Adherence to hand hygiene in critical sectors: Can we go on like this?

AIMS AND OBJECTIVES: The rates of healthcare-associated infections are high around the world. Hand hygiene is considered the most effective measure to reduce the transmission of pathogens in the hospital environment. Our objective was to evaluate adherence to hand hygiene in critical units of a tertiary-level hospital in Central-West Brazil. DESIGN: Observational study employing cross-sectional data. Reporting rigour was demonstrated using the STROBE checklist. METHODS: Observation of hand hygiene practices of 129 professionals from the health team, including nursing staff, physicians and physical therapists. Data collection was carried out using the World Health Organization form. RESULTS: A total of 3,025 hand hygiene opportunities were observed, and the overall rate of adherence was only 46.25%. There was a greater frequency of hand hygiene after risk of exposure to bodily fluids and after contact with patients, 60.80% and 53.45%, respectively. Nurses obtained a higher rate of adherence to hand hygiene (59.80%). The neonatal ICU had a higher rate of adherence to hand hygiene when compared to other sectors. CONCLUSIONS: The physical structure for hand hygiene in the institution was poor, and no professionals reached the minimum time required for execution of hand hygiene techniques. There were low rates of adherence to hand hygiene by professionals at all five times and in all categories and sectors observed, which may have been influenced by poor infrastructure present in the institution. RELEVANCE TO CLINICAL PRACTICE: This study is of great relevance to patient safety, given the rates of healthcare-associated infections worldwide, with emphasis on underdeveloped countries. It is hoped that the results of this research can guide organisations to validly and systematically evaluate adherence to hand hygiene and achieve higher rates of adherence to hand hygiene and consequently reduce the number of infections in health environments.

Editorial characteristics and quality of the articles published by Brazilian Nursing journals.

OBJECTIVE: To analyze the editorial characteristics and the level of evidence of articles published by Nursing journals in Brazil. METHOD: Documentary research on the websites of five Nursing journals and analysis of the articles published in 2016, based on their level of evidence. The form used was validated by experts. RESULTS: Editorial boards with Brazilian and foreign researchers, normalization and international ethical recommendations on the publications, online version with open access, continuous publication system (20.0%), Portuguese and English, foreign authors (4.0% to 14.7%). The information provided to the authors is not clear (20.0%), articles with level of evidence 4 (86.7%). The international community had access to some of the papers published, and the highest rates were JCR/WOS 0.6984, SJR/Scopus 0.396, H/Scopus index 26 and Google Scholar 30. CONCLUSION: Scientific journals follow international publication standards. Most of the articles published do not provide strong scientific evidence, which has an impact on the use of the knowledge, on the citations received and on the effective advancement of the knowledge of the area.

Occupational stress among health workers of a university hospital. / Estresse ocupacional entre trabalhadores de saúde de um hospital universitário.

OBJECTIVE: To evaluate the occupational stress among health workers in a university hospital. METHODS: Cross-sectional study conducted with health workers in the areas of nursing and medicine at a university hospital in southern Brazil. The data were collected between August of 2011 and August of 2012 by a questionnaire of characterization and Job Stress Scale. A descriptive and univariate analysis was performed (Kruskal-Wallis). RESULTS: The participants presented high demand and high control of the work and low social support, indicating an active work. Nurses had less control over work (p<0.001) and physicians received more social support (p=0.006). Reduced social support was related to greater exposure to stress among nursing assistants and technicians (p=0.012). CONCLUSION: Workers who felt the low social support had higher exposure to stress. It is necessary to implement stress prevention strategies among health workers, such as the strengthening of social support at work.

[Composition of the electrocautery smoke: integrative literature review]. / Composição da fumaça produzida pelo bisturi elétrico: revisão integrativa da literature.

OBJECTIVE: To identify the composition of the smoke produced by electrocautery use during surgery. METHOD: Integrative review with search for primary studies conducted in the databases of the US National Library of Medicine National Institutes of Health, Cumulative Index to Nursing and Allied Health Literature, and Latin American and Caribbean Health Sciences, covering the studies published between 2004 and 2014. RESULTS: The final sample consisted of 14 studies grouped into three categories, namely; polycyclic aromatic hydrocarbons, volatile compounds and volatile organic compounds. CONCLUSION: There is scientific evidence that electrocautery smoke has volatile toxic, carcinogenic and mutagenic compounds, and its inhalation constitutes a potential chemical risk to the health of workers involved in surgeries.

