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Qualidade de vida associada a saúde e condições de trabalho entre profissionais de enfermagem; Health-related quality of life and working conditions among nursing providers

Macaia, Amanda Aparecida Silva; Souza, Jose Maria Pacheco de; BORGES, Flávio Notarnicola da Silva; Fischer, Frida Marina
Fonte: SÃO PAULO Publicador: SÃO PAULO
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.42%
OBJETIVO: Avaliar condições de trabalho associadas à qualidade de vida relacionada à saúde entre profissionais de enfermagem. MÉTODOS: Estudo transversal realizado em um hospital universitário de São Paulo, SP, em 2004-2005. A população estudada foi de 696 enfermeiros, técnicos e auxiliares de enfermagem, predominantemente feminina (87,8 por cento) e que trabalhava em turnos diurnos e/ou noturnos. Os dados sociodemográficos, de condições de trabalho e de vida, hábitos de vida e sintomas de saúde auto-referidos foram obtidos por meio de questionários auto-aplicados: Resultados de Estudos de Saúde - versão reduzida, Escala de Estresse no Trabalho e Desequilíbrio Esforço-Recompensa. Valores do coeficiente 1,01 significam mais esforços do que recompensas no trabalho. Modelos de regressão logística ordinal de chances proporcionais foram ajustados para cada dimensão do SF-36. RESULTADOS: Aproximadamente 22 por cento da população foi classificada como trabalhando em condições de alto desgaste e 8 por cento com mais esforços do que recompensas no trabalho. As dimensões com piores escores médios no SF-36 foram vitalidade, dor e saúde mental. Alto desgaste no trabalho, ter mais esforços que recompensas e ser enfermeira associaram-se de maneira independente aos baixos escores da dimensão de aspectos emocionais. As dimensões relacionadas à saúde mental foram as que mais sofreram influência dos fatores psicossociais do trabalho. CONCLUSÕES: Apresentar mais esforços do que recompensas no trabalho foi mais significativo para a qualidade de vida associada à saúde do que o alto desgaste no trabalho (altas demandas e baixo controle). Os resultados indicam que a análise conjunta dos fatores psicossociais de desequilíbrio esforço-recompensa e demanda-controle contribuiu para a discussão sobre os papéis profissionais...

Autonomia profissional da enfermeira obstétrica; Professional autonomy of the nurse-midwife

Saad, Doris Elisabeth Ammann
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 19/05/2008 PT
Relevância na Pesquisa
36.35%
O modelo de assistência ao parto o Brasil está fortemente relacionado à atuação do médico e a maioria dos partos é realizada em ambiente hospitalar: em 2004, 94% dos partos foram hospitalares e 43% dos nascimentos ocorreram por cesariana, uma atividade estritamente médica. Na rede privada de serviços de saúde do município de São Paulo, o percentual de cesarianas gira em torno de 84%. A partir do final da década de 1990, vêm sendo formuladas políticas públicas para promover mudanças nesse modelo. Algumas dessas proposições favorecem a inserção de enfermeiras obstétricas e obstetrizes (EO) na assistência ao parto, reconhecendo sua importância para promover o parto normal. Nesse contexto, a autonomia profissional da EO na atenção de baixo risco e o trabalho colaborativo na assistência ao parto são elementos fundamentais para uma atenção qualificada. Por sua vez, a atuação da EO na assistência ao parto é definida não exclusivamente pelas políticas de saúde oficiais, mas também pela organização da assistência praticada nas instituições. A forma como a EO atua na assistência ao parto e como vivencia a autonomia profissional e o trabalho colaborativo dependem do local de atuação, das regras e normas da instituição...

