Síndrome metabólica em profissionais de enfermagem que atuam na assistência oncológica: prevalência e fatores associados / Síndrome metabólico en profesionales de enfermería que actúan en la asistencia oncológica: prevalencia y factores asociados / Metabolic syndrome in nursing professionals working in oncology care: prevalence and associated factors

RESUMO Objetivo: avaliar a prevalência da síndrome metabólica e os fatores associados em profissionais de enfermagem que atuam em oncologia. Método: estudo transversal com 231 profissionais de enfermagem, de um centro de alta complexidade em oncologia do Estado do Rio de Janeiro, Brasil, entre junho de 2013 e junho de 2015. Realizou-se entrevista para coleta de dados sociodemográficos, profissionais, antecedentes pessoais, hábitos e estilos de vida e condições de saúde. Foram realizadas medida da circunferência da cintura, peso, altura, pressão arterial casual e Monitorização Ambulatorial da Pressão Arterial, além da glicemia plasmática de jejum, triglicerídeos e lipoproteína de alta densidade. Avaliou-se a síndrome metabólica de acordo com a I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome Metabólica. Regressão de Poisson com variância robusta foi realizada, sendo a presença da síndrome metabólica ou não o desfecho. Resultados: a prevalência da síndrome metabólica foi de 25,1% e esta condição se associou ao maior tempo de formação profissional (4,0%; IC95%:1,05-1,07), à maior pressão diastólica na Monitorização Ambulatorial da Pressão Arterial do período de sono (3,0%; IC95%:1,01-1,05), presença de sobrepeso (2,84%; IC95%:1,93-6,70) e obesidade (4,94%; IC95%:2,08-11,77). Conclusões: observou-se alta prevalência da síndrome metabólica nos profissionais avaliados, e associação com excesso de peso e alteração da pressão no período de sono. Os resultados apontam para necessidade de intervenções para controle de fatores de risco para doenças crônicas não transmissíveis na população estudada.

RESUMEN Objetivo: evaluar la prevalencia del síndrome metabólico y los factores asociados en profesionales de enfermería que actúan en oncología. Método: estudio transversal con 231 profesionales de enfermería, de un centro de alta complejidad en oncología del Estado de Rio de Janeiro, Brasil, entre junio de 2013 y junio de 2015. Se realizó entrevista para recolección de datos sociodemográficos, profesionales, antecedentes personales, hábitos y estilos de vida y condiciones de salud. Fueron realizadas medida de la circunferencia de la cintura, peso, altura, presión arterial casual y Monitoreo Ambulatorio de Presión Arterial, además de la glucemia plasmática de ayuno, triglicéridos y lipoproteína de alta densidad. Se evaluó el síndrome metabólico de acuerdo con la I Directriz Brasileña de Diagnóstico y Tratamiento del Síndrome Metabólico. Fue realizada Regresión de Poisson con varianza robusta, siendo la presencia del síndrome metabólico, o no, el resultado. Resultados: la prevalencia del síndrome metabólico fue de 25,1% y esta condición se asoció al mayor tiempo de formación profesional (4,0%; IC95%:1,05-1,07), a la mayor presión diastólica en elMonitoreo Ambulatorio de Presión Arterial del período de sueño (3,0%; IC95%:1,01-1,05); presencia de sobrepeso (2,84%; IC95%:1,93-6,70) y obesidad (4,94%; IC95%:2,08-11,77). Conclusiones: se observó alta prevalencia del síndrome metabólico en los profesionales evaluados, y asociación con exceso de peso y alteración de la presión en el período de sueño. Los resultados señalan la necesidad de intervenciones para el control de factores de riesgo para enfermedades crónicas no transmisibles en la población estudiada.

