Authentic Leadership Questionnaire applied to Brazilian nurses: evidence of validity. / Authentic Leadership Questionnaire aplicado a enfermeiros brasileiros: evidências de validade.

OBJECTIVE: to establish the psychometric properties of the Authentic Leadership Questionnaire (ALQ) applied to Brazilian nurses. METHOD: cross-sectional observational study with a non-probabilistic sample. The psychometric properties of the RATER and SELF versions of the ALQ were calculated using confirmatory factor analysis with the WLSMV robust estimation method. The following indices were used to assess the goodness-of-fit of the model: chi-square by degrees of freedom (χ2/df), Tucker-Lewis Index (TLI), Comparative Fit Index (CFI), Root Mean Square Error of Approximation (RMSEA) and Standardized Root Mean Squared Residual (SRMR). Data reliability was analyzed using the ordinal coefficient alpha and composite reliability. RESULTS: 181 nurses participated of the study (female gender: 80.1%; mean age of 34.6 years; working time of less than five years: 76.3%). The complete ALQ RATER and ALQ SELF models did not present an adequate fit. Therefore, the refined models presented a better fit to the sample data (ALQ RATER: χ2/df=2.77; CFI=0.97; TLI=0.97; RMSEA=0.10; SRMR=0.05; ALQ SELF: χ2/df=2.74; CFI=0.94; TLI=0.92; RMSEA=0.10; SRMR=0.08). In the ALQ RATER model, items 1, 7 and 13 were excluded. Due to the high correlation between the factors Relational Transparency and Moral Perspective, a three-factor model based on the combination of the factors mentioned above was proposed. In the ALQ SELF model, items 2, 5, 9 and 10 were excluded. Likewise, a three-factor model based on the combination of two factors, now called Self-Awareness Balance, was proposed. CONCLUSION: the data obtained with the Authentic Leadership Questionnaire with Brazilian nurses were valid and reliable.

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.

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.

Effects of workplace upper extremity resistance exercises on function and symptoms of workers at a tertiary hospital: a randomized controlled trial protocol.

BACKGROUND: Work-related musculoskeletal disorders (WRMDs) are often caused by inadequate use of the musculoskeletal system during work. Evidence suggests that multimodal intervention through exercises, massage, education, and ergonomic guidelines reduces pain and symptoms in the neck and upper extremities and help to prevent musculoskeletal disorders. The purpose of this study will be to assess the additive effectiveness of a specific and individualized workplace strengthening exercise program to an ergonomic guidance in reducing fatigue, pain and discomfort in the upper extremities and neck perceived by workers. METHODS: This trial was designed according to the Consolidated Standards of Reporting Trials - CONSORT guidelines. Participants will be employees of a tertiary hospital, with any complaints of pain or discomfort in the upper extremities during the past 12 months, without clinical musculoskeletal diagnosis. 166 participants will be randomized into parallels groups as control and workplace exercises. The primary outcomes will be Numerical Pain Scale, isokinetic muscle strength of abduction and isometric handgrip strength. Secondary outcomes on discomfort, fatigue, work capacity and dysfunction will be assessed by QuickDASH, Patient Specific Functional Scale, Neck Disability Index, Need for recovery, Work Ability Index self-report questionnaires and FIT-HANSA performance test. The Ergonomic Work Analysis will be done by Quick Expose Check, RULA, REBA, RARME, ROSA and HARM risk assessment ergonomic tools. We will analyze the difference between baseline and 12 weeks of intervention by T test of independent samples (95% confidence interval, p < 0.05). Clinical significance will be analyzed by the minimum clinically important difference and effect size by Cohen index. The association between the variables will be analyzed by construct validity with the hypothesis of correlations between pain and muscle strength, strength and functionality and strength and fatigue. DISCUSSION: Although studies have shown promise outcomes for workplace exercises as an available therapeutic resource used to minimize complaints of pain and discomfort related to work, the results of this study aim to bring evidence about the benefit of a specific resistance exercise as an effective modality to facilitate mechanisms of neuromuscular adaptations, with gradual and posterior hypertrophy in the later phases. TRIAL REGISTRATION: (NCT04047056, https://clinicaltrials.gov/ct2/show/NCT04047056?term=NCT04047056&draw=2&rank=1 ) on Dec 03, 2020.

