Sleep quality of nurses who worked in coping with COVID-19: an integrative review.

OBJECTIVE: to analyze sleep quality of nurses who worked coping with COVID-19 in scientific evidence. METHODS: an integrative review, carried out in seven databases, including studies between December 2021 and June 2022, without language restrictions. The sample consisted of 15 primary studies. RESULTS: nurses working in hospital, intensive care, outpatient care and teaching institutions constitute a vulnerable group for sleep disorders: latency, duration, efficiency and quality. The disorders identified involved insomnia at varying levels of severity: daytime dysfunction and morning sleepiness. Night work and low capacity for self-care were determinants of impaired sleep patterns. FINAL CONSIDERATIONS: the COVID-19 pandemic contributed to greater vulnerability of nurses to changes in sleep, requiring strategies for risk management and well-being promotion.

Factors related to work ability among nursing professionals from urgent and emergency care units: A cross-sectional study.

BACKGROUND: Nursing professionals are on the front line of health systems in Brazil as well as worldwide. Studies on the work ability of nursing professionals are especially relevant as care demands increase and health care workforce shortages are expected. As the population of Brazil ages, the need for nursing care will increase. OBJECTIVE: To identify levels and predictors of work ability among Brazilian nursing professionals. METHODS: A cross-sectional study with 267 nursing professionals (72 nurses and 195 nursing technicians and nursing auxiliary) from public emergency and urgent care units was conducted. Measures included the following: Work Ability Index; Questionnaire of Socio-demographics, Lifestyle and Work and Health Aspects; and Violence at Work questionnaire. Generalized linear regression and Poisson models were used for data analysis. RESULTS: The mean work ability was 40.4 (range: 22 to 49). Almost 79.6% (n = 211) of participants reported good or excellent work ability, and 20.4% (n = 54) reported moderate or poor work ability. Better perceptions of health and job satisfaction, absence of health issues (past 15 days), lower stress levels, and having a partner were associated with better work ability. Victims of workplace violence were less likely to have good or excellent work ability than non-victims (prevalence ratio = 0.80; 95% CI 0.72 to 0.90). Professionals with cumulative experiences of workplace violence were less likely to report better work ability. CONCLUSIONS: The prevalence of good or excellent work ability was 79.6%. Our findings indicate that the following factors are predictors of work ability: self-reported perception of health, health issues in the last 15 days, workplace violence, job satisfaction, stress, and marital status.

Sleep quality of nurses who worked in coping with COVID-19: an integrative review / Calidad del sueño de enfermeros que actuaron en el enfrentamiento a la COVID-19: revisión integradora / Qualidade do sono de enfermeiros que atuaram no enfrentamento da COVID-19: revisão integrativa

ABSTRACT Objective: to analyze sleep quality of nurses who worked coping with COVID-19 in scientific evidence. Methods: an integrative review, carried out in seven databases, including studies between December 2021 and June 2022, without language restrictions. The sample consisted of 15 primary studies. Results: nurses working in hospital, intensive care, outpatient care and teaching institutions constitute a vulnerable group for sleep disorders: latency, duration, efficiency and quality. The disorders identified involved insomnia at varying levels of severity: daytime dysfunction and morning sleepiness. Night work and low capacity for self-care were determinants of impaired sleep patterns. Final considerations: the COVID-19 pandemic contributed to greater vulnerability of nurses to changes in sleep, requiring strategies for risk management and well-being promotion.

RESUMEN Objetivo: analizar la calidad del sueño de enfermeros que actuaron frente a la COVID-19 en evidencia científica. Métodos: revisión integradora, realizada en siete bases de datos, incluyendo estudios entre diciembre de 2021 y junio de 2022, sin restricciones de idioma. La muestra estuvo compuesta por 15 estudios primarios. Resultados: los enfermeros que trabajan en instituciones hospitalarias, de cuidados intensivos, de atención ambulatoria y de enseñanza constituyen un grupo vulnerable para los trastornos del sueño: latencia, duración, eficiencia y calidad. Los trastornos identificados involucraron insomnio en diferentes niveles de severidad: disfunción diurna y somnolencia matutina. El trabajo nocturno y la baja capacidad de autocuidado fueron determinantes de los patrones de sueño alterados. Consideraciones finales: la pandemia de COVID-19 contribuyó para mayor vulnerabilidad de los enfermeros a los cambios en el sueño, requiriendo estrategias de gestión de riesgos y promoción del bienestar.