ABSTRACT Objective: to evaluate the prevalence of metabolic syndrome and associated factors in nursing professionals working in oncology. Method: cross-sectional study with 231 nursing professionals from a high complexity oncology center in the State of Rio de Janeiro, Brazil, between June 2013 and June 2015. An interview was carried out to collect sociodemographic, professional, personal history, habits and lifestyles, and health conditions data. Waist circumference, weight, height, casual blood pressure, and Ambulatory Blood Pressure Monitoring were performed, in addition to fasting plasma glucose, triglycerides, and high-density lipoprotein. Metabolic syndrome was evaluated according to the I Brazilian Guideline for the Diagnosis and Treatment of Metabolic Syndrome. Poisson regression with robust variance was performed, the outcome being the presence or not of metabolic syndrome. Results: there was a 25.1% prevalence of metabolic syndrome and this condition was associated with longer professional training (4.0%; 95%CI: 1.05-1.07), with higher diastolic pressure in Ambulatory Blood Pressure Monitoring during sleep (3.0%; 95%CI:1.01-1.05), overweight (2.84%; 95%CI:1.93-6.70), and obesity (4.94%; IC95%: 2.08-11.77). Conclusions: there was a high prevalence of metabolic syndrome among the evaluated professionals, and an association between excess weight and changes in pressure during sleep. The results point to the need for interventions to control risk factors for chronic non-communicable diseases in the studied population.

The Occupational Health Nurse and his/here role in the prevention of work-related diseases: results of an observational study.

BACKGROUND: In Italy, health in the workplace is still considered a field for physicians only. In contrast to Europe, the figure of the occupational health nurse is not yet present, due to the absences of contractual and university fields. The present study aimed to carry out a survey for understanding the usefulness of the introduction of the occupational health nurse in the field of prevention and protection of health at work. MATERIAL AND METHODS: The questionnaire was administered via an online survey to health professionals including Students (undergraduate and post-graduate levels) of Nursing Sciences and Midwives, Nurses, Physicians specialized in Hygiene and Preventive Medicine, in Occupational Medicine and Legal Medicine. The questionnaire included 26 questions. The statistical analysis, conducted with SPSS software (release 25.0), has been articulated through the use of frequency tables and contingency tables. Differences in participants' responses were analyzed with the chi-square and Fisher's exact tests, where applicable, considering gender, marital status, presence of sons in families, age, macro-region, and professional activities as potential explanatory variables. RESULTS: After two general reminders, 232 individuals entered the survey, with an overall response rate of 65%. 42.2% of the participants were nurses, aged between 20 and 64 years. Around 70% were females. A low percentage (9.9%) is associated with respondents from northern Italy 53.0% from Center and 37.1% from southern Italy. The questionnaire included four major fields of occupational health nursing. The nursing role for companies (items 8, 12, 13, 14, and 17): the responders approve the introduction of the occupational health nurse in the companies for his/her competences on health promotion and work-related diseases prevention. Utility for companies (items 18, 19, 20 and 21): the usefulness brought by the occupational health nurse to companies is fully shared by the responders. Occupational Health Nurse's action field (items 16, 22, 23 and 24): the answer "yes" has the highest prevalence among the responders, followed by "I don't know". Education (items 25 and 26): Nurses, Physicians and Nursing Students think that the occupational health nurse must have an appropriate university training program, in particular, a master's first degree. Concerning the main focus of the study (opinion on which was the most suitable course of study for the occupational health nurse), 85 (36,6 %) participants answered, "First level Master degree", and 60 (25,9 %) "Advanced training course". CONCLUSIONS: This study wanted to highlight the opinion of professionals on the usefulness of this new nursing figure, projected into the world of occupational medicine. The OHN supports the Physician with his/her professionalism and autonomy in prevention and treatment of work-related diseases, as demonstrated and valued in the rest of Europe. The implementation of advanced courses on occupational nursing, and in particular specific post-graduate degrees, is needed.

Occupational Health Nursing: Competence and experience to achieve the safety, health and well-being of the working population. / Enfermería del Trabajo: competencia y experiencia para alcanzar la seguridad, la salud y el bienestar de la población laboral.

From 1953, with the appearance of the Company Occupational Health Technical Assistant Specialist, until 2005, with the recognition of the specialty of Occupational Health Nursing, socio-cultural and technological changes have determined the evolution of work, its processes and conditions, but have also specified the occupational risks to which workers are exposed, as well as how to organize prevention, safety and occupational health. Occupational Health Nursing is defined as a nursing specialty that addresses the health status of individuals in their relationship with the workplace, in order to achieve the highest level of physical, mental and social well-being of the working population, taking into account the individual characteristics of the worker, the job and the socio-labour environment in which they develop. Occupational Health Nursing undertakes its basic functions through the surveillance of workers' health, and constitutes, beside Occupational Medicine, the basic health unit, which in turn is part of the prevention services of both public and private companies. Today there are about 9,000 specialists in Occupational Health Nursing in Spain, an insufficient number to guarantee the prevention of accidents at work and occupational diseases, the early detection of occupational pathology, the promotion of health through modification of lifestyles and the improvement of the well-being of the Spanish working population. Occupational Health Nursing is aware of the challenges that it must face in the coming years and therefore, it relies on competences as fundamental as teaching, management and research to integrate into interdisciplinary projects in occupational health that provide solutions to increasingly complex health and safety problems at work.

