ABSTRACT
INTRODUCCIÓN El acoso laboral en estudiantes de enfermería afecta el bienestar de su salud física y mental dificultando el proceso de aprendizaje y la atención del paciente en el entorno clínico, disminuyendo su capacidad para prosperar y alcanzar su máximo potencial. OBJETIVO Conocer el civismo como estrategia de prevención, definiendo el concepto, y la promoción de una cultura de civilidad para que los estudiantes se desarrollen en ambientes educacionales positivos y puedan prosperar y alcanzar su máximo potencial. METODOLOGÍA Se realizó una revisión bibliográfica narrativa sistematizada, para lo cual se utilizaron las bases de datos PubMed, Science Direct y Epistmónikos, seleccionando 13 los artículos de acuerdo a criterio de inclusión y exclusión establecidos. RESULTADOS Se observa que en el 100% (13) de los artículos revisados se identificó la incivilidad o acoso laboral sufrida por estudiantes de enfermería durante su entorno clínico y en un 92% (12) de los estudios incentiva a formar una cultura de civismo en la educación en enfermería como estrategia para prevenir el acoso o incivilidad. El civismo puede ser implementado a nivel organizacional, de académicos y decanos y a nivel individual. CONCLUSIÓN Las organizaciones de educación en enfermería deben asumir la implementación de un cultura de civismo para promover la civilidad en los entornos de aprendizaje, donde lo primero que se debe realizar es implementar canales de comunicación efectiva, códigos de conducta profesional, y autorreflexión
INTRODUCTION Workplace bullying in nursing students affects the well-being of their physical and mental health, hindering the process of learning and patient care in the clinical environment, reducing their ability to thrive and reach their full potential. OBJETIVE Learn about civility as a prevention strategy, defining the concept, and promoting a culture of citizenship so that students develop in positive educational environments and can thrive and reach their full potential. METHODOLOGY A systematized narrative bibliographical review was carried out, for which the Pubmed, Science Direct and Epistmonikos databases were used, selecting 13 articles according to the established inclusion and exclusion criteria. RESULTS It is observed that in 100% (13) of the reviewed articles the lack of civility or workplace harassment suffered by nursing students during their clinical environment is identified and in 92% (12) of the studies it is encouraged. the formation of a culture of civility in nursing education as a strategy to prevent bullying or lack of civility. Citizenship can be implemented at the organizational, faculty and dean level, and at the individual level. CONCLUSION Nursing education organizations must assume the implementation of a culture of citizenship to promote citizenship in learning environments, where the first thing to do is implement effective communication channels, codes of professional conduct and self-reflection
Subject(s)
Humans , Students, Nursing , Workplace Violence/prevention & control , Occupational Stress/prevention & control , IncivilityABSTRACT
Objetivo: identificar as causas da fadiga de alarmes em estudos de usabilidade de bomba de infusão em terapia intensiva pediátrica. Métodos: Realizou-se uma revisão integrativa nas bases de dados LILACS, SciELO, IBECS, SCOPUS e MEDLINE. Resultados: Foram identificadas 1.164 publicações e selecionados seis estudos primários que emergiram em duas temáticas: compreender as causas dos alarmes da bomba de infusão que constou: biblioteca de fármacos incompleta, limites absolutos e relativos rígidos, falta de protocolo de preparo e administração de medicação, período de férias dos funcionários; e as medidas que podem evitar a fadiga de seus alarmes.Conclusão:falhas na usabilidade de bombas de infusão aumentam os alarmes desnecessários que podem promovem sua fadiga. A utilização segura de bombas de infusão demanda uma equipe que monitore suas práticas e atue promovendo mudanças no contexto de trabalho
Objective: to identify the causes of alarm fatigue in studies of infusion pump usability in pediatric intensive care. Methods: an integrative review was carried out in the LILACS, SciELO, IBECS, SCOPUS and MEDLINE databases. Results: 1,164 publications were identified and six primary studies were selected that emerged in two themes: understanding the causes of the infusion pump alarms that consisted of: incomplete drug library, absolute and strict relative limits, lack of preparation protocol and medication administration, employee vacation period; and measures that can prevent fatigue from your alarms. Conclusion: the causes of alarm fatigue involve low user interaction with the equipment, inadequate work processes and low investment in preventive measures for its occurrence The safe use of infusion pumps requires a team to monitor their practices and act by promoting changes in the work context
Objetivo: identificar las causas de la fatiga de alarma en estudios de usabilidad de bombas de infusión en cuidados intensivos pediátricos. Métodos: se realizó una revisión integradora en las bases de datos LILACS, SciELO, IBECS, SCOPUS y MEDLINE. Resultados: se identificaron 1.164 publicaciones y se seleccionaron seis estudios primarios que surgieron en dos temas: comprender las causas de las alarmas de la bomba de infusión que consistían en: biblioteca de medicamentos incompleta, límites relativos absolutos y estrictos, falta de protocolo de preparación y administración de medicamentos, período de vacaciones de los empleados; y medidas que pueden prevenir la fatiga de sus alarmas. Conclusión: las causas de la fatiga de las alarmas involucran baja interacción del usuario con el equipo, procesos de trabajo inadecuados y baja inversión en medidas preventivas para su ocurrencia. El uso seguro de las bombas de infusión requiere que un equipo monitoree sus prácticas y actúe promoviendo cambios en el contexto de trabajo
