Work ability in nursing: relationship with psychological demands and control over the work

OBJECTIVE

to evaluate the association between psychological demands, control over the work and the reduction of work ability of nursing professionals.

METHOD

this cross-sectional study involved 498 nursing professionals of a university hospital in the State of Rio Grande do Sul, Brazil. Data collection was carried out in 2009 using the Brazilian versions of the Work Ability Index and Job Stress Scale, with logistic regression models used for the data analysis.

RESULTS

the prevalence of 43.3% for reduced work ability and 29.7% for high-strain in the job (high psychological demand and low control) were observed. The chances for professionals presenting reduced work ability under high-strain were higher and significant when compared to those classified as being under low-strain, even after adjusting for potential confounders, except for age and gender.

CONCLUSION

a high prevalence of reduced work ability was observed. This evidence indicates the need for investigation and detailed analysis of the psychosocial aspects of the professionals with regard to the health/disease process of nursing professionals.

Relationship between work ability in nursing and minor psychological disorders

This study aimed to evaluate the association between minor psychological disorders and the reduction of work capacity of nursing professionals. Epidemiological study (cross-sectional) involving 498 (84.1%) nursing professionals at a university hospital in the state of Rio Grande do Sul, Brazil. We used the Brazilian versions of the Work Ability Index and the Self-Reporting Questionnaire-20, with descriptive and multivariate analysis. The prevalence of minor psychological disorders and the reduction of work ability corresponded to 33.7% and 43.3%, respectively. The analyses adjusted due to confounding factors showed that nursing professionals with suspected minor psychological disorders were twice as likely to have their work ability reduced when compared to those without suspected minor psychological disorders. It is concluded that there is a positive association between minor psychological disorders and reduced work ability among the investigated professionals. Measures are needed to minimize the psychological demands and empower the work ability.

Auriculotherapy and reducing chronic musculoskeletal pain: integrative review

OBJECTIVES

to describe the scientific evidence on the use of auriculotherapy to reduce chronic musculoskeletal pain in adults and the elderly.

METHODS

integrative literature review conducted in the Latin American and Caribbean Health Sciences, SciVerse Scopus and MEDLINE databases (via National Library of Medicine), in March 2019, with no time frame.

RESULTS

14 original scientific articles were analyzed, 64.3% of which were classified with level of evidence 2. All productions show the benefit of auriculotherapy in reducing chronic musculoskeletal pain, especially in the lumbar spine (42.9%). The treatment was developed in one or more sessions, using semi-permanent needles (42.9%) and electro-auriculotherapy (21.4%).

CONCLUSIONS

auriculotherapy was effective in reducing chronic musculoskeletal pain, showing itself as an alternative to be used for the promotion and recovery of individuals' health.

Psychosocial stress and minor psychiatric disorders among Agentes Socioeducadores

OBJECTIVE: to ascertain the association between psychosocial stress and the occurrence of Minor Psychiatric Disorders in agentes socioeducadores. METHOD: a cross-sectional study with 381 agentes socioeducadores from the Centros de Atendimento Socioeducativo in the Brazilian state of Rio Grande do Sul, in 2011. Brazilian versions of the social demand-control-support at work scale were used, and of the Self Reporting Questionnaire-20. RESULTS: the prevalence of minor psychiatric disorders was 50.1%. The chances of being classified with such a disorder were higher in the high strain work quadrant (OR=2.05; CI95%=1.03-4.09) and active work quadrant (OR=1.99; CI95%=1.09-3.63) when compared to that of low strain, after adjustment for potentially confusing factors. CONCLUSION: there is a positive association between psychosocial stress (high strain and active work) and minor psychiatric disorders among agentes socioeducadores. In order to prevent mental illness among these workers, the planning of health promotion actions is necessary.

Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul

OBJECTIVE

To determine the prevalence and factors associated with minor psychiatric disorders (MPD) in socio-educational agents.

METHOD

It is a cross-sectional study with 381 socio-educational agents the Centers for Socio-Educational Services in the State of Rio Grande do Sul, Brazil. The Brazilian versions of the Scale of Demand-control-social support at work and the Self Reporting Questionnaire-20 have been applied.

RESULTS

The results showed a prevalence of suspicion MPD of 50.1%. They showed to be related to suspicion of MPD : being female (55.7%), having age up to 44 years old (58.5%), no physical activity (57.4%), do not have time for leisure (75%), make use of medication (61.4%), require medical attention (56.9%) and psychological counseling (72.7%), not being satisfied with the workplace (61.7%) and need for time off from work (65.6%).

CONCLUSION

The study provides important data about the mental health of agents, showing the need for the involvement of managers and of the health service of worker's health in planning actions to promote health of these workers.

