[Influence of work-related variables on quality of life of anesthesiologists in the city of João Pessoa]. / Influencia de las variables laborales en la calidad de vida delos anestesiólogos de la ciudad de joão pessoa.

BACKGROUND AND OBJECTIVES: Anesthesiologists work under great pressure because they are dealing with disease, pain, suffering, and death. Exposure of these professionals to the effects of fatigue and physical, chemical, and biological factors can cause physical and psychological disorders. The objective of the present study was to understand the influences of work-related variables on anesthesiologists' quality of life in the city of João Pessoa. METHODS: This is a descriptive, transversal study with a quantitative approach, with 83 physicians who answered a generic questionnaire proposed by the World Health Organization to evaluate quality of life (QOL). Data was analyzed by descriptive statistics and mean comparison tests. The level of significance adopted for analyses was 5%. RESULTS: Analysis demonstrated that work-related variables, i.e., the total hours of the weekly on-call schedule, working hours, sleep patterns after shifts and at shift intervals, and physical activity are all correlated with QOL. A statistically significant difference was seen between the domains of QOL scale and the number of working hours. On the other hand, monthly income influences QOL (p < 0.05) only in the environmental domain. CONCLUSIONS: It was observed that work-related variables had a significant correlation with QOL. In addition to expressive statistical difference between the domains of QOL scale and the number of working hours, the same divergence was also observed regarding the environmental domain and monthly income.

Cuidados paliativos com pacientes terminais: um enfoque na Bioética / Cuidados paliativos con pacientes terminales: un enfoque desde la Bioética / Palliative care with terminal patients: a focus on Bioethics

Objetivo: Este artigo buscou investigar de que modo os princípios da Bioética estão contemplados em publicações científicas que tratam de cuidados paliativos com pacientes terminais. Metodologia: Optou-se por desenvolver uma investigação de natureza bibliográfica, com abordagem qualitativa, realizada por meio de busca eletrônica no site da Biblioteca Virtual em Saúde (BVS), nas bases de dados SciELO e LILACS. O universo do estudo foi constituído por 269 artigos, oito dos quais, que tratam dos princípios da Bioética, representam a amostra. Para a análise do material empírico, optou-se pela técnica de análise de conteúdo. Para tanto foram seguidas as etapas de pré-análise, exploração do material e tratamento de dados. Os resultados foram apresentados por representação tabular. Resultados: Os resultados obtidos a partir da análise dos oito artigos foram organizados em três categorias, a saber: ênfase no princípio da autonomia; conforto e bem-estar ao ser doente terminal; conflitos com os princípios da bioética. Conclusão: Observou-se, em alguns estudos, a aplicação dos princípios da bioética, o que já possibilita vislumbrar uma melhor perspectiva para um futuro mais próximo. Contudo outras realidades apresentam, mesmo que de forma sutil, o descumprimento desses princípios, o que reflete ainda a necessidade de mudanças(AU)

Objetivo: Este artículo buscó investigar de qué modo los principios de la Bioética están contemplados en publicaciones científicas que abordan los cuidados paliativos con pacientes terminales. Metodología: Se optó por desarrollar una investigación de naturaleza bibliográfica, realizada por medio de una búsqueda electrónica en el sitio de la Biblioteca Virtual en Salud (BVS), en las bases de datos SciELO y LILACS. El universo de estudio fue constituido por 269 artículos, ocho abordaban principios de bioética, quedando en evidencia la muestra representada por estos artículos. Para el análisis de material empírico, se optó por la técnica de análisis del contenido. Para lo que fueron seguidas las etapas de pre-análisis, exploración del material y tratamiento de los datos. Resultados: Los resultados obtenidos, a partir del análisis de los ocho artículos, fueron organizados en tres categorías, a saber: énfasis en el principio de autonomía; confort y bienestar al ser enfermo terminal; conflictos con los principios de la bioética. Conclusión: Se observó en algunos estudios, la aplicación de los principios de la bioética, lo que posibilitó vislumbrar una perspectiva mejor para el futuro cercano, a pesar de ello, otras realidades presentan, aunque sutilmente, el incumplimiento de estos principios, lo que refleja todavía la necesidad de mudanzas(AU)

Objective: This article aimed to investigate how Bioethical principles are taken into consideration in scientific publications which deal with palliative cares with terminal patients. Methodology: As concerns the chosen methodology, an investigation of bibliographical nature was accomplished by means of electronic search in the Virtual Library for Health site (BVS), in the SCIELO and LILACS data basis. The research universe encompassed 269 articles which, eight of them dealt with bioethical principles. The sample was, in this way, represented by these eight articles. In regard to the empirical material analysis, the content analysis technique was used. For this reason, the following phases were taken into account: the pre-analysis, the material exploration and the data treatment. Results: The results obtained, from the analysis of the eight articles, were organized in three categories, such as: emphasis on the autonomy principle; comfort and well-being for the terminal patient; conflicts referring to bioethical principles. Conclusion: The use of bioethical principles was perceived in some researches and this enables to foresee a better outlook for a coming future. However, other realities present, though in a subtle way, that such principles are being unfulfilled, reflecting, thus, the need for changes(AU)