Factors associated with presenteeism in nursing workers / Factores asociados al presentismo en trabajadores de enfermería / Fatores associados ao presenteísmo em trabalhadores de enfermagem

ABSTRACT Objective: to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms. Methods: this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals' working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%. Results: presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace - Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8. Conclusions: the study confirms a high rate of presenteeism among nursing workers.

RESUMEN Objetivo: analizar factores asociados al presentismo en trabajadores de enfermería con variables sociodemográficas, condiciones de salud y trabajo, productividad y síntomas musculoesqueléticos. Métodos: estudio transversal, descriptivo y analítico, con 306 trabajadores de enfermería de un hospital y urgencias municipales de una capital brasileña. Se utilizo el Stanford Presenteeism Scale, el Work Limitations Questionnaire, el Cuestionario Nórdico Musculoesquelético y un cuestionario demográfico sobre las condiciones laborales y de salud de los profesionales de enfermería. Realizaron análisis bivariados y multivariados, respetando un nivel de significancia del 5%. Resultados: se encontró presentismo en el 43,8% de los profesionales y asociaciones significativas con el régimen de trabajo celetista (p=0,002), lugar de trabajo - Unidades de Cuidados Intensivos (p=0,008), ejercicio físico dos veces por semana (p=0,008), presencia de musculoesquelético síntomas, siendo la lumbalgia representativa (p=0,001). La pérdida de productividad fue de 8.8. Conclusiones: el estudio confirma una alta tasa de presentismo entre los trabajadores de enfermería.

RESUMO Objetivo: analisar fatores associados ao presenteísmo em trabalhadores de enfermagem com variáveis sociodemográficas, condições de saúde e trabalho, produtividade e sintomas osteomusculares. Métodos: estudo transversal, descritivo e analítico, com 306 trabalhadores de enfermagem de um hospital e pronto-socorro municipal de uma capital brasileira. Utilizaram-se o Stanford Presenteeism Scale, o Work Limitations Questionnaire, o Questionário Nórdico de Sintomas Osteomusculares e um questionário demográfico de condições de trabalho e saúde dos profissionais de enfermagem. Realizaram análises bivariadas e multivariadas, respeitando um nível de significância de 5%. Resultados: o presenteísmo foi constatado em 43,8% dos profissionais e associações significativas com o regime de trabalho celetista (p=0,002), local de trabalho - Unidades de Terapia Intensiva (p=0,008), prática de exercícios físicos 2 vezes por semana (p=0,008), presença de sintomas osteomusculares, sendo a dor lombar representativa (p=0,001). A perda de produtividade foi de 8,8. Conclus ões : o estudo confirma alto índice de presenteísmo entre trabalhadores de enfermagem.

Authentic Leadership Questionnaire aplicado a enfermeiros brasileiros: evidências de validade / Authentic Leadership Questionnaire applied to Brazilian nurses: evidence of validity / Authentic Leadership Questionnaire aplicado a enfermeros brasileños: evidencias de validez

