RESUMEN
OBJECTIVES: to adapt and validate the content of the Healthy Work Environment Assessment Tool for Brazilian culture, and evaluate the practical aspects of its application. METHODS: methodological study that followed six stages: translation; synthesis; back translation; content validation by a group of experts, pre-testing and approval of the process by the author of the original instrument. RESULTS: the first three stages were carried out by contracted companies. In the committee, two items and the title of a subscale were evaluated in a second round, when consensus was reached among experts. In the pre-test, more than 93% of professionals agreed that the tool was easy to understand. The average completion time was 8.53 minutes. The American Association of Critical-Care Nurses authorized publication of the results. CONCLUSIONS: the adaptation of the tool to Brazilian culture was completed following the adopted framework. In addition to the evidence of content validity, the tool appears promising for managerial use.
Asunto(s)
Comparación Transcultural , Lugar de Trabajo , Brasil , Humanos , Lugar de Trabajo/normas , Lugar de Trabajo/psicología , Encuestas y Cuestionarios , Reproducibilidad de los Resultados , Traducción , Psicometría/métodos , Psicometría/instrumentación , Salud Laboral/normas , Condiciones de TrabajoRESUMEN
BACKGROUND: Situational awareness is the acquisition of information from elements present in the work environment, the perception of the meaning of this information, and the prediction of future working conditions. Sleepiness and fatigue can influence an individual's ability to reach situation awareness, decision-making, and performance on a task. OBJECTIVE: This scoping review examines methods used to assess situational awareness, fatigue, sleepiness, and their interrelationships. METHODS: A systematic search of online databases was conducted to identify experimental, peer-reviewed articles published in English between 2017 and 2022. A total of 29 publications were selected for analysis. RESULTS: The selected studies originated from various countries, primarily in the northern hemisphere. Health and automotive engineering were the academic categories with the highest publications. The studies employed objective and subjective methods to assess situational awareness, fatigue, and sleepiness. CONCLUSIONS: Most studies reported a decline in situational awareness during fatigue and sleepiness conditions, although one study did not find this association. Future research should focus on employing objective methods to analyze cognitive factors, increasing sample sizes, and conducting testing in real-world situations.
Asunto(s)
Concienciación , Fatiga , Somnolencia , Humanos , Fatiga/psicología , Fatiga/etiología , Lugar de Trabajo/psicología , Lugar de Trabajo/normasRESUMEN
El objetivo de este manual es brindar una herramienta para que las instituciones y empresas se conviertan en espacios saludables, promoviendo la salud de las personas que trabajan o acuden a ellas. A largo plazo, está demostrado que este tipo de intervenciones mejora la calidad de vida y aumenta la esperanza de vida de la población involucrada.
Asunto(s)
Humanos , Estrategias de Salud Globales , Salud Laboral , Lugar de Trabajo/normas , Enfermedades no Transmisibles/prevención & control , Promoción de la Salud , Factores de RiesgoRESUMEN
The Mexican maquiladora industry is applying Lean Manufacturing Tools (LMT) in its production lines; however, few studies have investigated its relationship with sustainability (social, economic, and environmental). This paper presents a second-order structural equation model (SEM) relating 8 LMT integrated into three independent latent variables: continuous improvement (Kaizen and Gemba), supporting tools (Andon, visual management, and Poka-yoke), and machinery and equipment (total productive maintenance, overall equipment effectiveness, and Jidoka) that are related to social, economic, and environmental sustainability as dependent variables. The model is validated with information obtained from 249 companies using partial least squares. Findings show that the application of LMT in the Mexican maquiladora industry avoids the generation of waste and reprocessing. Likewise, the improvement of production processes reduces the waste emitted into the environment and reduces energy consumption. Also, when companies have environmental programs, the work environment is safe, and labor relations are improved, increasing morale and the commitment to work for the company, gaining economic and ecological benefits.