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Infusion Pumps/standards , Intensive Care Units, Pediatric , Alert Fatigue, Health Personnel/prevention & control , Occupational Stress/prevention & controlABSTRACT
Resumo Objetivo Identificar os estressores ocupacionais em profissionais de saúde e as intervenções voltadas para a prevenção no contexto da COVID-19, fundamentado no Modelo de Sistemas de Betty Neuman. Método Realizou-se uma revisão da literatura com o método scoping review, conforme Joanna Briggs Institute nas bases de dados The Cochrane Library, Scopus, Web of Science, National Library of Medicine (MEDLINE/PubMed), The Cumulative Index to Nursing and Allied Health Literature (CINAHL) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Incluíram-se os estudos relacionados aos fatores estressores e as intervenções voltadas para a prevenção diante do estresse ocupacional em profissionais de saúde no contexto da COVID-19, publicados em qualquer idioma e disponíveis, na íntegra, gratuitamente. Os dados foram analisados à luz da Teoria de Betty Neuman. Resultados A amostra final foi composta por 27 artigos. Os estressores identificados foram categorizados em intrapessoais: medo de contágio e conhecimento restrito da doença; interpessoais: mudança nos relacionamentos sociais e receio de transmissão aos familiares, vivenciar o adoecimento de colegas e familiares e perda de entes queridos; e extrapessoais: sistema de saúde inadequado e sobrecarga de trabalho. As intervenções focadas na prevenção foram elencadas segundo o nível de atenção à saúde primário, secundário e terciário. Conclusão A maioria dos estudos enfatizaram medidas de prevenção primária. A utilização do referencial teórico permitirá ao enfermeiro e gestores de saúde a tomada de decisão e elaboração de futuras intervenções para o manejo do estresse ocupacional dos profissionais que lidam diariamente com a COVID-19.
Resumen Objetivo Identificar los estresores laborales en profesionales de la salud y las intervenciones dirigidas a la prevención en el contexto de la COVID-19, con fundamentación en el modelo de sistemas de Betty Neuman. Método Se realizó una revisión de la literatura con el método scoping review, de acuerdo con el Joanna Briggs Institute en las bases de datos The Cochrane Library, Scopus, Web of Science, National Library of Medicine (MEDLINE/PubMed), The Cumulative Index to Nursing and Allied Health Literature (CINAHL) y Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS). Se incluyeron estudios relacionados con los factores estresores y las intervenciones dirigidas a la prevención ante el estrés laboral en profesionales de la salud en el contexto de la COVID-19, publicados en cualquier idioma y con texto completo disponible gratuitamente. Los datos fueron analizados de acuerdo con la teoría de Betty Neuman. Resultados La muestra final estuvo compuesta por 27 artículos. Los estresores identificados fueron categorizados en intrapersonales: miedo al contagio y conocimiento limitado de la enfermedad; interpersonales: cambios en las relaciones sociales y temor de transmisión a familiares, ver a compañeros y familiares enfermarse y pérdida de seres queridos; y extrapersonales: sistema de salud inadecuado y sobrecarga de trabajo. Las intervenciones centradas en la prevención fueron enumeradas según el nivel de atención en salud primaria, secundaria y terciaria. Conclusión La mayoría de los estudios enfatizan medidas de prevención primaria. La utilización del marco referencial teórico permitirá que los enfermeros y administradores de la salud puedan tomar decisiones y elaborar futuras intervenciones para el manejo del estrés laboral de los profesionales que lidian a diario con la COVID-19.
Abstract Objective To identify occupational stressors in healthcare professionals and interventions focused on prevention in the context of COVID-19, based on betty Neuman's systems model. Method A literature review was conducted with the scoping review method, according to Joanna Briggs Institute in the databases The Cochrane Library, Scopus, Web of Science, National Library of Medicine (MEDLINE/PubMed), The Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Latin American and Caribbean Literature on Health Sciences (LILACS). Studies related to stressors and interventions aimed at prevention in the face of occupational stress in healthcare professionals in the context of COVID-19, published in any language and available, in full, free of charge were included. Data were analyzed in the light of Betty Neuman's Theory. Results The final sample consisted of 27 articles. The stressors identified were categorized into intrapersonal: fear of contagion and restricted knowledge of the disease; interpersonal: change in social relationships and fear of transmission to family members, experiencing the illness of colleagues and family members and loss of loved ones; inadequate health system and work overload. Interventions focused on prevention were indexed according to the level of primary, secondary and tertiary healthcare. Conclusion Most studies have emphasized primary prevention measures. The use of the theoretical framework will allow nurses and health managers to make decisions and develop future interventions for the management of occupational stress of professionals who deal daily with COVID-19.