Resumo Objetivo: estimar as propriedades psicométricas do Authentic Leadership Questionnaire (ALQ) aplicado a enfermeiros brasileiros. Método: estudo observacional transversal com amostragem não probabilística. As propriedades psicométricas das versões RATER e SELF do ALQ foram estimadas utilizando-se análise fatorial confirmatória com método de estimação robusto WLSMV. Como índices de qualidade de ajustamento dos modelos, foram utilizados: razão do qui-quadrado pelos graus de liberdade (χ2/gl), Tucker-Lewis Index (TLI), Comparative Fit Index (CFI), Root Mean Square Error of Aproximation (RMSEA) e Standardized Root Mean Squared Residual (SRMR). A confiabilidade dos dados foi analisada por meio do coeficiente alfa ordinal e da confiabilidade composta. Resultados: participaram 181 enfermeiros (sexo feminino: 80,1%; média de idade de 34,6 anos; tempo de trabalho inferior a cinco anos: 76,3%). Os modelos completos da ALQ RATER e ALQ SELF não apresentaram ajustamento adequado. Porquanto, o modelo refinado apresentou melhor ajustamento para a amostra (ALQ RATER: χ2/gl=2,77; CFI=0,97; TLI=0,97; RMSEA=0,10; SRMR=0,05; ALQ SELF: χ2/gl=2,74; CFI=0,94; TLI=0,92; RMSEA=0,10; SRMR=0,08). No modelo ALQ RATER, foram removidos os itens 1, 7 e 13. Devido à alta correlação entre os fatores Transparência Relacional e Perspectiva Moral, foi proposto um modelo trifatorial com base na junção dos fatores acima citados. No modelo ALQ SELF, foram retirados os itens 2, 5, 9 e 10. Do mesmo modo, foi proposto um modelo trifatorial baseado na junção de dois fatores agora denominado Equilíbrio Autoconsciência. Conclusão: os dados obtidos com Authentic Leadership Questionnaire com enfermeiros brasileiros foram válidos e confiáveis.

Abstract Objective: to establish the psychometric properties of the Authentic Leadership Questionnaire (ALQ) applied to Brazilian nurses. Method: cross-sectional observational study with a non-probabilistic sample. The psychometric properties of the RATER and SELF versions of the ALQ were calculated using confirmatory factor analysis with the WLSMV robust estimation method. The following indices were used to assess the goodness-of-fit of the model: chi-square by degrees of freedom (χ2/df), Tucker-Lewis Index (TLI), Comparative Fit Index (CFI), Root Mean Square Error of Approximation (RMSEA) and Standardized Root Mean Squared Residual (SRMR). Data reliability was analyzed using the ordinal coefficient alpha and composite reliability. Results: 181 nurses participated of the study (female gender: 80.1%; mean age of 34.6 years; working time of less than five years: 76.3%). The complete ALQ RATER and ALQ SELF models did not present an adequate fit. Therefore, the refined models presented a better fit to the sample data (ALQ RATER: χ2/df=2.77; CFI=0.97; TLI=0.97; RMSEA=0.10; SRMR=0.05; ALQ SELF: χ2/df=2.74; CFI=0.94; TLI=0.92; RMSEA=0.10; SRMR=0.08). In the ALQ RATER model, items 1, 7 and 13 were excluded. Due to the high correlation between the factors Relational Transparency and Moral Perspective, a three-factor model based on the combination of the factors mentioned above was proposed. In the ALQ SELF model, items 2, 5, 9 and 10 were excluded. Likewise, a three-factor model based on the combination of two factors, now called Self-Awareness Balance, was proposed. Conclusion: the data obtained with the Authentic Leadership Questionnaire with Brazilian nurses were valid and reliable.

