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1.
Rev. SPAGESP ; 21(2): 139-153, jul.-dez. 2020. tab
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1125737

RESUMO

Este trabalho objetiva relatar experiências grupais vividas durante a implantação de projeto extensionista de atenção à saúde de trabalhadores da Atenção Básica (AB) em um município mineiro. As ações foram desenvolvidas em três semestres letivos consecutivos, como resultado de parceria entre uma universidade pública federal e um Centro de Referência em Saúde do Trabalhador. Equipes executoras contaram com 86 estudantes de Psicologia, sob supervisão de três docentes; 340 trabalhadores foram atendidos. Por meio dos processos grupais foi possível acolher o sofrimento manifesto pelos trabalhadores e, em paralelo, estudantes e formadores puderam construir aprendizados acerca das situações vividas. Dificuldades na execução do projeto foram relatadas pelos estudantes e espelharam a realidade comum ao trabalho dos psicólogos que atuam na AB.


This work intends to report group experiences lived during the implementation of an extension project of health care for Primary Care workers (PC) in a city in Minas Gerais. The actions were developed in three consecutive semesters, as a result of a partnership between a federal public university and a Reference Center in Occupational Health. The executing teams had 86 Psychology students, under the supervision of three teachers; 340 workers were met. Through the group processes, it was possible to embrace the suffering manifested by the workers and, in parallel, students and trainers were able to build learning about the situations experienced. Difficulties in the execution of the project were reported by the students and reflected the reality common to the performance of psychologists working in PC.


Este trabajo tiene la intención de informar las experiencias grupales vividas durante la implementación de un proyecto de extensión de atención de salud para trabajadores de la Atención Primaria (AP) en un ayuntamiento de Minas Gerais. Las acciones se desarrollaron en tres semestres seguidos, como resultado de una asociación entre una universidad pública federal y un Centro de Referencia en Salud del Trabajador. Los equipos ejecutores tenían 86 estudiantes de Psicología, bajo la supervisión de tres profesores; 340 trabajadores fueron atendidos. Mediante los procesos grupales, se hizo posible acoger el sufrimiento manifestado por los trabajadores y, paralelamente, los estudiantes y los formadores pudieron desarrollar el aprendizaje sobre las situaciones vividas. Las dificultades en la ejecución del proyecto fueron informadas por los estudiantes y reflejaban la realidad común al trabajo de los psicólogos que actúan en la AP.


Assuntos
Humanos , Masculino , Feminino , Estresse Psicológico , Trabalho , Saúde do Trabalhador , Processos Grupais , Mão de Obra em Saúde , Promoção da Saúde , Categorias de Trabalhadores
2.
Texto & contexto enferm ; 29: e20190085, Jan.-Dec. 2020.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1094544

RESUMO

ABSTRACT Objective: to understand how the meanings attributed to work by professionals of the Family Health Strategy are linked to the mechanisms of risk and protection, influencing resilience. Method: a qualitative case study, conducted with professionals of the Family Health Strategy. 62 professionals participated: 14 doctors, 16 nurses, 16 nursing technicians and 16 community health agents. The data collected through interviews which were guided by semi-structured script and observation were submitted to thematic content analysis and Atlas.ti Software, version 7. Results: adversities in the work environment emerged from the analysis such as work overload, lack of articulation between health network services, insufficient autonomy and recognition and inadequate working conditions. Such experiences imply risks to the meanings and the development of work, limiting more resolute actions in the care of the population. Mechanisms that provide protection against risks were also highlighted, strengthening the positive meanings given to work that favor resilience. Conclusion: the study made it possible to understand how the meanings attributed to work are linked to risk and protection mechanisms, influencing resilience processes. Such reflections can support strategies to reduce adversity in the work environment, stimulate the professionals' potentialities and positive senses about work, aiming at reaching a healthy work environment, which affect the care actions to the population.


RESUMEN Objetivo: comprender cómo los significados atribuidos al trabajo por parte de los profesionales de la Estrategia de salud familiar se articulan con los mecanismos de riesgo y protección, influyendo en la resiliencia. Método: una investigación de enfoque cualitativo, un estudio de caso único, realizado con profesionales de la Estrategia de Salud Familiar. Participaron 62 profesionales: 14 médicos, 16 enfermeras, 16 técnicos de enfermería y 16 agentes de salud comunitaria. Los datos recopilados a través de entrevistas, orientas por guiones semiestructurados y observación, se enviaron a análisis de contenido temático y Atlas ti Software, versión 7. Resultados: del análisis surgieron adversidades en el entorno laboral relacionadas con la sobrecarga de trabajo, falta de articulación entre los servicios de salud, autonomía y reconocimiento insuficientes y condiciones de trabajo inadecuadas. Esas experiencias implican riesgos para los sentidos y el desarrollo del trabajo, limitando acciones más resueltas en el cuidado de la población. También se evidenciaron mecanismos que brindan protección contra los riesgos, fortaleciendo los significados positivos dados al trabajo que favorecen la resiliencia. Conclusión: el estudio permitió comprender cómo los significados atribuidos al trabajo están vinculados a los mecanismos de riesgo y protección, influyendo en los procesos de resiliencia. Esas reflexiones pueden apoyar estrategias para reducir la adversidad en el entorno laboral, estimular el potencial de los profesionales y los significados positivos sobre el trabajo, con el objetivo de lograr un entorno laboral saludable, que tenga un impacto en las acciones de atención para la población.