Qualidade de vida relacionada à saúde e condições de trabalho dos enfermeiros de unidade de terapia intensiva do município de São Paulo; Health-related quality of life and working conditions of intensive care nurses in Sao Paulo city, Brazil

Santos, Luciana Soares Costa
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 20/06/2012 PT
Relevância na Pesquisa
36.37%
Considerando a importância de identificar fatores do ambiente de trabalho que afetam a saúde física e mental de enfermeiros em Unidades de Terapia Intensiva (UTI) este estudo teve como objetivos: avaliar a qualidade de vida relacionada à saúde (QVRS) de enfermeiros de UTI em relação a componentes físicos e mentais, descrever as condições do ambiente de trabalho e analisar as associações entre QVRS e condições de trabalho de enfermeiros em UTIs. Um estudo descritivo, com delineamento transversal foi realizado em 31 UTIs de adultos, de 18 hospitais selecionados aleatoriamente nas cinco regiões do município de São Paulo, com uma amostra de 180 enfermeiros (68,9% do sexo feminino, idade média de 35,6 anos (dp=7,0), tempo médio de trabalho em UTI de 7 anos (dp=5,2), 68,0% trabalhando até 40 horas semanais). O instrumento Nursing Work Index-Revised (NWI-R) foi utilizado para identificar as condições do ambiente de trabalho percebidas pelos enfermeiros (autonomia, controle sobre o ambiente, relacionamento médico-enfermeiro e suporte organizacional) e o Medical Outcomes Study 12 Item Short Form Health Survey (SF-12), para avaliar a QVRS em seus componentes físico (CF) e mental (CM). Nas análises bivariadas utilizaram-se os testes Qui-Quadrado de Pearson...

Avaliação da capacidade para trabalho e absenteísmo da equipe de enfermagem de unidade de terapia intensiva de um hospital de ensino; Work Ability and Absenteism evaluation of nurse staff in the Intesive Care Unit of a university hospital

Formenton, Alessandro
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 10/10/2014 PT
Relevância na Pesquisa
36.25%
A gestão da força de trabalho em saúde representa um novo desafio aos gestores de diversos países que têm sido levados a se envolver com as questões de recursos humanos. Busca-se o equilíbrio entre o que está disponível em termos de trabalhadores e o que realmente é necessário para a realização das atividades. Este estudo de abordagem quantitativa, de corte transversal e descritivo, teve por objetivo avaliar o índice de capacidade para o trabalho e a taxa de absenteísmo de enfermeiros, técnicos e auxiliares de enfermagem dos Centros de Terapia Intensiva (CTI) de um hospital de grande porte do município de Ribeirão Preto, São Paulo. Os dados coletados foram referentes ao ano de 2013, e utilizaram-se três instrumentos: questionário de caracterização sociodemográfica e ocupacional, o índice de capacidade para o trabalho (ICT) e o formulário com dados das ausências da equipe. Os resultados evidenciaram uma população composta por 102 sujeitos, sendo 76,5% do sexo feminino, com média de idade de 37,58 anos (dp= 9,16), e 48% apresentaram nível superior de escolaridade. Em relação aos dados ocupacionais, 54,9% possuem menos de 10 anos de atuação na enfermagem, 59...

Health-related quality of life and working conditions among nursing providers

Silva,Amanda Aparecida; Souza,José Maria Pacheco de; Borges,Flávio Notarnicola da Silva; Fischer,Frida Marina
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2010 EN
Relevância na Pesquisa
36.42%
OBJECTIVE: To evaluate working conditions associated with health-related quality of life (HRQL) among nursing providers. METHODS: Cross-sectional study conducted in a university hospital in the city of São Paulo, Southeastern Brazil, during 2004-2005. The study sample comprised 696 registered nurses, nurse technicians and nurse assistants, predominantly females (87.8%), who worked day and/or night shifts. Data on sociodemographic information, working and living conditions, lifestyles, and health symptoms were collected using self-administered questionnaires. The following questionnaires were also used: Job Stress Scale, Effort-Reward Imbalance (ERI) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Ordinal logistic regression analysis using proportional odds model was performed to evaluate each dimension of the SF-36. RESULTS: Around 22% of the sample was found to be have high strain and 8% showed an effort-reward imbalance at work. The dimensions with the lowest mean scores in the SF-36 were vitality, bodily pain and mental health. High-strain job, effort-reward imbalance (ERI>1.01), and being a registered nurse were independently associated with low scores on the role emotional dimension. Those dimensions associated to mental health were the ones most affected by psychosocial factors at work. CONCLUSIONS: Effort-reward imbalance was more associated with health than high-strain (high demand and low control). The study results suggest that the joint analysis of psychosocial factors at work such as effort-reward imbalance and demand-control can provide more insight to the discussion of professional roles...