Subject(s)
Humans , Nursing Theory , Health Personnel , Occupational Stress/prevention & control , COVID-19ABSTRACT
OBEJTIVO: Identificar e mapear as estratégias de enfrentamento e coping do estresse ocupacional utilizadas por profissionais de enfermagem no ambiente hospitalar. MÉTODO: Trata-se de uma scoping review baseada nas recomendações do Joanna Briggs Institute. A coleta de dados ocorreu em junho de 2020, em bancos de dados que indexam artigos científicos, dissertações e teses. Os dados foram analisados pela estatística descritiva simples. RESULTADOS: A amostra final foi constituída de 63 estudos, dos quais 49 (77,8%) correspondiam a artigos. As estratégias de enfrentamento do estresse ocupacional apresentadas nos estudos foram: coping ativo; autocuidado; Práticas Integrativas e Complementares; suporte social; capacitações; suporte organizacional; e estratégia negativa. Essas devem abarcar os níveis de prevenção primária, prevenção secundária e terciária. CONCLUSÃO: As estratégias de enfrentamento elencadas nos estudos contemplaram medidas que asseguram a redução de sobrecarga de trabalho; auxiliam o desenvolvimento de habilidades para lidar com o estresse; e elaborem programas de assistência especial.
OBJETIVO: Identificar y mapear las estrategias de afrontamiento y coping del estrés laboral utilizadas por los profesionales de enfermería en el ámbito hospitalario. MÉTODO: Es una scoping review basada en las recomendaciones del Joanna Briggs Institute. La recolección de datos tuvo lugar en junio de 2020, en bases de datos que indexan artículos científicos, disertaciones y tesis. Los datos se analizaron mediante estadística descriptiva simple. RESULTADOS: La muestra final estuvo constituida por 63 estudios, de los cuales 49 (77,8%) correspondieron a artículos. Las estrategias para afrontar el estrés ocupacional presentadas en los estudios fueron: coping activo; cuidados personales; Prácticas integradoras y complementarias; apoyo social; formación; apoyo organizacional; y estrategia negativa. Estos deben abarcar los niveles de prevención primaria, prevención secundaria y terciaria. CONCLUSIÓN: Las estrategias de afrontamiento enumeradas en los estudios incluían medidas que aseguran la reducción de la sobrecarga de trabajo; ayudar en el desarrollo de habilidades para lidiar con el estrés; y diseñar programas de asistencia especial.
OBJECTIVE: To identify and map the coping strategies related to occupational stress used by nursing professionals in the hospital environment. METHOD: This is a scoping review based on the recommendations of the Joanna Briggs Institute. Data collection occurred in June 2020, in databases indexing scientific articles, dissertations and theses. The data were analyzed by simple descriptive statistics. RESULTS: The final sample consisted of 63 studies, of which 49 (77.8%) corresponded to articles. The coping strategies with occupational stress presented in the studies were: Active coping; Self-care; Integrative and Complementary Practices; Social support; Training; Organizational support; and Negative strategy. These should include levels of primary prevention, secondary and tertiary prevention. CONCLUSION: The coping strategies that were included in the studies included measures that ensure the reduction of work overload; help the development of skills to deal with stress; and develop special care programs.
Subject(s)
Humans , Adaptation, Psychological , Occupational Health , Occupational Stress/prevention & control , Occupational Stress/psychology , Hospitals , Nurse PractitionersABSTRACT
Si bien el estrés en el trabajo puede afectar a muchas ocupaciones, los profesionales de la salud tienen una mayor predisposición a desarrollarlo. Asimismo, el estrés a largo plazo puede llevar a padecer el Síndrome de Agotameinto Profesional (Burnout). Alguien que padezca alguna de estas entidades puede presentar signos de psicopatología. El objetivo de este trabajo fue determinar la prevalencia de estrés laboral, síndrome de agotamiento profesional generalizado y psicopatología en médicos de planta y con cargos jerárquicos en un Hospital Universitario. La prevalencia de estrés en la muestra analizada fue del 85,95%; la prevalencia del Síndrome de Agotamiento Profesional fue del 72,9% y la psicopatología del 10%. Todos los encuestados con resultados positivos del cuestionario GHQ-12 obtuvieron puntuaciones positivas para el estrés y el síndrome de agotamiento. Por lo tanto, esta situación necesita acciones y soluciones inmediata
Although stress at work can affect many occupations, health professionals have a greater predisposition to develop it. Likewise, long-term stress may lead to suffering from Professional Burnout Syndrome. Someone who suffers from any of these entities may have signs of psychopathology. The objective of this work was to determine the prevalence of work-related stress, burnout syndrome and psychopathology in staff medical doctors and with hierarchical positions in a University Hospital. The prevalence of stress in the analyzed sample was 85.95%; the prevalence of the Professional Burnout Syndrome was 72.9%, and psychopathology was 10%. All respondents with positive results from the GHQ-12 questionnaire had positive scores for stress and burnout syndrome. Therefore, this situation needs immediate action and solutions
Subject(s)
Humans , Psychopathology , Burnout, Professional/pathology , Burnout, Professional/prevention & control , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Occupational Stress/prevention & control , Occupational Stress/therapy , Hospitals, UniversityABSTRACT
El objetivo de este trabajo es difundir la Ley Nº 2578 de la Ciudad Autónoma de Buenos Aires (CABA) del 06/12/07, promulgada por decreto N° 09/008 del 07/01/08, publicada en BOCBA N° 2.850 del 15/01/08, relativa a la creación del "Programa de Prevención, Detección Precoz y Rehabilitación del Estrés Laboral Crónico de los Trabajadores de la Salud". También hacer algunas consideraciones sobre esta enfermedad y destacar al síndrome de Burn-Out como resultado de un estrés laboral crónico que se desarrolla en los ambientes laborales del equipo de la salud
The purpose of this work is to spread Law C.A.B.A. N° 2.578 regarding the creation of the Program for the Prevention, Early Detection and Rehabilitation of Chronic Labor Stress of Health Care Workers of Autonomous City of Buenos Aires. Also make some considerations about this disease and highlight Burn Out syndrome as result of chronic work stress that develops in the work environment of the health team.