RESUMO Objetivo: compreender como os sentidos atribuídos ao trabalho por profissionais da Estratégia Saúde da Família se articulam aos mecanismos de risco e proteção, influenciando a resiliência. Método: pesquisa de abordagem qualitativa, do tipo estudo de caso único, realizada com profissionais da Estratégia Saúde da Família. Participaram 62 profissionais: 14 médicos, 16 enfermeiros, 16 técnicos em enfermagem e 16 agentes comunitários de saúde. Dados coletados por meio de entrevista, guiada por roteiro semiestruturado e observação, sendo submetidos à análise de conteúdo temática e ao Software Atlas ti, versão 7. Resultados: da análise, emergiram adversidades no ambiente laboral relacionadas à sobrecarga de trabalho, ausência de articulação entre os serviços da rede de saúde, autonomia e reconhecimento insuficientes e condições de trabalho inadequadas. Tais vivências implicam riscos aos sentidos e ao desenvolvimento do trabalho, limitando ações mais resolutivas no cuidado à população. Foram evidenciados, também, mecanismos que conferem proteção diante dos riscos, fortalecendo os sentidos positivos conferidos ao trabalho que favorecem à resiliência. Conclusão: o estudo possibilitou compreender como os sentidos atribuídos ao trabalho se articulam aos mecanismos de risco e proteção, influenciando processos de resiliência. Tais reflexões podem subsidiar estratégias de redução de adversidades no ambiente laboral, estimular as potencialidades dos profissionais e sentidos positivos sobre o trabalho, com vistas ao alcance de ambiente laboral saudável, que repercutam nas ações de cuidado à população.


Assuntos
Humanos , Adulto , Trabalho , Fatores de Risco , Pessoal de Saúde , Estratégia Saúde da Família , Resiliência Psicológica , Fatores de Proteção
3.
Texto & contexto enferm ; 29: e20180104, Jan.-Dec. 2020. graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1101981

RESUMO

ABSTRACT Objective: To identify work aspects that generate satisfaction for the professionals who work in the Family Health Strategy. Method: This was a qualitative, descriptive study that involved five geographical regions of Brazil, and 27 Family Health Teams from six municipalities. The data were collected from 76 health professionals using semi-structured interviews, and were analyzed articulating the three phases of content analysis using Atlas.ti software resources. Results: The findings showed 129 statement excerpts, with 14 codes, grouped into three categories related to satisfaction. The category, Job Identification and Family Health Strategy Principles, represented 40.3%, with the codes: team work, job affinity, health model, completeness of care, and longitudinality of care. The category, Relationship with Family Health Strategy patients, represented 32.6%, with the following codes: bonding with patient, resoluteness of care, patient satisfaction, and patient care. Finally, the category, Professional and Working Aspects related to the Family Health Strategy, represented 27.1%, with the following codes: relationship with professionals, work recognition, enjoying the profession, team organization, and employment relationship. Conclusion: Professional satisfaction is associated with the work principles of the Family Health Strategy, and with the relationships that are established between patients, professionals and health management. It also has a subjective dimension, with a strong relationship with characteristics of the work process, how it is organized, and under what conditions and relationships this work occurs.


RESUMEN Objetivo: Identificar los aspectos del trabajo, que generan satisfacción en los profesionales de salud que actúan en la estrategia de salud familiar. Método: Estudio cualitativo que incluye 5 regiones geográficas del Brasil, 27 equipos de salud familiar de 6 municipios. Los datos fueron obtenidos, a través de 76 profesionales de salud por medio de entrevistas semi estructuradas y analizados, articulando las tres frases de Análisis del Contenido y los recursos del software Atlas ti. Resultados: Seleccionaron 129 extractos de conversaciones, 14 códigos agrupados en 3 categorías relacionadas a la satisfacción. La categoría Identificación con el trabajo y principios de la Estrategia salud de la familia, representó 40,3%; tuvo los códigos: trabajo en equipo, afinidad con el trabajo, modelo de salud, integralidad de la asistencia, longitudinalidad del cuidado. La categoría, Relación con los Usuarios en la Estrategia salud de la familia, representó el 32,6% con los siguientes códigos: vinculo con el usuario, resolutividad de la asistencia, satisfacción del usuario y asistencia al usuario. Finalmente, la categoría Aspectos Profesionales y de Trabajo, relacionados con la estrategia salud de la familia, representó 27,1% con los siguientes códigos: Relación con los profesionales, reconocimiento del trabajo, gusto por la profesión, organización del equipo, vinculo del trabajo. Conclusión: La satisfacción del profesional está asociada a los principios del trabajo en la Estrategia Salud de la Familia, a las relaciones que se establecen entre usuarios, profesionales y gestión de la salud. También posee una dimensión subjetiva, fuertemente relacionada con las características del proceso de trabajo, como se encuentra organizado, sus condiciones y relaciones.