An exploratory study of role transition from student to registered nurse (general, mental health and intellectual disability) in Ireland

Deasy, Christine; Doody, Owen; Tuohy, Dympna
Fonte: Elsevier Publicador: Elsevier
Tipo: Article; all_ul_research; ul_published_reviewed; none
ENG
Relevância na Pesquisa
36.27%
peer-reviewed; 3rd International Nurse Education Conference Nursing Education in a Global Community; Ireland has seen much change in nurse education resulting in four year degree programmes since 2002. A unique aspect of these programmes was the incorporation of rostered internship. This study explored role transition for a cohort of students at pre and post-registration. The sample consisted of fourth year students registered on BSc nursing programmes (general, mental health and intellectual disability) within an Irish university. The samples were surveyed to compare their perceptions and expectations of role transition pre and post-registration. Data were analysed using SPSS (version 16). Respondents had high levels of confidence in clinical abilities both at pre-registration and post-registration. They also perceived themselves to be competent across a range of domains: managing workload, prioritising care delivery, interpersonal skills, time management and multidisciplinary team working. However, this research highlights pre-registration stress, the need for ongoing feedback and support and differences between expected and actual levels of direct patient care involvement. It is argued that the rostered internship provided students with a valuable opportunity for adjustment and preparation for their role as registered nurse. Recommendations include stress management...

Towards a Regional Strategy to Strengthen the Nurse Workforce of the English-speaking CARICOM : International Legal Instruments, Agreements and Obligations

World Bank
Fonte: World Bank Publicador: World Bank
Relevância na Pesquisa
36.24%
The supply of nurses in the English-Speaking Caribbean is insufficient to meet the demand with growing shortages fuelled by the health needs of a rapidly aging population and tremendous losses of human capital occurring at multiple points in the markets. In defining the scope of commitments of a regional legal agreement, English-Speaking Caribbean Community (ES CARICOM) states will have to ascertain whether states would commit to actions to strengthen the nurse workforce or the health workforce more broadly. While the challenges of strengthening the nurse workforce have been systematically assessed, information about other groups of health professionals remains patchy. In 2008, at the request of the Ministers of Health, the World Bank initiated a stream of work to strengthen the nurse workforce in the English-speaking Caribbean. The study estimated the stock of nurses in the ES CARICOM at approximately 7,800 in 2007 with growing shortages under existing policies at 3,400 in 2007 increasing to 10,700 nurses in 2025 due to the health needs of a rapidly aging population. There are two types of international legal instruments: legally binding instruments or treaties; and non-legally binding instruments.

Towards a Regional Strategy to Strengthen the Nurse Workforce of the English-speaking CARICOM : International Legal Instruments, Agreements and Obligations

Kurowski, Christoph; Carpio, Carmen; Vujicic, Marko; Gostin, Lawrence O.; Baytor, Tanya
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
36.24%
The supply of nurses in the English-Speaking Caribbean is insufficient to meet the demand with growing shortages fuelled by the health needs of a rapidly aging population and tremendous losses of human capital occurring at multiple points in the markets. In defining the scope of commitments of a regional legal agreement, English-Speaking Caribbean Community (ES CARICOM) states will have to ascertain whether states would commit to actions to strengthen the nurse workforce or the health workforce more broadly. While the challenges of strengthening the nurse workforce have been systematically assessed, information about other groups of health professionals remains patchy. In 2008, at the request of the Ministers of Health, the World Bank initiated a stream of work to strengthen the nurse workforce in the English-speaking Caribbean. The study estimated the stock of nurses in the ES CARICOM at approximately 7,800 in 2007 with growing shortages under existing policies at 3,400 in 2007 increasing to 10,700 nurses in 2025 due to the health needs of a rapidly aging population. There are two types of international legal instruments: legally binding instruments or treaties; and non-legally binding instruments.

