Analysis of relationship of psychosocial factors with patient safety culture in a Brazilian hospital: Study with structural equation modeling analysis.

INTRODUCTION AND OBJECTIVES: The scenario of the health system can develop physical and emotional impacts on health professionals, due to work overload and failure to manage the system. It is necessary to consolidate the theory that the safety of care provided by health services is affected by organizational conditions. The aim of this study is to assess whether safety culture is related to job satisfaction, depressive symptoms, and burnout syndrome among hospital professionals. MATERIALS AND METHODS: This is an analysis with structural equation modeling, conducted in a teaching hospital in Brazil. Data collection was made via psychometric instruments, which sought to analyze job satisfaction (Job Satisfaction Survey), depressive symptoms (Patient Health Questionnaire), burnout syndrome (Maslach Burnout Inventory), as well as the relationship between this factors and patient safety culture (Safety Attitudes Questionnaire). The Pearson correlation coefficient (r) and the partial least squares structural equation modeling (PLS-SEM) were used for analysis. RESULTS: A higher work satisfaction was associated with a higher perception of safety culture (r=0.69; P<0.001). Depressive symptoms and burnout dimensions showed an inverse relationship with the safety culture (P<0.05). PLS-SEM enabled us to understand the behavior of this association. Thus, satisfaction at work and the absence of burnout proved to be predictive factors for the implementation of an ideal patient safety culture (P<0.001). CONCLUSIONS: Patient safety culture is related to job satisfaction and burnout among hospital professionals. These findings suggest that the psychosocial work environment influences the quality of care provided.

Síndrome de burnout e suicídio na Medicina Veterinária / Bournout syndrome and suicide in Veterinary Medicine

O aumento progressivo no número de casos de depressão profunda e suicídio na Medicina Veterinária é alarmante. A amplitude de atuação da prática veterinária, cujas demandas comumente levam a sobrecargas que resultam em desordens mentais, como a Síndrome de Burnout (SB), e que muitas vezes culminam no suicídio, é um problema atual sério e crescente. Como o debate acerca da temática no Brasil ainda é incipiente, conduziu-se esta revisão de literatura.

The progressive increase in the number of cases of severe depression and suicide in Veterinary Medicine is alarming. The range of action of veterinary practice, whose demands commonly lead to overloads that result in mental disorders, such as Burnout Syndrome (BS), and that often culminate in suicide, is a serious and growing current problem. As the debate on the subject in Brazil is still incipient, this literature review was conducted.

Moral sensitivity components identified among nurses from Intensive Care Units.

OBJECTIVE: to identify ethical problems from the components of moral sensitivity among nurses of Intensive Care Units. METHOD: qualitative, exploratory-descriptive study developed in a hospital in the South of Brazil with 19 nurses working in intensive care units through semi-structured interviews that were analyzed through discursive textual analysis. RESULTS: ethical education, dialogue, relationships with other health team members, professional autonomy, knowledge, personal values, effective communication, leadership and patients' positive outcomes were identified as important components of nurses' moral sensitivity, and comprise the domains of moral consciousness, benevolent motivation, and spontaneous moral perception. FINAL CONSIDERATIONS: the components of moral sensitivity identified in this study facilitate nurses' instrumentalization in the face of decision making and ethical problems in the intensive care setting.

Moral sensitivity components identified among nurses from Intensive Care Units / Componentes de la sensibilidad moral identificados entre enfermeros de Unidades de Cuidado Intensivo / Componentes da sensibilidade moral identificados entre enfermeiros de Unidades de Terapia Intensiva

ABSTRACT Objective: to identify ethical problems from the components of moral sensitivity among nurses of Intensive Care Units. Method: qualitative, exploratory-descriptive study developed in a hospital in the South of Brazil with 19 nurses working in intensive care units through semi-structured interviews that were analyzed through discursive textual analysis. Results: ethical education, dialogue, relationships with other health team members, professional autonomy, knowledge, personal values, effective communication, leadership and patients' positive outcomes were identified as important components of nurses' moral sensitivity, and comprise the domains of moral consciousness, benevolent motivation, and spontaneous moral perception. Final considerations: the components of moral sensitivity identified in this study facilitate nurses' instrumentalization in the face of decision making and ethical problems in the intensive care setting.

RESUMEN Objetivo: identificar los problemas éticos a partir de los componentes de la sensibilidad moral entre enfermeros de Unidades de Cuidado Intensivo. Método: investigación cualitativa, del tipo exploratorio-descriptivo, desarrollada en institución hospitalaria del sur de Brasil con 19 enfermeros actuantes en unidades de cuidado intensivo, por medio de entrevistas semiestructuradas y analizadas mediante el análisis textual discursivo. Resultados: la educación ética, el diálogo, la relación con los demás miembros del equipo de salud, la autonomía profesional, el conocimiento, los valores personales, la comunicación efectiva, el liderazgo y los resultados positivos presentados por los pacientes fueron identificados como importantes componentes de la sensibilidad moral de los enfermeros, que comprende los dominios de la conciencia moral, motivación benévola y percepción moral espontánea. Consideraciones finales: los componentes de la sensibilidad moral identificados en este estudio facilitan la instrumentalización de los enfermeros delante de las tomas de decisión y los problemas éticos en el ambiente de cuidado intensivo.

