ABSTRACT
Objetivou-se identificar as estratégias de enfrentamento utilizadas pelos gestores da Atenção Primária à Saúde durante a pandemia da Covid-19. Trata-se de um estudo qualitativo, realizado com 10 profissionais da Atenção Primária à Saúde do município de Ibiporã, localizado no Norte do estado do Paraná. Foram realizadas entrevistas individuais, semiestruturadas, audiogravadas, transcritas na íntegra e submetidas ao Discurso do Sujeito Coletivo, adotando como referencial teórico a Teoria das Representações Sociais. As questões que permearam a identificação das estratégias de enfrentamento adotadas pelos gestores abrangeram quatro ideias centrais: questionamentos acerca dos sentimentos frente à experiência em ser gestor durante a Covid-19; tomada de decisões sobre a reorganização dos serviços frente à Covid-19; principais dificuldades e limitações durante o processo de trabalho; e estratégias pessoais e profissionais que auxiliaram no enfrentamento da Covid-19 enquanto gestor municipal de saúde. Verificou-se que a busca pelas estratégias de enfrentamento deu-se pelos sentimentos de desconhecimento acerca da Covid-19, o que desencadeou medo, cansaço e estresse nos gestores e equipes de saúde, com a necessidade de planejamento e readequações no processo de trabalho. As principais estratégias de enfrentamento utilizadas pelos gestores foram: diálogo com a equipe, escuta ativa, apoio dos familiares e momentos de oração.
The objective was to identify the management strategies used by Primary Health Care managers during the Covid-19 pandemic. This is a qualitative study, carried out with 10 professionals from Primary Health Care in the city of Ibiporã, located in the north of the State of Paraná. interviews, semi-structured audios, transcribed in full-recording and presented for individual Discourse Representations, transcribed in integral theory and presented as Social Discourse Representations were referenced. The questions that permeate the identification of the four management strategies planned by the managers cover central: questions about the feelings facing the experience of being Covid-19; decision-making on the reorganization of services in the face of Covid-19; main difficulties and guarantees during the work process; and personal and professional strategies that help face Covid-19 as a municipal health manager. It was found that fear seeks coping strategies, due to feelings of ignorance about Covid-19, which triggered fatigue and stress in managers and health teams, with the need for planning and readjustments in the work process. The main coping strategies used by the managers were: dialogue with the team, active listening, support from family members and moments of prayer.
Subject(s)
Humans , Male , FemaleABSTRACT
OBJECTIVE: to evaluate the association of the burnout syndrome with daytime sleepiness and sleep quality among technical-level Nursing students. METHOD: a cross-sectional, analytical and quantitative study, conducted with 213 students from four technical Nursing courses in a city of Paraná, Brazil. Data collection was carried out using an instrument containing characterization information, the Maslach Burnout Inventory - Student Survey, the Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Index. The data were analyzed using descriptive statistics and logistic regression. RESULTS: the prevalence values of the burnout syndrome, excessive daytime sleepiness and poor sleep quality were 4.7%, 34.7% and 58.7%, respectively. Excessive daytime sleepiness significantly increased the chances of high emotional exhaustion (ORadj: 5.714; p<0.001) and high depersonalization (ORadj: 4.259; p<0.001). Poor sleep quality, especially sleep disorders, was associated with all dimensions of the syndrome (p<0.05). CONCLUSION: high levels of the burnout syndrome dimensions were associated with excessive daytime sleepiness and poor sleep quality. Educational institutions should include sleep hygiene and psychosocial support in their student health promotion programs.