HeLP: Development of occupational protection mask against surgical smoke.

OBJECTIVES: to describe a technological innovation in the development of an individual, ergonomic, sustainable and effective occupational respiratory protection mask for workers exposed to surgical smoke. METHODS: applied, exploratory, quantitative research, using design methods and tools: Sense Intent, Know Context, Know People, Frame Insights, Explore Concepts, Frame Solutions, Realize Offerings, in addition to the Product Development Process tools. It was developed from March 2019 to December 2021. RESULTS: from the prototyping mold, it became possible to represent the abstract to the physical, where all the concepts created in the methodological steps were implemented and the necessary adjustments were made to create the model as a technological innovation, which will have the concept for product commercialization. CONCLUSIONS: a mask for protection against surgical smoke (HeLP) was developed, from the design step to the prototype development, being a technological innovation.

Validation of comic book about burn prevention and first aid for adults.

OBJECTIVE: To develop and validate a comic book for the adult population about prevention and first aid for burns. METHOD: Applied quantitative research conducted at a university hospital, guided by the Social Cognitive Theory. A comic book was developed, followed by Content Validation with 12 experts and Semantic Validation with 30 adults. The Educational Content Validation Instrument in Health and Suitability Assessment of Materials were used for data collection and the analysis was carried out by Content Validity Index, with a minimum of 0.8. RESULTS: The final version has ten pages, both printed and virtual form. The overall agreement rate was 0.963 in content and 0.987 in semantics. The main adjustments were in the language and layout of the cover. CONCLUSION: The levels of agreement were satisfactory, determining the validity of the Comic Book, configuring it as a simple and accessible resource for health education about burns for adults.

Factors associated with work activity of technical-administrative staff from state universities retired due to disability.

OBJECTIVE: To verify the factors associated with the type of work activity performed by university technical-administrative staff retired due to disability. METHOD: Cross-sectional research with 68 workers, conducted using an electronic questionnaire between November 2019 and September 2020. Data were collected on sociodemographic, occupational characterization and causes of disability. Data were analyzed descriptively and by multiple logistic regressions. RESULTS: Health professionals were more likely to have mental and behavioral disorders, associated with females and regardless of age. The chances of the nervous system diseases were higher in workers who performed administrative work, being associated with higher education. Operational employees were more likely to have musculoskeletal diseases associated with primary and secondary education and were male, regardless of age. CONCLUSION: There was an association between work activity performed before retirement and the diseases responsible for disability, with differences between gender, age, and educational levels.

Quality of life and factors associated among public university employees retired due to disabilities.

OBJECTIVE: to analyze quality of life and factors associated among public university employees retired due to disabilities. METHOD: a cross-sectional study conducted with a sample of public university employees retired due to disabilities. A characterization questionnaire and the World Health Organization Quality of Life - Disabilities instrument were applied via telephone or online contacts from November 2019 to September 2020. The associated factors were verified through multiple linear regression. RESULTS: of the 80 retirees due to disability, 15% were professors and 85% had a technical-administrative career. As for the factors associated with Quality of Life, continuous medication use (ßadj: -0.25; p=0.02) and problems in the nervous system (ßadj: -0.21; p<0.05) were associated with the Overall domain; continuous medication use (ßadj: -0.23; p=0.04), to the Physical domain; smoking (ßadj: -0.21; p<0.05) and mental and behavioral disorders (ßadj: -0.21; p<0.01), to the Psychological domain; smoking (ßadj: -0.46; p<0.01) and respiratory (ßadj: -0.21; p=0.03) and circulatory (ßadj: -0.21; p=0.03) problems, to the Social domain; smoking (ßadj: -0.33; p<0.01) and problems in the nervous system (ßadj: -0.22; p=0.04), to the Environmental domain; mental and behavioral disorders, to the Disabilities module (ßadj: -0.29; p<0.01) and to the Discrimination domain (ßadj: -0.21; p<0.05); and smoking (ßadj: -0.32; p<0.01) and problems in the nervous system (ßadj: -0.20; p<0.05), to the Inclusion domain. The Autonomy domain did not present any association. CONCLUSION: the retirees under study presented impaired Quality of Life.

[Work-related illness in nursing: an integrative review]. / O adoecer pelo trabalho na enfermagem: uma revisão integrativa.