RESUMO Objetivo: Identificar os aspectos do trabalho que são geradores de satisfação para os profissionais que atuam na Estratégia Saúde da Família. Método: Estudo qualitativo do tipo descritivo que envolveu 5 regiões geográficas do Brasil, 27 equipes de Saúde da Família de 6 municípios. Os dados foram coletados com 76 profissionais de saúde por meio de entrevistas semiestruturadas e analisados articulando as três fases da Análise de Conteúdo e dos recursos do software Atlas.ti. Resultados: Indicaram 129 trechos de falas e 14 códigos agrupados em 3 categorias relacionadas à satisfação. A categoria Identificação com o trabalho e princípios da Estratégia Saúde da Família representou 40,3% e teve os códigos: trabalho em equipe, afinidade com o trabalho, modelo de saúde, integralidade da assistência, longitudinalidade do cuidado. A categoria relações com os usuários na Estratégia Saúde da Família representou 32,6% com os seguintes códigos: vínculo com o usuário, resolutividade da assistência, satisfação do usuário, assistência ao usuário. Por fim, a categoria aspectos profissionais e trabalhistas relacionados à Estratégia Saúde da Família, representou 27,1% com os seguintes códigos: relação com os profissionais, reconhecimento do trabalho, gostar da profissão, organização da equipe, vínculo de trabalho. Conclusão: A satisfação profissional está associada aos princípios do trabalho na Estratégia Saúde da Família, as conexões que se estabelecem entre usuários, profissionais e gestão em saúde. Possui ainda uma dimensão subjetiva, possuindo forte vínculo com características do processo de trabalho, como esse é organizado e sob que condições e relações o trabalho acontece


Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Atenção Primária à Saúde , Condições de Trabalho , Estratégia Saúde da Família , Pesquisa Qualitativa , Satisfação no Emprego , Equipe de Assistência ao Paciente , Trabalho , Sistema Único de Saúde , Saúde da Família , Pessoal de Saúde , Continuidade da Assistência ao Paciente , Gestão em Saúde , Assistência ao Paciente , Recursos em Saúde
4.
MMWR Morb Mortal Wkly Rep ; 69(44): 1648-1653, 2020 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-33151918

RESUMO

Since March 2020, large-scale efforts to reduce transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), have continued. Mitigation measures to reduce workplace exposures have included work site policies to support flexible work site options, including telework, whereby employees work remotely without commuting to a central place of work.* Opportunities to telework have varied across industries among U.S. jobs where telework options are feasible (1). However, little is known about the impact of telework on risk for SARS-CoV-2 infection. A case-control investigation was conducted to compare telework between eligible symptomatic persons who received positive SARS-CoV-2 reverse transcription-polymerase chain reaction (RT-PCR) test results (case-patients, 153) and symptomatic persons with negative test results (control-participants, 161). Eligible participants were identified in outpatient health care facilities during July 2020. Among employed participants who reported on their telework status during the 2 weeks preceding illness onset (248), the percentage who were able to telework on a full- or part-time basis was lower among case-patients (35%; 42 of 120) than among control-participants (53%; 68 of 128) (p<0.01). Case-patients were more likely than were control-participants to have reported going exclusively to an office or school setting (adjusted odds ratio [aOR] = 1.8; 95% confidence interval [CI] = 1.2-2.7) in the 2 weeks before illness onset. The association was also observed when further restricting to the 175 participants who reported working in a profession outside the critical infrastructure† (aOR = 2.1; 95% CI = 1.3-3.6). Providing the option to work from home or telework when possible, is an important consideration for reducing the risk for SARS-CoV-2 infection. In industries where telework options are not available, worker safety measures should continue to be scaled up to reduce possible worksite exposures.


Assuntos
Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Avaliação de Sintomas , Telecomunicações/estatística & dados numéricos , Trabalho/estatística & dados numéricos , Adolescente , Adulto , Instituições de Assistência Ambulatorial , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Estados Unidos/epidemiologia , Adulto Jovem
5.
Sante Publique ; Vol. 31(5): 611-621, 2020 Jan 13.
Artigo em Francês | MEDLINE | ID: mdl-33124787

RESUMO

OBJECTIVE: The objective of the article is to describe the follow-up of pregnancies at work and occupational exposure to potential risks for pregnancy. METHODS: A descriptive cross-sectional study was performed from April 1, 2017 to October 31, 2017 in the occupational health departments of French hospitals. After delivery and at the time of returning to work, 1,165 eligible workers were interviewed by occupational health physicians (OHPs). Socio-demographic information was self-reported. Occupational exposures were assessed by an OHP. Birth weight, gestational age, and sick leaves were also collected. RESULTS: Among recruited workers, 51.8% were exposed to more than 5 occupational hazards. Biological and physical hazards were the most common hazards at the workplace. Note that heavy lifting ≥ 15 kg concerned 9.5% of workers. Only 20.1% of workers had a specific "pregnancy at work" medical visit with OHP during pregnancy; 26.8% benefited from workstation adjustments. In contrast, the level of sick leaves was high (86.7%). CONCLUSIONS: Our data suggest that pregnant workers in hospitals must be strictly supervised.


Assuntos
Exposição Ocupacional/efeitos adversos , Complicações na Gravidez/prevenção & controle , Gestantes , Estresse Psicológico , Carga de Trabalho/psicologia , Local de Trabalho , Estudos Transversais , Feminino , França/epidemiologia , Hospitais , Humanos , Estresse Ocupacional , Gravidez , Estresse Psicológico/complicações , Mulheres Trabalhadoras , Trabalho/psicologia
6.
Artigo em Inglês | MEDLINE | ID: mdl-32867344