RESUMO Objetivo: analisar nas evidências científicas a qualidade do sono de enfermeiros que atuaram no enfrentamento da COVID-19. Métodos: revisão integrativa, realizada em sete bases de dados, incluindo estudos entre dezembro de 2021 e junho de 2022, sem restrições de idioma. A amostra foi constituída por 15 estudos primários. Resultados: os enfermeiros atuantes na assistência hospitalar, intensiva, ambulatorial e de instituição de ensino constituem grupo vulnerável para alterações no sono: latência, duração, eficiência e qualidade. Os transtornos identificados envolveram a insônia em níveis variados de gravidade: a disfunção diurna e a sonolência matinal. O trabalho noturno e a baixa capacidade para autocuidado foram determinantes do comprometimento no padrão de sono. Considerações finais: a pandemia de COVID-19 contribuiu para maior vulnerabilidade do enfermeiro às alterações no sono, exigindo estratégias para gerenciamento do risco e da promoção do bem-estar.

Associated factors of professional burnout among faculty members of graduate stricto sensu programs in language teaching and linguistics: a cross-sectional study

Abstract BACKGROUND: The burnout syndrome can be avoided and/or have its signs and symptoms reduced by knowing the five associated factors that help identify the health and working conditions of the professors of graduate programs. OBJECTIVE: To analyze the factors associated with burnout among faculty members of graduate stricto sensu programs. DESIGN AND SETTING: A cross-sectional study was conducted among 585 faculty members of Graduate Programs in Language Teaching and Linguistics in Brazil. METHODS: Data were collected through an online questionnaire. The outcomes were the dimensions of burnout and its related factors identified through multiple templates of logistic regression. RESULTS: Faculty members with increased chances of emotional exhaustion and depersonalization mentioned the use of medications due to labor activities. The negative influence of pace and intensity of work, thoughts about quitting the program, and having to produce three or more scientific articles were associated with higher chances of emotional exhaustion, while having to achieve nine hours per week in undergraduate programs was related to reduced personal accomplishment. Having a conjugal relationship, satisfaction with health and work, post-doctoral degree, autonomy, and good interpersonal relationships with faculty members of the program reduced the chances of emotional exhaustion. Reduced chances of depersonalization occurred among those who were satisfied with work, had good interpersonal relationships with advisees and faculty members, and received productivity funding. CONCLUSION: Sociodemographic, health, and occupational factors related to the dimensions of burnout were identified.

Work-related musculoskeletal disorders and work instability of nursing professionals.

Introduction: Characteristics of nursing work in hospital units expose professionals to risk factors that may favor instability at work and the development of work-related osteomuscular disorders, which may cause them to become ill and consequently different levels of incapacity to work. Objectives: to analyze the association between work instability of nursing professionals and the occurrence of work-related musculoskeletal disorders. Methods: Descriptive, cross-sectional study with quantitative approach of the data, performed in a hospital in the city of Ribeirão Preto - São Paulo. We used the Nurse-Work Instability Scale and the Nordic Musculoskeletal Questionnaire, with nursing professionals workers of an adult and pediatric intensive care center and of internment units of orthopedic, neurosurgery and head/neck surgery. Results: 111 nursing professionals participated in the study, 25.2% presented low risk of instability, 44.1% medium risk and 30.6% high risk. Statistical associations were found between instability and the variables sectors of work (p = 0.004) and work-related osteomuscular disorders in the regions: neck (p = 0.001), shoulders (p = 0.000), upper back (p = 0.007), elbow (p = 0.005), wrist (p = 0.002), lower back (p = 0.046), hip/thighs (p = 0.006), knees (p = 0.021), ankles and feet (p = 0.011). Conclusions: There is an association between instability at work and the presence of osteomuscular disorders related to the work of nursing professionals. Interventions are needed for instability precedes disability and is intrinsically related to absenteeism and early retirement.