What primary health-care services are Australian consumers willing to accept from nurse practitioners? A national survey

Parker, Rhian; Forrest, Laura; McCracken, James; McRae, Ian; Cox, Darlene
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
36.33%
BACKGROUND: Nurses are becoming increasingly important as providers of primary health care in Australia. In November 2010, Medicare provider rights and Pharmaceutical Benefits Scheme rights for nurse practitioners, working in private practice and in collaboration with a medical practitioner, were introduced in Australia. Although international evidence suggests that nurse practitioners would be appropriate and acceptable providers of care at the first point of contact, such as primary health care, there is little Australian evidence about what care consumers are willing to accept from nurse practitioners. OBJECTIVES: To ascertain what care Australian health-care consumers would accept from nurse practitioners in this setting. PARTICIPANTS: Australian adults over 18 years of age. METHODS: National Survey delivered online. Information about the survey was disseminated through a media campaign, stakeholder engagement and through the health-care consumer networks nationally. RESULTS: The total number of respondents that started the survey was n = 1883. Ninety-five percentage (n = 1784) of respondents completed the survey. The majority of respondents were women, aged 25-54 years, had completed tertiary education and had an annual household income of more than A$80...

Role of the gerontological nurse practitioner in Australia.

Lee, Caroline G.
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2009
Relevância na Pesquisa
36.33%
The role of an aged care nurse practitioner (ACNP) is well recognised internationally however, in Australia, the implementation of this advanced role is still in its infancy with few gerontological nursing experts registered as nurse practitioners (NP). This single Victorian facility 2002 study was the first to consider the role of an ACNP in Australia and the first to describe the clinical and social benefits or otherwise of ACNP interventions in an Australian context. NP Studies in the Australian Capital Territory (ACT) from 1999 – 2002 investigated the role in other nursing domains followed by an ACNP study conducted over 2004-2005. A subsequent national ACNP study in 2005 provided complementary results to this first Australian ACNP study which created the framework for these subsequent projects. This study aimed to establish: clinical or other outcomes that a gerontological nurse practitioner (ACNPs) could achieve for older persons in an Australian residential aged care facility, factors that impacted upon the introduction of such a role, a definition of the role and to establish whether such a role would benefit older persons in Australia. Various methods were used to determine the numerous outcomes which were to be studied in this project. A quantitative analysis of the functional and social status of residents who participated in the project...

A pragmatic cluster randomized controlled trial of early intervention for chronic obstructive pulmonary disease by practice nurse-general practitioner teams: Study Protocol

Bunker, J.; Reddel, H.; Dennis, S.; Middleton, S.; Van Schayck, C.; Crockett, A.; Hasan, I.; Hermiz, O.; Vagholkar, S.; Marks, G.; Zwar, N.
Fonte: BioMed Central Ltd Publicador: BioMed Central Ltd
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
36.24%
BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of disability, hospitalization, and premature mortality. General practice is well placed to diagnose and manage COPD, but there is a significant gap between evidence and current practice, with a low level of awareness and implementation of clinical practice guidelines. Under-diagnosis of COPD is a world-wide problem, limiting the benefit that could potentially be achieved through early intervention strategies such as smoking cessation, dietary advice, and exercise. General practice is moving towards more structured chronic disease management, and the increasing involvement of practice nurses in delivering chronic care. DESIGN A pragmatic cluster randomised trial will test the hypothesis that intervention by a practice nurse-general practitioner (GP) team leads to improved health-related quality of life and greater adherence with clinical practice guidelines for patients with newly-diagnosed COPD, compared with usual care. Forty general practices in greater metropolitan Sydney Australia will be recruited to identify patients at risk of COPD and invite them to attend a case finding appointment. Practices will be randomised to deliver either practice nurse-GP partnership care...

The experience of being an advanced practice nurse in Australian acute care settings: a systematic review of qualitative evidence

Ramis, M.A.; Pearson, A.; Wu, C.J.
Fonte: Joanna Briggs Institute Publicador: Joanna Briggs Institute
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
36.59%
BACKGROUND There is a vast amount of international literature which, although agreeing on the need for advanced practice nurse roles, simultaneously debates and discusses the difficulties with nomenclature, definition and subsequent implementation of such roles. Due to this ambiguity it is difficult to equally compare evidence in this field across different countries. A context-specific systematic review on the qualitative evidence of the experience of being an advanced practice nurse in Australia has not been undertaken previously, however it is imperative for nursing managers and leaders to understand the complexities of advanced nursing roles in order to effectively utilise and retain these experienced and valuable nurses. With the creation of a national nursing regulating authority in 2010, it is timely to explore in-depth the experience of being an advanced practice nurse from a national perspective. OBJECTIVE To identify the experience of being an advanced practice nurse working in Australian acute care settings. INCLUSION CRITERIA TYPES OF PARTICIPANTS Registered nurses working in advanced practice roles in acute care settings throughout Australia. PHENOMENA OF INTEREST The experience of being an advanced practice registered nurse working in an Australian acute care setting...