Resumen Objetivo: estimar las propiedades psicométricas del Authentic Leadership Questionnaire (ALQ) aplicado a enfermeros brasileños. Método: estudio observacional transversal con muestreo no probabilístico. Las propiedades psicométricas de las versiones RATER y SELF del ALQ se estimaron mediante análisis factorial confirmatorio con el método de estimación robusta WLSMV. Como índices de calidad de ajuste de los modelos se utilizó: razón de chi-cuadrado por grados de libertad (χ2/gl), Tucker-Lewis Index (TLI), Comparative Fit Index (CFI), Root Mean Square Error of Approximation (RMSEA) y Standardized Root Mean Squared Residual (SRMR). La confiabilidad de los datos se analizó mediante el coeficiente alfa ordinal y la confiabilidad compuesta. Resultados: participaron 181 enfermeros (sexo femenino: 80,1%; edad media de 34,6 años; tiempo de trabajo inferior a cinco años: 76,3%). Los modelos completos ALQ RATER y ALQ SELF no mostraron un ajuste adecuado. Por lo tanto, el modelo refinado presentó un mejor ajuste para la muestra (ALQ RATER: χ2/gl=2,77; CFI=0,97; TLI=0,97; RMSEA=0,10; SRMR=0,05; ALQ SELF: χ2/gl=2,74; CFI=0,94, TLI=0,92, RMSEA=0,10, SRMR=0,08). En el modelo ALQ RATER se eliminaron los ítems 1, 7 y 13. Debido a la alta correlación entre los factores Transparencia Relacional y Perspectiva Moral, se propuso un modelo de tres factores basado en la unión de los factores mencionados anteriormente. En el modelo ALQ SELF se eliminaron los ítems 2, 5, 9 y 10. Asimismo, se propuso un modelo trifactorial basado en la unión de dos factores, ahora denominado Equilibrio de Autoconciencia. Conclusión: los datos obtenidos con el Authentic Leadership Questionnaire con enfermeros brasileños fueron válidos y confiables.

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.

Factors associated with presenteeism in nursing workers.

OBJECTIVE: to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms. METHODS: this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals' working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%. RESULTS: presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace - Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8. CONCLUSIONS: the study confirms a high rate of presenteeism among nursing workers.

Psychometric properties of the Work Limitations Questionnaire applied to nursing workers.

OBJECTIVE: to evaluate the psychometric properties of the Work Limitations Questionnaire and to measure presenteeism in a sample of nursing workers. METHOD: a cross-sectional study, with non-probabilistic sampling. Data was collected between July 2018 and February 2019 in two high-complexity hospitals, and the sample was composed of 304 participants. The validity analysis of the Work Limitations Questionnaire was performed by means of Confirmatory Factor Analysis. RESULTS: most of the participants were women (88.5%), with a mean age of 40.9 years old. The validities of the factorial, convergent and discriminant construct and the reliability of the complete version and of the 16-item version of the instrument were adequate after adjusting the models to the sample. A statistically significant and negative correlation (p<0.001) was verified between the workload, working time and the Time Management and Physical Demands dimensions; as well as a statistically significant (p<0.001) correlation between working time and the Mental-Interpersonal Demands and Production Demands dimensions. Gender and professional category did not influence presenteeism. The rate of loss of productivity at work was 19.51%. CONCLUSION: the Work Limitations Questionnaire showed adequate validity and reliability and can be considered a valid and reliable instrument for assessing presenteeism in the nursing team.

Cultural adaptation and update of the Risk assessment and management of exposure of health care workers in the context of COVID-19 questionnaire for the Brazilian context / Adaptação cultural e atualização do questionário Risk assessment and management of exposure of health care workers in the context of COVID-19 para o contexto brasileiro

Objective: To translate and adapt culturally the Risk assessment and management of exposure of health care workers in the context of COVID-19 questionnaire to the Brazilian context, to develop and evaluate a "Socio-demographic and occupational questionnaire: risk assessment and exposure management for health workers and students in the context of COVID-19 ". Method: a methodological study, whose cultural adaptation process for the Brazilian context of the first questionnaire was carried out in f

Objetivo: Traduzir e adaptar culturalmente o questionário Risk assessment and management of exposure of health care workers in the context of COVID-19 para o contexto brasileiro, elaborar e avaliar um "Questionário sociodemográfico e ocupacional: avaliação de risco e gestão da exposição de trabalhadores e estudantes de saúde no contexto da COVID-19". Método: estudo metodológico, cujo processo de adaptação cultural para o contexto brasileiro do primeiro questionário foi realizado em cinco etapas:

Cultural adaptation and updating of the Risk assessment and management of exposure of health care workers in the context of covid-19 questionnaire / Adaptación cultural y actualización del cuestionario Risk assessment and management of exposure of health care workers in the context of covid-19 / Adaptação cultural e atualização do questionário Risk assessment and management of exposure of health care workers in the context of covid-19

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.