Asunto(s)
Comercio , Industria Manufacturera , Desarrollo Sostenible , Comercio/métodos , Comercio/organización & administración , Industrias/métodos , Internacionalidad , Industria Manufacturera/instrumentación , Industria Manufacturera/métodos , Industria Manufacturera/organización & administración , México , Modelos Organizacionales , Mejoramiento de la Calidad , Energía Renovable , Administración de Residuos , Lugar de Trabajo/organización & administración , Lugar de Trabajo/normasRESUMEN
OBJECTIVE: To trigger a reflection on the current working conditions of Nursing professionals in coping with the Covid-19 pandemic. METHOD: A theoretical-reflective study supported by studies from the Marxist perspective, national and international scientific articles, and official documents from the World Health Organization and the Federal Nursing Council. RESULTS: The daily work of Nursing professionals in the face of the Covid-19 pandemic presents unfavorable working conditions in Brazil and worldwide, with emphasis on the deficit of professionals, overload of activities, low pay, and personal protective equipment, often insufficient and inadequate, conditions that can lead to exhaustion, illness and death. CONCLUSION: This study can contribute to raising discussions about the need for improvements in the working conditions of Nursing professionals, especially in pandemic times and the impact on the health of these professionals.
Asunto(s)
COVID-19/epidemiología , Personal de Enfermería , Pandemias , Carga de Trabajo , Lugar de Trabajo/normas , Brasil/epidemiología , Humanos , Personal de Enfermería/economía , Personal de Enfermería/provisión & distribución , Teoría de Enfermería , Equipo de Protección Personal/provisión & distribución , Salarios y Beneficios/economíaRESUMEN
The article aims to discuss the care provided by female healthcare workers in Brazil during the Covid-19 pandemic, based on a sociological analysis by authors who discuss such care as devalued and poorly paid work performed to a large extent by low-income women. The work involves social constructions of emotions and has used the body as a work instrument in care for others. In addition, the increasingly precarious nature of health work in Brazilian society, aggravated in recent decades, with an increase in temporary contracts, loss of labor rights, overload of tasks, and adverse work conditions, among others, adds to the increase in medical and hospital care in the Covid-19 pandemic. In this context, female healthcare workers experience lack of personal protective equipment, fear of coronavirus infection, concerns with their children and other family members, and illness and death of coworkers and themselves. The article highlights the need for government attention and management of healthcare work and professional societies, analyzing the work conditions female healthcare workers are experiencing in confronting the pandemic.
Este texto tem como finalidade discutir o cuidado de trabalhadoras da área da saúde em face da Covid-19, sob a análise sociológica de autoras que o vêm discutindo enquanto um trabalho que é desempenhado, na sua maioria, pelas mulheres das classes populares, é desvalorizado e sofre baixa remuneração. É uma atividade que envolve as construções sociais das emoções e tem utilizado o corpo como um instrumento de trabalho no cuidado com o outro. Além disso, a precarização do trabalho em saúde na sociedade brasileira acirrada nas últimas décadas, como o aumento de contratos temporários, perdas de direitos trabalhistas, a sobrecarga das atividades, condições de trabalho precárias, dentre outros, soma-se com o aumento dos atendimentos médico-hospitalares diante da pandemia da Covid-19. Neste contexto, as trabalhadoras em saúde vivenciam as ausências de equipamentos de proteção individual, medo de contaminação pelo vírus, preocupações com filhos e familiares, vivências diante da morte e do adoecimento de si e de colegas de profissão. Este texto aponta para a necessidade de atenção governamental, bem como para a gestão do trabalho em saúde e dos órgãos de classe profissional, analisando as condições de trabalho que as trabalhadoras em saúde estão vivendo no enfrentamento da pandemia.