RESUMO

Background: The link between personality traits and employment status in individuals with chronic health conditions (CHCs) is largely unexplored. In this study, we examined this association among 21,173 individuals with CHCs and whether this association differs between individuals suffering from a heart disease, depression, anxiety, cancer, chronic obstructive pulmonary disease, musculoskeletal disease (MSD) and type 2 diabetes mellitus (T2DM). Methods: This study was conducted using baseline data from the Lifelines Cohort Study. Employment status and the presence of CHCs were determined by questionnaire data. The Revised Neuroticism-Extroversion-Openness Personality Inventory (NEO-PI-R) was used to measure eight personality facet traits. We conducted disease-generic and disease-specific logistic regression analyses. Results: Workers with higher scores on self-consciousness (OR: 1.02; 95% CI: 1.01-1.02), impulsivity (1.03; 1.02-1.04), excitement seeking (1.02; 1.01-1.02), competence (1.08; 1.07-1.10) and self-discipline (1.04; 1.03-1.05) were more often employed. Adults with higher scores on anger-hostility (0.97; 0.97-0.98), vulnerability (0.98; 0.97-0.99), and deliberation (0.96; 0.95-0.97) were least often employed. Personality facets were associated strongest with employment status among individuals suffering from MSD and weakest in individuals with T2DM. Conclusions: Personality might be a key resource to continue working despite having a CHC. This may be relevant for the development of targeted personality-focused interventions.


Assuntos
Doença Crônica , Emprego , Personalidade , Trabalho/estatística & dados numéricos , Adulto , Estudos de Coortes , Feminino , Humanos , Masculino , Países Baixos , Inventário de Personalidade , Vigilância da População , Estudos Prospectivos
7.
Orv Hetil ; 161(36): 1522-1533, 2020 09.
Artigo em Húngaro | MEDLINE | ID: mdl-32886627

RESUMO

INTRODUCTION: Health disorders may affect negatively work productivity of individuals, leading to absence from work (absenteeism) and/or decreased functioning in the workplace (presenteeism). AIM: To assess the health-related work productivity of the adult population in Hungary by the Work Productivity and Activity Impairment questionnaire (WPAI). METHOD: A cross-sectional survey was performed in 2019 involving a sample (n = 2023) representative for the adult population of Hungary. Socio-demographic characteristics were recorded. Health-related productivity of the participants was assessed by the WPAI questionnaire, health status was measured by the EQ-5D-3L measurement tool and the Minimum European Health Module (MEHM). STATISTICAL ANALYSES: Descriptive statistics were performed, subgroups were compared by Mann-Whitney and Kruskal-Wallis tests. Spearman's rank correlation was applied to analyze the relationship between WPAI, age and EQ-5D-3L index score. RESULTS: Among those in a paid job (n = 1194, 59%), altogether 70 respondents (6%) were absent from work during the week before the survey, which resulted in an average 1.9 (SD = 8.5) work hours loss per week. Presenteeism occurred in 166 (14%) cases. The average absenteeism was 3.6%, presenteeism was 4.4%, and activity impairment in the total sample was 9.5%. Absenteeism did not correlate with age and did not differ significantly across socio-demographic subgroups. Presenteeism was the highest among actively working retired people, disability pensioners and part-time employees. Presenteeism correlated moderately (r = -0.379), absenteeism weakly (r = -0.113) with EQ-5D-3L index. Correlation was significant between activity impairment and age (r = 0.412) as well as the EQ-5D-3L index score (r = -0.592). All WPAI items showed significant worsening across MEHM status levels. CONCLUSION: This is the first study in Hungary to present population reference values with the WPAI. Productivity loss due to presenteeism deserves special attention from the employers as well as from decision makers in the labour, health and social sectors. Orv Hetil. 2020; 161(36): 1522-1533.


Assuntos
Absenteísmo , Eficiência , Presenteísmo/estatística & dados numéricos , Trabalho/estatística & dados numéricos , Adulto , Estudos Transversais , Humanos , Hungria , Inquéritos e Questionários
8.
Soins ; 65(845): 36-39, 2020 May.
Artigo em Francês | MEDLINE | ID: mdl-32862964

RESUMO

The construction of health differs depending on whether one is a man or woman in connection with the social positions occupied, but also depending on everyday representations and interactions. Women are potentially in danger in terms of psycho-social risks due to jobs carried out with the public. They have to overcome different handicaps related to gender: they have to prove, more than men, their investment at work and their skills, which are often considered inferior, and fight to open doors that are closed to them.


Assuntos
Saúde do Trabalhador , Trabalho/psicologia , Feminino , Humanos , Masculino , Risco , Fatores Sexuais
9.
J UOEH ; 42(3): 275-279, 2020.
Artigo em Japonês | MEDLINE | ID: mdl-32879192

RESUMO

The Japan Environment Health and Children's Study (JECS) is an ongoing cohort study designed to evaluate the impact of various environmental factors on children's health. In this study, more than 100,000 pregnant women were recruited in 15 regional centers throughout Japan. Within the University of Occupational and Environmental Health, the departments of Pediatrics, Obstetrics and Gynecology, Environmental Health, and the School of Health Sciences collaborate with the JECS University of Occupational and Environmental Health Subunit Center in advancing research in this study. Several original articles based on JECS and written by our unit members were published in recent years. The aim of this review is to summarize these studies by JECS and University of Occupational and Environmental Health Subunit Center based on the data from JECS. We introduce research articles covering the following categories; environmental health, occupational health, and maternal and child health. Studies found associations between concentrations of metals and maternal health, such as premature birth, placenta previa and placenta accrete, associations between metals and IgE, dietary differences among occupational groups, associations between work-related factors and dietary behaviors, associations between job changes and pregnancy/delivery, mental and physical stress among pregnant women and influence on work, associations between sleep and gestational diabetes, and associations between an ability to push up in the prone position and infant development. This review may promote the development of new research, such as collaborative research projects, including clinical and social medicine, epidemiological studies and laboratory investigations.


