Risk Perception and Fatigue in Port Workers: A Pilot Study.

INTRODUCTION AND OBJECTIVES: The aims of this study were to assess fatigue in port workers; analyze the association between fatigue and levels of trust in organizations, as well as the association between authorities and risk perception; and examine the official documents governing the studied port, along with the current health and communication status of the port workers. MATERIALS AND METHODS: This was a descriptive and cross-sectional pilot study, which presented quantitative and qualitative data, and it was carried out among port workers in the city of Pelotas, Rio Grande do Sul, Brazil. Thirty-nine port workers responded to quantitative questionnaires, which collected their socio-demographic data, as well as a risk perception questionnaire, the Chalder Fatigue Scale, and the Checklist of Individual Strength. Five documents from the port regiment were studied and qualitatively analyzed. The health communications consisted of presenting infographics with research data and providing information for reducing fatigue. RESULTS: Fifteen workers (38.5%) were considered fatigued. There was a reduction in fatigue associated with trust in the unions and the labor management body, and there was an agreement that the precarious environment was completely unacceptable. The qualitative data in the documents indicated that it was possible to identify the infrastructure of the port environment, the legislation, the strategies to be adopted in cases of natural disasters, emergency plans, plans for the protection and promotion of workers' health, individual and collective protection plans, the division of the sectors and those responsible for them, and documents detailing the hierarchy within the ports. The qualitative analysis culminated in graphic representations (infographics) created to communicate the research results to port workers, specifically in relation to fatigue, and we presented the ways to prevent fatigue at work. Discussion/Limitations: Studying the risk perceptions and fatigue levels of port workers through research with the active participation of these workers presented their lived experiences, which promoted discussion and perhaps more effective proposals to change their work conditions.

Intervenções de enfermagem para pacientes com dor aguda / Nursing interventions for patients with acute pain

Objetivo: identificar as intervenções de Enfermagem realizadas para pacientes com dor aguda. Método: trata-se de um estudo qualitativo, exploratório e descritivo, realizado em uma unidade de pronto atendimento de um hospital filantrópico. Adotou-se o procedimento de triangulação de técnicas. Desenvolveu-se o estudo em três etapas: análise documental; mapeamento cruzado à Nursing Interventions Classification (NIC)13 para a dor e validação das intervenções de Enfermagem por meio de um grupo focal. Resultados: incluíram-se 350 boletins de atendimento de pacientes atendidos no serviço de urgência e emergência. Observou-se que, dos 350 boletins de atendimento, 338 (96,6%) apresentaram diagnóstico de Enfermagem "dor aguda". Constatou-se que, em relação às intervenções de Enfermagem mapeadas, a única intervenção de Enfermagem identificada e registrada foi "Administração de medicamentos". Mapeou-se esta atividade da NIC. Considerou-se, na sessão do grupo focal, que houve a confirmação da intervenção mapeada à NIC e, a partir disso, houve a inclusão de 12 novas intervenções de Enfermagem. Conclusão: permitiu-se identificar e validar seis intervenções de Enfermagem realizadas pela equipe de Enfermagem e não registradas nas anotações de Enfermagem, e 12 novas intervenções de Enfermagem.(AU)

Objective: to identify nursing interventions performed for patients with acute pain. Method: this is a qualitative, exploratory and descriptive study, carried out in a prompt care unit of a philanthropic hospital. The procedure of triangulation of techniques was adopted. The study was developed in three stages: documentary analysis; cross-mapping to Nursing Interventions Classification (NIC) 13 for pain and validation of Nursing interventions through a focus group. Results: 350 patient service bulletins attended at the emergency and emergency service were included. It was observed that, of the 350 service bulletins, 338 (96.6%) presented a diagnosis of Nursing "acute pain". It was verified that, in relation to the mapped Nursing interventions, the only identified Nursing intervention was "Medication Administration". This NIC activity was mapped. It was considered at the focus group session that the intervention mapped to the NIC was confirmed and, as a result, 12 new Nursing interventions were included. Conclusion: it was possible to identify and validate six Nursing interventions performed by the Nursing team and not registered in the nursing notes, and 12 new Nursing interventions.(AU)

Objetivo: identificar las intervenciones de Enfermería realizadas para pacientes con dolor agudo. Método: se trata de un estudio cualitativo, exploratorio y descriptivo, realizado en una unidad de pronta atención de un hospital filantrópico. Se adoptó el procedimiento de triangulación de técnicas. Se desarrolló el estudio en tres etapas: análisis documental; mapeo cruzado a la Nursing Interventions Classification (NIC)13 para el dolor y validación de las intervenciones de Enfermería a través de un grupo focal. Resultados: se incluyeron 350 boletines de atención de pacientes atendidos en el servicio de urgencia y emergencia. Se observó que, de los 350 boletines de atención, 338 (96,6%) presentaron diagnóstico de Enfermería "dolor agudo". Se constató que, en relación a las Intervenciones de Enfermería mapeadas, la única intervención de Enfermería identificada y registrada fue "Administración de medicamentos". Se ha mapeado esta actividad de la NIC. Se consideró en la sesión del grupo focal, que hubo la confirmación de la intervención asignada a la NIC y, a partir de eso, hubo la inclusión de 12 nuevas intervenciones de Enfermería. Conclusión: se permitió identificar y validar seis intervenciones de enfermería realizadas por el equipo de enfermería y no registradas en las anotaciones de Enfermería, y 12 nuevas intervenciones de Enfermería.(AU)