Subject(s)
Burnout, Professional/prevention & control , Health Personnel , Occupational Stress/prevention & control , Argentina , Early Diagnosis , Legislation, MedicalABSTRACT
Burnout syndrome (BOS) is defined as a gradual exhaustion of the individual that appears on people whose occupation requires direct contact with other people and providing them a helpful service. BOS tends to be associated with somatic and behavioral alterations, as well as emotio-nal disorders. Dentists present an important workplace risk, since they are the most prone to suffer from BOS. Likewise, dentistry students present a varied prevalence of stress, generally due to the students' attitudes, which are mostly aimed at perfection and excellence, as well as aca-demic, social and institution-related factors. The aim of this review is to identify factors involved in BOS in dentistry and preventive measures in educational and professional contexts. BOS is characterized by being a persistent negative mental state showing fatigue, exhaustion and disa-ppointment. The main physical reaction generated by academic stress in dentistry students was sleepiness with 10.8%, followed by increase in food consumption with 6.4%, and restlessness and despair with 5.2%. Students might be severely affected according to the adaptive response that they present, which is individual. On the one hand, they might face the challenges in a posi-tive manner, managing to learn from them. On the other hand, the might lose control and not be able to face difficulties, thus being likely to develop pathological states of depression, anxiety, suicidal ideation, and dependency on alcohol or other hallucinogenic substances. Education agents are particularly relevant, since they contribute to the configuration of the students' way of thinking and acting. Therefore, the integration of critical thinking and socioemotional abilities must be promoted and reinforced among the educational community. It is important to realize that the presence of BOS is not due to an individual weakness, but is a symptom that something is wrong with the educational institution.
Subject(s)
Humans , Education, Dental/methods , Occupational Stress/prevention & control , Burnout, Psychological/prevention & controlABSTRACT
Objetivo: representar a dinâmica de geração, acumulação e dissipação do estresse na equipe de enfermagem em um centro de terapia oncológica. Método: um modelo de simulação matemático de dinâmica de sistemas foi desenvolvido com base na coleta de dados in loco. O modelo serviu para testar o impacto de três políticas direcionadas a reduzir o estresse na equipe: i) incremento na carga de atendimento; ii) incremento do tamanho das equipes de turno e iii) redução de horas de atendimento por leito. Resultados: o modelo demonstrou que a política de incremento de tamanho da equipe obteve os melhores resultados, sintetizados com o índice de absenteísmo, estabilizando-se em 8%; pessoal afastado também se estabilizando em 4-5 pessoas por mês, bem como o estresse acumulado reduzido aos níveis do cenário base. Conclusão: as medidas no sentido de acompanhamento das demandas físicas e emocionais, a contratação de pessoal, um melhor treinamento técnico para as atividades ditas estressantes e uma melhor distribuição de tarefas podem ser eficazes na redução dos índices de absenteísmo e melhorar a qualidade de vida desses trabalhadores.
Objective: to represent the dynamics of stress generation, accumulation and reduction in the nursing team at an oncology therapy center. Method: a mathematical simulation model of system dynamics was developed based on data collection in loco. The model served to test the impact of three policies aimed at reducing stress in the team, namely i) increase in the service load; ii) increase in the size of shift teams and iii) reduction of service hours per bed. Results: the model showed that the policy of increasing the size of the team obtained the best results, with the absenteeism index stabilizing at 8%; staff at leave also stabilizing at 4-5 people per month, as well as accumulated stress reduced to baseline levels. Conclusion: measures to monitor physical and emotional demands, hiring staff, better technical training for so-called stressful activities, and a better distribution of tasks can be effective in reducing absenteeism rates and improving the quality of life of these workers.