Effects of Obesity Management Program Provided by Occupational Health Nurse in Worksite.

This study was conducted on 60 male adult technicians in the worksite to examine the impact of the obesity management program on their eating habits, exercise self-efficacy, quality of life, and body components. This was a nonrandomized pretest and posttest intervention study. The obesity management program was applied for 16 weeks on diet education, exercise, and counseling provided by the occupational health nurse in the worksite. The questionnaire for measure included the general characteristics, eating habits, exercise self-efficacy, and quality of life. Body components were measured by using the InBody 720 device. The participants who received the obesity management program showed better eating habits, a higher level of exercise self-efficacy, a higher level of quality of life, lower levels of body weight and body mass index (BMI), a smaller waist and hip circumference, and a higher level of muscle mass as compared with the preapplication.

Effect of occupational health nursing practice on musculoskeletal pains among hospital nursing staff in South Korea.

OBJECTIVE: The purpose of this study was to identify whether occupational health nursing variables serve as the contributing factors to musculoskeletal pains (MSP). METHODS: A self-administered questionnaire composed of demographic characteristics, the practice of occupational health nursing and information regarding MSP was designed based on in-depth interviews with eight nurses. This study included 226 hospital nursing staff who worked at three university hospitals located in Seoul, South Korea. Statistical analysis was performed by using SPSS and AMOS 19.0. RESULTS: Shoulder and neck pains occurred when subjects worked more than 46 h/week. Subjects who performed 'work-time adjustment' had lesser chance of having shoulder, leg/foot and wrist/finger pains. Overtime work hours showed an indirect effect on multiple sites of MSP by mediator variable, which was 'work-time adjustment'. Organized night duty days eventually decreased multiple sites of MSP. CONCLUSION: Administration strategies for nurses to adjust work-time within 46 h/week should be considered.

A precarização do trabalho como fator de risco psicossocial para o trabalhador de enfermagem em centro cirúrgico / The precariousness of work as a psychosocial risk factor for the nursing worker in a surgical center

O interesse investigativo acerca do objeto de estudo "a precarização do trabalho em centro cirúrgico como risco psicossocial para a saúde dos trabalhadores de enfermagem" ocorreu em função das minhas experiências e observações do processo de trabalho em centro cirúrgico, enquanto residente de enfermagem de um hospital universitário, onde pude constatar que o déficit de pessoal era suprido por trabalhadores temporários. Objetivou-se, neste estudo, analisar o processo de precarização do trabalho em centro cirúrgico na visão dos trabalhadores de enfermagem, discutir as implicações da precarização do trabalho em centro cirúrgico para a saúde dos trabalhadores de enfermagem e descrever as implicações da precarização para a organização do trabalho em centro cirúrgico. Estudo qualitativo, descritivo e exploratório. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da instituição que serviu como campo. Na coleta de dados, realizada no primeiro semestre de 2016, adotou-se a técnica de entrevista semiestruturada, mediante um roteiro contendo questões acerca do objeto de estudo e na caracterização dos participantes um instrumento estruturado. Participaram do estudo 30 trabalhadores estatutários (05 enfermeiros e 25 técnicos de enfermagem). O encerramento da coleta de dados ocorreu a partir da sua saturação. Na categorização dos depoimentos, optou-se pela análise de conteúdo temática. Os resultados evidenciaram que o processo de precarização do trabalho ocorreu devido ao déficit de recursos humanos, à ausência de concurso público para suprir a necessidade de pessoal e às questões de ordem política e econômica, sendo admitidos trabalhadores temporários para manter o serviço operante. O trabalho precário é um fator de risco psicossocial por afetar a saúde dos trabalhadores devido à ausência de direitos trabalhistas e proteção social, gerando o sofrimento no trabalho diante do medo de desemprego.