Asunto(s)
COVID-19/epidemiología , Atención a la Salud , Personal de Salud , Pandemias , Actitud Frente a la Muerte , Brasil/epidemiología , COVID-19/psicología , COVID-19/transmisión , Atención a la Salud/economía , Atención a la Salud/normas , Atención a la Salud/tendencias , Familia , Miedo , Femenino , Personal de Salud/economía , Personal de Salud/psicología , Humanos , Programas Nacionales de Salud , Equipo de Protección Personal/provisión & distribución , Salarios y Beneficios/tendencias , Factores Sexuales , Factores Sociológicos , Lugar de Trabajo/psicología , Lugar de Trabajo/normasRESUMEN
Resumo Este texto tem como finalidade discutir o cuidado de trabalhadoras da área da saúde em face da Covid-19, sob a análise sociológica de autoras que o vêm discutindo enquanto um trabalho que é desempenhado, na sua maioria, pelas mulheres das classes populares, é desvalorizado e sofre baixa remuneração. É uma atividade que envolve as construções sociais das emoções e tem utilizado o corpo como um instrumento de trabalho no cuidado com o outro. Além disso, a precarização do trabalho em saúde na sociedade brasileira acirrada nas últimas décadas, como o aumento de contratos temporários, perdas de direitos trabalhistas, a sobrecarga das atividades, condições de trabalho precárias, dentre outros, soma-se com o aumento dos atendimentos médico-hospitalares diante da pandemia da Covid-19. Neste contexto, as trabalhadoras em saúde vivenciam as ausências de equipamentos de proteção individual, medo de contaminação pelo vírus, preocupações com filhos e familiares, vivências diante da morte e do adoecimento de si e de colegas de profissão. Este texto aponta para a necessidade de atenção governamental, bem como para a gestão do trabalho em saúde e dos órgãos de classe profissional, analisando as condições de trabalho que as trabalhadoras em saúde estão vivendo no enfrentamento da pandemia.
Abstract The article aims to discuss the care provided by female healthcare workers in Brazil during the Covid-19 pandemic, based on a sociological analysis by authors who discuss such care as devalued and poorly paid work performed to a large extent by low-income women. The work involves social constructions of emotions and has used the body as a work instrument in care for others. In addition, the increasingly precarious nature of health work in Brazilian society, aggravated in recent decades, with an increase in temporary contracts, loss of labor rights, overload of tasks, and adverse work conditions, among others, adds to the increase in medical and hospital care in the Covid-19 pandemic. In this context, female healthcare workers experience lack of personal protective equipment, fear of coronavirus infection, concerns with their children and other family members, and illness and death of coworkers and themselves. The article highlights the need for government attention and management of healthcare work and professional societies, analyzing the work conditions female healthcare workers are experiencing in confronting the pandemic.
Asunto(s)
Humanos , Femenino , Personal de Salud/economía , Personal de Salud/psicología , Infecciones por Coronavirus/epidemiología , Atención a la Salud/economía , Atención a la Salud/normas , Atención a la Salud/tendencias , Pandemias , Salarios y Beneficios/tendencias , Brasil/epidemiología , Actitud Frente a la Muerte , Familia , Factores Sexuales , Lugar de Trabajo/normas , Lugar de Trabajo/psicología , Infecciones por Coronavirus/psicología , Infecciones por Coronavirus/transmisión , Miedo , Factores Sociológicos , Equipo de Protección Personal/provisión & distribución , Programas Nacionales de SaludRESUMEN
This publication presents criteria and bases for the work organization in the safe practice of Hospital Radiopharmacy, in order to minimize the risk of viral transmission during the COVID-19 pandemic, in a reference facility of the National Energy Commission Atomic of Argentina, while continuing to perform essential services for the health system. For this purpose, documents from the National Energy Commission Atomic, IAEA, WHO and other scientific publications were consulted as reference. These recommendations are under constant review and are permanently updated. Within this framework, the present model of work organization for this essential activity is proposed, including general and specific recommendations and its epidemiological and immunological basis.
Asunto(s)
COVID-19/epidemiología , Medicina Nuclear/organización & administración , Pandemias , Servicio de Farmacia en Hospital/organización & administración , SARS-CoV-2 , Argentina/epidemiología , COVID-19/diagnóstico , COVID-19/inmunología , COVID-19/prevención & control , Prueba de COVID-19/métodos , Humanos , Higiene/normas , Medicina Nuclear/normas , Objetivos Organizacionales , Admisión y Programación de Personal/organización & administración , Servicio de Farmacia en Hospital/normas , Radiofármacos/normas , SARS-CoV-2/inmunología , Lugar de Trabajo/organización & administración , Lugar de Trabajo/normasRESUMEN
The purpose of this study was to validate the construct and reliability of an instrument to assess the work environment as a single tool based on quality of life (QL), quality of work life (QWL), and organizational climate (OC). The methodology tested the construct validity through Exploratory Factor Analysis (EFA) and reliability through Cronbach's alpha. The EFA returned a Kaiser-Meyer-Olkin (KMO) value of 0.917; which demonstrated that the data were adequate for the factor analysis; and a significant Bartlett's test of sphericity (χ² = 7465.349; Df = 1225; p ≤ 0.000). After the EFA; the varimax rotation method was employed for a factor through commonality analysis; reducing the 14 initial factors to 10. Only question 30 presented commonality lower than 0.5; and the other questions returned values higher than 0.5 in the commonality analysis. Regarding the reliability of the instrument; all of the questions presented reliability as the values varied between 0.953 and 0.956. Thus; the instrument demonstrated construct validity and reliability.
