Desenvolvimento e validação de uma versão reduzida do instrumento para avaliação da Qualidade de Vida no Trabalho de enfermeiros em hospitais

Validation of the Informal Caregiver Burden Assessment Questionnaire for Brazil - short version

OBJECTIVES

to cross-culturally adapt the short version of the Informal Caregiver Burden Assessment Questionnaire to the Brazilian culture and test its psychometric properties.

METHODS

the questionnaire was translated, adapted, and applied to a sample of 280 informal caregivers. The psychometric assessment was verified by estimating psychometric sensitivity and internal structure validity.

RESULTS

inter-rater agreement was satisfactory among specialists. In the seven-factor model, item (Q9) of the domain "Perception of Efficacy and Control Mechanisms" showed a factor loading less than 0.40 (ʎ = 0.26), and an alternative six-factor model was evaluated. However, both models showed excellent fit indices, and it was decided to keep the seven-factor reference model. Reliability was satisfactory for the seven subscales (α > 0.70).

CONCLUSIONS

the questionnaire was adapted and showed adequate psychometric indices in the Brazilian context in which it was evaluated, preserving its original essence.

Validação do Questionário de Avaliação da Sobrecarga do Cuidador Informal para o Brasil – versão curta

RESUMO Objetivos: adaptar transculturalmente a versão curta do Questionário de Avaliação da Sobrecarga do Cuidador Informal para cultura brasileira e testar suas propriedades psicométricas. Métodos: o questionário foi traduzido, adaptado e aplicado em uma amostra de 280 cuidadores informais. A avaliação psicométrica foi verificada pela estimativa da sensibilidade psicométrica e validade da estrutura interna. Resultados: a concordância interavaliadores foi satisfatória entre os especialistas. No modelo de sete fatores, o item (Q9) do domínio “Percepção dos Mecanismos de Eficácia e Controle” apresentou carga fatorial menor do que 0,40 (ʎ = 0,26), e um modelo alternativo de seis fatores foi avaliado. No entanto, os dois modelos evidenciaram ótimos índices de ajustamento, e optou-se por manter o modelo-referência de sete fatores. A confiabilidade mostrou-se satisfatória para as sete subescalas (α > 0,70). Conclusões: o questionário foi adaptado e demonstrou índices psicométricos satisfatórios no contexto brasileiro em que foi avaliado, preservando sua essência original.

Quality of life of Family Health Strategy professionals: a systematic review

BACKGROUND

Individuals' quality of working life and motivation are directly related to their satisfaction and wellbeing. Although studies on the quality of life of family health workers have been conducted, there are none correlating these professionals' wellbeing with this work model.

OBJECTIVE

To review the scientific literature in order to identify the levels of quality of life, in their dimensions, of Family Health Strategy workers.

DESIGN AND SETTING

Systematic review of observational studies developed through a partnership between two postgraduate schools (Piracicaba and Uberlândia).

METHODS

The review followed the PRISMA recommendations and was registered in the PROSPERO database. Ten databases were used, including the "grey literature". Two evaluators selected the eligible studies, collected the data and assessed the risk of biases, independently. The JBI tool was used to assess the risk of bias. A complementary statistical analysis was conducted on the means and standard deviations of the results from the WHOQOL-100 and WHOQOL-bref questionnaires.

RESULTS

The initial search presented 1,744 results, from which eight were included in the qualitative analysis. The studies were published between 2007 and 2018. The total sample included 1,358 answered questionnaires. All the studies presented low risk of bias. The complementary analysis showed that the environmental factor (mean score 56.12 ± 2.33) had the most influence on the quality of life of community health workers, while physical health (mean score 14.29 ± 0.21) had the most influence on graduate professionals.

CONCLUSION

Professionals working within the Family Health Strategy had dimensions of quality of life that varied according to their professional category.

Quality of Work Life According to Walton’s Model: Case Study of the Higher Institute of Defense Studies of Mozambique

The quality of life at work has been one of the most important aspects to be considered by a given organization to achieve pre-defined objectives. Thus, this research aims to analyze the level of satisfaction with the quality of work life (QWL) of the employees of the Higher Institute of Defense Studies “Lieutenant-General Armando Emílio Guebuza” (ISEDEF) according to Walton’s model. A conceptual framework was built through a bibliographic and literature review. The instrument used for data collection was a questionnaire applied to 97 military and civilian personnel in August 2019. The results show that the general level of satisfaction with QWL is moderate, requiring an improvement in living conditions so that military education and training continues, as well as the development of models that enable the realization of benefits according to the social and economic level in the country.

Psychometric properties of the suffering assessment questionnaire in adults with chronic diseases or life-threatening illness

BACKGROUND

Suffering has been considered by many authors to be a difficult concept to assess and measure, as it is subjective and unique. However, to guide the diagnosis and decision-making of healthcare professionals, it is important to develop an instrument that differentiates the different suffering dimensions, namely, intra- and interpersonal suffering, awareness of suffering and spiritual suffering.

AIM

The aim of this study was thus to design and validate an instrument for the assessment of the dimensions of suffering in adult patients with chronic diseases or life-threatening illnesses.

METHOD

A methodological study was developed. The data were collected from two self-help organisations and a palliative care unit. The theoretical model was tested using confirmatory factor analysis. The study sample consisted of 251 patients with chronic diseases or life-threatening illnesses. The Sense of Coherence Scale, the Spiritual Assessment Scale and the Suffering Assessment Questionnaire in Adults with Chronic Diseases or Life-Threatening Illness (SAQ) were applied to each participant and were later returned for analysis.

RESULTS

An SAQ version with 12 items showed adequate psychometric characteristics of validity and internal consistency after being adapted to a four-dimensional structure that assesses the four dimensions of suffering.

CONCLUSION

The results of confirmatory analysis indicated a good model fit that suggested that the advocated theoretical model is plausible.

A relação dos aspectos profissionais na qualidade de vida dos enfermeiros das equipes Saúde da Família

Este estudo teve como objetivo conhecer os aspectos profissionais relacionados à Qualidade de Vida dos enfermeiros das equipes saúde da família da Macrorregião de Saúde do Triângulo Sul. Trata-se de um estudo descritivo e transversal. Os 90 enfermeiros sujeitos da pesquisa responderam a um questionário contendo as variáveis profissionais e o instrumento para avaliação da Qualidade de Vida WHOQOL-100. Os resultados mostram o impacto negativo do número de vínculos, do vínculo empregatício inseguro, da excessiva carga horária de trabalho e da insatisfação com o trabalho nos domínios da Qualidade de Vida dos enfermeiros. Considera-se necessária a (re)definição de políticas públicas voltadas para as condições de trabalho desses profissionais. Ações que contribuam no desenvolvimento da Qualidade de Vida dos enfermeiros são importantes considerando sua forte influência na qualidade da assistência prestada.