Assuntos
Saúde da Criança , Saúde Ambiental , Saúde do Trabalhador , Universidades , Estudos de Coortes , Diabetes Gestacional , Comportamento Alimentar , Feminino , Humanos , Imunoglobulina E , Japão , Metais/metabolismo , Placenta Acreta , Placenta Prévia , Gravidez , Nascimento Prematuro , Trabalho
10.
J Psychosom Res ; 138: 110253, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32979696

RESUMO

OBJECTIVE: In this study, the authors analyzed the status of anxiety depression and insomnia symptoms and influential factors in the work resumption period of Coronavirus disease 2019 (COVID-19). METHODS: A multicenter cross-sectional survey was conducted from March 2, 2020 to March 8, 2020 in Shandong Province, China, using quota sampling combined with snowball sampling. The Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and the Insomnia Severity Index (ISI) were used to assess the anxiety, depression, and insomnia symptoms. The multivariate logistic regression analysis was used to explore the influential factors. RESULTS: A total of 4000 invitations were sent from three centers, 3237 valid questionnaires were received. Based on GAD-7, PHQ-9, and ISI scales, 19.5%-21.7% of the participants had anxiety, depression, or insomnia symptoms; 2.9%-5.6% had severe symptoms. Besides, 2.4%, 4.8%, and 4.5% of the participants had anxiety-depression, anxiety-insomnia, or depression-insomnia combined symptoms. The scores of anxiety and insomnia symptoms, along with scores of depression and insomnia symptoms were positively correlated in these samples. Aged 50-64 years and outside activities once in ≥30 days were risk factors of anxiety, depression, and insomnia symptoms in common. During the epidemic, 17.4% of the participants had received psychological interventions, and only 5.2% had received individual interventions. CONCLUSIONS: The incidence of psychological distress increased during the outbreak of COVID-19 in the work resumption period than the normal period. Current psychological interventions were insufficient; target psychological interventions should be conducted in time.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/epidemiologia , Epidemias , Pneumonia Viral/psicologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Trabalho/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
11.
JAMA ; 324(12): 1219, 2020 09 22.
Artigo em Inglês | MEDLINE | ID: mdl-32960229
12.
Int J Radiat Oncol Biol Phys ; 108(2): 370-373, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-32890515

RESUMO

PURPOSE: To evaluate burnout in an academic radiation oncology program after the workforce shifted to working from home all or part of the time to better understand the impact of remote work and if it is sustainable after the COVID-19 virus abates. METHODS AND MATERIALS: In May 2020, in the midst of work-safe policies in the state and stabilizing COVID-19 case numbers, the Qualtrics-based MiniZ burnout survey was amended to include questions related to COVID-19 and working from home and was emailed to all radiation oncology employees across 3 departments: radiation oncology, radiation physics, and experimental radiation oncology. Descriptive and χ2 statistics were calculated within Qualtrics using StatIQ to evaluate factors associated with burnout and positive work from home experience. RESULTS: Five hundred seventy-five employees completed the survey. Aggregating 3 responses that indicate having some degree of burnout, the rate of burnout across the cohort was 32%. For the same survey questions administered a year earlier, burnout rate was reported to be 40%. In the current survey, radiation oncology faculty and therapists had the highest reported burnout rates, at 47% and 44%, respectively (P = .031). The majority of employees working from home at least part of the time reported the experience was positive (74%, 323/436), and feeling positive about working from home was associated with reduced burnout (P = .030). Qualitative data review suggested the main drivers of unfavorable work-from-home responses were child/family care issues and information technology issues. CONCLUSIONS: Burnout was not increased during the emerging COVID-19 period compared with pre-COVID data. The shift to working from home was positive for most of the workforce and a potential benefit in reducing burnout for many staff groups. Maintaining work-from-home options post COVID-19 may help reduce burnout long term. It is important to personalize options for those unable to work effectively from home and to resolve information technology challenges to ensure functionality.


Assuntos
Esgotamento Profissional , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Radioterapia (Especialidade) , Trabalho/psicologia , Humanos , Pandemias
13.
Univ. salud ; 22(2): 186-197, mayo-ago. 2020. tab, graf
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1115968

RESUMO

Resumen Introducción: El ejercicio de la práctica profesional relacionado con el reintegro laboral de personas con discapacidad, debe soportar su actuar en la evidencia científica. Con el avance de las tecnologías de información y comunicación se tiene acceso a un gran acervo de resultados de investigaciones, a las cuales se pueden acceder a través del uso de estrategias de búsqueda. Objetivo: Evidenciar la pertinencia de una estrategia de búsqueda para recuperar publicaciones científicas relacionadas con el reintegro laboral de personas con discapacidad. Materiales y métodos: Se presenta de forma sistemática la estrategia de búsqueda a partir de definición de la pregunta, identificación de términos de búsqueda en lenguaje común y controlado, ecuación de búsqueda, búsqueda-recuperación de artículos, criterios inclusión-exclusión, selección de artículos, lectura crítica y respuesta a pregunta de investigación. Lo anterior puede ser reproducido ajustando descriptores según el interés profesional. Resultados: Se recuperaron 15 artículos que responden a la pregunta ejemplo, evidenciando la pertinencia de la estrategia de búsqueda. Conclusiones: La estrategia de búsqueda de información académica propuesta, permite recuperar artículos que son pertinentes para el investigador y profesionales en su práctica diaria.