Associated factors of professional burnout among faculty members of graduate stricto sensu programs in language teaching and linguistics: a cross-sectional study.

BACKGROUND: The burnout syndrome can be avoided and/or have its signs and symptoms reduced by knowing the five associated factors that help identify the health and working conditions of the professors of graduate programs. OBJECTIVE: To analyze the factors associated with burnout among faculty members of graduate stricto sensu programs. DESIGN AND SETTING: A cross-sectional study was conducted among 585 faculty members of Graduate Programs in Language Teaching and Linguistics in Brazil. METHODS: Data were collected through an online questionnaire. The outcomes were the dimensions of burnout and its related factors identified through multiple templates of logistic regression. RESULTS: Faculty members with increased chances of emotional exhaustion and depersonalization mentioned the use of medications due to labor activities. The negative influence of pace and intensity of work, thoughts about quitting the program, and having to produce three or more scientific articles were associated with higher chances of emotional exhaustion, while having to achieve nine hours per week in undergraduate programs was related to reduced personal accomplishment. Having a conjugal relationship, satisfaction with health and work, post-doctoral degree, autonomy, and good interpersonal relationships with faculty members of the program reduced the chances of emotional exhaustion. Reduced chances of depersonalization occurred among those who were satisfied with work, had good interpersonal relationships with advisees and faculty members, and received productivity funding. CONCLUSION: Sociodemographic, health, and occupational factors related to the dimensions of burnout were identified.

Use of recommended personal protective equipment among Brazilian health professionals during the COVID-19 pandemic.

BACKGROUND: The COVID-19 pandemic is one of the biggest health crises in the world and the use of personal protective equipment (PPE) is significant measures to prevent the transmission of SARS-CoV-2. However, PPE needs to be used properly by healthcare professionals. OBJECTIVE: To analyze the use of PPE among Brazilian health professionals and associated factors during a period of the COVID-19 pandemic. METHODS: An analytical cross-sectional study was carried out from October to December 2020. For data collection, the respondent-driven sampling technique was used, adapted for social media, with a link to an online survey form. RESULTS: The study considered 12,086 Brazilian health professionals. Most (69%) used PPE recommended for the care of patients with suspected or diagnosed COVID-19. Factors associated with the use of PPE were: working in an Intensive Care Unit (ICU) or in a field hospital, receiving training, being provided with sufficient, high-quality PPE by the workplace and being an odontologist compared to nursing professionals. For procedures that generate aerosols in the context of COVID-19, 54.1% of them used the recommended PPE, the associated factors were: being married or in a stable relationship compared to a single/divorced professional, working in an ICU, being offered training, providing sufficient, high-quality PPE, and being an odontologist compared to nursing professionals. CONCLUSIONS: For the care of patients with COVID-19, 69% of health professionals used PPE properly, and several factors interfered with the use of this equipment.

Depression, Anxiety and Stress in Health Professionals in the COVID-19 Context.