Objetivo: traducir y adaptar culturalmente el cuestionario Risk assessment and management of exposure of health care workers in the context of covid-19 al contexto brasileño y elaborar y evaluar un cuestionario de caracterización sociodemográfica y ocupacional para formular el cuestionario adaptado. Método: se llevaron a cabo cinco pasos para adaptar el cuestionario Risk assessment and management of exposure of health care workers in the context of covid-19: traducción, síntesis de traducciones, evaluación por un comité de jueces, retrotraducción y pretest. En cuanto al cuestionario complementario, fue elaborado y evaluado por un comité de jueces y se realizó una prueba previa. Resultados: se validaron los cuestionarios y se realizó la etapa de pretest con trabajadores y estudiantes del área de la salud. Conclusión: la versión final adaptada al contexto brasileño se denominó Questionário de avaliação de risco e gestão da exposição de trabalhadores e estudantes de saúde no contexto da covid-19 y está disponible para su uso, junto con la versión final del Questionário de avaliação de risco e gestão da exposição de trabalhadores e estudantes de saúde no contexto da COVID-19. Estos cuestionarios pueden ayudar a disminuir los riesgos de infección, enfermedad y muerte de los trabajadores y los estudiantes del área de la salud por covid-19.

Objetivo: traduzir e adaptar culturalmente o questionário Risk assessment and management of exposure of health care workers in the context of covid-19 para o contexto brasileiro e elaborar e avaliar um questionário de caracterização sociodemográfica e ocupacional para compor o questionário adaptado. Método: cinco etapas foram realizadas para adaptação do questionário Risk assessment and management of exposure of health care workers in the context of covid-19: tradução, síntese das traduções, avaliação por comitê de juízes, retrotradução e pré-teste. Quanto ao questionário complementar, foi construído e avaliado por um comitê de juízes e realizado pré-teste. Resultados: os questionários foram validados e a etapa de pré-teste foi realizada com trabalhadores e estudantes da área de saúde. Conclusão: a versão final adaptada para o contexto brasileiro foi denominada Questionário de avaliação de risco e gestão da exposição de trabalhadores e estudantes de saúde no contexto da covid-19 e está disponibilizada para uso, juntamente com a versão final do questionário sociodemográfico e ocupacional: avaliação de risco e gestão da exposição de trabalhadores e estudantes da área de saúde no contexto da covid-19. Estes questionários podem auxiliar na mitigação dos riscos de infecção, adoecimento e morte de trabalhadores e estudantes da área de saúde pela covid-19.

Burnout syndrome in university professors and academic staff members: psychometric properties of the Copenhagen Burnout Inventory-Brazilian version.

The aims of this study were to evaluate the psychometric properties of the Copenhagen Burnout Inventory-Brazilian version (CBI-Br) in a sample of university professors and academic staff members of Brazilian public universities, to estimate the level of burnout syndrome (BS) among these workers, and to assess the associations of BS with demographic and occupational determinants of the syndrome. A total of 676 workers participated in the study. Confirmatory factor analysis results supported a three-factor model with 18 items and an acceptable overall fit. Adequate convergent and discriminant validity of the CBI-Br's factors were observed, as well as adequate reliability of the instrument for the sample. In conclusion, the results of this study provide evidence of the validity and reliability of the CBI-Br for the measurement of BS in Brazilian university professors and academic staff members. In addition, the CBI-Br may be an important tool for the diagnosis of psychosocial risks related to BS in the academic environment.

Burnout syndrome in university professors and academic staff members: psychometric properties of the Copenhagen Burnout Inventory-Brazilian version

Abstract The aims of this study were to evaluate the psychometric properties of the Copenhagen Burnout Inventory-Brazilian version (CBI-Br) in a sample of university professors and academic staff members of Brazilian public universities, to estimate the level of burnout syndrome (BS) among these workers, and to assess the associations of BS with demographic and occupational determinants of the syndrome. A total of 676 workers participated in the study. Confirmatory factor analysis results supported a three-factor model with 18 items and an acceptable overall fit. Adequate convergent and discriminant validity of the CBI-Br's factors were observed, as well as adequate reliability of the instrument for the sample. In conclusion, the results of this study provide evidence of the validity and reliability of the CBI-Br for the measurement of BS in Brazilian university professors and academic staff members. In addition, the CBI-Br may be an important tool for the diagnosis of psychosocial risks related to BS in the academic environment.