Experience of being an advanced practice nurse within Australian acute care settings: A systematic review of qualitative evidence

Ramis, M.A.; Wu, C.J.; Pearson, A.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
36.31%
BACKGROUND Nationally and internationally, advanced practice nurses are working under various titles and in different contexts to address gaps within healthcare systems. Analysis of advanced practice roles in different countries has been undertaken, but due to variations in cultural, geographical and professional factors, it is difficult and perhaps ineffectual to compare roles between countries. Contextual factors may also affect the actual experience of being an advanced practice nurse. A systematic review was therefore undertaken of qualitative evidence on the experience of being an advanced practice nurse in Australia, to provide deeper understanding of the role in the defined context. METHODS The review followed the method for qualitative synthesis as per the Joanna Briggs Institute. An extensive search was undertaken of databases and online resources to find published and unpublished studies. Papers from 1990 to October 2011 which met specified inclusion criteria were appraised using the Joanna Briggs Institute Qualitative Assessment and Review Instrument. RESULTS Three published studies and one unpublished dissertation were included in the review. From these studies, 216 findings were extracted and these were formed into 18 categories. Six meta-syntheses grouped under the headings of expert knowledge...

The experience of being an advanced practice nurse within Australian acute care settings: a systematic review of qualitative evidence.

Ramis, Mary-Anne
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2013
Relevância na Pesquisa
36.48%
Background: Shortages of health care professionals and an ageing nursing workforce are some of the factors leading to the creation and evolution of many new nursing roles. Advanced practice nurses across the globe are working under many different titles and within various contexts, in order to address gaps within current health care systems. Comparison of roles between countries is difficult and possibly inappropriate due to Australia’s unique environmental and demographic characteristics. A context-specific systematic review on the qualitative evidence of the experience of being an advanced practice nurse in Australia has not been undertaken previously, however it is imperative for nursing managers and leaders to understand the complexities of advanced nursing roles in order to effectively utilise and retain these experienced and valuable nurses. Aim: This study aims to provide deeper understanding of the experience of being an advanced practice nurse working in Australian acute settings and identify personal, professional and organisational factors influencing experiences. Methods: A three-step search strategy, following the Joanna Briggs Institute method was used to identify published and unpublished interpretive studies meeting set inclusion criteria. Critical appraisal and data extraction were completed the Joanna Briggs Institute Qualitative Assessment and Review Instruments. Results: Following the search and appraisal process...

El enfermero de unidades hospitalarias oncológicas: perfil y capacitación profesional; O enfermeiro que atua em unidades hospitalares oncológicas: perfil e capacitação profissional; The nurse that operates in oncology unit hospital: profile and vocational training

dos Santos, Fabiana Cristina; Camelo, Silvia Helena Henriques; Laus, Ana Maria; Leal, Laura Andrian
Fonte: Murcia: Servicio de Publicaciones de la Universidad de Murcia Publicador: Murcia: Servicio de Publicaciones de la Universidad de Murcia
Tipo: Artigo de Revista Científica Formato: application/pdf
SPA; POR
Relevância na Pesquisa
36.34%
Este es un estudio que tuvo como objetivo identificar el perfil de la enfermera que trabaja en las unidades hospitalarias de oncología. Se trata de una revisión integradora y la recolección de datos se llevó a cabo en cuatro bases de datos electrónicas en el período de marzo a mayo de 2013. Se seleccionaron 15 artículos publicados en el período 2004-2013. Los resultados se describen en dos categorías: 1. El perfil social y profesional de las enfermeras que trabajan en unidades hospitalarias de oncología y 2. Formación y preparación de la enfermera para actuar en unidades hospitalarias de oncología. Las enfermeras son mujeres, con edades comprendidas entre 23 y 57 años de experiencia en el campo, con la preparación académica suficiente para la graduación. Identifica la necesidad de un desarrollo científico y técnico profesional a través de la especialización, de postgrado, residencias, capacitación, cursos de actualización y la participación en conferencias. El estudio deberá aumentar la conciencia de las enfermeras y administradores de servicios de salud como el perfil y la preparación adecuada de los que trabajan en las unidades de oncología hospitalaria.; RESUMO Trata-se de um estudo que teve como objetivo identificar o perfil do enfermeiro que atua em unidades hospitalares oncológicas. É uma revisão integrativa e a coleta de dados foi realizada em quatro bases eletrônicas no período de março a maio de 2013. Foram selecionados 15 artigos...