RESUMO Objetivo: identificar, entre enfermeiros de Unidades de Terapia Intensiva, problemas éticos com base nos componentes da sensibilidade moral. Método: pesquisa qualitativa, do tipo exploratório-descritiva, desenvolvida em instituição hospitalar do Sul do Brasil, com 19 enfermeiros atuantes em unidades de terapia intensiva. Dados foram coletados por meio de entrevistas semiestruturadas e analisados mediante análise textual discursiva. Resultados: a educação ética, o diálogo, a relação com os demais membros da equipe de saúde, a autonomia profissional, o conhecimento, os valores pessoais, a comunicação efetiva, a liderança e os resultados positivos apresentados pelos pacientes constituem importantes componentes da sensibilidade moral dos enfermeiros, compreendendo os domínios da consciência moral, motivação benevolente e percepção moral espontânea. Considerações finais: os componentes da sensibilidade moral identificados neste estudo facilitam a instrumentalização dos enfermeiros diante das tomadas de decisões e de problemas éticos no ambiente de terapia intensiva.

The relationship between job satisfaction, burnout syndrome and depressive symptoms: An analysis of professionals in a teaching hospital in Brazil.

Research shows an instability in the way workers in the healthcare field live, and a prevalence of an unhealthy lifestyle. Exhaustion, an overload of obligations and responsibilities and dissatisfaction are all factors that may result in both physical and mental disorders. The aim of our study is to analyze the association between individual and occupational aspects of hospital workers and their job satisfaction, burnout syndrome, and depressive symptoms, as well as the relationship between these 3 factors.A transversal study was carried out from August to November 2016 in a teaching hospital that is a reference in healthcare to 13 cities in the State of São Paulo, Brazil. Workers with an employment relationship of a period of 3 months or longer were included in the study. Subjects for the study were recruited through random probability sampling. Data were collected using psychometric tools in order to analyze job satisfaction (Job Satisfaction Survey [JSS]), the presence of burnout syndrome (Maslach Burnout Inventory [MBI]) and depressive symptoms (Patient Health Questionnaire-9). Adjusted analyses were conducted and the prevalence ratio (PR) was calculated using Poisson regression. The partial least squares structural equation modeling (PLS-SEM) was used for the analyses.The final sample of this study comprised 271 professionals. Administrative workers or technical support workers from the hospital showed to be more satisfied in their jobs compared to the healthcare professionals (P = .02). Time of professional activity was also associated with job satisfaction (P = .03). Men displayed burnout syndrome approximately twice as often as women (PR = 1.98; 95% CI: 1.03-3.79; P = .04). Workers who had a low household income presented a predominance twice as high of depressive symptoms (PR = 2.84; 95% CI: 1.24-6.51; P = .01). PLS-SEM confirmed the causal and inverse relationship between burnout syndrome and job satisfaction (P < .001). Depressive symptoms were considered predictors for professional exhaustion (P < .001).Personal and occupational factors of hospital workers were associated with job satisfaction, burnout syndrome, and depressive symptoms. The absence of burnout was identified as a predictive aspect for job satisfaction, and depressive symptoms as a predictor for professional exhaustion.

A influência do estresse na instalação e progressão das doenças periodontais / The influence of stress on installation and progression of periodontal disease

Objetivo: revisar o estresse como fator predisponente à instalação e desenvolvimento da doença periodontal, avaliando seus mecanismos biológicos e aspectos psicossociais. Material e métodos: uma revisão da literatura sobre o assunto foi realizada nas bases de dados PubMed e Scielo, utilizando as palavras-chave: estresse psicológico, doenças periodontais e cortisol. Resultados: a relação entre o estresse e a doença periodontal tem sido estudada desde a metade do século passado e apresenta-se de variadas formas clínicas, representando grandes impactos negativos em dimensões humanas e sociais. A maioria dos estudos publicados até o momento evidencia como os mecanismos do estresse influenciam a doença periodontal alterando a resposta inflamatória, imunológica e promovendo mudanças comportamentais. Conclusão: o estresse tem sido apontado como um possível fator de risco que infl uencia a instalação e a progressão das doenças periodontais. Contudo, os resultados obtidos ainda não estão defi nitivamente entendidos e estabelecidos.

Objective: to review stress as predisposing factor to installation and development of periodontal disease evaluating its biological mechanism and psychosocial aspects. Material and methods: a literature review about the subject was made through PubMed and Scielo databases using the keywords "psychological stress", "periodontal disease", and "cortisol". Results: the relation between stress and periodontal disease has been studied since the second half of the last century. The condition of stress is presented with various clinical forms and represent a negative impact in human and social dimension. It is discussed that the physiopathology mechanism of stress influences periodontal disease modifying infl ammatory and immunological responses and promote behavior changes. Conclusion: stress has been linked as the possible risk factor that infl uences installation and progression of periodontal disease. However the results are not yet definitively understood and established.