Subject(s)
Burnout, Professional , Disorders of Excessive Somnolence , Students, Nursing , Burnout, Professional/epidemiology , Cross-Sectional Studies , Disorders of Excessive Somnolence/epidemiology , Humans , Sleep HygieneABSTRACT
OBJECTIVES: to analyze quality of sleep among students of technical courses in nursing according to the exercise of work activity. METHODS: a cross-sectional and analytical research, with 213 students from Paraná. Characterization data and the Pittsburg Sleep Quality Index were collected between March and June 2020 and analyzed descriptively and inferentially. RESULTS: quality of poor sleep was 76.5% among those who work and 75.3% among those who do not work. Difficulty in reconciling personal and academic life (p=0.016;adjOR:3.450) and indicating anxiety due to school activities (p=0.017;adjOR:3.236) increased the chances of poor sleep quality among working students. Satisfaction with health reduced the chances of poor sleep quality, regardless of exercising work activity (p=0.002;adjOR:0.210) or not (p=0.008;adjOR:0.215). CONCLUSIONS: students who performed work activities have worse sleep quality due to anxiety and the multiple activities to be reconciled with the study.
Subject(s)
Students, Nursing , Brazil , Cross-Sectional Studies , Humans , Sleep , Surveys and QuestionnairesABSTRACT
ABSTRACT Objectives: to analyze quality of sleep among students of technical courses in nursing according to the exercise of work activity. Methods: a cross-sectional and analytical research, with 213 students from Paraná. Characterization data and the Pittsburg Sleep Quality Index were collected between March and June 2020 and analyzed descriptively and inferentially. Results: quality of poor sleep was 76.5% among those who work and 75.3% among those who do not work. Difficulty in reconciling personal and academic life (p=0.016;adjOR:3.450) and indicating anxiety due to school activities (p=0.017;adjOR:3.236) increased the chances of poor sleep quality among working students. Satisfaction with health reduced the chances of poor sleep quality, regardless of exercising work activity (p=0.002;adjOR:0.210) or not (p=0.008;adjOR:0.215). Conclusions: students who performed work activities have worse sleep quality due to anxiety and the multiple activities to be reconciled with the study.
RESUMEN Objetivos: analizar la calidad del sueño en estudiantes de cursos técnicos en enfermería según el ejercicio de la actividad laboral. Métodos: investigación transversal y analítica, con 213 estudiantes de Paraná. Los datos de caracterización y el Índice de Calidad del Sueño de Pittsburg se recopilaron entre marzo y junio de 2020 y se analizaron de forma descriptiva e inferencial. Resultados: la calidad del mal sueño fue del 76,5% entre los que trabajan y del 75,3% entre los que no trabajan. La dificultad para conciliar la vida personal y académica (p=0,016;ORaj:3,450) y la indicación de ansiedad por las actividades escolares (p=0,017;ORaj:3,236) aumentaron las posibilidades de mala calidad del sueño entre los estudiantes trabajadores. La satisfacción con la salud redujo las posibilidades de mala calidad del sueño, independientemente de la actividad laboral (p=0,002;ORaj:0,210) o no (p=0,008;ORaj:0,215). Conclusiones: los estudiantes que realizaban actividades laborales presentaron peor calidad de sueño debido a la ansiedad y las múltiples actividades a conciliar con el estudio.
RESUMO Objetivos: analisar a qualidade do sono entre estudantes de cursos técnicos em enfermagem segundo o exercício de atividade laboral. Métodos: pesquisa transversal e analítica, com 213 alunos paranaenses. Dados de caracterização e o Índice da Qualidade do Sono de Pittsburg foram coletados entre março e junho de 2020 e analisados descritiva e inferencialmente. Resultados: a qualidade do sono ruim foi de 76,5% entre os que trabalham e de 75,3% entre os que não trabalham. Dificuldade de conciliar vida pessoal e acadêmica (p=0,016;ORaj:3,450) e indicar ansiedade devido às atividades escolares (p=0,017;ORaj:3,236) aumentaram as chances de qualidade do sono ruim entre os alunos que trabalham. A satisfação com a saúde reduziu as chances de qualidade do sono ruim, independente de exercer atividade laboral (p=0,002;ORaj:0,210) ou não (p=0,008;ORaj:0,215). Conclusões: os estudantes que exerciam atividades laborais apresentam pior qualidade do sono devido à ansiedade e as múltiplas atividades a serem conciliadas com o estudo.