Man's endless search for methods of performing different activities leads to increased workloads, which eventually result in physical, psychological and emotional conditions. The objective of this study was to seek scientific evidence regarding the types of work-related conditions or illnesses in nursing, as well as the means of coping and preventing occupational diseases and accidents. An integrative review was performed on the electronic health databases using the following descriptors: occupational disease, occupational prevention, and nursing worker. Twenty-seven articles were found. It was realized that nurses have back pain and musculoskeletal injuries, suffer accidents with sharp-edged materials and endure stress and tension at work, in addition to exposure to environmental pollution and dermatitis.

Indicators of surgical patients after the implementation of an Internal Bed Regulation Committee in a university hospital.

OBJECTIVE: To analyze the indicators of surgical patients after the implementation of an Internal Bed Regulation Committee in a university hospital. METHOD: Longitudinal, quantitative, and retrospective study. The data collection was conducted in the Hospital Management Information institutional system, from which the information of patients submitted to surgical procedures from January 2015 to June 2018 were obtained. To verify the data trends, a simple linear regression model was used. RESULTS: The predominance of patients aged 20 to 39 and hospitalized on an emergency basis was observed. An ascending trend for structure indicators was verified regarding the number of surgical procedures and patients per surgical room. The process indicators were stagnant. An ascending trend was presented by the result indicators related to the number of surgical patients, hospitalized surgical patients, surgical procedures, and patients with Hospitalization Authorization. CONCLUSION: A change in the mean values of the process indicators was observed, showing the performance of this service. Organizational changes were also observed regarding the establishment of norms, processes, and flows.

Polycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers.

OBJECTIVES: to identify the scientific evidence on the development of cardiovascular and respiratory diseases due to workplace contamination by polycyclic aromatic hydrocarbons. METHODS: integrative literature review. The search for primary articles was held in October 2017 in the Medical Literature Analysis and Retrieval System Online (through Pubmed), Web of Science and Latin American and Caribbean Literature in Health Sciences (LILACS). RESULTS: the 16 studies analyzed showed that exposure to polycyclic aromatic hydrocarbons was associated with cardiovascular diseases, such as increased blood pressure, heart rate variation, and ischemic heart disease; and respiratory disorders, such as decreased lung function, chronic obstructive pulmonary disease, asthma, wheeze, coughing, pulmonary wheezing, chest tightness, effort dyspnea, and sore throat. CONCLUSIONS: polycyclic aromatic hydrocarbons cause deleterious effects on the cardiovascular and respiratory systems through mutations and cellular inflammation, being a risk to exposed individuals.

Work weaknesses and potentials: perception of mobile emergency service nurses.

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.

Standardization, ethics and biometric indicators in scientific publication: integrative review.

OBJECTIVE: to analyze scientific evidence available in health literature on ethics, standardization and biometric indicators. METHOD: an integrative review carried out in August 2016, on the databases: National Library of Medicine, Literatura Latino-Americana e do Caribe em Ciências da Saúde (Latin-American and Caribbean Literature on Health Sciences), and on the library Scientific Electronic Library Online. The review included primary articles on: ethics, standardization and biometric indicators, in Portuguese, English, or Spanish; and excluded studies that were not found as full texts, as well as opinions, commentary, reviews, theses, and dissertations. For the evaluation of the articles, it was used evidence levels from one to five. RESULTS: eight articles were included, with scientific evidence levels 4 and 5: scientific productivism, production evaluation systems, internationalization, impact factor, classification of journals, and adequate and inadequate practices for publication. CONCLUSION: it was verified the need for publications with higher evidence levels so that Brazilian journals can follow international standards dealing with research ethics.

Spunbond-Meltblown-Spunbond or Non-Woven Fabric for respiratory protection of healthcare workers / Spunbond-Meltblown-Spunbond o Tejido-no-Tejido para protección respiratoria de trabajadores sanitarios / Spunbond-Meltblown-Spunbond ou Tecido-Não-Tecido para proteção respiratória de trabalhadores da saúde

Objective: To analyze the fibers and porosity of Spunbond-Meltblown-Spunbond and Non-Woven Fabric materials used to manufacture sur-gical masks for respiratory protection of healthcare workers exposed to chemical and biological occupational hazards. Method: Descriptive analytical study, using scanning electron microscopy to analyze the materials. Conducted at the Electron Microscopy and Microanalysis Laboratory. Masks made with Spunbond-Meltblown-Spunbond wraps for sterilization and Non-Woven Fabric surgical masks were used in this research. Result: The mask made with Spunbond-Meltblown-Spunbond presents fibers distributed randomly ­ the inner filtering layer has fine fibers ranging from 1 to 5 µm and are well tangled. The Non-Woven Fabric mask has the filtering layer consisting of fine fibers and is less dense. Conclusion: The results of this study indicate vari-ation in pore size and fibers of Spunbond-Meltblown-Spunbond and Non-Woven Fabric, which may result in improper filtering of chemical particles by fabric fibers. Microorganisms can vary from 1 to 5 µm, making these analyzed materials act as a protective barrier against biological risks. (AU)