PREVALENCE AND FACTORS ASSOCIATED WITH MUSCULOSKELETAL PAIN IN HOSPITAL CLEANING WORKERS

ABSTRACT Objective: to assess the prevalence and the factors associated with the occurrence of musculoskeletal pain in hospital cleaning workers. Method: cross-sectional study, involving 157 outsourced workers at a university hospital in the state of Rio Grande do Sul, Brazil. The data were collected through a semistructured interview and analyzed through descriptive and analytic statistics. The prevalence of musculoskeletal pain corresponded to 70.1%, with strong and unbearable intensity in 25.5% of the cases. Results: the workers were between 19 and 34 old; 95%CI=1.03-1.27, those without time for leisure RPa=1.14; 95%CI=1.03-1.27 and those who sometimes have time for leisure RPa=1.10; 95%CI=1.02-1.20 presented higher prevalence rates for musculoskeletal pain than the other groups. Conclusion: no association was verified between musculoskeletal pain and occupational factors. Nevertheless, the workers perform their activities even with musculoskletal symptoms, which suggests attention.

Avaliação da capacidade para o trabalho dos trabalhadores de enfermagem de pronto-socorro

doi: 10.5216/ree.v15i2.15344 - http://dx.doi.org/10.5216/ree.v15i2.15344 RESUMO Este estudo objetivou avaliar a capacidade para o trabalho dos trabalhadores de enfermagem de um pronto-socorro, relacionando-a com características individuais e laborais. Estudo transversal, que envolveu 68 trabalhadores de um hospital universitário do Rio Grande do Sul, Brasil. Utilizou-se a versão brasileira de um questionário padronizado para o cálculo do Índice de Capacidade para o Trabalho. Como resultado, destaca-se que 42,9% dos trabalhadores foram classificados com reduzida capacidade para o trabalho. As doenças diagnosticadas com maior frequência, nos últimos 12 meses, foram: infecções repetidas do trato respiratório, lesão nas costas; varizes; distúrbio emocional leve; problemas de visão e doença da parte superior das costas ou região do pescoço, com dores frequentes. Conclui-se que o elevado percentual de trabalhadores com reduzida capacidade laboral assinala a importância da adoção de medidas interventivas na estrutura organizacional para promover/restaurar a capacidade, na perspectiva da melhoria nas condições de trabalho e de saúde. Descritores: Enfermagem em Emergência; Saúde do Trabalhador; Avaliação da Capacidade de Trabalho; Condições de Trabalho; Serviço Hospitalar de Emergência.

Estresse no trabalho em agentes dos centros de atendimento socioeducativo do Rio Grande do Sul

Estudo que teve por objetivo verificar a associação entre estresse no trabalho, características sociodemográficas, laborais, hábitos e condições de saúde dos agentes socioeducadores do Rio Grande do Sul, Brasil. Trata-se de um estudo transversal com 381 agentes dos Centros de Atendimento Socioeducativo do Rio Grande do Sul. Utilizou-se a versão brasileira da Job Stress Scale, para avaliação do estresse no trabalho. Foram classificados, em situação de alta exigência no trabalho, 19,2% dos agentes. Mostraram-se associados ao estresse no trabalho: necessidade de acompanhamento psicológico, falta de tempo para lazer, turno diurno de trabalho, insatisfação com o local de trabalho, necessidade de afastamento do trabalho, por problemas de saúde, e escala de trabalho insuficiente. Há necessidade de buscar melhores condições de trabalho e a efetivação de um Serviço de Saúde do Trabalhador atuante, no sentido de minimizar os efeitos das demandas psicológicas no trabalho do agente socioeducador.

Psychometric evaluation of the Resilience at Work Scale (RAW Scale - Brazil)

ABSTRACT Objectives: to analyze the validity of the Resilience at Work Scale (RAW Scale - Brazil), 25 and 20-item versions, based on its internal structure (dimensional and correlation), with professors and health workers from a public university in southern Brazil. Methods: methodological study, developed in 2018, with 526 participants. For psychometric tests, the following were used: Confirmatory Factor Analysis; composite reliability, and convergent validity against the Engagement at work; Occupational self-efficacy; Overall resilience; General Health Questionnaire; and Social support at work scales. Results: both versions had factor loadings > 0.30, adequate fit indices and satisfactory composite reliability. In both versions, strong and direct correlations with general Resilience and Self-efficacy were evidenced; moderate and direct with social Engagement and Support; and moderate and inverse with General Health. Conclusions: the RAW Scale 25 and 20 - Brazil meets the validity requirements with potential for assessing resilience at work within the studied context.