Objetivo: representar la dinámica de generación, acumulación y disipación del estrés en el equipo de enfermería en un centro de terapia oncológica. Método: un modelo de simulación matemático de dinámica de sistemas fue desarrollado basado en la recolección de datos in loco. El modelo sirvió para testar el impacto de tres políticas dirigidas a reducir el estrés en el equipo: i) incremento en la carga de atendimiento; ii) incremento del tamaño de los equipos de turno y iii) reducción de horas de atendimiento por lecho. Resultados: el modelo demostró que la política de incremento de tamaño del equipo obtuvo los mejores resultados, sintetizados con el índice de ausentismo estabilizándose en 8%; personal alejado también estabilizándose en 4-5 personas por mes, así como el estrés acumulado reducido a los niveles del escenario base. Conclusión: las medidas en el sentido de acompañamiento de las demandas físicas y emocionales, la contratación de personal, mejor entrenamiento técnico para actividades llamadas estresantes y una mejor distribución de tareas pueden ser eficaces en la reducción de los índices de ausentismo y mejorar la calidad de vida de esos trabajadores.
Subject(s)
Humans , Absenteeism , Occupational Stress/prevention & control , Occupational Stress/psychology , Occupational Stress/rehabilitation , Nursing Staff/psychology , Quality of Life , Models, Theoretical , Nursing Staff/organization & administrationABSTRACT
O presente estudo possui como tema "estratégias de coping utilizadas pelos trabalhadores de Enfermagem frente à morte do recém-nato em unidade de terapia intensiva neonatal". A morte em unidade de terapia intensiva neonatal é um fator de risco psicossocial para a saúde dos trabalhadores de Enfermagem, podendo acarretar altos níveis de estresse e com repercussões para a saúde mental. No intuito de minimizarem o estresse psicossocial e cuidarem de vidas tão frágeis, os trabalhadores de Enfermagem elaboram estratégias de enfrentamento (coping) no ambiente de trabalho e fora deste. Objetivos: identificar as estratégias de coping utilizadas pelos trabalhadores de Enfermagem frente à morte de recém-natos em unidade de terapia neonatal e analisar a sua eficácia na minimização do estresse psicossocial frente à morte em unidade de terapia neonatal. Método quantitativo com delineamento transversal, que teve como campo uma unidade de terapia intensiva neonatal de um hospital universitário situado no município do Rio de Janeiro. Após a autorização do estudo pelo Comitê de Ética em Pesquisa e assinatura do Termo de Consentimento Livre e Esclarecido, participaram do estudo 44 trabalhadores de Enfermagem. Na coleta de dados, utilizou-se um instrumento para a caracterização da amostra e o Inventário de Estratégias de Coping de Folkman e Lazarus (1984). Os resultados evidenciaram que a amostra foi composto, em sua maioria, por trabalhadores do sexo feminino, faixa etária entre 26 e 45 anos, casados e com renda familiar acima de oito salários mínimos. São estatutários, trabalham em regime de turnos, acumulam dois vínculos empregatícios e cumprem carga horária acima de 40 horas semanais. Dentre as estratégias de coping referidas pelos trabalhadores frente ao processo de morte e morrer do recém-nato, houve maior frequência de afirmativas para as estratégias: resolução de problemas, autocontrole e suporte social, respetivamente. Essas estratégias possuem papel relevante na minimização do estresse e desgaste do profissional, sendo ora centradas no problema, ora na regulação da emoção, podendo ser descartadas ou fazerem parte de um repertório próprio destes profissionais frente à morte de recém-natos, daí a sua importância na regulação e minimização do estresse. Conclui-se que as estratégias adotadas são relevantes por propiciarem o diálogo, a escuta e o compartilhamento de emoções, sentimentos e comportamentos, além de propiciarem a formação de redes de suporte social entre os próprios trabalhadores, sendo um importante recurso na minimização do estresse psicossocial.
The present study has as its theme "coping strategies used by nursing workers facing the death of the newborn in a neonatal intensive care unit". Death in a neonatal intensive care unit is a psychosocial risk factor for the health of nursing workers, which can lead to high levels of stress and repercussions for mental health. In order to minimize stress and take care of such fragile lives, nursing workers develop strategies for coping in the workplace and beyond. Objectives: to identify coping strategies used by nursing workers facing the death of newborns in a neonatal unit; and to analyze its effectiveness in minimizing stress in nursing workers facing death in a neonatal unit. This is a quantitative study with a cross - sectional design that included a neonatal intensive care unit of a university hospital located in the city of Rio de Janeiro. After authorization of the study by the Research Ethics Committee and signing of the free and informed consent form, 44 nursing workers participated in the study. Data collection was used to characterize the sample and the Coping Strategies Inventory of Folkman and Lazarus. The results showed that the sample profile was composed mostly of female workers, between the ages of 26 and 45, married and family income above eight minimum wages. They are statutory workers, shift workers, accumulate two employment bonds and fulfill work hours over 40 hours a week. It was evidenced that among the coping strategies reported by the workers regarding the process of death and dying of the newborn, there was a greater frequency of affirmations for the strategies: problem solving, self-control and social support respectively. These strategies play an important role in minimizing the stress and fatigue of the professional, being focused on the problem and regulating the emotion, and can be discarded or be part of a repertoire of these professionals before death, hence their importance in the regulation and minimization of stress. It is concluded that strategies focused on problem solving are relevant because they allow dialogue, listening and sharing of emotions, feelings, behaviors and provide formation of networks of social support among the workers themselves, which can minimize suffering and the frustration of the nursing professional facing death in the newborn.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Adaptation, Psychological , Intensive Care Units, Neonatal , Occupational Health , Nursing , Neonatal Nursing , Perinatal Death , Occupational Stress/prevention & controlABSTRACT