Objetivo: Analisar as fibras e a porosidade dos materiais Spunbond-Meltblown-Spunbond e Tecido-Não-Tecido utilizados para confeccionar másca-ras cirúrgicas para proteção respiratória de trabalhadores da saúde expostos a riscos ocupacionais químicos e biológicos. Método: Estudo analítico des-critivo, utilizando o microscópio eletrônico de varredura para analisar os materiais. Realizado no Laboratório de Microscopia Eletrônica e Microanálise. Foram usadas nessa pesquisa máscaras confeccionadas com envoltórios de Spunbond-Meltblown-Spunbond para esterilização e máscaras cirúrgicas de Tecido-Não-Tecido. Resultado: A máscara confeccionada com Spunbond-Meltblown-Spunbond apresenta fibras distribuídas de forma aleatória ­ a camada interna filtrante possui fibras finas, que variam de 1 a 5 µm e bem emaranhadas. A máscara de tecido-não-tecido possui a camada filtrante constituída por fibras finas e apresenta-se pouco densa. Conclusão: Os resultados deste estudo indicam que há variação no tamanho dos poros e das fibras do Spunbond-Meltblown-Spunbond e do Tecido-Não-Tecido, o que pode acarretar a não filtragem de forma correta de partículas químicas pelas fibras do tecido. Os micror-ganismos podem variar de 1 a 5 µm, fazendo com que esses materiais analisados se apresentem como barreira protetora relacionada a riscos biológicos. (AU)

Objetivo: Analizar las fibras y la porosidad de los materiales Spunbond-Meltblown-Spunbond y Tejido-no-Tejido utilizados para la fabricación de máscaras quirúrgicas para la protección respiratoria de trabajadores de la salud expuestos a riesgos ocupacionales químicos y biológicos. Método: Estudio analítico descriptivo, utilizando el Microscopio Electrónico de Barrido para llevar a cabo los análisis de los materiales. Realizado en el Laboratorio de Microscopía Electrónica y Microanálisis. Se utilizaron en esta investigación máscaras fabricadas con envolturas de Spunbond-Meltblown-Spunbond para esterilización y máscaras quirúrgicas de Tejido-no-Tejido. Resultados: La máscara fabricada con Spunbond-Meltblown-Spunbond presenta fibras distribui-das de forma aleatoria. La capa interna filtrante tiene fibras finas que varían de 1 a 5 µm y están bien entrelazadas. La máscara fabricada con el material de Tejido-no-Tejido tiene la capa filtrante constituida por fibras finas y presenta una densidad baja. Conclusión: Los resultados de este estudio indican que hay variación en los tamaños de los poros y las fibras del Spunbond-Meltblown-Spunbond y Tejido-no-Tejido, lo que puede provocar que las partículas químicas no se filtren correctamente a través de las fibras del tejido. Los microorganismos pueden variar de 1 a 5 µm, lo que hace que estos materiales analizados se presenten como una barrera protectora relacionada con los riesgos biológicos. (AU)

Estresse percebido e sofrimento psíquico em gestoresde saúde na pandemia da Covid-19 / Perceived stress and psychic suffering in healthmanagers in the Covid-19 pandemic

