Seleção de teoria de Enfermagem para um serviço de enfermagem do trabalho na assistência hospitalar / Selection of a nursing theory for an occupational health nursing service in hospital care

Objetivo: identificar se há uma Teoria de Enfermagem cujos elementos que integram seu metaparadigma são coerentes com os conceitos a eles atribuídos por membros que compõem um Serviço de Enfermagem do Trabalho e aqueles identificados na literatura dessa área de atuação profisisonal. Métodos: estudo metodológico com análise descritiva. Resultado: as "pessoas" que demandam cuidados no serviço são os servidores; "saúde" refere-se ao bem-estar psicobiológico, social e espiritual; à "Enfermagem" cabe a prevenção de agravos, promoção e recuperação da saúde e reabilitação; "ambiente" refere-se ao espaço físico do trabalhador. Após mapeamento entre os conceitos do metaparadigma da teoria mais conhecida pelos servidores, com os que emergiram de suas respostas e aqueles identificados na literatura da área, houve a seleção e validação de uma teoria para essa área de atuação. Conclusão: conceitos do metaparadigma da Teoria das Necessidades Humanas Básicas são coerentes com ações executadas pela Enfermagem do Trabalho.

Objective: to identify whether there is a nursing theory whose elements making up its metaparadigm are consistent with the concepts attributed to them by members at an occupational health nursing service and the concepts identified in the literature of this area. Methods: methodological study with a descriptive analysis. Results: the "people" who demand care at the service are civil servants; "health" Abstract refers to psychobiological, social, and spiritual well-being; "nursing" involves the prevention of complications, health promotion and recovery, and rehabilitation; and "environment" pertains to the physical space of workers. After mapping the concepts of the metaparadigm of the theory most known by civil servants, with those that emerged from their answers, and those identified in the literature in this field, a theory for this area of activity was selected and validated. Conclusion: concepts of the metaparadigm of the Basic Human Needs Theory are consistent with actions carried out by occupational health nurses.

[Development of a Scale for Practical Competence Assessment of Occupational Health Nurses in Contracted Industrial Health Agencies for Primary Mental Health Prevention].

OBJECTIVE: Occupational health nurses in contracted industrial health agencies are expected to provide small- and medium-sized companies with high-quality health promotion activities, primarily in terms of mental health prevention, in terms of the implementation of these health activities, practical competence is required to not only build support systems in the workplace, but in the affiliated agencies as well. This study aimed to develop a self-assessment scale of practical competence of occupational health nurses working in contracted industrial health agencies primarily aimed at the prevention of mental health problems. SUBJECTS AND METHODS: A draft scale was prepared based on previous qualitative research and results obtained via literature reviews. A questionnaire survey was administered to 555 occupational health nurses from 111 facilities in order to verify the validity and reliability of the scale. RESULTS: Exploratory factor analysis of the responses from the 169 nurses, using maximum likelihood estimation and promax rotation, was performed. As a result, 26 items across the following four factors were identified: "the ability to operate a chain of health promotion activities in accordance with the policies and needs of workplaces," "the ability to consolidate partnerships with workplaces," "the ability to maintain the foundation of health promotion activities of the affiliated agency," and "the ability to draw support needs from workers." After confirmatory factor analysis was performed, and which resulted in the removal of four items, the resulting 22 items (across the four factors) had goodness of fit indices as follows: GFI = 0.874, AGFI = 0.838, CFI = 0.962, and RMSEA = 0.050. DISCUSSION AND CONCLUSION: The developed scale appeared to have certain levels of reliability and validity in its use as a scale for the practical competence assessment of occupational health nurses working in contracted industrial health agencies primarily aimed at preventing mental health problems. Thus, the scale can be used as a self-assessment tool that can help occupational health nurses working in contracted industrial health agencies to review their daily activities.

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.

[Occupational health nurse: prevention of workplace risks in a multidisciplinary team]. / L'infirmier de santé au travail : prévention et sécurité en équipe pluridisciplinaire.

The presence of nurses within occupational health care teams is now mandatory. Their role, centred on prevention, health protection and employees' safety, is practised under the authority and in close collaboration with the occupational health doctor, within a multidisciplinary team. Over recent years, their scope of practice has been expanded to include the individual monitoring of employees' health. It could be further expanded in future.

LGBT+ Competent Care.

Over 11 million U.S. adults identify as lesbian, gay, bisexual, or transgender. Occupational health nurses must understand issues specific to this population to deliver competent care.