Actions for safety in the prescription, use and administration of medications in emergency care units. / Ações para segurança na prescrição, uso e administração de medicamentos em unidades de pronto atendimento.

OBJECTIVE: To identify what risks and incidents related to the drug therapy process are presented in an Emergency Care Unit (UPA) and to present proposals for management actions and safe practices, in the perception of the nursing team. METHOD: Qualitative research, in the research-action modality, developed in the scenario of UPA, located in the interior of São Paulo. Data collection was done through interviews and focus groups with 33 professionals, between June 2015 and April 2016. For the data treatment, the Content Analysis Technique was used. RESULTS AND DISCUSSION: From the participants' reports, thematic categories were organized, with the risks and incidents related to the drug therapy process being one of the listed categories, as well as proposals for actions. CONCLUSION: The study allowed the implementation of patient safety actions related to the administration of drugs in a PAU, offering a higher quality of care.

Dor osteomuscular: uma comparação entre trabalhadores administrativos e de produção de uma indústria agroavícola / Musculoskeletal pain: comparison between administrative and production employees of a poultry farming company

INTRODUÇÃO: Distúrbios osteomusculares relacionados ao trabalho constituem o grupo de doenças ocupacionais mais registradas no Brasil, sendo as indústrias ambientes favoráveis para seu desenvolvimento. Este estudo justifica-se pela necessidade de aprofundar investigações sobre a manifestação de sintomas osteomusculares no ramo industrial agroavícola, temática pouco explorada na literatura nacional. OBJETIVOS: Analisar a prevalência de sintomas osteomusculares em trabalhadores da linha de produção e do setor administrativo de uma indústria agroavícola, caracterizar o perfil sociodemográfico e ocupacional dos dois grupos e identificar ocorrência de associações entre dor e variáveis sociodemográficas e ocupacionais. MÉTODO: Estudo correlacional e transversal, realizado por meio de caracterização sociodemográfica e ocupacional, Questionário Nórdico de Sintomas Osteomusculares e Escala Numérica de Intensidade da Dor. RESULTADOS: Participaram 154 trabalhadores do setor de produção e 24 do de administração. O único sintoma osteomuscular apresentado foi a dor, com prevalência superior a 85% para ambos os setores. Mulheres do setor de produção apresentaram 2,9 vezes mais chances de terem dor do que homens. As regiões mais afetadas no setor administrativo foram pescoço e partes inferior e superior das costas. Já no setor de produção, prevaleceram a região inferior das costas e dos ombros e a parte superior das costas. CONCLUSÕES: A dor foi descrita como o sintoma osteomuscular mais prevalente entre os trabalhadores da indústria agroavícola. Apesar das diferenças nos processos de trabalho entre os trabalhadores administrativos e produtivos, não houve diferenças estatisticamente significativas entre os setores. Por outro lado, ambos apresentaram um altíssimo nível de adoecimento, o que sugere a necessidade de aprofundamento em estudos da relação causal desses sintomas.

