum distillation with different temperature ranges. The initial patchouli oil (iPO) was traditionally distilled by a local farmer and further distilled using a rotary evaporator at temperature ranges of 115–160 °C (POF-1);120–160 °C (POF-2), and 125–160 °C (POF-3), resulting in products with different patchouli alcohol concentrations. POF-3, with the highest patchouli alcohol content of 60.66% (based on gas chromatography-mass spectrometry), was used for cooling crystallization, resulting in 100% patchouli alcohol crystal (pPA). A tail suspension test (TST) was performed on a rat model to screen the antidepressant potential of iPO and its derivatives. The TST results revealed that POF-3 had the best antidepressant-like effect and was second only to the fluoxetine-based antidepressant, Kalxetin®, where both groups had significant reductions of immobility time post-treatment (p < 0.0001). Other than patchouli alcohol, POF-3 also contained ledol and trans-geraniol, which have been reported for their antidepressant-related activities. Brain dopamine levels increased significantly in the group treated with POF-3 (p < 0.05 as compared with the control group), suggesting its primary anti-depressant mechanism. These findings suggest the potential of vacuum-distilled patchouli oil in reducing depression via dopamine elevation.

The Effect of Coffee Aromatherapy on Reducing Fatigue and Stress Levels of Female Caregivers Caring for the Elderly in Hospitals

BACKGROUND: The exploration of coffee as an aromatherapy in the health service has not been widely carried out. In many cases, aromatherapy has been shown to reduce stress and fatigue. PURPOSE: The purpose of the study was to analyzes the effect of coffee aromatherapy on the fatigue and stress levels of female caregivers caring for the elderly at the University of Sumatera Utara Hospital (USU Hospital), in Medan. METHODS: This is a quasi-experiment one group pre-test post-test design. The research involved 16 caregivers were given a treatment of coffee oil by inhalation for 15 min for 3 consecutive days, without coffee oil inhalation and 10% of coffee oil concentration on the 1st day, 20% on the 2nd day, and 30% on the 3rd day. Each sample received a pre-test and post-test in the form of stress and fatigue instruments. The data analysis performed was univariate in order to describe the properties of each variable examined and analyze the mean score. Similarly, bivariate analysis with the analysis of variance (ANOVA) statistical test was used to determine the effect of coffee aromatherapy on reducing the fatigue and stress level. RESULTS: The result showed that most caregivers were elderly children with an average age of 38 years, 81.3% assisted in caring for the elderly, and actively working outside the home. Based on the ANOVA test, the data showed that the administration of coffee aromatherapy for 3 consecutive days has no effect on female caregivers’ fatigue and stress level. However, the mean score showed a decrease in fatigue and stress level before and after coffee oil inhalation in 3 days. CONCLUSION: It is necessary to provide coffee oil aromatherapy intervention with a longer duration to have an effect on reducing caregiver fatigue and stress in the future, so the results are expected to form the basic data for the design of nursing interventions based on complementary therapies in order to reduce the fatigue and stress of caregivers while providing care to the hospitalized elderly.

On your side

Workplace reps – stewards, health and safety, learning and MSW advocates – are the RCM's front line, supporting, advising, representing, sharing information and caring whileworking alongside members Midwife Mary Ann Gillan has been a steward for the RCM Fife Branch for five years My motivation is getting people a fair deal and advocating for them. [...]over the past two years we've had a huge issue in Fife with staff not being paid correctly for annual leave dating back to 2008 – but, working with other unions, we were able to come to an agreement for the back pay owed. With help from the regional offi cer, we were able to get them to delay implementation and go back to the beginning, work more with midwives and follow the right processes. Recently we were able to get funding from the Welsh Union Learning Fund for a training course run by the charity Birthrights focusing on facilitating a woman's right to informed choice and consent;we're currently off ering an aromatherapy course in collaboration with another Welsh RCM branch.

Therapeutic interventions for burnout syndrome in healthcare professionals during the COVID-19 pandemic: integrative reading review

OBJECTIVE: to analyze the scientific evidence available in the literature on therapeutic interventions applied to Burnout Syndrome in health professionals during the COVID-19 pandemic. METHOD: An integrative review was carried out between August and October 2021, in which the databases and portals PubMed, BVS, SciELO, Google Scholar and CAPES Journal Portal were consulted, resulting in eleven articles analyzed. RESULTS: The analysis of the articles included in the study showed that self-care and organizational interventions in health professionals contributed to the reduction of symptoms of Burnout Syndrome. The studies reported that the measures of therapeutic interventions that were implemented, including aromatherapy, music therapy, the application of EFT, LMX strategies, minimize the effects of factors that contribute to the increase in Burnout Syndrome in health professionals, as well as the reorganization of the working day and improvements in the work environment that favor a more positive perception of professional practice. CONCLUSION: The COVID-19 pandemic contributed to the increased prevalence of Burnout Syndrome in healthcare professionals. Thus, measures such as mental health education, as well as therapeutic interventions for those already affected by the disease, are essential for professionals to maintain their physical and mental well-being.