The investigative interest in the object of study "the precariousness of the work in surgical center as a psychosocial risk for the health of nursing workers" occurred due to my experiences and observations of the work process in surgical center as a nursing resident of a university hospital, where I could see that the staff shortage was suppressed by temporary workers. The objective of this study was to analyze the process of precarious work in a surgical center in the view of nursing workers; discuss the implications of precarious work in a surgical center for the health of nursing workers and to describe the implications of precariousness for the organization of work in a surgical center. Qualitative, descriptive and exploratory study. The project was approved by the Research Ethics Committee of the institution that served as field. In the data collection, held in the first half of 2016, the technique of semi-structured interview was adopted through a script containing questions about the object of study and in the characterization of the participants a structured instrument. Participated in the study 30 effectives workers (05 nurses and 25 nursing technicians). The closure of the data collection occurred from its saturation. In the categorization of the testimonies we opted for the analysis of thematic content. The results showed that the process of precarious work occurred due to the lack of human resources, the absence of a public contest to meet the need for personnel and political and economic issues, and temporary workers were hired to keep the service operative. Precarious work is a psychosocial risk factor because it affects the health of workers due to the absence of labor rights and social protection, generating suffering at work in the face of fear of unemployment.

Ação inovadora de enfermeira do trabalho: causas e custos do absenteísmo entre profissionais da saúde numa empresa petrolífera / Labor nurse's innovative action: causes and costs of absenteeism among health workers at an oil company

Tem-se como objeto do estudo a análise da ação inovadora da enfermeira do trabalho no controle do absenteísmo dos profissionais do setor de saúde onshore e offshore. O objetivo geral pretende avaliar as causas e o custo econômico direto do absenteísmo dos profissionais de saúde onshore e offshore, com base no percentual de tempo perdido registrado pela empresa, visando indicar medidas de prevenção do absenteísmo aos gestores da empresa do setor terciário, a partir da execução da ação inovadora da enfermeira do trabalho. Estudo de corte transversal, com análise documental, retrospectivo, com abordagem quantitativa, de caráter exploratório e descritivo, realizado numa empresa terceirizada que atua no setor petrolífero. Na estratégia de coletas de dados, foi realizado um levantamento estatístico sobre os profissionais de saúde, visando estabelecer o perfil econômico e funcional dos mesmos para caracterizar a população e amostra, que resultou em 59 e 43 profissionais de saúde, respectivamente. Os dados foram fornecidos pelo setor de recursos humanos da empresa com a aquiescência da direção que tem interesse no estudo. Usou-se um quadro demonstrativo para coleta dos dados. Foi utilizado o editor Microsoft Excel 2013 visando agrupar e calcular as variáveis numéricas. Através desse editor, foi feita uma análise quantitativa dos dados analisados e expostos em quadros, tabelas e gráficos para a demonstração dos dados levantados. Os resultados do estudo mostraram a importância da permanente ação inovadora da enfermeira do trabalho na sistematização dos registros de afastamento, no prontuário do trabalhador. Verificou-se que os profissionais que trabalham no ambiente offshore foram os que tiveram maior ocorrência de ausentismo.

This paper investigates labor nurse's innovative action controlling onshore and offshore absenteeism among health workers. It aims at evaluating both the causes and the immediate economic cost generated by health professionals' onshore and offshore absenteeism, on the basis of wasted time rates recorded by the company. It also aims at suggesting management in the service sector preventive measures by labor nurse's innovative action. Cross sectional retrospective document analysis, with qualitative, exploratory, and descriptive approach, conducted at an outsourced oil company. Data collection strategies included statistics on health workers to define their economic and functional profile as well as to characterize population and sample, resulting at 59 and 43 health professionals, respectively. Data were provided by Human Resources at the company, with Board of Directors' interest and consent. An exibition table was used for data collection. Microsoft Excel 2013 enabled grouping and calculating number variables. The same editor ensured data quantitative analysis, further fitted onto tables and charts for demonstration. Results show the relevance of the continuing and systematic innovative action by labor nurse onto attendance sheets on the workers' records. Higher absenteeism rates were also found among offshore professionals.

[The association between the presence of occupational health nurses at Japanese worksites and health promotion activities].