BACKGROUND: Work-related musculoskeletal disorders are the most frequently reported group of diseases in Brazil, their occurrence being favored by work in the industrial sector. The present study is justified by the need to investigate more thoroughly the occurrence of musculoskeletal symptoms among poultry farming workers, since this subject is scarcely explored in the Brazilian literature. OBJECTIVE: To analyze the prevalence of musculoskeletal symptoms among production and administrative employees of a poultry farming company, describe the sociodemographic and occupational profile of both groups of workers and test associations between pain and sociodemographic and occupational variables. METHODS: Cross-sectional correlational study which included sociodemographic and occupational characterization and administration of the Nordic Musculoskeletal Questionnaire and a numeric pain rating scale. RESULTS: The sample comprised 154 production employees and 24 administrative workers. Pain was the single musculoskeletal symptom reported, with prevalence of over 85% in both groups. Female production employees exhibited 2.9 times higher odds of pain compared to the males. The body sites most frequently involved were the neck and upper and lower back among the administrative employees and the shoulders and the upper and lower back among the production workers. CONCLUSION: Pain was the most prevalent musculoskeletal symptom in the analyzed sample of poultry farming workers. Statistically significant difference was not found between the groups despite their different work processes. Both groups exhibited extremely high rates of illness, which points to the need for more thorough investigation of the causal relationships of musculoskeletal symptoms

Musculoskeletal pain: comparison between administrative and production employees of a poultry farming company.

BACKGROUND: Work-related musculoskeletal disorders are the most frequently reported group of diseases in Brazil, their occurrence being favored by work in the industrial sector. The present study is justified by the need to investigate more thoroughly the occurrence of musculoskeletal symptoms among poultry farming workers, since this subject is scarcely explored in the Brazilian literature. OBJECTIVE: To analyze the prevalence of musculoskeletal symptoms among production and administrative employees of a poultry farming company, describe the sociodemographic and occupational profile of both groups of workers and test associations between pain and sociodemographic and occupational variables. METHODS: Cross-sectional correlational study which included sociodemographic and occupational characterization and administration of the Nordic Musculoskeletal Questionnaire and a numeric pain rating scale. RESULTS: The sample comprised 154 production employees and 24 administrative workers. Pain was the single musculoskeletal symptom reported, with prevalence of over 85% in both groups. Female production employees exhibited 2.9 times higher odds of pain compared to the males. The body sites most frequently involved were the neck and upper and lower back among the administrative employees and the shoulders and the upper and lower back among the production workers. CONCLUSION: Pain was the most prevalent musculoskeletal symptom in the analyzed sample of poultry farming workers. Statistically significant difference was not found between the groups despite their different work processes. Both groups exhibited extremely high rates of illness, which points to the need for more thorough investigation of the causal relationships of musculoskeletal symptoms.

INTRODUÇÃO: Distúrbios osteomusculares relacionados ao trabalho constituem o grupo de doenças ocupacionais mais registradas no Brasil, sendo as indústrias ambientes favoráveis para seu desenvolvimento. Este estudo justifica-se pela necessidade de aprofundar investigações sobre a manifestação de sintomas osteomusculares no ramo industrial agroavícola, temática pouco explorada na literatura nacional. OBJETIVOS: Analisar a prevalência de sintomas osteomusculares em trabalhadores da linha de produção e do setor administrativo de uma indústria agroavícola, caracterizar o perfil sociodemográfico e ocupacional dos dois grupos e identificar ocorrência de associações entre dor e variáveis sociodemográficas e ocupacionais. MÉTODO: Estudo correlacional e transversal, realizado por meio de caracterização sociodemográfica e ocupacional, Questionário Nórdico de Sintomas Osteomusculares e Escala Numérica de Intensidade da Dor. RESULTADOS: Participaram 154 trabalhadores do setor de produção e 24 do de administração. O único sintoma osteomuscular apresentado foi a dor, com prevalência superior a 85% para ambos os setores. Mulheres do setor de produção apresentaram 2,9 vezes mais chances de terem dor do que homens. As regiões mais afetadas no setor administrativo foram pescoço e partes inferior e superior das costas. Já no setor de produção, prevaleceram a região inferior das costas e dos ombros e a parte superior das costas. CONCLUSÕES: A dor foi descrita como o sintoma osteomuscular mais prevalente entre os trabalhadores da indústria agroavícola. Apesar das diferenças nos processos de trabalho entre os trabalhadores administrativos e produtivos, não houve diferenças estatisticamente significativas entre os setores. Por outro lado, ambos apresentaram um altíssimo nível de adoecimento, o que sugere a necessidade de aprofundamento em estudos da relação causal desses sintomas.

