RESUMO
Through change workshops, nurses can manage their emotions experienced during restructuring, such as losing familiarity, becoming insecure in their jobs, and grieving the loss of coworkers. The workshops focused on three themes: reminiscence, survival, and celebration.
Assuntos
Adaptação Psicológica , Educação Continuada em Enfermagem/organização & administração , Reestruturação Hospitalar/organização & administração , Recursos Humanos de Enfermagem Hospitalar/educação , Recursos Humanos de Enfermagem Hospitalar/psicologia , Humanos , Inovação OrganizacionalRESUMO
A 65-year-old man with well-defined crossed aphasia secondary to right cerebral infarction 10 years previously was studied for current language and cognitive abilities and regional cerebral blood flow (rCBF) during cognitive activation measured by single-photon emission tomography (SPECT). Reversed hemispheric lateralization was demonstrated by qualitative aspects of the patient's constructional deficits, dominant parietal lobe signs, and absence of the neglect syndrome. Language activation procedures during SPECT produced focal increases in rCBF to both frontal lobes with a phoneme detection task and to right temporal and parietal lobes with a math task. The authors stress the complexities of assessing brain/language mechanisms in vivo and demonstrate variabilities in rCBF during language activation dependent on task selection.