In this article the concept of "mobbing" is defined as the psychological aggression that means a psychological terror at workplace. Mobbing is a sociological term used to describe a variety of behaviour in the workplace, and means bullyng of an individual by the sourrenders
Subject(s)
Humans , Occupational Health , Dominance-Subordination , Occupational Stress/prevention & control , Occupational Stress/psychologyABSTRACT
Introducción: el síndrome de burnout (BO) suele afectar a médicos residentes, debido al estrés laboral crónico. Desde un marco logoterapéutico, la pérdida de un sentido de la vida (SV) es el denominador más común de todas las formas de perturbación emocional, y el BO podría enmarcarse dentro de un proyecto de vida laboral (PVL) con enrolamiento enajenante. El objetivo principal del trabajo es evaluar la relación entre el BO, el SV y el PVL, en los programas de residencia del Hospital Italiano de Buenos Aires. Población y métodos: se evaluaron residentes de 6 programas de residencia del Hospital Italiano de Buenos Aires, a través de un cuestionario. El BO se midió con el "Maslach Burnout Inventory" (MBI). El SV se midió con el "Purpose in Life Test" (PIL Test). El PVL se midió con la Escala de PVL de la Dra. Isabel Pérez Jáuregui. Resultados: participaron 104 residentes. El 28,8% de los evaluados mostraron BO, el 18,3% falta de SV y el 30,8% un PVL inauténtico con sobreadaptación. Tanto la falta de SV como el PVL inauténtico con sobreadaptación se asociaron en forma estadísticamente significativa con BO (p < 0,01), y la presencia de cualquiera de estas alteraciones aumentó en casi 18 veces (odds ratio [OR] crudo) la probabilidad de presentar el síndrome. Los OR ajustados de falta de SV (6,28) y PVL inauténtico (9,57) para la presencia de BO continuaron siendo estadísticamente significativos. Por último, en esta investigación pudimos determinar que las subescalas del MBI agotamiento y despersonalización se correlacionaron negativamente con el PIL Test (r=-0,41 y r=-0,53, respectivamente) y la Escala de PVL (r=-0,45 y r=-0,42, respectivamente), mientras que la subescala de realización se correlacionó positivamente en forma significativa con estas dos últimas (r=0,63 y r=0,61, respectivamente). Conclusiones: se encontró una relación estadísticamente significativa entre BO, falta de SV y PVL inauténtico, en la residencia. (AU)
Introduction: The Burnout Syndrome (BO) usually affects medical residents because they are exposed to chronic labour stress. From a logotherapeutic view, the loss of meaning and purpose in life (ML) is the common denominator of all types of emotional distress, and the BO could belong to an altered labour life project (LLP) with overadaptation. The objective of this study was to evaluate the relationship between the BO, the ML, and the LLP, in residency programs at a university hospital. Population and methods: residents from six programs at Hospital Italiano de Buenos Aires were evaluated. The BO was measured with the Maslach Burnout Inventory (MBI). The ML was measured with the Purpose in Life Test (Pil Test). The LLP was measured with the LLP Scale created by Doctor Isabel Pérez Jáuregui. Results: one hundred and four residents participated. Out of the evaluated residentes, 28.8% showed BO. The loss of ML was observed in 18.3%, and an altered LLP with overadaptation affected the 30.8% of the sample. Loss of ML and altered LLP with overadaptation were associated in a statistically significant way with BO (p<0.01), and the presence of any of this alterations increased the odds ratio almost 18 times to suffer BO. The adjusted odds ratio of loss of ML (6.28) and altered LLP (9.57) to suffer BO, were also statistically significant. Finally, a negative correlation was observed between exhaustion and despersonalization (MBI) and the Pil Test (r=-0.41 and r=-0.53, respectively) and the LLP Scale (r=-0.45 and r=-0.42, respectively), while a positive significant correlation was observed between the personal accomplishment (MBI) and the Pil Test and LLP Scale (r=0.63 and r=0.61, respectively). Conclusions: in the residency, we found a statistically significant relationship between BO, loss of ML and altered LLP. (AU)
Subject(s)
Humans , Male , Female , Quality of Life/psychology , Burnout, Professional/therapy , Occupational Stress/therapy , Internship and Residency , Self-Help Groups/trends , Speech Therapy/psychology , Speech Therapy/trends , Burnout, Professional/classification , Burnout, Professional/etiology , Burnout, Professional/prevention & control , Burnout, Professional/psychology , Burnout, Professional/epidemiology , Odds Ratio , Cross-Sectional Studies , Surveys and Questionnaires/statistics & numerical data , Depersonalization/prevention & control , Depersonalization/therapy , Education, Medical/statistics & numerical data , Work-Life Balance/trends , Occupational Stress/prevention & controlABSTRACT
Se identificó y evaluó los Riesgos Psicosociales en trabajadores de una Escuela de Bioanálisis de una universidad pública venezolana. La investigación realizada fue descriptiva y de corte transversal. El diseño del estudio se llevó a cabo considerando la metodología CoPsoQ-istas21 (versión 2.0, año 2010). La muestra estuvo constituida por 75 trabajadores, el 85,3% de la población fueron Mujeres y el 14,7% Hombres. Los Riesgos Psicosociales identificados en general en la Situación más Desfavorable (Peligro) para la salud fueron: Ritmo de trabajo (80,8% de la población), Inseguridad en las condiciones de trabajo (54,9%) e Inseguridad sobre el empleo (38%), en Situación Intermedia (Alarma) principalmente la Doble presencia (52,7%), y en la Situación más Favorable al Reconocimiento (98,6%). Se observó en las Mujeres la mayor prevalencia en la Situación más Desfavorable, al igual que los Empleados Administrativos. En relación al Estrés laboral, fueron las Mujeres (3,2%) y los Empleados Administrativos (5,8%) quienes se encontraron en la Situación más Desfavorable. El 29% de los trabajadores consideró su salud buena, muy buena (40%), y excelente el 19%. El 64% de la población se halló satisfecha con su trabajo, y 27% muy satisfecha. En general la gran mayoría de las dimensiones estudiadas para determinar los Riesgos Psicosociales se encontraron en una Situación Favorable (Segura) para la salud. Para minimizar y prevenir los Riesgos Psicosociales en la Escuela se hace necesario implementar acciones basadas en el mejoramiento del Modelo de Gestión que pudieran ayudar a mejorar el ambiente y las condiciones de trabajo(AU)