To assess the prevalence of depression, anxiety and stress symptoms in health professionals in the COVID-19 pandemic context. METHOD: Cross-sectional study with non-probabilistic (snow-ball) sampling method. The assessment was performed using the Depression, Anxiety, and Stress Scale (DASS-21) and the prevalence of symptoms severity was calculated by point and 95% confidence interval. The analysis of the psychometric properties of DASS-21 was performed using confirmatory factor analysis (CFA) and the following goodness of fit indices: χ2/df (chi-square ratio by degrees of freedom), Tucker-Lewis index (TLI), comparative fit index (CFI) and root mean square error of approximation (RMSEA) with a 90% confidence interval. RESULTS: The study participants were 529 health professionals (82.4% women and 66.7% nursing professionals). CFA of the DASS-21 structural model presented adequate fit for the sample (χ2/df = 3.530; CFI = 0.979; TLI = 0.976; RMSEA = 0.069). Regarding prevalence, moderate to extremely severe symptoms of depression, anxiety and stress were found in 48.6%, 55.0% and 47.9% of the participants, respectively. CONCLUSION: The use of DASS-21 confirmed the validity and reliability of the data. The prevalence of depression, anxiety and stress symptoms in the participants indicated a high risk of mental illness in health professionals in the COVID-19 pandemic.

Management of resources in a federal emergency hospital during the COVID-19 pandemic.

OBJECTIVE: To describe actions taken by the organizational management of an emergency service due to the COVID-19 pandemic, determined according to the prevalence of cases of infection by the coronavirus, severe acute respiratory syndrome, and flu-like illnesses. METHODS: Experience report based on a retrospective analysis of the attention for respiratory syndromes in the first semester of 2019 and 2020, in addition to an analysis of documents from the institutional protocols of a federal emergency service.Development: An increase in the number of attendances was observed, representing 7.25% and 19.4% of cases in 2019 and 2020, respectively. This was due to the creation of the Crisis Office, including a multidisciplinary team created to elaborate the plan of action, changes in the physical structure and in the work processes, and training sessions. FINAL CONSIDERATIONS: It became clear that the planning, coordination of actions based on the decisions of the Crisis Office, and the dissemination of reliable information, taking into consideration a focal point, were essential for the organization, management of the emergency service, and protection to the workers.

Risk of COVID-19 in frontline healthcare workers and interventions: a systematic review / Risco de COVID-19 em profissionais de saúde da linha de frente e intervenções: revisão sistemática

Objective: to identify the evidence related to the risks of SARS-CoV-2 exposure in healthcare workers and the interventions adopted. Method: systematic literature review in eight scientific databases and three gray literature repositories. Results: 26 studies identified as risk factors: scarcity, inadequate use or reuse of personal equipment; low adherence to precautionary measures; working in intensive care and COVID-19 sectors; long stay in a closed work environment; sharing eating areas without the use of masks and distance; low knowledge and unpreparedness for disease management. 12 studies identified as interventions: health surveillance programs with early detection, diagnosis and early withdrawal; organization of care flows; double triage; telemedicine; limitation of visits; creation of exclusive sectors for care to COVID-19; qualification and training with virtual tools and simulation. Conclusion: besides the risk of infection, individual, psychosocial and organizational factors made the healthcare work environment unsafe. Interventions should be adopted to mitigate the risks and decrease the professionals' morbidity and mortality.

Objetivo: identificar as evidências relacionadas aos riscos de exposição ao SARS-CoV-2 em profissionais de saúde e as intervenções adotadas. Método: revisão sistemática de literatura em oito bases de dados científicas e três repositórios de literatura cinzenta. Resultados: 26 estudos identificaram como fator de risco: escassez, uso inadequado ou reuso de equipamentos individuais; baixa adesão às medidas de precaução; atuação em terapia intensiva e setores COVID-19; longa permanência em ambiente de trabalho fechado; compartilhamento de espaços para alimentação sem uso de máscara e distanciamento; baixo conhecimento e despreparo para atendimento à doença. 12 estudos identificaram como intervenções:  programas de vigilância em saúde com detecção precoce, diagnóstico e afastamento precoce; organização de fluxos de atendimento; triagem dupla; telemedicina; limitação de visitas; criação de setores exclusivos para atendimento à COVID-19; capacitações e treinamentos com ferramentas virtuais e simulação. Conclusão: além do risco de infecção, fatores individuais, psicossociais e organizacionais tornaram o ambiente de trabalho em saúde inseguro. Intervenções devem ser adotadas para mitigar os riscos e diminuir a morbimortalidade dos profissionais.