Asociación entre la depresión y el síndrome de Burnout en médicos residentes e internos de medicina en el Hospital Nacional Daniel Alcides Carrión en el año 2015 / Association between depression and the burnout syndrome in medical residents and interns of medicine at the National Hospital Daniel Alcides Carrion in 2015

Objetivo: Estimar la asociación entre la depresión y el Síndrome de Burnout en médicos residentes e internos de medicina en el Hospital Nacional Daniel Alcides Carrión en el año 2015. Métodos: Estudio observacional, descriptivo y analítico transversal, de datos estadísticos de encuestas realizadas en el Hospital Nacional Daniel Alcides Carrión en el año 2015. Se incluyen a todos médicos residentes e internos de medicina del Hospital que acepten participar en la investigación y que su permanencia laboral sea mayor a dos semanas. La información se manejó y almacenó en una base de datos creada en el paquete de hoja de cálculo de Microsoft Excel 2010 y el análisis estadístico se realizó y evaluó con el paquete estadístico Stata 14. Resultados: La muestra estuvo conformada por 39 médicos residentes y 81 internos de medicina que cumplieron la muestra de inclusión y exclusión. Se encontró asociación entre la presencia de Síndrome de Burnout y depresión con un OR: 83.06, IC 95 por ciento: 24.81 - 278.04 y p<0.001, medida por regresión logística. Conclusiones: La prevalencia global del Síndrome de Burnout fue 46.7 por ciento. El Síndrome de Burnout desarrolla 83 veces más depresión en personas que sufren esta enfermedad que en los que no la padecen. En general se demuestra que el Síndrome de Burnout es un factor de riesgo alto, estadísticamente significativo, para desarrollar depresión.

Objective: To estimate the association between depression and burnout syndrome in medical residents and interns of medicine at the National Hospital Daniel Alcides Carrion in 2015. Methods: Cross-sectional, descriptive and analytical study, statistical data from surveys conducted at the National Hospital Daniel Alcides Carrion in 2015 to all medical residents and interns of medicine of hospital who agree to participate in the investigation and that their job tenure is Included more than two weeks. The information is handled and stored in a database created in the package spreadsheet Microsoft Excel 2010 and statistical analysis was performed and evaluated with Stata 14 statistical package. Results: The sample consisted of 39 medical residents and 81 medical interns who met the inclusion and exclusion shows. Association between the presence of burnout syndrome and depression with an OR: 83.06, IC 95 per cent: 24.81 - 278.04 y p<0.001, measured by logistic regression was found. Conclusions: The overall prevalence of burnout syndrome was 46.7 per cent Burnout Syndrome develops depression in people suffering from this disease than in those without diabetes 83 times. Generally it shows that the burnout syndrome is a high risk factor statistically significant for developing depression.

Estresse no trabalho e alto risco cardiovascular em funcionários do Campus Saúde de uma universidade pública / Job strain and high cardiovascular risk among employees of a health campus of Public University

As Doenças Cardiovasculares (DCV) se destacam como as principais causas de morte em todo o mundo, representando o problema de saúde pública mais relevante na atualidade. Nas últimas décadas, várias pesquisas têm sido feitas no sentido de se identificar os fatores que aumentam o risco de ocorrência das DCV. Entretanto, esses determinantes não foram, ainda, consistentemente averiguados para a população brasileira. Trata-se de um estudo epidemiológico, transversal e analítico, conduzido com o objetivo de analisar os fatores associados ao alto risco cardiovascular em funcionários do campus saúde de uma universidade pública. A amostra foi constituída de 211 participantes, de ambos os sexos, com idades entre 20 e 65 anos, dos quais foram coletados dados demográficos, socioeconômicos, antropométricos, análises bioquímicas e de pressão arterial, do estilo de vida e das condições de trabalho. O risco cardiovascular foi calculado com base no escore de Framingham. Realizou-se análise estatística descritiva (frequências absolutas e relativas), bivariada (testes de qui-quadrado de Pearson ou exato de Fisher) e multivariada (Regressão de Poisson) com nível de significância de 5%. A prevalência de alto risco cardiovascular foi de 28% (IC95%: 22,0-34,5). Os perfis antropométrico, bioquímico, nutricional e estilo de vida dos trabalhadores avaliados apresentaram-se inadequados, com altas frequências de adiposidade global, dislipidemias, hipertensão arterial, hábitos alimentares inadequados, consumo de bebida alcoólica e sedentarismo. Demanda controle [categoria alta exigência (RP: 4,12; IC 95%: 1,56-10,84)], IMC [25-29,9 (RP: 2,11; IC 95%: 1,08-4,15) e ≥ 30 (RP: 3,33; IC 95%: 1,77-6,26)] e apoio social [categoria muito suporte (RP: 1,68; IC 95%: 1,12-2,53)] se associaram independentemente ao alto risco cardiovascular. É importante que esses achados sejam considerados nas discussões sobre promoção de saúde do trabalhador, com o intuito de estabelecer medidas de prevenção...