Objetivo: analisar o nível de estresse percebido e sofrimento psíquico em gestores de saúde na pandemia da Covid-19. Método: estudo descritivo, transversal com abordagem quantitativa. A coleta ocorreu de abril a setembro de 2021, com 40 gestores de serviço de saúde. Utilizou-se para a coleta de dados um instrumento para caracterização sociodemográfica e ocupacional e as escalas "Perceived Stress Scale-14" e "Self Reporting Questionnaire" para avaliação do estresse percebido e sofrimento psíquico. Os dados coletados foram analisados no Statistical Package for the Social Sciences versão 22.0. O presente estudo faz parte de um projeto intitulado "Trabalhadores dos Serviços de Saúde Frente à Pandemia de Covid-19", aprovado pelo Comitê de Ética em Pesquisa sob CAAE número 35260620.9.0000.5231. Resultados: a maioria dos profissionais eram do sexo feminino (90%, N=36), casados (70%, N=28), com filhos (80%, N=32), com média de idade de 45 anos e com pós--graduação (47,5%, N=19). A média dos escores relacionados ao estresse percebido foi 31,13 pontos (DP=3,77) sendo o mínimo 24 e máximo de 42 pontos. Com relação ao sofrimento psíquico, (40%, N=16) os gestores apresentaram prováveis casos de transtornos. A prática de atividades físicas e de lazer (p<0,05) tem papel importante na diminuição do estresse percebido e do sofrimento psíquico. Conclusão: os gestores em saúde apresentaram, durante a pandemia, estresse e sofrimento psíquico, resultados esses que devem ser considerados para promoção de autocuidado aos gestores de saúde, enfatizando a necessidade da realização de atividades físicas e de lazer.

Objective: to analyze the level of perceived stress and psychological suffering in health managers during the Covid-19 pandemic. Method: descriptive, cross-sectional study with a quantitative approach. The collection took place from April to September 2021, with 40 health service managers. An instrument for socio-demographic and occupational characterization and the "Perceived Stress Scale-14" and "Self Reporting Questionnaire" scales were used for the assessment of perceived stress and psychic suffering. The collected data were analyzed using the Statistical Package for the Social Sciences version 22.0. The present study is part of a project entitled "Health Service Workers in the Face of the Covid-19 Pandemic", approved by the Research Ethics Committee under CAAE number 35260620.9.0000.5231. Results: most professionals were female (90%, N=36), married (70%, N=28), with children (80%, N=32), with a mean age of 45 years and with a postgraduate degree. -graduation (47.5%, N=19). The average score related to perceived stress was 31.13 points (SD=3.77), with a minimum of 24 and a maximum of 42 points. With regard to psychic suffering, (40%, N=16) the managers presented probable cases of disorders. The practice of physical and leisure activities (p<0.05) plays an important role in reducing perceived stress and psychological distress. Conclusion: health managers presented, during the pandemic, stress and psychic suffering, results that should be considered for promoting self-care to health managers, emphasizing the need to carry out physical and leisure activities.Keywords: Health manager; Occupational stress; Covid-19; Coronavirus infections.

Perception of nurse managers about the functionally-readapted worker.

OBJECTIVE: To understand the perception of nurse managers about the functionally-readapted worker. METHODS: Descriptive study with qualitative approach, whose data were collected in from November 2016 to April 2017, through interviews with 14 nurse managers of a university hospital. The content analysis analysis was applied to interpret the speeches. RESULTS: The reports converged into three categories, which revealed the impact on the management of the nursing staff, the management of the limitations of the readapted worker, and the regular follow-up planning for him. FINAL CONSIDERATIONS: Nurse managers are clear that readapted workers need special attention, so that their potentialities mat be maximized, respecting the workers' limitations. Readapted workers must be encouraged to resume their self-esteem, identity, autonomy, and feel socially included.

Promoção à saúde mental de trabalhadores do agronegócio: um estudo reflexivo / Promoting the mental health of agribusiness workers: a reflective study / Promoción de la salud mental de los trabajadores del agronegorio: un estudio reflexivo