Asunto(s)
Calidad de Vida , Encuestas y Cuestionarios , Lugar de Trabajo , Análisis Factorial , Humanos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios/normas , Lugar de Trabajo/normasRESUMEN
Exposure to nanomaterials (NMs) can be considered as human, occupational or environmental. Occupational exposure may be experienced by the workers and/or researchers who develop and produce these products and the hazards inherent to exposure are not yet fully known. Quantitative and qualitative methods are available to estimate the occupational risks associated with the handling of NMs, however, both have limitations. In this context, the objective of this study was to create a Bayesian network (BN) that will allow an assessment of the occupational risk associated with the handling of NMs in research laboratories. The BN was developed considered variables related to exposure, the hazards associated with NMs and also the existing control measures in the work environment, such as collective protection equipment (CPE), administrative measures and personal protection equipment (PPE). In addition to assessing the occupational risk, simulations were carried out by the laboratory manager to obtain information on which actions should be taken to reduce the risk. The development of a BN to assess the occupational risk associated with the handling of NMs is a novel aspect of this study. As a distinctive feature, the BN has measurement control variables in addition to considering CPE, administrative measures and PPE. An advantage of this network in relation to other risk assessment models is that it allows the easy execution of simulations and provides a guide for a decision making by identifying which actions should be taken to minimize the risk.
Asunto(s)
Contaminantes Ocupacionales del Aire/toxicidad , Laboratorios/normas , Modelos Estadísticos , Nanoestructuras/toxicidad , Exposición Profesional/efectos adversos , Lugar de Trabajo/normas , Contaminantes Ocupacionales del Aire/química , Teorema de Bayes , Humanos , Laboratorios/estadística & datos numéricos , Nanoestructuras/química , Exposición Profesional/prevención & control , Exposición Profesional/estadística & datos numéricos , Equipos de Seguridad , Medición de Riesgo/estadística & datos numéricos , Administración de la Seguridad , Lugar de Trabajo/estadística & datos numéricosRESUMEN
OBJECTIVES: to perform a systematic review and meta-synthesis of qualitative studies about the work-related quality of life of Family Health Strategy professionals. METHODS: this systematic review was developed to answer the following PVO question: "Which factors (variables) are associated with the work-related quality of life (outcome) of Family Health Strategy professionals (population)?" The PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey, and OATD databases were selected. The meta-synthesis analyzed the main codes and secondary codes of all included studies. RESULTS: the database search resulted in 1,744 reports; six were considered eligible for the meta-synthesis. Four factors were considered for the quality of work life: working conditions; work processes; interpersonal relationships; and personal aspects. CONCLUSIONS: although this study confirms the adequacy of aspects commonly related to the quality of work life, other factors are important in the case of FHS professionals, especially work context.
Asunto(s)
Salud de la Familia/tendencias , Personal de Salud/psicología , Calidad de Vida/psicología , Humanos , Carga de Trabajo/psicología , Carga de Trabajo/normas , Lugar de Trabajo/psicología , Lugar de Trabajo/normasRESUMEN
OBJECTIVES: to know nurses' perceptions about their work process in a Mobile Emergency Care Service. METHODS: qualitative study conducted with 12 nurses whose speeches were submitted to Content Analysis. RESULTS: there are weaknesses related to overload of activities, numerous functions, indirect supervision, risk situations, difficulties in relationship with hospitals, lack of vehicles and professionals, inappropriate places to provide care and lack of knowledge of the population about urgent and emergency care. Potentials were associated with effective interpersonal relationships, continuing training, security when arriving at the place of care, care protocol and taste for what you do. FINAL CONSIDERATIONS: the identified weaknesses need to be noted by managers and nurses. Thus, they would seek to establish actions to diminish them and maximize potentials, which could improve patient care as well as reduce occupational risks and, in turn, promote workers' well-being.