Atuação da enfermagem em trabalho remoto no contexto da pandemia COVID-19 / Performance of nursing in remote work in the context of pandemic COVID-19 / Rendimiento de enfermería em trabajos remotos em el contexto de la pandemia COVID-19

Objetivo: relatar a experiência de desenvolvimento do trabalho remoto pela equipe de enfermagem, sua sistematização e desafios, durante a pandemia da COVID-19. Método: trata-se de um estudo de natureza descritiva, exploratória, com abordagem qualitativa, do tipo relato de experiência, realizado em um Hospital Universitário Federal de Minas Gerais. Relato baseado na experiência de enfermeiras frente à realização de trabalho remoto no contexto da pandemia COVID-19, no período de março a julho de 2020. Resultados: colaboradores em trabalho remoto formaram a segunda linha de enfretamento à COVID-19, executando protocolos assistenciais, instruções técnicas de trabalho, materiais educativos, desenvolvimento de tecnologias leves em saúde para educação de profissionais e pacientes e telemonitoramento de pacientes. Conclusão: o trabalho remoto é uma inovação no processo de trabalho da enfermagem ampliando as perspectivas do cuidado e garantindo a segurança dos profissionais dos grupos de risco.(AU)

Objective: to report the experience of developing remote work by the nursing team, its systematization and challenges, during the COVID-19 pandemic. Method: this is a descriptive, exploratory study with a qualitative approach, an experience report type, carried out in a Federal University Hospital in Minas Gerais. Report based on the experience of nurses regarding the performance of remote work in the context of the pandemic COVID-19, from March to July 2020. Results: collaborators in remote work formed the second line of confrontation to COVID-19, executing care protocols, technical work instructions, educational materials, development of light health technologies for the education of professionals and patients and telemonitoring of patients. Conclusion: remote work is an innovation in the nursing work process, expanding the perspectives of care and ensuring the safety of professionals from risk groups.(AU)

Objetivo: informar la experiencia de desarrollar trabajo remoto por parte del equipo de enfermería, su sistematización y desafíos, durante la pandemia de COVID-19. Método: se trata de un estudio exploratorio descriptivo con enfoque cualitativo, un tipo de informe de experiencia, realizado en un Hospital Universitario Federal en Minas Gerais. Informe basado en la experiencia de las enfermeras sobre el desempeño del trabajo remoto en el contexto de la pandemia COVID-19, de marzo a julio de 2020. Resultados: los colaboradores en el trabajo remoto formaron la segunda línea de confrontación con COVID-19, ejecutando protocolos de atención, instrucciones de trabajo técnico, materiales educativos, desarrollo de tecnologías de salud ligera para la educación de profesionales y pacientes y telemonitorización de pacientes. Conclusión: el trabajo remoto es una innovación en el proceso de trabajo de enfermería, que amplía las perspectivas de atención y garantiza la seguridad de los profesionales de los grupos de riesgo.(AU)

Need and Capacity of a Toolkit for Occupational Health Nurses to Promote a New or Enhanced Drug-Free Workplace Program.

Background: A drug-free workplace program (DFWP) has been shown to be effective in reducing workers' drug misuse. The purpose of this project was to determine the need and capacity for a new or enhanced DFWP in a large health system. If determined to be needed, the next step would be to develop, implement, and evaluate a toolkit to assist occupational health nurses to promote a new or enhanced DFWP. Methods: A strategic prevention framework was used to assess the need and capacity for a toolkit to prepare occupational health nurses to promote a new or enhanced DFWP. The project was conducted in the occupational health services department at a large health system in the Midwest U.S. occupational health nurses and employee assistance counselors in the hospital system completed a survey assessing the need and capacity for a new or enhanced DFWP. Findings: A gap was identified in the perceived effectiveness of training about DFWP and current DFWP components. The findings reflect the need and capacity for a DFWP toolkit. Optimally, a DFWP toolkit would include evidence-based drug and alcohol screening tools. We found that a toolkit for occupational health nurses to promote a new or enhanced DFWP in the project site was warranted. Conclusion/Application to practice: A DFWP can be an effective method of promoting workplace health and safety. Occupational health nurses can contact state and national representatives to encourage monitoring of drug-related work injuries to provide evidence to influence health policies to support effective DFWPs.

Workplace Smoking Cessation in Costa Rica: Pilot Study Findings.