OBJECTIVES: The purpose of this study was to determine the association between the presence of occupational health nurses and health promotion activities, relative to the number of employees, and the health promotion policies of the companies. METHODS: We investigated 3,266 companies with at least 50 employees listed on the Tokyo Stock Exchange. Questionnaires were sent by mail, and employees in charge of health management or promotion were asked about health promotion activities at their own worksites. Logistic regression analysis was performed with each type of health promotion activity (nutrition, exercise, sleep, mental health, smoking cessation, alcohol consumption reduction, and oral health) as dependent variables, and the presence of an occupational health nurse as the independent variable. The results were adjusted for the type of industry, total number of company employees, presence of company health promotion policies, and the presence of an occupational health physician. RESULTS: Responses were received from 415 companies (response rate: 12.7%). Occupational health nurses were present at 172 companies (41.4%). Health promotion activities such as (in order of frequency) mental health (295 companies, 71.1%), smoking cessation (133, 32.0%), exercise (99, 23.9%), nutrition (75, 18.1%), oral health (49, 11.8%), sleep (39, 9.4%), and alcohol consumption reduction (26, 6.3%) were being conducted. Setting worksites with no occupational health nurse as a reference, the odds ratios of each health promotion activity of a worksite with one or more occupational health nurses were calculated. The odds ratios of mental health (2.43, 95% confidence interval: 1.32-4.48), smoking cessation (3.70, 2.14-6.38), exercise (4.98, 2.65-9.35), nutrition (8.34, 3.86-18.03), oral health (4.25, 1.87-9.62), and alcohol consumption reduction (8.96, 2.24-35.92) were significant. Stratified analysis using the number of worksite employees, 499 or fewer and 500 or more, also showed significantly higher odds ratios of smoking cessation, exercise, and nutrition activities at worksites of both groups. However, the odds ratios were significant for mental health and oral health activities only at worksites with 499 or fewer employees. CONCLUSIONS: At worksites of listed companies around Japan, those with an occupational health nurse carried out more health promotion activities such as nutrition, exercise, mental health, smoking cessation, alcohol consumption reduction, and oral health than those without, even after adjusting for scale of the company and presence of health promotion policies. This result suggests that the posting of an occupational health nurse to a worksite is associated with the conduct of health promotion activities.

[Economic evaluation of a workplace occupational health nursing service: based on comparison with atmospheric environment managing engineer].

PURPOSE: The purpose of this study was to use cost-benefit analysis of activity to clarify the economic effect of prepared nurses versus atmospheric environment managing engineers as healthcare managers. METHODS: For the study 111 workplaces were surveyed, workplaces in which nurses or atmospheric environment managing engineers were employed as healthcare managers. The survey content included annual gross salaries, participation in external job training, costs in joining association covered by the company, location and year of construction of the healthcare office, various kinds of healthcare expenditures, costs in operating healthcare office, health education, and activity performance in the work of environment management. RESULTS: In the case of the healthcare manager being a nurse, benefit was larger than input costs at a ratio of 2.31. On the other hand, in the case of healthcare manager being an atmospheric environment managing engineer, input costs were larger than benefits (benefit-cost ratio 0.88). CONCLUSION: Results indicate that nurses are an effective healthcare human resource and can offer good quality healthcare service. Therefore companies should hire nurses and actively promote the economic efficiency of nurses in workplace.

Global occupational health and safety responsibilities of occupational health nurses based in the United States.

The health and safety of workers is the primary concern of occupational health nurses. The purpose of this study was to identify the global occupational health and safety responsibilities of occupational health nurses based in the United States and factors contributing to these global responsibilities. A total of 2,123 American Association of Occupational Health Nurses, Inc. members completed a web-based survey and were included in the study. Approximately 12% (n = 256) of the respondents worked globally. Occupational health nurses with three or four national certifications, OR (odds ratio) = 2.07, 95% confidence interval (CI) [1.08, 3.98], more than 15 years of occupational health nursing experience, OR = 1.23, 95% CI [1.08, 1.39], and a doctoral degree, OR = 2.89, 95% CI [1.40, 5.99], were most likely to work globally. Advanced practice nurses, OR = 1.55, 95% CI [1.12, 2.15], occupational health nurses who worked for large employers, OR = 1.74, 95% CI [1.29, 2.33], and those who supervised other nurses, OR = 1.74, 95% CI [1.29, 2.34], were also more likely to work globally. In contrast, occupational health nurses who personally provided direct care to workers were less likely to work globally, OR = 0.60, 95% CI [0.44, 0.81]. The findings of this study provide direction for future education, practice, and research to increase global responsibilities among occupational health nurses in the United States.

Snapshot of the AAOHN APRN membership.