Produção científica sobre os distúrbios psíquicos menores a partir do self report questionnarie

Objetivo: conhecer a produção científica publicada no Brasil em bases de dados eletrônicas sobre os Distúrbios Psíquicos Menores a partir do Self Report Questionarie, bem como identificar possíveis relações entre distúrbios psíquicos menores e trabalho.  Método: realizou-se um levantamento bibliográfico nas bases de dados LILACS, MEDLINE e SCIELO, nos últimos dez anos, com as palavras-chave: transtornos mentais comuns, distúrbios psíquicos menores, morbidades psiquiátricas menores, problemas psiquiátricos menores. Resultados: obteve-se 41 estudos, sendo 38 artigos científicos e três dissertações. Observa-se um aumento de publicações do ano de 2004 (2,4%) para o de 2005 (14,6%). O periódico com maior número de publicações foi o Caderno de Saúde Pública (24,4%). Os estudos investigaram populações com idade maior ou igual a 14 anos (48,8%); trabalhadores da saúde (19,5%), trabalhadores de outras áreas (19,5%) e estudantes (12,2%). Conclusão: evidenciou-se que os distúrbios psíquicos menores estão presentes em diversas populações, de variadas regiões do país, apontando para a necessidade de novos estudos que investiguem a associação entre DPM e as condições de trabalho.

Efficacy of auriculotherapy for decreasing anxiety and stress among perioperative nursing workers: a mixed study

OBJECTIVE

to analyze the effectiveness of auriculotherapy for decreasing anxiety and stress of perioperative nursing professionals.

METHOD

mixed methods research, embedded experimental model. In the quantitative stage, a randomized, triple-blind clinical trial was conducted with perioperative nursing professionals, who answered a characterization questionnaire, the List of Signs and Symptoms of Stress, and the General Anxiety Disorder-GAD 7. The participants attended eight auriculotherapy sessions with semi-permanent needles. The qualitative stage was exploratory and descriptive, in which data were collected through semi-structured interviews. Data were mixed with the incorporation of qualitative findings to examine the intervention in the experimental study.

RESULTS

13 professionals participated in the intervention group and 14 in the control group. Anxiety and stress levels decreased significantly within groups, though no statistical difference was found between groups (p>0.05). The central category, "Auriculotherapy as an intervention to treat anxiety and stress," emerged from the qualitative data, which was subdivided into a base unit and three categories concerning the therapy's benefits.

CONCLUSION

applying real and sham auriculotherapy had the same effect on the participants' anxiety and stress levels; the reports reinforced such evidence. Non-pharmacological interventions, such as auriculotherapy, are essential for recovering and promoting the health of perioperative nursing professionals. Brazilian Clinical Trials Registry: RBR-3jvmdn.

Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

OBJETIVOS

verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.

MÉTODOS

estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada.

RESULTADOS

participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004).

CONCLUSÕES

prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.

Association between Moral Distress and Burnout Syndrome in university-hospital nurses

OBJECTIVE

to analyze the association between moral distress and Burnout Syndrome among nurses in a university hospital.

METHOD

descriptive, analytical study conducted with 269 nurses working in a university hospital located in Rio Grande do Sul, Brazil. Data were collected in person in 2019 by previously trained collectors. A sociodemographic and employment questionnaire, the Brazilian Scale of Moral Distress in Nurses and the Maslach Burnout Inventory were applied. Descriptive and analytical statistical analysis was used.

RESULTS

an association was identified between moral distress intensity and frequency and its dimensions with Burnout Syndrome and its dimensions. Nurses with low professional achievement and high emotional exhaustion showed a higher prevalence of moral distress.

CONCLUSION

an association between moral distress and Burnout Syndrome, as well as between their dimensions, was evidenced. The results suggest the need to investigate urgent interventions to mitigate the situations and manifestations of moral distress and Burnout Syndrome by developing strategies for workers' health.

Associação do Sofrimento Moral e Síndrome de Burnout em enfermeiros de hospital universitário

Resumo Objetivo: analisar a associação entre sofrimento moral e síndrome de Burnout em enfermeiros de hospital universitário. Método: estudo descritivo-analítico, realizado com 269 enfermeiros atuantes em um hospital universitário localizado no Rio Grande do Sul, Brasil. A coleta de dados ocorreu de maneira presencial no ano de 2019 por coletadores previamente capacitados. Aplicaram-se questionário sociodemográfico e laboral, Escala Brasileira de Distresse Moral em Enfermeiros e o Inventário Maslach de Burnout. Empregou-se análise estatística descritiva e analítica. Resultados: identificou-se associação entre intensidade e frequência de sofrimento moral e suas dimensões com a síndrome de Burnout e suas dimensões. Enfermeiros em baixa realização profissional e alta exaustão emocional apresentaram prevalências mais elevadas para sofrimento moral. Conclusão: evidenciou-se a associação entre sofrimento moral e síndrome de Burnout bem como entre suas dimensões. Os resultados sinalizam a necessidade de investigar intervenções urgentes para amenizar as situações e as manifestações do sofrimento moral e a síndrome de Burnout, elaborando estratégias para a saúde dos trabalhadores.