Asunto(s)
Servicios Médicos de Urgencia/normas , Enfermeras y Enfermeros/psicología , Percepción , Adulto , Servicios Médicos de Urgencia/métodos , Femenino , Humanos , Satisfacción en el Trabajo , Investigación Cualitativa , Lugar de Trabajo/psicología , Lugar de Trabajo/normasRESUMEN
OBJECTIVE: to reflect on the psychosocial risks and their impacts on the health of health workers in light of the Brazilian economic context and Labor Reform. METHOD: reflective study on the Brazilian Labor Reform and its impacts on health of health workers. RESULTS: although the changes observed in the labor sphere have contributed to improvements in health and safety policies for, these changes have also contributed to the emergence of new risks arising from work activities, including psychosocial risks, which affect all occupational categories. Final considerations: we understand that the Brazilian Labor Reform carried out in 2017 leads to the weakening of labor relations, increases workers' exposure to risks in the workplace, increases the risk of illness, and opposes the global movement of international organizations aimed at the prevention of aggravation in workers' health and also at preserving their health.
Asunto(s)
Empleo/tendencias , Personal de Salud/psicología , Psicología , Brasil , Empleo/métodos , Empleo/normas , Humanos , Estrés Laboral/complicaciones , Estrés Laboral/etiología , Estrés Laboral/fisiopatología , Lugar de Trabajo/psicología , Lugar de Trabajo/normasRESUMEN
OBJECTIVE: to analyze the presence, intensity and factors related to working conditions for depressive symptoms in hospital emergency nurses in the east of São Paulo. METHODS: a descriptive, exploratory, quantitative and qualitative study, which applied psychometric scales and interview script. RESULTS: nurses (95.24%) had depressive symptoms by the assessment scales by the observer, most with mild and moderate intensity. Inadequate working conditions led to suffering. Factors that trigger depressive symptoms were: disorganized work; harmful relationship with immediate management; inappropriate physician behavior; aggressions; lack of inputs, infrastructure and human resources; professional devaluation. Identified professionals with depressive symptoms who, because they were unaware of being affected by the disorder, did not seek treatment, continued to perform activities that compromised their physical and mental health, promoting damage to the assistance provided. Final considerations: high frequency of depressive symptoms. The precarious work environment negatively influenced the care and development of depressive symptoms.
Asunto(s)
Depresión/complicaciones , Enfermeras y Enfermeros/psicología , Médicos/psicología , Lugar de Trabajo/normas , Adulto , Brasil , Estudios Transversales , Depresión/psicología , Servicio de Urgencia en Hospital/organización & administración , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Enfermeras y Enfermeros/estadística & datos numéricos , Estrés Laboral/complicaciones , Estrés Laboral/psicología , Médicos/estadística & datos numéricos , Psicometría/instrumentación , Psicometría/métodos , Investigación Cualitativa , Lugar de Trabajo/psicologíaRESUMEN
OBJECTIVES: to analyze the nurses' work process in an Emergency Hospital Service. METHODS: a qualitative, exploratory and descriptive research conducted with 17 nurses from the emergency service of a high complexity hospital in southern Brazil. Data were collected through interviews, focus group and document analysis. Data analysis followed the thematic content analysis framework. RESULTS: four categories emerged: Work environment characteristics; Assistance dimension; Management dimension; Care management. Final Considerations: the nurses' work process in Emergency Hospital Service is characterized by the peculiarities of the setting, with centrality in care and care management aiming at quality care and safety to patients.