Background: In Costa Rica, the leading cause of preventable death is smoking. Adults spend one third of their lives at work making the workplace an optimal site for smoking cessation interventions. Therefore, we developed a workplace smoking cessation pilot program among Costa Rican Justice Department government employees based on key Costa Rican values and best practices. Methods: First, focus groups were conducted among exsmokers and smokers. Participants in the focus groups and in the subsequent smoking cessation pilot study were invited to take part in the study through flyers, information sheets, and announcements from the Justice Department. The focus groups revealed that social factors were fundamental to quitting. Therefore, based on these results two programs (14 participants) were conducted consisting of seven sessions encouraging employees to utilize their family and exsmokers. Data were collected before and after the seven sessions on smoking behavior, social influence, and other factors. Findings: Five of 14 (36%) quit smoking. None of the quitters lived with a smoker, as compared with 56% of nonquitters who lived with a smoker. Also, quitters were less likely to have friends (40% vs. 67%) and coworkers (20% vs. 33%) who smoked compared with nonquitters. Conclusion/Application to Practice: Workplace smoking cessation programs should help smokers to increase their social contacts with nonsmokers/exsmokers. Smoking cessation programs should assess not only smoking patterns, but also social contacts, such as family, friends, and coworkers. Based on these assessments, smokers should be encouraged to seek-out nonsmokers/exsmokers to assist them in quitting.

Estabelecimento de metas no planejamento da aposentadoria: reflexão à luz de Imogene King / Goal setting in retirement planning: reflection in the light of Imogene King / Planificación de la jubilación y establecimiento de metas: reflexión a la luz de Imogene King

Objetivo: refletir sobre o estabelecimento de metas no planejamento da aposentadoria à luz da teoria de Imogene King, que se caracteriza por ser interacionista, pautada no cuidado de Enfermagem que não se restringe ao âmbito individual, mas pode ser prestado a um grupo social com o qual o profissional estabelece contato. Método: estudo reflexivo realizado por meio de aporte teórico relacionado à teoria do alcance de metas de Imogene King e análise reflexiva do tema planejamento da aposentadoria. Resultados: o estabelecimento de metas ocorre a partir da interação entre enfermeiro e trabalhador, em que cada indivíduo reage de forma particular à aposentadoria, influenciado por suas experiências e percepções. Compete ao enfermeiro valorizar os conhecimentos do trabalhador, a fim de estimular sua adesão ao planejamento da aposentadoria. O trabalhador possui necessidades básicas de informação sobre a aposentadoria, que devem ser fornecidas em momento oportuno pelo profissional. Conclusão: o estabelecimento de metas contribui para que o trabalhador note concretamente seus avanços até o desligamento do trabalho. A teoria de Imogene King direciona o enfermeiro do trabalho no estabelecimento de metas com trabalhadores em pré-aposentadoria.(AU)

Objective: to reflect on the establishment of goals in retirement planning in the light of Imogene King's theory, which is characterized by being interactionist, based on Nursing care that is not restricted to the individual scope, but can be provided to a social group with the which the professional establishes contact. Method: reflective study carried out through theoretical support related to the theory of goal attainment by Imogene King and reflective analysis of the theme of retirement planning. Results: the establishment of goals occurs from the interaction between nurse and employee, in which each individual reacts in a particular way to retirement, influenced by their experiences and perceptions. It is up to the nurse to value the employee's knowledge, in order to encourage their adherence to retirement planning. The employee has basic information needs about retirement, which must be provided by the professional in a timely manner. Conclusion: the establishment of goals contributes to the employee concretely noting his advances until he leaves work. Imogene King's theory directs the occupational health nurse in setting goals with preretirement employees.(AU)

Objetivo: reflexionar sobre la planificación de la jubilación y el establecimiento de metas a la luz de la teoría de Imogene King, que se caracteriza por ser interaccionista,basada en la atención de enfermería no limitada al alcance individual sino que incluye a todo el grupo social con el cual el profesional establece contacto. Método: estudio reflexivo basado en la teoría de metas de Imogene King y análisis reflexivo de la planificación de la jubilación. Resultados: el establecimiento de metas ocurre a partir de la interacción entre el enfermero y el trabajador, en el que cada individuo reacciona de modo diferente a la jubilación, influenciado por sus experiencias y percepciones. Le corresponde al enfermero valorar el conocimiento del trabajador para fomentar su adhesión a la planificación de la jubilación. El profesional debe proporcionar de manera oportuna información básica sobre la jubilación. Conclusión: el establecimiento de metas contribuye a que el trabajador note concretamente sus avances hasta que se desvincule de su trabajo. La teoría de Imogene King orienta al enfermero de trabajo en el establecimiento de metas con los trabajadores que se preparan para la jubilación. (AU)

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.