Introdução: Os trabalhadores do setor administrativo do agronegócio estão susceptíveis a riscos ocupacionais em seu processo de trabalho, como: físicos, químicos, de acidentes e ergonômicos, biológicos e psicossociais como fadiga, tensão e pressão no trabalho. Essas condições influenciam na saúde física e mental desses trabalhadores interferindo no desempenho das atividades laborais e na qualidade de vida no trabalho. Em decorrência destes fatores, nota-se a importância de encontrar meios para proporcionar uma melhor qualidade de vida e satisfação no ambiente ocupacional bem como, promover uma saúde mental entre os trabalhadores do agronegócio. Objetivo: Refletir as estratégias organizacionais do enfermeiro do trabalho para a promoção da saúde mental no ambiente laboral de trabalhadores do agronegócio. Método: Estudo reflexivo, do tipo descritivo, que reflete as experiências no desenvolvimento de ações de uma equipe multidisciplinar de uma empresa de agronegócio localizada em mais de três estados brasileiros e conta com 1200 trabalhadores. A ideia do cuidado com a saúde mental dos trabalhadores do agronegócio surgiu a partir da observação da enfermeira do trabalho na busca recorrente dos trabalhadores ao departamento de gente e gestão, com relatos de problemas vivenciados dentro e fora da empresa. Frente a essa problemática surgiu a necessidade de disponibilizar para os trabalhadores um cuidado com foco na saúde mental, por meio de acolhimento e direcionamento para atendimento especializado dentro da própria empresa. Diante disso, foi estruturado dentro do Programa de Qualidade de Vida no Trabalho, já existente na empresa, um pilar denominado cuidado com a saúde emocional, com modalidades de atendimentos individuais, grupos de rodas de conversa e no formato on-line. Resultados: Com a divulgação do programa os trabalhadores estavam mais à vontade para buscar atendimentos com a psicóloga do programa e mostram-se interessados pelos grupos de rodas de conversas. Durante um ano, 238 trabalhadores buscaram pelo atendimento. A partir de então, a promoção do cuidado com a saúde mental dos trabalhadores ocorreu por meio da manutenção dos grupos de atendimentos individuais. Conclusão: O cuidado com a saúde mental no contexto corporativo é essencial para promover a integridade física e psicológica do trabalhador. Contudo, é necessário que a empresa invista mais em campanhas informativas com cuidado com a saúde mental, pois durante um ano, apenas 19,83% dos trabalhadores buscaram pelos atendimentos propostos pela empresa, além de que, a implementação de um programa para a saúde dos trabalhadores, valoriza a profissão do enfermeiro do trabalho e lhe traz subsídios para a continuidade e qualidade de assistências àqueles que o mesmo assiste.

Introduction: Workers in the agribusiness administrative sector are susceptible to occupational risks in their work process, such as: physical, chemical, accident and ergonomic, biological and psychosocial such as fatigue, tension and pressure at work. These conditions influence the physical and mental health of these workers, interfering with the performance of work activities and quality of life at work. As a result of these factors, it is important to find ways to provide a better quality of life and satisfaction in the occupational environment, as well as promoting mental health among agribusiness workers. Objective: To reflect the organizational strategies of occupational nurses to promote mental health in the work environment of agribusiness workers. Method: Reflective, descriptive study, which reflects the experiences in developing actions of a multidisciplinary team from an agribusiness company located in more than three Brazilian states and has 1200 workers. The idea of caring for the mental health of agribusiness workers arose from the observation of the occupational nurse in the workers' recurring search for the people and management department, with reports of problems experienced inside and outside the company. Faced with this problem, the need arose to provide workers with care focused on mental health, through welcoming and directing them to specialized care within the company itself. In view of this, a pillar called care for emotional health was structured within the Quality of Life at Work Program, already existing in the company, with individual assistance modalities, conversation groups and in an online format. Results: With the publicity of the program, workers were more comfortable seeking assistance from the program's psychologist and were interested in conversation groups. During one year, 238 workers sought assistance. From then on, the promotion of care for workers' mental health occurred through the maintenance of individual care groups. Conclusion: Mental health care in the corporate context is essential to promote the physical and psychological integrity of workers. However, it is necessary for the company to invest more in informative campaigns with care for mental health, as during one year, only 19.83% of workers sought the services proposed by the company, in addition to the implementation of a health program of workers, values the profession of occupational nurses and provides support for the continuity and quality of care for those they assist.