Asunto(s)
Servicios Médicos de Urgencia/métodos , Enfermeras y Enfermeros/normas , Proceso de Enfermería , Adulto , Brasil , Servicios Médicos de Urgencia/estadística & datos numéricos , Femenino , Grupos Focales/métodos , Humanos , Entrevistas como Asunto/métodos , Masculino , Persona de Mediana Edad , Enfermeras y Enfermeros/psicología , Enfermeras y Enfermeros/estadística & datos numéricos , Investigación Cualitativa , Lugar de Trabajo/psicología , Lugar de Trabajo/normasRESUMEN
OBJECTIVE: To analyze the factors associated with occupational stress among nursing workers in health services of medium complexity. METHODS: Epidemiological, cross-sectional, exploratory study. A randomly selected sample of 126 nursing professionals from medium complexity services in three cities in the state of Bahia (Santo Antônio de Jesus, Feira de Santana and Itabuna) was investigated. Data were collected in 2011 and 2012. The demand-control model proposed by Karasek was used to assess occupational stress. Simultaneous analysis of occupational stressors was performed using Poisson regression with robust variance. RESULTS: The prevalence of occupational stress among nursing professionals was 77%. Occupational stress was associated with the professional category of nursing technician (p=0.01). CONCLUSION: The data indicates a concerning situation of exposure to occupational stressors, which requires coping strategies in order to protect the health of the worker.
Asunto(s)
Enfermeras y Enfermeros/psicología , Estrés Laboral/etiología , Gravedad del Paciente , Lugar de Trabajo/normas , Adaptación Psicológica , Adulto , Brasil , Estudios Transversales , Femenino , Humanos , Masculino , Enfermeras y Enfermeros/estadística & datos numéricos , Estrés Laboral/psicología , Encuestas y Cuestionarios , Lugar de Trabajo/psicología , Lugar de Trabajo/estadística & datos numéricosRESUMEN
OBJECTIVE: To evaluate stress, and to associate it with sociodemographic and clinical aspects of nurses from the Mobile Emergency Care Service. METHOD: This is an observational, cross-sectional and quantitative study conducted with 123 nurses, who answered a questionnaire to assess sociodemographic and clinical variables, and the Job Stress Scale, which evaluates stress in the workplace. RESULTS: The results indicated that most of them were women, 20 to 40 years old, married, without another employment bond and with specialization course. They had low control and low demand at work and performed a passive work. Women reported passive work and high stress levels, while men were equally divided in active and passive work with low stress levels. CONCLUSION: Passive work is harmful to health and it is related to lack of autonomy, decision-making, and social support. It may lead to reduced ability to solve problems faced in daily work routine.
Asunto(s)
Agotamiento Profesional/terapia , Servicios Médicos de Urgencia/métodos , Enfermeras y Enfermeros/psicología , Estrés Laboral/terapia , Adulto , Agotamiento Profesional/prevención & control , Agotamiento Profesional/psicología , Estudios Transversales , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Estrés Laboral/psicología , Apoyo Social , Encuestas y Cuestionarios , Lugar de Trabajo/psicología , Lugar de Trabajo/normasRESUMEN
BACKGROUND: When performing, classical guitarists interact with many elements which constitute their own "workstation". One of those elements is the support for guitar positioning. Support dimensions, form and materials may determine posture and affect the musician's comfort and performance. OBJECTIVE: To propose design requirements for new supports for guitar positioning, based on postural assessment, anthropometric criteria, self-efficacy and comfort perception. METHODS: Nine healthy Classical Guitar students were recruited. A postural assessment was undertaken using REBA, and 3DSSPP software with three different supports for guitar positioning. After the use of each support, a questionnaire about self-efficacy and comfort perception was completed by the participants. RESULTS: The higher scores of risk and a significant difference (ANOVA, pâ=≤05) regarding the left leg elevation were found with footstool usage. However, this one was identified by participants as the best support in terms of self-efficacy and comfort assessment. CONCLUSIONS: To improve performance and prevent physical injuries for guitarists, there is a need for designing guitar positionings supports based on ergonomics principles. This paper proposes eleven guidelines for designing these supports.
