European Psychiatry - Volume 33 - March 2016

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S794 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
carried out. In 66% of cases, the patient was diagnosed with bor-
derline personality disorder. Each case of MR was obtained from
Statens Serum Institut’s Electronic Reporting System. The care
workers from each shift were identified using duty rosters. The
statistical package SPSS version 20 was used for data processing,
including a logistic regression analysis.
Results A significant association was found between the use of
MR and the presence of male care workers on the ward, OR = 1.639,
95% CI: 1.163–2.311, P = 0.005. The risk of MR is increased during
evening shifts, compared to day and night shifts, OR = 1.868, 95%
CI: 1.165–2.995, P = 0.009. No significant associations were found
betweenMR and staffing level, age, education, or experience of care
workers.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1399
A glance at potential
neuropsychological theories and
explanations for the higher creative
functioning of Leonardo da Vinci
S. Kumar
Liverpool, United Kingdom
Introduction It has been universally regarded that Leonardo da
Vinci was one of the all time geniuses in terms of his contribu-
tion to art and sciences. A number of theories have been proposed
to explain his genius that range from neurological, psychological
uniqueness, and enhanced functional intelligence.
Aim The primary aim is to explore these theories in detail and
register their pros and cons alongside contextualizing their credi-
bility and weightage against the extant evidence in science.
Method A detailed literature search has been undertaken to iden-
tify variety of models and theories either:
– dealing with neurological, psychological or neuro-philosophical
explanations;
– have been proposed by psychiatrist or psychologist and neurol-
ogists pertaining to Leonardo’s brain or mind;
– theories around occult and religion have been excluded.
Discussion The results are synthesized and presented in a tabular
form. The discussion expands on the various theories and the rele-
vance of Leonardo da Vinci to themerging unifiedfield of neurology,
psychology, technology and philosophy (consciousness studies)
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1400
Formal caregivers’ perceptions of
working in a home-based care for
elderly
C. Laranjeira ∗, Z. Azeredo , M. Guerra , C. Rodrigues
1 Piaget Institute, Research in Education and Community
Intervention RECI I&D, Viseu, Portugal
2 Piaget Institute, High School of Health Sciences, Viseu, Portugal
∗ Corresponding author.
Introduction Population aging is an issue increasingly gaining
more prominence, as evidenced by the number of inquiries regard-
ing the “problems” that this entails for society. This leads to a need
to understand the role of caregiver for the elderly as the central
figure of support in old age.
Aim The purpose of this study was to describe formal care-
givers’ perceptions of working conditions, difficulties and factors
associated with quality of care in a Portuguese home-based care
for elderly.
Methods The participants were 8 formal caregivers whose pro-
fession falls under the categories of Direct Action Helper and
AuxiliaryWorkers. The datawere collected through individual face-
to-face interviews and analysed using a content analysis following
Bardin’s method.
Results The results show that the sample is female, aged from
32 to 53 years, with a professional exercise time between 8 and
16 years. Regarding the main conclusions of our research, we can
say that our group of participants has a strong sense of team
work which contributes to avoid situations of physical and emo-
tional exhaustion; mostly caregivers can separate their personal
andprofessional lives; there are some difficulties in communication
between the caregivers and the elderly, however the most difficult
situations are usually overcome due to the caregiver’s understand-
ing of the characteristics of institutionalized elderly; the matter of
death is frequently seen as the most difficult situation to face.
Conclusions The caregivers should have an awareness of the
importance of kindness and respect, supporting positive thoughts
and help the older people to retain control over their lives.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1401
The meaning of fatigue compassion in
the context of healthcare
C. Laranjeira
Piaget Institute, Research in Education and Community Intervention
RECI I&D, Viseu, Portugal
Introduction Studies confirm that caregivers play host to a high
level of compassion fatigue. Day in, day out, nurses struggle to
function in care giving environments that constantly present heart
wrenching, emotional challenges.
Aim This concept analysis will aim to capture the current mean-
ing of fatigue compassion in the context of healthcare and explore
how it may be recognised and measured in education and clinical
practice.
Methods Using the same search terms, findings from a literature
search in 2000 and from a follow-up search in 2014 were used to
conduct the concept analysis. The Walker and Avant theorethical
framework was used to develop a model case of fatigue compas-
sion in nursing care. The attributes, antecedents, consequences and
references were delineated.
Results Four attributes of fatigue compassion were delineated.
(1) Perceptual incongruence and appraising defines howan individ-
ual perceives role demand in relation to capabilities or resources.
(2) Multidimensionality consists of physiological and psycho-
logical effects on a person. (3) Interactional feedback is the
experienced acknowledgement/validation communicated by oth-
ers during compassive stressful situations at a workplace. (4)
Response pattern describes the coping mechanisms used by an
individual experiencing fatigue compassion.
Conclusions The concept analysis of fatigue compassion among
nurses at the workplace recognized the vulnerability of the nursing
discipline towards distress in general. There needs to be greater
research within the field of role stress and nursing, specifically in
the development of scales or tools to assist in the identification of
fatigue compassion amongst nurses.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.