We identified and evaluation psychosocial risk factors in a collective of workers at a Bioanalysis School in a Venezuelan public university, using a descriptive, cross-sectional study design.. The psychosocial risk factor profile was assessed using the CoPsoQ-ISTAS21 method (version 2.0, 2010). Seventy-five workers were assessed;85.3% were women and 14.7% were men. The main psychosocial risk factors leading to an unsafe ("Danger") situation we identified were fast work pace(80.8%), unsafe working conditions (54.9%), and job insecurity (38%). The main risk factor leading to an intermediate ("Alarm") situation was dual job roles (52.7%), and recognition (98.6%) represented a favorable situation. Women and administrative personnel had a higher prevalence of being in an unfavorable situation. With regards to work stress, women (3.2%) and administrative personnel (5.8%) were also more likely to be in an unfavorable situation. Twenty-nine per cent of workers considered their health to be good or very good (40%), and another 19% considered it to be excellent. In terms of work, 64% of respondents were satisfied with their work, and 27% were very satisfied. In general, most of the dimensions studied in relation to selfreported health were in the Favorable Situation (Safe) category. To minimize and prevent psychosocial risk factors, and improve the work environment and conditions in this type of academic environment, it is necessary to implement actions based on better use of the management model(AU)
Subject(s)
Humans , Universities , Occupational Risks , Occupational Stress/prevention & control , Cross-Sectional Studies , Surveys and Questionnaires , Occupational GroupsABSTRACT
Introducción: el estrés laboral, como fenómeno asociado al proceso de industrialización, es causa frecuente de saturación física y metal, provocando una reducción de la efectividad productiva y la calidad del vida de sujeto; en la intervención de este proceso influye, entre otros aspectos, el índice de actividad física y social que posee el individuo y su entorno. Objetivo: disminuir el estrés laboral del personal administrativo de la Universidad de las Fuerzas Armadas ESPE, Sangolquí, Ecuador. Métodos: se investigó una muestra de 47 trabajadores administrativos de una población de 255 sujetos, los cuales fueron sometidos a un diagnóstico mediante una encuesta de 10 preguntas diseñadas para determinar la presencia de algunos síntomas relacionados con el estrés antes y después de implementar un programa de actividades físicas durante seis meses. Resultados: las pruebas realizadas antes y después de iniciar el proceso de aplicación de la propuesta se sometieron al análisis estadístico a partir de la Prueba de Friedman, la cual demostró la existencia de diferencias significativas favorables en el postest (p= 0,000) por la incidencia efectiva del programa de actividades físicas en el grupo intervenido, corroborado por la Prueba de los Rangos con Signo de Wilcoxon que demostró diferencias significativas en todas las categorías estudiadas en las variables (Siempre: p= 0,011; Casi Siempre: p= 0,005; Raras Veces: p= 0,005 y Nunca: p= 0,015). Conclusiones: se determina una disminución del estrés en el personal administrativo al comparar los rangos promedios de la prueba inicial y final aplicada(AU)
Introduction: Work stress, as a phenomenon associated with the industrialization process, is a frequent cause of physical and mental saturation, causing a reduction of the subject's productive effectiveness and quality of life. In the intervention of this process, among other aspects, there is an influence of the index of physical and social activity by the individual and its environments. Objective: To reduce the work stress of the directing staff of ESPE University of the Armed Forces in Sangolquí, Ecuador. Methods: A sample of 47 directing workers was investigated, out of a population of 255 subjects. They underwent a diagnosis through a survey of 10 questions designed to determine the presence of some symptoms related to stress, before and after implementing a program of activities for six months. Results: The tests performed before and after starting the program's application were submitted for statistical analysis through the Friedman test, which showed the existence of significant favorable differences in the post-test (p= 0.000) for the incidence of the physical activity program in the intervention group, corroborated by the Wilcoxon Sign Rank Test, which showed significant differences in all the categories studied in the variables (always: p= 0.011, almost always: p= 0.005, seldom: p= 0.005, and never: p= 0.015). Conclusions: A decrease in stress in the directing staff is determined when comparing the average ranges of the initial and final tests applied(AU)
Subject(s)
Humans , Male , Female , Quality of Life , Exercise/physiology , Administrative Personnel/psychology , Occupational Stress/prevention & control , Ecuador/ethnologyABSTRACT
Resumo Este estudo teve o objetivo de analisar as vivências de prazer e de sofrimento no trabalho de suinocultores, além de caracterizar a organização do trabalho e de compreender as estratégias defensivas utilizadas. O estudo teve um delineamento qualitativo e contou com a participação de 16 suinocultores. A coleta foi realizada através de grupos focais e de observação participante. Os dados foram submetidos à análise de conteúdo. O prazer no trabalhado estava associado à manutenção da tradição familiar e ao cuidado dos animais. Nas vivências de sofrimento, destacaram-se a sobrecarga de trabalho e o desgaste consequente. As estratégias defensivas identificadas foram a negação da dor e a racionalização. Como consequências foram identificados diversos danos à saúde física e mental dos trabalhadores.