Abstract Introduction: The professionals to exercise their practice in an updated and effective way in the matter of return to work of persons with disabilities must support their actions in the scientific evidence. With technology you have access to a lot of information. To be effective and retrieve the data that is required the use of search strategies. Objective: To demonstrate the relevance of a search strategy to recover scientific publications, in this case, labor reimbursement of persons with disabilities. Materials and methods: The search strategy is systematically presented based on the definition of the question, identification of search terms in common and controlled language, search equation, search-retrieval of articles, inclusion-exclusion criteria, selection of articles, critical reading and answer to research question. The above can be reproduced by adjusting descriptors according to professional interest. Results: 15 articles were retrieved that answer the example question evidencing the relevance of the search strategy. Conclusions: An academic information search strategy allows retrieving articles that are relevant for the researcher and professionals in their daily practice.


Assuntos
Humanos , Pessoas com Deficiência , Retorno ao Trabalho , Trabalho , Terapia Ocupacional , Estratégias
14.
Enferm. foco (Brasília) ; 11(1,n.esp): 32-39, ago. 2020. tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1116320

RESUMO

Objetivo: Analisar a situação da equipe de Enfermagem no contexto da pandemia no Brasil, tendo como foco a gestão do trabalho desses profissionais. Método: Trata-se de estudo de reflexão sobre as condições de vida e de trabalho dos profissionais de enfermagem no contexto da pandemia de COVID-19, utilizando dados da Organização Mundial da Saúde, do Ministério da Saúde, do Observatório da Enfermagem do Conselho Federal de Enfermagem e da Pesquisa Perfil da Enfermagem no Brasil. Resultados: Há inúmeras fragilidades nas condições de emprego, renda, trabalho, saúde física e mental desses profissionais. Em relação à pandemia de COVID-19, o quadro é de doença instalada em todo o país, mas diferindo significativamente entre estados e regiões. O país já contabiliza 5.533 casos confirmados e 138 óbitos entre profissionais da equipe. Conclusões: A pandemia reforçou com maior amplitude as precárias condições de trabalho dos profissionais da Enfermagem brasileira, sendo necessários mais estudos e diagnósticos, sobre os efeitos que incidem no processo de trabalho durante período atual e no pós-pandemia para o melhor entendimento da realidade posta e exposta, com o intuito propor sugestões às Entidades de Classe, à sociedade e ao Estado no sentido de aproximar a realidade desses profissionais ao que a Organização Internacional do Trabalho tem denominado de "trabalho decente". (AU)


Objective: Analyze the situation of the Nursing team in the context of the pandemic in Brazil, focusing on the management of the work of these professionals. Method: This is a reflection study on the living and working conditions of nursing professionals in the context of the COVID-19 pandemic, using data from the World Health Organization, the Ministry of Health, the Nursing Observatory of the Federal Council of Nursing and the Nursing Profile Research in Brazil. Results: There are numerous weaknesses in the working conditions, income, work, physical and mental health of these professionals. In relation to the COVID-19 pandemic, the picture is of a disease installed throughout the country, but differing significantly between states and regions. The country already accounts for 5,533 confirmed cases and 138 deaths among the professionals of the nursing team. Conclusions: The pandemic has reinforced to a greater extent the precarious working conditions of Brazilian nursing professionals, requiring more studies and diagnoses, on the effects that affect the working process during the current period and in the post-pandemic for a better understanding of the reality posed and exposed, in order to propose suggestions to Class Entities, to society and to the State in order to bring the reality of these professionals closer to what the International Labor Organization has called "decent work". (AU)


Objetivo: Analizar la situación del equipo de enfermería en el contexto de la pandemia en Brasil, centrándose en la gestión del trabajo de estos profesionales. Método: Este es un estudio de reflexión sobre las condiciones de vida y trabajo de los profesionales de enfermería en el contexto de la pandemia COVID-19, utilizando datos de la Organización Mundial de la Salud, el Ministerio de Salud, el Observatorio de Enfermería del Consejo Federal Enfermería e Investigación del Perfil de Enfermería en Brasil. Resultados: Existen numerosas debilidades en las condiciones de empleo, ingresos, trabajo, salud física y mental de estos profesionales. En relación con la pandemia de COVID-19, la imagen es de una enfermedad instalada en todo el país, pero que difiere significativamente entre estados y regiones. El país ya cuenta con 5.533 casos confirmados y 138 muertes entre los profesionales del equipo. Conclusiones: La pandemia reforzó las condiciones de trabajo precarias de los profesionales de enfermería brasileños en mayor medida, requiriendo más estudios y diagnósticos, sobre los efectos que afectan el proceso de trabajo durante el período actual y en la post pandemia para una mejor comprensión de la realidad planteada y expuesta, con el objetivo de proponer sugerencias a las Entidades de Clase, a la sociedad y al Estado para acercar la realidad de estos profesionales a lo que la Organización Internacional del Trabajo ha llamado "trabajo decente". (AU)


Assuntos
Recursos Humanos , Trabalho , Enfermagem , Infecções por Coronavirus , Pandemias
15.
Av. enferm ; 38(2): 226-233, May-Aug. 2020. tab
Artigo em Português | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1114692