Ações para segurança na prescrição, uso e administração de medicamentos em unidades de pronto atendimento / Acciones para la seguridad en la prescripción, consumo y administración de medicamentos en una unidad de pronta atención / Actions for safety in the prescription, use and administration of medications in emergency care units

Resumo OBJETIVO Identificar os riscos e incidentes relacionados ao processo de terapia medicamentosa no cenário de uma Unidade de Pronto Atendimento (UPA) e propor ações de gerenciamento e práticas seguras, na percepção da equipe de enfermagem. MÉTODO Pesquisa qualitativa, na modalidade pesquisa-ação, desenvolvida no cenário de uma UPA, localizada no interior de São Paulo. A coleta dos dados foi realizada por meio de entrevistas e grupos focais com 33 profissionais, entre junho de 2015 a abril de 2016. Para o tratamento dos dados utilizou-se a Técnica de Análise de Conteúdo. RESULTADOS E DISCUSSÃO A partir dos relatos dos participantes foram organizadas categorias temáticas, sendo os riscos e incidentes relacionados ao processo de terapia medicamentosa uma das categorias elencadas, assim como propostas de ações. CONCLUSÃO O estudo possibilitou a implementação de ações de segurança ao paciente relacionadas à administração de medicamentos em uma UPA, oferecendo maior qualidade do cuidado.

Resumen OBJETIVO Identificar cuáles son los riesgos e incidentes relacionados con el proceso de terapia medicamentosa en una Unidad de Pronta Atención (UPA) y presentar propuestas de acciones de gestión y prácticas seguras en la percepción del equipo de enfermería. MÉTODO Investigación cualitativa, en la modalidad investigación-acción, desarrollada en el escenario de una UPA, ubicada en el interior de San Pablo. Se recolectaron los datos a través de entrevistas y grupos focales con 33 profesionales, entre junio de 2015 y abril de 2016. Para procesar los datos, se utilizó la Técnica de Análisis de Contenido. RESULTADOS Y DISCUSIÓN A partir de los relatos de los participantes, se organizaron categorías temáticas, siendo los riesgos e incidentes relacionados al proceso de terapia medicamentosa una de las categorías enumeradas, así como las propuestas de acciones. CONCLUSIÓN El estudio permitió implementar acciones de seguridad del paciente relacionadas con la administración de medicamentos en una UPA, ofreciendo mayor calidad del cuidado.

ABSTRACT Objective: To identify what risks and incidents related to the drug therapy process are presented in an Emergency Care Unit (UPA) and to present proposals for management actions and safe practices, in the perception of the nursing team. Method: Qualitative research, in the research-action modality, developed in the scenario of UPA, located in the interior of São Paulo. Data collection was done through interviews and focus groups with 33 professionals, between June 2015 and April 2016. For the data treatment, the Content Analysis Technique was used. Results and discussion: From the participants' reports, thematic categories were organized, with the risks and incidents related to the drug therapy process being one of the listed categories, as well as proposals for actions. Conclusion: The study allowed the implementation of patient safety actions related to the administration of drugs in a PAU, offering a higher quality of care.

Needlesticks with safety devices and accident prevention: an integrative review.

OBJECTIVE: To identify in the literature the efficacy of needlesticks with safety devices to reduce the occurrence of occupational accidents with exposure to biological material among health workers. METHOD: Integrative literature review, structured in the stages: Guiding question, search, categorization of studies, evaluation, discussion and interpretation of results, and synthesis of knowledge. Search for original articles and systematic reviews on the main bases of the Health area, published from 2000 to 2016 in Portuguese, English and Spanish, with descriptors: needlesticks injuries, exposure to biological agents, needles, protective devices, occupational accidents, accident prevention and health personnel. RESULTS: We selected eleven articles, most characterized the passive safety devices as more effective in reducing the occurrence of injuries by needlesticks. CONCLUSION: The use of needlesticks with safety devices reduces the occurrence of accidents, bringing greater solvency when combined with the training of workers.