Avaliação do absenteísmo da equipe de enfermagem no contexto hospitalar de um pronto socorro público / Assessment of absenteeism of the nursing staff in the hospital context of a public emergency room / Evaluación del absentismo del personal de enfermería en el contexto hospitalario de una sala de urgencias pública

Objetivo: Analisar o absenteísmo entre a equipe de enfermagem de uma unidade do Pronto Socorro de um Hospital Público Escola do Distrito Federal. Método: Trata-se de um estudo transversal de abordagem quantitativa, realizado com 29 profissionais de enfermagem lotados na unidade de Pronto Socorro de um Hospital Público Regional do Distrito Federal. Utilizou um instrumento para caracterizar a população do estudo e para identificar os fatores relacionados ao absenteísmo. Resultado: Evidenciou que 75,9% eram técnicos de enfermagem e 24,1% enfermeiros, os fatores relacionados ao absenteísmo foram 58% a licença médica e atestados médicos. Os principais fatores internos que colaborou com absentismo relacionou a dor (p≤0,039) foram fatores internos relacionados a instituição, não dispor de materiais para assistência, falta de membros da equipe, sentir constantemente cansado, sobrecarregado, e trabalhar com a equipe reduzida. Conclusão: Os fatores identificados a instituição e os relacionados aos funcionários e a dor, devem ser analisados no cenário ocupacional a fim de contribuir para a elaboração do diagnóstico situacional e intervir nos fatores determinantes. Com vistas a contribuir para a melhoria da qualidade de vida da equipe de enfermagem no âmbito laboral quanto pessoal

To analyze absenteeism among the nursing staff of an Emergency Room at a Public Teaching Hospital in the Federal District. Method: His is a cross-sectional study with a quantitative approach, carried out with 29 nursing professionals working in the Emergency Room of a Regional Hospital Public in the Federal District. An instrument was used to characterize the study population and identify factors related to absenteeism. Results: Evidenced that 75.9% were nursing technicians and 24.1% nurses, the factors related to absenteeism 58% sick leave and medical certificates. The main internal factors that contributed to absenteeism related to pain (p≤0.039) were internal factors related to the institution, not having care materials, lack of team members, constantly feeling tired, overloaded, and working with a reduced team. Conclusion: The factors identified by the institution and those related to employees and pain should be analyzed in the occupational scenario in order to contribute to the elaboration of the situational diagnosis and intervene in determining factors. With a view to contributing to the improvement of the quality of life of the nursing team in the labor and personal spheres

Objetivo: Analizar el ausentismo entre el equipo de enfermería de una unidad de Sala de Emergencias de una Escuela Hospitalaria Pública del Distrito Federal. Método: Se trata de un estudio transversal de abordaje cuantitativo, realizado con 29 profesionales de enfermería que trabajan en la unidad de Sala de Emergencias de un Hospital Público Regional del Distrito Federal. Utilizó un instrumento para caracterizar la población de estudio e identificar factores relacionados con el ausentismo. Resultado: Mostró que 75,9% eran técnicos de enfermería y 24,1% enfermeros, los factores relacionados al ausentismo fueron 58% licencias médicas y pruebas médicas. Los principales factores internos que colaboraron con el ausentismo relacionado con el dolor (p≤0,039) fueron factores internos relacionados con la institución, falta de materiales para la asistencia, falta de miembros del equipo, sentirse constantemente cansado, abrumado y trabajar con el equipo reducido. Conclusión: Los factores identificados por la institución y los relacionados a los empleados y el dolor deben ser analizados en el escenario ocupacional con el fin de contribuir a la elaboración del diagnóstico situacional e intervenir en los factores determinantes. Con el fin de contribuir a la mejora de la calidad de vida del equipo de enfermería en el ámbito laboral y personal.

Young woman with nutcracker syndrome without main clinic manifestation: Hematuria-Case report.

INTRODUCTION: The nutcracker syndrome occurs due to the compression of the left renal vein between the aorta and the superior mesenteric artery. The diagnosis of the syndrome is often difficult and under diagnosed. The main clinical manifestations are hematuria and pelvic or back pain. PRESENTATION OF CASE: A 25 years old female patient with severe abdominal pain in the lower abdomen without hematuria. Diagnosis with nutcracker syndrome after performing computed tomography. Presented the first episode of pain with 17 years old and was diagnosed at age 25. DISCUSSION: In the nutcracker syndrome anatomical changes do not generate specific symptoms, causing the disease to be underdiagnosed. In this syndrome, there is increased pressure on the left renal vein, generating several signs and symptoms, and hematuria is one of present. Our patient did not have hematuria. Because of common symptoms, it makes nutcracker syndrome difficult diagnosis, confusing with other diseases, especially with nephrolithiasis. It is usually diagnosed after exclusion of other diseases. CONCLUSION: The diagnosis of nutcracker syndrome is done after exclusion of other causes of chronic pelvic pain. In most cases, macroscopic and microscopic hematuria are present but was unobserved in this case. Making it more difficult diagnosis.