Cardiovascular Diseases (CVD) stand out as the leading causes of death worldwide, accounting for the most significant public health problem today. In recent decades, many studies have been made to identify the factors that increase the risk of CVD occurrence. However, these determinants were not also consistently investigated, yet, for the Brazilian population. This is an epidemiological, cross-sectional analytical study, conducted with the aim of analyzing the factors associated with high cardiovascular risk in employees of health campus of a Public University. The sample consisted of 211 participants, of both sexes, aged between 20 and 65 years, whose demographic, socioeconomic, anthropometric, biochemical and blood pressure analyzes, lifestyle and work conditions data were collected. Cardiovascular risk was calculated using the Framingham score. It were done statistical analysis descriptive (absolute and relative frequencies), bivariate (chi-square test of Pearson and Fisher's exact test) and multivariate analysis (Poisson regression) with significance level of 5%. The prevalence of high cardiovascular risk was 28% (95% CI: 20.0 to 34.5). The anthropometric, biochemical, nutritional and lifestyle profiles of workers were very poor, with high prevalence of global obesity, dyslipidemia, hypertension, inadequate dietary habits, alcohol consumption and sedentary lifestyle. Control demand [job strain category (PR: 4.12, 95% CI: 1.56 to 10.84), body mass index [25-29.9 (PR: 2.11, 95% CI: 1.08 to 4.15) and ≥ 30 (PR: 3.33, 95% CI 1.77 to 6.26) and social support [high support category (PR: 1.68, 95% CI: 1.12 to 2.53)] were independently associated with high cardiovascular risk. It is important that these findings are considered in discussions on promoting worker health, aiming to establish measures for prevention, control and treatment of CVD in this population and consequently decrease of chronic...

Síndrome de Burnout en internos de medicina y su relación con auto-reporte de errores médicos en atención brindada en el Hospital Nacional Arzobispo Loayza - 2013 / Burnout syndrome in medicine interns and its relationship with self-report of medical errors in care provided at the National Hospital Arzobispo Loayza - 2013

INTRODUCCION: El Síndrome de Burnout (CIE10: Z73.0) o Síndrome de "quemarse por el trabajo" es un desorden de alta prevalencia a nivel mundial, sin embargo con pocos estudios en nuestro país, el cual se ha reportado como posible factor asociado a errores médicos, sin embargo dicha asociación no ha sido evaluada en nuestro medio. OBJETIVOS: Determinar la prevalencia del Síndrome de Burnout en la población de Internos de Medicina del Hospital Nacional Arzobispo Loayza (HNAL) en el periodo 2013 y la relación de aquel con el auto-reporte de errores médicos. MATERIALES Y METODOS: Se realizó un estudio transversal en 118 internos de Medicina Humana del Hospital Nacional Arzobispo Loayza al final de su internado a los cuales de forma anónima se aplicó la encuesta de Síndrome de Burnout validada al español ("Maslach Burnout Inventory" para profesionales de la Salud: Human Services Survey "MBI-HSS") además de un cuestionario de 6 preguntas orientadas a la evaluación de auto-reporte de errores médicos durante el internado y 6 preguntas en relación a datos laborales demográficos. La tasa de respuesta fue de 69.5 por ciento. La prevalencia del Síndrome de Burnout encontrada fue de 63.5 por ciento (52 internos) (lC 95 por ciento: 52.6-73.02 por ciento), mientras que el 40 por ciento (33 internos) (IC 95 por ciento: 30.29-51.06 por ciento) reportaron haber cometido al menos un error médico durante el tiempo de internado. En el análisis estadístico se encontró asociación significativa entre dichas variables, por otro lado se encontró que los internos de medicina afectados con el Síndrome de Burnout presentaban 8 veces más riesgo de cometer errores médicos (OR: 8.196, intervalo de confianza al 95 por ciento: 2.50-26.84) en relación a quienes no lo presentaban. No se encontró asociación significativa entre los factores demográficos/laborales y la presentación del síndrome de Burnout. CONCLUSIONES: El Síndrome de Burnout se presenta en más de 6 por cada 10 internos de...

INTRODUCTION: Burnout syndrome (ICD10: Z73.0) is a disorder of high prevalence worldwide, but we still have few studies about that in our country. On the other hand it has been reported as a possible factor associated with medical errors; however this association has still not been evaluated in our context. OBJECTIVES: To determine the prevalence of burnout in medical students during their internship in a Peruvian Medical Center Arzobispo Loayza in the academic period 2013 and to assess whether there is a significant association between Burnout and self-reported medical errors. MATERIALS AND METHODS: A cross-sectional study was conducted on 118 medical students who were finishing their internship at a Peruvian Medical Center. An anonymous electronic self-administrated survey was used to assess Burnout: MBI-HSS (Maslach Burnout Inventory for health professionals), and a second questionnaire with questions about demographic and occupational factors. RESULTS: The response rate was 69.5 per cent. The prevalence of Burnout syndrome was 63.5 per cent (52 interns) (95 per cent CI: 52.6-73.02 per cent), while 40 per cent (33 interns) (95 per cent CI: 30.29-51.06 per cent) reported having committed at least a major medical error during the time of the internship. In the statistical analysis: significant association between these variables was found, also we have found that interns who suffer Burnout (OR: 8.196, confidence interval 95 per cent 2.50-26.84) present more than 8 times more risk of emitting medical errors. No significant association between demography I occupational factors and Burnout was found. CONCLUSIONS: Burnout syndrome occurs in more than 6 per 10 interns in our hospitals. The self-report of medical errors is significantly associated with the presence of burnout syndrome. On the other hand demography and occupational factors seem don't be associated with that syndrome. Hence, it is important to assess its association with other factors. It is...