Nurse Practitioner Perceptions and Experiences of Interprofessional Collaboration with Physicians in Primary Health Care Settings

Faria, CATHERINE
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado Formato: 1077183 bytes; application/pdf
EN; EN
Relevância na Pesquisa
36.35%
Primary health care reform is currently underway in Ontario with the goals of improving health care access, quality and continuity of care while increasing patient and provider satisfaction and cost effectiveness. Interprofessional collaboration in the provision of primary health care has been widely espoused in the health care literature as a means of achieving the goals of primary health care reform. Primary health care nurse practitioners in collaboration with physicians and other allied health professionals have a fundamental role in enhancing primary health care in Ontario. The purpose of this study was to explore and describe nurse practitioners’ experiences and perceptions of interprofessional collaboration with physicians in the provision of primary health care in Ontario. A qualitative descriptive study design was used and six nurse practitioners working in a variety of primary health care settings in Ontario were purposively sampled and interviewed regarding their experiences and perceptions of interprofessional collaboration with partnering physicians. Interviews were analyzed using qualitative content analysis techniques and themes were identified. Seven themes were identified as key factors influencing collaboration within the nurse practitioner – physician dyad from the nurse practitioner’s perspective. These themes included: quality of communication...

"Agravos à saúde de auxiliares de enfermagem resultantes da exposição ocupacional aos riscos físicos " ; "Nurse assistants' health aggravation as a result of occupational exposure to physical risks"

Rezende, Marina Pereira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 29/12/2003 PT
Relevância na Pesquisa
36.45%
O presente estudo teve como objetivo geral identificar os agravos à saúde de auxiliares de enfermagem provenientes da exposição a riscos físicos; sendo os específicos, investigar se os auxiliares de enfermagem identificam os agentes propiciadores de risco físico no ambiente de trabalho hospitalar; identificar os problemas de saúde que os acometem os auxiliares de enfermagem e identificar, dentre os problemas de saúde que os acometem, aqueles que podem ser resultantes da exposição aos riscos físicos. Trata-se de um estudo seccional, não-experimental, de caráter descritivo, com análise quantitativa de dados, coletados através de entrevista estruturada com a utilização de um questionário. Constituíram-se sujeitos do estudo 85 auxiliares de enfermagem.As alterações de saúde mencionadas por esses trabalhadores foram codificadas de acordo com Classificação Internacional de Doenças e Problemas Relacionados à Saúde. Os resultados revelaram que a maioria dos entrevistados pertence ao sexo feminino (82,3%); 41,2% eram casados e 35,3% solteiros; 40% trabalhavam 36 horas semanais e 29,4% dos trabalhadores possuíam outro emprego. Em relação às informações acerca da identificação do risco ocupacional físico apenas 30...

Qualidade de vida associada a saúde e condições de trabalho entre profissionais de enfermagem; Calidad de vida asociada a la salud y condiciones de trabajo entre profesionales de enfermería; Health-related quality of life and working conditions among nursing providers