Introducción: Los trabajadores del sector administrativo agroindustrial son susceptibles a riesgos laborales en su proceso de trabajo, tales como: físicos, químicos, accidentalidad y ergonómicos, biológicos y psicosociales como fatiga, tensión y presión en el trabajo. Estas condiciones influyen en la salud física y mental de estos trabajadores, interfiriendo en el desempeño de las actividades laborales y la calidad de vida en el trabajo. Como resultado de estos factores, es importante encontrar formas de brindar una mejor calidad de vida y satisfacción en el entorno ocupacional, así como promover la salud mental entre los trabajadores de la agroindustria. Objetivo: Reflejar las estrategias organizacionales de las enfermeras ocupacionales para promover la salud mental en el ambiente laboral de los trabajadores de la agroindustria. Método: Estudio reflexivo, descriptivo, que refleja las experiencias en el desarrollo de acciones de un equipo multidisciplinario de una empresa agroindustrial ubicada en más de tres estados brasileños y que cuenta con 1200 trabajadores. La idea de cuidar la salud mental de los trabajadores del agronegocio surgió a partir de la observación de la enfermera ocupacional en la búsqueda recurrente de los trabajadores por el departamento de personas y gestión, con relatos de problemas vividos dentro y fuera de la empresa. Ante esta problemática surgió la necesidad de brindar a los trabajadores una atención enfocada a la salud mental, a través de su acogida y orientación a atención especializada dentro de la propia empresa. Ante esto, se estructuró un pilar denominado atención a la salud emocional dentro del Programa Calidad de Vida en el Trabajo, ya existente en la empresa, con modalidades de atención individual, grupos de conversación y en formato online. Resultados: Con la publicidad del programa, los trabajadores se sintieron más cómodos buscando ayuda del psicólogo del programa y se interesaron por los grupos de conversación. Durante un año, 238 trabajadores buscaron ayuda. A partir de entonces, la promoción del cuidado de la salud mental de los trabajadores se dio a través del mantenimiento de grupos de atención individuales. Conclusión: El cuidado de la salud mental en el contexto empresarial es fundamental para promover la integridad física y psicológica de los trabajadores. Sin embargo, es necesario que la empresa invierta más en campañas informativas con cuidado de la salud mental, ya que durante un año, sólo el 19,83% de los trabajadores buscó los servicios propuestos por la empresa, además de la implementación de un programa de salud de los trabajadores. valora la profesión de enfermeras ocupacionales y brinda apoyo para la continuidad y calidad de la atención a quienes asisten.

Empoderamento estrutural: potencializando as competências dos enfermeiros de um hospital de alta complexidade / Structural empowerment: enhancing the skills of nurses in a high-complexity hospital / Empoderamiento estructural: potenciar las competencias de los enfermeros en un hospital de alta complejidad

Objetivo: analisar o empoderamento estrutural de enfermeiros em um hospital de alta complexidade. Métodos: estudo quantitativo, analítico e transversal, realizado com 93 enfermeiros, utilizando um questionário sociodemográfico e ocupacional e o Questionário de Condições de Eficácia no Trabalho II. Os dados foram coletados entre fevereiro e março de 2023. A análise dos dados deu-se por meio de estatística descritiva, teste de Kolgomorov-Smirnov, teste do qui-quadrado e regressão de Poisson. Resultados: os enfermeiros apresentaram nível moderado de empoderamento estrutural, com média de 20,67 (p<0,000). O componente mais pontuado foi a oportunidade (4,22 dp±0,80). Não foram encontradas diferenças significativas nos níveis de empoderamento estrutural relacionadas às unidades de trabalho (p-Valor 0,381), vínculo empregatício (p-Valor 0,352) e grau de instrução (p-Valor 0,839). O modelo de regressão de Poisson indica que tanto pode haver altos ou baixos níveis de empoderamento a depender do setor. Conclusão: os enfermeiros demonstraram possuir níveis moderados de empoderamento estrutural.

Objective: to analyze the structural empowerment of nurses in a high-complexity hospital. Methods: a quantitative, analytical, cross-sectional study was carried out with 93 nurses, using a sociodemographic and occupational questionnaire and the Questionnaire of Conditions of Effectiveness at Work II. The data was collected between February and March 2023. The data was analyzed using descriptive statistics, the Kolgomorov-Smirnov test, the chi-square test, and Poisson regression. Results: the nurses had a moderate structural empowerment level, with a mean of 20.67 (p<0.000). The highest scoring component was opportunity (4.22 sd±0.80). No significant differences were found in the structural empowerment levels related to work units (p-Value 0.381), employment relationship (p-Value 0.352) and education level (p-Value 0.839). The Poisson regression model indicates that there can be either high or low empowerment levels depending on the sector. Conclusion: nurses showed moderate structural empowerment levels.

Objetivo: analizar el empoderamiento estructural del enfermero en un hospital de alta complejidad. Métodos: estudio cuantitativo, analítico y transversal, realizado con 93 enfermeros, utilizando un cuestionario sociodemográfico y ocupacional y el Cuestionario de Condiciones de Efectividad en el Trabajo II. Los datos se recolectaron entre febrero y marzo de 2023. El análisis de los datos se realizó mediante estadística descriptiva, prueba de Kolgomorov-Smirnov, prueba de chi-cuadrado y regresión de Poisson. Resultados: los enfermeros presentaron un nivel moderado de empoderamiento estructural, la media fue de 20,67 (p<0,000). El componente con mayor puntaje fue oportunidad (4,22 DE±0,80). No se encontraron diferencias significativas en los niveles de empoderamiento estructural relacionados con las unidades de trabajo (valor p 0,381), la relación laboral (valor p 0,352) y el nivel de formación (valor p 0,839). El modelo de regresión de Poisson indica que pueden existir niveles altos o bajos de empoderamiento dependiendo del sector. Conclusión: los enfermeros demostraron niveles moderados de empoderamiento estructural.