Factors associated with voice disorders among teachers: a case-control study / Disturbio de voz relacionado ao trabalho docente: um estudo caso-controle

Purpose: We aimed at verifying an association between voice disorders/stress and loss of work ability among female teachers who work in São Paulo's public school system. Methods: This is a paired case– control study. The case group was composed offiteachers with alterations in speech and larynges assessments, and the control group was formed by teachers without alterations in these evaluations who work in the same schools. Both groups answered the following questionnaires: Conditions of Vocal Production—Teachers, Job Stress Scale, and Work Ability Index. The analysis was performed using the chi-square association test and logistic regression models with the purpose of estimating the association between independent variables and voice disorders. Results: We found differences between the groups in relation to stress in the workplace under high demand, a situation that poses greater risks of adverse reactions to the workers' physical and mental health. Regarding the ability to work, the categories poor and moderate ability for work are associated with voice disorders, regardless of job stress factors, age, and the unsatisfactory acoustic properties of the classrooms. Conclusion: This study confirmed the association between voice disorders and job stress, as well as between voice disorders and loss of work ability. .

OBJETIVO: Determinar a associação entre distúrbio de voz e estresse no trabalho e perda da capacidade de trabalho entre professoras da rede municipal de São Paulo. MÉTODOS: Estudo caso-controle pareado por escola em que o grupo caso foi formado por professores com alteração nas avaliações de voz e laringe e o grupo controle, por professores das mesmas escolas sem alteração nas avaliações. Todos responderam os questionários Condição de Produção Vocal-Professor (CPV-P), Job Stress Scale (JSS) e Índice de Capacidade para o Trabalho (ICT). Foram utilizados teste do qui-quadrado e modelos de regressão logística para estimar associação entre variáveis independentes e o distúrbio de voz. RESULTADOS: Foi encontrada diferença entre o grupo de casos e de controles em relação ao estresse no trabalho na condição de alta exigência, que representa alta demanda associada a baixo controle do trabalho, situação com maior risco de presença de reações adversas à saúde física e mental dos trabalhadores. Em relação à capacidade de trabalho, as categorias baixa e moderada capacidade para o trabalho estão associadas à presença de distúrbio de voz, independentemente dos fatores estresse no trabalho, idade e acústica insatisfatória. CONCLUSÃO: O estudo confirmou a associação entre distúrbio de voz e estresse no trabalho, bem como entre distúrbio de voz e perda de capacidade para o trabalho. .

Factors associated with voice disorders among teachers: a case-control study.

PURPOSE: We aimed at verifying an association between voice disorders/stress and loss of work ability among female teachers who work in São Paulo's public school system. METHODS: This is a paired case- control study. The case group was composed offiteachers with alterations in speech and larynges assessments, and the control group was formed by teachers without alterations in these evaluations who work in the same schools. Both groups answered the following questionnaires: Conditions of Vocal Production-Teachers, Job Stress Scale, and Work Ability Index. The analysis was performed using the chi-square association test and logistic regression models with the purpose of estimating the association between independent variables and voice disorders. RESULTS: We found differences between the groups in relation to stress in the workplace under high demand, a situation that poses greater risks of adverse reactions to the workers' physical and mental health. Regarding the ability to work, the categories poor and moderate ability for work are associated with voice disorders, regardless of job stress factors, age, and the unsatisfactory acoustic properties of the classrooms. CONCLUSION: This study confirmed the association between voice disorders and job stress, as well as between voice disorders and loss of work ability.

Trastornos ansiosos y desórdenes temporomandibulares en funcionarios de un centro de salud familiar en la comuna de Concepción, Chile / Temporomandibular and anxiety disorders in workers of a family health center in the area of Concepción, Chile

Los trastornos temporomandibulares (TTMs) involucran los músculos de la masticación, articulación temporomandibular (ATM) y otras estructuras asociadas a la cavidad oral y representan un conjunto de disfunciones de la articulación, a la cual se le asocia una naturaleza multifactorial, condición que puede llegar a tener de un 50 a 93 por ciento de prevalencia en la población y cuya etiología es asociada a estrés y/o estados psicológicos alterados. Se efectuó un estudio descriptivo observacional de corte transversal con el objetivo de determinar la prevalencia de Trastornos Ansiosos y TTM, en funcionarios del Centro de Salud Familiar (CESFAM) Tucapel, sector Barrio Norte, en la comuna de Concepción. De los 97 funcionarios, 79 aceptaron voluntariamente a participar del estudio y todos trabajan directamente con pacientes en un sector con numerosos problemas socioeconómicos y laborales. Se aplicó una encuesta orientada a la pesquisa tanto de patologías psicológicas, como signos y síntomas de TTM, además de un examen extra e intraoral complementario. En los encuestados se encontró trastornos ansiosos y estados asociados a burnout en un 81 y 27,8 por ciento respectivamente, además había TTM en un 98.7 por ciento de origen multifactorial, pero presente en todos los individuos encuestados y examinados con trastornos ansiosos y estados asociados a burnout.