RESUMO

Resumo Introdução: trata-se de um estudo com base filosófica de Michel Foucault que buscou analisar a constituição do sujeito; no caso em questão, buscou-se compreender a enfermeira que milita pela profissão. Objetivo: analisar os aspectos constitutivos de militantes na Enfermagem. Métodos: pesquisa com método histórico, que usa o método de história oral, com uma abordagem qualitativa; foram entrevistadas 11 enfermeiras que militaram ou militam por situações profissionais. Após o uso da técnica de entrevista semiestruturada, os dados foram organizados no software n-vivo 10, e o método de análise foi a hermenêutica dialética. Resultados: as enfermeiras se constituíram militantes a partir de vivências comunitárias, familiares, nos movimentos sociais e na militância profissional, e de convívio com as diferenças éticas e sociais. Os discursos apontam para a constituição de sujeitos militantes fora dos espaços instituídos da sala de aula. Conclusões: ao olhar para a constituição de sujeitos militantes sob a ótica da hermenêutica dialética, encontramos a convergência interna entre as subcategorias apontadas, a produção de sujeitos militantes e as categorias analíticas deste estudo. Identificamos possibilidades formativas de sujeitos militantes e indicamos a necessidade de revisão dos processos formativos de enfermeiras.


Resumen Introducción: se trata de un estudio con base filosófica de Michel Foucault que buscó analizar la constitución del sujeto. En este caso, se intentó entender a la enfermera que milita por la profesión. Objetivo: analizar los aspectos constitutivos de militantes en Enfermería. Métodos: investigación histórica, basada en el método de historia oral con enfoque cualitativo, realizada con 11 enfermeras que militaron o militan por situaciones profesionales. Los datos recopilados de entrevistas semiestructuradas se organizaron en el software n-vivo 10, y se analizaron mediante la hermenéutica dialéctica. Resultados: las enfermeras se convirtieron en militantes basadas en experiencias comunitarias, familiares, en movimientos sociales y militancia profesional, y en la convivencia con las diferencias éticas y sociales. Los discursos apuntan a la constitución de sujetos militantes fuera de los espacios establecidos en el salón de clases. Conclusiones: al observar la constitución de los sujetos militantes desde la hermenéutica dialéctica, encontramos la convergencia interna entre las subcategorías mencionadas, la producción de sujetos militantes y las categorías analíticas de este estudio. Identificamos posibilidades de capacitación de sujetos militantes y señalamos la necesidad de revisar los procesos formativos de las enfermeras.


Abstract Introduction: this study is based on Michel Foucault's philosophical theories and sought to address the constitution of the subject. In this particular case, we sought to understand nurses who militate for their profession. Objective: to study the constitutive aspects of nursing activists. Methods: historical research, based on the oral history method with a qualitative approach, was carried out with 11 nurses who worked or currently work for professional-related situations. Data collected through semi-structured interviews was organized using N-vivo software 10 and then analyzed based on dialectical hermeneutics. Results: nurses became militants due to personal experiences, including: community, social movements, living with ethical and social differences, professional activism, and family life. The speech points to the constitution of militant subjects outside the established spaces of classrooms. Conclusions: by looking at the constitution of militant subjects from the point of view of dialectical hermeneutics, we find an internal convergence between the subcategories above, the production of militant subjects, and the analytical categories of this study. We identified training possibilities for militant subjects and highlight the need to review nursing education processes.


Assuntos
Política , Trabalho , Educação em Enfermagem , História da Enfermagem , Enfermagem , Constituição e Estatutos , Hermenêutica
16.
Av. enferm ; 38(2): 159-169, May-Aug. 2020. tab
Artigo em Português | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1114686

RESUMO

Resumo Objetivo: compreender as percepções dos motoristas de ônibus quanto às vivências no trabalho e aos impactos em seu corpo. Métodos: estudo descritivo pautado no pensamento do fenomenólogo Maurice Merleau-Ponty, realizado em uma garagem de ônibus, de julho 2017 a janeiro de 2018. Foram entrevistados 24 motoristas de ônibus, com mais de dois anos de profissão. As perguntas abertas do roteiro de entrevista fenomenológica possibilitaram a livre expressão dos significados do trabalho sobre a saúde. Resultados: as relações interpessoais no trânsito impactam diretamente o estado físico e psicológico, e a relação com o tempo influencia o comportamento dos condutores. Conclusão: melhorias no trabalho e nas relações interpessoais são necessárias a fim de garantir a preservação da saúde do motorista de ônibus, que é parte essencial no processo de deslocamento da população, e atenção à saúde mental dos motoristas é pouco valorizada, mas indispensável para o trabalho com pessoas.


Resumen Objetivo: entender las percepciones de los conductores de autobuses en cuanto a las experiencias en el trabajo y los impactos en sus cuerpos. Métodos: estudio descriptivo basado en el pensamiento de fenomenólogo Maurice Merleau-Ponty, realizado en un garaje de autobuses de julio de 2017 a enero de 2018. Se entrevistaron 24 conductores de autobuses, con más de dos años en la ocupación. Las preguntas abiertas del guion de la entrevista fenomenológica permitieron la libre expresión del significado del trabajo sobre la salud. Resultados: las relaciones interpersonales en el tránsito afectan directamente el estado físico y psicológico, y la relación con el tiempo influye en el comportamiento de los conductores. Conclusión: mejoras en el trabajo y en las relaciones interpersonales son necesarias para garantizar la preservación de la salud del conductor de autobús, que es una parte esencial en el proceso de desplazamiento de la población, y la atención a la salud mental de los conductores es poco valorada, pero indispensable para el trabajo con personas.