Escalas aplicadas para avaliação do estresse do trabalhador de enfermagem no Brasil / Scales applied for nursing worker stress assessment in Brazil / Escalas aplicadas para la evaluación del estrés de los trabajadores de enfermería en Brasil

Objetivo: descrever escalas aplicadas para avaliação do estresse do trabalhador de enfermagem, no Brasil. Método: pesquisa de natureza descritiva que se deu por meio de revisão integrativa de literatura incluindo obras dos últimos cinco anos. Resultados: foram obtidos 09 artigos os quais demonstram que a escala mais utilizada foi a Maslach Burnout Inventory para avaliação de burnout. Os artigos contendo as escalas analisadas apresentaram significância estatística e validade interna, atendendo a critérios Qualis Capes. Conclusão: esses instrumentos de avaliação são eficazes à medida que permitem ao pesquisador obter informações a respeito de aspectos psicossociais relacionados ao trabalho, subsidiando a produção de conhecimento para a tomada de decisões amenizadoras de fatores estressantes no trabalho.(AU)

Objective: Describe scales applied to assess the stress of the nursing worker in Brazil. Method: research of a descriptive nature that occurred through integrative literature review including works of the last five years. Results: 9 articles were obtained which demonstrate that the most widely used scale was the Maslach Burnout Inventory for burnout evaluation. The articles containing the analyzed scales presented statistical significance and internal validity, according to Qualis Capes criteria. Conclusion: these evaluation tools are effective as they allow the researcher to obtain information about work-related psychosocial aspects, subsidizing the production of knowledge for decision-making to alleviate stressors at work.(AU)

Objetivo: describir escalas aplicadas para la evaluación del estrés del trabajador de enfermería, en Brasil. Método: investigación de naturaleza descriptiva que se dio por medio de revisión integrativa de literatura incluyendo obras de los últimos cinco años. Resultados: se obtuvieron 9 artículos que demuestran que la escala más utilizada fue la Maslach Burnout Inventory para evaluación de burnout. Los artículos que contenían las escalas analizadas presentaron significancia estadística y validez interna, atendiendo a criterios Qualis Capes. Conclusión: estos instrumentos de evaluación son eficaces a medida que permiten al investigador obtener informaciones acerca de aspectos psicosociales relacionados con el trabajo, subsidiando la producción de conocimiento para la toma de decisiones mitigadoras de factores estresantes en el trabajo.(AU)

Health Promotion in Volunteer Firefighters: Assessing Knowledge of Risk for Developing Cardiovascular Disease.

Cardiac events are strongly associated with line of duty deaths among firefighters. Among a convenience sample (N = 14) of volunteer firefighters, a questionnaire assessed their knowledge of cardiovascular disease before and after cardiovascular health training using evidence-based guidelines. The questionnaire explored their pattern of physical activity, awareness of their lipid levels, body mass index, as well as signs and symptoms of cardiovascular disease. Thereafter, an educational health program was conducted. Firefighters demonstrated an increase in knowledge post training, in that they were able to identify cardiovascular risk factors and personal determinants of cardiovascular disease. Occupational health providers are encouraged to educate firefighters about the seriousness of cardiovascular disease, and to implement measures to promote better lifestyle behaviors.

Caracterização dos acidentes com material biológico entre profissionais de saúde de 2013 a 2017 / Characterization of accidents with biological material between health professionals from 2013 to 2017

Objectives: to characterize work accidents with biological material according to the type of exposure and to describe the profile of health care professionals who suffered these accidents. Method:cross-sectional and retrospective epidemiological study. A total of 1,269 reports of occupational accidents with biological material were collectedthrough the SINAN and analyzed through descriptive and inferential statistics. For the analysis of association between the selected variables, the chi-square test and Pearson's correlation were used. Results:it was identified that the type of exposure is directly related to the accident, time performing the work, and the causer agent of the accident, with a predominance of females, in youngadults, with high school education, in the nursingarea, with professional experience equal to or less than 5 years. Conclusion:the importance of good practices, such as the use of personal protective equipment and vaccination schedule, also the follow-up of post-exposure of professionals to work environment accidents with biological material, with the primary purpose of promoting worker health and safety andthe risk management in institutionsare emphasized.