Temporomandibular disorders (TMDs) involve the muscles of mastication, temporomandibular joint (TMJ) and other structures associated with the oral cavity and represent a multifactorial nature of disorders associated to this joint, condition that is in the range of 50 to 93 percent of prevalence in the population and whose etiology is associated with stress and / or altered psychological states. The present study is a descriptive cross-sectional observational in order to determine the prevalence of anxiety disorders and TMD in workers of the Tucapel Family Health Center (CESFAM), Barrio Norte, in Concepción’s commune. Of the 97 staff, 79 agreed to take part voluntarily of the study, all of these people also work directly with patients at a sector with numerous socioeconomic and employment problems. A survey aimed toward the inquiry of psychological, TMD (signs and symptoms) and extra-intra oral complementary examination, was conducted. Anxiety disorders and burnout associated conditions were found (81 and 27.8 percent respectively), multifactorial TMD was also reported (98.7 percent) but present in all individuals with anxiety disorders and conditions associated to burnout.

El síndrome de Burnout como enfermedad laboral: nuevo instrumento para su diagnóstico / Burnout syndrome as occupational disease: a new tool for diagnosis

El síndrome de quemarse por el trabajo se define como una respuesta al estrés laboral crónico integrado por actitudes y sentimientos negativos hacia las personas con las que se trabaja y hacia el propio rol profesional, así como por la vivencia de encontrarse emocionalmente agotado. esta respuesta ocurre con frecuencia en los profesionales de la salud y, en general, en profesionales de organizaciones de servicios que trabajan en contacto directo con los usuarios de la organización. M;aslach y Jackson (1986), crearon una de las definiciones mas conocidas y aceptadas. Materiales y Métodos: para la realización del trabajo se construyó una nueva escala a partir de una construcción conceptual del síndrome intentando indagar a través de el sobre los signos y síntomas que aparecen en una persona que puede padecer el síndrome. Sobre esa escala final se realizó un relevamiento sobre 806 individuos del equipo de salud a quienes se les solicito llenar el cuestionario, a lo que se le llamo tiempo 1, a los 7 dias se le pidió responder nuevamente la escala a los fines de poder determinar la estabilidad temporal de la escala, a la que respondieron 289 individuos...

Stress e qualidade de vida no trabalho: perspectivas atuais da saúde ocupacional / Stress and quality of work life: perspectives of health

Este livro aborda tópicos importantes nas áreas de stress, saúde ocupacional e qualidade de vida, reunindo um grupo multidisciplinar de especialistas que fornecem análises aprofundadas sobre o tema. Pelo fato de o stress no trabalho Ter se formado em uma preocupação mundial, este livro assume uma perspectiva verdadeiramente internacional sobre o stress ocupacional e o bem-estar dos colaboradores. A obra apresenta temas do que é atualmente uma literatura em expansão que visa atender as causas, os efeitos e a prevenção do stress no local de trabalho. Começa com três capítulos sobre as diferentes fontes de stress ocupacional, abordando de fatores organizacionais a atributos dos próprios trabalhadores. Os cinco capítulos seguintes atualizam a compreensão sobre os efeitos adversos que o stress pode ter sobre os indivíduos, suas famílias e as organizações. O último grupo de capítulos do livro tem um tom mais positivo, avaliando os benefícios de ambientes de trabalho saudáveis e formas de superar a prevenir o stress no trabalho. Em suma, os capítulo destacam o conhecimento básico e os novos avanços no campo em rápida expansão de pesquisa na área do trabalho e stress. Com a leitura desta obra, os leitores vão obter informações que sirvam para alertar para as causas e os custos do stress ocupacional. O texto fornece incentivos e idéias para que as organizações no Brasil e em outros países comecem a pensar e a buscar formas de criar um ambiente menos estressante, garantindo, assim, a sua produtividade e a qualidade dos seus produtos sem prejuízos à saúde e ao bem-estar da sua força de trabalho.

Intervenção profissional na Educação Física escolar: considerações sobre o trabalho docente / Intervención profesional en la Educación Física Escolar: consideraciones acerca del trabajo docente / Professional Intervention at School’s Physical Education: considerations about the teaching work

O presente ensaio aborda os principais problemas enfrentados no trabalho docente, mais especificamente dos professores de Educação Física da Educação Básica. O ambiente de trabalho nesta área tem favorecido o surgimento de doenças laborais, tais como Síndrome do Esgotamento Profissional, estresse, dependências químicas, doenças no aparelho fonador, entre outras. Deste modo, a necessidade de realização de novas investigações que abordem a qualidade de vida no trabalho e o estilo de vida dos docentes é apontada. Além disso, alerta-se para a necessidade dos problemas detectados serem considerados pelos gestores e pela comunidade escolar para favorecer a melhoria do ambiente da profissão docente.