Asunto(s)
Ergonomía/normas , Música , Lugar de Trabajo/normas , Adulto , Análisis de Varianza , Ergonomía/estadística & datos numéricos , Femenino , Humanos , Masculino , Postura/fisiología , Lugar de Trabajo/estadística & datos numéricosRESUMEN
OBJECTIVE: To measure patient safety climate and the associated factors from the perspective of the multiprofessional team. METHOD: This was an analytical cross-sectional study, developed in a medium-sized hospital in the Southern region of Brazil. The Safety Attitudes Questionnaire (SAQ) was used as the data collection tool and applied to 199 workers of the multiprofessional and support team between November 2017 and February 2018. Data analysis was descriptive and analytical. A positive score was considered when ≥75. RESULTS: The overall SAQ score was positive (75.1). The domain Satisfaction at Work was the one with the highest score (88.7), while Stress Perception showed the worst score (59.1). It was observed that professionals without a College/University degree better evaluated the domains Satisfaction at Work, Management Perception and Working Conditions, whereas the ones with a College/University degree had better stress perception. Medical doctors showed better Stress Perception when compared to the other health professionals. CONCLUSION: There is a positive safety climate in health organizations from the perspective of the multiprofessional team. However, the domains Safety Climate, Working Conditions and Stress Perception constitute areas that need improvement in terms of patient safety in the institution.
Asunto(s)
Actitud del Personal de Salud , Hospitales Generales/organización & administración , Seguridad del Paciente/normas , Administración de la Seguridad/normas , Brasil , Estudios Transversales , Hospitales Generales/normas , Humanos , Satisfacción en el Trabajo , Estrés Laboral/epidemiología , Cultura Organizacional , Factores Socioeconómicos , Lugar de Trabajo/psicología , Lugar de Trabajo/normasRESUMEN
ABSTRACT Objectives: to know nurses' perceptions about their work process in a Mobile Emergency Care Service. Methods: qualitative study conducted with 12 nurses whose speeches were submitted to Content Analysis. Results: there are weaknesses related to overload of activities, numerous functions, indirect supervision, risk situations, difficulties in relationship with hospitals, lack of vehicles and professionals, inappropriate places to provide care and lack of knowledge of the population about urgent and emergency care. Potentials were associated with effective interpersonal relationships, continuing training, security when arriving at the place of care, care protocol and taste for what you do. Final Considerations: the identified weaknesses need to be noted by managers and nurses. Thus, they would seek to establish actions to diminish them and maximize potentials, which could improve patient care as well as reduce occupational risks and, in turn, promote workers' well-being.
RESUMEN Objetivos: conocer las percepciones de las enfermeras sobre su proceso de trabajo en un Servicio Móvil de Cuidado de Emergencia. Métodos: estudio cualitativo realizado con 12 enfermeras cuyos discursos fueron sometidos a Análisis de Contenido. Resultados: existen debilidades relacionadas con la sobrecarga de actividades, numerosas funciones, supervisión indirecta, situaciones de riesgo, dificultades en las relaciones con los hospitales, falta de vehículos y profesionales, lugares inadecuados para brindar atención y falta de conocimiento de la población sobre la atención de urgencia y emergencia. Las potencialidades se asociaron con relaciones interpersonales efectivas, capacitación continua, seguridad para llegar al lugar de cuidado, protocolo de cuidado y gusto por lo que se hace. Consideraciones Finales: las debilidades identificadas deben ser observadas por los gerentes y las enfermeras, buscando implementar acciones para reducirlas y así maximizar las potencialidades, lo que puede mejorar la atención brindada a los pacientes, así como reducir los riesgos laborales y, a su vez, promover el bienestar de los trabajadores.
RESUMO Objetivos: conhecer a percepção dos enfermeiros acerca do seu processo de trabalho em um Serviço de Atendimento Móvel de Urgência. Métodos: estudo qualitativo realizado com 12 enfermeiros, cujas falas foram submetidas à Análise de Conteúdo. Resultados: há fragilidades relacionadas com sobrecarga de atividades, inúmeras funções, supervisão indireta, situações de risco, dificuldades de relacionamento com os hospitais, falta de veículos e profissionais, locais inapropriados para prestar atendimentos e falta de conhecimento da população sobre os atendimentos de urgência e emergência. As potencialidades estiveram associadas ao efetivo relacionamento interpessoal, capacitação continuada, segurança ao chegar ao local de atendimento, protocolo de atendimentos e gosto pelo que faz. Considerações Finais: as fragilidades identificadas precisam ser observadas pelos gestores e enfermeiros, buscando implementar ações para diminui-las e, assim, maximizar as potencialidades, podendo melhorar a assistência prestada aos pacientes, bem como diminuir os riscos laborais e, por sua vez, promover o bem-estar dos trabalhadores.