Objetivos:caracterizar os acidentes de trabalho com material biológico de acordo com o tipo de exposição e descrever o perfil dos profissionais dos serviços de saúde que sofreram esses acidentes. Método:estudo epidemiológico, transversal e retrospectivo.Fizeram parte da pesquisa 1.269 notificações deacidentes de trabalho com material biológico, os quais foram coletados através do Sistema de Informação de Agravos de Notificação (SINAN) e analisados por meio de estatística descritiva e inferencial. Para a análise de associação entre as variáveis selecionadas, utilizou-se o teste quiquadrado e a Correlação de Pearson.Resultados:identificou-se que o tipo de exposição tem relação direta com a circunstância do acidente, com o tempo de trabalho e com o agente causador do acidente, com predominância do sexo feminino, em adultos jovens, com escolaridade em nível médio, atuando principalmente na área da enfermagem, com experiência profissional igual ou inferior a 5 anos. Conclusão:ressalta-se a importância das boas práticas, como o uso de equipamentos de proteção individuale esquema vacinal, e o acompanhamento do profissional pós-exposição a acidentes de trabalho com material biológico, com intuito primordial de promover a saúde do trabalhador e agestão de riscos nas instituições.

Promoting and inhibiting factors for the use of validated dietary assessment questionnaires in health check-up counseling: from occupational health nurses and dietitians' perspective.

A validated questionnaire is not typically used for dietary assessment in health check-up counseling provided by occupational health nurses in Japan. We conducted a qualitative study to investigate the barriers and promoting factors affecting the use of validated questionnaires. Ten occupational health nurses and three registered dietitians, working at a health insurance society, were recruited for this study using an open-ended, free description questionnaire. Inhibiting factors, such as "Feeling of satisfaction with the current method," "Recognition of importance," and "Sense of burden from the questionnaire", and as promoting factors, "Feeling the current method is insufficient", "Recognition of importance," "Reduction in the feeling of burden after the answer," "Expectation of and reaction to the result," and "Expectation for the effect of the counseling" were noted. Since a standardized dietary assessment method in health counseling might be desirable for the harmonization of work with diseases prevention in an occupational field, findings in this study could propose appropriate targets to reduce confusion in health professionals' concerning the use of validated questionnaires.

Absenteísmo como indicador para estratégia preventiva na gerência de enfermagem na saúde do trabalhador / Absenteeism as an indicator for the preventive strategy of the nursing management to worker health

Trata-se de estudo de absenteísmo em uma empresa privada de terceirização de serviços localizada na cidade do Rio de Janeiro, com propósito de levantar os índices de afastamento do trabalhador para indicar estratégias de prevenção, através das funções gerenciais da Enfermeira do Trabalho, atuando no Serviço Especializado em Engenharia de Segurança e em Medicina do Trabalho (SESMT) da empresa. Utilizou-se o método quantitativo, descritivo do tipo censo dos afastamentos no período de 13 meses (abril de 2017 a abril de 2018), a partir das informações contidas no banco de dados da empresa, traçando-se as variáveis sociodemográficas, econômicas e profissionais dos trabalhadores. O projeto foi submetido à apreciação do Comitê de Ética em Pesquisa (CEP) da instituição de origem, através da Plataforma Brasil, cujo parecer foi aprovado em outubro de 2018 na versão 03, CAAE: 93038218.6.0000.5282, Número do Parecer: 2.929.353. O A análise foi realizada através de uma planilha em Excel versão 97-2003, com base nos indicadores selecionados, tendo como objetivos mapear o absenteísmo por atestados médicos até 15 dias de trabalhadores da empresa para: identificar o perfil ocupacional dos trabalhadores, levantar os dados do absenteísmo e os custos desses afastamentos; e indicar estratégias de prevenção. O estudo teve como limitação a identificação das causas dos afastamentos devido à falta de registros do CID no banco de dados da epresa. Foi analisada a média de 9.478 trabalhadores ao mês, o que evidenciou a maior faixa etária de 31 a 40 anos, de etnia parda, com escolaridade até o 9° ano, sendo 68% mulheres. Quanto ao absenteísmo, evidenciou-se a média de 748 trabalhadores afastados por mês, com maiores índices nos meses de agosto/17 - equivalente a 1305 trabalhadores, março e abril de 2018 com os respectivos valores 2.376 e 3.478, não sendo possível fazer uma correlação com as causas por falta de registros do CID. O custo direto desses afastamentos chegou a R$ 907.436,00 nos treze meses, o que já evidencia um gasto elevado que poderia ser direcionado para a promoção da saúde e da melhoria de qualidade de vida no trabalho. Como não foi possível associar as causas específicas dos afastamentos, os resultados direcionam para estratégias de controle e redução do absenteísmo a partir da literatura estudada, tendo como suporte a proposta de um Protocolo de Enfermagem embasado na filosofia da Enfermagem do Trabalho, desenvolvendo um processo de controle do absenteísmo, através do trabalho integrado com todos os pofissionais responsáveis pela prevenção de riscos a Saúde do Trabalhador, visando a Promoção da Saúde dos Trabalhadores do SESMT da empresa.

