PRECARIZAÇÃO E FRAGMENTAÇÃO DO TRABALHO NA ESTRATÉGIA SAÚDE DA FAMÍLIA: IMPACTOS EM SANTA MARIA (RS)

Condições de vida, trabalho e saúde mental: um estudo com trabalhadores brasileiros e espanhóis que atuam em serviço de limpeza hospitalar

Resumo O objetivo deste artigo é comparar as condições de vida, trabalho e saúde, com ênfase na saúde mental, de trabalhadores do serviço de limpeza (SL) hospitalar terceirizados da Espanha e do Brasil. Pesquisa quantitativa, transversal realizada em dois hospitais gerais, públicos, sendo um numa cidade no centro-oeste paulista e o outro em uma a sudoeste da Península Ibérica. Foram entrevistados 78 trabalhadores do hospital brasileiro e 39 do espanhol, utilizando-se de um roteiro com dados das condições de vida, de saúde e de trabalho, incluindo alguns questionários já validados como Job Content Questionnaire e o Self Reporting Questionnaire (SRQ-20). Os trabalhadores espanhóis são mais velhos, de cor branca e com renda familiar maior, apresentam escores do SRQ-20 menores em todas as dimensões. Eles fumam mais, têm maior déficit de visão e alergias, trabalham há mais tempo na mesma atividade, com carga horária menor e não contam com dois empregos. Além disso, quase quarenta por cento deles consideram ter autonomia no trabalho. Trabalhadores brasileiros se encontram em condições de vida, trabalho e saúde mental mais precarizadas. Alguns aspectos das condições de saúde foram piores entre os espanhóis, o que provavelmente pode ter ocorrido devido a idade mais avançada dos mesmos.

Burnout Syndrome in Family Health Strategy Managers

This paper analyzed the Burnout Syndrome (BS) among the managers of the Family Health Strategy (ESF) in the city of Rio de Janeiro and its associations with factors that influence the presence/absence of BS among these professionals. This is a descriptive study that used data from a questionnaire consisting of two parts: 1) manager profile and factors that could influence the presence of Burnout; 2) Maslach Burnout Inventory. The return rate was 63.5% (143) of the 225 questionnaires sent. The ESF managers are generally nurses (68.6%), young (63.6% under 39 years) female (76.9%), who have acted as managers for less than 5 years (85.2%). A BS presence was identified in 11.2% of the managers. The factors of an organizational nature were those that obtained the highest number of variables with an association. These data point to the need to make changes in the organizational practices of services and changes in work processes. Further studies on these issues can contribute to this.

Labor market insecurity for nursing assistants and technicians in the State of Ceará, Brazil

The article analyzes the labor market of nursing assistants and technicians in the State of Ceará, Brazil, from 2013 to 2017, concerning job insecurity aspects. Two data sources were employed. The cross-sectional Brazilian Nursing Team Profile Survey (PPEB) was used as the baseline, and the longitudinal Annual List of Social Information (RAIS) database, allowed the study of the trend of some of the variables related to job insecurity. Given the small number of similar studies for this professional category, we opted for an exploratory data approach that supported a critical discussion of the results. The job insecurity of nursing assistants and technicians is supported by empirical evidence in the four perspectives adopted by the International Labor Organization-ILO: time-related, economic, social, and organizational. While it is a market with a positive balance of admissions compared to layoffs, jobs have low salaries, poor work relationships, high turnover, lack of prospect of career advancement, and adverse working conditions such as exposure to violence, discrimination, and accidents. We can conclude that RAIS data corroborate the PPEB findings, and point out that there is no trend of improvement for this situation.