This essay touch on the main problems faced in the teaching work. Most precisely, it deals with the professional practices of Physical Education teachers of basic education. The work’s environment of such a subject has been favorable for the appearance of working diseases, such as the burnout syndrome, stress, chemical addiction, phonetic system infirmities, and so on. Thus, it is noticeable the necessity of new investigations about quality of life in the work, and life style of those teachers. In addition, this essay warms managers and the schooling community about the necessity of awareness on the detected problems in order to facilitate the improvement of the teacher’s professional environment.

El presente ensayo plantea los principias problemas enfrentados en el trabajo docente, tratándose especialmente de los profesores de Educación Física Básica. El ambiente de trabajo en esta área ha contribuido para el surgimiento de enfermedades laborales, tales como el síndrome del agotamiento profesional, estrés, dependencias químicas, enfermedades en el aparato fonador, entre otras. La necesidad de la realización de nuevas investigaciones que traten de la calidad de vida en el trabajo y el estilo de vida de los docentes es sobresaliente. Además, se alerta para la necesidad de especial atención por parte de los gestores y comunidad escolar con los problemas detectados, pues esto puede contribuir para la mejoría del ambiente de la profesión docente.

Análise de Burnout em profissionais de uma unidade de emergência de um hospital geral / Burnout analyses about professionals of an emergency unit of a general hospital / Análisis de Burnout en profesionales de una unidad de emergencia de un hospital general

A Unidade de Emergência é um ambiente no qual situações de ansiedade, pressão e estresse, são comuns. A pesquisa objetiva analisar as variáveis da Síndrome de Burnout em profissionais de enfermagem e médicos que atuam na Unidade de Emergência de um hospital geral. É descritiva, quantitativa, desenvolvida em um hospital do noroeste/RS, em 2007, com 38 profissionais. Os instrumentos de coleta de dados foram MBI e dados sociodemográficos. Para o tratamento estatístico utilizou-se SPSS e estatística descritiva. O perfil é 57,9% feminino, 25-30 anos de idade, 60,5% casado e com filhos, 70,3% ensino médio, 2,7% graduação e 27,0% especialização. 34,2% atuam há 3,5 anos na profissão, 55,3% 3,5 anos na Emergência e 56,8% dedicam-se exclusivamente ao trabalho neste local. Quanto às dimensões da síndrome, escores baixos para Desgaste Emocional e Despersonalização e alto para Incompetência (escore reverso). Na equipe médica as médias de Desgaste Emocional e Despersonalização são maiores do que na de enfermagem e a Incompetência, similaridade em ambas. Variáveis relacionadas ao Contexto do Trabalho apresentaram escores elevados nas duas categorias, a equipe médica obteve médias mais altas. A produção de maior conhecimento sobre a temática pode contribuir no cotidiano destes profissionais e instigar pesquisadores à continuidade de estudos.

The emergency unit is an environment where unseeded, pressure and stress situation are usual. The research analyses the Burnout Syndrome variables of on nurse and physician professionals of an emergency unit of a general hospital. It is descriptive and quantitative, developed in a hospital in northwest/RS, in 2007, with 38 professionals. The data were collected through the Maslash Burnout Inventory and socio-demographic data. For the statistics treatment were used SPSS and descriptive statistics. The population profile is 57,9% female, between 25 and 30 years old, 60,5% married and they have children, 70,3% have finished high school,2,7% are graduated and 27% are specialized. 34,2% of the professionals work in this area around 3,5 years, 55,3% are around 3,5 years at the emergency unit and 56,8% work exclusively at this place. About the Syndrome dimensions, low scores were verified for emotional decrease and depersonalization, and high incompetence (reverse score). The medical team presented averages of emotional decrease and depersonalization higher than the nursing's and the reverse score, similar in both. The variables related to the work context presented high scores in two categories, however, the medical team got higher averages. The production of the highest knowledge about the issue may contribute on the everyday of these professionals and to abet researchers, helping further studies.

La Unidad de Emergencia, ambiente en el cual situaciones de ansiedad, presión y stress, son comunes. La pesquisa analiza las variables de la Síndrome de Burnout en profesionales de enfermería y médicos que actúan en Unidad de emergencia de un hospital general. Es narrativa, cuantitativa, desarrollada en un hospital del Noroeste de RGS, en 2007, con 38 profesionales. Los instrumentos de colecta de datos fueron MBI y datos sociodemográficos. Para el tratamiento estadístico utilizando SPSS y estadística narrativa. El perfil es 57,9% femenino, 25-30 años de edad, 60,5% casado y con hijos, 70,30% enseñanza media, 2,7% graduación y 27% especialización. 34,2% actúan hace 3,5 años en la profesión, 55,3% 3,5% en Emergencias y 56,8% dedicándose exclusivamente al trabajo en este local. Cuanto al tamaño de la síndrome resultados bajos para el Desgaste Emocional y Despersonalización y alto para Incompetencia (resultado reverso). El equipo medico sufre mayor Desgaste Emocional y Despersonalización de que en enfermería y la Incompetencia similar en ambas. Relacionadas al Contexto del Trabajo ambas con resultados elevados. El equipo médico obtuvo media más altas. El mayor conocimiento sobre el tema podrá contribuir en el cotidiano de estos profesionales y estimular investigaciones de dichos estudios.