The present work is a study of absenteeism in a private outsourcing service company located in the city of Rio de Janeiro, with the purpose of assemble absenteeism rates and indicate causes prevention strategies through the managerial functions of the Work Nurse acting in the Service Specialized in Safety Engineering and Occupational Medicine (SESMT). The descriptive quantitative method of removals was used in the 13-month period (April 2017 to April 2018), based on the information contained in the company's database, with the sociodemographic and economic variables of the workers being drawn. The analysis was carried out through an Excel spreadsheet, version 97-2003, based on the selected indicators, with the objective of mapping absenteeism by medical certificates up to 15 days of company employees to: identify the professional occupational profile of employees, absenteeism data and the costs of such absences; and indicate prevention strategies based on the evidenced causes. The study had as a limitation the non-registration of the ICDs in the database on departures. We analyzed the average of 9,478 workers per month that showed the highest age group of 31 to 40 years of age, of brown ethnicity, with education up to the 9th year, being 68% women. As for absenteeism, the average number of workers was 748 out of work per month, with the highest rates in August / 17 - 1305 workers, in March and April 2018, with the respective values of 2,376 and 3,478, and it is not possible to make a correlation for lack of ICDs. The direct cost of these departures reached R $ 907,436.00 from the thirteen months, which already shows a high expenditure that could be directed to the promotion of health and improvements in quality of life at work. As it was not possible to associate the specific causes of withdrawal, the results lead to strategies for control and reduction of these, having as support the proposal of a Nursing Protocol based on the philosophy of Nursing at work, developing in a process of absenteeism control, through of the integrated work of Health Promotion of Workers in the SESMT of the company.

Percepção de enfermeiros do trabalho sobre a prática profissional em empresas no Estado do Rio de Janeiroo / Perception of nurses of the work on the professional practice in companies in the State of Rio de Janeiro

Este estudo tem por objeto "a percepção dos enfermeiros do trabalho sobre o seu saber-fazer profissional, tendo como pressupostos as bases teóricas e legais da enfermagem do trabalho". Objetivo geral: analisar o saber-fazer do enfermeiro do trabalho, a partir da percepção de enfermeiros do trabalho que atuam nos Serviços de Atenção à Saúde do Trabalhador em empresas no Estado do Rio de Janeiro. Trata-se de um estudo descritivo, com abordagem quanti-qualitativa, estruturado em duas etapas: a primeira refere-se ao desenvolvimento de um instrumento de coleta de dados sobre o saber-fazer de enfermeiros do trabalho e análise de evidência de validade de conteúdo do mesmo, no qual participaram 11 enfermeiros com formação na área de enfermagem do trabalho e/ou saúde do trabalhador que responderam um instrumento de validação, no mês de maio de 2019. Após as respostas procedeu-se os cálculos utilizando o Content Validity Ratio. A segunda etapa consiste na realização do Grupo Focal e aplicação do instrumento, em Café Científico, com oito enfermeiros do trabalho que atuam em Serviços de Atenção à Saúde do Trabalhador. A coleta de dados ocorreu nos meses de maio e junho de 2019. Os dados foram analisados estatisticamente e por meio da análise de conteúdo de Bardin. O estudo foi aprovado no Comitê de Ética em Pesquisa sob nº de Parecer 2.825.478. Após a análise da evidência de validade de conteúdo o instrumento sofreu ajustes quanto a clareza das terminologias. Em relação ao saber-fazer do enfermeiro do trabalho evidencia-se a atuação na gestão dos Serviços de Atenção à Saúde do Trabalhador e na educação através de ações de promoção da saúde e da prevenção. As atividades profissionais se sustentam por meio de arcabouços teóricos e legais fortemente influenciados pela regra trabalhista e previdenciária, havendo um distanciamento entre o trabalho real e o trabalho prescrito. Os marcos referencial, legal e teórico, que norteiam a prática profissional ancoram-se nas realidades práticas vivenciadas e experenciadas por estes profissionais, numa perspectiva do direito trabalhista, previdenciário e nas concepções de saúde do SUS. Conclui-se que esta pesquisa, através dos métodos utilizados, conseguiu demonstrar que há uma relação dialética na vertente atual Saúde do Trabalhador e a Saúde Ocupacional, no que concerne o saber-fazer dos enfermeiros do trabalho que atuam nos Serviços de Atenção à Saúde do Trabalhador em empresas; respondeu aos objetivos propostos e indicou aspectos relevantes do trabalho em Enfermagem no contexto das relações saúde-trabalho, ressaltando a importância de aprofundamento de estudos sobre o saber-fazer do Enfermeiro do Trabalho, com suas diversas peculiaridades no mundo do trabalho, na atualidade.