Trends in scientific editing and good research practices: what do researchers-nurses know?

OBJECTIVE: To verify researchers-nurses' knowledge about trends in scientific publishing and good research practices. METHOD: A descriptive study carried out through an online survey with 197 nurses holding master's and/or doctoral degrees from all Brazilian regions. To raise knowledge, a validated, self-administered and anonymous questionnaire with 18 questions on the subject was used. Descriptive and inferential analyzes were performed on researchers' scores (Mann-Whitney test). RESULTS: Among the specific questions, the mean of correct answers was 7.1: 6.4 for master's and 7.4 for doctoral degree holders. There was a significant difference in the mean of correct answers between masters and doctors (p = 0.025), and between productivity scholarship holders and non-scholarship holders (p = 0.021), according to mean difference tests. Questions about predatory editorial practices were those in which researchers had the worst knowledge. CONCLUSION: We identified that, regardless of the education level (master's or doctoral degree), nurses have little knowledge about the topics studied, which can compromise the quality of production and the scientific vehicles used to disseminate this knowledge.

Construção e validação de vídeo educativo sobre gestão da idade do trabalhador / Construction and validation of an educational video on occupational age management

Resumo Introdução: a gestão da idade do trabalhador de mais idade refere-se a práticas implantadas nos ambientes de trabalho direcionadas à contratação e/ou retenção de trabalhadores a partir de 45 anos. Objetivo: construir e validar um vídeo educativo sobre a gestão da idade do trabalhador de mais idade. Método: realizou-se um estudo metodológico, dividido em duas etapas: a primeira consistiu na elaboração e validação do conteúdo do vídeo; e a segunda, na produção do vídeo e sua validação por especialistas. Para análise dos dados, foram utilizados o Índice de Validade de Conteúdo Individual e Geral para cada item que compôs o vídeo e o Índice de Concordância Interavaliadores. O critério para validação foi apresentar concordância igual ou superior a 80%. Resultados: a versão final do vídeo tem 9 minutos, contendo definição, benefícios, estratégias para a implantação da gestão da idade do trabalhador pelas instituições e o papel do gestor nesse contexto. Utilizaram-se recursos de imagem do tipo animação e narração. A versão final do vídeo obteve concordância de 100% entre os especialistas para todos os itens, validando-o para aplicação. Conclusão: o processo de validação referendou o vídeo desenvolvido como um instrumento educativo adequado para difundir informações sobre a gestão da idade do trabalhador.

Abstract Introduction: age management at workplaces consists of practices implemented in work environment to hire and/or retain workers aged 45 or older. Objective: to build and validate an educational video on managing the age of the older worker. Method: a methodological study was carried out in two stages: first, the video content was elaborated and validated; second, after edited, the video was validated by experts on the topic. Data analysis was performed using the Individual and Overall Content Validity Index for each item in the video, and the Inter-rater Reliability Index. The validation criterion was presenting an agreement equal or greater than 80%. Results: in its 9-minute final version, the video presents a definition, benefits, strategies for institutions to implement occupational age management practices and the manager's role in this scenario. Editing used animation and narration. The final version obtained a 100% reliability among experts for all items, validating the video. Conclusion: the validation process endorsed the video as a suitable educational tool to disseminate information on occupational age management.

Fortalecimento da enfermagem nos diferentes contextos de atuação a partir da liderança: para além da prática, na política / Fortalecimiento de la enfermería en los diferentes contextos de actuación a partir del liderazgo: más allá de la práctica, en la política / The strengthening nursing in different contexts of action based on leadership: beyond practice, into policy

sem resumo

without resume

sin resumen

Trends in scientific editing and good research practices: what do researchers-nurses know? / Tendencias en la edición científica y las buenas prácticas de investigación: ¿qué saben los investigadores-enfermeros? / Tendências em editoração científica e boas práticas em pesquisa: o que conhecem os pesquisadores-enfermeiros?