In 2012, the American Association of Occupational Health Nurses, Inc. (AAOHN) conducted an online membership survey. This article presents demographic, certification, educational, employment, priority issues, and membership data for advanced practice registered nurse (APRN) AAOHN members. Approximately 8% of the respondents identified themselves as nurse practitioners and/or clinical nurse specialists. The majority of these members are currently employed as APRNs (62.1%) and work full-time (85.7%) as employees of their organizations (85.8%). Critical issues that AAOHN APRN members identified in occupational health nursing practice today included the economy, government regulations, and health care reform.

Use of health services by Finnish employees in regard to health-related factors: the population-based health 2000 study.

OBJECTIVES: The aims of this study were to describe the use of occupational health services and other health care of Finnish employees and to examine associations between health problems and risks, and primary care visits to occupational health nurses and physicians and other health care. METHODS: A nationally representative sample of 3,126 employees aged 30-64 participated in the Health 2000 study, which consisted of a health interview, questionnaires, a clinical health examination, and the Composite International Diagnostic Interview. The use of health services was measured by self-reported visits. RESULTS: During the previous 12 months, 74 % of the employees visited occupational health services or municipal health centers, 52 % visited only occupational health services. From a third to a half of employees with lifestyle risks, depressive disorders or other health problems visited occupational health professionals. Obesity, burnout, insomnia, depressive mood, chronic impairing illnesses, and poor work ability were associated with visits to occupational health nurses. Among women, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to occupational health physicians. Lower educational level, smoking, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to health center physicians. CONCLUSIONS: This study showed the importance of occupational health services in the primary health care of Finnish employees. However, a considerable proportion of employees with lifestyle risks, depressive mood, and other health problems did not use health services. Occupational health professionals are in an advantageous position to detect health risks in primary care visits.

Padrão de consumo de álcool entre os trabalhadores de um serviço de saúde do trabalhador de uma universidade pública / Pattern of alcohol consumtion among employees of a Health Care Worker of a public university

O presente estudo teve como objeto o padrão de consumo de álcool entre os trabalhadores de um Serviço de Saúde do Trabalhador de uma universidade pública. Os objetivos foram: identificar o perfil socioeconômico e ocupacional dos trabalhadores de um Serviço de Saúde do Trabalhador de uma universidade pública; estimar o padrão de consumo de álcool desses trabalhadores; analisar a associação entre o padrão de consumo de álcool e o perfil socioeconômico e ocupacional dos trabalhadores atendidos no Serviço de Saúde do Trabalhador da universidade; discutir essa associação visando à aplicabilidade da Intervenção Breve no consumo de álcool entre os trabalhadores atendidos no Serviço de Saúde do Trabalhador da universidade. Para tanto, realizou-se um estudo descritivo seccional por meio de entrevista com 322 servidores atendidos no Serviço de Saúde do trabalhador de uma universidade pública, na cidade do Rio de Janeiro. Os dados foram coletados pela pesquisadora por meio do questionário AUDIT acrescentado do perfil socioeconômico e ocupacional. Após a coleta, os dados da pesquisa foram processados e analisados por meio do Programa EPI-Info (versão 3.5.1). Foram realizadas análises univariadas e bivariadas, verificando a associação entre cada variável independente do estudo e o padrão de consumo de álcool, adotando-se nível de significância de 0,05. Dos 322 entrevistados atendidos no serviço, a maioria eram mulheres, na faixa etária de 50 a 59 anos...

Impacto econômico do absenteísmo de enfermagem por doença em um hospital universitário do Rio de Janeiro-RJ / Economic impact of nursing absenteeism due to ilness in a university hospital in Rio de Janeiro-RJ

Trata-se de uma pesquisa documental, retrospectiva de fonte secundária,que adota uma abordagem quantitativa descritiva-exploratória. A partir da constatação de altos índices de absenteísmo nas unidades hospitalares, despertou-se o interesse em estudar os custos diretos das doenças ocupacionais que levam aos afastamentos e seu impacto econômico para o orçamento de recursos humanos de um hospital universitário do Rio de Janeiro. Neste contexto, definiu-se como objeto de estudo, o impacto econômico do absenteísmo por doença na equipe de enfermagem e, como objetivos: identificar as causas prevalentes de afastamentos no hospital universitário, de acordo com Classificação Internacional de Doenças e Problemas Relacionados a Saúde (CID-10); estimar os custos diretos mínimos das doenças que afastaram o trabalhador de enfermagem; estimar o custo real aproximado do absenteísmo relacionado a 1 (um) dia de trabalho prestado pelos trabalhadores de enfermagem, com projeção de 1 (um) mês e 1(um) ano numa visão operacional do Sistema Único de Saúde (SUS). Foi utilizada uma amostra estratificada de prontuários dos profissionais de saúde da equipe de enfermagem (enfermeiros e técnicos de enfermagem), a partir do seguinte critério de inclusão: profissionais de enfermagem concursados com afastamento no ano de 2010 e com diagnóstico médico determinante do afastamento, definido claramente. Para a coleta das informações foi feita a apreciação dos documentos arquivados no Serviço de Saúde do Trabalhador do hospital estudado e contou com a apreciação de especialistas médicos relativos aos grupos de diagnósticos estudados, orientados por roteiros criados pela pesquisadora. Os dados foram analisados e armazenados no programa Statistical Package for the Social Sciences (SPSS) versão 15 e no editor Microsoft excel 2003...