The objective of this study is "the perception of occupational nurses about their professional know-how, based on the theoretical and legal basis of occupational nursing". General objective: to analyze the know-how of the occupational nurse, from the perception of occupational nurses who work in the Occupational Health Care Services in companies in the State of Rio de Janeiro. This is a descriptive study, with a quantitative and qualitative approach, structured in two stages: the first refers to the development of an instrument for data collection on the know-how of occupational nurses and analysis of content validity evidence. 11 nurses with training in occupational nursing and / or occupational health who answered a validation instrument participated in May 2019. After the answers, the calculations were performed using the Content Validity Ratio. The second stage consists of the Focal Group and the application of the instrument, in Scientific Café, with eight occupational nurses who work in Occupational Health Care Services. Data collection took place in May and June 2019. Data were statistically analyzed and Bardin content analysis was performed. The study was approved by the Research Ethics Committee No. 2.825.478. After analyzing the evidence of content validity, the instrument was adjusted for clarity of terminology. Regarding the know-how of the occupational nurse, the performance in the management of the Occupational Health Care Services and in education through health promotion and prevention actions is evident. Professional activities are supported by theoretical and legal frameworks strongly influenced by the labor and social security rule, with a gap between real work and prescribed work. The referential, legal and theoretical frameworks that guide professional practice are anchored in the practical realities experienced and experienced by these professionals, in a perspective of labor, social security law and SUS health conceptions. It is concluded that this research, through the methods used, was able to demonstrate that there is a dialectical relationship in the current aspect of Occupational Health and Occupational Health, regarding the know-how of occupational health nurses who work in the Health Care Services of the Worker in companies; responded to the proposed objectives and indicated relevant aspects of nursing work in the context of health-work relations, emphasizing the importance of deepening studies on the know-how of the Labor Nurse, with its various peculiarities in the world of work, today.

Conhecimento de trabalhadores da construção civil sobre prevenção de quedas: análise mediante classificação NOC / Knowledge of construction workers prevention of falls: analysis by NOC classification

Analisar o conhecimento sobre prevenção de quedas em trabalhadores da construção civil com base em indicadores nos resultados de enfermagem NOC. Estudo transversal com 173 trabalhadores da construção civil realizado em 2013. Construiu-se um instrumento com indicadores NOC Conhecimento: prevenção de quedas de acordo às normas regulamentadoras do Ministério do Trabalho e Previdência Social. A magnitude dos indicadores construiu-se em uma escala Likert, pontuação de 1 a 5. Na análise estatística utilizou-se o teste não paramétrico de Kruskal-Wallis. Parecer favorável do Comitê de Ética em Pesquisa nº 369.361. Identificou-se diferença significativamente estatística entre o nível de escolaridade dos trabalhadores com relação aos indicadores NOC. No fator Quanto ao uso correto de dispositivos de segurança obteve-se que 20,8% com ensino fundamental completo tinham conhecimento substancial. Compete à enfermagem do trabalho promover estratégias visando à promoção da saúde do trabalhador nos ambientes de trabalho, para torná-los seguros e livres de acidentes.

To analyze the knowledge about fall prevention in construction workers based on indicators in NOC. A cross-sectional study with 173 construction workers conducted in 2013. An instrument with NOC indicators was built. Knowledge: fall prevention according to the regulatory norms of the Ministry of Labor and Social Security. The magnitude of the indicators was built on a Likert scale, scoring from 1 to 5. The non-parametric Kruskal-Wallis test was used in the analysis. Favorable opinion of the Research Ethics Committee nº 369.361. A statistically significant difference was found between the educational level of workers in relation to NOC indicators. In the factor Regarding the correct use of security devices it was obtained that 20.8% with complete elementary education had substantial knowledge. It is incumbent upon work nursing to promote strategies aimed at promoting worker health in work environments, to make them safe and free from accidents.