Abstract Objective: To verify researchers-nurses' knowledge about trends in scientific publishing and good research practices. Method: A descriptive study carried out through an online survey with 197 nurses holding master's and/or doctoral degrees from all Brazilian regions. To raise knowledge, a validated, self-administered and anonymous questionnaire with 18 questions on the subject was used. Descriptive and inferential analyzes were performed on researchers' scores (Mann-Whitney test). Results: Among the specific questions, the mean of correct answers was 7.1: 6.4 for master's and 7.4 for doctoral degree holders. There was a significant difference in the mean of correct answers between masters and doctors (p = 0.025), and between productivity scholarship holders and non-scholarship holders (p = 0.021), according to mean difference tests. Questions about predatory editorial practices were those in which researchers had the worst knowledge. Conclusion: We identified that, regardless of the education level (master's or doctoral degree), nurses have little knowledge about the topics studied, which can compromise the quality of production and the scientific vehicles used to disseminate this knowledge.

RESUMEN Objetivo: Verificar el conocimiento de investigadores-enfermeros sobre las tendencias en la publicación científica y las buenas prácticas de investigación. Método: Estudio descriptivo, realizado a través de una encuesta en línea con 197 enfermeros con maestría y/o doctorado de todas las regiones brasileñas. Para aumentar el conocimiento se utilizó un cuestionario validado, autoadministrado y anónimo con 18 preguntas sobre el tema. Sobre la puntuación de los investigadores, se realizaron análisis descriptivos e inferenciales (prueba de Mann-Whitney). Resultados: Entre las preguntas específicas, la media de aciertos fue de 7,1, siendo 6,4 para los másteres y 7,4 para los médicos. Hubo diferencia significativa en la media de aciertos entre maestros y doctores (p = 0,025), y entre becarios de productividad y no académicos (p = 0,021), según pruebas de diferencia de medias. Las preguntas sobre prácticas editoriales depredadoras eran aquellas en las que los investigadores tenían el peor conocimiento. Conclusión: Identificamos que, independientemente del nivel de formación (maestría o doctorado), los enfermeros tienen poco conocimiento sobre los temas estudiados, lo que puede comprometer la calidad de la producción y los vehículos científicos utilizados para difundir este conocimiento.

RESUMO Objetivo: Verificar o conhecimento de pesquisadores-enfermeiros sobre tendências em editoração científica e boas práticas em pesquisa. Método: Estudo descritivo, realizado por inquéritoonlinecom 197 enfermeiros com título de mestre e/ou doutor de todas as regiões brasileiras. Para levantar o conhecimento, utilizou-se um questionário validado, autoaplicável e anônimo com 18 questões sobre o assunto. Sobre o escore dos pesquisadores, realizaram-se análises descritivas e inferenciais (Teste de Mann-Whitney). Resultados: Entre as questões específicas, a média de acertos foi de 7,1, sendo 6,4 para mestres e 7,4 para doutores. Houve diferença significativa na média de acertos entre mestres e doutores (p = 0,025), e entre bolsistas e não bolsistas de produtividade (p = 0,021), segundo testes de diferença de médias. As questões sobre práticas editoriais predatórias foram aquelas em que os pesquisadores apresentaram pior conhecimento. Conclusão: Identificamos que, independente do grau de formação (mestrado ou doutorado), os enfermeiros têm baixo conhecimento sobre os temas estudados, o que pode comprometer a qualidade da produção e dos veículos científicos utilizados para disseminação desse conhecimento.