Abstract Objective: To understand the perceptions of bus drivers as to the experiences at work and the impacts on their bodies. Methods: Descriptive study based on the phenomenological approach by scholar Maurice Merleau-Ponty, held at a bus garage in the period from July 2017 to January 2018. Twenty-four bus drivers with more than two years of occupation were interviewed. Open-ended questions in the interview script allowed free expression of the phenomenological meanings of work on health. Results: Interpersonal relations directly affect bus drivers' physical and psychological state. Besides, the relationship with time in traffic influences their behavior. Conclusion: Improvements in work and interpersonal relations are necessary in order to ensure the preservation of bus drivers' health, as an essential part for the displacement of the population. Attention to drivers' mental health is little valued, although it becomes essential for a people-related type of work, such as this.


Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Trabalho , Impactos na Saúde , Pesquisa Qualitativa , Existencialismo , Enfermagem do Trabalho , Percepção , Comportamento , Ocupações
17.
Rev. psicol. trab. organ. (1999) ; 36(2): 103-110, ago. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-194180

RESUMO

This study investigated the relationship between followers' strengths-based leadership (FSBL) and innovative behavior and the mediating role of psychological well-being (PWB) and the moderating role of core self-evaluations (CSE) in the relationship. In order to test our hypotheses data from Chinese enterprises were used. Results of multiple linear regression and bootstrapping analyses showed that FSBL is positively related to follower innovative behavior and PWB significantly mediates the FSBL-innovative behavior relationship. In addition, CSE negatively moderates the direct effect of FSBL on PWB and the indirect effect of FSBL on innovative behavior via PWB such that the direct effect of FSBL on PWB and the indirect effect of FSBL on innovative behavior via PWB will be stronger for followers with a low level of CSE rather than for followers with a high level of CSE. Theoretical implications, practical implications and future research were also discussed


Este estudio analiza la relación entre el liderazgo sustentado en las fortalezas de los subordinados (FSBL), su comportamiento innovador y el papel mediador del bienestar psicológico (PWB), así como el papel que juegan en dicha relación las autoevaluaciones principales (CSE). Para poner a prueba nuestras hipótesis se dispuso de datos emparejados de empresas chinas. Los resultados de la regresión linear múltiple y de los análisis bootstrapping mostraron que el FSBL se relaciona positivamente con el comportamiento innovador de los subordinados y el bienestar psicológico mediatiza de modo significativo la relación entre el FSBL y el comportamiento innovador. Por otra parte, las evaluaciones principales moderan negativamente el efecto directo del FSBL en el bienestar psicológico y el efecto indirecto del FSBL en el comportamiento innovador a través del bienestar psicológico, de modo que dichos efectos directo e indirecto del FSBL serán mayores en los subordinados con un bajo nivel en las autoevaluaciones principales que en los subordinados que tienen un nivel elevado en las mismas. Se comentan las implicaciones teóricas y prácticas y la investigación futura


Assuntos
Humanos , Masculino , Feminino , Adulto , Capacidade de Liderança e Governança/métodos , Inovação Organizacional , Engajamento no Trabalho , 16054/psicologia , Autoeficácia , Relações Trabalhistas , Autoavaliação , Avaliação de Desempenho Profissional/tendências , Trabalho/psicologia , Eficiência/classificação
20.
BMC Public Health ; 20(1): 1072, 2020 Jul 06.
Artigo em Inglês | MEDLINE | ID: mdl-32631292

RESUMO

BACKGROUND: The Occupational Sitting and Physical Activity Questionnaire (OSPAQ) was developed as an easy-to-use instrument for self-reported assessment of percentage sitting, standing, walking, and performing heavy labour in a workplace setting. This study aimed to evaluate the concurrent validity of all dimensions of the OSPAQ compared to accelerometer-assessed measures of occupational physical activities in a mixed sample of sedentary and physically active professions. METHODS: Data from the Flemish Employees' Physical Activity (FEPA) study were used, including employees from the service and production sector. All participants filled in a questionnaire, underwent clinical measurements, and wore two Axivity AX3 accelerometers for at least 2 consecutive working days. Intraclass (ICC) and Spearman rho correlations (r) were analyzed to assess concurrent validity. RESULTS: The sample included 401 workers (16% sedentary profession) with a mean age of 39.2 (± 11) years. Concurrent validity was good and moderate for assessing percentage of sitting (ICC = 0.84; r = 0.53), and standing (ICC = 0.64; r = 0.53), respectively. The concurrent validity for walking was weak to moderate (ICC = 0.50; r = 0.49), and weak for performing heavy labour (ICC = 0.28; r = 0.35). Stronger validity scores were found in sedentary professions for occupational sitting and standing. In physically active professions, an underestimation of self-reported sitting and standing was found, and an overestimation of self-reported walking and heavy labour. No significant self-reported over- or underestimation was found for sitting and heavy labour in sedentary professions, but an underestimation of self-reported standing and an overestimation of self-reported walking was observed. CONCLUSIONS: The OSPAQ has acceptable measurement properties for assessing occupational sitting and standing. Accelerometer-assessed measures of occupational walking and heavy labour are recommended, since a poor concurrent validity was found for both.


Assuntos
Acelerometria/normas , Saúde do Trabalhador/normas , Inquéritos e Questionários/normas , Trabalho/estatística & dados numéricos , Local de Trabalho/estatística & dados numéricos , Acelerometria/métodos , Adulto , Exercício Físico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ocupações , Reprodutibilidade dos Testes , Comportamento Sedentário , Autorrelato , Autoavaliação , Postura Sentada , Posição Ortostática , Fatores de Tempo , Caminhada/estatística & dados numéricos
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