Análisis el conocimiento sobre prevención de caídas en trabalhadores de la construcción civil con base en indicadores en los resultados de enfermeira NOC. Estudio transversal con 173 trabajadores de la construcción civil realizado en 2013. Se construyó un instrumento con indicadores NOC Conocimiento: prevención de caídas de acuerdo a las normas reguladoras del Ministerio de Trabajo y Previsión Social. La magnitud de los indicadores se construyó en una escala Likert, puntuación de 1 a 5. En el análisis estadístico se utilizó el test no paramétrico de Kruskal-Wallis. Dictamen favorable del Comité de Ética en Investigación nº 369.361. Se identificó una diferencia significativamente estadística entre el nivel de escolaridad de los trabajadores con relación a los indicadores NOC. En el factor En cuanto al uso correcto de dispositivos de seguridad se obtuvo que el 20,8% con enseñanza fundamental completa tenían conocimiento sustancial. Compete a la enfermería del trabajo promover estrategias para la promoción de la salud del trabajador en los ambientes de trabajo, para hacerlos seguros y libres de accidentes.

Enfermeiro do trabalho: contribuições para saúde de agentes de combate às endemias / Occupational nurse: contributions to health of agents to combat endemic diseases

No âmbito do Sistema Único de Saúde (SUS), cresce a demanda pela melhoria das condições de trabalho e da qualidade de vida dos trabalhadores da saúde. Agentes de Combate à Endemias (ACE) representam uma categoria relativamente recente de trabalhadores da saúde da qual se conhece pouco acerca do perfil socioeconômico e dos agravos em saúde a que estão expostos. O objetivo deste estudo foi avaliar os fatores de riscos aos quais os ACE estão expostos e descrever as ações do enfermeiro do trabalho sobre a saúde ocupacional destes trabalhadores. Trata-se de uma revisão integrativa de literatura com artigos publicados entre 2006 a 2016, na Biblioteca Virtual em Saúde. Foram identificados riscos de natureza química, física e biológica na atuação dos ACE e situações em que o enfermeiro pode atuar na minimização ou na eliminação de tais riscos.

Within the scope of Sistema Único de Saúde (SUS), the demand for improving working conditions and the quality of life of health workers is growing. Agentes de Combate à Endemias (ACE) represent a relatively recent category of health workers who are poorly informed about the socioeconomic profile and health problems they are exposed to. The objective of this study was to evaluate the risk factors to which the ACE are exposed and to describe the actions of the occupational nurse on the occupational health of these workers. It is an integrative review of literature with articles published between 2006 and 2016 in the Virtual Health Library. Chemical, physical and biological risks were identified in the performance of ACE and situations in which nurses can act in minimization or elimination of such risks.

The relationship between resilience and empowering leader behaviour of nurse managers in the mining healthcare sector.

BACKGROUND:  The South African mining healthcare sector faces injuries, illnesses including HIV and AIDS and high staff turnover rates. In this sector, nurse managers should create an optimal environment for providing nursing care by motivating, influencing and empowering nurses. OBJECTIVES:  This study aimed to investigate the relationship between nurse managers' resilience and empowering leader behaviour in this sector. METHOD:  The study employed a quantitative, descriptive and correlational design. The research population comprised 31 nurse managers, 101 professional nurses, 79 enrolled nurses and 79 enrolled nursing auxiliaries who participated in the study. Two questionnaires were used as data collection methods, namely Wagnild and Young's Resilience Scale Questionnaire to investigate the resilience of nurse managers and the Empowering Leadership Questionnaire to measure empowering leader behaviour of the nurses supervised by a particular nurse manager. RESULTS:  Out of 31 nurse managers, 8 had a low level, 19 had a moderate level and 4 had a high level of resilience. According to Hoteling's t-test the nurse managers in the low resilience group displayed lower empowering leader behaviour as perceived by their team members than those in the high resilience group in terms of the five factors included in the Empowerment Leadership Questionnaire. CONCLUSION:  Respondents with high resilience scores tended to have higher leader empowering behaviour.Recommendations include the strengthening of nurse managers' resilience through workshops and reflection practices, debriefing and performance feedback sessions.

An Employee-Centered Care Model Responds to the Triple Aim: Improving Employee Health.

Health care expenditures, patient satisfaction, and timely access to care will remain problematic if dramatic changes in health care delivery models are not developed and implemented. To combat this challenge, a Triple Aim approach is essential; Innovation in payment and health care delivery models is required. Using the Donabedian framework of structure, process, and outcome, this article describes a nurse-led employee-centered care model designed to improve consumers' health care experiences, improve employee health, and increase access to care while reducing health care costs for employees, age 18 and older, in a corporate environment.