European Psychiatry - Volume 41 - April 2017

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S672 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709
ways to monitor their psychosocial needs in order to overcome
some of these constraints.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0821
Clinical-qualitative study on
emotional aspects of practices and
learning, interviewing Brazilian
nurses from a hemato-oncological
unit who work with patients in risk or
death process
R.A. Bastos , E.R. Turato ∗, A.M. Quintana
1 UNICAMP, State University of Campinas, LPCQ Laboratory of
Clinical Qualitative Research, Campinas, Brazil
2 Federal University of Santa Maria, Psychology, Santa Maria RS,
Brazil
∗ Corresponding author.
Introduction There is no clear limit between the personal and
professional dimension, when the health worker cares for patients
who have no prospect of cure. This shadowing of the personal
dimension causes high emotional demands of the professional in
the face of the experiences with the death.
Objectives In face of troubles which surround the nurse in the
context of death, this article aimed to identify the learning and self-
care practices experienced by nurseswhoworkwith patients in risk
or in death process, in a haematology-oncology unit.
Method This is a clinical-qualitative study, conducted through
individual interviews. The participants were 6 nurses from
haematology-oncology unit of a university hospital, covering the
sectors of chemotherapy clinic and children’s unit.
Results The results highlight two phenomena built by the expe-
riences of nurses: long learning experiences with the team work
through the maturity arising over time or even with constant
monitoring of the death situations; and self-care practices as self-
preservation phenomenon through the development of pain by
speaking and listening in groups, the motivation through profes-
sional achievement and the well-being caused by the charity care
each other.
Conclusions Work towards the personal development of nurses
as professional who deals with ethical conflicts should be focused
on promoting opening spaces for speaking and listening of these
nurses. This allows them to create ways of dealing with situations
of death, which are professionally responsible.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0822
Relations of post-traumatic growth
and resilience in cancer experience
Y.S. Uzar Ozcetin ∗, D. Hicdurmaz
Hacettepe University, Faculty of Nursing, Psychiatric Nursing
Department, Ankara, Turkey
∗ Corresponding author.
Introduction Each individual experience cancer in a different
way. While some perceive cancer as a complex and traumatic expe-
rience by developing some psychosocial and additional physical
problems, others overcome cancer-related difficulties by gain-
ing benefits such as post-traumatic growth (PTG) owing to their
resilience. Resilience and PTG that are very valuable concepts in
human life to adapt positively to cancer process have relations
which need to be better understood.
Objectives We aimed to provide a better understanding of rela-
tions between resilience and PTG and relations of these two
concepts with cancer experience.
Methods Literature review.
Results Successful adjustment to life-threatening illnesses such
as cancer, require resilience. On the other hand, resilience provides
a barrier toward stressors by helping improvement of PTG and so, is
an antecedent factor of PTG. PTG ensures a deeper perspective and
strength topeople after traumatic events. Hence, individuals having
higher levels of PTG feel powerful enough to handle the problems in
their life and can easily adapt to cancer process by focusing on the
positive outcomes of trauma, having improved copingmechanisms
and an improved psychological well-being.
Conclusions Resilience and PTG have strong mutual relations and
this phenomenon should be considered for a qualified cancer care.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0823
Sources of meaning in family
caregivers of terminally ill patients
supported by a palliative nursing care
team – A naturalistic three-month
cohort study
J. Valdes-Stauber ∗, R. Lemanczyk (General Practitioner) ,
R. Kilian
1 Zentrum für Psychiatrie Südwürttemberg, Department for
Psychiatry and Psychotherapy I-University of Ulm, Ravensburg,
Germany
2 Private practice, Bad Wurzach, Germany
3 Bezirkskrankenhaus Günzburg, Department for Psychiatry and
Psychotherapy II-University of Ulm, Günzburg, Germany
∗ Corresponding author.
Objectives To identify possible change patterns or robustness in
sources of meaning in family caregivers of pre-terminal patients
after onset of support at home by an outreach palliative nursing
team during a survey period of three months.
Methods One hundred caregivers of terminally ill patients were
included in a prospective observational trial. The Sources of Mean-
ing and Meaning in Life Questionnaire (SoMe) was administered at
four points ofmeasurement: T0 (immediately before onset of pallia-
tive care); T1 (one week after T0); T2 (one month after T0); T 3 (three
months after T 0). Descriptive statistics, random effects regression
analyses; multivariate linear and quadratic regressionmodels were
performed for the full ( n = 100) as well as for the reduced sample
(n = 24).
Results Growth curve analyses reveal significant parabolic
changes for the dimension “order” and for the subscales “social
commitment”, “tradition”, “morality”, and “fun”. All other dimen-
sions or subscales remained stable during the time of the study.
Cross-sectional multivariate regression models (T0) showed neg-
ative associations of some dimensions with patients’ age and
psychological burden of the family caregiver while psychological
burden of patients was found to be positively associated with some
dimensions. No significant effects of interaction variables with time
(linear and quadratic).
Conclusions With few exceptions, family carers seem to keep a
stable sense of meaning in life during the final stage of their rela-
tives’ terminal illness. Particular associations between sources of
meaning and age of patients as well as psychological burden both
of patients and carers have to be taken into consideration in support
planning.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.