Avaliação da pressão arterial em bombeiros militares filhos de hipertensos através da monitorização ambulatorial da pressão arterial / Using ambulatory blood pressure monitoring to assess blood pressure of firefighters with parental history of hypertension

OBJETIVO: Avaliar a influência do antecedente familiar de hipertensão arterial sistêmica (HASF) sobre o efeito do estresse do trabalho em bombeiros militares comunicantes (BMC), através da monitorização ambulatorial da pressão arterial (MAPA). MÉTODOS: Estudo prospectivo caso-controle. Foi realizada a MAPA em 66 BMC saudáveis, durante 12 horas de trabalho na central de comunicações (CC), sendo 34 filhos de hipertensos (grupo 1) e 32 filhos de normotensos (grupo 2). RESULTADOS: O grupo 1 diferiu do grupo 2, pois apresentou, no trabalho, maiores médias sistólicas (134,1 ± 9,9 mmHg X 120,8 ± 9,9 mmHg p < 0,0001) e diatólicas (83,8 ± 8,3 mmHg X 72,9 ± 8,6 mmHg p < 0,001) e maiores cargas sistólicas (31,4 ± 25,6 por cento X 9,4 ± 9,4 por cento p = 0,0001) e diastólicas (28,3 ± 26,6 por cento X 6,1 ± 8,9 por cento p = 0,0001). A prevalência de hipertensão arterial sistêmica (HAS) no grupo 1, no trabalho, foi de 32,3 por cento. Estes indivíduos, monitorados fora do trabalho, normalizaram a pressão arterial (hipertensos funcionais). O grupo 2 revelou pressão arterial (PA) normal no trabalho. CONCLUSÃO: A pressão arterial mais elevada em BMC filhos de hipertensos é explicada de maneira independente pela HASF e aqueles que desenvolveram HAS durante o turno de trabalho na CC, podem ser considerados hipertensos funcionais, enquanto, os BMC filhos de normotensos, submetidos ao estresse psicológico, estão livres de alterações na pressão arterial.

OBJECTIVE: To evaluate the influence of family history of systemic arterial hypertension (FSAH) on the effect of stress from work in Uniformed Firefighters (BMCs) through Ambulatory Blood Pressure Monitoring (ABPM). METHODS: A prospective case-control study. Sixty-six healthy BMC underwent ABPM during 12 hours of work at the Communication Center (CC). Thirty-four had hypertensive parents (group 1) and thirty-two had normotensive parents (group 2). RESULTS: Group I differed from group 2 in that it showed higher mean systolic (134.1 ± 9.9 mmHg X 120.8 ± 9.9 mmHg p < 0.0001) and diastolic (83.8 ± 8.3 mmHg X 72.9 ± 8.6 mmHg p < 0.001) blood pressure, in addition to greater systolic (31.4 ± 25.6 percent X 9.4 ± 9.4 percent p = 0.0001) and diastolic (28.3 ± 26.6 percent X 6.1 ± 8.9 percent p = 0.0001) loads. The prevalence of systemic arterial hypertension (SAH) in group 1 at the workplace was 32.3 percent. Monitored away from the job, these subjects showed normal blood pressure (functionally hypertensive). Group 2 revealed normal blood pressure (BP) at work. CONCLUSION: Higher blood pressure in BMC with hypertensive parents is explained independently by the SAH. Subjects who developed SAH during their work at the CC may be considered functionally hypertensive, whereas those with normotensive parents and who underwent psychological stress are free of blood pressure changes.

Using ambulatory blood pressure monitoring to assess blood pressure of firefighters with parental history of hypertension.

OBJECTIVE: To evaluate the influence of family history of systemic arterial hypertension (FSAH) on the effect of stress from work in Uniformed Firefighters (BMCs) through Ambulatory Blood Pressure Monitoring (ABPM). METHODS: A prospective case-control study. Sixty-six healthy BMC underwent ABPM during 12 hours of work at the Communication Center (CC). Thirty-four had hypertensive parents (group 1) and thirty-two had normotensive parents (group 2). RESULTS: Group I differed from group 2 in that it showed higher mean systolic (134.1 +/- 9.9 mmHg X 120.8 +/- 9.9 mmHg p < 0.0001) and diastolic (83.8 +/- 8.3 mmHg X 72.9 +/- 8.6 mmHg p < 0.001) blood pressure, in addition to greater systolic (31.4 +/- 25.6 % X 9.4 +/- 9.4 % p = 0.0001) and diastolic (28.3 +/- 26.6 % X 6.1 +/- 8.9 % p = 0.0001) loads. The prevalence of systemic arterial hypertension (SAH) in group 1 at the workplace was 32.3%. Monitored away from the job, these subjects showed normal blood pressure (functionally hypertensive). Group 2 revealed normal blood pressure (BP) at work. CONCLUSION: Higher blood pressure in BMC with hypertensive parents is explained independently by the SAH. Subjects who developed SAH during their work at the CC may be considered functionally hypertensive, whereas those with normotensive parents and who underwent psychological stress are free of blood pressure changes.