Resumen Este estudio tuvo el objetivo de analizar las vivencias de placer y de sufrimiento en el trabajo de porcinocultores, además de caracterizar la organización del trabajo y de comprender las estrategias defensivas utilizadas. El estudio tuvo un abordaje cualitativo en el que participaron 16 porcinocultores. La recolección de datos fue realizada por medio de grupos focales y de observación participante. Esos datos fueron sometidos al análisis de contenido. El placer en el trabajo estaba relacionado al mantenimiento de la tradición familiar y al cuidado de los animales. En las vivencias de sufrimiento, se destacaron la sobrecarga de trabajo y su consecuente desgaste. Las estrategias defensivas identificadas fueron la negación del dolor y la racionalización. Como consecuencia fueron observados diversos daños a la salud física y mental de los trabajadores.
Abstract This study aimed to analyze the experiences of pleasure and suffering of pig farmers and to characterize the organization of work and to understand the defensive strategies. The study had a qualitative research design that was done with 16 pig farmers. The data came from two focus groups as well as observations. The data obtained was subjected to content analysis. The pleasure is related to maintaining the family tradition and care of the animals. In contrast and most notably what stood out regarding the suffering experiences was the overload of work, which resulted in complete fatigue. The defensive strategies guided by the denial of pain and rationalization. Consequently was concluded that their lifestyle is damaging their physical and mental health.
Subject(s)
Humans , Male , Female , Animal Husbandry , Occupational Risks , Rural Health , Swine/growth & development , Work/psychology , Mental Health , Occupational Stress/prevention & controlABSTRACT
O estudo objetivou identificar as situações geradoras de estresse no dia a dia dos enfermeiros que trabalham em setores de internação (enfermarias) e a partir destas situações propor a instituição um plano de ação visando reduzir o nível de estresse relacionado ao trabalho. Pesquisa descritiva de abordagem quantitativa, realizada em um Hospital Universitário, com 20 enfermeiros utilizando o Inventário de Estresse em Enfermeiros (IEE). Os problemas identificados que colocam os profissionais frente ao estresse foram agrupados em: insuficiência de recursos materiais e humanos, limitações físicas, indefinição das atividades do enfermeiro e falta de educação continuada. Todas as ações propostas foram divididas em curto, médio e longo prazo e causarão alto impacto no dia a dia do profissional. Nas ações de curto prazo destaca-se o incentivo as reuniões semanais. Em médio prazo a criação de locais para refeições e descanso e em longo prazo a educação continuada para atualização e capacitação dos profissionais. As propostas de intervenção irão criar mudanças no ambiente de trabalho e consequentemente no profissional. Este estudo é voltado não somente para os gestores hospitalares, mas também aos profissionais na busca de proporcionar um ambiente de trabalho menos desgastante e mais produtivo
The objective of this study was to identify the stress-generating situations in the daily routine of nurses working in hospitalization (wards) and from these situations propose the institution a plan of action in order to reduce the level of stress related to work. Descriptive research of a quantitative approach, carried out in a University Hospital, with 20 nurses, using the Inventory of Stress in Nurses (IEE). The identified problems that put the professionals in front of the stress were grouped in: insufficient material and human resources, physical limitations, lack of definition of nurses' activities, and lack of continuing education. All the actions proposed were divided in short, medium and long term and both of them will have a high impact on the professional's daily life. The highlights in the short-term actions is to incentive weekly meetings. In the medium term the creation of places for meals and rest and in the long term the continuing education for updating and qualification professionals. The intervention proposals will create changes in the work environment and consequently in the professional. This study is aimed not only at hospital managers, but also at professionals seeking to provide a less stressful and more productive work environment