It is a documentary research, retrospective from secondary source , which adopts a quantitative descriptive- exploratory aprouch. From the observation of high rates of absenteeism in hospital the interest in studying the direct costs of occupational diseases that lead cleareances and their economic impact to the human resources budget of a university hospital in Rio de Janeiro. In this context, it was defined as an object of study the economic impact of sickness absenteeism among nursing and the following objectives: to identify the prevalent causes of absenteeism at the university hospital studied, according to the Internacional Classification of Diseases and Related Health Problems (ICD-10), to estimate the minimum directs costs of the diseases conditions that lead absenteeism to the nursing worker, to estimate the real cost of absenteeism related to one day of work provided by the nursing staff, with projection for one month and one year in operational vision of the Unified Health System (SUS). We used a stratified sample of health professionals records representing nursing staff (nurses and nursing technicians) according to the following inclusion criteria: gazetted professional nursing, with absences in 2010 with medical diagnosis, clearly defined. For data go thing, we used the files the university hospital worker health service and had the appraisal of medical experts for the diagnostic groups studied, according to scripts created by the researcher. Data were analyzed and stored in the program Statistical Package for Social Sciences (SPSS) version 15 and Microsoft excel 2003 in the editor...

Swedish entrepreneurs' use of occupational health services.

Small-scale enterprises are less often covered by occupational health services and have insufficient awareness about health and risks in the work environment. This study investigated how Swedish entrepreneurs in small-scale enterprises use occupational health services. The study used a questionnaire sent in two waves, 5 years apart. At baseline, 496 entrepreneurs responded, and 251 participated 5 years later. The questionnaire included items about affiliation with and use of occupational health services, physical and psychosocial work environments, work environment management, sources of work environment information, and membership in professional networks. Only 3% of entrepreneurs without employees and 19% of entrepreneurs with employees were affiliated with an occupational health service. Entrepreneurs affiliated with occupational health services were more active in work environment management and gathering information about the work environment. The occupational health services most used were health examinations, health care, and ergonomic risk assessments. Affiliation with occupational health services was 6% at both measurements, 4% at baseline, and 10% 5 years later.

Focus on the aging worker.

This article discusses select characteristics of the aging work force, health-related issues that can impact work productivity, and strategies and resources that can foster a more productive work environment. The older work force is vital to the future of the U.S. economy. Employers should recognize the value of older workers. Occupational health nurses can assist older workers in maintaining and optimizing their health.

A formação dos profissionais de enfermagem do trabalho na perspectiva das instituições formadoras / La formación de los profesionales de enfermería del trabajo en la perspectiva de las instituciones educativas / Occupational nursing training in terms of educational institutions

O estudo é continuidade de pesquisa realizada sobre a formação dos profissionais em enfermagem do trabalho na Região Sudeste e Sul do Brasil. O objetivo maior desta pesquisa foi caracterizar a formação do profissional especializado em enfermagem do trabalho em nível técnico e superior nas Regiões Norte, Nordeste e Centro-Oeste do Brasil. Teve um delineamento exploratório com abordagem quantitativa, tendo 290 instituições públicas e privadas de nível superior e médio do curso de enfermagem que participaram da pesquisa.O recorte temporal foi entre 1974 e 2008, sendo usado um questionário com perguntas fechadas para a coleta de dados. Portanto, há 391 profissionais formados em enfermagem do trabalho e 60 instituições responsáveis pelos cursos de especialização/qualificação. Conclui- se que as Regiões Norte e Centro-Oeste do Brasil apresentam um número reduzido de instituições formadoras de profissionais especializados/qualificados em enfermagem do trabalho, principalmente quando comparadas à Região Nordeste.