Risk Factors for Working in Confined Spaces: Contributions for Psychosocial Assessment / Fatores de Risco no Trabalho em Espaços Confinados: Contribuições para a Avaliação Psicossocial / Factores de Riesgo en el Trabajo en Espacios Confinados: Contribuciones para la Evaluación Psicosocial

Abstract The recommendation of standards for companies supports the safety of workers. This study aimed to describe the psychosocial risk factors perceived by personnel that work in confined spaces. Qualitative study, conducted via interviews with 50 employees. Data were processed using the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software, with a descending hierarchical classification. The psychosocial risk management model identified five risk dimensions and described the interface between the categories of work context and content: interpersonal relationships (29.58%), task planning (23.50%), role in the organization (17.83%), home-work interface (15.10%), and workload and work pace (13.97%). The risk factors identified from the workers'' perspective allow reviewing psychosocial assessment, management practices, and the advancement of scientific knowledge, essential to rethink current legislation and mental health care for professionals that work in confined spaces.

Resumo As normas regulamentadoras oferecem diretrizes às empresas para execução do trabalho, inclusive para a área de segurança. O objetivo foi descrever fatores de risco psicossocial percebidos por trabalhadores atuantes em espaços confinados. Estudo qualitativo, conduzido por meio de entrevistas com 50 trabalhadores. Os dados foram processados, segundo classificação hierárquica descendente, pelo software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. O modelo de gestão de riscos psicossociais, identificou cinco dimensões de risco distribuídas nas categorias de contexto e conteúdo do trabalho: relacionamento interpessoal (29,58%), planejamento de tarefas (23,50%), papel na organização (17,83%), interface casa-trabalho (15,10%) e carga e ritmo de trabalho (13,97%). Os fatores de risco identificados, na perspectiva dos trabalhadores, possibilitam a revisão de práticas de avaliação psicossocial, gestão e o avanço no conhecimento científico, importantes para subsidiar tomadas de decisão para o cuidado à saúde mental de profissionais atuantes em espaços confinados.

Resumen Las normas de reglamentación contienen lineamientos de ejecución de trabajo para las empresas, incluso para el área de seguridad. El objetivo de este estudio fue describir los factores de riesgo psicosocial percibidos por los trabajadores que actúan en espacios confinados. Este estudio es cualitativo, en que se aplicaron entrevistas a 50 trabajadores. Los datos fueron procesados, según la clasificación jerárquica descendiente, por el programa Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. El modelo de gestión de riesgos psicosociales identificó cinco dimensiones de riesgo, distribuidas en las categorías de contexto y contenido del trabajo: relación interpersonal (29,58%); planificación de tareas (23,5%); papel en la organización (17,83%); interface casa-trabajo (15,1%); y carga y ritmo de trabajo (13,97%). Los factores de riesgo identificados por los trabajadores posibilitan la revisión de prácticas de evaluación psicosocial, gestión y avance en el conocimiento científico, importantes elementos para repensar la toma de decisión en la atención a la salud mental de profesionales que actúan en espacios confinados.

Management of resources in a federal emergency hospital during the COVID-19 pandemic / Gestión de recursos en un servicio de urgencia en hospital federal delante la pandemia de COVID-19 / Gestão de recursos em um serviço hospitalar de emergência federal diante da pandemia de COVID-19

ABSTRACT Objective: To describe actions taken by the organizational management of an emergency service due to the COVID-19 pandemic, determined according to the prevalence of cases of infection by the coronavirus, severe acute respiratory syndrome, and flu-like illnesses. Methods: Experience report based on a retrospective analysis of the attention for respiratory syndromes in the first semester of 2019 and 2020, in addition to an analysis of documents from the institutional protocols of a federal emergency service. Development: An increase in the number of attendances was observed, representing 7.25% and 19.4% of cases in 2019 and 2020, respectively. This was due to the creation of the Crisis Office, including a multidisciplinary team created to elaborate the plan of action, changes in the physical structure and in the work processes, and training sessions. Final considerations: It became clear that the planning, coordination of actions based on the decisions of the Crisis Office, and the dissemination of reliable information, taking into consideration a focal point, were essential for the organization, management of the emergency service, and protection to the workers.