ABSTRACT
Objective: to evaluate the association of the burnout syndrome with daytime sleepiness and sleep quality among technical-level Nursing students. Method: a cross-sectional, analytical and quantitative study, conducted with 213 students from four technical Nursing courses in a city of Paraná, Brazil. Data collection was carried out using an instrument containing characterization information, the Maslach Burnout Inventory - Student Survey, the Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Index. The data were analyzed using descriptive statistics and logistic regression. Results: the prevalence values of the burnout syndrome, excessive daytime sleepiness and poor sleep quality were 4.7%, 34.7% and 58.7%, respectively. Excessive daytime sleepiness significantly increased the chances of high emotional exhaustion (ORadj: 5.714; p<0.001) and high depersonalization (ORadj: 4.259; p<0.001). Poor sleep quality, especially sleep disorders, was associated with all dimensions of the syndrome (p<0.05). Conclusion: high levels of the burnout syndrome dimensions were associated with excessive daytime sleepiness and poor sleep quality. Educational institutions should include sleep hygiene and psychosocial support in their student health promotion programs.
Objetivo: evaluar la asociación del síndrome de burnout con la somnolencia diurna y la calidad del sueño en estudiantes de enfermería de nivel técnico. Método: estudio transversal, analítico y cuantitativo, con 213 estudiantes de cuatro carreras técnicas de enfermería en una ciudad del estado de Paraná, Brasil. La recolección de datos se realizó utilizando un instrumento que contiene información de caracterización, el Maslach Burnout Inventory - Student Survey, la Escala de Somnolencia de Epworth y el Índice de Calidad del Sueño de Pittsburgh. Los datos se analizaron mediante estadística descriptiva y regresión logística. Resultados: las prevalencias del síndrome de burnout, de la somnolencia diurna excesiva y de la mala calidad del sueño fueron 4,7%, 34,7% y 58,7%, respectivamente. La somnolencia diurna excesiva aumentó significativamente las posibilidades de alto agotamiento emocional (ORaj: 5,714; p<0,001) y alta despersonalización (ORaj: 4,259; p<0,001). La mala calidad del sueño, especialmente las alteraciones del sueño, se asoció con todas las dimensiones del síndrome (p<0,05). Conclusión: altos niveles de las dimensiones del síndrome de burnout se asociaron con somnolencia diurna excesiva y mala calidad del sueño. Las instituciones educativas deben incluir la higiene del sueño y el apoyo psicosocial en sus programas de promoción de la salud de los estudiantes.
Objetivo: avaliar a associação da síndrome de burnout com a sonolência diurna e a qualidade do sono entre alunos de nível técnico em enfermagem. Método: estudo transversal, analítico e quantitativo, com 213 alunos de quatro cursos técnicos em enfermagem de uma cidade do Paraná, Brasil. A coleta de dados foi realizada por meio de um instrumento contendo informações de caracterização, o Maslach Burnout Inventory - Student Survey, a Escala de Sonolência de Epworth e o Índice da Qualidade do Sono de Pittsburgh. Os dados foram analisados por estatística descritiva e regressão logística. Resultados: as prevalências da síndrome de burnout, da sonolência diurna excessiva e da qualidade do sono ruim foram 4,7%, 34,7% e 58,7%, respectivamente. A sonolência diurna excessiva aumentou significativamente as chances de alta exaustão emocional (ORaj: 5,714; p<0,001) e alta despersonalização (ORaj: 4,259; p<0,001). A qualidade do sono ruim, sobretudo os distúrbios do sono, associou-se com todas as dimensões da síndrome (p<0,05). Conclusão: altos níveis das dimensões da síndrome de burnout foram associados à sonolência diurna excessiva e à má qualidade de sono. As instituições de ensino devem incluir a higiene do sono e o apoio psicossocial em seus programas de promoção à saúde dos estudantes.