The study is a continuation of research into occupational nursing training in Southeast and South Brazil. The main aim of this study was to characterize specialization training in occupational nursing at the technical and higher levels in Brazil’s North, Northeast and Midwest. The design was exploratory and quantitative, and the population studied were occupational nursing trainees at 290 participating technical and higher education institutions between 1974 and 2008. Data were collected by a questionnaire of closed questions. There were thus 391 graduate occupational nurses and 60 institutions responsible for the specialization/qualification courses. It was concluded that the North and Midwest regions have a limited number of institutions training occupational nurses, especially as compared with Northeast Brazil.

El estudio es continuidad de investigación sobre la formación de los profesionales en enfermería del trabajo en las Regiones Sureste y Sur de Brasil. El objetivo más grande de esta encuesta fue caracterizar la formación del profesional especializado en enfermería del trabajo en nivel técnico y superior en las Regiones Norte, Nordeste y Centro-Oeste de Brasil. Tuvo un delineamiento exploratorio con enfoque cuantitativo, en 290 instituciones públicas y particulares de nivel superior y medio del curso de enfermería participantes. El recorte temporal fue entre 1974 y 2008, siendo usado un cuestionario con preguntas cerradas para la recolección de datos. Por tanto, hay 391 profesionales formados en enfermería del trabajo y 60 instituciones responsables por los cursos de especialización/calificación. Se concluye que las Regiones Norte y Centro-Oeste de Brasil presentan un número reducido de instituciones que forman profesionales especializados/calificados en enfermería del trabajo, principalmente cuando se compara con la Región Nordeste.

O absenteísmo entre trabalhadores de enfermagem no contexto hospitalar / El ausentismo entre trabajadores de enfermería en el contexto hospitalario / Absenteeism among nursing workers in the hospital context

O estudo buscou identificar as causas de absenteísmo do pessoal de enfermagem das unidades do Hospital Universitário São Francisco de Assis da cidade do Rio de Janeiro. Trata-se de estudo descritivo, com abordagem quantitativa, que investigou, durante os meses de fevereiro e março de 2009, em um recorte de seis anos (2003-2008), as situações de afastamento de 70 trabalhadores de enfermagem. Como procedimento de coleta de dados, utilizou-se um roteiro elaborado com base nos prontuários dos trabalhadores. Constatou-se que as doenças do sistema osteomuscular e as psíquicas foram as causas mais frequentes das licenças analisadas em todas as categorias estudadas no ambiente laboral. Apesar dos resultados apontados pela pesquisa, pode-se ressaltar que os mesmos geraram subsídios para a administração do serviço de enfermagem e de saúde do trabalhador, no sentido de contribuir para a prevenção de riscos no trabalho e promoção da saúde.

This quantitative, descriptive study aimed to identify the causes of absenteeism among nursing staff at units of the São Francisco de Assis University Hospital in Rio de Janeiro city. During February and March 2009, data on absenteeism among 70 nursing workers were collected for the six-year period 2003-2008. Data collected using a questionnaire based on the workers' records showed that, in all categories studied in the work environment, osteomuscular and psychological conditions were the most frequent reasons for the absences examined. Notwithstanding the study results, it is to be stressed that they generated input to assist administration of the nursing and worker's health services in contributing to labor risk prevention and health promotion.

Se buscó identificar las causas del ausentismo en medio al equipo de enfermería de las unidades del Hospital Universitario San Francisco de Assís en la ciudad de Rio de Janeiro-Brasil. Se trata de un estudio descriptivo, con abordaje cuantitativo, que investigó, durante los meses de febrero y marzo de 2009, durante seis años (2003-2008), las situaciones de alejamiento de 70 trabajadores de enfermería. Como procedimiento de colecta de datos fue utilizado un guión elaborado con base en los prontuarios de los trabajadores. Se ha constatado que las enfermedades del sistema osteomuscular y las psíquicas han constituido las causas más frecuentes de las licencias analizadas en todas las categorías estudiadas en el ambiente laboral. A pesar de los resultados apuntados por la investigación, se puede resaltar que estos han generado subsidios para la administración del servicio de enfermería y de salud del trabajador, en el sentido de contribuir para la prevención de riesgos en el trabajo y promoción de la salud.