RESUMEN Objetivo: Describir acciones de gestión organizacional de un servicio de urgencia resultantes de la pandemia de COVID-19, definidas basadas en la prevalencia de casos de infección por coronavirus, síndrome respiratoria aguda grave y síndromes gripales. Método: Relato de experiencia basado en análisis retrospectivo de atenciones de síndromes respiratorias en el primer semestre de 2019 y 2020, junto análisis documental de protocolos institucionales de servicio de urgencia federal. Desarrollado: Observado aumento de atenciones, representando 7,25% y 19,4% de los casos de 2019 y 2020, respectivamente, debido la formación del Gabinete de Crisis, con equipe multidisciplinar responsable por la construcción del plan de acción con cambios en la estructura física, procesos de trabajo y entrenamientos. Consideraciones finales: Evidenciado que planeamiento, coordinación de acciones pautadas en decisiones del Gabinete de Crisis y divulgación de informaciones confiables mediante un punto focal fueron esenciales para organización, gestión del servicio de urgencia y protección a trabajadores.

RESUMO Objetivo: Descrever ações de gestão organizacional de um serviço de emergência decorrentes da pandemia de COVID-19, definidas com base na prevalência de casos de infecção por coronavírus, síndrome respiratória aguda grave e síndromes gripais. Métodos: Relato de experiência baseado na análise retrospectiva dos atendimentos de síndromes respiratórias no primeiro semestre de 2019 e de 2020, além de análise documental dos protocolos institucionais de um serviço de emergência federal. Desenvolvimento: Observou-se aumento dos atendimentos, representando 7,25% e 19,4% dos casos de 2019 e 2020, respectivamente, devido à formação do Gabinete de Crise, com equipe multidisciplinar responsável pela construção do plano de ação com mudanças na estrutura física, processos de trabalho e treinamentos. Considerações finais: Evidenciou-se que planejamento, coordenação das ações pautadas nas decisões do Gabinete de Crise e divulgação de informações confiáveis mediante um ponto focal foram essenciais para organização, gestão do serviço de emergência e proteção aos trabalhadores.

Cultural adaptation and updating of the Risk assessment and management of exposure of health care workers in the context of covid-19 questionnaire.

OBJECTIVE: to translate and culturally adapt the Risk assessment and management of exposure of health care workers in the context of covid-19 questionnaire to the Brazilian context and to develop and evaluate a sociodemographic and occupational characterization questionnaire to compose the adapted questionnaire. METHOD: five stages were conducted to adapt the Risk assessment and management of exposure of health care workers in the context of covid-19 questionnaire, namely: translation, synthesis of the translations, evaluation by a committee of judges, back translation and pre-test. As for the complementary questionnaire, it was elaborated and evaluated by a committee of judges and a pre-test was carried out. RESULTS: the questionnaires were validated and the pre-test stage was conducted with health workers and students. CONCLUSION: the final version adapted to the Brazilian context was called Questionário de avaliação de risco e gestão da exposição de trabalhadores e estudantes de saúde no contexto da covid-19 and is available for use, together with the final version of the Sociodemographic and occupational questionnaire: Risk assessment and management of exposure of health care workers and students in the context of covid-19. These questionnaires may assist in mitigating the risks of infection, illness and death of health workers and students due to covid-19.

Health hazard allowance for Nursing professionals: A reflective analysis under the principle of human dignity.

OBJECTIVE: to discuss the classification of the health hazard allowance due to exposure to biological agents attributed to Nursing professionals, based on legal and occupational parameters supported on the principle of human dignity. METHOD: an original reflection study with theoretical analysis on legislation, jurisprudence and Occupational Health focused on the biological risks, health hazard and rights of Brazilian workers. The discussions were based on the current legislation and on scientific evidence. RESULTS: the classification of the health hazard allowance due to exposure to biological agents attributed to Nursing professionals is not in line with the factual situation experienced by them. CONCLUSION: it becomes necessary to broaden the discussion on the subject matter and to review the effective and fair compensation of Nursing professionals due to exposure to potentially contaminated biological agents in their work environments, given that the health hazard allowance is a worker's right and is based on human dignity.