Ergonomic risks and musculoskeletal pain in hospital cleaning workers: Convergent Care Research with mixed methods

OBJECTIVE

to analyze exposure to ergonomic risks and the occurrence of musculoskeletal pain in workers in the Hospital Cleaning Service.

METHOD

Convergent Care Research, with data production designed using mixed methods, implemented with 149 hospital cleaning workers. The methodological strategy of the convergent parallel project was employed, using observation, photographic records, questionnaires and convergence groups. The results were integrated through joint display. Data analysis with descriptive and inferential statistics and content analysis.

RESULTS

the mixing of data highlighted the multifactorial nature of exposure to ergonomic risks (uncomfortable work postures; repetitive movements; prolonged orthostatism; use of equipment not adapted to the psychophysiological needs of workers) and musculoskeletal pain in the population investigated. The latter was prevalent in the lumbar spine, ankles or feet, wrists or hands, thoracic spine and shoulders. The concept of ergonomic risk was expanded and was influenced by the psychosocial aspects of work.

CONCLUSION

the workers investigated are exposed to modifiable multifactorial ergonomic risks related to musculoskeletal pain. It is possible to promote innovations and teaching-learning actions to minimize them, such as the continuing education program, collectively constructed with recommendations for improvements.

Nursing Process for institutionalized older adults: contributions from knowledge awareness workshop

OBJECTIVE

To analyze the knowledge of professionals working in a Nursing Home about the Nursing Process before and after the awareness workshop.

METHODS

This is strategic action research, developed with nursing professionals and managers of a Nursing Home in Rio Grande do Sul, Brazil. Data were collected between January and June 2023, through semi-structured interviews before and after an awareness workshop. Discursive textual analysis of the data was carried out.

RESULTS

The central category "Understanding about the Nursing Process in Nursing Homes" emerged, which was unitized into two units of meaning and three categories of analysis.

CONCLUSION

Data revealed non-use and lack of knowledge of the Nursing Process before awareness raising. Afterwards, a deeper understanding of the topic and its importance was identified. Awareness-raising workshops contribute to transformation of knowledge.

Elaboration and validity of the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias

OBJECTIVE

to elaborate and validate the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias.

METHODS

a methodological study, developed in three stages: instrument structuring through documentary research and researchers' expertise; instrument validity with a panel of 11 expert judge nurses; and instrument final composition.

RESULTS

the instrument, after validity by experts, consisted of 30 items, divided into the content (26 items) and appearance (four items) domains. In the initial instrument validity process, 11 items were modified and seven were withdrawn, as they had a percentage of agreement below 0.80. The instrument showed excellent internal consistency, with values greater than 0.90 in its psychometric criteria.

CONCLUSION

the instrument produced and validated aimed at assessing research methodological models for technological development showed good reliability, and may contribute to the methodological rigor of technological development research in nursing.

Asociación del Sufrimiento Moral y Síndrome de Burnout en enfermeros de un hospital universitario

Resumen Objetivo: analizar la asociación entre sufrimiento moral y síndrome de Burnout en enfermeros de un hospital universitario. Método: estudio descriptivo y analítico, realizado en 269 enfermeros que actuaban en un hospital universitario localizado en el estado de Rio Grande del Sur, en Brasil. La recogida de datos se realizó de manera presencial en el año de 2019 por colectores previamente capacitados. Se aplicaron el cuestionario sociodemográfico y laboral, la Escala Brasileña de Estrés Moral en Enfermeros y el Inventario Maslach de Burnout. Se empleó el análisis estadístico descriptivo y analítico. Resultados: se identificó asociación entre intensidad y frecuencia de sufrimiento moral y sus dimensiones con el síndrome de Burnout y sus dimensiones. Los enfermeros que tuvieron baja realización profesional y alta extenuación emocional, presentaron prevalencias más elevadas para el sufrimiento moral. Conclusión: se evidenció asociación entre sufrimiento moral y síndrome de Burnout así como entre sus dimensiones. Los resultados señalan la necesidad urgente de investigar intervenciones para amenizar las situaciones y las manifestaciones del sufrimiento moral y el síndrome de Burnout, elaborando estrategias para la salud de los trabajadores.