HeLP: Development of occupational protection mask against surgical smoke / HeLP: Desarrollo de máscara de protección ocupacional contra el humo quirúrgico / HeLP: Desenvolvimento de máscara de proteção ocupacional contra a fumaça cirúrgica

ABSTRACT Objectives: to describe a technological innovation in the development of an individual, ergonomic, sustainable and effective occupational respiratory protection mask for workers exposed to surgical smoke. Methods: applied, exploratory, quantitative research, using design methods and tools: Sense Intent, Know Context, Know People, Frame Insights, Explore Concepts, Frame Solutions, Realize Offerings, in addition to the Product Development Process tools. It was developed from March 2019 to December 2021. Results: from the prototyping mold, it became possible to represent the abstract to the physical, where all the concepts created in the methodological steps were implemented and the necessary adjustments were made to create the model as a technological innovation, which will have the concept for product commercialization. Conclusions: a mask for protection against surgical smoke (HeLP) was developed, from the design step to the prototype development, being a technological innovation.

RESUMEN Objetivos: describir una innovación tecnológica en el desarrollo de una máscara de protección respiratoria ocupacional individual, ergonómica, sostenible y eficaz para trabajadores expuestos al humo quirúrgico. Métodos: investigación exploratoria aplicada con un enfoque cuantitativo, utilizando métodos y herramientas de diseño: Sense Intent, Know Context, Know People, Frame Insights, Explore Concepts, Frame Solutions, Realize Offers, además de las herramientas del Proceso de Desarrollo de Producto. Fue desarrollado de marzo de 2019 a diciembre de 2021. Resultados: a partir del molde de prototipado, se logró representar lo abstracto a lo físico donde implementó los conceptos creados en las etapas metodológicas y realizó los ajustes necesarios para la creación del modelo como innovación tecnológica en el cual tendrá el concepto para la comercialización del producto. Conclusiones: se desarrolló una máscara de protección contra el humo quirúrgico (HeLP), desde la etapa de diseño hasta el desarrollo del prototipo, configurando una innovación tecnológica.

RESUMO Objetivos: descrever uma inovação tecnológica do desenvolvimento de máscara de proteção ocupacional respiratória individual, ergonômica, sustentável e eficaz para trabalhadores expostos à fumaça cirúrgica. Métodos: pesquisa aplicada, exploratória com abordagem quantitativa, empregando métodos e ferramentas em design: Sense Intent, Know Context, Know People, Frame Insights, Explore Concepts, Frame Solutions, Realize Offerings, além das ferramentas do Processo de Desenvolvimento de Produtos. Foi desenvolvida no período de março de 2019 a dezembro de 2021. Resultados: a partir do molde da prototipagem, tornou-se possível a representação do abstrato para o físico, onde implementou os conceitos criados nas etapas metodológicas e realizou os ajustes necessários para a criação do modelo como uma inovação tecnológica em que terá o conceito para a comercialização do produto. Conclusões: foi desenvolvida uma máscara de proteção contra a fumaça cirúrgica (HeLP), desde a etapa de projeto até o desenvolvimento do protótipo, configurando-se uma inovação tecnológica.

Burnout Syndrome and shift work among the nursing staff.

OBJECTIVE: to analyze the factors associated with Burnout Syndrome among nursing workers according to work shift. METHOD: cross-sectional study addressing a representative sample of 502 nursing workers from a philanthropic hospital facility. Data were collected using a characterization instrument, the Maslach Burnout Inventory - Human Service Survey and the Demand-Control-Support Questionnaire. Data were analyzed using descriptive statistics and multiple binary logistic regression. RESULTS: levels of Burnout Syndrome were significantly higher among those working the day shift and associated factors included: high demand; low control; low social support; dissatisfaction with sleep and financial resources; being a nurse; and sedentariness. Professionals working the night shift, having low social support, being dissatisfied with sleep, having children, not having a religion, having worked for a short period in the institution, and being a nursing technician or aid were significantly more likely to experience high levels of the syndrome. CONCLUSION: psychosocial factors and factors from the work context, mainly low social support, were associated with the syndrome dimensions among nursing workers of both shifts.