Silva, Amanda Aparecida; Souza, José Maria Pacheco de; Borges, Flávio Notarnicola da Silva; Fischer, Frida Marina
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/08/2010 ENG
Relevância na Pesquisa
36.42%
OBJETIVO: Avaliar condições de trabalho associadas à qualidade de vida relacionada à saúde entre profissionais de enfermagem. MÉTODOS: Estudo transversal realizado em um hospital universitário de São Paulo, SP, em 2004-2005. A população estudada foi de 696 enfermeiros, técnicos e auxiliares de enfermagem, predominantemente feminina (87,8%) e que trabalhava em turnos diurnos e/ou noturnos. Os dados sociodemográficos, de condições de trabalho e de vida, hábitos de vida e sintomas de saúde auto-referidos foram obtidos por meio de questionários auto-aplicados: Resultados de Estudos de Saúde - versão reduzida, Escala de Estresse no Trabalho e Desequilíbrio Esforço-Recompensa. Valores do coeficiente 1,01 significam mais esforços do que recompensas no trabalho. Modelos de regressão logística ordinal de chances proporcionais foram ajustados para cada dimensão do SF-36. RESULTADOS: Aproximadamente 22% da população foi classificada como trabalhando em condições de alto desgaste e 8% com mais esforços do que recompensas no trabalho. As dimensões com piores escores médios no SF-36 foram vitalidade, dor e saúde mental. Alto desgaste no trabalho, ter mais esforços que recompensas e ser enfermeira associaram-se de maneira independente aos baixos escores da dimensão de aspectos emocionais. As dimensões relacionadas à saúde mental foram as que mais sofreram influência dos fatores psicossociais do trabalho. CONCLUSÕES: Apresentar mais esforços do que recompensas no trabalho foi mais significativo para a qualidade de vida associada à saúde do que o alto desgaste no trabalho (altas demandas e baixo controle). Os resultados indicam que a análise conjunta dos fatores psicossociais de desequilíbrio esforço-recompensa e demanda-controle contribuiu para a discussão sobre os papéis profissionais...

Retaining professional nurses in South Africa: Nurse managers' perspectives

Mokoka,Elizabeth; Oosthuizen,Martha J.; Ehlers,Valerie J.
Fonte: Health SA Gesondheid (Online) Publicador: Health SA Gesondheid (Online)
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2010 EN
Relevância na Pesquisa
36.59%
South Africa is experiencing a serious shortage of nurses, which has to be addressed to prevent crises in health care services. Previous studies (Fletcher 2001:324; Oosthuizen 2005:117) found that nurses change their work environment due to dissatisfaction with their job situations. This implies that creating a favourable environment in the workplace situation could help retain professional nurses in their posts, implying that retention strategies should be effective. An exploratory, descriptive, contextual and qualitative design was used to describe nurse managers' views on factors which could influence professional nurse retention, as well as their views regarding attributes that were required to enable them to contribute towards enhancing professional nurse retention. A purposive sample of nurse managers employed in public and private hospitals in the Gauteng province was selected. Semi-structured interviews were conducted with 21 nurse managers. The results were analysed qualitatively and contextualised within Vogt, Cox, Velthouse and Thames's Cork-Top (Bottleneck) Theory of Nurse Retention (1983) and Lewin's Force-Field Analysis Theory (1952). Factors pertaining to individual nurses, the organisation and nurse managers could influence the retention of professional nurses. Poor working conditions...

Health-related quality of life and working conditions among nursing providers

Silva,Amanda Aparecida; Souza,José Maria Pacheco de; Borges,Flávio Notarnicola da Silva; Fischer,Frida Marina
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2010 EN
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36.42%
OBJECTIVE: To evaluate working conditions associated with health-related quality of life (HRQL) among nursing providers. METHODS: Cross-sectional study conducted in a university hospital in the city of São Paulo, Southeastern Brazil, during 2004-2005. The study sample comprised 696 registered nurses, nurse technicians and nurse assistants, predominantly females (87.8%), who worked day and/or night shifts. Data on sociodemographic information, working and living conditions, lifestyles, and health symptoms were collected using self-administered questionnaires. The following questionnaires were also used: Job Stress Scale, Effort-Reward Imbalance (ERI) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Ordinal logistic regression analysis using proportional odds model was performed to evaluate each dimension of the SF-36. RESULTS: Around 22% of the sample was found to be have high strain and 8% showed an effort-reward imbalance at work. The dimensions with the lowest mean scores in the SF-36 were vitality, bodily pain and mental health. High-strain job, effort-reward imbalance (ERI>1.01), and being a registered nurse were independently associated with low scores on the role emotional dimension. Those dimensions associated to mental health were the ones most affected by psychosocial factors at work. CONCLUSIONS: Effort-reward imbalance was more associated with health than high-strain (high demand and low control). The study results suggest that the joint analysis of psychosocial factors at work such as effort-reward imbalance and demand-control can provide more insight to the discussion of professional roles...