Middle-Range Theory of Occupational Stress in Health Professionals.

Introduction: Occupational stress affects health professionals; however, no literature was found on the middle-range theory for this outcome in health professionals. Methods: Methodological study for the theoretical validation of a nursing diagnosis using the theoretical framework of Walker and Avant and the Betty Neuman systems models. The research was conducted in five stages: comprehension of the system model; selection and review of studies; development of the conceptual-theoretical-empirical structure; elaboration of a diagram and proposition of a nursing diagnosis; and evaluation of the empirical adequacy of the theory and validity of the system model. These steps were conducted using a scoping review and a sample of 138 articles selected in the Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycINFO, LILACS, Science Direct, Cochrane Library, and Google Scholar databases. A data extraction instrument was developed, and study variables (attributes, antecedents, and clinical consequences) were analyzed using descriptive statistics (absolute and relative frequencies) and presented in tables. Results: The middle-range theory comprised 16 concepts, 20 propositions, and one diagram. A total of 15 related factors, 29 defining characteristics, six at-risk populations, and one associated condition were indicated to propose the nursing diagnosis for occupational stress. Conclusion: The middle-range theory supported elaborating elements to propose a nursing diagnosis for occupational stress.

Aspectos crônicos de servidores públicos com foco nos problemas de varizes e colesterol elevado / Chronic aspects of public servants with a focus on the problems of varicose veins and high cholesterol

Objetivo: descrever aspectos de saúde crônico-degenerativos dos servidores públicos do IFRN, como, também, inferir as variáveis sociodemográficas com as variáveis mais expressivas: ter varizes e colesterol alto. Método: estudo quantitativo, descritivo, empregando, como instrumento, o questionário fechado. A amostra observada foi de 774 participantes. Foram realizadas análises estatísticas descritivas e inferenciais, considerando-se o quantitativo de respostas que afirmam ter varizes ou colesterol alto. Resultados: os problemas crônicos degenerativos mais expressivos, apontados pelos servidores, são varizes, colesterol e triglicérides elevados, hipertensão e diabetes. As mulheres acima de 35 anos, que têm pós-graduação e companheiro, são as com maiores problemas de varizes. Os servidores acima de 35 anos, que trabalham nos campi da Grande Natal e têm companheiro, apresentam colesterol elevado. Conclusão: sugere-se que os projetos de atenção à saúde dos servidores considerem esses parâmetros como referência para implementar suas ações.